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FECAP-PLIATION FOR BUILDING PERMIT
C'60 -Y OF CUPERTINO s"/
21 965 C Sanitary No.
Date Permit No.S Xj
C1Applic0Fn i{�,h ERaaPHs r a permit to [2f_l7—
a story, Type yrs 305/ Building
tt. be occupied only as �fi/✓,�//� t/ �/��!-!//✓ in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $ —2! '006 Fee,j.�5—` ._
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be com lied with
Owner /.
By
Phone�-S3—[1�C� )
State License 1%'0'2
1
21534 CONRADIA. COURT Lot No, 217
No. Street .' 304)
APPLICATION FOR BUILDING PERMIT
CITY OF CUP ER TINO
File No. 91149
Sanitary No. 4651
Date Dec. 20, 196 5
Application is hereby made for a permit to
Erect a 1 story, Type 5-I-J
to be occupied only as Sin(zle Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $ 24,000. 00
FEES 75-00 Plan Check $
Owner _ Ward QI'LMD Dev. Address P• 0. BOX 634
Contr. by Ray o791IDD Address
•Phone 293-o800 State License 1926o9
Approved W.D. Benevirh/h
I '
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. 9111��j / O �/ �✓�-�-G Address 7 70 .�✓ �e-c.c9-�.s�,. �,st , / / 6�
Phone / b a 416-32 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 2 � � 196 GAS FEE $ /
PLUMBING FEE $
a �.
Cont,. �n--rccr•� Address Zy e4-
Phone 379— ys(t-Z'
State License 2-2 U KV
Approved
APP ICATION FOR APPLIANCE P RMIT7 ? 6
Date / 7
Contr. l�cCti�-/'</ 7 7/ �V/ �a`twtc, 'el
Phones—/ a lrO `S State LicenseApproved
Applicant
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California }
RECORD OFANSPECJ APPROVALS
FOUNDATION �( - 6 BUILDING
Spector
UNDERFLOOR
nspector
FRAME �Cii 4
to nspector
LATH PLASTER
_ to as pe ctar
FINAL
Do to I as ae ctor
ELECTRICAL
,OUTLETS / YO
- SERVICE SIZ
SWITCHES `LL UNDERGROUND
:y 3 ivic) °f p Spector
RECEPTACLES ROUGH WIRING �- ` ��6
sea D e - Inspector
FIXTURES FINISH WIRING
X10 LS Date Inspector
M.P. CHARGE tr0 FIXTURES
0' Date Inspector
PtIRMIT FEE 0-0 Motors
y ctar
TOTAL FEES FINAL - S
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LuITERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES Id al!
UNDERGROUND
FIXTURE FEE PARTIAL ROUG -17-&o4::�
to tar
MAIN DRAIN FEE °= ROUGH COMPLET
STORM DRAIN FEE MAIN DRAIN
e for
WATER SYSTEM FEE c_ GAS I PIPING 7-5-
�ate r
GAS PIPING FEE FINAL -
Date nspector
PERMIT FEE r MISC
Date Inspector
TOTAL FEE � MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS �� °2 Zf
BLOWER FURNACES / {{� ; COMBUSTION VENT Pa
SUSPENDED UNIT '1 (MISC
GAS RANGE !M15C
GAS DRYER -} IPERMIT FEE -DZ �v
FLOOR FURNACE •( OT FEE / ry�
INSPECTED
Date Inspector
CERTIFI'CATE` Oi'F COMPLETION
f"
t1
BUILDING,INSPECTOR'S OFFICE
� ( CITY't OF CUPERTINO
r r- + �-
Date ...- . .. . ...............:..
r
....... . . 1, ..:.. Building Permit Nc.J.�f.-...........
y
The Building Located au�?/4�fO/�
.. -��.Jp. . .. . . . .. 4...� r.
..........................
/
by 'La�l/ .. ... . R. ..............'...
Owned pleted) �' 2 �r �,. ,.-.�+
Has Been r Use As: ::...- .r' . ...... _ ........................................
C'Altere'd)
..................................................
r
.................................................................................................................................................
.........................................................................:r. a:...
.......... .........:.......................
. .:.........................
BUILDING INSPECIOA
102 1/63.500 -
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. —1&dl� ...........
Plumbing Final Plumbing Permit No.
Lot No. �V-V'7 .........
...............
Owner or Tenant . .................
ldfk
At627..............................................
Tract ............ ..
............................................... ...............
.0
DateConnected . ........................f ..............................................
Date Final - ---------------.............. ..../ . .. ..
........ .... ...*..........................
-- - jor ..4 ,
........... -----------------------
PLUMBING INSPECTOR
Ill 7/63-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING CUPSINSPECTOR'SOFFICE
OFCUPI:
; ✓//D-,(_ /
CITY OF R1'INO /
To
You are hereby authorized to
connect elect rical's nice far
Owner or Tenant .At
.. _ ..._. ..... ......................... . ..
��y s
No. of Wires .•9............... Size of Wires ...�..... ....... Size of Switch /WA.
...Motor Load ........._.............. Voltage ...............................,. Phase ........ ............. .. ...
Heating Load ....................... K. W. ............................. .... Voltage
No. of Meters.. LightIINew Service....'. KeconnecL_.......... ....
,
Hear. 220.f'. Three Wire...... ......... Move Service........—
No. of Add. Meters............
Power............... Three Phase.............._ Move Meter......
,JP., CTRICAC`INSPECTON'i"
GAS SERVICE NOTICE OFFICE
COP%'
All
BUILNG D ITY O S CUP RTINOITICG
Lir....................... 196.a,
To
You are hereby authorized
�ttoo�connect the GAS service for
Owner or Tcnant . ..GE!L(i(/.��,.' � �'L /........
__............
0
At ...o2�c1.-.-�.. .... .. .. .... i..C....._........:....._..._....................
New Service
..........
No. of Meters ..../...... ..... Reconnect ..... ........ .............
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
>=PLUMBINgG INSPI?CTOR
ROUTE SLIP
i
File No .
Date Out —Tom
Date In
Location
Sub iec.t
Notes
�I
Approved
Date Inspector
ROUTE SLIP
File No.
Date Out , - i-J—
Date In/� '
Location
Sub eat.
Notes
Approved i
Date Inspector