NO PERMIT NUMBER10166 I Camberley Lane LotNo.1?6
No. Street
CITY OF CUPERTINO 2.94
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8923 BF
1/30/74 File No. 51,241.2
Date 19
Application is hereby made for a permit to ,
Construct (412—M) a 2 story, Type 5 1 J
to he occupied only as Single Family Dwelling (Townhouse)
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 42,000
131.50
FEE$ Plan Check $
Owner Deane PrniPo},q Tno. Address Ai17 1lA+Prnnq Rlvli RWr_l
Caner, Address
Phone 364-2992 B —1 256178
State License
255-2575 Approved Tampa H_ qi qk/h
Contr.
Phone
Date
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEE$
Address
State Lice
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
APPLICATION FOR ELECTRICAL PERMIT
Date
19 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
19 GAS FEE $
PLUMBING FEE $
Contr.
Phone
Date
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEE$
Address
State Lice
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER_
GRADING FINAL_
FINAL BLDG.
RECORD OF INSPECTION APPROVALS'
BUILDING
INSPECTOR
ELECTRICAL
DATE INSPECTOR
UNDERGROUND ROUGH_ q
ROUGH WIRING H. i `
FINISHED WIRING
FIXTURES -
FINAL
BACK FLOW REQ.
SANITARY NO. t
UNDERGROUND ROUGH& -I
PARTIAL ROUGH P
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.-�
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTQfi
as -
MMAI,
live
❑ATF INSPECTOR
MISC.
.77 -?i
MISC
MISC
MISC
'
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Lot 126 CITY OF CUPERTINO
DATE 1/22/75 19_ BLDG, PERMIT NO. 51,241.2
THE BLDG. LOCATED AT 10166 Camberley Lane
OWNED BY DeaneProjects Inc.
HAS BEEN (COMPLETED) FOR USE AS Single Family Dwelling
(ALTERED)
BUILDING INSPECTOR 61
UpL,mr. SLI
File No.
Da t c
.cca I*' cr.
;ub ect
cotes
Date Inspector
Y
Owt
At
Trac
Bldg. Dept.
Office Copy
(CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Settler Connection Sanitary Permit No. --- 3 ..........
Plumbing Final Plumbing Permit No.
Lot No . ......... Z2.1 .............
Date Connected ..... .................................................................... 19............
1.
DateFinal ..............7n, ... ) .. �25..................................... ........................... 1 19............
INSPECTOR
To
You are hereby
Owner or Ter ....
At ......... I ...0 -t .C -
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......................... /.-'Y ......, 196.
tut or zed to co nett leccttrical servica_�fo1r
r... ,�?-Q.......... A.�1:--,7 R
................. .......
No. of Wires ........................ Size of Wires ....fes
Motor Load .......................... Voltage ........................
Heating Load ........................ K. W . ..........................
No. of Meters.............
..... Light.......... �-----.... New
Heat ................. 220..... e
No. of Add. Meters............
Power ............... _/JChcc
...... Size of Switch (..........
-
.... Phase ..................................
...... Voltage ................................
Reconnect ..................
Move Service............
-xe CITY OF CUPERTINO COPY
GAS SERVICE NOTICE
.......... I .......... 19 7S
To You are hereby authorized to connect the?AS services for
Owner or Tenant ..... . ..... C ......... . .......... ............. .................. .......
At ... ..... ......... . .. ... -,: -
....................................
New Service .... 4,ww< ...........
No. of Meters .............1.......Reconnect .............................
Move Service .. ......... ...........
No. of Add. Meters .............. Move Meter ....................
..................... ......
PLUMBING INSPECTOR
O 1 (o % Gf�r:f b E.,� /E'� G Ail -/E LOT NO. /.21 2G
NO. STREET
yQ '
W Z CITY OF CUPERTINO
neo 6PPLICATION FOR BUILDING PERMf
O — CuF xm+
O J � OY Building Per. No. 3.
wU Date pp�� 79Sanitary Per. No.
� o Apa]Wion is hereby made for a permit to CoA�ST.c4
LL W t�Yy
o a _ story T�pety /�/ H C �c N AJ L2 �i Structure
>F
Z
W to be occupied only a9o5/M & FAnr .�,Y c�c.�6;[,L /nJF in accordance with
ww
a Plans, Specifications and Plot -Plan filed
herewith. PI Ck Fee $_
_o o Estimated Value of Improvements, $a'3a�o Fee $
>y
I a Total Fee $
Z'' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J o and all other laws applicable to the construction, location, and use of buildings within
3 a the CityofCupertino will be /complied with.
W w Owner_//ice �Ai� l.o Addre�c(r�/ 7
IL
// o�ry
Q O By N>: o�%a .� E' Addr..,4/ 4,
- U _Contr. or Agent.
Phone uf/ r_p['77L Approved
State Licanse-A/ — .isr, / 7 A Building Inspector
PAF
10166 Camberley Lane_. iOT NO. ; 126
NO. CfTy OF CL'fSTREET .
NO I/ J r CITY OF CUPERTINO
AWPLICATION FOR ELECTRICAL PERMIT
q
y, Permit No.
Date /�'•riC/ •7 // '1974— Fee f
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Cade of the
City of Cupertino, and all other laws applicable thereto.
Use of Work To Be
Premises 1 Family ReA. Performed R1 _ ri ral Wi ri na
Owner Deane CO. a Inc. Address
By ALL -CAL ELECTRIC CO s Address 104 Stockton Ave.
Contractor, Agent je-:
Ca.
Phone 20
228-62State license 228-622 Approved
Electrical Ipe<t r
RKMEN
I AGREE I WILL NOT VIOLATE ANY OF THE WO
COMPENSATION LAWS OF THE STATE OFCALIFORNIA.
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1&6,6 (_ !Y!' ✓ L rte( C(.! �:_. . LOfNO. /
NO STREET ,
CITY OF CUPEr.TYr4^ CITY OF CUPERTINO
MAR 2 7 1b,,, APPLICATION FOR PLUMBING PERMIT
D �A I Sanitary No.
Date , 19, Permit No.
FesS a;?
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of O
Premises
Owner
v
Phonen
Contr ctor, Agenl /
Phona�� dS:S�
State License 14Z-3 /
Work To Be
Performed
Address
Address Gas 'ey7
Approved i I)` ge �
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. k,
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101b& (211{'%L)LI&E—V ZAVG LOT NO. :IOC CL
NO. STREET
CiTY OF CUPERTINO
�1tU APPLICATION FOR APPLIANCE PERMIT
r
�%L Permit No.
Dote / ✓✓✓ s'- , 19 y— Fee $ U�
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto. 7
Use of f r J r' Work To Bd 149Wf/(/�
Premises [ 1�.i��p 6'� L /�.J� Pmformed r� /'J/T// 'V p` y l � 7��,(� A /
Owner �1%k`1I�t l Address3 D 61/ C-7 V j 1-10 to f X5,41q
,4 y(
Phone C r�I ' p /'"1t AATOD
By 5 Address P6• 6OX —09 DU F 1114
Phone — /� M
O r�rocl��0 v
Slate License r� "f Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S /
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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