NO PERMIT NUMBER 10207 I Camberley Lane Let No. 133
No. Street
CITY OF CUPERTINO 2.38
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8930 BF
1/30/74
File No. 51,241.2
Data 19
Application is hereby made for a permit to
Construct (402—C) a 2 story, Type5 I J
to be occupied only as Single Family Dwelling (pTownhouse—T- -
in accordance with plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 34,000
FEES —111.50 Plan Check $
owner Deane Projects Inc. Address 617 Veterans Blvd. RWC
Contr. Address
364-2992 B-1 256178
Phone State License
255-2575 Approved James H. Sisk/h
APPLICATION FOR ELECTRICAL PERMIT
Data 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Dote 19 FEES
Centr, Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of file
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL FW
FOUNDATION6 '
UNDERFLOOR J
FRAME _r
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
EL CTRICAL
TE I SPECTOR MISC.
UNDERGROUND ROUGH 7
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL--
PLUMBING,
INAL PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS .2
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
rile NO .-
Da t c
O .Date
ocation
;ub:ect
rotes
Date injictor
• OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO �']
.........../"'�'^••N� ... I't+1• .9
"-- ...................... 19 • ...
To _
You are hereby authorizedtoconn electrical service for
Owner or Tenant .... 1 , ...... .i...��^TI ...............................
-
' s.4+� +r . Size of S .�,.n...,.
At ............. !a,-!�^-,e^."........r ...'S ,A.?A'"4S..A..:..i...�{..r"4.. . ..'t.^..........................
No. of Wires ........................ Size of Wires ..........�. witch ...............:�..
MotorLoad .......................... Voltage ..............................-. Phase ..................................
HeatingLoad ........................ K. W. ..... ......./................... Voltage ..../......................
LighL... . ..... 1 IU. "...... New Service
l ice /Reconnect..................
No. of Meters.........�........ f. .........
HeaG................ 220.:.., _'!'Thr Wire%............... Move Service............
No.of Add. Meters............ �� ��
Power............... Thr ....�..
Meter.............
V. 7
......- .. .... ..'""."r1........
ELECTRI .
R
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO !/
�? Sewer Connection Sanitary Permit No. .......T:..i�j0....
Plumbing Final Plumbing Permit No. ...�?...� .`.��.: '
n n Lot No. ............� .......
Owner or Tenant -- .....a/�'f..4 .e....J:.n .. .P..G .:................. ..:.......
At ...../. aj.z?_2....
Tract .........................................................
.........................................................................
DateConnected ....—9......a).1......Zy.................................................................. 19............
DateFinal .............cQ....... :-..7J.. ........................................................./J..�..... 19............
......................... %IC.f. ................
PLUMBING INSPECTOR
OITICE
CITY OF CUPERTINO COPY
GAS SERVICE NOTICE
................ ......s ............., I,zs'
To
You are hereby 'authorized to connect the GAS service for
Owner//or Tenant ....0/}�..P_ar�.�_...... .. ..... ...�1'�C.............................
At ............
New Service ......
No. of Meters ...........l........ Reconnect .............................
l Move Service .....................
No, of Add. Meters .... Move Meter ..................... ..
I
PLUM IN�OR
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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PLAN 402
ITEM NEW RPL PEES
Number of Outlets �3
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W. /, 00
Size of Main Service /,(J _ /, 06
Number of Meters _
Number of Panels ,DO
Signs•Transformers
Dryers
Motors: pU
H.P.Phase,
H.P.Phase '
H.P.Phase _
Power Poles
Misc.
Permit Fee OU
H.P.Charges
Total Fees
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APPLIANCE UNITS FEES
1)FORCED AIR OR GRAVITY FURN.TO AND INCLUDING
100,000 B.T.U.'S
2)FORCED AIR OR GRAVITY FURN.OVER 100,000 B.T.U.'S
31 FLOOR FURNACE
4)SUSPENDED,REC.WALL,FLOOR HEATER
5)INSTALLATION OF APPL.VENT
6)REPAIR OF,ALTERATION OF,OR ADDITION TO
HEATING APPL.,REFRIG.UNIT,AB5ORP.UNIT, '
COMFORT HEATING,COOLING,ABSORP.,OR EVAP.
COOLING SYSTEM _
7)BOILER OR COMP.TO 4-HP.ABSORP, SYSTEM
TO 100,001 B.T.U.'S
8)BOILER OR COMP.TO 16-HP.ABSORP.SYSTEM
100,000 TO 500,001 B.T.U.'S
9)BOILER OR COMP.TO 15-HP.TO 31-HP.ABSORP.
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
10)BOILER OR COMP.30-HP.TO 51-HP.ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11)AIR HANDLER 10,000 CU.FT.
12)AIR HANDLER OVER 10,000 CU.FT.
13)EVAP.COOLER PORTABLE
14)VENT.FAN CON.TO SINGLE DUCT
15)VENT.SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16)HOOD-MECHANICAL EXHAUST
17)DOMESTIC INCINERATOR
18)COM.OR INDUST.INCINERATOR
I9)EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
TOTALFEE
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FIXTURES NUMBER MAIN DRAIN
Unitsi Fees Units Fees
Water Heater ,SO Size SnD
Water Closet j „f7 Material $
Bath Tub / r$D To Curb
Shower / /,,r0 To Prop.Line
Lavatories To Existing
Kitchen Sink Nit Not Conn,
Dish Washer
Waste Disposal _
Wash Troy STORM DRAINAGE
Washing Machine /,S0 Size _
Water Softener Material
Bar Sink To Main Drain
Comb.Sink 8 Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size y
Restaurant Sink Material /,q t
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee ,
Relief Value Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total / ,SC Total Fae .26..fO
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