NO PERMIT NUMBERLot No.
No. Street
CITY OF CUPERTINO 2.17
APPLICATION FOR BUILDING PERMIT 8579 BF
Sanitary No.
File No. Sl _ 11l
Data 6/19/73 19
Application is hereby made for a permit to
Construct 2 5 1 J
a story, Type
to be occupied only as 4ingp Fnmily Tlwoll+-� (Plan 600—E)
in accordance with plot plan, plans and Specification filed herewith„
Estimated Value of Improvements
$ 31,000
104.0o
FEES
Plan Check $
Dwt.or
Deane & Deane
Address Box
38, Half Moon Bay
Contr.
Address
415-726-5251
B1256178
Phone
State License
255-2575
Approved James H. Sisk/h
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
i
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data
19 FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California y
PD•1
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. -�
d '
�7
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH —
.7
ROUGH WIRING
/
FINISHED WIRING
C
FIXTURES
d
MOTORS
-
FINAL—
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR m
BACK FLOW REQ.—
SANITARY NO.46
UNDERGROUND ROUGH
PARTIAL ROUGH —
ROUGH COMPLETE
MAIN DRAIN
J
—7
FINAL PLBG. d ��
FINAL GAS
7
FINAL APPLIANCE 7-4
-7
n-
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......... wm.. .... t ............... 19 .. Permit Peit No. ....................
The Building ted at ... f.2 .. 2.-' .............
Owned by
Has BL4n_' Use As:
......................................................................... .............................. .....................
Z* .............
............. i ........ ..............
BUILDING INSPECTOR
ROUTS STRIP
'File NO.
Da t e
'._.Locat_on
A
_Sub,ject r�r•a L�C�a�,/�P
—Approved
Date InS7Ccto
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
Y (3F SEWER -PLUMBING NOTICE
-9 Sewer Connection Sanitary Permit No. ...Z,5_79 .......
V1( Plumbing Final Plumbing Permit No�Id_,�4.1
Lot No . ....... zo. / .........
Owner or I
At
Tract......................................................... ..................... : ................................................
Date Connected ..... z_
Date Final ............. g -_)-7_11
............. .... ... ...... : .................. ................................ .c 19............
INSPECTOR
CITY OF CUPBRTINO
GAS SERVICE NOTICE COPY
To, eYou are hereby ..............:....L'........
y authorized to connect the GAS servi for
Owner or Tenant .4:%e�
At
' .New Service .......
No. of Meters ............ Reconnect
Move Service ... ...... _.............
No. of Add. Meters ..............
Move Meter ............._..._......
...............
PLUMBING INSPECTOR
OFFICE COPY
CITY'OF CUPERTINO
ELECTRIC SERVICE NOTICE
TO
.... .7:_3Q 91
You are hereby u hor zed to conne lectri \`1 s vice for
Owner or Tenant ........... ..:.1 h�
At ........ 1r<. C.. ............ :-ti:i Yg ±e Y.`_t. ....
No. of Wires ._......_............. Size of Wires ...................... Size of Switch
Motor Load .......................... Voltage ._........_.......... Phase ..... .......................... ..
Hea
ting Load ........................ K. W....................... ............ Voltag• .............. _............
.
Light- .............. 110........../.
No. of Meters ............. ........... .. �....�
Heat ................. 220.......l}7 tI ec Wi e..
No. of Add. Meters............ �(
Power ............... 1'hr P sc•..__ �...... Mo" hlgfrr.......
YLECfUCAL INS14".
22920 Cricket .Hill Rtl. LorNO. 101
NO. STREET t
CITY OP CUri TINO CITY OF CUPERTINO TaX Q/17
-
JUG 19 19APPLICATION FOR BUILDING PERMIT
Building Per. No. 51 + 241
Date 19 Sanitary Per. No. o04-7 9 /?,'c
App it a4 on is hereby
Dpc� a Construct
a_story, Type an -
Structure
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $
Estimated Value of Improvements, $.J/,f O O D Fee $
Total Fee $
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 complied with.
Owner Deane $ Deane,Inc. Atltlreas P.O.Box38,Half,Moon Bay,Ca.
By Deane F, Deane,Inc. Add, ... P O.Box38,Half Moon Bay,Ca.
Contr. or Ag n .
Phone 415-�/6-5251
Approved
State License 48 B IL50j.Building Inspector
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22920 I CRICKET HILL ROAD 101
LOT NO.
NO. G,,t[j1sh"EET r
CYN O qq�CITY-OF CUPERTINO
�i4PPLICATION FOR APPLIANCE PERMIT`
Permlt N
Date 4:.18. 74 19_ Fee$
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.
Use of DWELLING work to Be HEATINGNENT.
Premises Performed
DEANE CO. 617 VETERANS BLVD.REDWOOD EltV
Owner BUSICK AIR CONDITIONINGresa P.O.BOX 2189,DUBLIN,CAL.94566
By OL ��clr7nt
cgy gr Address
Phone
/State License 231092 Approved
Plumbing Inspector
\.
APPLIANCE
UNITS
FEES
Gas Top
Gas Oven
Wall, Gravity or Forced Air Furn.
(
Do
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Independ. Vent System
Com., Indust., Inst. Kit.
Hood & Vent System
Forced Air Under 4000 CFM
r 4000 CFM
Forced AiMe
tnd. VentSystem
(Without rt Cool.)
Forced Ach. each Power
Gravity System
No: of. Atlets
No. of F1'00
Stacks foal FireplacesSmoke
StMisc. Equip.Under
15hOver
15'
- - Comfort CoolingComp. ofHP or less &absorpts
with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& absorp. units with input
of 500,001 & Under 1AGO,000
Permit Fee
,.OQ
Total
Total Fee
' - O
22920 Cricket Hill Road LOT NO. 101 /
NO. STREET
z a p GUQ6" CITY OF CUPERTINO
E�
Y o C90 0 119�4 APPLICATION FOR ELECTRICAL PERMIT 1 s
mU •'� `l Permit No.
Fo oa M71rch 7 ,g 74 P<ea
ap F Application is hereby made to the City of Cupertino for a permit to install electrical
z F wiring and/or fixtures as listed on the reverse side hereof, and ag to install said
a W wiring and/or fixtures in accordance with the pr ons of the Electric Code of the
F F City of Cupertino, and all other laws applicab thereto.
a
J LL
>90 use o, Work To Be TEMPORARY POLE
Premises Par,ormeo
_ � Owner Dean & Associates Address
J zo g� ALL —CAL ELECTRICCO Address n e
Contractor, Agent n ose, ca.
a Phone 295-5230
N
Wz
i State License 228—fi22 Approved
f Elect Lie
actor
4r
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
' Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Orytrs'
Motors:
.H.P. Phase
H.P. Phase
H.P. Phase
Power Poles 3. 00
Misc.
Permit Fee V 2.00
H.P. Charges
Total Fees I I 1 5.00
2
OPP CE COPY ' • ,
ELECTRIC -SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO r
1 ..................... .-.1..1...- _........., I97...
You r ere y u o ized to connect e ect ca service for
Owner or Tenant ..... ... ......... ........ .
No. of Wires ........................ Size of Wires ...................... Size of Switchn9.'"
Motor Load
Heating Load
No. of Meters........(Ligl...........
No. of Add. Metecs............ Hea
Voltage................................ Phase ......................
K. W................................... Voltage ................................
...............
./.................,./...'212100X
vice........::.... Reconnect ..................
W............... Move Service............
...............
Move Meter..............
U,
NO. STREET in Q
w Z CRN tr lCum''nr(C CITY OF CUPERTINO
V O ��� APPLICATION FOR PLUMBING PERMIT
San Itavy No.
ZLL Date �� 79 y L`� Permit No.�
1-0 P Fee S �3
LL
o 4 Application is hereby made to the City of Cupertino for permit to install plumbing > a PP Y Y P P P 9
a y pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
w w and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a 1- Cupertino, and all other laws applicable thereto. '
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00 Use of (� Work To Be
Premises-�-� Performed
04
2 J Owner v�-" , Ad(dJ;y��)ss 1
J O By
AdXrag
3 Q Contractorr, -Agent ar BS S{raet
w i Pbone.2f'�D.).SG San Jose, California 95112
w
u State License /2/:Q7 Approved �
Q00 Plumbing Inspector
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in d
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
.3"
6<071
Water Closet
Material
Bath Tub
. �D
To Curb
Shower
To Prop. Line
Lavatories
eRj
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINA
Washing Machine
Size
Water Softener
Material
Bar Sink
To Drain
Comb. Sink & Tray
To Curb
JDental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Materia
A
Sand Trap
TOTAL F
_ Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
i—
=Sprinkler System
Water Sys. Fee
, s
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
91
113, 01
Total Fee