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NO PERMIT NUMBER 10009 I Dove Oak Court vLot No. 22 No. street 31710 APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. 7372 6/15/71 File No. 51231 . Data 196 Application is hereby made for a permit to Construct a 2 story, Type to be occupied only as Single Family Dwellj ng in accordance with Plot plan, Plans and Specification filed herewith, Estimated Value of Improvements $ 26 ,000 FEES - 80• 5o Plan Check $ Owner Shapell Industries Address 3000 Scott Blvd . S. C. Contr. Address Phone 247-3801state License 169863 252-3831 Approved W. D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT. 01 r Date � 19 FEE$, 2.01 Conti. yq m� Address Phan State Licen Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 -71 GAS FEE $ C —/ PLUMBING FEE $ tn2.6. i Conti. —L �/ wc�/ ��` Address d Phone — 02 T S State License Approved _J � APPLICATION FOR APPLIANCE PERMIT o1-4 � / I% FEE$ � Date ' �/ 7 Cont, -7 7 9 Phone —sl—,9�� �"�-' •0 State License a' Approved Applicants agree not to violate any o(the rrC� Workmen's Compensation Laws of the Slate of California S. j 4 RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR ,D GAMdde- FRAME r 71 LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL E IN CTOR N15C. yT- UNDERGROUND RO 4- 4 ROUGH WIRIN 06 FINISHED WIRI FIXTURES 7' MOTORS i FINAL _ =1 PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. SANITARY NO. UNDERGROUND ROUGH *�t- en PARTIAL ROUGHROUGH COMPLETE lMAIN DRAINFINAL PLBG. FINAL GAS I vile 6 ? FINAL APPLIANCE -7 DATE INSPECTOR MISC. MISC MISC a' MISC t CITY OF CUPERTINO COPY . GAS -SERVICE NOTICE ....... ............ ..a....- as - ?/ To You are hereby authorized to connect the aa GAS service for Owner or Tenant :_ r ..... .. ...... ._..:..... .. .. I .. .................................. At ...(.0.0 .f..... .... G . . . ...... ' .. New.Service /..'.'...... ....... . No. of Meters . �...._�..... Reconnect . Move Service ...... No. of Add, Meters ............. Move Meter ..........�.........'...... PLUMBING,. INSP17CTOR • -`�r,� Bldg. Dept. Office Copy CITY OF CUPERTINO SEWER-PLUMBING NOTICE AD- Sewer Connection Sanitary Permit No. ...... ...... Plumbing Final Plumbing Permit No.2. ra.Zjn Lot No. .........*:*? -------------- Owner or Tenant —'e).2 .4-C..J . ...... A// 7/............................................................ At ------- . ........................................... Tract DateConnected .................................... .....................----------- 19......._... Date Final -----L.-//.......7.?L................................................-.............� .- 19 ................. 124---- ------------ PLUMBING INSPECTOR.............. OFFICE COPY Z1, ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE. CITY OF CUPERTINO ...... ._`..`...�...�..... .. ..... . 19 .L To You are hereby ut ized to connect glectrical service for Owner or Tenant .. .. :-- ...... �_',- .....G+�_R?s............. . .. At .........�..Q o. _.�......... .. . ..... .."UrQ, C:SIr No, of Wires ...........__......... Size of Wires ...................... Size of Switchf boA— .. Motor Load .................:........ Voltage ... .............................. Phase ...................... .... . .. HeatingLoad ........................ K. \Y . . .-.......... . ......... Voltage __:.................._..... . �. LighL.......C..... Ilo.._/New Service...........;. Reconnect......._:........ No. of Meters............ . 11 / No.of Add. Meters............1Heat................. 220......._ ree 'r(/.' ........... Move Service.......... Power............... hr Phu '............. Move eter............-. .LR RICAL INSPO O CITY OF CUPERTINO, 10300 Torre Ave. 'CORRE TLON NOTICE Perfinent Job Lo at d at - -- ------ --- ------------------------ - - - - f ---- --- ------- -- ... . .. ... . ........... . . ........ ...:.. a .. - ... ...... ......!. . .�Q�ar�wQ/l ----- ------------------------------ ---------------------- ---------------------- - ------------------------------------- --------- --------------- ---- -- --...... You are hereby notified that-no more work shall be`.' done until the above violations are corrected. When-1 corrections have been made call �thhmsp cttor. 252.4505Date: �/ 37' - City Telephone Inspector: ... ... . / . ROUTE SLIP File No. Date -71 Locatiorzot Cit c Subject l/!IVi Notes Approved I Date n c r � Iagree . will not violate m«the Workmen's __m:_of the State aCalifornia. ! 0 7 2 9 % EE¥ 77 ` j 0 0 4 03 10 ) ) [ } � ! . � & E ƒ E\ — / { \ } / n \ Ln �� \ \ 0 \\ � ® ! ! / @0 ) \ 0 > @ () � } m e ° ` { 7 Ln i ® — � ( 7 ( § � VV ) 7 \ ! ( \ / pi 5-. 0{ ( & . \ EIƒ � . \ ITEM NEW RPL FEES Number of Outlets Number of Switches 7 Number of Receptacles Number of Fixtures Ranges or Ovens K.W. • 00 Size of Main Service O Number of Meters Number of Panels Signs•Transformers Dryers lot P Phace H.P.Phase H.P.Phase Power Poles miqc Permit Fee 2.00 H.P.Charges Total Fees , __ , _ems VIOLATE ANY _ _ _._� a__,w �. _ >. � OF _,_.* \_ ® OR mnZ0 >� ; — \ . \ f7\ Mw to 9 § n= t ; 00 Ji� S , ( ; = ) § Ill on \ ,\ _ o , , z ] � » >\ > o � } §} / \ \ # 2 § w / ± , Q } Q w. Qo � S ( � & � 0 ) ;§ \ \ » ƒ 2 ` } � > � \ �/� ) % 2 ) \ \ e 2cr Ln & > » o « • � o ; F 7a / 7 � � APPLIANCE UNITS FEES Gas I op Gas Oven Wall Furnace Gravity Furn. Forced Air Fum. Gas Fired Boilers Warming Ovens Sus t. Units cp— Dwelling Kit./Balh - Inde end. Vent 5 stem Coin., Indust Inst.Kit. Hood& Vent System Forced Air Under 4000 CPM Forced Air Over 4000 CFM Ind Ventilation System— (without ystem(with t Co dnrt Cgol t Forced Air. Mech,each Power 'G7wtt9'Sy';t�n WTI-.r-S, Ntr,oPk}r9wtJVtS,No. of Flues Slacks for Metal Fireplaces Smoke Slacks Misc. Equip. _Under 15' 11 igh Over 15' I I'ah Comfort Cooling Comp.of 20 HP or less &absorp. units with input of 500,000 BTU or less Comp over 20 HP&Under 50 IIP &Absorp units with input of 500,001 &Under 1000,000 •_ Pennit Fee 00 Total Total Fee )715 Iagree Iwill not _, _ am __e Compensation laws of the State of California ( I f o( E, ( \ \ § { ; e 8 \ / n ~ 0 § \ CO 0\ cn CDM' � � \ .moo / ! \ \ CD� ` � / Mn § ) ( ( \ \ G ) ® ! ({ 41 \ \ / k ` 0 \ �� ` k \ � � \CD # $ ` Ln ! NsM ! 0 § 2 @ , \ � / \ ` \ 14 � � � K