NO PERMIT NUMBER 10013 f Dove Oak Ct . Lot No. 29
No. Street 41645
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 7379
File No. '3121 . 1
Data 6/15/71 796
Application is hereby made for a permit to
Construct a 2 story, Type
to be occupied only as Single .Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 2.5,000
FEES 78' 00 Plan Check $
Owner ShaDPll Tncjugt riP4 Address 42n0 Snntt R1 Nag S C
Contr. Address
Phone 247-38ol State License 169863
252=3831 Approved W. D. RPneld nh/h
APPLLIICATION FOR ELECTRICAL PERMIT
Date 196 FEE$ 0
Cantr. Address
Phone State Licen
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data / 196 7Z GAS FEE $ (/.',)
/ PLUMBING FEE $ 026, 0—o
Cont, & Address �y
Phone -_ aS'�.� — '`J'�a `� O State License
Approved
APPLICATION FOR APPLIANCEVERMIT
Date 196 7t/ F ESE$
C ontr. �75�-sa. �c�C.../f�tt_{'""�1Cdd rens 7 9 ✓id [/*--�-.e
f C✓- i
Phone License/
.f Approved w
Applicants agree not to violate any of the .(G.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS " .
BUILDING
DATE INSPECTOR MISC.
PAD FINAL,
FOUNDATION ' S
UNDERFLOOR
FRAME Apt
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG. lG^ ��SGL'�r NDSU✓•*rjf
ELECTRICAL
AT I P TOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING ~w ��
FINISHED WIRING
FIXTURES
r�
MOTORS _
FINAL--
PLUMBING,
INAL PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH 9
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. _/7
7 )--$j: 11
FINAL GAS .S • • LFINAL APPLIANCE -
DATE INSPECTOR MISC.
MISC
MISC S J /
MISC
f
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
U
To You are hereb Ized to connect ctrl
} ca ' crvicc for
Owner or Tenant ............... . ... ..11.. b'.......... ...._.........
.... ............
l
At .........
No. of Wires ........................ Size of Wires ...................... Size of Switch !UU. ....
Motor Load ............ ............. Voltage ....... ........................ Phase .......................
HeatingLoad ........................ K. W. ....................:............. Voltage . .............................
No. of Meters............
'....... /
(Light............... I10........ .. New Sercta•.....,.... ..... 1<r.uunrcL................
.
No. of Add. Meters........ rre W e _ Scrvirc.........Heat220
Power............... 'hrct c.... _. Mucc hleigr..,..,. _.
...........__......_r............................ .... ..4.... . ..
.i II1E0'K!6L INSPPCTW
�' Ir✓{ �� Bldg. Dept:'
. CY Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
0 Sewer Connection Sanitary Permit No. ....
.,�..� 7`
Plumbing Final Plumbing Permit No. ..7 l L:...�....
Lot No. .........
a. ... ........
Owner or Tenant oQ
At ..�..r' ,.r. l........s� :y �....... / ....._.�
Tract ... ...................... -
DateConnected ....... .......?A'... ................................................................ 19............
DateFinal .............. ..1..1L.r....7�c ................:............................................. 19............
PLUMBING INSPECTOR
OFFICE
GAS 'SERVICE NOTICE DOPY;:
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......... . ...... 197R—
To You are hereby authcp'm d to connect the GAS service ...
Owner or Tenant ................ ....... .......
At ...../ ............................. .........
At ..... �ari .
New Service ..........
No. of Meters .......Z........ Reconnect ..............................
Move Service ...... .............
No. of Add. Meters .............. Move Meter .........................
...0(kz
PLUMBING INSPECTOR
ROUTE SLIP
File No ,
Date ::. —.T-'J-
Locattiion�
Subject
Notes
Approved �-� ® - �$l / /i��a L
Date Iffsp;C/ or
ROUTE SLIP r
File No .
Date���
Location_�lE'57�.�/�q z-
- 40;-Z
Subject "/ g�fte—y4se
Notes
ApprovedZ,�
Date nspector
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APPLIANCE - UNITS FEES
as op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Cas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath AOO
Inde end. Vent S stem
Coin. Indust. Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilations stem
(Without
Forced Air.Mech.each Power
No.of Air Outlets, . oSoY� Z
Stacks for Metal Fireplaces 300
Smoke Stacks,Mise. Equip.
_Under 15' Iii h
Over 15'high
Comfort Cooling
Comp,of 20 IIP or less
&absorp.units with input
of 500,000 BTU or less
Comp.over 20 HP& Under 50 til'
&Absorp. units with input
of 500,001 &Under 1,000 OUO
Permit Fee
Total Total Fee aq.
, _n will not __ maw __a
Compensation laws wthe State aCalifornia
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