NO PERMIT NUMBER t
10038 I ]Dove Oak Ct . Lot No, 31
No. Street 31413
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 7381 BF
File No. 51231 . 1
Dote 6/15/71 196
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 $ 22,000
FEE$ 69' oo Plan Check $
Owner Shanell Industries Address 3000 Scott Blvd . S. C.
Contr. Address
Phone 247-3801 169863
State License
252-3831 Approved W. D. Benevich/h
L /� Y
APPLICATION FOR ELECTRICAL PERMI
A
Date 19FEE$
Contr, Address
_
R�Phone >_ 11ae State Lice n
Approveds 4 I
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 '7 GAS FEE $ �� )
PLUMBING FEE $ a-&• 4 a
Contr. Address r�
Phone a'KS4.140 State License _4 994
Approved
/G
cj. APPLICATION FOR APPLIANCE ERMIT
Date 7 196 -7� FEEb �Dn p
Phone 0 - State Licensee
Approved
Applicants agree not to violate any of the,
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL , Al
FOUNDATION
UNDERFLOOR
FRAME Z
LATH & PLASTER
GRADING FINAL l
FINAL BLDG.
ELECTRICAL
ATTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING-
FINISHED
IRING �~ ~ �� \
FINISHED WIRING ( ?' 0�1ti
FIXTURES Y
u
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. ..
UNDERGROUND ROUGH
PARTIAL ROUGH .
ROUGH COMPLETE
MAIN DRAIN `7 I 0•
FINAL PLBG.
FINAL GAS - a
FINAL APPLIANCE -Azg----72f t
DATE INSPECTOR MISC.
MISC
MISC I �7
MISC
ROUTE SLIP
File No .
Date /��`0- 7.'L
Location
Subject
Notes
Approved
Date6s ececttor
ROUTE SLIP
File No.
Date,?
Location 2
C!
Subject e; 44,,* aleayl
Notes
Approved 7r-`-V C�
Date I pector
OFFICE copy
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
To
You are herebcyt�o"Kzed to connect aelrical s vice
Owner or Tenant
.....................
At
............. ...... .............. .................
No. of Wires .......... ............. Size of Wires ...................... Size of Switch(.(............
Motor Load .......................... Voltage ............. .......... Phase ........ .........
Heating Load ........................ K. W. ...............::.... ... Voltage ....... .......... ..........
.(Light...... 10..:�� New Servi % Re'011nect..........
No. of Meters........'.........
No. of Add. Meters..... Heat................. 2..,o.......40 ree re...... ....... ?lose Se.r,,i.......
Power............... r, h c e Metes
.............. .... .. ..... . .. ....—
ELECTRICAL.
31 Bldg. Dept.
Office Copy
CITY OF CUPERTINO
FF SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No, .13.11............
Plumbing Final Plumbing Permit No.5-12.31---I.........
LotNo. ........ I................
Owner or Tenant
At ......
.............................................
................
Tract .........................................
Date Connected ....9...-c;l"
, "6.......7 ...................... --------*.........................•19............
Date Final ........./....... ...................... ........ 19
..........................
..........
PLUMBING INSPECTOR
r 3 , GAS SERVICE NOTICE or.cors•P)"
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO s qq
................ ..........
.._........ ... .. ..._+ ...., ty�a
To
You are hereby autho '.ed to connect the GAS se ce for
Owner or Tenant .... J..
At .1 a e"n.........q ty-Q.....`/ r ,........................................................
New Service ....4<�.............
No. of Meters .......�............ Reconnect ..............................
Move Service ........................
No, of Add. Meters .............. Move
Meter ..........................
Oil
.......................)' /%%� 'u"' ....................
PLUMBING INSPECTOR
r
. _o will _ , mew __w
*
Compensation laws of the State eCalifornia.
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures A
Ranges or Ovens K.W. 'O'U
_Size of Main Service 20 Pfl
Number of Meters
Number of Panels
Si as-Transformers
Dryers •O'0
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees a0 Q
I ASRF,E I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS n'" THE STATE OF CALIFORNIA.
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APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace _
Gravity Furn.
Forced Air Furn. 2flfl
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Coin. Indust. I nst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation S stem
w'tl it
Forced Air.Mech.each Power
E %L
No.of Air Outlets,
Stacks for Metal Fireplaces
Smoke Slacks,Misc. Ise uip.
_Under 15'High
Over 15'I Iiel
Coin fort Cooling
Comp.of 20 tIP or less
&absorp.units with input
of.900 000 RTU or less
Comp.over 20 HP&Under 50 HP
&Absorp.units with input
of 500,001 & Under 1000,000
Permit Fee
Total 11 Total Fee I JqCZ
. _e will not_m maw Workmen's
Compensation laws of the_,ate_y
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