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NO PERMIT NUMBER
0 10959 I Dove Oak Ct . Lot No. 27 No. Street ' 31710 APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No.--7'�77"^•BF File No. 51231 . 1 Date 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 $ 26,000 FEE$ —80• 90 Pion Check $ OWfer Shapell Industries Address _ 3000 Scott Blvd . S. C. Contr. Address Phone 247-3801 169863 State License 252-3831 Approved W. D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ ? o 7r Contr, k=k-Address Phone State Lice /• Approved C APPLICATION FOR PLUMBING &,GAS PERMIT Data / a 196 -7/ GAS FEE $ (/—'EV—) PLUMBING FEE $ 4`-6-19T) Conir. Address Phone - �S_- �02 State License R Approved APPLICATION FOR APPLIANCE PERMIT �y f Date9 1% -7//\ FEEEE$$'t�/r Cont, do-� �M /�> -Ftltl7tcis GL/ ✓—cd -O'ra�..�`"-r. ' �C Phone State License ���0 po Approved Applicants agree not to violate any of the 9'6rkman's Compensation Laws of the. State of California RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME (5G LATH & PLASTER GRADING FINAL FINAL BLDG. 7 ELECTRICAL D NSP TO S� UNDERGROUND RO ROUGH WIRING— FINISHED IRING FINISHED WIRING �- FIXTURES • MOT ORS FINAL PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. SANITARY NO. UNDERGROUND ROUGH 1✓ PARTIAL ROUGH Lavl ROUGH COMPLETE d MAIN DRAIN FINAL PLBG. -, FINAL GAS 1 • FINAL APPLIANCE 7 DATE INSPECTOR MISC. MISC 1• - MISC MISC S G GAS 'SERVICE NOTICE OFFICE BUILDING INSPECTOR'S OFFICE COPY CITY OFCUPERTINO . ......... ..............1--2 ......... To You are hereby auphriized to connect the GAS service for ........................ Owner or Tenant ... ... . ... .... 4-" At ......... ""A...... .... New Service .... No. of Meters ...... .............. Reconnect ............................. Move rvice ............4.......... No. of Add. Meters ..... ........ ov Meter ........................ G RU BI INSPE R fa w^ Bldg. Dept. Office Copy CITY OF CUPERTINO t� 3 T SEWER-PLUMBING NOTICE p� Sewer Connection Sanitary Permit No. .....7..3..7.7...... .. til Plumbing Final Plumbing Permit No. ..:°?. ,?.;./..:.�... Lot No. ......... ............ yrys - d� Owner or Tenant ........�"F.T;(.4.r -, Tract ... ....... .............................: /.......... "I'll",. ............................... DateConnected ....... 372/........................................................ ...... 19............ Date Final .........f....-..f.3._`...7 -........- . 9............ ..e:P.�� ............ PLUMBING INSPECTOR I OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF iCUPERTINO To You are her eby3 tho ' d to connect-electrics service for Owner or Tenant ...........................3L. K.,ti. ..... .. ...... At . �. ... .. ......... No. of Wires ......... .............. Size of Wires .. ................... Size of Switch /ooA MotorLoad .......................... Voltage .....:.......................... Phase .............................. ... HeatingLoad ........................ K. W. ........I..._.._................. Voltage .............................. . LIghL........_. IU....../_.New Service........ .... NeconnecL................. No. of Meters........... ....... r.- , Heat................. 220........../ThrWir ... ... . MoveService.........No. of Add. Meters............ Power............... P ........ Move Met r.........., . ELECTRICAL INSPECTOR CITY OF CUPERTINO 10300 Torre Ave.- - CO RRECT I NOTICE I-------------------- --- -------- ... t Job Located at ----------------- ..........wf e --- ------------ --- ------------------------------------ - -------- -------- ------- ----- -- ------------*------ -- ---. ....**-,*------ ..-.-..-.--..-..--------------------------- ............ ........... -- ----- ---------------- -----.---.-.--.--.----.--.--.-.--.--.- -..- ........... . ...... 2 ...._............ ... ..../- -- - --- --------- -------------- -------------------- .............................. ----------------*-------------- =---------------------------------------- .......................... ---------- .............................. .......... ----- ------------------------------------------------------- -- ----------- --------------------- ......... - ------------------- ------------ .. ............ .................................. .-......----.............--------------------------- You are hereby notified that no more work shall be done until the above violations are corrected. When corrections have been made call the inspector. 252.4505 Date: ...../...— /C/— 7 City Telephone Inspector: Wk ROUTE SLIP File No. Date Location Subject� Notes Approved Date I pector , agree . will not +_ any wthe _tee Compensation laws«the State aCalifornia. ! ■ 7 2 E & EE± § 0 G m ` \ 7*f »\ } ) 0 ■ « § @ 0 2» � 2 � , ƒ o | k \ ® H � 14 14 0 ° rt \ j o R * 0 — > ( # A ° \ 2 k \ ( _} ) ` Q > / 7 \ \ R ; Q ( § \ ) 2 00 g \ f / @ § i § i ® > E e ƒ0 § ) \ / 2 \f E. � ° E0 2 g ( E2 E ( 0 a � lin ( 2! § . � \/ / • 13 \ 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 D'O Number of Meters Number of Panels 0-0 Signs-Transformers Dryers Motors: '6.03 r2 14 P Phi%e H.P.Phase H.P. Phase Power Poles Permit Fee 1.00 H.P.Charges Total Fees �)� 16 , __ , WILL _ VIOLATE ANY OFTHE WORKMEN'S COMPENSATION LAWS rTHE STATE OF CALIFORNIA. , 0 � \ \ \ �/* ` § : ƒ \\\ } n > \ > \ � Mk ( % , ) 2 \\ �/ \ m . § ) ) O m 0 cr § . ■ \ - � © � ƒ; t » \ ¢ � / § . _ o0 } � � APPLIANCE UNITS FEES as TOp Gas Oven Wall Furnace Gravity Furn. Forced Air Fum. Gas Fired Boilers Warming Ovens Susp. Units Dwelling Kit./Bath �Om Inde end Vent System Com., Indust, Inst.Kit. Flood &Vent System Forced Air Under 4000 CFM Forced Air Over 4000 CPM Ind. Ventilation System with rt CulIlLou Cool Forced Air. Mech. each Power Gravity System CS I I w No.of Air Oullets,'1QD'roL Ies Stacks for Metal 1,ireolaces Smoke Stacks.Misc. F ui�. Under 15' FIiKh Over 15'I1iab Comfort Cooling Comp.of 20 111'or less &absorp.units with input of 500.000 BTU or less Conor,over 20 1 I&Under 50 HP &Absorp.units with input of 500,001 &Under 1000 000 Permit Pee �U Total _r Total Fee �`�- Iagree , will not violate any athe Workmen's Compensation laws of the_,ac e�. % 2 ® ® ƒ [ ( \ ƒ k a Wz / — ( rc ` ® ! Ln 0 / 2 � E ra ƒ 05 rD 2 / ( � } & — > / m ) \ q P \ ` { \ ; ¥ ( { ° / C3W / \ , ƒ r clC \/ \ # ( � � ! E \ � ` Ln � ( E « ® ( } C. ( a, 20\ , % Z ° E | ( _ � \j 14 r i o 2 / � % § �