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NO PERMIT NUMBER10072 Firwood Drive No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Lot No. 24 Plan 210 2.10 Sanitary No. 8214 BF 10/12/72 File No. 51,241 Date 196 Application is hereby made for a permit to Construct a 2 story, Type 5 I J to be occupied only as Single Family Dwelling in accordance with Plot Plan, Plans and Specification filed herewith„ Estimated Value of Improvements $ 30,000 FEES 90.50 Owner Deane & Deane Inc. Contr. Phone 415 726-5251 255-2575 Plan Check $ Address Box 75, Half Moon Bay Address State LiBl 256178 cense Approved James H. Sisk/h APPLICATION FOR ELECTRICAL PERMIT Dote L T 7 196 7 �� FEES Contr. (L•a� �-�JAddress Phone _!LC % —0State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Dote 196 FEES Contr. - Address Phone State License - Approved Applicants agree not to violate any of the Woikman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH & PLASTER_ GRADING FINAL_ FINAL BLDG. UNDI ROU FINII FIXI MOT FIN/ BUILDING ATE INSPECTOR MISC. �+ Z'2Z• ELECTRICAL Herr INSPECTOR :RGROUND SH WIRING ;HED WIRIN'URES 7mfka ORS PLUMBING, GAS & APPLIANCE DATE INSPECTOR BACK FLOW REQ. SANITARY NO. Y UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. l 7 FINAL GAS FINAL APPLIANCE ISPE MISC i MISC MISC. CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ....... 117n- .. .................... 19..7Building Permit.No3 The Building Located at .. .................. : ............. .. ... rn ..... Owned by ... .. ................................... .................. Altered) ........ Has Been C65rkm4orUseAs:.� .... I / ....... .A6... .............. : .................... ( ................................... ............................... ............... ........................ UILDING INSPECTOR zli a ,( Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No... .eol............... Plumbing Final Plumbing Permit No. ..�.-Idc // ................ c ,�} .......L)ot No ......... ....I.............. Owner or Tenant ^C../�-c4:.!��,. x %-LG-+0 �•-h%�C- ........................................ At .t . i R Tract 1 OFFICE COPY 4 n CITY OF CUPERTINO .1 ELECTRIC SERVICE NOTICE rr You are hereby u h ized to connc elec ri at service for �. Owner or Tenant .... .......-...C"`�"�:,....._. At........... �!.................!.}..�..._ ...._._. No. of Wires ._.__................ Size of Wires ............ Size of Switch` Motor Load ......_.................. Voltage ...... ---- ........... ._.._ Phase ................. Heating Load ........_._.......... K.W..... ....... ....... ........ ...._ Voltage . ....... 1 Light hL._._........ 110......._... New Serc ...._. \ termer[._ ............. No. of Add. Mete No. of Meters.........).......... Heat ....... ...._.... _20__�I'hreV Wi I V. Mo,V rs............ .Power .... ..... ..... I' re Pha arr... .... i1L[CrN!CAL INSI' CTW /' GAS SERVICE :NOTICE. OFFICE BUILDING INSPECTOR'S OFFICE COPY CITY OF CUPERTINO .................... . .... .......... 19673 To You are hereby authorized to connect the GAS service for Owner or Tenant'._d:�....e4c : ._ n._ ... ......_.........._.._..... . 3 ,�t/t,e.i-p.-e-�X................................ ........................ At .../d 47. 7............ New Service .......................... No. of Meters ..........(......... Reconnect ............................. Move Service ....................... No. of Add. Meters .............. Move Meter ...........'............. ............................... ........... ................. PLUMBING INSPECTOR '.ocatlor NTotes AiDoroved Date ibb?2 ritwood breve LOT NO, 24 1-731 NO. STREET w Z CITY OF CUPE'RTINO Tax 2. 10 Yo APPLICATION FOR BUILDING PERMIT 3 6� 51 241 Q OV 01 CV Building Per. No. ,Qy W U Dated� �1 79_. Sanitary Per. No. o ;Q{iPll49 is hereby made for a permit to ° a a stKy,► Ta Plan 210 Structure I- p H to be occupied only as - in accordance with ww a Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $ _o o Estimated Value of Improvements, $ 30, 000 Fee $ 90. 50 �N o a Total Fee $ Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances JZ J o and all other laws applicable to the construction, location, and use of buildings within 3 a the City of Cupertino will be complied with. N ¢a orrnerDeane &Deane Tnc AddressP n Box 7Ss1Ialf T%An BE yCa. a o By Deane & Deane, Inc. Address P, O, Box 75, Half Moon Bay, Ca — U Contr. or Agent. /I Phone 415-726-5251 ApPr ad (� State License B1256178 Buildinglnspector ertyw cuputwo Street Lot No. _ DEC 2 7 1972 APPLICATION FOR ELECTRICAL PERMIT CITY OF CUPERTINO �PDA, 112 V,L 147 Permit No. C/ 2'/ ' Fee $ yO Application is hereby made to the City of Cupertino for a permit to install electrical wiring U and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or 0 fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and A all other laws applicable thereto. N s \ I / Use of Premises BOwner A." . r\L�41L. Address Address 2 Contractor, Agent E° e �y Appro ed Phone Electrical 0 U State License 2S / 215 d( ITEM Number of Number of Panels 1 19C Phase Ppi (JO.I'L UIhi) Ii1Z' LOT NO. NO. STREET N Q `JQeF00 CITY OF CUPERTINO 00 of GIs APPLICATION FOR PLUMBING PERMIT f 3 U _Q1� II� Sanitary No. I = LL I 19.1L_ Permit No.� 1-0 Fee$ LL o ~ lication is hereby made to the City of Cupertino for permit to install plumbing >a PP� Y Y P P P 9 a pipes and/or fixtures listed on the reverse side hereof,- and agrees to install said prices 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. J LL O O Use of Work To Be _Premis_R Performed Za Owner 611m0 k/401— Address n,rVr .f Address I b�S-,O By L`M0 3 f Co t actor, Agent ' wZ Phone a�'is—GO�'ui w n State License Zlo� S Approved Q00 Plumbing Inspector U FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater 1 Size LL $u% Water Closet 3 Material Bath Tub. l To Curb Shower I To Prop. Line Lavatories 3 To Existing Kitchen Sink I Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine l Size Water Softener Material Bar Sink To Main Drain Comb. Sink & Tray To Curb l Dental Unit Drinking Fountain Flgor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Ufinal Fixture Fee 1 (, Area Drain Main Drain Fee S� Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee SD Relief Val.? Gas Fee 1 SDI Vac Breaker Skimmer Filter Pool Sweeper Permit Fee a To Total Total Fee 2� SD o4 1007 IDr LOT NO. � NO. STREET CITY OF CUPERTINO APPLICATION FOR APPLIANCE PERMIT CITY OF CUPERTINO Date MIIV 1 �T -,�3 19 _ Permit No. ✓�� Fee $ 10.00 Rpplicationfi) 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 Premises Res. Owner De ` I) a' e I3y CONTRACTOR, AGENT Phone 591-2605 State 110828 Address PO Box 38,E HMR SoldRLOS SHEET METAL WORKS, INC: SAN CARLOS, CALIFORNIA Approved PLUMBING INSPECTOR APPLIANCE UNITS FEES as op op Gas Oven Wall Furnace Gravity Furn. Forced Air Furn. 1 MO Gas Fired Boilers Warming ovens Sus2. Units Dwelling Kit./Bath $, Q0 Ind Le! 1 00 Com., Indust., Inst.Kit. Hood & Vent System Forced Air Under 4000 CFM Forced Air Over 4000 CFM ' Ind. Ventilation System twithout Comfort _ Forced Air. Mech. each Power Gravity System No. of Air Outlets, No. of Flues Stacks for Metal Fireplaces ' Smoke Stacks, Misc. Equip. Under 15' High vIfigh Comfort Cooling Comp. of 20 HP or less & absorp. units with input of 500,000 BTU or less Comp, over 20 HP & Under 50 HP & Absorp. units with input of 500,001 & Under 1,000,000 Permit Fee 3.00 Total Total Fee 19.00 NOTICE OF INSPECTION CHARGE Deposit $--------- ----------- Amount $_7.. - Refund $.................... s� 1xs e/� 114 9160-200 NOTICE OF INSPECTION CHARGE CITY OF CUPERTINO CITY OF CUPE.JINbUILDING INSPECTOR'S OFFICE Date ...... ... ....... ...... 1 196.... Permit No. To ....... .................. .-P ----------------------- X ......................... Location--------------- ---- -- ------------- ------------- .... .......... ........ .......... ................. .......... Reason ..... ---- ---- -- -- - ------------ ..... ............. . .... .. ........... ....... ....... ...................... ....... ..... . ........................ .............. ..... .............. .......... Deposit $ --------- ....... 61-V ... - .......... ...... ......... Amount ......... 4A��< —. 'INSPECTOR Refund S ----- li4 9/60-200 4�az)l -rlo-v44- NOTICE, OF INSPEGMM CHARGE 0- '?Z!'�ntko CITY OF CUPERTINO 13 13 CIV BUILDING INSPECTOR'S OFFICE 1Date ........... ...... I ...... 196 .... Permit No. sell-, ..................... To......... ... .... ...... . ................................................... ........... Location . .................. ..... ........ ......... ..... ...... ..... .................... . Reason - -.4- �/ f� - ... ..... : ......................... -7- ............... ........... ....................... ................ ................. ...................... .................. Deposit .................... Amount $ 157 C'X/ .... .......... ...................... . . ........................................ Refund IN p . 114 9 /60-200