NO PERMIT NUMBER10122 I Firwood Drive Lot No. 34
No. Street 1 Plan 100
APPLICATION FOR BUILDING PERMIT 1.61
CITY OF CUPERTINO
Sanitary No. 8224 pv
.. _. _ File No. 51.,241
Date10/12/72 196
Application is hereby made for a permit to
Cnnstrnrt. a 2 story, Type e 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 $
23,000
FEE$ -- 72.00 Plan Check.$ '
0,,v,,,r Deane & Deane Inc. Address Box 75, Half Moon Bay
Contr. Address
Ph one 415 726-5251 State License Bl 256178
255-2575 Approved James H. Sisk/h
APPLICATION FOR ELECTRICAL PERMIT
Date l Y�j 196 7�;41 FEES y
Contr. tR Address
Phone' OSJ--a State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Do to
Contr.
Phone
Data
196 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEE$
Contr. Address
Phone State License
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
-
FOUNDATION
,y
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
UND
ROU
FINI
FIX*
MOT
FIN,
ELECTRICAL
IN SPECTOl7 MISC.
I'll_
r
!
I,
PLUMBING, GAS & APPLIANCE
l DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
V
�1
y I
_
�'
_
G
FINAL PLBG. O
FINAL GAS
O 7
)�
-73
FINAL APPLIANCE
DATE INSPECTOR _ m
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... 16 ------- --------------------- 1, 19-72-3... Building Permit
The Building Located at ... ............... ..............
Owned by --- DEAMLS ------ 4t ...... )tt=461C.-I - --- ---------------------------------------
Has Been For Use As: --- ..- .._--------------------------------
(Altered)
INSPECTOR
Pidg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
TV X 13 F 1
Sewer Connection Sanitary Permit No . .......?? a It...............
Plumbing Final Plumbing Permit No. .........
Lot No . ........... ............
Owner or Tenant ..... .........................................
At....... ..............................................................
Tract.......................................
Date Connected ...... ! .....
Date Final ....... Z!?- ....... 19-7-
19 .... .... —
19 .........
PLUMBING INSPECI'OR
'OFFICE COPY
CITY OF CUPERTINO
it
ELECTRIC SERVICE NOTICE
19(
You are hereby a tho ized to connedctrica
s rvi
for.
Owner or Tenant ....
. ........ ..... .........................
At......
........ .......... .....................
.
No, of Wires ........
1 .... ...... Size of Wires ... .... ............ Size of Switch(69
Motor Load ......
.......... Voltage Phase
Heating Load ........................
K. W. ...... ... Voltage ...... ..........
�1
No. of Meters......_
(Light. . . .. . ..........
Serli .. . ..... h (onnect.....
No. of Add. Metefs ............
Heat___ W fe_ .... \Io, � S�r,ic .........
Power ............... hree
UECTR! 51 FCT,.
D.5Yc S aT1 @Ip17
. - -�•-+-r '^O:�i�Ct :^J
ON L"F
ll-I ice:: 01, ,-!
NOTICE
G11 • On
Date
To ..
Location
Refund S..
OF INSPECTION CHARGE
CITY OF CUPERTINO
BUILDING INSPECTOR'S OFFICE
196.... Permit No. C ! .......
114 9/60-200
z
U
V
:a
a
a
6
clty of NOTICE OF INSPECTION CHARGE
NOV g 1973 CITY OF CUPERTINO
BUILDING INSPECTOR'S OFFICF.
Date --..17!�� .............. 196.... Permit No. �. /d.....
To............. ....................................................-----...............-- ................
Location .........................
Reason ......... �`.--�'r��.
-----J../ ..........
........................................
Deposit $....................
v '
Amount
Refund S--- ............ ._
i4
....................... V
V a
/C.
.. ......... ./ ...........:.........I.......
. " 1.PLC R
114 9/60-200
GAS SERVICE, NOTICE OFFICE
BUILDING INSPECTOR'S ,OFFICE• COPY
CITY OF CUPERTINO
• Y . .....cK..:....,19j�
To ,
You are hereby authorized to connect the GAS sake for
Owner or Tenant ..:—Asa..:... .. ... G...S:......:......:....
At....rri�a-........ .... .........I.......................
I' New Seryice .... .............:.
No. of Meters ..:...... _..... .. Reconnect ::......:.......:..'......
Move Service ..................>....
No. of Add. Meters .............. Move Meter °............. .:....... .
PLUMBING INSPECTOR
tei22 r1rWOod Dr. LOT NO. 34 2
NO. STREET -
CITY OF CUPERTINO
crry or cVPERT"O APPLICATION
pt1 121972
79_
Tax 1. 61
FOR BUILDING PERMIT
ldpliRtign iDereby made for a permit to
a_story, Type Plan 100
Building Per. No. 51. 24I
Sanitary Per. No.
to be occupied only as
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $
Estimated Value of Improvements, $ 23, 000 Fee $
Total Fee $
Structure
in accordance with
'2. 00
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
and all other laws applicable to the construction, location, and use of buildings within
the City of Cupertino will be complied with.
Own., Deane & Deane, Inc. Address P. O, Box 75, Half Moon Bay, Ca.
By Deane & Deane Inc. Address P. O, Box 75, Half Moon Bay, Ca.
Contr. or Agent.
Phone 415-726-5251 Apprm
state License BIZ56178 Building inspector
0
loo, cue"°`� 0 12Z �,�ztwmr� j�,�IVQ.
C" N . 13 19�^ street
APPLICATION FOR ELECTRICAL PERMIT
t�, D CITY OF CUPERTINO
Lot No. �_
Date 12- 1 Z , 1992� Permit No.
Fee $7-'0
Application is hereby made to the City of.Cupertino for a permit to install electrical wiring'
and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or
fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and
all other laws applicable thereto.-N
Use of
Owner
RY /,�4 ontrILA Address
Contractor, Agent
�V� li5SO APprov
Phone q�l C ectncall
State License
ITEM
NEW
RPL
FEES
Number of Outlets
ID
Number of Switches
/3
Number of Receptacles
�5
Number of Fixtures
/O
-2. 00
s K.W.
ervice
0 0
/ - Ov
ters
MMetersi
/elsrmers
Dryers
/.>7J
Motors:
5
`�
H.P. Phase
H.P. Phase
-
H.P. Phase
Power Poles
Mkc
Permit Fee
2.00
H.P. Charges
Total Fees
�, 20
1o11z �112woo17�1)iL LoSNO 3L-
NO. STREET
1Fw'?p CITY OF CUPERTINO
oF�J¢ ��13APPLICATION FOR PLUMBING PERMIT
R'l 4J_ Sanitary No.
Da� 19 Z3 Permit No.
oo R Fees
Application is hereby made to'the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
use ofJ^/Work To Be
Premisesf1/n e=u , Performed
Owner LI"I � Address
By-YVil.c..(vl/Y4AS-N.'L_ Address Ib�S
Con actor, Agent
Phone 'Ins- C104L-
State l-icenso 1ln l� ✓g S Approved �(
Plumbing Inspector '
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
I
I
Size 4
Water Closet
z
Material s
Bath Tub
To Curb
Shower
1
To Prop. Line
Lavatories
v
To Existing
Kitchen Sink
I
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
. Bar Sink
To Main Drain
Comb.Sink&Tray
To Curb
Dental Unit
Drinking Fountain
.Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
I i
Area Drain
e
St1'a
Water Leader
ee
Sprinkler System
!Fee
I Sow
Relief Valve
I so
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
IjSri
Total Fee
1012� Fizwodd Dr'. LOTNO. �Q
NO. STREET /&V
CITY OF CUPERTINO CITY OF CUPERTINO
z - MAY 1 APPLICATION FOR APPLIANCE PERMIT
7 1973
,0
3-1- 73 ��a
Da e - — 19 _ Permit No.
; U A I n Fee
=o
Application is hereby rrreTle to the City of Cupertino for a permit to
o a install gas appliances as listed on the reverse side hereof, and agrees to
i N 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 Rpa
oc
m Ownfie ui` 'Address NC
i < O4 SAN CARLO E _T a,
Address "" OLD COUNTY ROAD.
�'O BY CONTRACTOR, AGENT SAN CARLOS, CAQFQRNW
- m Phone
�z -
o % State License 110838 gpproved_
O PLUMBING INSPECTOR
_O \'f
Y �
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
1
4.00
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
3
6.00
Inde end. Vent S stem
Coma, Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
'
Forced Air Over 4000 CFM
Ind. Ventilation System
'
(without Comfort 1
Forced Air. Mech. each Power
'
Gravity System
No. of Air Outlets, No. of Flues
Stacks for Metal Fireplaces
O0
Smoke Stacks, Misc. Equip.
+—
Under 15' Hieh .
v 1 eh
Comfort Cooling
Comp. of 20 HP or less
1
4.00
& 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
2PemitFee
.00
Total
ee