NO PERMIT NUMBERh
10162 I Firwood: Lot No. 84
No. Street 2.10
CITY,OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. A5rl RF
File No, 51,241
Date 6/19/73 19
Application is hereby made for a permit to
a story, Type 5 1
to be occupied only as Single Family Dwelling (Plan 200-B)
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 30,000
FEES 101.50 Plan Check $
Ow rmr nannP k nnnna Address Box R- Half Moon Ray
Contr. _ Add.,...
Phone 415-726-5251 State License B1256178
255-2575 Approved ZaII1QsHr_Sigk/h
Date
Contr.
Phone
Do to
Contr.
Phone
Date
Contr,
a
APPLICATION FOR ELECTRICAL PERMIT
19 FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
19
GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEE$
Phone
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
P D-1
Address
State License
Approved
RECORD OF'INSPECTION APPROVALS
PAD FINAL,_
FOUNDATION_
UNDERFLOOR
FRAME
'LATH & PLASTER
GRADING FINAL_
FINAL BLDG.-
BUILDING
INSPECTOR MI
ELECTRICAL
n ATF INSPECTOR i MISC.
FINISHED WIRING
low
WoRmi
FIXTURES
IE!!I
...
BACK FLOW REQ._
SANITARY NO. _
UNDERGROUND RO
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN_/1
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR M
DATE
M
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO'
Date ....... .. .... �.j............. Building Permit No.
...
The Building Located at ... ........................
Ownedby
.... �1'
... .............................................
Has Been
tl�'rcd, ForUseAs:<::'—.I.
tered)
................................
......................... ......................
.......... .................
t!f�;iui DING INSPECTOR
PJdg. Dept.
"Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF -CUPERTINO
Sewer Connection
Sanitary Permit No.....
u.......................
Plumbing Final
Plumbing 'Permit No.
..........
9 1/
LotNo . ........
. ......................
Owner or Tenant ......
.........................................................
i.
At ......... / ...... ... .......
..................... . .......................................
Tract.......................... ..................................................................................................
.........
DateConnected ...... .................................................................
19 ............
'Date Final ....... .........................
........................ .............
19.........
z 7._( ..................
. ..........
INSPECTOR
PLUMBING
OF ICE COPY I 1 0
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
'CITY OF CUPERTINO
v,
Ij. I � a
.....................................
f..L� ...... ......
TO 11--�
You.are hereby u o *zed to conn ri Is ice for
Owner or Tenant .... .... ....... ... . . .. .... .. ..... ..... .....................
At.......... ..... .. ........... ................ .................... .........................
No. of Wires ........................ Size of Wires ................... .. Size of Switch'j..M-
MotorLoad ..........................
Voltage .............
........ : .........
Phase . ..... ....... .... ..... ...
HeatingLoad ........................
I K. W . ..............
............ ...... Voltage_.................................
� Nice........,.. .ne`t ..................
I
(Light.....,!:.....0 ....
Lig'
No. of Meters....
......... 220 ......
T
Move Service............
Wire..,.........Move See
No. of Add.
Power ..............
ee
v Meter
P .. j .. ... move meter ...........
e
.................
.......
ELECTRICAL
..... ....... ....... ..... ........
INSPECT
Date— 5!�—
Location � � —�z 6�
Note:S
Aoorove<;.
nab
10162 Tirwood Drive LOT NO. 84 3 F
NO. STREET '
City OF CUFEETINO CITY OF CUPERTINO
PP
CICATION FOR BUILDING PERMIT Tax 2.10
JUN 19R�f� 51 T41
Date — is .
Application is hereby made for a permit to
Builtli ng Per. No. Sanitary Per. No.1fA_�Z ./f E
Construct
a-! story, Type 5-NHR (200-B) Structure
to be occupied only as I -.T in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $
Estimated Value of Improvements, $ 3d , 00 O Fee $ 401
Sa
Total Fee $
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.
Owner i]eanP Ft Deane,TRCAddreasP:O.BOx38 Half Moon Bav,Ca.
ey Deane & Deane,Inc. gddressP .Bnx38,Half Moon Bay,Ca.
Contr. or Agent.
Phone 415-726-5251 A rovetl PP
State License" B Building Inspector
Lo/�2 I FiRlvo�D' 'D61f LOTNO.�
NO. STREET
Cry OF CUPEkTN12k CITY, OF CUPERTINO
OCT 18 1978PPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date ' D , iS Foe $
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.
use of Work To Be
Premises yds. D Performed
owner ZZ�oZ � co.
BV AX- 0-A0 F-LECT
Contractor, Agent
Phone 2 g% o S0
State Ucensaa S9 2�5
200-13
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
30
Number of Fixtures
3
yi
Ranges or Ovens K.W.
a d
Size of Main Service
lea
Number of Meters
Number of Panels
p 8
Signs- Transformers
Dryers
�• O 0
Motors:
/v
• 'H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
2.00
H.P. Charges
Total Fees
.a
wz
i 0
y 0
0 <
3U
F 0
, W
O <
ZN
a W
w x
� r
J 0
o_o
> N
oa
ZJ
J 0
J 0
3a
Wi
WW
rc a
O < 0 0
LOT NO.1J
NO. STREET "
0'LICATION FOR PLUMBING PERMIT
UN of eae CITY OF CUPERTINO
Cj
2`3 1973 /� sanitary No.
Dattee1 / 196L-3 Permit No -K lr//
Pee $
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 of Premises
E
Address
By ddfess
CONTRACTOR, AGENT a as ree
Phon¢n291'0SS6 San Jose, California 95112
IyI 7 Approved_
State License
PLUMBING INSPECTOR
FIXTURES
INUMBER
11 MAIN DRAIN
Uni
Fees
Um
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
"�
To Curb
Shower
To Prop. Line
Lavatories
To Ex' tin
Kitchen
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
Z" A
t
Sand Trap
TOTAL FEES
Fixture Fee
Main Drain Fee
.p
Water der
Storm Drain Fee
ystem
Water Sys. Fee
Relief Valve
Gas Fee
/.
er
gFilter
per
Permit Fee
Tom
Total Fee5d
10162 I FIRWOOD DR. 84
LOT NO.
NO. STREET
CITY OF CUPERTINO
p ,i G.' COr
f p APPLICATION FOR APPLIANCE PERMIT
a° 31.5,73
o < Date 19 — Permit No.
3a Fee$��
O Application is hereby made to the City -of Cupertino for a permit to
o a install gas appliances as listed on the reverse side hereof, and agrees to
iN install said appliances in accordance with the provisions of the Plumbing
F F Code of the City. of CupppeNGo, and all other laws applicable thereto.
Use of Premises
oc 617 VETERANS BLVD.
_O3
a Owner DEANE CO. Address REDWOOD CITY
°zz By BUSICK AIR CONDITIONING COddressP'O.BOX 2189,DUBLIN,CA
�'O CONTRACTOR, AGENT
3 �
— w Phone 828_1 780
dz
e s State License231092 Approved &
aU
L[JMBING INSPECTOR
APPLIANCE
UNITS
FEES
as op
Gas Oven
Wall Furnace
Gravitv Fum.
'
Forced Air Fum.
O
Gas Fired Boilers
Warming Ovens
Suso. Units
Dwelling Kit./Bath
Inde end. Vent System
stem
Com., Indust.. Inst Kit
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without C r fo 0
Forced Air. Mech. each Power
Gravity System
filets, No. of Flues
,DO
Stacks for Metal Fire laces L1i
Smoke Stacks Misc. Equip
Under 15' High
ver 5'IT gh
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 -fb
Total I
Total Fee 1.11V.00
10162 I FIRWUOD DRIVE i54
LOT NO.
NO. SBREET -
"d_ c�t`tjtµ r CITY OF CUPERTINO
Y o �AFPLICATION FOR APPLIANCE PERMIT _
2 LL `f��Permit No. /
° < 4.18.74° f'a V
Ulu Date , 79 Fee Is
1 o Application is hereby made to the City of Cupertino for a permit to install gas
o F appliances as listed on the reverse side hereof, and agrees to install said appliances in
' F accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
4 m other laws applicable thereto.�,[.,
w /�
e 1- use of DWELLING work to Be AIR CONDITIONIN' INSTALLATION
Ju Premises Performed
00 DEANE CO. 617 VETERANS BLVD.REDWOOD CITY
a Owner Atltlress
Z J ev BUSICK AIR CONDITIONINAtddr�e P.O.BOX 2189,DUBLIN,CAL.94566
J z c'MI 796"'
J ° Phone
3 a 231092�
— m State License Approved
w Zw Plumbing Inspector
¢a
O0
QO
—O�
APPLIANCE
UNITS
FEES
Gas Top
Gas Oven
Wall, Gravity or Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Independ. Vent System
Com., Indust., Inst. Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind: Ventilation System
(without Comfort Cool.)
Forced Air. Mach. each Power
Gravity System
No. of Air Outlets
No. of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15'.High
Over 15' High
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
Total
Total Fee
.00