NO PERMIT NUMBERI m9p I Firwnnd Drive.. Lot No. 90
No. Street 1.54
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 8568
Sanitary No.
File...No. 91-P 41
Date 6/19/73 19
Application is hereby made for a permit to
Construct a 2 story, Type 5 1 J
to be occupied only as - Single Family Dwelling plan 101—B)
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $ 22,000
FEE$ AO_nn Plan Check $
Owner Deane & Deane AddressBox 38, Half Moon Bay
Contr. Address
415-726-5251 B1256178
Phone State License
255-2575 Approved James H. Siskjh
APPLICATION FOR ELECTRICAL PERMIT
Date
19 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
19 GAS FEE $,
PLUMBING FEE $
Contr.
Phone
Date
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEE$
Address
Stara License
Approved
Applicants agree not to vialate any of the
Workman',s Compensation Laws of the
State of California
P D-1
RECORD OF INSPECTION APPROVALS'
BUILDING
DATE INSPECTOR MISC
PAD FINAL.—
FOUNDATION
—
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
nnrc INSEE'CTOR MISC.
UNDERGROUND ROUGH —
ROUGH WIRING
FINISHED WIRING
o
FIXTURES
MOTORS
FINAL
�o
`�
O —
� � I
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. • ��
SANITARY JOUGH
UNDERGRO
PARTIAL R
ROUGH COMMAIN GRAINFINAL PLBFINAL GAS
FINAL APP
n
DATE
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... 5 .......................... 19...-7.!Y Building Permit No.'..Y.t.r..,
The Building Located at
Owned by ......... 4;� ....... 4 i:�-.. -.
...........................................................
<JK� m �Ieted)
Has Been ForUse As:.. d ...........................
...... 4,�. .....................
(Altered)
......... ......... ............... ........... q ...................
............. ..............................
. 26UILDING INSPECTOR
ROUTD SLIP
Fiie No.
Pate
ect�
Notes
Date
U OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
u_
--You are hereby a o 'zed to connect elect i2al se ice For
Owner or Tenant .__.
At ............ ` '.r� L+ �.A Q:araC ..............:.:..........
No. of Wires _............ Size of Wires .......... ....... .... Size of Switch:?!r. 16-- .
Motor Load ..........................
Voltage ....._.......
._............
_.. Phase ......................... .
Heating Load ........................
K.W..:............................
... Voltage .,.._..... ... ....... ..._....�
No. of Meters..........-......
Light ................ I R)....
........ ew
Stn'' . _.. ......._ lteioanect......
No. of Add. Meters .........
Heat ............... "0............
l'hrec
ire. .__....._ >tuce Scrvt<c......... ..
Power...... ......
re......
haze ......_...... Move Meter._...
(
,
ELEC
R16L'JNSi1 'rns'
ONCE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPE RTINO
TO
You are hereby a thorized. to connect ele:c�trIl se,41 e
Owner or Tenant --- ---- ..........
. . ........... .... .. . ..... ..................
................. ........ i�,
At.............. ....... ............ .................. 7 . ...... .�.. .....................
No. of Wires ........................ Size of Wires ...................... Size of Switch
MotorLoad .......................... Voltage ............................. Phase ..................................
HeatingLoad ........................ K. W . ............................. ... Voltage ................................
11-�Ilo New .... . .. .... Reconnect ...........
No. of Meters........... Lig"
No. of Add. Heat220 1W Wire....... - 1 .... Move Service............
Power ............... �Xh,;" I �t- ..., Move Meter....:.........
... ...............
ELECTRICAL INSPECTORUlj
..
. .`•
Bldg. Dept.
-
Office Copy
CITY OF. CUPERTINO
SEWER -PLUMBING NOTICE
-
.0 Sewer Connection
Sanitary_ Permit No.....
....<�..........
• Jac' Plumbing Final
Plumbing Permit No.
..f a:.`.............
.. Lot No::....
`w'- � ... ..
Owner Tenant
/!!P.:i2:a.+.-:.f,•,r
i.
or ....,(...!
..r.°-s-+-.d?.... ..
....
...............
At ..... .......:
_ilaer..t. n zQ....
hl' 1.i1.e : r.....................
.::..
I'
Tract---- - ----------.................................:......_.............:.......----..........:
CITY OF CUPERTINO COI')'
GAS SERVICE NOTICE
........... ....... II9,7.c(
To
You are hereby authorized to connect the GAS smice for -
Owner or Tenant ... -00r, Eye .. _''...._....1.._...:...._.
A l�/9a........�/..............:..:....
New Service 4—.<'
No. of Meters .... ./..... ..... Reconnect
Move Service :._........
No. of Add. Meters .............. Move Meter ......
PLUMPING INSPECTOR
10192 Firwood' Drive LOT NO. 90.-/ 3
NO. STREET
CITY OF CUPERTINO Tax -sl
CITY OF Cor4^PRICATION FOR BUILDING PERMIT
JUN 19'1973
Date
Building Per. No. 51G ) 241
19_. Sanitary Per. No. G
Applicnon s herebylmade for a permit to Construct
a lstory, Type S-NHR (Plan 101-B) Structure
to be occupied only as 1 -i in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $
Estimated Value of Improvements, $ aa, 00 0 Fee $ Po `r=
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.
Deane $ Deane,Inc. P.O.BoxH ,Half Moon Bay,Ca.
Owner- Address
By
Deane F, Deane,Inc.
or A
Phone -)2"6'-S2S1
State License B
AddressP•O.BoxH,Half Moon Bay,Ca.
Approved
Building Inspector
LOT NO. /
NO. STREET
CITY or CUPMMO CITY OF CUPERTINO
A (CATION FOR ELECTRICAL PERMIT
OCT 19 1�J�1
Permit No.
Date n A. I [Lts Fee$
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 F .�
Premises
Owner
By
C ontracto r�+Agent
Phone
State License 2. ✓� / -7-
Work To Be �L��T2/cq L
Perform ad
WA
ITEM
NEW
RPL
FEES
Number of Outlets
2-
Number of Switches
.QD
Number of Receptacles
.7
Number of Fixtures
3 D
Ranges or Ovens K.W.
J, O
Size of Main Service
Number of Meters
Number of Panels
J (J tJ
Signs*- Transformers
Dryers
Q a
Motors:
Q i7
' H:P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
2.00
H.P. Charges
Total Fees
20
NO. STREET
O� rU7d,TMO CITY OF CUPERTINO
. 23 ICATION FOR PLUMBING PERMIT
13 { ��JfSanitary No.
Date / 19LL3 Permit No.
p h Fee$ - u93'�
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 ✓, Work To Be
Premisos Performed '
Owner Addre/s1s'g/7 Zlde&� is'l/9� as
By aiv/t(/ACOr4Q'� 9ifC.
Convtraoctor, Agent 625 Charles $Irm
Phone
State License Approved
Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
,--z>
To Prop. Line
Lavatories
a
,�
To Existing
Kitchen Sink
/
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
�
Size,
i
Water Softener
Material
Bar Sink
T m Drain
'Comb. Sink & Tray
To Curb
.Dental Unit
-
• Drinking Fountain
`rldor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Materi
�L
Send Trap
TOTAL F
Urinal
Fixture Fee
,SQ
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
.6D
Total
Total Fee
.73-60
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3U
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10192 IFIRWOOD,DR.
NO. STREET
LOT
N
CITY OF CUPERTINO
r 2, APPLICATION FOR APPLIANCE PERMIT
,11.5.73
Date 19 _ Permit No.
~ Fee•$ 1
1,kpplica0on°is hereby maide 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 DWELLING
DEANE CO.
Owner Address REDWOOD
D CITY
B BUSICK AIR CONDITIONING CO Address p'0'BOX 2189 DUBLIN,CA
CONTRACTOR,AGENT
,,__ 828-1780
State License 231092
Approved
PLUMBING INSPEC[OR
/o/
APPLIANCE
UNITS
FEES
as op
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn.
'00
Gas Fired [toilers -
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. 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 1
Forced Air. Mech. each Power
Gravity System
'—
o. tr u , No. of Flues
DO
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 1 5' High
Over 15' Mich
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
-D�
Total
Total Fee-(9E