NO PERMIT NUMBER (2) 10200. I Firwood Drive.. . Loth 91
No. Street 2.24
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8569
File No. 51.241
Date 6/lg 172 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 700)
in accordance with Plot Plan, Plans and Specification filed herewith
Esti32,000
mated Value of Improvements $
FEE$ - 106.50 Plan Check"$52,25
Deane & Deane Address Box 38, Half Moon .Bay
Contr. 415-726-5251 Address B1256178
Phone 415-796-5951
$ta`te.�i<ense -X1256178
255-2575 Approved dtameB ii. aj�sir,/A
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data . 19 FEE$
Contr, Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
A � P.OabC'�acs
FOUNDATION
UNDERFLOOR tpo'
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE IN P R MISC.
UNDERGROUND ROUGH ' Y
ROUGH WIRING 7-
FINISHED WIRING _z
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. LL _5.44
SANITARY NO. yy_
UNDERGROUND ROUGH42Z/2"
PARTIAL ROUGH
ROUGH COMPLETE �" 7
MAIN DRAIN 9 9
FINAL PLBG. —3L
FINAL GAS
FINAL APPLIANCE - `47
DATE INSPECTOR MISC.
MISC
MISC
MISC
CERTIFICATE" ' Of COMPLET1014
BUILDING,INSPECTOR'S OFFICE
CITY:-.OF CUPERTINO
Date ..........lA..c.= ......... f./ Building Permit No. ..
The Building Located at ...t'rf.B,',.�iT. ......7.:..:.'.?.,:.::r.<r.: .....;C .- .................................
Owned by / r::F::x <c.................._.....................---.........
(Completed) ,
Has Been or Use As: .........:.'..:.: .......: '"' :...... ...:.........:............... ..
(Altered O
.................................................................................:—.........................................
.................................................................I.......................
............... ............:.................... ............................................................................................
BUILDING, INSPECTOR
i
• � ROUTS 5�r1U .`_ —•
N Date
S.-b e c t _
-_A,,,,) oved
DatC' tri
n j@Coil
n 'Bldg).Dept.- .
N f Office Copy
CITY OF CUPERTINO I.
i
SEWER-PLUMBING NOTICE
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Sewer Connection �' Sanitary Permit No. ------ .<'. ��:.:...
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TA Plumbing Final - Plumbing Permit No. _,r......}::7�I
J �} Lot No. ...........f1...��...............
.Owner or Tenant .....bo..tt"Ic.....�..:�:AeL JL.....................
..-------------:.:- .......
At . �Ltt.,):hzT.:. a L6 art '`.......4 Q?L.:. ...... . -..... ..........
a
I" Tract -
Date Connected ..7._�`.� ............................................................................• 1 .......-_...
.�../..._................ ...... 19............
Date Final ..._....... -3 ! 9.........
PLUMBING
�.OR.............
c°l--a
CITY OF CUPERTINO Ol't'tc':
GAS SERVICE NOTICE 'Copl,
To
.__1 ......:, I97�K
You are hereby authorized to connect the GAS service for
Owner or Tenan[ .. - ,L: ":._.. .. ...
.. ._..... . . _......... ....
At led-ago
. New Service
No. of Meters ....t�...:......... Reconnect L._.... ...
' ..
..._.......
No. of Add. MetaMove Service s .............. Move Meter ...........
..............................
PLUMBING INSPECTOR
CITY OF CUPERTINO OFFICE COPY
ELECTRIC SERVICE NOTICE
z'e,
At �la�nl�t.....- .._.:1/L aGrlxrYtxJX-...�C/. mer �G .....................
You are hereby authorized to conne-t electrical service fur
// �_
Fir—�.. ... ..
At T
_ ........... Size of Wires ........._.........-. Size of Switch /..�.'.�..�`
^ No. of Wires ..._..... -.
l Motor Load ------ .............. Voltage ........ ......... ......... ... Phase ... ..............................
Heating Load ......... .............. K. W. ..... ............. Voltage ......
Light............... 110.....v�Nrw Ser,icc•_... .�Ifrcunnrn.._....._... ..
No. of Meters._-....._�. _
Heat....._....__.. 220............ Chmr Wire,......_._.... mf .,c Servic........
No. of Add. Mete rs.--.........
Power............... Three Phase _- \face Mcte ......
........ ... Zr . . . .G . ....
is!.tc rii!CA! !NSPECT09
C 10200 Firwood Drive LOT NO. 91 -��
NO. STREET
w Z CITY OF CUPERTINO Tax 'Z
EO Q�PPLICATION FOR BUILDING PERMIT
Y O CITY O? CUFci,Ti�,�
O� I (� fI Building Per.No.
S1 241
mU pa<eJN 9 14 19Sanitary Per.No.
o Application is hereby made for a permit to Construct
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stA Type S-NHR. (Plan #700) Structure
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to be occupied only as I-J in accordance with
a F Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee$ 3 3,.,2,1'
20 Estimated Value of Improvements,$ .3 D O d Fee$
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r 3 Total Fee$ _
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z'' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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and all other laws applicable to the construction, location, and use of buildings within
3 athe City of Cupertino will be complied with.
uz Deane &, Deane , Inc. P:O:Box38 ,Half Moon Bay ,Ca
W WOwner Address
ao By Deane $ Deane ,Inc. Addres,P 0: Box38 Half Moon Ba ,Ca
_o c¢p.ntrfp gge� 94019
Phone 415- /Lb-J251 Approvetl "
State Licenm Building Inspector
9 NO. STREET LOT NO.
Zd CITY OF CUPE"TINO CITY OF CUPERTINO
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Yo OCT19pS�'/LjICATION FOR 'ELECTRICAL PERMITS! y_//
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U p ^ Permit No.
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H 0 Date 19 Fee$_-
0 F Application is hereby made to the City of Cupertino for a permit to install electrical
>F wiring and/or fixtures. as listed on the reverse side hereof, and agrees to install said
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wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
r i City of Cupertino, and all other laws applicable thereto.
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O O Use ofWork To Be
ed /G�G 1
jy. Premises—5� D Performed �/CA L
0Q OwnerDAWl ' Addrasa 4
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avINN?ILD IEL/ECT, Address 7ff ✓
contractor,Agent
N Phone p_/ DS�cO�
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Yo J�i1PP�?LICATION FOR PLUMBING PERMIT
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=O Date_�_-�4--14-_�, , 1 19 Permit No.
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a Application is hereby made to the City of Cupertino for a permit to install plumbing
z m pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
w W and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a Cupertino, and alf other laws applicable thereto.
OO use of 7, a work To Be
5, Premises „"T' Performed ////�J///��/.-�- I
ZJOwner Addfe6e4/L-); - 'a
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J2 BY Atltlrr7£s -
Q Cont�rgctor,.A9ent',. arles stletl,
my Phone'r�94 �S� San Jose, California'95112
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¢u State License '3� Approvetl
Q0 Plumbing Inspector
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10200 FIRWOOD DR. ,, - T 91
LONO.
NO.Jy STREET
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
4
i Date pl;.5 .73 19 _ Permit No. f o
W LL Fee $ 2
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Application is hereby rrrarle to the City-of Cupertino for a permit to
Oa 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
W Code of the City of Cupertino, and all other laws applicable thereto.
o` 0Use of Premises dwelling
c DEANE CO. 617 VETERANS BLVD.
W Owner Address REDWOOD CITY
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�Z By BUSICK AIR CONDITIONING CQddressP •O.BOX 2189 ,DUBLIN,
Z!'0 CONTRACTOR, AGENT
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Phone828-1780
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W i State License 231092 Approved,
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PLUMBING INSPECTOR
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