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NO PERMIT NUMBER (2)217V M ..l -Ll' n Rd. 19 NO. STREET %t - '! LOT NO. CITY OF CUPERTINO 4.25 APPLICATION FOR BUILDING PERMIT SANITARY NO. 9199 FILE NO. 51,344 DATE -3/10/75 19_ Application is hereby made for a permit to ('nn c t rvot. (Plan ) a 2 story, type 5 N. Hr. (2236 sq. ft. Liv. & 675 sq. ft. Gar.) to be occupied only as T & .T Single Family Dwelling in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $61.000 FEE $ 209.00 PLAN CHECK $ • .�.71i�1 •• PHONE ADDRESS STATE LICENSE PrSg5fi2 .B APPROVED .Tampa H. Si ck/h BUILDING INSPECTION RECORD • .. • I.[Js.�i • • • STEEL �� •'/I^c)lr��}� ��• BOND BEAMS s� LANDSCAPING -i ��fi."��tI'.'�Z�&Cii`j F �. DIAPHRAMS MOORE BUSINE55 FORMS INC., LP ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING y FINISH WIRING FIXTURES 7 INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS & INSULATION 71 UNDERGROUND ROUGH FLUES & COMB. AIR 7 PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN _ FINAL GAS - FIN L PLUMBING 7 _ MISCELLANEOUS CERTIFICATE OF COMPLETION: - `!BUILDING INSPECTOR'S OFFICE CITY OF.CUPERTINO _ E DATE , � \ a BLDG. PP�R,(MICNO(/.'��� /n/ THE BLDG. LOCATED AT C2 �"`�"-�� OWNED �BY.`----.p���..���..._.""�n-�e'u-,w HAS BEEN` DFOR USE AS - ' t �-- IACTEREDI ROUTE SLIP ?pile ro. Date sec<':.ion �i 'cotes Date lnsgectoz i, Bldg. Dept. Office Copy CITY OF CUPERTINO SEWER -PLUMBING NOTICE F-1 Sewer Connection Sanitary Permit No . .... Q.., ... ..... ... ;--Plumbing Final _tiPlumbing Permit v/ ------------- Lot No........ C, -------------- Owner or Tenant ....... .. �_ .8 ................. — --------- ------------- At ...... .... . ......1.- - Tract Date Connected --------------------------- %4- — Date Final PLUMBING CITY OF 'CUPERTINO ' GAS SERVICE NOTICE OF 171CF COPY ......... -- 4/., ....... r ............ - 1975 To You are hereby authorized to connect the GAS service for Owner or Tenant ... 100—..._ ......... ........ ....... ............ ........... - At '23 7 '3Zr, 4:�� ......... ......... ...................... New Service — ....................... No. of Meters ....... / - Reconnect ............................. Move Service .......... ............ No. of Add. Meters .... -- ..... Move Meter ........................ PLUMBING INSPECTOR OFFICE COPY Q ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ............... y".'....,7.-........., 19Cr To You are hereby authorized to conned electrical servi a for Owner or Tenant _l riY. v`���4.� ... ., !A4tQc �..,..... ....._...........- .........-- At..r../...2-.7--...r..:....i.1.C...__ll..r.�f-........ .... .................. ......... ........ ......... No. of Wires ........................ Size of Wires ...................... Size of Switch !,:tl....... MotorLoad .......................... Voltage ......__...................... Phase ................... %.... ...,:.. HeatingLoad ........................ K. W.......... .... ......... .......... .. Voltage ................................ Light ............... iio.�.... New Service.4........ Reconnect.................. No. of Meters ...... F........... Heat ................. 220............ Three Wire................ Move Service............ No. of Add. Metecs............ Power ............... Three Phase ................ Move Meter.............. ELECTRICAL INSPECTOR R. F. BENNETT, C.D.T. • PHONE 326.6160 • BENNETT CERAMIC LABORATORY 658 HOMER AVENUE PALO ALTO, CALIFO IA 94301 DATE '5'rl� / DOCTOR t " �� ADDRESS ��-�- PATIENT'S NAME DESCRIPTION PRICE AMOUNT • L07 NO, NO. STREET CITY OFCUPERSCAP. {l INO (vAL. 1 d20 d APPLICATION FOR BUILDING PERMIT FEE w Z CITY O-, CUPE'TINO Building Per. No. x Q Data 1 r • 19 Sa nary Per. No. i ra - Appli�at�a is ere by ma(d�e�ffoorr as permit to Oft Fw0 a�,:story, IType,��//c �^� �� ��!•Sf�� � Structure u_ w to be occupied only as in accordance with OQ 'Z , Plans, Specifications and Plot -Plan filed herewith. Q w t=. Estimated Value of Improvements, $ D� a LL O O It is hereby agreed that the requirements of the 3 Cupertino Building and Zoning Ordinances and all p a other laws applicable to the construction, location, and Z use of buildings within the City of Cupertino will be Z complied with. PI Ck Fee $ Fee$ a09 00 Total Fee $ _ 3oYa ( .zY S (a 3 R aV% )��O ADDRESS PHONE w Z �OWNEg/f / // �pYr-C--- <� A` CONTR. OR�A ESL ADDRESS PHONE STATE LICENSE BUILDING INSPECTOR -/ O �, ,LOT NO. 4X r� NOI STRUT CITY t-r C��: Y't't .,� CITY OF CUPERTINO APPLICATION FOR PLUMBING PERMIT MAY 22 lgij Sanitary No. T . I ) _,19_ Permit No. Dote Fee �,O 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 ' Perform Premise t Ow Addre Phan-=2 // 9�"3 State License Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 6 �. FIXTURES NUMBERNExisting DRAIN Units FeesUnits Fees Water Heater , e-e r Water Closet _.� Bath Tub ,p-p Shower Lavatories ,� Kitchen Sink ,cc Not Conn. Dish Washer Woste Disposal Wash Tray STORM DRAINAGE Washing Machine ,�T Size _ Water Softener Material Bar Sink To Main Drain Comb. Sink 8 Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Z��— Restaurant Sink Material _ Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Value Gas Fee Vac Breaker Skimmer Pool Sweeper Permit Fee Total Total Fee ✓N Q 21737 ( McClellan Rd. 19 Plan E,7.. -,. �nr=-ruin NO. 5'rREET 'LOT NO. ' MAY u 8 1975 CITY OF CUPERTINO p �APfLICATION FOR ELECTRICAL PERMIT Date 19 Permit No. _ 1eeSds s 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 Premises R s i den c Owner Ponderosa Homes A By Hill Electric A CONTRACTOR, AGENT A Phone; 734 3800 State License 220068 ITEM NEW RPL FEES Number of Outlets .?. / 0 Number of -Switches 19 3.35 Number of Receptacles 3g 6,�261 Number of Fixtures / 7, O Ranges or Ovens K.W. Z o?, n Size of Main Service / .,g Number of Meters I Number of Panels / /. A O. Signs - Transformers Dryers / D Motors: 7? 3112, Phase/ 0 A, i0e. e 0 H.P. Phase H.P. Phase Power Poles Permit Fee 2.00 H.P. Charges Total Fees 21737 McClellan Rd. LOT NO 19 NO. STREET „ - CilpPCTIKO CITY OF CUPERTINO TY APPLICATION FOR APPLIANCE PERMIT ';UL21 1575 Permit No. Date 4^2q-7!i 9_ Fee$ 12.00 F' Application is 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. Woof Res. Work ToBeHeating/Sheet Metal Premises Performed Owner Ponderosa Homes Addre:sPO BOX 357, SM Santa Clara ,,,_ _ 247-4500 By a n t M@ . r San Carlos c r, Phone 592-29292 State License 110828 Approved Plumbing Inspec r I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 u APPLIANCE UNITS FEES 1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING 100,000 B.T.U.'S 2) FORCED AIR OR GRAVITY FURN, OVER 100,000 B.T.U'S 3) FLOOR FURNACE 1 S OO 4) SUSPENDED, REC. WALL, FLOOR HEATER 5) INSTALLATION OF APPL. VENT 6) REPAIR OF, ALTERATION OF, OR ADDITION TO - HEATING APPL., REFRIG. UNIT, ABSORP. UNIT, COMFORT HEATING, COOIING, ABSORP., OR EVAP. ' COOLING SYSTEM 7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM TO 100,001 B.T.U.'S 8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM I VV,000 TO 500,001 B.T.U.'S 9) BOILER OR COMP. TO )5-HP. TO31-HP. ABSORP. SYSTEM 500,000 TO 1,000,001 B.T.U.'S 10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP. SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S 11) AIR HANDLER 10,000 CU. FT. 12) AIR HANDLER OVER 10,000 CU. FT. 13) EVAP. COOLER PORTABLE 14) VENT. FAN CON. TO SINGLE DUCT IS) VENT. SYSTEM NOT A PART OF HEATING OR AIR CONDITIONING 2 16) HOOD - MECHANICAL EXHAUST 17) DOMESTIC INCINERATOR , 18) COM. OR INDUST. INCINERATOR 19) EQUIPMENT NOT COVERED BY THE ABOVE FFEMIT FEE 11 TOTAL FEE