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20025 I da .ee Laae LOT No. 35p ra T e .
lr�
ATION FOR BUILDING PERMIT
CITY OF CUPERTINO
4 t�
JUN 1 1b3 - - Sanitary No. 3a
Dar ii 196_
Ut I"p icatton is ereby made for a permit
1 tT 5 I J
Permit No. �I/ 1911
Erect
a s ory, ype
to be occupied only as SMIL
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 19,000.00 Fee S
60.00
Building
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.
OwnerB109som Valley Homes, Inc. Address
By - ZfAsf _ Address
Phone 245-0617 4A k4 kgz&
196-617 Class B-1 Approv
State License IL ING INSPECTOR
RECORD OF INSPECTION
FOUNDATION �n v
DATE 7t
FINAL ELEC.
FINAL PLBG.
OVALS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL GAS `�
DATE. INSPECTOR
UNDERFLOOR
,
CDATE
FRAME
1
Q� E
LATH and PLASTER
D E
'
FINAL BLDG.
I
l
DATE
FINAL ELEC.
FINAL PLBG.
OVALS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL GAS `�
DATE. INSPECTOR
% LOT NO.�
FPLUMBING PERMIT
N a CITY�,"'RCUPERTINO
2Y it 13 1963 ,
o Sanitary_ No.
o a Date E �7 196 Permit No,_��
LT, LL U MY Of C�_1r ER Fee $
O Application is hereby made to the City of Cupertino for permit td/install plumbing
LL o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
} H and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws ap 'cable, th eto.
w S
LL Use of Premises
00
> N
r3
o ¢
ZJ
J Z
J O
3 F-
- N Phon
W Z
W w
ir a
a U State
/ r
i
License Approve d
PLUMBING INSPECTOR
,.Vater Sotteners
UNITS FEES
UNITS FEES
"Water Heater
a
Size °✓
Water Closets
Fixture Fee ,
Material f
Bath Tubs
j,j9p
To Curb
Showers
Water Sys. Fee
To Prop. Line
Lavatories
TOTAL
To Existing
Kitchen Sinks
OF INSPE TION
Not Conn.
Dish Washers
.Partial Rough..
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
/ _42)1)
Size
,.Vater Sotteners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Fixture Fee ,
Drinking Fountains
Main Drain Fee ,a
Floor _Drains
WATER SYSTEM
rioppers
size
Restaurant` Sinks
Material e
San =Traps
TOTAL FEES
Urinals
Fixture Fee ,
Area Drains
Main Drain Fee ,a
Water Leaders
Storm Drain Fee
Sprinkler varves
Water Sys. Fee
Permit Fee e
TOTAL
TO AL FEE r
REC
OF INSPE TION
Underground Rough ..
► 'l/ V
.Partial Rough..
Rough Complete..
'lain Drain
—
Final__.
f�c LOT NO.
p, STRSH
APPLICATION FOR GAS PERMIT
CITY OF CUPERTINO
JUN V 19633.
r/v- "I 1qo� Permit No.
TY OF C! PER? Fee $ -
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws/�pplicable tkreto.
Use of
Addre.ge
Address
Approve c Viz- _
Dl, -
of Appliance I Units Fees II New '
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles �)
Steam Tables
Gravity Furnaces
�$uspended Unit II
Floor Furnace �I
Miscellaneous,
(NAME•TYPE) I I II
Appliance vees I I II I I
Inspected and Approved ....
------------ .-
------------------------ -----------------------
DATE INSPECTOR
HOUSE GAS PIPING
ain
Tested and Approved -...........��././
OAT INSPECTOR
20025 I Cedar Tree Lane
NO. ..STREET LOT NO. 35 -Plan 1420
L'-AJUPPLICATION FOR ELECTRICAL PERMIT
h �4 i9b:�--ITY OF CUPERTINO
JU11 1q �I !CS , 195— Permit No. A/�"(�
Date
Fee $ // 77�-
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.
11se'of Premise, residence
Owner Blossom Va11ey Homes, Inc. Address Sunnyvale
By Address
BUNNWALE, CALIF0,17NIA1 APproveZI�
Phone:ELECTRI L INspzcrom
Size Service Conduit ------ *........ 1,,iurhber of Outlets ------------------
Size Service Wires ........�.QQY••--Number of Switches________________
Size Service Switch ------ r!Hd--_____Number of Receptacles_ ........_.
Size Sub Feed Conduit ------------------Number of Fixtures ----------_-----
Size Sub Feed Wires ................... Ranges ...... /....... KW .............. --•-1---- ---------- -----2 _.
Number of Circuits -----•••.Y----•.. Oven ---- I........ KW .............. ••--/-------------------:ZL
Number of Meters -------- .............. Signs .......... Transformers......._ .......... .......... ..............
Misc........................... Dryers---- ••------------------------------- --•/----- --------- -- 7
I
Motors .....5 ............. HP _-- !i ______----- Phase .................... Permit Fee $1.00
Motors.................... HP -------•-••--------- Phase --•-----------------
Motors.................... HP -------------------- Phase --_---•----_--•--- H P Charge-------- ---
TOTAIEEES
�T C
x
Rough Wiring ...............
DATE
Finish Wiring ................I
DATE
,D OF INSPECTION APPROV
r�L ..`............ Fixtures
INSPECTOR
-------------------otors
INSPECTOR cc
Final
DA
5
ECTOR
3 ' .IN.SP E`CTOR
{�L_____________
E INSPECTOR
C;2.0 Q _2.S LOT NO."� /
No. STREIT
I
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
cy J
Date_ __—L _ _ — — _, 196...3 Permit No.
2J
Fee S
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 rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
Owner Address
By Address
CONTRACTOR, AGEN
Phonez229,i_- 3- /d4-2_ Approved 2
PLUMBING INSPECTOR
of Appliance I Units Fees
Xv ll Heaters
Gas Plates
blower Furnaces
Gas Fired Boilers
Warming Ovens
Steam Tables
Gravity Furnaces
�Susoended Unit
NAME TYPE
Inspected and Approved ............... .!................................. .. .-
DATF INSPECTOR