241120045 I Ce"r Tree .bane LQT NO. 34
W Z D CATION FOR BUILDING PERMIT
�0 - 3
cr� CITY OF CUPERTINO
0 a /JUN 14 963 ew Sanitary No. ✓
W ,L Date 196_ Permit No.
F o rel - (I,}}.. {((�,�,;.r.jrj�
o F Ap IichfAn iSTICltby ade for a permit to Erect
z W a 1 story, Type 5 I J Building
aI to be occupied only as SFDWL
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
F 3 Estimated Value of Improvements, $ 20.000.0 Fee $ 63.00
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 a OwnerBlossomi!nnValley Homes, IAC. Address
Wz
Ir a By �� /l�� , Address
a o Phone P,45-0617
u 196-617 Class 3-1 Approve
Q/ State License BUILDING INSPECTOR
RECORD OF iNSPECTION .APPROVALS
FOUNDATION Z
-DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME - 3
c DATE SPECTOR
d PLASTER O -� 9 _ 3 1 !�ng
DATE INSPECTOR
FINAL BLDG. /
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE I INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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LOT NO.-
APPLICATION
O. APPLICATION FOR PLUMBING PERMIT
IATY OF CUPERTINO
.(tJUN 13 wv 7 Sanitary No.
Date + '! }�1_96e Permit No.
C� t Y 0 CU1 EIS 1 Fee $
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 rices
and/ot fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicablenthereto.
Use of Premises
G� CO TR A ' NT �
Phone — a
tate License
Addres ,4 -®-
Addres��'`%j,J<_z & S4W-'�
Approved
rONTRACTOR.AGENT
PLUMBING INSPECTOR
UNITS
FEES UNITS FEES
Water Heater
Size
Water Closets
Material r(j
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
e To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Waste Disposals
Wash Trays
Sewer Boxes
t STORM DRAINAGE
Washing Machines
j, ply Size
'Nater Softeners
Material
Bar Sinks
To Main Drain
Comb'. Sink s Trays
To Curb
Dental Units
Drinking Fountains
I'lotir Drains
WATER SYSTEM
Hoppers
Size i'
Restaurant Sinks
MaterialU
Sana Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water'Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee ,
TOTAL
RECO
Permit Fee
TOTAIVI FEE
OF INS ECT
Underground Rough...
.Partial Rough -
Rough. Complete.. Ok6,,
Main Drain /
L.
Final._.
2
N6.
VIM -
kA, Ti N FOR GAS
CITY" OF CUPERTINO
)?,JUN 13 1963
PER -i
LOT NO. A
PERMIT
i Permit
No.
�9
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 applicable thereto.
Use of
•/ .. Ji/� Wo
Type of Appliance
I Units Fees II
Remarks (Check %7)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers (
��
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
unit
NAME TYPE
Appilance rees I 1 II 1 1
Inspected and Approved .---:-..!.----------------------------
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets _2 Size of ain I Z>
Gas Piping Fees
Tested and Approved - J---7 .... 'la.1 ..........................................
SATE INSPECTOR
20045 I Cedar Tree Lane Lot 34 plan 2420
NO. ..---y-+���-----^^• TR LOT NO.
jam,
A N� AOR ELECTRICAL PERMIT
J U N 2 4 1963 41kOF CUPERTINO
Date 195— Permit No. 42�V_3
Fee S /13
Application is hereby made to the City of Cupertino for a permit to install electrical
c� wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
Nwiring 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 residence
Owner Blossom Va11ey Homes, Inc- Address Sunnyvale
y By G.
T Address z�
sf3 T:'Z i�OAD Approved - `� 1 4.44
117
Q, Phone: SUNNYVALE CALIFOF? N1A ELECTRIUL wspEcroit
,(/ HONE 736-:,1.21
Size Service Conduit......1_.'l_--------- :Number of Outlets__________________ ____ _
Size Service Wires ------- 29....Number of Switches---------------- ----- -
Size Service Switch ------ ----- Number of Receptacles____________
Size Sub Feed Conduit ------------------Number of Fixtures ..................
Size Sub Feed Wires --- _ --------------- Ranges ...... -------- KW ..............
Number of Circuits ---- I........... Oven --- J-------- KW ..............
J ------
Number of Meters .... L -----------------
Signs .......... Transformers .........
--•-•-----
---...........
Misc..------•-------------•-•---------/1-/--------
,-/ -••-----Dryers---I-------•-•------•-•------•----•----I-.1..---•'•.....----I-.7S----
Phase
Motors .__..s5...........
HP _ _ 7 •-----------.
---• ---------------
Permit Fee $1.00
Motors----•------------•--
HP .-•-•-----•----•----Phase
--------------------
!�
Motors --------------------
HP ....................
Phase ....................
H P Charge-----------.....I..�
TOTAL FEES
(� OF INSPECTION APPROVALS
Rough Wiring d....... . .. ...... Fixtures
T R DATE SPECTOR
Finish Wiring 6/ J�.. otors .......
DATL INSPECTOR I SPLOTOR
Final-------------------•--•--- ------•-----• •-••---
DAT[ INSP[CTOR
M
1 LZI �'- 11)
NO. STREET LOT NO.
jPVRWMDr4 OR ELECTRICAL PERMIT
OF CUPERTINO
La I JUL 6 _
Da , 1¢5 Permit No. � f�
abTY OFC PER �jj��JJ((11 Fee
Application is hereby madT( Qe 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�Pren
Owd
By
hPhone:
/�oex
Address
1CTOR, A •NT
Approved L. '
S -: L iNSPECrol
NEW RPL FEES
I I
Size Service Conduit---------------------Nin::ber of Outlets ------ .----------- -------------------- -----
._..----.
Size Service Wires -------------------------Number of Switches---------------- ---------- ---------- --------------
Size Service Switch ------------------------Number of Receptacles ------------ ---------- ---------- --.-----------
Size Sub Feed Conduit..................Number of Fixtures .................. .......... .......... ..............
SizeSub Feed Wires .................... ................ KW -------------- ---------- ---------- --------------
Numberof Circuits ................... Oven .............. KW .............. -••-•--•-- .......... ..............
Number of Meters ........................ Signs .......... Transformers ........ .......... .......... ..............
Misc................................................ Dryers ---------------------------------------- ---------- ---------- --------------
Motors .................... HP .................... Phase .....--.---.--.----. Permit Fee $1.00
Motors ---....---•-•---••- - HP .................... Phase ---------------
Motors.................... HP -------------------- Phase .------------------ H P Charge----------------I--------------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring ---•-•-•-----•-- ------•------------------ Fixtures ---------------------- ---•-- --------------------
DATE INSPECTOR DA E INS TOR
Finish Wiring .. ----- ( -- -- ----- Motors
DAT! INSPECTOR T� •� R
Final ------• -- --`-- --� •-/- - • •--•--
DAT INSPECTOR
811
LOT NO. 1 -
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date_ _ _ 196 _ Permit No.
Fee $ % ZT
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
Address
Address
Approved N
PLUMBING INSPB O
Remarks ( Check d
Type of Appliance Units Fees New j Replace j Re
Gas Ranges
Wall Heaters j j jj j j
Gas—Plates—
Circulating
as Plates j j jj j j
Circulating Heaters j j jj j j
Blower Furnaces
Gas Fired Boilers j j ij j j
Warming Ovens j jl j
jPercolators j
Griddles j j jj j
Steam Tables
Gravity Furnaces
`Susvended Unit
(NAME TYPE
Inspected and Approvedr.`V............................
DATE. !� INSPECTOR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Ej Sewer Connection Sanitary Permit No._ _A`2 ........
e._ Plumbing Final Plumbing Permit Lot No .No.q��.!.J_t ............
, .... .1z.4 ..............
Owner or Tenant ......... lur
.............................. ........
. . . .......................................
Tract--------__------_-_----- ........... ----------- -- ...............................
DateConnected --------------_------------ ....................................... ...........................
DateFinal ------------- __ ------------------------ ........ . ............................ 19r . .......
- ---- -------- ............
L
PLUMBINGnSP CTOR
111 7/63-1M
74 ERTIFICATE
BUILDING
CITY
OF COMPLETION
INSPECTOR'S OFFICE
OF CUPERTINO
Date ......... ..... -------------------- Building Permit No. .: -..'
--------------
The Building Located' at
Owned by ------ -------- 4 ----------------------------------
. ......................
(Completed)
Has Been (Altered) For Use As: � .. ........................................................... I ................
.......................... .....................................................................................................................
.................................................................... ... ..........I.... .... .......................T....................
4
BUILDING INSRTCMR
102 7/63-500