51231.1 30058 I Dove Oak Ct . ' 1 Lot No. qS
No. Street 31710
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO o
Sanitary No. 7383 BF
6/15/71 File No. 51231 .1
Do to 196
Application is hereby made for a permit to
Cnn,-trrnet. a P story; Type
to be occupied only as Single Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimdted value of Improvements $ 26,000
FEES - 80. 50 Plan Check $
ch,,,, Shapell Industries Address ' 000 Sentt. R1 lid . S. C.
Contr. Address
Phone 247-3801 State License 169863
252-3831 Approved W. D. 136neVl chlh
APPLICATION FOR ELECTRICAL PERMIT7r
Date �� 196 FEES
Contr. Address
Phone State Licansa
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 196 -7/ GAS FEE $
PLUMBING FEE $ C>?
Contr. e0 Address
Phone — R 94S' . -SCO State License �pp�0t,-'
Approved mac.
APPLICATION FOR APPLIAN PERMIT 7 ,Z S
Date g 19666 ZZ/ FEEE$//
Caner. 7-7 f (!T-eL
Phone State Licensb /...'//1/0
Approved tN -
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
t
RECORD OF-INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL A AS
FOUNDATION
UNDERFLOOR Z �7
FRAME I Z �� I
LATH & PLASTER
GRADING FINAL
FINAL BLDG. ' l•
10/
ELECTRICAL
DAT OR MISC.
UN�XMD ROUGH• If,
ROUGH WIRING
FINISHED WIRING
FIXTURES
r
MOTORS
FINAL 0 r
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -of
ROUGH COMPLETE
MAIN DRAIN A-7)
FINAL PLBG.
FINAL GAS - - L• •ry-7
FINAL APPLIANCE
I n
DATE INSPECTOR MISC.
MISC yV. •fkl •Z' ..
MISC
MISC
�l
OFFICE COPY
e�— ELECRRIC' SERVICE NOTICE
/ ) BL} tf)I11NG INSPECTOR'S OFFICE
r CITY OF CUPERTINO
To
on are hereby aut ed to connec elec is service for
Owner or Tenant ..... IG cc C, 1—:4C W—...... ..... .. . . . . ..
. . . ... ... .
At .....ft Zn d--- .... .... . . ...(.. ...... ....C_.�'-�...
No. of Wires ....................... Size of Wires ...................... Size of Switch ..dQ..l\....
Motor Load .......................... Voltage ....... .......... Phase ............. ......
Heating Load ........................ K. W. .................................. Voltage
(('' Light................ Ito.......... ekPhase
Reconnect.._......... .....
No. of Meters..........1.........
Heat................ 220....._.. . ThMove Service..........
No. of Add. Meters............
Power............... _._......... Move Meter...-..........
L INSPRCTO
i
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
.......... ....... 79 -:�
To
I Yoti are hereby orized to tonne fee
Owner or Tenant ....................:.t..7...tL—IQ
, r1z .. .... . .............. •
. .....
At ..............).. 1-�-�-
No. of Wires ........................ Size of Wires .................. ... Size of Switch
Motor Load .......................... Voltage ...........................- .. Phase .........................
Heating Load ........................ K. W. .................................. Voltage .....-... ..........
Light... I 1().Z
No. of Meters.........'......... New Ser%icc..2� Reconnect............
Heat
No. of Add, Meters............ r
Power............ ce haw. .. Meter.......
ELECTRICAL INSPECTOR
cam/t Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. ....73Z.3........
Plumbing Final Plumbing Permit No. .
Lot No. ......33................
Owner or Tenant ...t...
..........
-F , ,-7 ..� L, /7 /
At ......._l�-? .. e.
Tract
DateConnected .......8.'.. //............................................................... 19............
Date Final ......... -3
. .........................................................................................— 19...........
... ..................... I—-----------
. ......... .....................n
PLUMBING INSPECTOR
33 GAS SERVICE NOTICE 0HICH
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
To
You are hereby authorized to connect the GAS ice for
Owner or Tenant .......
At ....../0. 9........ .. . ........ ...
New Service .......... ..........
No. of Meters ......... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter .......--.......
. . . . . .........................
PLUMBING INSPECTOR
ROUTE SLIP
File No,
-r�Date 0&0A — 7A
Location w- ®.
32a
Subject—
Notes
Approved 1�"o'!O — 71 /tel---T �
Date In for
AbftE SLIP
File No .
JJ Date
Location /Yor
L
Subject e2O1/NI( ,
Notes
Approved
Date Vspector
I AGREE I WILLNOT VIOLATE ANY OF THE WORKMEN S
COMPENSATION LAWS eTHE STATE c ,ƒA,
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ITEM NEW RPL FEES
Number of Outlets
Number of Switclies
Number of Receptacles
Number of Fixtures
r
Ranges or Ovens K.W.
Sive of Main Service 1.00
Number of Meters
Number of Panels 1 Sub 1.00
Signs-Transformers
Dryers
Motors:
HT.Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees . 3 5
. agree . will not violate any athe Workmen's
Compensation laws of the State of Cali_a
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures � —
Ranges or Ovens K.W.
Size of Main Service 0
Number of Meters
Number of Panels
Signs•Transformers
Dryers
Motors: -�-
2H P Phi e
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Tot ees Q
, agree . will not violate any athe __e
Compensation laws of the_,ac_y
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FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater I Size
Water Closet 21 Material C.
Bath Tub 1 To Curb
Shower 1 To Prom Line
Lavatories 2 To Existing
Kitchen Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine ( Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal I Fixture Fee
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee T
Relief Valye 11 Gas Fee
- C)
Vac Breaker
Skimmer
Filter
Permit Fee 1'o
Total I 6.1"0 Total Fee 2 6.
o / MW OF CUPERTR: eet ) Lot No.
n WATER DEPT. I
m APPLICATION FOR PLUMBING PERMIT
E AUG 9 1971 CITY OF CUPERTINO
0
vSanitary No.
A 1 D
P �_�� // a3i
E Date , 19�,L Permit No.
a
3 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 prices and/or fixtures
0 in accordance with the provisions of rhelumbrng Code of the City of Cupertino,and all other
q laws applicable thereto.
0
n A Use of Prcmis
o C
oOwner Addres,
C S
By Address
3 Co rtr or,Age
Dm ° Phone '
A
— -� State License Approved
F.I_ � Plumbing Inspector