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NO PERMIT NUMBERI 21603 I CASTLETON -ST. Lot Nc No. Street A .i3LICATION FOR BUILDING PERMIT ®JCIJTY OF CUPERTINO UG 19 1966 File No.51167 rr Sanitary No. 4772 Dot d+l _7 V4111111 . Application is hereby made for a permit to Con at -Mt r.t a ➢ story, Type 5 1 J to be occupied only as Single Family Dwelling in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ 28,00o.00 FEE$ ft�; Plan Check $ i Owner _.. Di tZ—Cranp Address BOX 509. San Jose Contr. Phone 297-9544 257-1110 Address State License 151791 Approved w Tk 3npyi Ph /h APPLICATION FOR ELECTRICAL PERMIT Jr—, / Dote 196-p FEE$ Cantr, 1111— T//� ^o] Q Address / E—S ' " / Phone State License /a •22-1 Approved APPLICATION PLUMBING & GAS PERMIT G //FOR Date 13 196 GAS FEE $ PLUMBING FEE $ � �C_ Cont, Addreis 3 Phone •Z 3 State License-�'••t'�9 Approved a APPLICATION FOR G+ APPLIAN PERMIT 7 7S Data Q/7 196 •�• Contr. (9z4- A�z %� Address 1•3U Phone State License Approved Applicants agree net to violate any of the y. Warkmnn'.c Compensation haws of the � State. of California RECORD OF INSPECTION : APPROVALS ti / — BUILDING FOUNDATION le pe<tor UNDERFLOOR e_ (0 to Inspector FRAME D� Inspector LATH &PLASTER actor O Dat FINAL Do to f Ins oe ctor ELECTRICAL ,OUTLETS / SWITCHES 2y5 RECEPTACLEV 9 %° FIXTURES /, H.P. C ARGE PERMIT FEE TOTAL FEES /111 SERVICE SIZ UNDERGROUND Inspector _ to ROUGH WIRING FINISH WIRING Dat Inspector Inspector - to FIXTURES Inspector Motors Inspector / FINAL i 0 �/ I� Inspector Dote G&GAS MAIN DRA IZE I I MATERIAL STORM DRAIN SIZE MATERIAL IT WATER SYSTEM SIZE E R I:L TOTAL FIXTURES //`=° UNDERGROUND FIXTURE FEE PARTIAL ROUGH Jp Dat ctor MAIN DRAIN FEE �'`N' ROUGH COMPLETE s A for " STORM DRAIN FEE MAIN DRAIN ' 7 —� �� at actor WATER SYSTEM FEE GAS PIPING D to pector GAS PIPING FEE FINAL i Date Inspector PERMIT FEE cl"' MISC Dote Inspector TOTAL FEE r� MISC vum ins P. uar APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS. �� 01 BLOWER FURNACES J`'t COMBUSTION VENT oL a-`'-`� SUSPENDED UNIT MISC GAS RANGE MISC ' GAS DRYER PER T FEE "7 li " FLOOR FURNACE TOTA EE '7 7S INSPECTED 10 kollo M e Do Inspector Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. / ( Sanitary No. Date / 196 ^' Application is hereby made for a permit to to he occupied only as a story, Type in accordance with plot plan, Plans and Specification filed herewith. Estimated Value of Improvements $ FEES Plan Cheek $ Owner "^-""`"�Addrsss Contr. y / Address Phone - "� a 3 �� "' State License Date Contr. Phone Approved APPLICATION FOR ELECTRICAL PERMIT 196 FEES Address State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Do to A/ '3 196 (6 GAS FEE $ 3 3U PLUMBING FEE $ Contr. / Address Phone — a7,S3 6 N State License Do to Contr. Phone Approved APPLICATION FOR APPLIANCE RMIT 196 FEES Address State License Approved _ Applicants agree, not to violate any of the Workmen's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION Date UNDERFLOOR Data FRAME Do to LATH & PLASTER Data . ..,^� Date — ELECTRICAL Inspector Inspector Inspector Inspector Ins aec tar SERVICE SIZE UNDERGROUND Date Inspector ROUGH WIRING Date Inspector FINISH WIRING Date Inspector FIXTURES ' Date Inspector Motors Date Inspector FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH MAIN DRAIN FEE Data ROUGH COMPLETE Inspector STORM DRAIN FEE Data MAIN DRAIN Inspector WATER SYSTEM FEE Dote GAS PIPING Inspector GAS PIPING FEE Data FINAL104 or PERMIT FEE Date MISC Inspector TOTAL FEE Dote MISC Inspector Dare ins pe cror APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE A MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Ins pec tar �, CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S. OFFICE CITY OF CUPERTiNO _ I Date ...................... .::...........:..t., /119.!.. ) `,r Gi ^.Buildin(g.P�e^mit No...........:...._ ;. The budding Lo t�d t ' ......-..:.._..:..........Yl....:..�.............-....... . :.:...:...... Ownedby ......................:. .... �� ................. C`....... ........................ (Completed)... Has H�et��lAltrnd� ."1� As: _........W.. Iwo .... ............:................... ..... ................ . ....................... ........................ .... .......:..........+ .;:.................. :................................................. .......... ................. .............. ................. ........ ...... BUILDING INSPECTOR' ' 102 ;7/63-500 ! OFFICE COPY ELECTRIC SERVICE NOTICE �3 BUILDING INSPECTOR'S OFFICE CITY OF CUPFRTINO r O ................. ..........., 196.r... L To ' You are hereby th ri to C, ect electrical servile for Owneror Tenant .................................. ... ............... At ............... ...... .. .. ............ / No. of -Wires ................ Size of Wires .. ................... Size of Switclf Motor Load .......................... Voltage ..... :-........................ Phase ................................. 1 g Load ........................ K.,W.....:'....................... '....... Voltage ...... :.......... :............... No. of ✓ Heatin ,Meters .................._ Light....... 110.......: NewJ,� uA✓.�..... Reconnect:................. 1 No. of Add. Meters............` Heat ................. 220._..'I. Thre/.I..........Move Service......Power............... hL/A1 Mnv/A.ier, .� .......... 7. ..' ', ' - aLFcrmCAL INS TO GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OE CUPERTINO y - You are hereby a h riz to con t e GAS service for Ouneror Tenant ....._.........'.. ..... ..... ........ - ............ INew Service ...:.....:................ . .,' No.,of"Meters ......!............... ''' Reconnect ...... •.......... .............. Move Service ................ y • ! .. No. of Add. Meters .............. fove Meter ....................... ... - OPLUMBIN 'I PEC Bldg. Dept Office Copy 111.11YANO-INSPECTOR'S OFFICE CITY OF CUPERTINO Se er Connection Sanitary Permit No. T-4 ------------- Final Plumbingg Final Plumbing Permit No.-I.S.1.11c, .... I'- Lot No . ..... �,z .................. Owner or Tenant ------- V-11� . ..... ............................ ...... AN I r-. -1 " - At:............................. ....Cy--- -- ----- ----- ------ ........ Tract.... ........ ............... ...................................................... Date Connected ............................... 7........... 19....... k4 .................. Date Final ........................................ h� ................. 19......., 11; 7/63-IM PLUMBING I=OR,,n ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO OFFICE COPY ......... .... 196� To You are hereb u ho iz to cot leer clectncal y' � service -for � �• Owneror' Teent ........ ...... ... ...................................e..—..—:.—�....................... - .. -.......... . No. of Wires .....�.....:...... Size of Wires. '..�e. Size Switc}t Motor Load .:........................ Voltage .......... " Pfiasc --......._..:... Heating Load ........................ K. W......... ........ No. of Meters .................. Light ................ I No. of Add. Meters............ Heat...... 2 Power............../ 0 Voltage.... ............ ................ TEMPORARY E CTiICAL SERVICE DATE: .......... .................... Fee: OWNER: ............ AT:.....a ............... L.............................. RIi�1 ?00 ."4Z The I undersigned agrees to be responsible for the electrical service at the above location, until the buil ad and is released by the Building Department, _ 4,11, o �, e a cl,, f p ,M "y city 0 C UP ERMO Phone .... A��7:7..Ilza ................... ....... ..... ..... e INS . . ...... ........... ....... ........ INS ANT OR OWNER 116 1/63-500 IO ROUTE SLIP File No. *4i Date Out Date In . Location Suvj6ct Notes Approved Z>' Vat6 Inspe for ROUTE SLIP File No. Date Out - Date In _ Local'ion � 33-,1/6ci3 Sub'Ject �c-�( °qn. - — Notes Approved d-2br4,4 0yi— � � ---- Date Inspector NOTICE OF ADDITIONAL CHARGE CITY, OF CUPERTINO BUILDING INSPECTOR'S OFFICE Date ...... ... .................. .......... I 9G. Permit No. �7: f'1 c ---- .......... To, . .......... ....... i5/ ..... ..... . ............ ..... ........ ... --- ................................. 1 /9 Address,---...... dress, ------------ .... ............ .................. Reason ...... S(Z-2 r.-) ............ .......................... ................ 3 S ............ - ............. ...................................................................... ................................................................................................................. .............. : .............. - Amount $ .. C�2 ..... . 7.S - (1613/59-300 LOT NO, - NO, STIR E Ei' CITY OF CUPERTINO /APPLICATION FOR 'PLUMBING PERMIT Op CUPER7IN . Ctn Sani triry No. 1), t�� 3A9 , i9 Permit No .S Pee $ �2 S AplicAiorkisPreby made to the City Of.Cupertino for a Permit to 'install plumbing pipes and/ur 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 Premises/�rOr . ��ivirari.Y/ Gfl,thi'%J'l,�tl/ OwnerLL / U n Address /�y �� /J By Address<a' 17 c A4,ti,� J, CONTRACT R, GIiNT Phone v aifl �CSltlte License � 0�73 —105 � t- Approved ' PLUM DING INSPECTOR FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater I Size Water Closet Material Bath Tub To Curb Shower To Pro, ro . Line Lavatories To Existin Kitchen Sink Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material " Bar Sink I To Main Drain ' Comb.Sink & Tray To Curb Dental Unit - - - Drinkmg Fountain Floor Drain WATER SYSTEM Hopper Size . Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader S[orm Drain Fee Sprinkler System Water Sys. Fee Relief Valve F", r qFIter/ Permit Fee Total Fee C7,,�