240720125 a Lane IAT NO. 30
N Q Plp P I6�TION FORBUILDING PERMIT
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o Sanitary No.
CITY OF CUPERTINO q
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W LL Date 196_ Permit No._�zt'��
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LL F Ypplication is hereby made for a permit to Erect
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z N a 1 story, Type _ 5 I J Building
4
a7 to be occupied only as SYM
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
3 Estimated Value of Improvements, $ 20.000.00 Fee $ 63.00
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with.
3 N Owner Blossom
om� Valley homes, Inc. Address
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ByAddress
a o Phone 245-0617
— v 196-617 Cass B-1 Approve
�j State Licens I ING INSPECTOR
RECORD OF INSPECTIO APPROVALS
FOUNDATION
D E-
INSPECTOR
UNDERFLOOR
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DATE
INSPECTOR
FRAME
- - 3
DATE
INSPECTOR
LATH an PLASTER
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DATE Arz
INSPECTOR
FINAL BLDG.
DAT (
INSPECTOR
FINAL ELEC.
DATH
INSPECTOR
FINAL PLBG. _
DA
INSPECTOR
FINAL GAS
DATE
INSPECTOR
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A AOR PLUMBING PERMIT
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��JUN 13 1963 b[ .UPI:RTINO
Sanitary No.
Date , 196 Permit No 2- �.
i Y UFUPERI 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 in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other law applicable thereto.
Use of Premises
Phon
tate License Approved
PLUMBING INSPECTOR
Washing Machines
UNITS FEES
UNITS FEES
',Vater Heater
Bar Sinks
Size
Water Closets
To Curb
Material � GU
Bath Tubs
Area Drains
Water Leaders
To Curb
Showers
Water Sys. Fee
To Prop. Line
Lavatories
,
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
4 ;
Sewer Boxes
Waste!Disposals
Oil.
Washing Machines
Size
plater Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Fixture Fee_
floor Drains
WATER SYSTEM
Hopp s
Size
Restau nt Sinks
Material
Sand Tq ps
TOTAI FEES
Urinaff
Fixture Fee_
Area Drains
Water Leaders
Main Drain Fee
j Storm Drain Fee
Sprinkler waives
Water Sys. Fee
Permit Feed
TOTAL
TOTAL FEE ',ZV
RECORD OF I,NSP�CTION
Underground
.Partial Rough..
Rough Complete..
Main Drain
Final---
a
i
IN
1
- LOT NO.2
A�PLICAT16N FOR GAS PERMIT
U N 1 t' 1963CITY OF CUPERTINO
Date " 1 Permit No.
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 Premises—
r.
remises
J
Addres
Type of Appliance
I Units Fees II
Remarks (Check J )
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters I
��
Blower Furnaces
Gas Fired Borers I I
II
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
ided Unit
Furnace
NAME TYPE
Appuance rees I 1 II 1 1-
-Inspected and Approved --------------------------------------------------------------
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees 1r �jb
Tested and Approved ......... ---....I . .. ....................................
%"-TE \ INSPECTOR
20125 I Oedar Tree Lane Lot 30, Plan 2420
NO. STREET LOT NO.
'°� !FOR ELECTRICAL PERMIT
O J U N 2 4 1963�I of CUPERTINO
Date UK 2 , 195— Permit No. / v
G
Fee $ /' 0
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 residence
Owner$1 ossom Valley Homes, Inc.
H. G. WANDERER
By _—M cc,
SUN1�19�LE, CALIFORNIA
Phone: PHONE ,
Address Su nnyva 1 e
Address
Approved /` �����
ELECTR CAL INSPECTOR
RPL FEES
/ I
Size Service Conduit ----- � : ...........Number of Outlets ................... . -.-- ---------- --------4'
Size Service Wires...... ? -----..Number' of Switches ................ ......
Size Service Switch ..... W -------.Number of Receptacles...--.....-- ...........................
Size Sub Feed Conduit..................Number of Fixtures---.-..----------. 0. ... .......... ..............
Size Sub Feed Wires --q-- ............... Ranges ------- 1------- KW .............. --/------ ---------- ----7Y....
Number of Circuits----- ........... Oven --•-------- KW -------------- -- /------------ --- ----%- ..----
Number of Meters.... j .................. Signs .......... Transformers ........ .......... .......... ..............
Misc---------------------------------- Dryers......
7----- S I -------------------------------- --/------------------ ----
-•---•------------ HP --I'f Phase
Motors .
Motors .................... HP .................... Phase ................. Permit Fee $1.00
---
Motors .... HP . Phase H P Charge ..................
TOTAL FEES
pp INSPECTION APPROVALS
Rough Wiring .Q. ------ Fixtures ...................... I......... -------------------
TE OR DATE - NSPECTOR
Finish Wiring ..._� 3 ---------•- Motors ............. ........
DAT[ INSPECTOR �[ INSPECTOR
Final D-----••--•• - `"' -------
DAT[ INSPECTOR
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C'• LGL" C /h(?//' LOT NO.-
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date _ __ _, 196._: Permit No. [�,' i,Q'
3 .
Fees 7�
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.
Address _
Address
Approved �
PLUMBING INSPECT
Type of Appliance Units Fees II
Remarks (Check J)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates I
II
Circulating Heaters I
II
Blower Furnaces I Ile—II
f I
Gas Fired Boilers I I
II
Warming Ovens I I
II
- Percolators
I I
II
_Griddles
Steam Tables
II
Gravity Furnaces I I
Suspended Unit I I II
,Floor Furnace
II
Misce nexus I I
ii
NAME TYPE) i I
II
I
II
Appliance Fees
I—....e.-f e.] ..A e.. ..a on A,
r-- rr. .-- 7--v ...... ........ ................................
DATF INSPECTOR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ------------------ f .............
.�
[fr'-P-lumbing Final Plumbing Permit No. ' ......1......6 ..... -1
..........
P,7
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LotNo. ................................
Owner or Tenant ...... .. ........
..............
............
At ----- ...... ......... C�� ............. .........................
Tract................................... --- ..... ........................
4, `4
DateConnected ------------------ ...... ----------------2-- 1------------- ----- -------------------------------- 19. - -------
DateFinal -----------------------------------------------..'..-...1.. - ---- - --------------------------- 19._.........
....... L7-� tkA-.� - ---------
111 7/63-1M PLUMBING INS6 OR
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
c- � F,
Date .......... .. ..:...5. .................. 1 19....3.... e Building P �it No�__�..s---7- .
The Building Located .at :'._.C.1.�..�._.�'.~�
..............•---
Owned by : =moi � �. !r1�u....... ... j �..: ?�-�...........
Com leted
Has Been P ) For Use As: "'' ..
(Altered )
------......••.......-•-----•----•.......................................••.......-•-------.............._..----•-.._...............••-••.......
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................................................................................ .. ........ ...... ...............................
......... --......
B ILDING INSPE OR _ t
102 7/63.500
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