NO PERMIT NUMBER 10226 I Camberley Lane Let No. 120
No. Street
CITY OF CUPERTINO 2.94
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8917 BF.
File No. 51,241.2
Data 1/30/74 19
Application is hereby made for a permit to
Constrau•+ (It1'P—M) a P story, Type S I J
to be occupied only as Single Family Dwelling (Townhouse)
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 42,000
FEES I 'll ,.50 Plan Check $
owner _ Deane Projects Inc. Address 617 Veterans Blvd. RWC
Contr. Address
Phone 364-2992 B-1 256178
State License
255-2575 Approved James H. Sisk/h
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State, License —
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Dat. 19 FEES
Contr, Address
Phone State License
Approved
Applicants agree nut to violate any of the
Workman's Compensation Latus of the
State of California -
PD-1
RECORD OF IN APPROVALS-
BUILDING
DATE IN((yy���jj CTOR / MISC.
PAD FINAL `�"'p^S e
FOUNDATION 7
UNDERFLOOR
FRAME ��
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
MNP MISC.
UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRINGFIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.-/
BACK FLOW REQ.
SANITARY
UNDERGRO OUCH r ~
PARTIAL ROUGH
ROUGH COMPLETEcl
MAIN DRAIN-
FINAL
RAIN FINAL PLBG. - - rl
FINAL GAS _ 5
FINAL APPLIANCE }- 7
GATE"� INSPECTOR MISC.
MISC
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Lot 120 CITY OF CUPERTINO
DATE 1/22/75 . 19 4 BLDG. PERMIT NO. 51,241.2
THE BLDG. LOCATED AT 10226 Camberley Lane
OWNED BY Deane Projects Inc.
HAS BEEN (COMPLETED) FORUSEAS Single Family Dwelling
(ALTERED)
BUILDING INSPECTOR
L
ROUTE' SLIP .
File No.
Date
Loc2.t_on
Sub„e c t
`:OtCS
k^Droved __✓��� o �.-� �+,
Date f^spector
OFFICE COPY
CITY OF CUPERTINO
ilp _tsn- ELECTRIC SERVICE NOTICE
—......... ..�. ....�Y...:v.................. 19`x.. .
You are hereby
/apuorized to connect elpapical service fop _
Owner or Tenant ...{,1:. ..: :?5.:..? ,... ,_JY•?n"-.`'., -t,��. � �.... .` .:..-c'-......
,,..
At ...........
�.��..�?..�........\_%.....�`1-e.,.�.1...�..__.............. ...... Y........ ..._._................�_-.�_.._.
O
....... Size of Wires ............. Size of Switch
No. of Wires ................. / .....
Motor Load .............._.......... Voltage ..............._................ Phase
..................................
Heating Load ........................ K. W. .................................. Voltage . . . _. . .
........... ... .
i
Light...�. ilo-! ..... New Service... he,onnen._........._..
No. of Meters....................
Heat._.............. 220..........:;.,l9vee ir ... \love Service......
.. ..
No. of Add. Meters............ t
Power............... .;x 1/'free Phar•,(_....
� i
IiLGCTR!C/.L WSPfCTO.�
U /�
B14,. Dept.
Office Copy
CITY OF CUPERTINO
'ySEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No.
............
II
Plumbing Final Plumbing Permit No.
Lot No. ....../.2.0.............
Owner or Tenant .....
......................................
At. .....
Tract ...........................
.............................................................. .........................
Date Connected ......?-D-r.-...7.t ........................... ................................... 19............
DateFinal ............ .r....7..5........._� .............................................. 19............
........................ 7 _�.zvk;...................
PLUMBING INSPECTOR
po OFFICE
CITY OF ,CUPERTINO COPY
GAS SERVICE NOTICE
......... 6,
..........
To .
You are hereby authorized to connect th service for
..................
Owner or Tenant
At ... P.-.r......
...............................................
New Service . ......... . ...............
.. . ........
No. of Meters ........ Reconnect ...........................
Move Service ................ ......
No. of Add, Meters ..... Move Meter ...................
............ .. ... .. ............
PLUMBING INSPECTOR
,227.C, C A r--f Y/S.2I E.y �-./l/�� LOT NO �`� ;6
NO. STREET
sa` �y�,��o CITY OF CUPERTINO a95�
V 0 Utv Oc O AyF+ICATION FOR BUILDING PERMIT �Al '/
O J a Building Per. No. S/z yI• �
Wu U Date J 19 Sanitary Per. No. ff9�'ZL
l0 Application is (erAby ade for a permit to 7-
0
o a_story, Type..S — /1/r✓'C' /'1n1 .7z-y Z M Structure
ZF C
¢W to be occupied only asd/A)GcF_ Fll ,,LY -DWz -L Qru in accordance with
ww
a F Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee$
J S D
20 Estimated Value of Improvements, $ t , BBT_ Fee$ Z:?Z
o Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
-J+o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with. /
W
Address E/ / Pk_- E• A;5 4✓7 •" h.n�'�t.i�
¢a /
Qp ByTN£�E�t Aoores6 /7 � �'�/� .�✓� ZC�,JnnnC
U Co'/n tr.or Apant. /
Phoned//- �-99z- Approved
State Liconze!J/� aS(o/7�'" Building inspector
10226 Camberley' Lane LOT NO. 120 /
NO. STREET
ary OF CUPERTINO CITY OF CUPERTINO
NOV J 1gp,PlICATION FOR ELECTRICAL PERMIT
5tti � l
J� Permit No. TT�—�•�
Date 19 74 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.
Use oi .1 Family Res. PerformBe ed-
owner
Electrical Wiring
Premisas-
Owner Deane -Company, Inc.Address
Phone
By ALLi=E L ELECTRIC CO. Address 8 Stockton Ave.
Contractor,Agent San Jose, Ca.
Phone 295-5230
State License - 228-622 Approved
Eleciri Iln actor
1 AGREE 1 WILL NOT VIOLATE ANY OF THE WORK EN'
COMPENSATION LAWS OF THE STATE OF CALIFO .�C
l ®�A
PLAN 412
ITEM NEW RPL FEES
SNumbNumber of Outlets /1-5,-
Number
er of Switches Q
Number of Receptacles O '
Number of Fixtures (0 0
Ranges or Opens K.W. p O
Size of Main Service
Number of Meters %
Number of Panels O O
Signs-Transformers
Dryers p V
Motors: '' Q
H.P.Phase
H.P.Phase
H.P.Phase
Power Poles
Misc.
Permit Fee lei
H.P.Charges
Total Fees -
®c.
1oaar9 M �z�c� ��w� LOT NO. iao
NO. STREET
CITY OF CUPERTINO
*, O' CJ"Z-'APPLICATION FOR APPLIANCE PERMIT
NOV 5 7974 1
� /- f/'
] ^/ Permit No, 7 1�'Y
Date_ 1 19 / Fees f
f
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 Code of the City of Cupertino, and all
other laws applicable thereto.
Use of /fr''7.�`` 1r / / Work To Be �Jy-
Premises D)J E-L I \.T Performed_ 1,Pr / lf/\�i G-
Owner Address
Phonen� / �/{ J (� �/
By--A114s�CK fitAddress /� o. ��o/� .,,? )99 LI
/7,�Agent
Phone a (
State License 1-2 3 /11�� Approved �
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S �(
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. / \
®LA
APPLIANCE UNITS F,ES
1)FORCED AIR OR GRAVITY FURN.TO AND INCLUDING �.
100,000 B.T.U.'S
2)FORCED AIR OR GRAVITY FURN.OVER 100,000 B.T.U.'S
3)FLOOR FURNACE
4)SUSPENDED,REC.WALL,FLOOR HEATER
5)INSTALLATION OF APPL.VENT
6)REPAIR OF,ALTERATION OF,OR ADDITION TO
HEATING APPL.,REFRIG.UNIT,ABSORP.UNIT, -
COMFORT HEATING,COOLING,ABSORP.,OR EVAP.
COOLING SYSTEM
7)BOILER OR COMP.TO 4-HP.A850RP. SYSTEM
TO 100,001 B.T.U.'S
8)BOILER OR COMP.TO 16-HP.ABSORP.SYSTEM
100,000 TO 500,001 B.T.U.'S
9)BOILER OR COMP.TO 15-HP.TO 31-HP.AB ORP.
SYSTEM 500,000 TO 1,000,001 B.T.U:S
10)BOILER OR COMP.30-HP.TO 51-HP.ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11)AIR HANDLER 10,000 CU.FT.
12)AIR HANDLER OVER 10,000 CU.FT.
13)EVAP.COOLER PORTABLE
14)VENT.FAN CON.TO SINGLE DUCT
15)VENT.SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16)HOOD-MECHANICAL EXHAUST
17)DOMESTIC INCINERATOR
18)COM.OR INDUST.INCINERATOR
19)EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT i$
TOTAI REE
(10 �Li Ate(•'- LOT NO.
NO STREET
a" OF CUMINO CITY'W CUP&TINO
MAR 2 `3377
? A .F�ICATION FOR PLUMBING PERMIT
Sanitary No.
Date `� �' IT , 19 Permit No.
FeeE
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 laws applicable thereto.
Use of Work To Be
Premises Performed J y�
Address
Phone q /� / /
By�1L/ .C,(A`O Address 11 d:"J e/C-L�(.�.'L. O , y
COnlraClar,Agent
Phone 7
State License Z24-5'`7/ Approved
1 Plumbing Inspector L,
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 u
4/2 Al
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / ,SO Size
Water Closet j ¢,SO Material A AS
Both Tub S v To Curb
Shower /•SO To Prop.Line
Lavatories 3 ,SD To Existing
Kitchen Sink / /,Ss Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine /,$'D Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink 8 Troy To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size '� /•S"O
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee 6.O a
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee ,SO
Relief Value Gas Fee d
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee ,00
Total Total Fee 2/, D