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LOT NO._ 33
APPLICATION FOR BUILDING PERMIT
INN 14 1969 CITE' OF CUPERTINO • • � �
Sanitary No.
.J
PeT V OF
t� l l n{ R- 196_ Permit No. _� �/ O
l � s ;,err
Application is hereby made for a permit to Erect
a 1 story, Type 5 I J Building
to be occupied only as SFVAI
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 19,000.00 Fee $ 60.00
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner Blossom Valley Homes Inc. Address
By � a Address
Phone ?4`,'0617
,196-617 Cless B-1 Appro
State Llcens I DING INSPECTOR
RECORD OF INSPECTI N APPROVALS
FOUNDATION -v .�
�( DATE
UNDERFLOOR ' l� 9- -)',-
(�4y DATE
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DATE
d PLASTER b''(21 — 3
DATE
FINAL BLDG. / _ I
DATE
FINAL ELEC.
FINAL PLBG.
FINAL GAS
TE
INSPECTOR
INSPECTOR
f.- INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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NO.S.
WA 14 PLUMBING PERMIT
CITY LUPE i7NUY
IJUN 1,3 1963 sanitary No.
Date 194 Permit No Q
':TY OF C1' --`:R- 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 laws�pplicable tWto.
Use of
Phone ✓
State License,
Approve
/`/AITV dl`Tl� ♦IAC AST
PLUMBING INSPECTOR
UNITS
FEES UNITS FEES
Water Heater
, Size //
Water Closets
Materia' 7 41
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Drinking Fountains
Floor Drains
Hoppers
WATER SYSTEM
Size %/
Restaurant ks
Material
U
Sand Traps I
TIOTAL FEE
Urinals
Fixture Fee
Area Drains"
Water Leaders
Main Drain Fee
iov
Storm Drain Fee
Sprinkler Veuves
Water Sys. Fee
11 Permit Fee !.t .
RECW OF INSPECTION /
Underground Rough...
.Partial Rough..
Rough Complete.. col
Hain Drain 'y
Final...
v
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Cd
0
NO. STREET
V�JUN
APPLICATION FOR GAS
13 1963 CITY OF CUPERTINO
LOT NO.
PERMIT
Date 1 Permit
C' 0 s_ PER' .. .
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 aeplicable thereto.
A
Use of
A
MBING INSPECTOR
Type of Appliance
Units Fees II
Remarks ( Check 0
New Replace Relocate
Gas Ranges
Will Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Unit
NAME
Appliance tees I 1 II 1 1
Inspected and Approved ..............:...I..
..............................................
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved ..-----I---.�..'...... .......................................
DATE INSPECTOR
9
2006 I Cedar Tree Lane
NO.
LOT No. 33
Plan 1420
PLICATION F ELECTRICAL PERMIT
U N 4 4 IJCITY OF CUPERTIIVO
Date C�?WNO? ldT -1 �
, 195— Permit Na � �
743
Fee $ //
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
residence
Owner Blossom Valley Homes, Inc.
By H. G. W
*jkzft'Roam
SUNNYVALE, CALIFORNIA
Phone: 12WO E
Address Sunnyvale
Address f
Approv
E E(.mx INSPEcrat
Size Service Conduit----- ...7__ --------
Number of Outlets ..................
Size Service Wires ....... �-Y
...... Number of Switches ................
Size Service Switch ------ /0! -------
Numb -dr of Receptacles ............
Size Sub Feed Conduit..................Number of Fixtures ------------------
Size Sub Feed Wires .................... Ranges ...... I....... KW._ --.-_.---_--
Number of Circuits------ ---------- Oven ---/......... KW ..............
1
NEW RPL FEES
Number of Meters........................Signs.......... Transformers ........ ..-•------ ---------- ..............
.-...-•
Misc ------------------------------
Dryers ... /-------•------- - ---------------- •----% ..
Motors ----.5 ............. HP -! ----- Phase -------------------- Permit Fee $1.00
Motors-------•------------ HP -------------------- Phase ---•----------------
Motors -----•-------------- HP .................... Phase ............. ----- H P Charge-- �• t.
TOTAL FEES
RICUrJ PECTION APPROVALS
Rough Wiring�Fixtures--------------- -•-------------------- --------•----- ------
------
DATE ECTOR
Finish Wiring ?—'7T.:?. _.R-_- otors ......... ----•-•- ----------------
DATE
-------
DAT[ INSPECTOR _ PECT.R
nal
.......
---
DAT[ INSP[CTOR
n
CU
h
C
v
LE
✓3
LOT NO
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date y' 196.. % Permit No. W
T C Fees
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
By
CONTRACTOR, AGENT
-�If- -z -
Address
Address2�
•�-
Approve
PLUMBING INSPECTO
Remarks (Check V)
Type of Appliance Units Fees II New j Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters I �I
Blower Furnaces j /D
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit j
II
Floor urnace
II 1
NAME TYPE
Inspected and Approved .�...-�.1�:� .{�.................
Bldg Depc
Uui.e C�Py
BUILDING INSPECTOR'S OFFICE
CITE' OF CUi"ERTINO
Fj Sanitary Permit No. ...................................
Sewer Connection
�umbing Final Plumbing Permit No- -----------------,:.............
LotNo- .................................
Owner or Tenant ........::........ : .. :: *' ..-.:.......
C
Tract
DateConnected----•...................................----------------- ------------------------------------- 9.; -
DateFinal ----------------------------------------------- .- =- -'�-•- �- --------------------• 19
-------------
PL U BING INSPEWOR"*\
111 7/63-1M �"--
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ---------`-------- .................. ...... 19............ Building Permit No. ----- .------------ --
TheBuilding Located at----------------------------------------------------•----------------------------------------------
Ownedby -------------------------------------------------------- I ............. ; ......... ------------------------------ -------------
(Completed)
------
(Completed)
Has Been (Altered) For Use As: ...............................--.......-----------------------------
----•-•----------------•--.................................................
BUILDING INSPECTOR
102 7/63-500