51,150.2A
NO. STREET - LOT NO.
CITY OF CUPOTINO 3.08
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9381 $i✓
FILE NO. 51,150.2
DATE_1-2115/75 19
Application is hereby made for a permit to
CnnatrnTet (Plan "A") a 2 story, type 5 N. Hr.
to be occupied only as T & .T Single Family Dwelling
in accordance with plot plan plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 44.000
FEE 169-no PLAN CHECK$
OWNER Cupertino Village Greens ADDRESS2570 El Camino Real West
M.V.
PHONE 941-6050
PHONE STATE LICENSE 238433
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
••
DATE
INSPECTOR
DATE
INSPECTOR
FOUNDATION ev,
_
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
. I�
WALLBOARDS - 8 EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
A
Lj
F.M.O. INSPECTION
FINAL BLDG.
O
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC.. LA
�i
RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
6
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. :I
2y
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUN OUGH
WLIE7& COMB. AIR j
• /
PARTIAL RORPM
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
_
MAIN DRAIN y
-
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
ROUTE SLIP'
Eil'e No.
Date %/fT 1-7 G
Location
Subjec
v
Notes
Approved Z
w
' CERTIFICATE OF COMPLETION _
BUILDING INSPECTOR'S OFFICE
CITTYY� OF EUPERTINO
DATE, 19 vBLDG. PERMIT NO. J
THE BLDG. LOCATED AT $ C 81l 1,.0 �.0.
OWNED BY.
HAS BEEN OM ETE FOR USE
(ALTERED)
Bldg. Dept.
Office Copy
BUILDING,. INSPECTOR'S OFFICE
CITY OF CUPERTINO
0 Sewer Connection Sanitary Permit No...... ........
J6 Plumbing Final Plumbing Permit
LotNo . .............. I ..............
Owner or Tenant .... cta'aA &a
At ....
j'.0-JP.Z ... . .........................................
Tract --------
Date Connected ..... P?..'.13 ..... Z4� .......................................... ..................... - 19............
DateFinal ............. ....................... ........................................... 19............
.................. r ..... . . ...........
PLUMBING INSPECTOR
I
ELECTRIC SERVICE NOTICE OFFICE COPY
CC BUILDING INSPECTOR'S NOTICE
\ 7t� CITY OF CUPERTINO19
To r t v
You are hereby authorized to Connect electrical service for
No. of Wires Size of Wires Size of Switch I
Motor Load
Load
Heating Load K.
Phase
No. of Meters ' Light / 110 —�
Heat 120 r/--
New Servicpt" Reconnect
Throe Wi, More Service
No. of Add. Meters Power"/ ih M
e Pha6� Ni�e Met
.f
�""
l//
ELECTRICAL INSPECTOR
1 u
a CITY OF'CUPERTINO } ooe
CAS SERVICE NOTICE
To 0
You are hereby authorized to connect the GAS service for
Owner or Tenant l —L1.e I IJL.l i/r blLl
New Service
No. of Meters % Reconnect
No. of Add. Meters Move Service
Move Meet�te/rr,���//�/p/�6�
PLUMBING INSPECTOR /PIA�Gf� pM
NOTICE OF INSPECTION CHARGE
CITY OF CUPERTINO
c1ly 07 CurIMPE)ING fr4SPECTOR'S OFFICE
Date --- ............ 196.,7� Permit No. 4�.4,-Yn--4 . ...
To . .....
............................. ............................... P4
Location
Reason ... ...... .4,
0
............ -----
.. ........................
.............. ... ........... --- - -- ----- - -
.................
Amount -- - ----------- ... --------
................. . ... .. INS ECT R
Refcm-d—------ ... - .... 114 9/60-200
10085 CONGRESS PL.,CUPERTINO 7
LOT NO.
NO. -•STREET '
"TY O= CLP_,Tt:;O CITYOFCUPERTINO
f��APPL ��A�ION FOR ELECTRICAL PERMIT
ry
Permit No.
oro 7�niq76 Fee s
'Application is hereby made to the City of Cupertino for a- permit to install electrical
`•wiring„'and�orfizfures cisjisted on the reverse side hereof;' and agrees to install said
.wi'ringnd%or fixtures in accordance with the provisions of the Electrical Code of the
" ,City;of:Qupertino, and all other laws applicable thereto.
re Work To Be
emir.r(41)yF,am.Residence Performed
w\7ILI:AGE,- GREENS Addrerc
rorie�
AL'L'=:CAI ELECTRIC CO. Addren1098 'Z&TON AVE. , SAN JOSE
'Centracte,. AneMf �7Z
State Licence 228 — 622' Approved
' Elec""""""i""""""r�������11�11r
I AGREE 1 WILL NOT VIOLATE ANY OF THE WORN'S
COMPENSATION LAWS OF THE STATE OF CALIFO 'co:A A.
® L1
,T&ACT #56-9,6 u=PLAN:
ITEM NEW RPL -FEES
Number of Outlets
- Number of-5witches - - �• Ssr1
- Number of Receptacles -3,CZ,- - -
- Ranges or Ovens K.W -
-
V
-
Size-gf.Mam Service" , s',
� Number of"Meters -- _
_
Number of Panels
-, Signs -Transformers -
-
-
- -
Dryers _
d0
_..Motors:--
i4. - : H.P Phase� - -- -
H:P'.'Ithase
-
Pom:er Poles
43
Permit
Total Fees7f-
7
10085 Congress P1.
O. STREET LOT NO. A
,Vko CITY OF CUPERTINO
c\`L or,clt" �AAPPLICATION FOR APPLIANCE PERMIT
Permit No,
iDate C , 19_ Fee $ 9.00
� I.
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 ofis Res. Performed Heating & Sheet Metal
Premises
Owner Cupt. Village Grn Address 2570 El Camino Real #320 Mtn.
Phase 9r4O 5
view
04 CAk03 SHKT METAL WOKK5, Itvs:.
By 23A�nt 00 OLD GOUNTY ROAD
Phone 5
lfi911d 4#Rl®�IA
State License` 10828 Approved
lum ing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. i,L.
APPLIANCE II UNITS I FEES
11 FORCED AIR OR GRAVITY FURN. TO AND INCLUDING OO
5) INSTALLATION OF APPL. VENT W /r
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. ABSORP. SYSTEM
TO 100,001 B.T.U: S
B) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,000 TO 500,001 B.T.U.-5
9) BOILER OR COMP. TO 15-HP. TO 31-HP. ABSORP.
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
101 BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
EXHAUST
EQUIPMENT NOT
PERMR m
•dW
le r Cs� a
No. Stre t Lot No. %
o —
UTY C` CUi 2:TIN0
a APPLICATION FOR PLUMBING PERMIT
E FEB 2 5 1976 CITY OF CUPERTINO
°
U
Sanitary No.
Date �.77) x 2 , 1� Permit No. �
3 Fee $ 35t ck
r Application is hereby made to the City of Cupertino for a permit to install plumbing pipes
4, 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.
0 �
;a Use of Premises �-y j�/j�.�
c° Owne� ? .Fij Address
m
By AMARAL PLUMBING IN[' Address%�g:7d5 Z
3 .$ Contractor, Agent �—
�' Phone
3
- State License /%ri Z%% Approved
Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
I
Size
.3
Water Closet
Z
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
3
To Existingti
Kitchen Sink
11
Not Conn.
Dish Washer
IV r
Waste Disposal
Wash Tray
STORM DRAINAGE
'
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Trey
To Curb
Dental Unit
Drinking Fountain
_
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material (rc
Sand Trap
TOTAL FEES '
Urinal
Fixture Fee
221,00
Area Drain
Main Drain Fee
Icl
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
2-00
Relqef Valve
GLr
Vac Breaker
Skimmer
Filter
Pemut Fee
Total
Total Fee
t,GC)
C�iis�Jer�lr P� 7
LOT NO.
NO. STREET ft
CITY OF CUPERTINO VAL. �_
CAP. {
< APPLIC�gTION FOR BUILDING PERMIT t FEE
u' z Date . O• GUI"- - , 19-.. Building Per. No,
W O 1 ` ,R •J nary Per i v.
3 V Application iih�reby made for a permit to (i�T� ` /9—' /
0 a_er�story� Type Wd(?K ��i�� ,.)Structure
0 to be occupied only as14w C% 4A#=A'R& 940 in accordance with
a
'Z ,w Plans, Specifications and Plot -Plan filed herewith.
as
ua x Estimated Value of Improvements, $—I",�_
PI Ck Fee $
OO It is hereby agreed that the requirements of the
gut Cupertino Building and Zoning Ordinances and all Fee$ /L9QiO
0 a other laws applicable to the construction, location, and
Z use of buildings within the City of Cupertino will be Total Fee $
ZO �/cooPmplied with. / ,E
W Z (i!/ c wD l�/�/ hGGivt iS%6 .C! `iY,Ktwvd 1.�e5�
NER PHONE ADDRESS
i �tW-
p ONTR. OR AGENT ADD 5S
PHONE $TATELICENSE / BUILDINGI 5PECTOR (/
O LA