51150.210115 Congress :lace 4
NO. STREET - "' LOT NO.
3.43
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9_787 �
FILE NO.51 190.2
DATE 12/15/75 19
Application is hereby made for a permit to
Construct. (PI an aC°� a 2 story, type 5 N- Hr-
to be occupied only as_ 1--&;-S ' Si ngl p T'ami lyDwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 49, nnn
FEE $ 184. 00 PLAN CHECK S
OWNER_ ninortinn Village green SfsDDRESS 2570 El Camino Real Wort
M.V.
PHONE Q41_6050
CONTR. ADDRESS
PHONE
,Q,Q
STATE LICENSE James H. Sisk/h
APPROVED
BUILDING INSPECTION RECORD
DATE
1 PECTOR
DATE
INSPECTOR
FO ND ION
,1
FLOOR STEEL
PRE- NITE
FRAME
S e•
BOND BEAMS
LATH
WALLBOARDS - 8 EXT.
FIREWALLS
MEMBRANE _
LANDSCAPING
-L. -
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR Z
2•X
1./-
TIEDOWNS
-MISC-
IAPHRAMS
V�
rmneinl.. L. r
ELECTRICAL'INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
/
ROUGH WIRING
FINISH WIRING
I
NINISH
WIRING
FIXTURES
i
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
-
ORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. j
BACK FLOW INSTALLED
47,.
DUCTS & INSULATION
UNDERGROUND ROUGH
/�
FLUES & COMB. AIR
, lj
PARTIAL ROUGH
q2NDENSATE DRAINS
ROUGH COMPLETE
AL APPLIANC
L
ROOF DRAIN & LEADERS
j .l
MAIN DRAIN
-�
FINAL GAS -�
-
FINAL PLUMBING
MISCELLANEOUS
nG r �s..-v
DaZ,�Z..
Location
Sub, ec't
1N:otcs
Approved ms-7� �--
Da � e �s p c ='
fl CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
1 CITY OF CUPERTINO
DATE �' �/, 19 ✓6 BLDG. PERMIT NO. S1, SD.2-
THE BLDG. LOCATED AT
OWNED BY
HAS BEEN--' " � FOR USE
(ALTERED)
BUILDING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No..... 93 <� ......
Iv1" Plumbing Final Plumbing Permit No...�...�
t �C Lot No ............ /.../.................
At
Trac
DateConnected .......................................................................... 19............
DateFinal ............ice ./S�- %..................... ................. .......... ............ 19............
................
..................... . ......................
PLUMBING INSPECTOR
C, CITY pf CUOERTI 10 �OPYE
GAS SERVICE NOTICE
i e 7 /�
To
You are hereby authorized to connect the GAS service for
Owneror Tenant lI/,_ t//A "g
At
t New Servicey!
5) '
No: of Meters Reconnect
No: of Add. Meters Move Service
Move Meter J o
PLUMBING INSPECTOR h/P Cv)M
To
You are herehv a
Owner or Tenant
ELECTRIC SERV,ICE'NOTICE
BUILDING NSPECTOR'$tNOTICEr
ICITY'OFCUPERTINO —
rized to Connect electrical se rvi a for
No. of Wires Size
Motor Load Vohc
Heating Load K. W
OFFICE COPY
,J 1
Size of Switch ' on A--
No. of Meters I Light �110 New ienjce-J"! Reconnect
Heal - 110 //��e Wired More Service
No. of Add. Meters Power 0Th,ee yd1s.Moo�de Mete, J
ELECTRICAL INSPECTOR l C_/ Q
NOTICE. OF INSPECTION CHARGE
CITY OF CUPERTINO
6UHWAG INSPECTOWS OFFICE
Date Permit No.
To ...
..........
- a4,er -2� ..............................................
...... ........ ..............
Lo-ation ................................. ............ ........................................ ........................
Reason ... 6!L ....... ?`' ... .....
, Y.f
.....................
................ ........................... - ....... ........ .. . ............... ....................
�h $................ --
AmountS. ...... ....................... ..................
%SeRCTOR
RETE�nd $.................... 114 9 /60-200
10115,CONGRESS PL.,CUPERTINO. 44
LOT NO.
NO .. STREET
W4TPs TINO '- CITY OF CUPERTINO
v" rgPPLICATION FOR ELECTRICAL PERMIT
Permit No.
)ate -Y—FL= 19 76 Fee I
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
Prom.. (1) Fam. Residence pert rmed
Premiws Performed.
OwnerVIL•L•AGE GREEN Address.
Phone
gyALL-CAL ELECTRIC CO. Address,
Cortr"actor, Agent
Phone 295-52.30
State License 228-622 Approv�
`I AGREE I WILL NOT VIOLATE ANY OF THE WOREN'S I u
COMPENSATION LAWS OF THE STATE OF CALIF NIA/
® L.
TRACT #5696 PLAN "C"
- - ITEM
NEW
RPL
FEES
Number of Outlets
-123 ,
Number of Switches
N .
Number of Receptacles
-
Number of Fixtures
Ranges or Ovens K.W.
�. O
Size of Main Service
Number of Meters
Number of Panels
Signs -Transformers
_
Dryers
d
Motors: -
-_��
- •Q O
H.P. Phase-
H:P:"Phase
-.H.P. Phase
Power Poles
" Misc ".
Permit Fee - -
O
HRP Charges - -
- -
c Total'F'ees ` -
..1'
O c.
10115 Conazess Pl,
LOT NO. 4
NO. S REET
CITY OF CUPERTINO
A TLICATION FOR APPLIANCE PERMIT
CM
2-2-•7 U1 Permit No.
Date t.S 1A�\ 19_ FeeE
Application,, is hereby made to the City of Cupertino for a permit to install gas
appliances asNlisted 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.
We of Res. Work To Be Heating & Sheet Metal
Premises Performed
Cupt. Village Grn ,,, 2570 El Camino Real #320 Mtn.
Phont //' S 6AN CA403 SHEET PAEThL W.:N.r:S, o, i�-
By moo AAd'dr✓ess 779 OLD COUNTY ROAD
Contractor, Agent SAN CARLOS, CALIPGAWIA
Phone 592-9292 State Licens� 10828 Approved / /%
zd=
P rnbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
APPLIANCE II UNITS I FEES
FURN. OVER
TO 100,001 B.T.U.'S
B) 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. ABSORP.
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,OD0 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
191 EQUIPMENT NOT COVERED BY THE ABOVE I saw
r4MT rLL
TOTAL fEE
�G
0 o
63 3
No. Street
Clrl' Op CUP; rIMO APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
FEB 2 5 1976
Sanitary No.
Lot No. V
,
Datef, �' r�Tli2 2 , 19�� Permit No.
Fee$3 to
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 Premises ;`» y»/r°
-� ZSJOC ewf,7y rd . ar t3o�
Owner ,' - r-yl Ad dress/%%%T�T•set%
By JO AMARAL PLUMBING INC Address/ a'/-3n?c
Contractor, Agent '
Phone 2 9
State License %S .�' �� (Approved
Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
ti-
Material
sS
Bath Tub
/
To Curb
Shower
Z
To Pro . Line
Lavatories
3
1 To Existing
Kitchen Sink
Not Conn.
Dish Washer
4/0
11
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
H Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
'
Dental Unit
Drinking Fountain
'
Floor Drain
WATER SYSTEM '
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES '
Urinal
Fixture Fee
Z 41, e10
Area Drain
Main Drain Fee
i
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
2 e70
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Pemtit Fee
Total
Total Fee
�3 ..
3�
STREET
CITY OF CUPERTINO CAP. j
cLAPPLiCL'ATION FOR BUILDING PERMIT
Date]-�' Building Per. No.
t, /'YAfiS1/ jani_tary Pe*/N.o.
i
Application s hereby made for a permit to (• � Q
a story, -Type. —Iy6/W L/KVC1W_fw
to be occupied only as d accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $�"
PI Ck Fee $
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all Fee $LQ�
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be Total Fee $�1_�
complied with.
(/ _ vo _e,
ER PHONE
CO�IT I. OR AGENT
-Gas !J o2J7503
PHONE STATE LICENSE
a110 �� Cyy"!vn pl�eS�
ADDRESS
A RESS
BUILDING INSPECTOR /