FILE 51150.2 PI 045 Frppdom Drive r- .t 22
NO. STREET ,_i ,; -LOT NO.
^.
CITY OF CUPERTINO 4.55
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 94555
FILE NO. 51 ,150 2
DATE7/110'7( 19_
Application is hereby made for a permit to
Cengt"'f., (PIAN 82 ) a 5) story,type 5 m- Hr
tobe occupied only as I & J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 65 000
FEES 217.00 PLAN CHECK$
OWNER V111 ertino Villg,gp Orppn ADDRESS 2570 El Caminn Real. M.V.
PHONE_941_0050
255-1422
CONTR, ADDRESS
PHONE STATE LICENSE' 248443
APPROVED
BUILDING INSPECTION RECORD
DATE INSIECTOR DATE INSPECTOR
FOUNDATION ( FLOOR STEEL
PRE-GUNITE FRAME IT.
BOND BEAMS LATH
WALLBOARDS IITTJII EXT._
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORF BUSINE55 FORMS INC..L,
ELECT CAL INSPECTION RECORD
RESIDENTIAL JDATEINSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL ORS
FINAL f
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DAP I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. �e
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH -j7-? FLUES&COMB.AIR 0 O
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE ]J
ROOF DRAIN&LEADERS
MAIN DRAIN -� -7
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
z ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S-NOTICE
'CITY OF CUPERTINO
To �
You are hereby l`a>'uncc,ized_to Connect electrical sery�iicce for
(�
Owner or Tenant v"'�'` / J^•"•�A � .-A t
At
No.of Wires Size of Wires Size of Switch f 11 r) r`T"
Motor Load Voltage' ' Phase
Heating Load K.W. Voltage
No,of Meters Light 110 'r New Scrvlce Reconnect
Hem /-'120�t�/three Wlre More Service
No.of Add.Meters Power `. �:J� (1Three Phase Move Meter
ELECTRICAL INSPECTOR 1\(!in`
- - v
\ CITY OF CUPERTINO oo PE
lr�f GAS SERVICE NOTICE
r
ZIA . , 1 9 7 7
To
You are hereby authorized to connect the�GAS.service for
Owner or Tenant L.��
At .� /0 3S �Tii n_ral/✓1.
New Service—
No.
ervice No. of Meters Reconnect
r
Move Service
6+: "No. of Add. Meters
Move Meter
PLUMBING INSPECTOR � � @"
oZ�O�S L'/)-7�J•!_, �J/�(ILL.QJ LOT NO
NO. STREET
CITY OF CUPERTINO CAP (VAL
d APPLICATION FOR BUILDING PERMIT Sl FEE
Date or cup-,'TI r 19 - Building
>< Q Sanitary Per.No. 9 S
3 u Application ii W.e y ma e for a permit to
t
w astory, Type 62— 7L — Structure
O J (/
ato be occupied only as / 7 �• in accordance with
'Z w Plans, Specifications and Plof-Pla sled herew th.
x Estimated Value of Improvements,$�o
„- PI Ck Fee$
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee $
-O a other laws applicable, to the construction,location,and Total Fee$
Z - use of buildings within the City of Cupertino will be
ZO complied with.
w Z WNER i - PHONE �BDRESS
of �i.C� Gu ��Lr �. [/�eur99040
aCONTR.OR AGENT ADDRESS
° 9`{l-boyo :7JN33
PHONE STATE LICENSE BUILDING INSPECTOR
O��
Bldg. Dept.
OfficeCopy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .�r�.s�
[ Plumbing Final Plumbing Permit No. :f..:i..................
Z"
Lot No. ........�_ ...............
Owner or Tenant ..... ._f..--12 r.A......G.NW x..... ...:.
At '.....,;?.{fG. .�5 ...,, .,lld.e.cf.-x?rrc--- .......................................................
Tract .................._._........... —....................._........:
DateConnected .........X.---'.�..7. ..�~ .:......:......:........................................... 19............
Date Final ................ - - 19 ........
........................................
......................rte.:...:.:.............
PLUMBING INSPECTOR
21035 FREEDOM DR. ,CUPERTINO LOT NO. 22
NO. t TR"ET '
r 't 1�1� CITY OF CUPERTINO
r �APPLICATION FOR ELECTRICAL PERMIT
S� iab, ti
p
/f
/.y Permit No.
Dote ` Fee$
pplication 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.
Useof (1)Fam.Residence work To Be
Premises Performed
O,ne VILLAGE GREENS Address
Phone
g�ALL—CAL ELECTRIC CO. Address�'09 OCKTON AVE. ,SAN JOSE
Cantr;act ,Agent
Phone 295-5230
State Licanse 228-622 Approved
Electric nspect
I AGREE I WILL NOT VIOLATE ANY OF THE WORKM 'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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21035 Freedom Dr. Plan BL LOT NO. 22
NO STREET
CITYOFCUPERTINO
APPLICATION FOR PLUMBING PERMIT
JANly lyrr
s-� Sanitary No.
Date Jan. .22 A L I !_ tq 'C� Permit Na.
Fee E 0
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 SinglP Family {?PC.! Pwformedpl i imhi Ag
OCupertino Village Green Add�s570 El Camino Suite 302, Mt: View
Phan. 941-6050
ByJoe Amaral Plumbing Address P.Q•Box 150, S.C. ,Ca.
Contractor,Agent
Phone 296-1963
State License 175999 Approyed
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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21035 F reedom Dr. LOT NO. 22
.NO. t aPSTREET ` .. ..
CITY OF CU;ERTINO
G� G APPLICATION FOR APPLIANCE PERMIT
I Permit No.�
Data
0 9-1-76 ,19_ 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 Code of the City of Cupertino, and all
I other laws applicable thereto.
use of Res. Work To Be HEatin
Premises Performed g/Sheet Metal
Cupt. Village Grn Addres ANCaR4T l`'�eaneuLmturrmRKiva�P15
Owner
Phone ��"4 '�05W 779 OLD COUNTY ROAD
Address
SAN CARLOS, CALIFORWA
y tractor Agent
5V02-9292
Phone
110828
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.-
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
t- CITY OF CUPERTINO
DATE "Z�I 192X BLDG. PERMIT NO.-
THE
O.THE BLDG. LOCATED AT' 1/03 Fa'CXP n,- t0t
OWNED BY
HAS BEEN ATM'fPEE EDI FOR USE AS
O-
BUILDINGINSPECTOR
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