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NO PERMIT NUMBER91 085 Prppdnm Drive NO. STREET •- °�• CITY OF C APPLICATION FOR ERTINO WING PERMIT SANITARY NO. C1490 BF FILE NO. 51T 50.2 „v 3.08 DATE 7/14/7i� 19_ Application is hereby made for a permit to Construct (Plan A) a 2 story, type 5 N. Hr. to be occupied only as I & J Single Family Dwelling in accordance with plot plan, plans and specification filed herewith ESTIMATED VALUE OF IMPROVEMENTS $ 44,000 FEE $ 169. oo PLAN CHECK $ OWNER Cupertino Village Green.&bDRESS 2570 El 'Camino Real, M.V. PHONE 941-6050 255-1 22 CONlTP ADDRESS PHONE STATE LICENSE 238433 APPROVED James H. Sisk/h BUILDING INSPECTION RECORD DATE VVIECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME / .f BOND BEAMS LATH i WALLBOARDS - & EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. Z —� UNDER -FLOOR TIEDOWNS -MISC- DIAPHRAMS INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL '(j MOTORS FINAL PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH ) -1 r FLUES & COMB. AIR PARTIAL ROUGH y i CONDENSATE DRAINS ROUGH COMPLETE - y 76 _ FINAL APPLIANCE a ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING -7'J MISCELLANEOUS CERTIFICAfi,r-;OF' COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ' DATE - 19 /� BLDG. PERMIT NO. t_ THE BLDG. LOCATED AT 2(-0 8 �) OWNED BY V I Vjy=!! s- HAS BEEN Icc"g�"" (ALTERED) FOR USE AS �' �• vv " ROUTE SLIP Location Subject File No. Date `3 7�7 7 I� NOTICE OF WiSSIMON CHARGE CITY OF CUPERTIKO BUILDING INSPECTOR'S .OFFICE Date TO . Location ------------------------ - Z� h k 4:A74----- iv v Reason a, .1 _-_ ......... ---- --------------- ------- P. C. $ ---- 1,�4 Peposit ---- ------- Ammnt $ ----- ??-f, Ref I $- ........ Permit No. SofI - - ---------- INSPEC' R 114 9/60-200 LOT NO. -z 3° V CITY OF-CUPERTiNO VAL. CAP. AQe� TION FOR BUILDING PERMIT FEE 3c„r c: , 3 i iSa. 19 Building Per. Na. Dote , /_ , I it) Sanitary Per. No. _ AppliccJaatio nis hereby made �for �a permit to ��'�-�..t��t�f' aory, V)pe._pZo275'Rf Structure to be occupied only as � in accordance with Plans, Specifications and Plot- an f d herewith. Estimated Value of Improvements, $�"—`•� 0_T._ _n�� PI Ck Fee $ It is hereby agreed that the requirements of the o-e Cupertino Building and Zoning Ordinances and all Fee $ Z6 9 other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be Total Fee $ complied with. �xo � OWNER�Q PHONE _ CONTR. OR AGENT PHONE STATE LICENSE �70/ F�/Ca�� ,w 4P ✓tLl. (/ A.. IQDRE 5,�+� ADDRESS BUILDING INSPECTOR -/ 'n ELECTRIC SERVICE NOTICE BUILDING INSPECTORRTINC) TICE, } CITY OF CUAERTINO To You are herey a thorized to Conn act electrical i ,,trice for Owner or Tenant q e-+�'0„0 + x-c � </*'� ` I 1 � l�t A � L� No. of Wires Size of Wires Motor Load Voltage Heating Load K. W. OFFICE COPY 97 l Size of Switch ( d ©• 'T Voltage Light Noof Meters I10New Service Reconnect , 1 _ ' .Hear F�yyn� 110 three Wire More Service_ No. of Add. Meters Power i///�/Y" /' three Phase Move Meter ©M - ELECTRICAL WSPECTOR`Y" �� / CE l CITY OF CUPERTJNO. _ °OPY GAS SERVICE NOTIGl a, sy , 9 1� To You are hereby authorized to corinect the GAS service for "Owner or Tenant — v+-,2 o A *�' A zl)'; ' (, 0- New Service v No. of Meters % Reconnect No. of Add. Meters Move Service ' Move Meter � PLUMBING INSPECTOR �7 t :Bldg' i Dept. Office Copy, BUILDING INSPECTOR'S 'OFFICE CITY OF CUPERTINO 13 F Sewer Connection Sanitary Permit No . ....... ........... Plumbing Final Plumbing Permit No. ..:5.. Lot No. ......... /,.7 ....... Owner or Tenant ----- ...... ...... ........... At... ... V1J-24Y---'5 ------ ................ ............................................. Tract..................................... .......... 1 ......... ------------------- ..................................... ............... Date Connected ....... K.76 -- ..... --- ....... : --------- 1 ..... ig ....... . ......... .......................... ............. ............ ............ ............. Date Final ....................... ........... . PLUMBING INSPECTOR 21085 FREEDOM DR.,CVPERTINO' LOT NO. 17 NO. STREET CITY OF CUPERTINO an o7 can ARPLICATION FOR ELECTRICAL PERMIT EC 16 I976 Permit No. Date p- , 197_ Fee S Application i hereby made to the City of Cupertino for a wiring and/or fixtures as listed on the reverse side hereof,' wiring and/or fixtures in accordance with the provisions of City of Cupertino, and all other laws applicable thereto. Use ofkl)Fam.Residence Work To Be Premiss Performed Owne,YILLAGE GREENS Address L—CAL ELECTRIC CO. Contractor, Agent Phone 295-5230 State License 228-622 I AGREE I WILL NOT VIOLATE ANY OF THE COMPENSATION LAWS OF THE STATE OF permit to install electrical and agrees to install said the Electrical Cade of the TRACT #5696 PLAN "A" ITEM NEW RPL FEES Number of Outlets ! Number of Switches �,.S.s Number of Receptacles Z Number of Fixtures Ranges or Ovens K.W. a Size of Main Service J pZs R Number of Meters Number of Panels O a Signs - Transformers Dryers Motors! H.P. Phase H.P. Phase H.P. Phase Power Poles Misc. Permit Fee a H.P. Charges Total Fees l9.9a 0 s+ C O M r:�lna n Plan A No. Street Lot No. 17 Ci"if :? ':UV2-'T1 `is7 APPLICATION FOR PLUMBING PERMIT CITY OF CUPERTINO Sanitary No. Dale AA1IW77 Permit No. Feed - Application •isv hJcby 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 Single Family 70 E1 Camino S 302 Owner Cupertino yilldnP GrPan Address , By JOE AMARAL PLUMBING INC Address P 0 Box 1Sn L.C.Ca. Co tractor, Agent Phone 296-3 63 State License Approved . Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Heater Size Closet �- Material ub ' To Curb r To Prop. Line ries - To Existin V ink j / Not Conn. asher Ale Dis osal ra STORM DRAINAGE Machine ' Size 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 eo J 7— Sand Trap TOTAL FEES Urinal Fixture Fee 2 l O C) Area Drain Main Drain Fee Water Leader Stolm Drain Fee Sprinkler System Water Sys. Fee 2-0 p Relief Valve Gas FeeLin ) Vac Breaker Skimmer Filter Permit Fee Total Total Fee 3t i 21085 Freedoms Dr. 3617 NO. STREET LOT NO. CITY OF CUPERTINO Orn (APPLICATION FOR APPLIANCE PERMIT tvtAy 121 1976 3— 30— 76 Permit No. 19_ - Fee $ Application is hereby made to the City of Cupertino for a permit t(Cfffrgas 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 Res. Ov,ner CUPt. Village Grn Work To EL Heat/Sheet Metal - Address 2570 El ram " no Real 302 Mtn. V1'e' O. SAN CARLOS SHEET METAL WORKS, IN�. SAN CARLOS, CALIF RNIA Phone 59 2-929 2 State License 110828 Approved— 60 lumbing Insp�or I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF•CALIFORNIA. ® Le APPUANCE 11 UNITS I FEES AIR 7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM TO 100,001 B.T.U.'S 8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM 100,000 TO 5DO,001 B.T.U.'S - 9) BOILER OR COMP. TO 15-HP. TO 31-HP. ASSORP. 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 1) OOD T MECHANICAL EXHAUST 17) DOMESTIC INCINERATOR 18) COM. OR INDUST. INCINERATOR 19) EQUIPMENT NOT COVERED BY THE ABOVE / PERMIT FEE