NO PERMIT NUMBER21135 Freedom Drive _ lk
NO. STREET - LOT NO.
3.57
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 93
FILE NO. 51,150.2
DATE_12LI /75 19
Application is hereby made for a permit to
to be occupied only as T Fe .T Ri ng1 p Family Dwel T i ng
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 51 s non
FEE S189• On PLAN CHECK $
OWNER Mi prti nn Vi 11 AgP nrppna ADDRESS'J57n F.1 Camino Rpa1 Wpat
M.V.
PHONE 941-6050
PHONE STATE LICENSE P3A4'Ai
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r/oil/�6 APPROVED .Tampa H_ Rick/h
BUILDING INSPECTION RECORD
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MEMBRANE
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ELECTRICAL 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
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
IMSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. 3
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
"J?
FLUES & COMB. AIR
PARTIAL ROUGH .S
/ -TG
CONDENSATE DRAINS
-
ROUGHCOMPLETE _
,$=
FINAL APPLIANCE •/,r�
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS -
p ..
FINAL PLUMBING
MISCELLANEOUS
21135 FREEDOM DR.,CUPERTINO 14
LOT NO.
NO. STREET
OTY O; Cut ``T1N0 CITY OF CUPERTINO
;U� b
1A0PLICATION FOR ELECTRICAL PERMIT
(1 Permit No
Date r% ^' 0 r , 19 76 Fee E.
Application is 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.
useof (1)Fam.Residence Work To Be
Premises Performed
OwnerVILLAGE GREENS Address
By ALL -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 Code of the
® LA
19
ITEM I NEW I RPL I FEES
Number of Outlets
Ranges or Ovens K.W.
QD
Size of Main Service 'SS
Number of Meters
Number of Panels
Signs - Transformers
Dryers
ip
Motors:
OZ
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
H.P. Chan
Total Fees
L�
CITY NOTICE OF INSPECTION CHARGE
MAY 12197P, CITY, OF CiJPERTINO'
BUILDING INSPECTOR'S OFFICE
Date ...... a-__.,...--)-...-'---........, . .196"�;% Permit No. ........2--
.........
4 ........... ja
..... .............................. ......................................................................
Location...................... .....................................................................................................
Reason
----- ---- ------ --------- ---- ----------- ----- ----- ------ I --------- -
Amount .......... ...
............. .. * --------- -------
INSPECTOR
Refund $ . .. ... 144 9/60-2�0,0
,7 CERTIFICATE OVCOMPLETION
d BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
DATE 19 71 BLDG. PERMIT NO,
THE BLDG. LOCATED AT
OWN
HAS
1 / aIm
/B(T/UILIL�LDIING INSPECTOR
To �^
You are hereby
Owner or Te
No. of Wires
Motor Load
Heating Load
ELECTRIC SERVICE NOTICE
BUFLDING IN$PEC-TOR'SYGOTICE
CITY OF CUPERTINO•
wt' horized to Connect electrical service for //
IN,
Size of Wires Size of Switch
Voltage - Phase—
' K, Wr Voltage —
Light
No. of Meters Heat 120
No. of Add. Meters Power.
Q. ELECTRICAL INSPECTOR
OFFICE COPY
19741
More Service
ROUTE SLIP
File No.
Date
Location o� / iG ' a4:Le^-4L
Subject
Notes
Approved9r-044&,�
Date lnslpecr
Bldg. Dept.
Office Copy
BUILDING, -INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ......
jC......
Plumbing Final Plumbing Permit No..S�/SU:i..
I:ot No. ... ...... /Y------------
Ow_r
At
Tract
DateConnected ....... ..---L.%---ate.-t!r.................................................................... 19.............
Date Final ... 1......... `h' S^......76--------- ............ .......................................19..........--
? .....
PLUMBING INSPECTOR
21135 Freedom Dr. 14
LOT NO.
NO. STREET w
f 0)C �—vko
CITYOFCUPERTINO lf�!
APPLICATION FOR APPLIANCE PERMIT
t •lfA� k 2-2-76 Permit No.
Data .19_ Fee$
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 of Res. Work To Be Heating & Sheet Metal
Premises ,
Owner �TPt• Village 'Grn Performed Address
View
Phone -. — 6 50
//0f-:p �fLN f<'SMtlT METAL W01tK5, LsvC'
gy G.1.r�.. SY. .-t7 :.....e,sr`r 7Cd ss -
bulssiiw ROAD
CpOt{p tur,el�t $ANC>b Rlf>'3. CAZIFO@hllA
Phone ��`y1 L Y G
State License 110828 Approved -
Plumbing Inspector
j I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
L/ COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
I", 6 c,
APPLIANCE II UNITS I FEES
me
OF APPL. VENT
71 BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM II 1
161 HOOD - MECHANICAL EXHAUST II 1
ABOVE
PERMIT FEE
a��O STREET
LOT NO.
CITT O' cu"JINO CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
FEB 251976
Sanitary No.
Date � 1 — � ' 19� Permit Nc.
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.
,formed�
Address
State License -;;76a �9 /7 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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FIXTURES
NUMBER
MAIN DRAIN
Units
I Fees
Units
Fees
Water Heater
Size
Water Closet
3
Material
6S
Bath Tub
J
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
J
Not Conn.
Dish Washer
A)C
Waste Disposal
A) &
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink & Tray
To Curb
_
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
a
Restaurant Sink
Material
I a4 Apd/L
Sand Trap
TOTAL F S
Urinal
Fixture Fee
Area Drain
Main Drain Fee
o v
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
PjJ
Total
Total Fee
NO. STREET . , d
CITY OF CUPERTINO - VAL. �
CAP. {
d APPLICATION FOR BUILDING PERMIT l PEE 2
F2 Bailding Per
O . N..��
m Date t; , 19
z' unitary Pgr. No. 9
3 V a? pfication is heyeby made for a permit/to�t� ,rL `
= O �_4 5 ry�'T3T J_ %W l/Y�%� 9� f O�it' /Structure
30
Val
w w
ao
_U
to be oc�upi%d Py as �.����/�/�LY.:�ii(IQ. in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ � ig
PI Ck Fee $
It is hereby agreed that the requirements of the ��pp��tp
Cupertino Building and Zoning Ordinances and all Fee $—(l�
other laws applicable to the construction, location, and l+p
use of buildings within the City of Cupertino will be Total Fee $ 4�
complied with.
LU a 7 RD G HONENl
CONTR. OR AGENT
aso d 3,f-`43_3
PHONE STATE LICENSE
15'JO L-/ LJt< 40
ADDRESS
14;hl-ye_ it)
Imo/ ADDRESS
/l \ / BUILDING INSPECTOR/,6 /
Cf7.Y?�OF:'GUPERTINO aCOPYE
GAS SERVICE'NOTICE
' , 9 ,76
To
You are hereby authorized to connect the GAS service for
L. OwnerorTenant
New Service
No. of Meters / -Reconnect
No. of Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR
r