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NO PERMIT NUMBER
20693 Greenleaf Drive _ Tract #6259 20 NO. •STREET % • ,• LOT NO. �. CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. �0 3 Z'r FILE NO. 51,449 June 2, 19 78 5—NHR(2641 sq. i Application is hereby mode for a permit to living & 650 sq. Construct #2641 a 2 story, type ft. garage) to be occupied only as I and J Single Family Dwelling in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS .$ 104, 000. 00 FEE $ 293.00 PLAN CHECK $ .. ' OWNER BAS HOMES ADDRESS 20823 Stevens Crk Blvd PHONE 252-2077 CONTR, Same ADDRESS PHONE STATE LICENSE 323864 APPROVED James Sisk/k BUILDING INSPECTION RECORD '®�YC��7V✓J "® . r� • . . F�t7r�' FINAL BLDG. MOORE BUSINESS FORMS INC.. LA ELECTRICAL INSPECTICN RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING ( NISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL r MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS & INSULATION U E GRO ND ROUG /3f' FLUES & COMB. AIR 4 GH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE - ROOF DRAIN & LEADERS ' MAIN DRAIN FINAL GAS 1r, FINAL PLUMBING } MISCELLANEOUS 20 W Q <W Z < 0 OO 3v W �O 0 W Q Q r Z N a W W = a LL 00 > n O< Z 30 Zw Z W W a00 _ V al=ncilf: CI11'Y OF CUPERTIf•�O CAP. jUNi 2APP,IIGA ION FOR BUILDING PERMIT EL t J ( U Building Per. No. 511 li Its O Dote 19. Ap/A� 9q�t ��,, Sanitary Per. No. liAo ioJis Kerreby made for a permit to Const ruc t 1 am #2641 5-NHR(2641 sq. ft. liv. & 650 sq. ft. gar.) a 2 story, Type Structure to be occupied only as I&J Single Family Dwelling in accordance with Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ 1 nhnno - no It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be complied with. Bns Ttnc 252-2077 OWNER PHONE Same CONTR. OR AGENT 323864 PHONE STATE LICENSE PI Ck Fee $ — Fee $ 293.00 Total Fee $_ L_ — 20823 Stevens Crk Blvd ADDRESS Cupertino CA 95014 AD RE , BUILDING INSPECTOR ff-16 f/,'/— 0 6)-06R3 6`reey1 NO. STREE LOT NO. 2 v • CITY OF CUPERTINO ~'1"4•`' PPLICATION FOR ELECTRICAL PERMIT Jvl'l 111, ._ Permit No. Date , 19— Fee S OO Appi I LA lication is hereby made to the City of Cupertino for a permit to nstall electrical wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said wiri an /o fixtures inycccydance with the provisions of the Electrical Code of the Cifv of Cup ino, and other ows applicable thereto. 1W-EM clr=lf►�� Phone By Contr, tor, Agent State License K! W t,3 Q I AGREE I WILL NOT VIOLATE ANY OF THE WOR EN' COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® '. ITEM Number of Outlets Number of Switches Number of Receptacles Number of Fixtures Ranges or Ovens K.W. Size of Main Service Number of Meters Number of Panels Signs - Transformers Dryers Motors: H. P. Phase H.P. Phase H. P. Phase Power Poles Misc. Permit Fee Fees FEES L. r�n GLSTREE-i_QGLLI nn wMP LOT'NO. STRE NO. CITY OF CUPERTINO c.� r C' C" `�T APPLICATION FOR ELECTRICAL PERMIT �1 f vs — 19 R Permit No. Date OCI7 19_ I Aplication 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 gINaLC FAMILt `Mork To Be Premises I Performed Owner "-'Cy Address Phooe,25.? --,')/)•77 M & H ELECTRIC g rr,n >z H ELECTAddressRIC 172 GERS AVENUE Y Contractor, Apent a .N JOSE, CALIF. 9511' nc--- '� 140B1 292-1160 w I _ -.n / State License �•t �'aF1648 I AGREE I WILL NOT VIOLATE ANY OF THE Wp!KOW5 ', COMPENSATION LAWS OF THE STATE OF C ORNIA. LA ITEM NEW RPL FEES Number of Outlets Number of Switches �G Number of Receptacles Number of Fixtures _Ranges or Ovens K.W. g. G Size of Main Service ' Number of Meters Number of Panels Signs - Transformers Dryers Motors: H.P. Phase H.P. Phase H.P. Phase Power Poles Misc. Permit Fee Soo H.P. Charges Total Fees hi .. Y / ' 3 �` J 20693 Greenleaf Dr. 2 0 NO. STREET• LOT NO: • CITY OF CUPERTiNO APPLICATION F,OR APPLIANCE PERMIT . r� � 1-.1Q, Permit No. Date 6-27-78 ,19_ Fee$ 12.00 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 & hseet metal a...,;..< Performed Owner RAc Hnmr.A Address 20893 Stevenc Crek C-2s Cunt Phone— 252- 7 SHEET METAL WORKS, INC. ay ir�dlb p, a eeY 1126 Contractor, Agent SAN CARLOS, CA 94070 Phone 592-9292 State License 110828 Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. O v APPLIANCE UNITS FEES I FORCED AIR OR GRAVITY FURN, TO AND INCLUDING 100,000 B.T.U.'S 2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S 3)FLOOR FURNACE 4) SUSPENDED, REC. WALL, FLOOR HEATER 5) INSTALLATION OF APPL. VENT 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 I W'W 1 6, I.U'S 8) BOILER OR COMP, TO 16-HP. ABSORP. SYSTEM ' 100,000 TO 500,00I B.T.U'S 9) BOI LER 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. 'Al AIR HANDLER OVER 10,000 CU. FT. 13) EVAP. COOLER PORTABLE 14) VENT. FAN CON, TO SINGLE DUCT _ IS) VENT. SYSTEM NOT A PART OF HEATING OR AIR CONDITIONING 16)HOOD-MECHANICAL EXHAUST Ask I7) DOMESTIC INCINERATOR 18)COM. OR INDUST.INCINERATOR 19) EQUIPMENT NOT COVERED BY THE ABOVE VFRMIT FEE 0iAl fEE12-00 20693 GheereeaA DAive LOT NO. 20 NO STREET• • C7 G�'-TGJO CtPI CITY OF CUPEkTINO igAiPPLICATION FOR PLUMBING PERMIT / ® Sanitary No. Date i�I / 19� Permit No. Fee E 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 at S.ingte Dwetting Premises BA3 Harness Work To Be New CotuttAucti.an Address 20823 S.tevenb Cheek., CupeAtino Phone By L. C. Bohant P&mb.ing Address 139 E. Fhemont Ave. S'vaXe Contractor, Agent Phone 245-2323 86 79 State License Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 6 �• FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size 9 Water Closet Q-(l Moterial Bath Tub To Curb Shower To Prop. Line </ Lavatories ) To Existing Kitchen Sink Not Conn. Dish Washer posal / STORM DRAINAGE achine Size tener 3Sink& Material To Main Drain ' k 8 Tray To Curbt Drinking Fountain ' Floor Drain WATER SYSTEM ' Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee (j Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Value Gas Fee —;t—" Vac Breaker Skimmer t Filter Pool Sweeper - Permit Fee �Q Total Total Fee OFFICE •"~CITY,OF cUPET2TIN0 ~. • tour GAS SERVICE NOTICE 1197 � To You are hereby authorized to connect the GAS service for Owner or Tenant At New Service No. of Meters n kr Reconnect Move N of Add Meters o. Move Meter PLUMBING INSPECTOR' �{ Ll I _ l^ — OM / ELECTRIC_SERVICE NOTICE 7 OFFICE COPY I QAhING INSPECTOR'S NOTICE• 1 9 ITY OF CUPERTINO b 1_ -^ r y 7 ,19� To t . You are hereby authorized to Connect`electriml seriic e for � Owner or Tenant At -7( �3 (,�CPcJ(cn�.r No. of Wires Slze of Wires ' �Slze of Switch ' Motor Load Voltage Phase Hearing Load K. W. Voltage ( Light �110 ''New Service Rsconnect Na. of Meters III 11 Heot •120yThree Wire f More Service No. of Add. Meters Power -/ Three Phase /'+ Move Mete Qr w ELECTRICAL INSPECTOR ( \ �� U BUILDING.SPECTOR'SOFFICE. -;•� Idg. Dept. C FCUPERTINO - Office Copy r Ol Backflow Device Sanitary Permit No. G 3 v,(7 ❑n Sewer Connection Plumbing Permit No. 5 �• `�`��� Q, Plumbing Final - L / lot No. i1 Owner or Tenant lJ "'�•^""� Date Connected � 1974 DateFl PLUMBING INSPECTOR ©M 1 - >>' 1974 CITY OF CUPERTINO 10300 Torre Ave Telepho52-4505 INSPECTION NOTICE BUILDI DIVISION JOB .315 DATE ADDRESS TIME Z' DAILY REPORT ❑ CORRECTION NOTICE VIOLATION ❑ YPE INSP.: BLDG. ❑ ELEC. ❑ PLBG. ❑ MECH. ❑ t WEATHER o CEWICATE,OF COMPLETION. • DING INSPECTOR'S OFFICE c CITY OF CUPERTINO DATE R S . 19 BLDG. �PERMIT NO. ' ✓� �i c/r�9 THE BLDG. LOCATED AT o y 3 , ^ " sit, O OWNED BBY� a'. ,/4 "C77 HAS BEEN NCO E�)- O USE AS (ALTERED) / BUILDING INSPECTOR mw File No. Date Location Subject Approvep4Da4� n ec or