NO PERMIT NUMBER 19312 Greenwood Drive _ 18
NO. STREET - - LOT NO.
3.01
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9233
FILE NO. 51,345
DATE 4/18/75 19_
Application is hereby made for a permit to
Construct (Plan A-2) a 9 :tory,type 5 N. Hr.
(1582 sq. ft. Liv. & 454 sq. ft. Gar. )
to be occupied only as I & J Single Family & Garage
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 4q,noo
FEE$ 166.oo PLAN CHECK$
OWNER Ma,X Tnvpctment Co. ADDRESS 91060 HomPstpad Rd. C.
PHONE 7-�9-544
CONTR,May _o Const. Tne. ADDRESS
PHONE T33-9693 STATE LICENSE 984737
APPROVED .Tamps H. Sick/h
BUILDING INSPECTION RECORD
DATE I INSPECTOR DATE INSPECTOR
FOUNDATION —/ -J FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH i
WALLBOARD -INT. EXT.
FIREWALLS
MEMBRANE y- LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. �' J
UNDER-FLOOR
TI E DO W NSMISC-
DIAPHRAMS
6z
MOORE BUSINESS FORMS INC..LR
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUG U NDERGROUND ROUGH
ROUGH WIRING 'D ' ROUGH WIRING
FINISH WIRING Gr 7jr, FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL Q MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE I INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH Gj.. FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN _
FINAL GAS 8'-
FINAL PLUMBING /0-;
MISCELLANEOUS
7- -�s
"ejL A
- ( ?5r ,`-eERTIFICATE•OF COM'PLETl0N
,;BUILDING INSPECTOR'S OFFICE
CITY OF.TP.ER.UNO \
DATE �� /r` 1197 BLDG. PERMIT NO.
THE BLDG. LOCATED AT /y'3/2" """'t'�'"'� `
OWNED
_B,Y- '
ICOMP'ETEDI FOR.USE AS
HAS BEEN- (ALTERED) j
r
BUILDING INSPECTOR
ROUTE SLIP
File No.
Date ° V2 I
D c 2 t_on
ctle"l, �y
>tes
p++nor n
D _te Inspe for
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING ,INSPECTOR'S OFFICE
01 6A CITY OF CUPERTINO
. ........... S7 ......
TO
You are hereby authorized(t connect electrical service for
Owner or Tenant fc ------------ ...
At ............................................................
No. of Wires ........................ Size of Wires ...................... Size of Switch I&V-A.
MotorLoad .......................... Voltage .......................... ----- Phase ...... - - ----
HeatingLoad ...................... K. W. ... ............................. Voltage ................................
Light............... jjot�... New service...4-�... Reconnect..................
No. of Meters.........i..........
Heat................. 220...4.......... Three Wire................ Move Service............
No.of Add. Meters............ Power.................................Three Phase................ Move Meter..............
.....
...............
.......
ELECTRICAL INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- -----
Plumbing Final Plumbing Permit No. ........
Lot No. ... :....- ........
Owner or Tenant ......... .. . ---- ......(::.r.-..................................
At ... ------- .. .... n-=--------- --------------------------------------
Tract ---------------------------------- -------------------------- ------------------------- ------------------------------- --------- -
DateConnected ----------- -------------------------------------------------------- 19.. .. .. .
Date Final ----------I'A......... 7 .............................. -------------------------— 19..........
............
-----------------------:�... ... . .......... ..
PLUMBING INSPECTOR
OFFIC17
CITY Or CUPERTINO COPY
GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .... ...... ..............
At3 ...... ......-:......
New Service _._!r%.......
.......
No. of Meters .... .... Reconnect .... ........................
Move Service .......................
No. of Add. Meters ..... ........ Move Meter ........................
A
................................t
.. . ..............
PLUMBING INSPECTOR
LOT NO. �( 3
NO. STRE�7.tp
co 07 "' ., CITU OFCUPERTINO . "
CAP. {VAL.
p/
i d APPLIC' (TION FOR BUILDING PERMIT FEE
w A[R 11 Wr
�2 19— Building Per.No.
Dore
>< O —7 1 So nary Per.No.
0 v Appliizotion.is hereby made f'or�a permit to—�
= u_ a.0.(_story, Type�N��[f 1✓ �U✓� --. —Structure
� O /y
w to be occupied only o,r4,D rT.13.rrezrff 9QAe• in accordance with
O
Z Plans,Specifications and Plot-Plan filed herewith.
a w Qd
F = Estimated Value of Improvements, $
a PI Ck Fee$
00 It is hereby agreed that the requirements of the 00
> .n Cupertino Building and Zoning Ordinances and all Fee $J -
O3 other laws applicable to the construction,location,and O0
a Total Fee$�
z — use of buildings within the City of Cupertino will be
z complied with.
3 0
— < /'Y)A-Y S N U �. 7
w Z OWNERPHONE r r ADDRESS
s d mF1'yGo tPfo N S TP0-7-,0N
QCONTR.OR AGENT ADDR 5
_ 0 -7S3-�J6S3 �8�/737
PHONE STATE LICENSE BUILDING INSPECTOR
O L1
OP45?50V I� (f?/ LOT NO. I�
NO. STREET
C,�v...N eon
CtT'i O' CITY OF CUPERTINO
ASG 2 APPLICATION FOR ELECTRICAL PERMIT
A U^T L 19 Permit No.
U
Date 7:L15 ,19_ Fees
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 Cade of the
City of Cupertino,and all other laws applicable thereto.
Use of ` ��o _ / Work To ee
Pre ism -t�`�'� Performed
Owner Address'-7/0 60
Phone —E—MASON, we,
By 849 UNIVERctry Address
LOSC W"3AFXL. 95030
Phone
State License State Lic. No. 88216 Approved
Eiect;'sblI spactor
r I AGREE 1 WILL NOT VIOLATE ANY OF THE WOME 'S
��_ COMPENSATION LAWS OF THE STATE OF CAL IA. LA
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MIDO {111104. al'lL ' ' LOT NO. / u
NO. STREET
CITY OF CUPERTINO
c,TY c. cur-!';APPLICATION FOR APPLIANCE PERMIT
JUL 211975
G _ Permit No.
�
)ata ) 19 Fee$ --
n tit
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.
Jse of Work To Be
premises Al Performed
owner Address, O
Phone �,�¢• .�_ _ 13270 Depot Avenue
ByAddress San Martin California 95046
Contractor,Agent (408) 683-4101
shone
CLASS C-20 LIQ. N 2'19031 A oved
State License PPr 'Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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NO.
NO STREET \_
CITY OF Cum-. pp
CITY OF CUPERTINO
JUN#8 2 -N APPLICATION FOR PLUMBING PERMIT
P ,A I /7q/ Sanitary No.
Date —/ L,192:/ Permit No.
Fee$ 3L - lr-p
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 ofWork To Be
Premises Pwlormad /q/L
Owner Address ///
Phone _ r
— Address
By
C ntr�ctor 77genu
Phone
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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