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FILE 51,41921005 Lauretta Drive NO. STREET (Potitey:)e Anza) CITY OF,CUPERTINO APPLICATION EOR'BUILDING PERMIT SANITARY NO. FILE NO._ 1 i LOT NO. 10065 51,419 DATE 9/2q/ 19 77 Application is hereby made for a permit to 5-NHR (2454 sq. ft. Const. Plan #3B a 2 story,typeliv.+528 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 $ 82,000 FEE $ 251.00 PLAN CHECK $ OWNER Dividend Development Cor)RDDRESS 3600 Pruneridge AVe.- PHONE 246-5001 Suite 340 - Santa Clarz Same CONTR, ADDRESS �PH�ONE L� STATE LICENSE 275773 F-tj a/' ��� APPROVED James H. Sisk/m BUILDING INSPECTION RECORD DATE SPECTOR GATE INSPECTOR FOUNDATION 0 % FLOOR STEEL PRE-GUNITE FRAME EX /NV;w '(• I -i BOND BEAMS LATH y WALLBOARDS INT 8E%T. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. o - UNDER -FLOOR TIEDOWNS - ISC- DIAPHRAMS MOORE BUSINESS FORMS INC.. LA ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES b, zINTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL 7 MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR ATE INSP CTOR BACK FLOW REQUIRED UNDERFLOOR S.M. / ) BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGHM�� FLUES & COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ) ROOF DRAIN & LEADERS MAIN DRAIN -77 FINAL GAS FINAL PLUMBING MISCELLANEOUS —Z 3° Zw Z w w a0 -v a NO. STREET CITY OF CUPERTINO VAL. L"v CAP. { APPLICATION FOR BUILDING PERMIT FEE ' b D~ �— Building Per. No. D te' IN0 ,19 ia• • Sanitary Per. No. ,fin Ap. of n�,is'jgreby made for a permit to C nS l 1 a ��xri. — a � N l0 y u�c E a a story Tne Structure to bettupied�only as LrA-t'`�_�' -' in accordance with Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ CO. pJ 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. OWNER PHONE _ PHONE )R AGENT STATE LICENSE PI Ck Fee $ Fee $ �i„ ..5 V. Total Fee $ PH..,�4,�. - wIuCOA 6y +OuwpY �-, .s- Sf+ru JoS(L' . oL. To 13E 1A U7_ ru-erg v� CERTIFICATE OF'COMPLETION" BUILDING INSPECTOIR'S OFFICE CITY OFF CUPERTINO DATE X ry .19,-7(f BLDG. PERMIT NO. THE BLDG. LOCATED AT OWNED BY HAS BEEN (COMPLETED) FOR USE AS-% (Ae-'BPED) -ROUTE SLIP File No. Date C 7� Location 'A, Subject ��Xo Notes Approve(li, ,L Date Inspector GMSERVICE NOTICE U To You are hereby authorized to connect the GAS service for Owner or Tenant X o At New Service No. of Meters F M' Reconnect No, of Add. Meters Move Move Meter / PLUMBING INSPECTOR i lz-c �„ ELECTRIC SERVICE NOTICE oFFICEcoPvN ` m BUILDING INSPECTOR'S NOTICE 1� CITY OF CUPERTINO You are hereby authorized to Connect electrical service for t - Owner ar Tenant �' '� At No. of Wires Size of Wires Size of Switch c) • c Motor Load Voltage Phase Heating Load K. W. Voltage fLi9In IOrv.�NrfN ,Service Reconnect No. of Meters Hea( 170._n •Three Wire More Service NO. of Add. Meters Powcr Three Ph, Movemeter, OO • ELECTRICAL INSPECTOR r 71 1/ ` ~ I' I BUILDING INSPECTOR'S OFFICE Bldg. pi. C CITY OF CUPERTINO office copy ❑ Bockflow Device 'Sanitary Permit No. 0 Sewer Connection - Plumbing Permit No. 57 Plumbing Final . Lo/t! No.. Owneror TenantAt f l Tract Date Connected— 1977 Date Final �1 /`'nP -�19 OM - PLUMBING IIINSP�ECTOR 4 ��E NO. STREET `frn., y, CITY CF,CUPERtINOT' 'IIr✓-Z(((VAl� CAP. { � r ` APP FOR BUILDING PERMIT ( FEE S— W Date r ,19�. sulking Per. No. Sa M. No. O i pPl 1v A icaY y ma for/a permit to L tSGWG _ 32—story� T�,i� �'se�xy �/�' �•': S� Yf'sfir $hucfuro p Lu to be occupied only as f' .27 ; L! �%.`a%1lJr�.�" in accordance with Plans, Specifications and Plot -Plan filed herewith. F � Estimated Value of Improvements, $ � S It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, location, and Z use of buildings within the City of Cupertino will be complied wkh. Dr /'3 hFlwo W bC-6'/at..� R N'r PHONE SAME COMM. OR AGENT fCUi 27J-773 PHONE STATE LICENSE PI Ck Fee $ Fee$, -d O Total Fee $ 21005 NO. N Q W ZQ C!; ( C.,CU: CIT1140 0 o OCT 181977 Lauretta Dr. 1 LOT NO. STREET _ Plan 3 CITY OF CUPERTINO APPLICATION FOR ELECTRICAL PERMIT i V Permit No. H O -Data, B 1,U-1 /- 19 77 FeeS—l—l�— OH Application is hereby made to the City of Cupertino for a permit to install el 5ttrical , F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said a W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the i City of Cupertino, and all other laws applicable thereto. a� Jw 00 Use of Work Toee electrical >us Premises 1-fam. re5. Parformetl 1-3 Dividend Dev. Corp. P.O. Box 2805, Santa Clara, CA 04 Owner Address Z V o s�pNUERER ELEGJSI4, ING. p'yeFe'ss- " `Contractor, Agent - y Phone �I w Z !� 2 State License �2 itn � Approved U2 Electrical lnspecto 40 19 Y _U ITEM NEW RPL FEES Number of Outlets �b Number of Switches Number of Receptacles Number of Fixtures 3� Ranges or Ovens K.W. I-1A 2 Size of Main Service / Number of Meters Number of Panels Signs - Transformers O}yers Motors: S H.P. Phase / H.P. Phase H.P. Phase Power Poles Misc. jt2.00H.P. Permit Fee Charges Total Fees I LOT NO. NO. STREET CITY OF CUPERTINO _3 C'- -'7-:-APPPLIICATION FOR APPLIANCE PERMIT DMCFT/ Y19y19 Permit Data jJ , 19_ Fee S 5 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 To Be Phone ����✓ ByAddress Contractor, Agent Phone /32 State License CLASS C-20SIC Y t Approved Plambing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. APPLIANCE 11 UNITS I FEES 1) 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 16) HOOD -MECHANICAL EXHAUST II / _ I n a-O EQUIPMENT PERMIT FEE I - = - / .�� LOT NI NO tt. TREET C f O, CU, ,.c.. ERi NO CITY C, CUP I APPLICATION FOR PLUMBING PERMIT Sanitary No. Permit No. Date 19 Fees � O� 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 Premi _ Pwformed� Owner Address 1///Ji_%% Phone ��7 BY Addres G Glilc(/ �Contractor, Agent Phone ,s') 'A-A0 5 State License / P��S�rL-- Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. FIXTURES NUMBER MAIN DRAIN Units Fees I Units Fees Water Heater Size Water Closet �-3 1`4 Material Bath Tub /-G To Curb Shower To Prop. Line v Lavatories ! //l To Existing Kitchen Sink /, 2*,f(l Not Conn. Dish Washer Waste Disposal Wash Tray121-11 STORM DRAINAGE Washing Machine C`�'L' Size Water 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 Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Value Gas Fee p`L. `e Vac Breaker Skimmer Filter Pool Sweeper Permit Fee I Nn Total L Total e Fe �j)