FILE 51344CI'Y OF'CyPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9197
FILE NO. 51,344
.7..
LOT NO.
3.99
DATE 3/10/75 19
Application is hereby made for a permit to
Construct (Plan 4) a 2 story, type 5 N. Hr.
21 3 sq. ft. Liv . & 53 sq. ft. Gar.)
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 57 - non
FEE $ ')m nn PLAN CHECK $
OWNER Ponderosa Homes ADDRESS 3080 Olcott St. S.C.
PHONE 247-4500
CONTR, ADDRESS
PHONE STATE LICENSE 269582
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE INS"CTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
( IL . SC c J . - 7 G
PRE-GUNITE - FRAME
BOND BEAMS LATH i1 1I 1
MEMBRANE
F.M.O. INSPECTION
UNDER -FLOOR
TIEDOWNS
uaance
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE I INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING Zi- ROUGH WIRING
FINISH WIRING '10, FINISH WIRING
FIXTURES -t INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL . U . MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING 8 A/C INSPECTION RECORD
I
DATE I INSPECTOR
DATE INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS 81NSULATION
UNDERGROUND ROUGH
./0,,7
FLUES 8 COMB. AIR
PARTIAL ROUGH
_?
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING C4 J
E ... _ _
EOUS
\7I CFRTiFIC'ATE;OF'COMPLETIGN
BUILDING INSPECTOR'S OFFICE - 4. "!
/�. CITY OF CUPERTINO
�l b q I BLDG.(PERMIT NO -1S
DATE I
THE BLDG. LOCATED ATS
OWNED BY
HAS BEEN--"''"'- FOR USE
(ALTERED)
Su.b e c t; Ce --
NTTo t s
f�''•� ,, OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
i
.........................`.........`.........................,
To /rT)
You are hereby authorized to connect electrical service, for
Owner or Tenant'.. -. ... "' :.r . ,.;. - 1--j ......... ................. .. r,
At............:t........................:.............................................`...:..............................`......`.
.
No. of Wires ........................ Size of Wires ...................... Size of Switch .� '
MotorLoad .......................... Voltage ................................ Phase .: ................... .............
HeatingLoad ........................ K. W . .................................. Voltage ................................
f Light......'.. ............ _
New Service....:!. Reconnect ..................
No. of Meters...........?....... .
Heat ................. 220 .......-.-.71 reek Wire.... Move Service............
No. of Add. Meters............ r / - 1 1
Power ..........:.... ,Three Phase.....,,....... Move Meter..............
NJ.
BLECMCAL tNsaecro! i
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sewer Connection Sanitary Permit No.------ -..--- 'C-....1-----
�umbing Final Plumbing Permit No.
t Lot No. ----------- 5---
Owner or Tenantt.�-ft. �:5:�:=ri�GyLi9,......_s;. T-1a-�S2.-d.....................
nn C
At..... _..!?.. 1..y..1.....................
Tract....---.._...............................................----------------------------......... ..........................t--..
Date Connected
....------ ' -_--
Date Final..............----...........--------�
..........--......
V ...!.1..�,-/....--- --------- ----- ......
"&ll
OITIC171
CITY OF CUPERTINO COPY
GAS SERVICE NOTICE
'ro
You are hereby authorized to connect the AS se ice for
Owner or Tenant ..... Y( . . .. .. ........ -- .............
Atc%q Ir -r, .....__........__.....__..../......._....
New Service Al .................
No. of Meters... Reconnect ........ ------ - ......
Move Service ... ...... ..... ..
No. of Add. Meters .............. Move Meter ........................
............ I ..........
PLU?BING INSPECTOR
�CCLEI LOT NO. ��'A
NO. STREET
CITY OF CUPERTINO
CAP. VAL. !
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CIT�APhLIEATION FOR BUILDING PERMIT FEE .3- —
w Z ITS
Building Per. No.
Yz Date. /� lgl'1 , 19.
O lvi r�iCT� 5 tory Pedr r. No.
3 V Application is hereby made for a permit
to_d �/l
a�story, Type ,[L 4V. 7'%�''�=�� Structure
�O �]`
w to be occupied only as?�"s/ Jf WzFam_ tea• in accordance with
OQ
i Plans, Specifications and Plot-Plan filed herewith.
Q w 00
w Estimated Value of Improvements, $_ �"
LL PI Ck Fee $
p O It is hereby agreed that the requirements of the Do
> u, Cupertino Building and Zoning Ordinances and all Fee $ cZO�
other laws applicable to the construction, location, and
p a PP Total Fee $
Z — use of buildings within the City of Cupertino will be
Zco plied with.
3° i D G
ADDRESS
PHONE
w uu OWNE T"
O uu
CONTR. OR AGENT ADDRESS /
a °v �c% 26 G fes_
PHONE STATE LICENSE
BUILDING INSPECTOR
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21"707 �uru-Mtlg 1 e 11 an Rd. 17
NO. STR LET LOT NO.
MAY 2 8 197;
CITY OF CUPFRTINO
APPLICATION FOR ELECTRICAL PERMIT
Plan 4
Date L 19 IL Permit No.
ZS
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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 Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises RP1, i d nrP
Owner Pon dernsa Hnmec
By Hill Electric
CONTRACTOR, AGENT
Phone: 7';4 3800
220068
State License
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=Zy/✓7� LOT NO.�
/ N^.Ly/iy STREET
CITY OF CUPERTINO
MAY 22 19APPLICATION FOR PLUMBING PERMIT
Pte. Sanitary No.
Date �J 19_ Permir No.
reas �TB;oa
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.
ork To
lwform d—
Addre
Address /�✓�t'`'Ed/
State Licens
Approved A"
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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21757 McClellan Rd.
LOT NO.
NO. STREET
„pcLO
v 01 CS"' CITY OF CUPERTINO
p APPLICATION FOR APPLIANCE PERMIT
17
Permit No.,�.�yr
Date 4-29-7p, \ —19— Fee E
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 Res.
Owner * Pond r0_Q_osZx HOMes
247-4500
Work To Be Heating/Sheet Metal
AddressPO BOX 357, Santa Clara
By San
�r c}Carlos Sheet Mq&jq 779 O1 dCounty Rde, San Carlo:
�[[
phone
Approved
State License 110828 p umbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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