NO PERMIT NUMBER 10134 Miner Place 29
NO. STREET `— / '�" LOT NO.
CITY OF U�ERTINO
APPLICATION FOR BUILDING PERMIT G
n SANITARY NO. 9 / �o
FILE NO. 51,391
DATE May 3 19 77
Application is hereby made for a permit to 5 NHR(2712 sq.ft.+
Const. (Plan 2712) a 2 story,ype 535 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 $ 90,000
FFF$ 267'00 PLAN CHECK$
20823 Stevens Creek Blvd.
OWNER Bas Homes, Inc. ADDRESS Suite C-2 , Cupertino, CA
PHONE 252-2077
CONTR, same ADDRESS Same
PHONE same STATE LICENSE 323864
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE PECTOR I DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH -u_7
WALLBOARD -INT 8 EXT. -
FIREWALLS
MEMBRANE LANDSCAPING -
1'- F.M.O. INSPECTION
FINAL BLDG.
UNDERFLOOR .- -7
TIEDOWNS -MISC-
DIAPHRAMS
7
f
MOORE BUSINE55 FOPMS INC..LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING - Z_ ROUGH WIRING
FINISH WIRING _ FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
R77
SPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. 7
BACK FLOW INSTALLEDDUCTS S INSULATION /C) jQ
UNDERGROUND ROUGH FLUES 8 COMB.AIR PARTIAL ROUGH CONDENSATE DRAINSROUGH COMPLETE FINAL APPLIANCEROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GASFI L PLUMBING
MISCELLANEOUS
i : �
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RO_ SLIP
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File No.
Date f
Location Cv —
Subject
I
Notes
_I
Approved
a inspecLbr- I
'CERTIFICATE OF COMPLETION
}'BUILDING INSPECTOR'S OFFICE
CITY OFF CUPERTINO
DATE �� 19� Dom/ BLDp^ y�
GPERMIT NO,
5-1 /3
THE BLDG. LOCATED ACT l / - /V/ I IJ LS/, 40C3
J A
OWNED BY -5 T77"J " . /AJC
HAS BEEN I`OMEREDI FOR USE AS / 4 V / 1 / •
O-
// BUILDING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .... ...........
Plumbing Final Plumbing Permit No. .41--.3411... ..
Lot No. ....... ---------------
Owner or Tenant .......
---------- ...........................-------------------------
4. At leil-a-1
-----------------------------------------------------------------------
Tract
DateConnected ...... .................................................................... 19------------
Date Final -------------- ?
............................................................................................ 19............
--------- ...... -------------------
------- -------'
PLUMBING INSPECTOR
/1 ELECTRIC-SERVICE NOTICEOFFICE COPY
BUILDMC;INSPECTOR'5 NOTICE ..-
CITY OF,CUPERTIN61 ---
To
You are hereby uthorlied to Connect elec ri co I set,ice for��J �Y C
Owner or Tenant I4 �� �I - " u
^-- —�
At
No.of Wires Size of Wires Size of Switch (�1J
Motor Load VOltage - Phase
Heating Load K.W. Voltage
N0.of Meters ' Light �� 110 "' New Service / Reconnect
Heat ^120���^^^((( Three Wire More Service
No.of Add.Meters Power ) /\ Thiele�Phase� z 0 Move eter
�M
V
ELECTRICAL INSPECT+
LJ Q
r "'�'4� «.r OFFICE
T-OF CUPERiTINO COPY
~GAS SERVICE NOTICE
1197 -7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant _—,t (/LC- .
At `
New Servicey
No. of Meters / Reconnect
No. of Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR
LOT NO.
NO. STREET ? _ -
`tis`vtj - 5
02 CITY OF Cl1PERTINO _ -
C, of V 316PPLICATION FOR ELECTRICAL PERMIT
IN
GN0%
Permit No.
Date O(,T..1...1 . 7\ 19_ ,.,;'Fee$
: .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 Cod'-ofthe
City of Cuperfino,'and`all other laws'applicable thereto. . - -
Use of, Work To Be
Premises S1NGL a F I fsperformed LLC( L `�
r-owner Address OP 3
Phone
By `ZEE- ELECTRIC
Ad
Phone - -
State 6amse "C-10 '241916 Approved -
'- ' Electric Ins or
I AGREE 1 WILL NOT VIOLATE ANY OF THE WOR EN'S
COMPENSATION LAWS OF THE STATE OF CALIFO ':A; •
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#10134 Miner Place 429
LOT NO.
NO. STREET
C' CITY OF CUPERTINO
c Q9 APPLICATION FOR APPLIANCE PERMIT
pu c� o
AN Permit No.
Date 6'?�14-JJ ,19_ Fee$ / �- ♦ 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 Work To Be
Premises res, Performed heating ds sheet metal
'OwnerBas Homes, Inc. Address 20823 Stevens Cr. C-2 Cupertino
Phone 252`-Z07JD
By San Carlos Sheet Metal Address P P.O. Box 1126 San Carlos
Contractor,Agent
Phone 592-9292
State License 110828 Approved '-- �^--L
PlumbmgInspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT NO.cf� s /
NO STREET
TMO CITY OF CUPERTINO
'APPLICATION FOR PLUMBING PERMIT
N 1977
--7—� Sanitary No.
Date _ , 19�� Permit No.
` Fee s d^U
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 ToNew Cofy�ttucti,on
Premises tingle DW �-0.(.Y18 Performeded
Owner BAS Homn Address20823 S.teven6 Cneeh Blvd %dCKXgdC
Phone 252-2077
L.C. BohatL.t Ptumbing Co. Address 139 E. Fnemont Ave. , Sunnuva p.
24�o 2323 Agent
Phone
State license 186579 Approved
PlaORing Inspector `
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10134 Miner Place Tract .#5858. LOT NO. 29 L
NO. STREET CITY-OF CRIPERTIN O- 000
(vAL.9 '
Chr :.= :t•7t.rr�n - CAP. Sl �—
a APPLICATION FOR BUILDING PERMIT FEE
z Ml1Y 3 1977 Building Per.No. 51 391
Date ,19 Sanitary Per.No. y.9
3 v Applicat on is herFabyGode for a permit to Cnnc+r,r+ (Plan 271 P)
_ 0 a 2 story, Types N.Hr.(2712 SQ.ft.+ 535 sg.ft.Gar, )Structure
O F to be occupied only as I & J Single Family Dwelling in accordance with
a
Z' En Plans,Specifications and Plot-Plan filed herewith. -
a w
F Estimated Value of Improvements,$ 90,000
5 a- PI Ck Fee$
O O It is hereby agreed that the requirements of the
> rt Cupertino Building and Zoning Ordinances and all Fee $ 2(7.00
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
3 0 20823 Stevens Creek )31vd.
— ,a„ Bas Homes, Inc. 252-2077 Suite C-2, Cupertino CA
W w OWNER PHONE ADDRESS
a same same
Q Q CONTR.ORAGENT ADDRESS
_ u same 323864
PHONE STATE LICENSE BUILDING
_IN ECTOR
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