NO PERMIT NUMBER10193 Miner Place
NO. STREET -
Tract #5858 23
LOT NO.
CITY OF C� PERTINO
APPLICATION FOR UILDING PERMIT '
SANITARY NO.
PHI Mn 51,391
DATE May 3 19 77
Application is hereby made for a permit to 5 NHR (2719 Sq. ft .
Const. (Plan 2719) a 2 story, type + 460 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 $ 92,000
FEE $ 271.00 PLAN CHECK $
20823 Stevens Creek Blvd.
OWNER Bas Homes, Inc. ADDRESSSuite C-2, Cupertino, CA.
PHONE 252-2077
1
rn NTa Same 'S'" ennaccc Same
PHONE Same STATE LICENSE 323864
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE
I RECTOR
DATE
INSPECTOR
FOUNDATION
i
FLOOR STEEL
PRE-GUNITE
FRAME
Y .
BOND BEAMS
LATH
WALLBOARDS - IN .8 EXT.
(/—/r-r/
FIREWALLS
MEMBRANE
—
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. Z
_
UNDER -FLOOR
2,> 1
TIEDOWNS
-MISC-
DIAPHRAMS
MOORE BUSINF 55 rORMRut' i.
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
JNSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ttU
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. ((
X 1 7
BACK FLOW INSTALLED
IN DUCTS B. STION /077
UNDERGROUND ROUGH
7
FLUES 8 COMB.ULAAIR
PARTIAL ROUGH /O
ooz I
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE/
-
ROOF DRAIN & LEADERS
MAIN DRAIN
%
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
ROUTE. SLIP
File No.
1 Date 7 %
Location J3
Approve
t In pec o
� � � —2S�s
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO y�
DATE 2 _7 19 % 9 BLDG. PERMIT NO. 7 � 3 /
q
THE BLDG. LOCATED AT _ 007 3 /Whir- f.
OWNED BY
HAS BEEN I MPLET FOR USE AS'.! � ul'- S
(ALTERED)
v�l �3 "'SCITY`OFCUPERTINO �i —�' OFFICE
Y
GAS SERVICE NOTICE C�
19 77
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
No. of
New Service
Reconnect
No. of Add. Meters Move
Move Meter J i
PLUMBING INSPECTOR 0„
To
You are hereby
Owner or Tenant_
A, I
No. of Wires
Motor Load _
Heating Load
No. of Meters
No. of Add. Meters
OM
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S NOTICE
CITY OF'CUPERTINO
tis
rizedta Connect electri l service for
Size of Wires
Voltage
K. W.
4 _ OFFICE COPY
1
I 7
19
Size of Switch / C- U P '
Light '�� 110 New Service ��� Reconnect
Heat -1220 T� % rhree Wire Mare Service
Power 1/\N'In\\ f/Thiree Phase nMove Meter
ELECTRICAL INSPECTOR����
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No . ....... -------
Plumbing Final Plumbing Permit No. ......
LotNo . ........... a? ... ------------
Owner or Tenant ......... SA�r-_:
j
Tract ...........
DateConnected ------- Z0.-X3.7Z-? ----------------------------------------------------- 1 ............ 19 .............
Date Final ............ / .. . .... 1 1 9
A 101
- k -----------------
PLUMBING INSPECTOR
/'/— ' _`' LOT NO. 73
NO. STREET
_ O
CITY OF CUPERTINO
SAP IICATION FOR ELECTRICAL PERMIT
Date
OCT 1 t$ joy % ® Permit No.
, 19_ Fee S _
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 Work To Be
Premises SINIRI
FAM11 V RIMSIDENCES Performed f✓�
OwnerAddres r�
By ZEE EI-Ec-rAIC
a ogtractor gent��-
Phone cR OpQC)
State License C-10 241916
1 AGREE I WILL NOT VIOLATE ANY OF THE
l4 COMPENSATION LAWS OF THE STATE OF
0 L.
ITEM
NEW
RPL
FEES
Number of outlets
e
Number of Switches
O
Number of Receptacles
36
Number of Fixtures
0
Ranges or Ovens K.W.
—"). 0 0
Sue of Main Service
/• 00
Number of Meters
/
Number of Panels
Signs - Transformers
Dryers
/
/00
Motors:
H.P. Phase 1--QACi
s
• Sz
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
0�
H.P. Charges
Total Fees
,Z6.
®® u
10193 Miner Place LOT NO. #23
NO. STREET
C f,.,J CITY OF CUPERTINO
Pq;l,i ly(f APPLICATION FOR APPLIANCE PERMIT
Permit No.
Dote A 0-14-77 iq_ Fee$ 1000
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 dr sheet metal
Ovme, Bas Homes, Inc. Address 20823 Stevens Cr. C-2, Cupertino
Phone 252-2077
By San Carlos Sheet Metal Address P,O, Box 1126
Contractor, Agent
Phone 592-9292
51ate License 110828 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,000 B.".'S
21 FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
0 Z
3) FLOOR FURNACE
4) SUSPENDED, REC. WALL, FLOOR HEATER
SI 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 100,001 B.T.0 'S
8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,000 TO 500,001 B.T.U.'S
9) BOILER OR COMP. TO 15-HP. TO 31-HP. AB ORP.
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
10) BOILER OR COMP, 30-11P. TO 51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,000 Cu. FT.
12) AIR HANDLER OVER 10,000 CU. fT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
2 O
15) VENT. SYSTEM NOT APART OF HEATING OR
AIR CONDITIONING
16)HOOD - MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
18j COM.OR INDUST.INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
RERMIi fEE
.3 � Q Q
TOTAL FEE
. O
LOTNO. • (--":225
NO EET
r "
T V CITY OF CUPERTINO
�tf v \31 APPLICATION FOR PLUMBING PERMIT
p
Sanitary No.
Date ', ,19� Permit No. [�
Fee $
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 Sing& DweQUng Work To Be New Conz )tuction
Premises Performed
owner BAS Homey Address20823 Stevelw CAeek Blvd., Cup.
Phone 252-2077
BYL.C. Boha)rt PQumbing Co. Address139 E. FAemont Ave., Sunnuvake
C
_. 24 JonM Agent
State License 186579 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
Water Heater
Water Closet
alBath
Tub
bShower
ENo
. Line
NFees
Lavatories
ing
Kitchen Sink
nn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
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 EES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
i
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
1119-1 Miner Place Tract #5858 LOT NO. 2-j /G
NO. STREET
CITY OF EUPERTINO• - (VAL. g7,nno
r-� -- ,.,.-, CAP. { 6.1+1+
APPLICATION FOR BUILDING PERMIT l FEE
Da„ RA AV 31R77
Building Per. No. 51,391
•,s.
Sanitary Per. No.
Application is hereby made for a permit to Construct ( Plan 2719 )
.A i U
a 2_story, Type 5 N.Hr. (2719 Gn.ft.+ 460 sq ft Gar tructure
to beoccu occupied as I & J Single Family Dwelling.
P• Y In accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 92,000
It is hereby agreed that the requirements of the PI Ck Fee $
Cupertino Building and Zoning Ordinances and all Fee $ 271.00
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be Total Fee $
complied with.
Bas Homes, Inc. 252-2077
OWNER PHONE
same
CONTR. OR AGENT
same 3218(q
PHONE STATE LICENSE
20823 Stevens Creek Blvd.
Suite C-2, Cupertino. CA
ADDRESS
same
ADDRESS
BUILDING INSPPEECTOR
/\ O 1.