FILE 51,399 10253 Mine..r.Place Trac'c If5907 19
NO. STREET . - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9959
FILE NO. 51,399
DATE May 11 19 77
Application is hereby made for a permit to 5 N$R (2080 sQ.f t.4
_Cans-t— Plan 2080) a 1 story,type 440 sa.ft.¢ax
to be occupied only as I & J Single Family Dwelli.n£
in accordance with plot plan,plans and specification filed herewith.
I.
ESTIMATED VALUE OF IMPROVEMENTS $ 70-000
FEES Z2-7—.90 PLAN CHECK$
20823 Stevens Creek Blvd.
OWNERBas Hnmpc- Tnr_ ADDRESS R11i Yp C-2 Cljper ino CA
PHONE 959-2077
CONTR.—Same ADDRESS same
PHONE lama STATE LICENSE 333864
jam , APPROVED_ .Tames H- Rick/m /
BUILDING INSPECTION RECORD
DATE INSPEC OR DATE INSPECTOR
FOUNDATION ,—� - 7 FLOOR STEEL
PRE-GUNITE FRAME 2
BOND BEAMS LATH ,2
WALLBOARD .8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
_GAAI=_�_ F.M.O. INSPECTION
FINAL BLDG. 3_
UNDER-FLOOR 2r1
TIEDO W NS -MISC-
DIAPHRAMS -�
MOORE BUSINESS{ORM S INC 1<
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH - UNDERGROUND ROUGH
ROUGH WIRING . '� ROUGH WIRING
FINISH WIRING I /L(• FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL 'LOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION -J
UNDERGROUND ROUGHFLUES&COMB.AIR
PARTIAL ROUGH �- 5--• CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE 7
ROOF DRAIN&LEADERS
MAIN DRAIN •7^7
FINAL GAS 7
FINAL PLUMBING r
MISCELLANEOUS
Y _ _ OFFICE.
y - OF Cd PERTIN(� _ copy
_CIT
GAS SERVICE NOTICE
, 197 ,9
To
You are hereby authorized to connect the GAS service for
Owner or Tenant /.-v �4��a ,
At /n ] 53 �. . ,tea P.F .
New Service v
No. of Meters / Reconnect
No. of Add. Meters Move Service
Move Meter
,.
PLUMBING INSPECTOR
ELECTRIC SERVICE NOTICE- - OFFICE COPY
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO I '
To ,I
You are hereby authorized to Connect electrical.1f service far
Owner ar Tenant
At I
No.of Wires Size of Wires
Size of Switch
Motor Load Voltage Phase
Heating Load K.W. Voltage
No.of Meters Light `/ ;�0�✓New Seivice / Reconnect
Heat 120• '• three Wire More Service
No.of Add.Meters Power ��� Three'Phase /4 Meier A
V"�
0M ELECTRICAL INSPECTOR
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I
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO Bldg.Dep.
Office Copy
1
❑ Backflow Device Sanitary Permit No. (��,
El Sewer Connection \ Plumbing Permit No.
� I It
M Plumbing Final --{(}-,-.� Lot No. ,
Owner or Tenant
At
Tract Q
t
Date Connected 19:77D ate,-iiia lit Z 1 —7
19
PLUMBING INSPECTOR—C]
L _/ 1
CERTIFICATE OF COMPLETION
BUILDING INSRECTOR'S OFFICE
CITY OF CUPERTINO /�
DATE. _, 19-,74 BLDG, PERMIT NO.�T_?
THE BLDG. LOCATED AT
OWNED BY
HAS BEEN (COM FOR USE AS �•��
i
i' r BUILDING INS E
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .... ..._�...`.`_....�ry
F1Plumbing Final Plumbing Permit No. ..'`^�-. )c- �
..... -
L,. , t{I Lot No.
Owner or Tenant ------.'._ �r':-5 �- r` 1 1: i.� 0_4
_ - ..... .. ... . . .....' . .(...... ...............---------- --
Tract ----------------......... �-_%,-¢¢_--.... .....----....---....--.....---...._------ .....--
Date Connected .... - - - ... ..`.._..... . .
1'....7-
Date Final .....----------...--- -
.............------------ ---( .............
1 t-----------`------------
?i L 19..-.........
....^. .........�. -.✓f"/....-`.... I:.`...'....... ....
PMBING INS CTOR/V
/va 3 1#11)e,e feeciq
l0T NO. el
NO. STREET
CITY OF CUPERTINO
IYiGR cJ 79j4P/PLLIICATION FOR ELECTRICAL PERMIT
Date MAR e'-` 1J/O 19- Permit No—it
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.
Pre is SINGLE FAMILY Performed ToBe
Premises y/��q�� // �,,(' Performed
Owner "-^""! / 6"ge '' Address
Phone —20 7 7
BY M & H El ECIRIC Address / �e fto �/1(f 72-�—
Contractor,Agent p.S7�L
Phone "X/.:? "776,0
State License 0.10-167491 Approved
Electri II spector
I AGREE I WILL NOT VIOLATE ANY OF THE WOR EN'
COMPENSATION LAWS OF THE STATE OF CALIF
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10253 Miner P1 Lar NO. 19
NO. STREET
T.D
C - CITY OF CUPERTINO
IASIAPPLICATION FOR APPLIANCE PERMIT
{ P Permit No.� __
Date Y' )�1-20 ]8 ,19_ Fees
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 ally
other laws applicable thereto.
Use is Res Performed rmed Heating & Sheet Metal
U
Premise, Performed
Bas Homes 20823 Stevens Crk C-2 Cupt
Owner Address
Ph o t25 -O)] Bary CARLOS SHEET METAL WORKS, INC,
Br � � A9erf: P. 0. BOX 1126
Contractor,Agent SALE CARLOS. CA 94070
shone 592-9292 -
itate Cceme I Oin 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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/ NO _ ,,,STREETO 10T NO. �9
�Q.2S 3 ) �'�T! (J CITY OF CUPERTINO
JUL 2/�� APPLICATION FOR PLUMBING PERMIT
PAt Sanitary No.
Date %%Ltd 'G 19_ Permit No.
Fee s�
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
Premisis es g g Performed New C0"VLUCtjQjj
owner Bah HomM, INC. Address 20823 S,tevenh Cte k BLvd. , CL,p.
Phone 252-2077
By L.C. Bo Plum .cng Co. Address 139 E. Fremont Ave. , Sunnyvale
24Agent
Phone
State License 186579 Approved
PlaORinnspector /
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
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COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10253 ;-?liner. Place .Tract 115907 LQT NO, 19 LFA
NO. STREET _ .(VAL 70 000
CITY OFCUPERTINO • CAP. (l
i d -'APPLICATION FOR BUILDING PERMIT FEE 4.90
Z I.- Building Per.Na 'S1,399
x - Date
O , 19 .
0 nY y Sanitary Per.No. 9999
pli
3 Apcation is herebyade for a permit to Construct (Plan 2080)
V
w LL a 1 $tory Type 5 N.Hr. (2080 sg.ft.+440 sq.ft.Car. ) Structure
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ato be occupied only as I & J Single Family Dwellings accordance with
Z v) Plans, Specifications and Plot-Plan filed herewith.
a w -
F m Estimated Value of Improvements,$ 70,000-
<
0,000• ^
LL PI.6 Fee$
O O It is hereby agreed that the requirements of the
> vt Cupertino Building and Zoning Ordinances and all Fee $ 227.00
Q a other laws applicable to the construction,location,and Total Fee$
Z — use of buildings within the City of Cupertino will be
Z complied with.
3 O 20823 Stevens Creek Blvd.
- a Bas Homes, Inc. 252-2077 Suite C-2, Cupertino, CA
Z
OWNER PHONE ADDRESS
same same
a same CONTR.OR AGENT ADDRESS
323864
PHONE STATE LICENSE BUILDING SPECTOR
Ou