51,399 SFDWIr
10323 Miner Pace Trar_tt 1#5907 26 f
NO. STREET "'mil• : =( LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9966
FILE NO. 51.399
DATE May 11 19 77
Application is hereby made for a permit to 5 NHR(2405 sq'. ft. i
_Gonst. (Plan 2405) 'a 1 story, type 440 sa.ft. gal
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 80.000
FEE $ 247.00 PLAN CHECK $
20823 Stevens Creek Blvd.
OWNER BAs HnmacB Inn_ ADDRESS Stites C- r in r "nn- CA
PHONE 992-9071
CONTR. saTBe ADDRESS same
PHONE game STATE LICENSE 321964
APPROVED .Tames H_ Cisk/m
BUILDING INSPECTION RECORD
DATE
INSPECT
DATE
INSPECTOR
FOUNDATION
-(o--7
FLOOR STEEL
PRE:GUNITE
FRAME
BOND BEAMS
LATH,
i
WALLBOARDS ®.8 EXT.
FIREWALLS
MEMBRANE
-77
LANDSCAPING
�c1 _
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TI EDO W NS
-MISC-
DIAPHRAMS
MOORE BUSINESS EOuuSiv„ •
ELECTRICAL INSPECTION RECORD "
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
-
ROUGH WIRING
FINISH WIRING
FJNISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
I
DATE I
INSP CTOR
BACK FLOW REQUIRED
I
UNDERFLOOR S.M.
- p
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUG
UES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADER
MAIN DRAIN
FINAL GAS
r 7
FINAL PLUMBING
ROUTE -SLIP
File No.
,// Date S—
Location �o — L3, .�
S —`7 a 7
Subject��
Notes
Approved5
/ Date Inspec or
Bldg. Dept.
Office, COPY
BUILDING INSPECTOR'S-' OFFICE
CITY OF CUPERTINO
9-<wer Connection Sanitary Permit No.... ±..?....../....
❑ Plumbing Final I Plumbing Permit No.....(....=.,{.
Lot No......._7. rL------------
Owner or Tenant ................ ' 't:. J-----------f.-11.
At---------
Tract .....
Date Com
Date Fina
CERTIFICATE.OF COMPLETION
BUILDING. INSPE.CTOR'S OFFICE
f7Q' CITY OF.CUPERTINO
DATE 46: y - n 19 - BLDG. PERMIT NO
THE BLDG.
OWNED BY
HAS BEEN
(COMPLETED) FOR USE AS�
I
ELECTRIC SERVICE NOTICE'
(�
cip BUILDING INSPECTORS
NOTICE
TICE.� ..
CITY OF
I To
OFFICE COPY
m
You are hereby authorized to..Corinect.electrifaal se{ivipce for
Owner ar Tenant
No. of Wires Size of Wires Size of Switch' 6
Motor Load Voltage Phase
Heating Load K.W. Voltage
No. of Meters ( Ugh, �- 110'��'New Se vise �/ Reconnect
l{/1 1 / � //rr
Hear •'T20-JCThree WipSe` More Service
No. of Add. Meters Power /y Threes Sse 1MVy/Me erT_
@ ELECTRICAL INSPECTOR / I // 1 X
U V
BUILDING INSPECTOR'S OFFICEi ,,, _ _
CITY OF CUER PTi NO- ' Offic C pr.
_ Office Capy
❑ Backflow Device
Sewer Connection
O Plumbing Final
Sanitary Permit No.
Plumbing Permit No. 39
Lot No. a%
Owner or Tenant
Tract
Date Connected 3'--I 9Z? Date Final —' ] 19 �O
PLUMBING INSPECTOR
OFFICE
!iJ -'•'i Y, ��; `CITY-OF'CUPERTINO COPY
O7� ( GAS SERVICE NOTICE
n r
19
To V
You are hereby authorized to connect the GAS service for
Owner or Tenant 1-3.0-0 /V-�+ +-oo a2-c• - At 1/9 3a 3 -+r
New Service
No. of Meters Reconnect
No. of Add. Meters
Move
Move Meter
PLUMBING INSPECTOR
CITY OF CUPERTINO
10300 Torre Avenue Telephone 252-4505
INSPECTION NOTICE
BUILDING DIVISInm
JOB
DAILY REPORT ❑ CORRECTION
TYPEMSP.: BLDG. ❑ ELEC!
\TE .(---5-- v " - , d
VIOLATION ❑
❑ MECH. ❑
'EATHER
16223 Miner 01 LOT No 26
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
c;r: In C` .I NO
iyoAp20- 781918 Permit No.
Date , 19_ Fee $——
Yv
Applicafionlis hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
Use of Work To Be
Premises Res Performed Heating & Sheet Metal
owner Bas Homes Address 20823 Stevens Crk C-2 Cuat
SAN CARLOS SHEET METAL WORKS, INC.
592-9292'- SAN CARLOS, CA 94070
Phone
State license Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 cA
APPLIANCE 11 UNITS I FEES
5) INSTALLATION OF APPL. VENT 11
U.'S
OF
BY THE
PERMIT FEE
LQT NO. `e
NO STREET - -
CITY —!: CUP`:.TNa CITYOFCUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
JAN 10 [jib
o.
Dore
JAN iLm 19781 D79 PermiFee$ s4/,CO
Application is hereby made to `the City -of ,Cupertino .for a permit to install' electrical
wiring and/or, fixtures as listed`ort the reverse sidehereof, 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. "
a „
Use of mmnir CAnniry nroinrunrcwork To Be
Owneri
;.
Phone-
BY Addres�
99��C[[o//nrra<forYApent
Phone : J?A_lr40
State Licene ' C-10 24W6
Aonroved
I AGREE I WILL NOT VIOLATE ANY OF THE ORK - N:i, V a
COMPENSATION`LAWS OF THE STATE OF CALIFORNIA.
t -e
'NEW
RPL
-'-•.FEES`
.Number of Outlets
4,
Number of Switches
- Number of Receptacles - -
44
'
. - N imbe'F of Fixtures
0. -
Raages or Ovens K W - . rY `. -
�'
�- O
Size of Main Service
/
. :0 a. .
Number of,Meters -
/ -
Numbekof-Panels- -
.-Signs Tr on'sformer's'•�
`Ls
-
Dryers
r 'Motors.
.". ,.
H.P. Phase
-
..
H.P.Phase-
. Povrer Poles
a
Misc.
_-
J':, :y
_
a
Permit Feer
- H.P.?Charges -
-
-" Total Fees
e.
LOT NO.42�
NO r.,'STREET '
C+Tn-4! O7 Cu6' CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JUL26197'I
r�
q_(��1 1°�j Sanitary No.
Date P A,%T& RJ ,19_ Permit No.
Jam. Fee a f`
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 Singte Dwetting Work To Be New Con ttwc ti.on
Premises Performed
owner BAS Home6, INC. Address 20823 S.tevenb Cheek Blvd., Cup
Phone 252-2077
ByL C Bohaht P umb' gS0, Address_139 F. Fhomnk?t Ave.-, Cnnvs�__, ipy Po_
Contractor, Agent
Phone 245-2323
State License 186579 Ap
proved
Plumbing Inspector /
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 �e
FIXTURES
NUMBER I
MAIN DRAIN
Units I
Fees I
Units
Fees
Water Heater
Size
'
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Troy
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink 8 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
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Totol Fee
Place
26 Su
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00
3v
W �y
= O
LL W
OQ
z N
Z
a w
w =
a w
00
> H
O
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30
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z
Wz
s a
ap
_ V
rvv. 'lF a�n¢i CITY OF CIS?ERTINOVAL. g-0-,-0-OQ—
CAP.,
APPLICATION FOR BUILDING PERMIT- EEE_5.60
�"•- t
Date MaY '5%3" 1977 Building Per. No.��i7
C,,a he^ SanitaPer. No.Gw
\�`ps
Application is _re67y made for a permit to Construct (91an 2405)
�
�,^ .t y .
a 1 ry, TTyp. 5)li.Hr(2405sg.ft +440sg.ft. Gar) Structure
to be occupied only asI & J Single FarAly Dwelling in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 80 000
It is hereby agreed that the requirements of the PI Ck Fee $
247.00
Cupertino Building and Zoning Ordinances and all Fee $
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
Sam CONTR. OR ACxTJ864
PHONE STATE LICENSE
20823 Stevens Creek Blvd.
Suite C-2, Cupertino, Ca
ADDRESS
ADDRESS
BUILDIJJG INSPECTO