NO PERMIT NUMBER 10012 Mossy, Calc Ct . Lot No, 1
No. Street # t
31710
APPLICATI& FOR BUILDING PERMIT
CITY OF CUPERTINO 4-
I BF
f Sanitary No. 71
File No. 51231 . 1
Date 6/15/ 196 71
Application is hereby made for a permit to
Construct a 2 story, Type
to be occupied only as Single Family Dwelling
in accordance with plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 26 ,0oo.
FEE$ 80• 50 Plan Check $
Owner ShaAl'll Industries Address 3000 Scott Blvd .
Santa Clara
Contr. Address
Phone 247'3801 State License 169863
252-3831 Approved W.D. Benebich/h
APPLICATION FOR ELECTRICAL PERMIT`
DateK... 196 FEE$ �lbit `Jr
Contr. iafS1.XY, Address
Phone (�?e 1 � ��1 State Licensee
Approved.
APPLICATION FOR PLUMBING & GAS PERMIT
� s'a
Date -77-'T— 196 GAS FEES �1)
PLUMBING �QFEE $ - 12
Contr. L---=A39 Address
Phone - -Z State License
Approved
APPLICATION FOR APPLIANCE PERMIT�� y�
Date /1/ ^_ 1% 121 FEES
n nen
Contr. ;,dam l.e�e.✓ ,�,4_�� /7-yr�.Aes 7 7 y cC Ga-.- 2
Phone �_r/�� --W, e7 State License
Approved ?
Applicants agree not to violate any of the U
Workman's Compensation Laws of_the
State of California .
RECORD OF INSPECTION APPROVALS
&(/.,- 7( Acri"Te s-
$-t7-7/ (54900 FTS J,
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR `
FRAME 124*21' 4'
LATH & PLASTER -
GRADING FINAL q d
FINAL BLDG. IZ { ' ?' K�I LANVS 6 IaNV
h 1 �� ELECTRICAL
�l CTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 1
FINISHED WIRING 2'
FIXTURES Z
MOTORS
FINAL Z
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR SC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH -2G
PARTIAL ROUGH /
ROUGH COMPLETE -0 ��
MAIN DRAIN �7�
FINAL PLBG. G� -
FINAL GAS '"� 7
FINAL APPLIANCE
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DATE .INSPECTOR MISC.
MISC J f
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ROUTE SLIP
File No .
Date
Location .d2 �zez
Subject_ Cl
Notes ?
Approvedx-,2
Date Spector
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. ....73:U-----------
Plumbing Final Plumbing Permit No.
LotNo- ------------1 ---------------
Owner or Tenant
..................................................
At ......
...... 2.e "77_l jr til ----------------------------I.............................
Tract I
....................... .......----- -------------------- ...
Date Connected ...._`L..'--. ../__3-------71
................................................................. 19-......-._.
Date Final -------1)..
-------------------- I9.---....=—
0
.....................
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SEkACE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
TO
You are ihereby th 'zed to connect electrict�L service for�y
Owner or Tenant ... ..... ......
.... ....
At ........1-0.o
No. of Wires ........................ Size
Sizeof Wires ..l............. size of Switch(COA,
Motor Load .......................... Voltage ..... ....... .... ....... phase
Heating Load .....e .......... K. W. ..__.........._................ Voltage ........ ............. .
No. of Meters........I ight:-.::-:.1--�I New Service.. Reconnect,.... ......
eat,..........._._
t
H 't 220 move Set
No.of Add. Meters v i 1*
Power..._.......... T Ph Is
j
1 GAS SERVICE' NOTICE COPi'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO(l//''����—
To
You are hereby autl1prized to conned the GAS service for
Owner or Tenant ._;, ._.........._. . -. ._ .
At ../_DOL -..... .... .... .. .. ._D ...c .{ . _._......._._..._.............
New Service
/ ..........................
No. of Meters .........{........... Reconnect ..............................
Move Service ......._....._...... .
No. of Add. Meters ..._ ..... Move Meter ._..._...... ... .......
PLUMBING INSPECTOR
10012 I Mossy Oak Ct /
1
I ✓,Q NU. $'rR r:eT LOT NO. �
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r o CITY OF CVFamo CITY OF CUPERTINO
11
O < AUG 18 �g.APPLICATION FOR ELECTRICAL PERMIT
5 U
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w w D�Ge /t, I 19 _ Permit No.
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> � I=ce S .20- 75
a Application is hereby made to the City of Cupertino for a permit to install electrical
w
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable thereto.
03
z-i Use of Premises__ Family Dwelling
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< Owner - St rl i ng HOmpc Address _
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w w By qpott Rl ec:tri r Address 1915 National
QO CONI-RACTOR, AGENT Hayward
— U rh,,n, 7a-4_77n Appr
nELE ] L SPECTOl
t State License 24045 1•�//
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LOT NO. 1
co e0CUFcRT1N0 STREET
„ � 29 ��71 CITY OF CUPERTINO
LP
z L APPLICATION FOR APPLIANCE PERMIT
3M � —�2�71 XX--
Datek� 19 _ Permit No. r�3�i
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_ Fee $ 17.25
' 0' Application is hereby made to the City-of Cupertino for a permit to
o install gas appliances as listed on the reverse side hereof, and agrees to
z tninstall said appliances in accordance with the provisions of the Plumbing
_ Code of the City of Cupertino, and all other laws applicable thereto.
SUse of Premises Res.
OC
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wner Sh ell Ind.
Oa SANrCA 300 Scott Blvd.--INC.
z By {� � `�`� Address 779 OLD COUNTY ROAD
° CONTRACTOR, AGENT SAN CARLOS, CALIFORNIA
3F
— Phone g$], 2605
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a o1 , �State License 110828 Approved
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/ PLUMBING INSPECTOR Z�_-
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10012 Mossy Oak Court
No. Street Lot No. 1
CITY Of CUPERTINO I!7 3 _ 7 /0
APPLICATION FOR BUILDING PERMIT
'JUN 15 1971 City of Cupertino P-7351 .Sic
Sanitary No.
F Date May 25 14 71
„
— Permit No. �
Y 'E KDp
pp ti i ereby made for a permit to construct
o 'o
a 2
3 story,Type - Building
0
-to be occupied only as Single Family Residence in accordance with
cY Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements,$ a Goff 06 cl Fee$ S-0
o o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.s all other laws applicable to the construction, location, and use of buildings within the City of
3 g 0 Cupertin�r ' p mpheuT�
i s of 3000 Scott Blvd.
.3 n OwnerAddress Santa Mara, Calif
d m By Address
v a
Eo Phone 247=3801 Approved anri o ri ,—'HZ �1C:-1
U 169863 Building'Inspectorei
Slate License g
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