NO PERMIT NUMBER 10020 : I MossB' Oak Ct . Lot No. l l
No. Street 41645
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 7361
File No. 51 ,231 . 1
Do to 6/15/71 196
Application is hereby made for a permit to
Construct a 2 story, Type
to be occupied only as Single Family Dwellingi
in accordance with Plot Plan, Plans and Specification filed herewith,.
Estimated Value of Improvements $ 25:000. 00
FEE$ 78• 00 Plan Check $
Owner Shapell Industries Address 4000 Snott B1 irtl . 9- ('
i
Contr. Address
Phone 247-3801 169863
State License
252-3831 Approved W. D, Ben Vi nh/h
�J
APPLICATION FOR ELECTRICAL PERMITq
Date —&717k-L19 FEE$ s '0 O
Contr. Address
Phone ' IN
Sto to Lica nye
Approved
APPLICATION FOR PLUMBING & GAS PERMIT )
Dote --f-i— 196 - GAS FEE $ - � (�/
—7
PLUMBING FEE $ �b
Contr. Address
Phone —n�lrilif' "T"� 'y�O State License L�
Approved
z
9�� APPLICATION FOR APPLIANCE PERMI/9a ,,—
Data / 196 `7/ FEES
Contr. -wCiG/�,1p'R-t'� 7'7 y c,gyp// ac!-4
Phone G S^ State License O
Approved
Applicants agree not to violate arty of the.
Workman's Compensation Latus of the
State of Californias
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME Z
LATH & PLASTER
GRADING FINAL oil
Qv
FINAL BLDG. i
CAL
Jam. '�•^� SPEb
• 1 INSPECTR R MISC.
UNDERGROUND ROUGH
ROUGH WIRING I Sao
FINISHED WIRING -
FIXTURES
MOTORS
FINAL r
PLUMBING, GAS 8 APPLIANCE
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO. _
UNDERGROUND ROUGH
PARTIAL ROUGH a
ROUGH COMPLETE !� r17111
MAIN DRAIN -7
FINAL PLBG. 1 - 3
-
`i/-7
FINAL GAS "'
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC 7
MISC
MISC
I I
ROUTE SLIP
File No .
Date ! �
Location�Ll � �
Subject �:�x�
Notes
61 FASKIN 1;
Approved /--3/-, -
Date
ROUTE SLIP
File No ,
Date "
Location1 4 p—
Subject t
Notes
Approved—n"
Date spector
`� ELECTRIC SERVICE NOTICE PG&E COPY
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPF.RTIi O
_
To _... - .... ...... ...... 197.x+
- �
You are hereh aut ized to tonne ele ical service for
Owner or Tenan ..... '
At ............�.. .ZU...._ .
._ _.
No. of Wires ......_.__......_... Size of Wires .... _...... . ..... Size of Switch {bp. --
Motor Load .......................... Voltage ._.......... .................. Phase
Heating Load ...................... K. W. Voltage
........................
L..�l l(1._/u.Srrei c•.....__....... I(rmnnrc L........... . ...
No. of Meters..... Ligh
..............
II
Heat._.............. 220....._. tee Ire .__._. Mote Serricc_....._...
No. of Add. Meters...........
.Power............... rre ase.!.. ......... M.,e Meter........
.A.__._ ._ ........... ...
ELECTa!CdL INSPF.CTc 4
OFFICE COPY
n 1 ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN,
. ........................ ...
To
You are here aut ized to conne -elect ical service for
Owner or Tenan .... ....
At ...........,.dC7 Z.U..... . .... ... .. __�.��.... . .....�
No. of Wires ........................ Size of Wires ... Size of Switch
Motor Load ....................---. Voltage ._.............
......_......... Phase
. ...................... ....... ...
Heating Load ........................ K. W. ._..._... e Voltagge
_....._... / ...... ......... .... ...... .
No. of Meters.... 4......((
g ... I10.../__.... Servic........ Reconnect.............Liht. 20...
Hear.. ree re. ...... Move Service.......No.of Add. Meters... .......
Power......_....... ft�ree ase._.. ........ Move Meter..............
.............�4.- . . . ...._. ', yam
ELECTRICAL INSPECTOR
Cupertino Sanitary
District Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. ...'72� °.1..........
Plumbing Final Plumbing Permit No. ..57/
Lot No. ..........
Owner or Tenant ------
............................... .........................................................
At -------
...........
. ..........
Tract
. ................................................................................ .........
Date Connected ......1I..-a71- -
---------------------------------------------------------------------------------- 19............
Date Final ....../-- 3i - 7 1L
.................................................................................................. 19.----.......
.....----...---- z ......................
...................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. ...73(ol..........
Plumbing Final Plumbing Permit No.
Owner or Tenant ..... Iv.aj,
... ------- Lot No. .........//...-----------
----------------------- ----- ------- ---
At ------- ----------7n- ....olalk
Tract
DateConnected ...... ...................................................................... 19------------
Date Final -----
. .'...7.....Z..----.---............................................................ 19...--------
-------..... ----1I`-- 4 ----- ...................
PLbMBING INSPECTOR
GAS SERVICE NOTICE omc!:
COPY
BUILDING INSPECTOR'S OFFICE '
CITY OF CUPERTIN
To CITY—0.F..... .........
You are hereby author' ................. .... .... .............................
toconnect t e GA ser-vice for
Owner or Tenant .... ...........
........................ ..t-...... .........
At ...... . . .. ...............
New Service
No. of Meters ........ Reconnect ... .........—.............
Move Service . . .-....... .. ......
No. of Add. Meters .... ....... Move Meter .......... —......
ge.A.,49::
PLUMBING INSPECTOR
✓
GAS SERVICE NOTICE ' P G&E
d BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
....._........._....-- --.... ..<f'L.....,l....�%.....� 19�..�r
To
You are hereby authorized to conneedtthe
GA ejrvice for
Owner or Tenant
2,1:
Owner
�'%+-�
......---- .._ .. ..../..-.................._...._--..... ......
4. }
y / /
Ac ....../nL....?:.��....... .... ..... . ..
lJ C
il f � -
New Service .........!/ ....
No. of Meters ......... ......... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter -----/............
................................
PLUMBIN. G INSPECTOR
10020 Mossy Oak Ct. /
NO, 5TREET LOT NO. 11
w rc CIA Of CW"Rc Tvfo
x o CITY OF CUPERTINO
o < _AUG 18 1971 APPLICATION FOR ELECTRICAL PERMIT
3u
W
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O W Dain
te 19 _ Permit No,
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<w Application is hereby made to the City of Cupertino for a permit to install electrical
W I 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
> N City of Cupertino, and all other laws applicable thereto.
03
oa
z_j Use of Premises_ Family Dwelling
J
J O
3 m Owner S 1 i ng HOmph_ Address _4000 Scat+ R1 7cl.
w W BY Sget �le�ti Addr .s _ 1915 National
¢ ¢
O F CONTRACTOR, AGENT A aywar
40 _
—O Ph„ne: P Era rue srecTot r
State License 24045
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10020 Mossy oak court 1 4-
No. Street Lot No. ll
CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT N �4,-E ly,S'
City of Cupertino
„ JUN 15 1971 SanitaryNo. P-7361
Date May 7 ' 19t-11 Permit No. ..5/.72 f
v
E AplidatiE)is hereby made for a permit to construct
o` 10
3 a 2 story,Type Building
$ w to be occupied only as Single Family Res. in accordance with
0
Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
m s Estimated Value of Improvements,$ �Z d-d-o Fee$ 14k�r�
m
oItis hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
0
> all other laws applicable to the construction, location, and use of buildings within the City of
c A Cupertino w mplied with.
S ie
Owner P
Ind trie f 3000 Scott Blvd.
°
3 ' Address .a
m aFi Address
o Phone 247-3801 ApproVWILLIAM D. @ENEVICH
U
State License 169863 Building Inspector
K
CITY QPl�CUPERTINO
E LE'GT9RI C "L"
V bF+CUPER /
r
DA INSPECTOR
0 �1 CITY OF CUPERTINO
GAS
RELEASE
.. <D `{OF CUPFRE/
Cr _
1 nuor�-
DATE INS 'ECTOR