51231.1 (2)10030" Mossy"Oak"CO.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 6/15/71 196
Application is hereby made for a permit to
Lot No.
Sanitary No.7-�h2
File No. /
CnnStrnnt a P story, Type
to be occupied only as Single Family Dwellingl
in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $ 25 , 000. 00
FEES 78-00 Plan Check$
owner _ Shapell Industries Address 3000 Scott Blvd. S.C.
=ontr.
Phone
247-38o1
Address
State License 169863
252-3831 Approved W. D. Benevich/h
Date
APPLICATION FOR ELECTRICAL PERMIT q Q
t L '� 196 FEE$
Contr. Address
Phone Q d State Licens
Approved
APPLICATION FOR -PLUMBING & GAS PERMIT
Date 02 196 -7,GAS FEES G
PLUMBING FEE $ ta26•J�
Cont,, '/ l.�p Address / p p�
Phone — �f �— rTZ `/L 0 State License �6 to 'q ! /
Approved
y APPLICATION FOR APPLIANCE PERMIT d
Do to z_n 196 71l Ap / FEES - nn�n9 /f
Contr. !4_ Cw..�.C.�-.J e /heq�elQias %79 CJ`'C�/ {�L�
r _
Phone t / 1— a6,6 S State License
's Approved _
i
Applicants agree not to violate any of the
Workman's Compensation Laws of the'
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION 101
l'
UNDERFLOOR t l_
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
` E ECTRICAL
f%CQ'130'1I .DATE SPFjC4QR ( MISC.
UNDERGRO GH
ROUGH WIRING
I
FINISHED WIRING"
FIXTURES
' 1v
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ.-
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. _
FINAL GAS
FINAL APPLIANCE
MISC
MISC
MISC
NCPPC7l1P MISC..
'I
m�l�l
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
----- ------ ----------- --
ly apartment
� b- Located a0z�� -- 3 ---- - -- ------------------ ------
0-- ?� --- A"
--11 ---- ---- ---- --- � - 44�-
-- -------------- ---------------- --- ------------ -- ---------
--------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call t e inspector.
252-4505 Date:
City Telephone Inspector:
LOT
NO STREET
CITY OF CUPERTINO
" APPLICATION FOR PLUMBING PERMIT.
r:
4A
Sanitary No.
Date l 19/ r Permit No.
Fee8 5i 10
Applicdtion 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 pipes
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto. { `
Use s A .. Y , Work To Be
Premises .—(tC!/
Pe<formed
Owner p Address`—LL/YYLQ1
By? Address-e k
Contractor, AAO iZ P% L�cC� " • t�—
Phone /��J/Q`'
Stale License `��r/ s—� Approved
Plumbing Inspector
[L I AGREE I WILL NOT VIOLATE ANY OF T E WORKMEN'S
e COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
FIXTURES
NUMBER
I MAIN DRAIN
Unitsi
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 Tray
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
III
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
Total Fee
Pr \-) -
fix] Sewer Connection
[.Z) Plumbing Final
i
Owner or Tenant
At
V Tract
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No. ..... ?4.a-........
Plumbing Permit NoR,7_34- 1---------.
Lot No.............� ; - ....
DateConnected . ..L�-- c�....71.........................................---------------------- 19 ------------
Date Final ............ / - % �--
...............
PLUMBING INSPECTOR
To
You are hereby
Owner or Tenant ... — ...
At -leo 3.4 .....
GAS SERVICE NOTICE OFFICOPYC2
BUILDING INSPECTOR'S OFFICE
CITY OF CUPER
........... ...... ,7 .. 2
ithned to connect the service for
........................
New Service ...
No. of Meters ... -/ ...
Reconnect .............................
Move Service .. ....................
No. of Add. Meters . ... ...... Move Meter .... - ... .... ... ....
PLUING INSPECTOR
10030 1 Mossy Oak Ct. 12
N0. s"rR LET LOT NO,
CqP OF QFERTWO CITY OF CUPERTINO
AUG 18 1971APPLICATION FOR ELECTRICAL PERMIT
DatcA J 1 - , 19 _ Permit No. S 12.1I
Fee S ?CD. 90
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 evith the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises Family DWellina
Owner StPrl i ng HOmps;
By Spntt Rlartric
CONTRACTOR, AGENT
Pi . 783-7700
�-� State License 24045
Address 3000 Scott Blvd.
Addres 1915 National
APpro —
ELE If L 1 ECTM
ITEM
NEW
RPL
FEES
Number of Outlets
i
Number of Switches
E±-
6
Number of Receptacles
3 n"
Number of Fixtures
I
- O
Ranges or Ovens K.W.
a-
- b
Size of Main Service
C 0
Number of Meters
Number of Panels
d
signs - Transformers
Dryers
G
Motors:
_
0
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2m4O
H.P. Charges
Total Fees
�0•90
To
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....... . ....... 1971,
You are hereby'autfi i , zed to connect el ctrical ibryi-ce to
Owner or Tenant .........
...... ... .................. . . ........ .. .... ..........
At .......... 01—
. .......... ................... ......
No. of Wires . .... . ..... --- Size of Wit s ...... ............ Size of Switc co
Motor Load . ....... ........ : ....... Voltage --- — ................. ___. phase .........
Heating Load ...................... K.W. ...... Voltage ........... ..................
No. of Meters.... m Service ---�—Xeconnect
110
... Lighr�' ice
Heat 220 ..... Three Move Service..........
No. of Add. Meters............
Power .............. - Vhas Move
rvwh:"'� , Meter......,.......
.......... V ....
ELECTRICAL INSPECTDR
ROUTE SLIP
File No
Date
Location S
�.� 4
Subject ( /OLD'
Notes
Approved
Date In ector
ROUTE SLIP
File No.
Location IGs94 LL
4
Subject
Notes
LOT NO.
NO. STREET �5
CITY OF UPERTINO
APPLICATION FOR APPLIANCE PERMIT
LLSEP 2 9 1971 9-22-71
3 Date 19 _ Permit No. .�
" LL P A Q Fee•$ 19.25
O' Application is hereby Iretrle to the City of Cupertino for a permit to
o install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
W = ' Code of the City of Cupertino, and all other laws applicable thereto.
t�
3 i
Use of
Premises Res.
oC
� 3
Owner
Shaoell Znd
ZJ
Z
2.0
ONTRACTUIC,/l .BN,E----,��b
—
Phone
59r?605
WZ
W' W
o i State License 113829
ao
-uV
Address 300 Scott Blvd
SHEET METAL WORKS, INC.
SAN CARLOS, CALIFORNIA
Approved
PLUMBING INSPECTOR
APPLIANCE
UNITS
FEES
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
rr11 ��TT
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
LA
®Co
Inde end. Vent 5 stem
Com.. Indust., Inst,Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air over 4000 CFM
Ind. Ventilation System
(without C mf o
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, NM-of-P4e
9
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15Hi
Over I If Rh
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500 000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absor . units with input
of 500,001 & Under 1,000,000
'
Permit Fee
��
Total
Total Fee
�q..
10030 Mossy Oak Court
No. Street Lot No. 12
CITY OF CUnRi1NO APPLICATION FOR BUILDING PERMIT 0 "G
City of Cupertino P-7362
F J 15 1 25 Iq� 71 Sanitary No.
Permit No.
Y Aopli- tign i,{tereby made for a permit to construct
o � F� A 1 u
3 a 2 story, Type Building
d
w
o to be occupied only as Single Family Res, in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
m
� = Estimated Value of Improvements, $ 02 S� Ud'�f �'•� � Fee $ 7k
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
0 A Cupertin wi m lied with.
o r�p �n st ie of 3000 Scott Blvd.
3 Owne AddressSaniia Clara, Galif.
_ a
m m B ddress
m a
lib E Phone 247-3801
., 0 APproveV/ILLIAM D. P=ki MjyCK
State License 169863 Building Inspector