NO PERMIT NUMBERr
10040 1 Mossy OakICt.
Lot No. 13
No. Street 1 31413
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 7363 BF
File No. 51,231.1
Date 6/15/71 196
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
FEES 62. no
0.,.., Shapell Industries
I Contr.
$ 22,000.00
Plan Check $
Address "3000 Scott Blvd. S.C.
Address
Phone 247-38`ril State License 169863
252-3831 Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT�O
Date It _ I 1 FEES GG►►
Contr. Address 1
Phone i ^ Z
State Lice n{e{
Approved `s�.A
APPLICATION FOR PLUMBING & GAS PERMIT Date 196 71 -GAS FEE $ c' r/
p PLUMBING FEE $ a. )
•�Ty
Contr.—t~?=•�=sn l� Address /
Phone a State Licensee �F"t✓��
Approved
9 APPLICATION FOR APPLIANCE PERMIT o_
Data '7�/ FEES � 196 7
Contr. 7 46— — % % f (J`��t�----ail t"Gl
Phone _-'6 171 O. S-- State License 1lQ 0a'd'
Approved -r
Applicants agree not to violate any of the �—
Workman's Compensation Laws'b tthe :g
State of California
~` RECORD OF INSPECTION APPROVALS
71
BUILDING
DATE INSPECTOR MISC.
PAD FINAL A
FOUNDATION —�1� -it -
UNDERFLOORn1
FRAME -
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 7L
AVA) LAIN�s�AN/��•
l j C7cia 1l,lkLECTRlICAL
INSP,E C/I OR 00-- MISC.
UNDERGROUND ROUGH
ROUGH WIRING
Z
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLI
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH-1
PARTIAL ROUGH
ROUGH COMPLETE z%
MAIN DRAIN - -')L
FINAL PLBG. /-'4
FINAL GAS-�
FINAL APPLIANCE
_7
MAIv INSPECTOR
MISC.
`
CITY OF CUPERTINO
10300 Torre Ave.
CORK CTION NOTICE
partme. /
JoFj Located at
---------------
--
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
-ti
252.4505 Date: ------- t---:1 ... ........
City Telephone Inspector:
TY OF CUPERTINO
10300 Torre Ave.
i!0--�MiCTION NOTICE
-------------------- ---
Department
Job Located at -I-- - - - /3 ------------------------------------
---- ; - -------------------------------- r _-- - ------ -- ---- -- -. e�-X-------------
. . ......... .... o �7,0011 P C
5'��WooOhV6.
.... .... ... ---------------- ---------- ---
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505
Date: ---- /- '? /- 7 ?--
- - --- -------------- <----- --
City Telephone Inspector: ---- -,Aoor
ROUTE SLIP
File No.
Da t/e 6 -
Location�-5�ie/Qq�
Subject��
Notes
Approved `,6 `
Date In ector
t. -
ROUTE SLIP
File No.
Date 4 3- Z-?Z
Location6je4r
Subject / k�
Notes
Approved •a "%Z
Date spector
� f 3 GAS SERVICE NOTICE- OFFIC,:
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI
To
You are hereby autho ed to connect the GAS service for
Owner or Tenant ........_......... .... .......
A:. `6JU..I�....�i�.......... .. ....�J'__...
New Service _G.............
No. of Meters ... ............ Reconnect
Move Service ...... ......... .......
No. of Add. Meters .............. Move Meter .....................
............._................. ._... ........... _...... ...._.:
PLUMBING INSPECTOR
F
'L+J Sewer Connection
Plumbing Final
Owner or Tenant
At
Tract
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No. ...%.36-3..........
Plumbing Permit
No.......... - .... --
I TO
You are hereby
Owner or Tenant
At... ..........
U
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
to connect
..... ......
" OFFICE COPY
No. of Wires ........................ Size of Wires Size of Switch
Motor Load ..... . ............... .. Voltage .. ...... .... ............... Phase ....... ...........
Heating Load ........................ K. W. -- .................... _ ...... voltage ............
(Light ..... —.—l<
No. of Meters..........(..._.... .... � , I jo ...... �Iew Senice... .... ..... hmonnect ....
No. of Add. Meters............ Heat .............. .220...... ree ire.... Mt,e
Power... ............ e ase.. Nf ... e Meter-
1&:LEC1R!CAL22 S�FCT',.R;
n
10040 Moss'y opAe- Cr
LOT
No. sraeer
CITY OF CJYE.nN0
CITY OF CUPERTINO
JUL 19 14ITLICATION FOR APPLIANCE PERMIT
Da t 197Z Permit No. S1 ^Z 3 /
Fee $ -7, 0 0
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 all other laws applicable thereto.
Use of Premises
Ownerr'u �1 �C Qi�£CI �rJni
B!uF LOm e4 ��
CONTRACTOR, AGENT
Phone "N I - 7 SS-0
State License n 3 3,58
E.
Address I.14-T q)res l p"& W % I
Ml' UV _Ltit .
Approved /
PLUMBING INSPECTOR v/
APPLIANCE
UNITS
FEES
as op
Gas Oven
Wall Furnace -
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. Vent System
Com. Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFD1
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool )
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No.,of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15' High
_ v High
Comfort Cooling
Comp. of 20 HP or less
I
lgoo
& absorp. units with input
1
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absor . units with input
of 500,001 & Under 1,000,0 0
Permit Fee
0
Total
Total Fee
. 00
_um) 1 C-• LOT NO. 1 `
NO. STREET /G//�
CITY OF CUFMINO CITY OF CUPERTINO
SEP 2 9 197APPLICATION FOR APPLIANCE PERMIT
Date,,-,22-71 19 _ Permit No. 31
6�N f
Fee EH19.00
Application is hereby Irmde 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 Premises Res•
Owner S a ell Ind. 9Anddr�gs 300 Scott Blvd. C.
AddressW OLD COUNTY ROAD
CONTRACTOR, AGENT ii w CARLOS,
Phone 591-2605
/State License 110828 Approved
- 294at
,y / X PLUMBING INSPECTOR
APPLIANCE
UNITS
FEES
as op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
ou
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./6a0m
PICO
Inde end. Vent System
Com., Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind, Ventilation System
Comfort Co I
-(without
Forced Air. Meth. each Power
ecpp
Gravity System �7L\3 cam_
No of Air Outlets. o. es
r1co
Stacks for Metal Fireplaces -
t
3
Smoke Slacks, Misc. Equip.
1 5' Hi t
_Under
v 5' 11'
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
Js1JV
Total -
Total Fee
�q
10040 Mossy Oak Ct.
NO. STREET LOT NO.
a" OF CITY OF CUPERTINO
AUG 18 lorPLICATION FOR ELECTRICAL PERMIT
13
5�Z
Dat6ryry ^ I n 19 _ Permit No. � I
1-cc S 070.30
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
wirinp, and/or fixtures in accordance. with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises Family Dwelling
Owner Sterling Homes
By - Cnnti- Fl oct - r
CONTRACTOR, AGENT
V State License 24045
Address 3000 Scott Blvd.
Addre. 1915 National
Hayward
Appr
ELECTR f PECIDl
ITEM I NEW IRPL (FEES
Number of Receptacles I a % J _ A
Panels
Phase
10040 Mossy Oak Court
No.
Street
Lot No. 13
1-fe9
CRY OF CUPERTINO APPLICATION FOR BUILDING PERMIT H —?/ >e "3
JUN 15 1971 City of Cupertino P-7363A`
Sanitaryr1 '
No.
Date tt��May 25 , 19f�1 permit No. ✓n
EP AAlicitioU hereby made fora permit to _COnS trUCt
W 2
a story, Type
oto be occupied only as Single Family Res.
2 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Budding
accordance with
Estimated Value of Improvements, $ poi O 0 G °-' Fee $ 6 S
It is 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
Cupertino wi mplied with.
S e Industries f 3000 Scott Blvd.
Owne Address Sama Clank, _ ea l i f
aB-� - Address
o one 247_38g1 ApproveWILL1AM D. BENEVICK
UState License 169863 Building Inspector
X. v