NO PERMIT NUMBER 10042 I Mossy `Oak Ct . Lot No. 4
No. Street 41645
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 7354 BF
File Na. 51231 . 1
Dote 6/15/71 7q6
Application is hereby made for a permit to
construct— a P story, Type
to be occupied only as Single Family Dwelling
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 .
Contr. Address
Phone 247-38ol - 169863
State License
252-3831 Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date 19� I FEES �04�
Contr. q Address
Phone • 1� �� (b �.
State Lica ns
e==,
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 9 / 7 196 �� GAS FEE $ �; � ,
PLUMBING FEE $ _ e.2'6- A�
Contr. Address / y
Phone AV's - -y-z - O State Licensees �- �Q6�b g9 0
Approved ✓N�Y'-.��:`+-��
9APPLICATION FOR APPLIANCE PERMIT
Date /f 196 // 7 �/J// FEES - ,/ !F
Contr. ,� t .�/ �Ra.L� 77 9 Aa •—./S/j/
Phone 0 State License ZZO
! Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California { _
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL �
FOUNDATION ! r C f I• Fris ae Wc
ell
UNDERFLOOR
FRAME 1
�46—
op
LATH & PLASTER
GRADING FINAL
Z. .ya. R /►T ND
FINAL 6LDG.
%ING
aA
MISC.
UNDERROUGHFINISHFIXTUMOTORFINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH !! ;I
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN ?
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
�/
DATE INSPECTOR MISC.
MISC PM 7
MISC
ROUTE SLIP
File No .
Da t e;Wl--,7/
LocationaAn&kqp/go 12'
L
Subject R U /N at
Notes
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Approved
Date Xbpectof,
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OFFICE COPY
ELECTRIC SERVICE NOTICE
r BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO—�
.......__._._........._—..............._ ..._.. _....,
To �� 19 t
You are hereby 3 horized to connect electricaNervice for
Owner or Tenant ...�. ._.. . . ... .
.. ..,... .._
At 4..-v...... ..
..... ................... ... ..
No. of Wires ........................ Size of Wires ....... Size of Switchr. _
Motor Load .....................-... Voltage ......._...._..._ ........... Phase ..
Heating Load ............:........... K. W. ...._............__............ Voltage ._....._.................... .
1 Light...../ I10....../New ig
No. of Meters........_t........
Heat................. 220..... ..... Move Service...........
No. of Add. Meters............
Power............... h ...... Move Met r.....
..........._...._._...... ......:._ .P.LPECTOR
J
GAS SERVICE . NOTICE 01TIC:
copl,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI
To
You are hereby th cd to connect the GA service for
Owner or Tenant
At -/. �.... ..
New Service .....
No. of Meters ......../.......... Reconnect ........... ...........
Move Service .. .... ..... ..........
No. of Add. Meters ...... ....... Move Meter ........-..........
74
PLUMBING INSPECTOR
10042 Mossy Oak Ct. 4
W Q NO. 5"rR r:ET LOT NO.
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CIT
r v Y OF CUFERTW/O CITY OF CUPERTINO
O u AUG 18 197f PPLICATION FOR ELECTRICAL PERMIT
2 4
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n w I!$teA , ^ ]9 Permit NoS� Z3 !
1 ' _ .
[-cc $ o� 0• !pJ_
a Application is hereby made to the City of Cupertino for a permit to install electrical
w
r s, wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o 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.
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o J Use of Premises Family Dwelling
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3 `a Owner S erl i ng Homes Address 30000.gott BBlyd,
w z By Sp M-i- Fl eC -ri r Addres 1915 National
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as
O 2 CON]'RACTOR, AGENT aywarff--
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— U Phone: _ '783-77Q0 1ppr EEE [A NSPECTO! --/
State License 24045 1<
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1ocny2� mr>�� , �o�z � LOT NO. 4
NO. STREET r/r/\
Y �
cry 0' "" OLICATION FOR APPLIANCE PERMIT
s Z SEP 29 1971 CITY OF CUPERTINO
' 0
3u Dated J—. —71 19, _ Permit No. I" i
W a FCC $ 19.25_
' o. Application is hereby made to the Cityof Cupertino for a permit to
o ` install gas appliances as listed on the reverse side hereof, and agrees to
ien install said appliances in accordance with the provisions of the Plumbing
W Code of the City of Cupertino, and all other laws applicable thereto.
` � Res.
Use of Premises
o_ o
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3 Own aLi Address 300 Scott Bled_
iJ SAN CARLOS SHEET METAL WORKS, INC.
�,o BY Address n_ o ry r) Cni,.yTy p�
3 F CONTRACTOR,AGENT _JN CA2L0S, CALIFOKfd1A
-
Phone. 591-2605
Y Z
ao State License 110828 Approved `��
_U J PLUMBING INSPECTOR
N 8� Cyd
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10042 Mossy Oak Court
No. Street Lot No. _4
CITY Of CUPERTINO is- 41(0
APPLICATION FOR BUILDING PERMIT
1 1971 City of Cupertino P-7354 4-0Date 5 May 25 , 196mi
1 Sanitary No.
d 1� nn Pert No. 31.'1 y/.
E ARlicAonhs taby made fora permit to construct
o 10
3 •� a 2 story,Type Building
VE u
w
c to be occupied only as Single Family Res. in accordance with
o :% Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
I T «
Estimated Value of Improvements,$ c�2 S�d O O Fee$ 7o4
0o 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
c Cupertin will b lie w[h.,
�h usries 3000 Scott Blvd.
3 ° OwnerAddress5apta Clara, Cal,,-f_s—
m v By ss
m a
Emb o Phone 247-3801 ApprovWILLIAM D. RrNEj'fCg4
State License 169863 Building Inspector
y.