NO PERMIT NUMBER orange. Avs e ` 16
NO. STREET „', "LOT NO.
11II
CITY OF CUPERT,4INO 3.50
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9196
FILE NO. I 51,344
DATE 'A/10/75 19_
Application is hereby made for a permit to '. •�-
' - T�j'iJ I -•; .
(`Ongtrnri'. (Plan Z) a 1 story,type
(1846 sq. ft. Liv. & 441 sq ft. Gar)•. `
to be occupied only as T & .T Ri ngl p FLY y DW211i ri�
_ i
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 50 000
FEE$ i87-nn PLAN CHECKS 1
OWNER Pnndernga T-Tr pg ADDRESS 4080101 r0 .t.
PHONE 211TJa500
CONTR- ADDRESS
PHONE STATE LICENSE 969582
(� APPROVED .Tamps H- Sigk/h
BUILDING INSPECTION RECORD
DATE WIRECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
A sc—,J-y
PRE-GUNITE FRAME.
BOND BEAMS LATH
WALLBO -INT. EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
' FINAL BLDG. — �]
UNDER-FLOOR
TIEDOWNS - ISC- -
DIAPHRAMS 6-y^7
MOORE BUSINE55 FORMS INC..LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING f FINISH WIRING
' FIXTURES - INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL ¢ - MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH -/p- FLUES&COMB.AIR
PARTIAL ROUGH 6- CONDENSATE DRAINS
ROUGH COMPLETE (. - .) FINAL APPLIANCE - -.2
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
�i-CERTIFICATE:OVCOMPLETION-=
BUILDING INSPECTOR'S OFFICE"
CITY OF,ICUPERTINO
DATE [/ (// I9� BLDG. PERMIT NO.
I, THE BLDG LOCATED AT )
OWNED BY �"(n'�J n / •n .�
r ,
ICOMPLETEDI�
HAS BEE �— FOR USE AS
(ALTERED)
..rte-.
i
BUILDING INSPECTOR
ROU^E SLI?
File No.
Date
'rotes
Anp:+nund
Date lnsDeCLOr
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
I
Sewer .Connection Sanitary Permit No. ------- ...............
I
I Plumbing Final Plumbing 'Permit;No.-.'-.-
-- --------
Lot No. ...... 1("----._...
r
Owner•or :Tenant ..--'---t... -----------------------.---------*--------
At _----TJ rJ--.' .%fir....,-r_=..:?..r.:..:..: .... .. C,,.
Tract --------------------------- - . .
Date Connected ----------- ---`...U..----... .......----`....... 19....--..----
Date Final ..................... )G.-- ._7:) 9
. . . .........._....---..............---..... ......
... ................. -.......................
PLUMBING INSPECTOR
i
OFFICE COPY
ELECTRIC SERVICE NOTICE '
CV BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To 6r
You are hereby authorized to connect electrical service for
Owner or Tenant ..1... ?>T.E�:u.:r..!,�:A.....
At ............. . `c......................................................................
No. of Wires ........................ Size of Wires ....................... Size of Switch/
Motor Load .......................... Voltage - .....-.......:--.--......-. Phase
..................................
HeatingLoad ........................ K. W. .................................. Voltage ..............................
No. of Meters..... Ig � .-- New ServiceL.- --.... Rmnnect..............
.�� ....
..-........
No. of Add.Meters....-.--.... ��������-�-� 226'.
....-.... Three Wire-......_....... Move Service...........
Power:............. Three Phase..........:..... ve Meter.-............
........
.- t.........
ELECTRICAL INSPECTOR. '
OFFICY_
" CITY-OF-CUPERTINO�"!. COPY.
GAS SERVICE NOTICE
:• To
You are hereby authorized to connect the , AS�for
, v
Owner.or Tenant ... ..e.. ..•.O.?tw!..v....:...._'�:...:�...... '
At
'New Service . .. ..
No. of Meters ..._�._.. _ Reconnect .........
. Move.Service ...:_...._:.__.......
No. of Add. Meters ....... ,Move MeteP ... ......... ....
...................
PLUMBING•,INSPECTOR• '
/Q4/I amiVrF Aa LOT NO.
NO. STREET
CITY OFCUPERTINO CAP (vAL. 66A
CITY oa
d ALePUICATION FOR BUILDING PERMIT St FEE
Z z Beilding Per.No.
Date 9 . q
y ° fJiNf� �anitaryPer.No. 1T�
s —
O a Application is hereby made foorr annperrm/mit to --r .�
i 0 a 'tory, Type_a.i2C,O4'g �f�nr , Structure
O F to be occupied only as NACY�' N .�filf/✓/Lc in accordance with
a
'Z w Plans, Specifications and Plot-Plan filed herewith.
a " SO
Estimated Value of Improvements, $-f000_
a u_ PI Ck Fee$
0 O It is hereby agreed that the requirements of the
> vt Cupertino Building and Zoning Ordinances and all Fee$ 4
p a other laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be.
L ZO colied with.
3 Z ytJ-titi000o3. ` ..> a��-y�yao
NE�� n PHONE ADDRESS
CONTR.OR AGENT ADDRESS
- 4(66c 26457 2-
PHONE STATE LICENSE BUILDING INSPECTOR
/DO REE -LOT NO.
7
Ort
O? C4••;:� CITY OF CUEERTINO
MAY 2 2 1aAPPLICATION FOR PLUMBING PERMIT
A 4.I Sanitary No.
Date�- ,19 Permit No.
fee: 3�—
Application 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 prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable theret
Woo Work To
Premi Perform d
Ow r Addre 16
Pho
B/ Address//�--
Contractor,Agent
Phone
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10490 Oringe Eve . 16. Plan 3
N < FIFO., STREET LOT NO.
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a CITY OF CUPERTINO
Y o
o , MAY 98 .1AI PLICATION FOR ELECTRICAL PERMIT
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I' LL W Date t'' `r ZZ 19/ Permit No.
o � /
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z N Fee 5. o7
< Application is hereby made to the City of Cupertino for a permit to install electrical
w wiring and/or fixtures as listed on She 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
,a City of Cupertino, and all other laws applicable thereto. ;
z°_j Use of Premises REsldence
L
° Ponderosa Homes 308 1clitt S.C.
3 o Owner 1 e ttrIc AddressaELECTRICAL
• -
"w z B Birchwood
w w y Address
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t0 g CONTRACTOR, AGENT , Approve Phnnc: 734 3800 IN H
State License, 220068
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10490 Orange Ave. LOT NO. 16
NO. STREET
CITY OF CUPERTINO
cfTY oa OU'`IPPLICATION FOR APPLIANCE PERMIT'
JUS 21' 1915
Permit No.
Date 4-29-75 1 D_ Fee$-------- 4 AO
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 alll
other laws applicable thereto.
eof
Premises Res. Work To Be Heating & Sheet Metal
PrsPerformed
Owner Pondexosa Homes Address PO BOX 357, .Santa Clara
Phoria 247-4500 ,
By ban Carjlos Sheet MtAress 779 O1dCounty- Rd. , San Carlos
Contractor,Agent ,
Phone 592-9292
State License 110828 Approved
PlumbinTj Tr9pector
I AGREE'1 WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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