NO PERMIT NUMBER 0171.-- Pari ch Pl a ` _-� 25'
NO: STREET - LOT NO. .
1 3:43,'
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO: 94y4
FILE NO. 51 4FIt
3/31/76
DATE 19
Application is hereby made for a permit to -
ConstrucE ,Pl An n;') a P story,type'
to be occupied only as Oi ngl p Family Thrill l i ng
in accordance with plot plan,plans and specification filed herewith.
I
ESTIMATED VALUE OF IMPROVEMENTS $_•4,9�onn
r ,
FEE$_184:.00'. PLAN CHECK$
OWNER Mavco Const. ADDRESS 21060 Homestead Rd. C
PHONE ' 733-9693
257-3831 ,job
CONTR. ADDRESS
PHONE STATE LICENSE 284337
APPROVED jnpc H- Cic]L/h
BUILDING INSPECTION RECORD
DAJE, ECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE - FRAME Z .
BOND BEAMS LATH
WALLBOARDS:-1011WALLBOARDS:Z1011 EXT.
FIREWALLS /
MEMBRANE ],.. LANDSCAPING
F,M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAP AMS
. r•
Tti•�TR
MOOREBUSINESS rORMSINC-L. 'Y
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS _ EXTERIOR FIXTURES
FINAL 94 or 17 MOTORS -
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH i FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE '
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS —T
FINAL PLUMBING -;7 -
MISCELLANEOUS
ROUTE' SLIP t
File No. .
Date -t'x 6'
Location 2:(�
Subject61
.:
V.
Notes
Approve?77
D to Inspect Kr
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO'
DATE � ' ` 7G, q_ .BLDG. PERMIT NO. .6-/, 3G
III il, '
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THE BLDG, LOCATED AT ' //i/7/ f�i.✓�.�,o
t
OWNED BY
(COMPLETED'FOR USE AS /,:O.,v(' ,
HAS BEEN��
(ALTERED) U
BUILDING INSPECTOR
V4_( C/. ' '"' OFFICE
-J CITY'OF'CUPERTINO- coav
GAS�SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for '
Owner or Tenanti��ej1,r�cn�
New Service L�
No. of Meters l Reconnect
f
No. of Add. Meters - Move Service
Move
//Meter, A
PLUMBING INSPECTOR (D.(D,.
'y OFFICE COPY
a ` CITY OF CUPEPTINO
I ELECTRIC SERVICE NOTICE
i
You are hereby authorized to conned electrical service for
Owner or Tenant ....02L-5t,-•'c...,..C[
r
No. of Wires ........................ Size of Wires'- ..... Size of Switch ..�. I�
Motor Load ............. ............. Voltage ...._. ,............._..... Phase ...__...:.
......................
Heating,Load -..-....t....:...... .... K. W. ......_..... Voltage ......_........................
r (Light................ 110_h. New Seni.........( 1<e•iwmect.........
No. of Meters....:....{..:.....1 ..... ...
11 Heat-.......:.-__. 220... .. Three Wire.......-..._. mocc Senior............
No. of-Add..Meters............
.
Power........... Three Phase.....
.._.......
� .
li lEC'rH!CAL Iti SPECTO4
r
- - Bldg. Dept,
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
i Sewer Connection Sanitary Permit No. .........
..''4.".13,3
Plumbing ' r'- i - ----
8 'Final Plumbing Permit- No. ..d.. ....r..�.:�....
Lot No. ....,.. �,.3.._.:-.........
.�_
Owner or Tenant ......
a �M
Tract .....................:. `. "'t
DateConnected ....... �..-: ...........................................:..----------------- 19------------
Date Final ..............7.-�-->1-=-.:j�::............: - :-- 19............
PLUMBING INSPECTOR
10171 Parish P1 LOT NO. 25
NO. STREET
CITY OF CUPERTINO
CITY OT Cure44,PLICATION FOR APPLIANCE PERMIT
JUN 281876 PermitNo.-
Date February 2 19r77��76 Fee$.
Application-isl hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse,side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
Use of Work To Be
Premises Performed
towner HAYCO Address21060 Homestead, Cupertino
Phone 733-9693
eY ATLAS AIR HEATING Address 1665 Old County, ' Belmont
Contractor,Agent
Phone 593-8065 ,
State License 266137 Approved
'Plumbing Inspec or
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT NO.
NO.' STREET -
ARR b J b I b. CITY OF CUPERTINO-
APPLICATION FOR ELECTRICAL PERMIT
P Q
Permit No.
3419761
Date 3 F.$ - -
Applicotion 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 installsaid
wiring 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
ork To Be
Premises) F. . Performed 6rr4 /G /J� e// ,t
Owners/A�/� ��� LO Address1 /A00/0 WA&Irz/Cu/✓
Phone/''>`3cc3—A,�o93 `/�
. ,By lae, �(�OX/ /AIG Address /U. ''�!f,_.UlfA&
9
Contractor,Agent -
Phone
State License �lto r Appioved '
Electr' ill spector
I AGREE I WILL NOT VIOLATE,ANY OFTHE WOR E S .
COMPENSATION LAWS OF THE STATE OF.CALI -R A. _
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NO
STREET
ir+o CITY OFCUPERTINO
//clrr `"APPLICATION FOR PLUMBING PERMIT
NIAR 2 21916 / ..
I n// / �` + Sanitary No.
Date � ,19 ® Permit No.
Fee sye� a0
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 thereto.
Use of ,.,� Work To B /
Premises Performed
Owner / Address
Phone
Address
C trgptor, nt/'
Phone
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S I
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. vl�
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ttti0 CITY OF CUPERTINO CAP (VAL
d O APPLICATION FOR BUILDING PERMIT (l EEE 3 j
Z -Z cxZ Building Per.No. — 3 6
W Dote ,19 .
0 1`l,{�K v �- - Sanitary Per.No.
3 u Application is herreby made for a permit to Can/S%P UGT r;k45/ A
r
=LLO a nstory, Type Structure
O to be occupied only as S/NGLE 7AIY/Lci 26u&61/ C in accordance with
a
'Z ,i Plans,Specifications and Plot-Plan filed herewith.
aw
F x Estimated Value of Improvements,$� rTd"a
LL PI Ck Fee$
O O It is hereby agreed that the requirements of the p-a
a Cupertino Building and Zoning Ordinances and all Fee $ �—
p < other laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be
ZO complied with. -
30 J,
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OW P NE ADDRESS
Q p -b CONTR.OR AGENT ADDRESS
PHONE ST TE IGEN E BUILDING INSPECTOR
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