FILE 5139110172 Parlre£t'Place 12
NO. STREET. •��~f LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
9895
.. SANITARY NO.
51,391
FILE NO.
April 18 ,,, 77
Application is hereby made for a permit to
5 NHR (2080 sq.ft.
Const. (Plan 2080) .1 liv.+440 sq.ft. gar)
a story, type
to be,occupied only as I & J Single Family Dwelling.
., in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 70,000
227.00
FEE $ PLAN CHECK $
OWNER BAS Homes, Inc. -ADDRESS 20823 Stevens Cr.Bl.-Sw.
PHONE 252-2077
Same Same
CONTR, ADDRESS
PHONE Same STATE LICENSE 323864
/2 'j c/77APPROVED James H. Sisk/
m 7
Rc.Muj1rHV
MOORESUSINESS FORMS INC LA
BUILDING INSPECTION RECORD
-
DATE INSPECTOR
DATE INSPECTOR
FOUNDATION
FLOOR STEEL
t
�
PRE-GUNITE
FRAME
104 -77
BOND BEAMS
LATH
WALLBOARDS- INT. B EXT.
?
FIREWALLS
MEMBRANE
''^ LANDSCAPING
',F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
.r7
TIEDOWNS
-MISC-
MOORESUSINESS FORMS INC LA
RESIDENTIAL I DATE I INSPECTOR I COMMERCIAL I DATE I INSPECTOR
UNDERGROUND ROUGH
HEATING 8 A/C INSPECTION RECORD
UNDERGROUND ROUGH.
ROUGH WIRING
%
ROUGH WIRING
FINISH WIRING t
-. Lp.
FINISH WIRING
FIXTURES
. ye . t
INTERIOR FIXTURES
MOTORS
FLUES & COMB. AIR
EXTERIOR FIXTURES
FINAL
- 10 --MOTORS
ROUGH COMPLETE -
FINAL APPLIANCE y
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR
DATE INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION yJ -
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH 0
7
CONDENSATE DRAINS
ROUGH COMPLETE -
FINAL APPLIANCE y
ROOF DRAIN 8 LEADERS
MAIN DRAIN
- 7
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
l,J
ROUTF.SLIP
File No.
DateI K17,
Location
Subject
Approved
Date Inspector
CERTIFICATE OVCOMPLETIC!N=,-
• Gr I BUILDING"INSPECTOR'S OFFICE'
'^ CITY OF CUPERTINO
DATE PC- ZD )9-Z7- BLDG. PERMIT NO.
THE BLDG. LOCATED AT 101 22- PAy-/P7/ / p ce-
-OWNED BY �C�.s IAA o f -IJ, / .. .
HAS BEEN (COMPLETED( FOR USE AS �•}- �� �/ I1 O /�
�� (ALTERED)
ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING.INSPECTOR S NOTICE �•`
CITY OF CUPERTINO v
To 191
You are hereby authorized to Connect electrical service for
Owner or Tenant'
At
No. of Wires Size of Wires (0�
-Size of Switch �' s •'i�
Motor Load Vol rage ..Phase
Healing Load • K. W.'Voltage
No. of Meters - 1 . Lighi, � I IO �Ne Service _�. Reconnec t '
' Heat 'L' qy0 r ✓ Three Wire mcr/re Service
No. of Add. Meters Power' l TIr Phose �Mo3e.Merer—
�,
De rw ELECTRICAL INSPECIO� � / -
Bldg. Dept.
Office Copy
BUILDING. INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection
Sanitary Permit No. _....,/
Y ...j...........
�] Plumbing Final Plumbing' Permit No.7-.JtI- ..3)_. ...... .
5"
Lot No.;........./,cl--------------
Owner or .Tenant .....
-p--- -----_r.. --- --:------- --------------------------------- .--- .-
At
Tract-------- - ----------------------------------------------------------
---------- ------.
Date Connected .....:_'L. --..77.....-
----:._ ----------------------- 19....-------
Date Final :.............2.'.Z. 7
----------- ---- .......... ---------------- 19...---- -----
" .. ..................... ................
PLUMBING INSPECTOR
,•.
CITY OF CUPERTINO, - h oo PE
GAS SERVICE NOTICE `!• j
To
You are hereby authorized to connect the GAS service for
Owner or Tenant �ci C t7 0 Ail —4 –. _�" L–(Z*—
At
;New Service `
r
f 'No. of Meters�Si'-tr,,..,-'/
r Reconnect
.z
4
o. off Add.M"eteis
Move Service
�No.
1V01ove Meter/,,
a4& PLUMBING INSPECT 0 1-�'r /a4&� - �M
-
} CITY OF CUPERTINO
10300�Torre•'Avenue.,,' :.` �' :;;,,;' ! Telephon0252-4505 •.
INSPEC ®N NOTICE t
I .BUILDI DIVISION;'77,
DATE
ADDRESS TIM ;idly
DAILY REPORT ❑ CORRECTION, NOTICE VIOLATION ❑
TY, INS K . BLDG. O ELEC ❑^ PLBG MECH' ❑,. '
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.t:
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WEATHER:, INSP.
NO.j�NO snuff rT _ LOT NO.
�..,;! O' V 'N( -J t CITY OF CUPERTINO
APPLICATION 'PO'R ELECTRICAL PERMIT
Date P % _19— Permit No. -7
1=cc s
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 with (lie provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto. '
Use of premises SINGLE FAMILY RESIDENCE
Owner---r—'u¢'�
By ZEE
CONTRACTOR, AGENT
State License, '?Li/C//%
M■,01111
RE111111
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10172 Paxleatt Pl. foT'NO.
10. ,STREET •"
Cl7?_; 71NU CITY OF CUPERTINO
JUN 19 APPLICATION FOR APPLIANCE PERMIT
r' n � Permit No.
Dote, ` 5—'4=77 '19— 'Fee $' 12.00
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 Yes •� Work To Be Heating.Sheet Metal -
Premises Performed
Dwne, Bass Homes Addre:,20823 Stevens Ccek C2 Cupt.
Phone 25—aW
SHEET METAL
shone SAN,cARLm CA I
itote License 1108'28 Approved
Plembing Inspec
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA..
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10172 PaAtett Ptace Lor
NO STREET ^
CITY OF CUPERTINO
csL C`
cur` �vAPPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date J ,192 Permit No.
� Fae 8
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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 S.Lngte Dwe t.i ng Work To Be New Conh.tlLuc tion
Premises Performed
owne, Bah Homeh Addrese20823 Stevens Dteek Blvd
Phone 252-2077
By L.C. Bohwtt Ptun ung Co. Address 139 E. Fhemont Ave., Sunnyvate
Contractor, Agent
Phone 245-2323
State License 186579 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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10172 Parlett Place 5-fr5 "•S LOT NO., 12 Wq
NO. STREET - : • ' 0 000
CITY OF CUPERTINO (VAL.7
G:T( `-' CU'-i'.TIT:J 'CAP. ( 11.90
APPLICaAT_ION FdR BUILDING PERMIT (FEE
f o: Date n � Q R � "� � Building Per. No. 51,391
s OLL ° ' • 19- Sanitar Per. No. O O
Y 895
O a Application is hereby'made for a permit to Con ct.. (Pl an 2080 )
3 U 1 P A I "5 N.Hr:(2080 Sq.Ft.Liv.+'11110 Sq.Ft.!y�ar )
= O a story, Type-J1rUffure
O ato
be occupied only as T R T Si ngl P Family Dwel
l i nug in accordance with
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Plans, Specifications and Plot -Plan filed herewith.
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Estimated Value of Improvements, $ 70,000
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PI Ck Fee $
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It is hereby agreed that the requirements of the
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Cupertino Building and Zoning Ordinances and all
Fee $ 227.00
aother
laws applicable to the construction, location, and
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use of buildings within the City of Cupertino will be
Total Fee $
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complied with.
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SUITE
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BAS HOMES, INC. 252-2077 20823
STEVENS CREEK BLVD.
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OWNER PHONE"
ADDRESS
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$AME
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SAME CONTR. OR A323864
�OPECT!R
PHONE STATE LICENSE
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