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5139910312 Parlett P1. ° "r`r-:° 12 NO. - STREET,LOT NO. CITY OF CUPERTINO APPLICATION FORBUILDING PERMIT SANITARY NO. 9716 FILE NO. 51,399 DATE 1/18/77 19 Application is hereby made for a permit to Const Plan 112719 a 2 story,type5NHR (2719 Sq. Ft. Liv + 460 Sgg Ft. Gar. to be occupied only as I&J Single Family Dwelling + Gar. . ,in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS .$ 92,000 FEE 5 271.00 PLAN CHECK 5 OWNER BAS HOmeS ADDRESS 20823 Stevens Creek PHONE 252-2077 SAME ennaccc PHONE PRE-GUNITE BOND BEAMS MEMBRANE MOONE BUSINESS FORMS INC., LP STATE LICENSE 323864 APPROVED James H. Sisk/c BUILDING INSPECTION RECORD FRAME c LATH WALLBOARDS - INT. B EXT. FIREWALLS LANDSCAPING F.M.O. INSPECTION FINAL BLDG. < MISC- ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING -ROUGH WIRING FINISH WIRING .2(,� FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL .7 MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD DATE INSPECTOR DATE j INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS 8 INSULATION UNDERGROUND ROUGH FLUES 8 COMB. AIR PARTIAL ROUGH - CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE-- _ 77 ROOF DRAIN 8 LEADERS MAIN DRAIN a. FINAL GAS FINAL PLUMBING _ 7 7 ROUTt SLIP File No. Date J;IJ12 7 Location Subject v Notes or CERTIN*"C TE OF COM'PLETION:•-.. BUILDING INSPECTOR'S`OFFICE CITY OF. CUPbTINO/ C DATE CZt�./An�. f:, 19,* ""BLDG. PERMIT NO. ,S THE BLDG. LOCATED AT- ' OWNED BY HAS BEEN (COMPLETED) n �- FOR USE, S � ,,� i4c�a p .y-- )ALTERED) � _ - Bldg. Dept. ' Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection' ., Sanitary ,Permit No------- .f�..7� ' Plumbing Final •. ,_,." - Plumbing Permit No.,_5:�j:: 5....-: Lot No.. •.......j:...... _. '- ��•/ Owner or .Tenant--------- - •-�'� .................:... ................. ............ At' ..� .-1 ...::.. ............ ..... ... ...... ...:...... ...._................_ ------ Tract ..-----------"--. --------------- .....---............................ DateConnected ........a' .--,--r�---'--------------------- .......................... ---'...--------... 19---...--- DateFinal ... .....-------'--:- .-"..7-1---------------------------------1 ------------- -------------- .... 19 ----------- PLUMBING INSPECTOR ti r 7 Y ZI . `6ybE CUPERTINO - coPYE GAS SERVICE NOTICE ig To You are hereby outhonrized to connects t/he GAS service for Owner or Tenant _ •( ci �' ri—/SIM-.1� (f• ,,} At P(06c;- • New Service No. of Meters / - •Reconnects- -- No. of Add. Meters 'Move Service ; • Move Meter PLUMBING INSPECTOR _ dl-12Af or .. ELECTRIC SERVICE NOTICE OFFICE COPY / Z BUILDING INSPECTORS NOTICE •-• Cr —i CITY OF_CUPERTINO s r To Yoa are hereby authorized tc Connect eelleec me l service4o—r.(�-1/ Owner or Tenori 4:1, A �At �cc�1�1'LYc o No. of Wires •. Size of Wires Size of Swirch Motor Load Voltage Phase ' Heating Load _ K. W. /' Voltage No04 Meters Light 111.0 — New Service � Renct cone ' . l(/1 �•/ ✓ft A ' Heat 110 _/// /Three/Wire V' More Service No. of Add. Meters Power''/Three Plji�a/s�eMove Meier ' © ELECTRICAL INSPECTOR ` VV / \/• , U A /O 3 /e2 ��'2 LC7% .�C. LOT NO STREET CITY OF CUPERTINO ' G 1 Cr_r:. APPLICATION FOR PLUMBING PERMIT Sanitary No. Dote- 19_ Permit No. Fee $ Application 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 Be ff�� Premise'd� /�e�.,k /:o u •¢t 6 Q Performed N 11 h'�'=^1� Q O I Owner 1 L-C��tYt-,�¢.JL 4� Address Phone Phone Zirr3—�—L`00 _ X131 State License 2�9�1S� Approved 1'um ing Inspector-- I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® cs % 1 Z i!O 1:0 d NOx V.� V< o w o N< 1 H Z N : 1�- L N d c � N 7 y odi 0 0 10312,Parlett P1: LOT NO. 12 . NO. ( STREET CITY OF CUPERTINO - er --' APPLICATION FOR APPLIANCE -PERMIT 2-10:77 Permit No. Date —__j %+� , 19_ Fee E 10.00 Application is hereby made to the City of Cupertinotfor 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 alli- other laws applicable thereto. ' of - - Res. Work To Be Heating.Sheet Metal - nises Performed - . (Owner Bas Homes - Phone 252-2077 By Contractor, Agent' Address 20823 Stevens Crk C2 Capt: Phone '>j 4z gi9i - A( State License Approved Plumbing Inspector _ I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S jo COMPENSATION LAWS OF THE STATE OF CALIFORNIA. /x\ p t ®ce N W W ' IW V 2 a 2g312- DlR�FTT i ST E V •t".Av LOT NO.—�/ ,,:•' C CITY OF CUPERTINO N5APPLICATION FOR PLUMBING PERMIT O 'dW , j .. O� 2 Sanitary No. Date , 191 Perma No. Fea E �6 r� 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 Be Premises _— /— Performed Owner ddress Address- Phone Phone By Address,////JL��(! _. _�C �fS�or ry� / 21 A State License y Approved Plumbing Inspector - I AGREE I WILL NOT VIOLATE'ANY OF THE WORKMEN'S' COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® LA in 7mu00f !z I\\1010\ !}1010 in 7mu00f !z /0 31a ✓= Q NU. SfR.R Ii'1' LOT NO. ` :CITY: OF-'CUPERTINO " s < ,i" "APPLICATION 'FO'R ELECTRICAL PERMIT 4 F Date Ia� ^I—`$9' -i 19 I'eimit No. h _ 0 / a m Application is hereby made to the City of Cupertino for a permit to installiele'ctrical w r -wiring and/or fixtures as listed on the -reverse side hereof, and agrees to install said 0 0 =1C1❑g and/or fixtures in accordance with the provisions of the Electrical,Code of the > m City of Cupertino, and all other laws applicable thereto. g< SINGLE FAMILY RESIDENCE Use of Premises -- - J L O 3 < Owner w w By - 7FE ELECTRIC Address UF CONTRACTOR, AGENT a o APProve ELECTAlUL INSP i �� State License'- =2 X/ 9�� 0 0 N d 3 „ w O O S Y N L N m r D D D D O z' ;Z. -7 �6' NO. STREET CITY OF CUPERTINO ((vo..l. CAP. I `'APPLIGAT.ION FOR BUILDING PERMIT t EE I—.. 'J Building Per. No Date IAA,. , 19. r 1 (f 15,� annary Per No. Application is hereby made for a permit to--. a�Lstory,� Tr r� T(e��%/���/l� 9��� "���Structure to be occupied only azj'�70L d/,6�{(e� 0AW in accordance with Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $_9 ew e PI Ck Fee $ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all Fee other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be Total Fee $ complied with. x2,O fi//CGc /L/ PHONE �! CONTR. OR AGENT PHONE STATE LICENSE ADDRESS ANESS i �UTLD G INSPEECTOR �. � u