NO PERMIT NUMBER 2108 Patriot Way 48
NO. STREET .> ?} I,:r• LOT NO.
4.55
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9416 BF
FILE NO. 51 ,l 50.2
DATE 6/l7/Zrr 19_
Application is hereby made for a permit to
Construct (Plan BL) a 2 story,type 5 N. •Hr.
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 65,000
FEE$ 217.00 PLAN CHECK$
OWNER Cupertino Village Greens ADDRESS 2570 El Camino Real, M.V.
PHONE 941-6050
255; 1422
CONTR. ADDRESS
PHONE STATE LICENSE 220382
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATIO j FLOOR STEEL
PRE-GUNITE FRAME
BONDBEAMS LATH
WALLBOARDS<08 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION Ir
FINAL BLDG.
UNDER-FLOOR g
TIEDOWNS - -MISC-
DIAPHRAMS '
MOORE BUSINESS FORM,INC..LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE - INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING // 9 7 ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES aC7
INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL 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 ROUr-7-26 FLUES&COMB.AIRPARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADEMAIN DRAINFINAL GAS FINALPLUMBING
MISCELLANEOUS
11
CERTIFICATE!OF�C0MPLETION
BUILDING INSPECTOR'S OFFICE,:-.
72- CITY 01 CUPERTINO
DATE 19�vlPP .BLDG-PE�RM(4NO.�f�} /��s�` •Y
THE BLDG. LOC T.ED AT
OWNED BY �� n .�r%
HAS BEEN
(C
HAS OR USE AS-79V (.t� . .
(ALTERE 1
I
BUILDING INSPECTOR— V
i
,.2/0 �r3 �iaTR/uT LtJ�oy LOT NO.A/&-04.
NO. STREET
CITY OF CUPERTINO ((VAL.>f!
CAP.
a APPLICATION FOR BUILDING PERMIT t FEE—S�
w Z Building Per.No.��/J�V-
z Date Al-
,
x •19 Sanitary Per.No. !9W&
3 v Application is hereby made for a permit to ro.V�C7 (&Ad BG 1
= O ,a story, Type_ 1_Z Structure
to be occupied only as LB fL Lib in accordance with
a
Z w Plans, Specifications and Plot-Plan filed herewith. OTY O� CuFen„�
a w G 470
OO 1
Q ? Estimated Value of Improvements,$ I' I 5 •U
LL ..a1 I i -
PI Ck Fee$
O_ O It is hereby agreed that the requirements of the
v, Cupertino Building and Zoning Ordinances and all D AeAA&e2 0`
00' < other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
3 � ✓ r �
w w V�'NER PHONE ADDRESS
QONTR.ORA ENT ` ��S? t
_ vdL,�a�/ iCO
PHONE STATE LICENSE BUILDING INSPECT
Ou
CITY OF CUPERTINO OFFICE
}° - GAS SERVICE NOTICE
1977
To
You are hereby/authorized to connect the GAS service for
Owner or Tenant 7I'AO//// n 1pJAvo�
At
' New Service
4
No. of Metersf Reconnect
No. of Add. Meters - Move Service
,. -Move Meter
PLUMBING INSPECTOR
r
Bldg. Dept.
•_ ; - - Office Copy
BUILDING 'INSPECTOR'S OFFICE
�
�- CITY OF CUPERTINO
SeCeE Connection • Sanitary Permit No. %1�&..............
[ Plumbing Final Plumbing Permit
Lot
Owner or Tenant ��_. ��lli/'� c ,G^t,t_ � N
-- - -- - -
At. ....
3./2 .........0
... -----...:.._:.:.....--------------.... -----------....-
Tract ----------------------------- ----------------------------------
------------- -
...... -- -
..-----......................................................
Date Connected ._...F. .':7 .::..: .'.:. .... - a9....
Date Final...----------c:7_
...............7 -'- '7 -
1 ---------......... ... 19 .........
__
PLUMBING INSPECTOR
ELECTRIC SERVICE NOTICE. OFFICE COPY
BUILDING INSPECTOR'S NOTICE . -
IV\`,fi— � CITY Of CUPERTINO ' '7
ig
Ta
Yoa are herebya1�7horized to Connedelleecttrncol
Owner or Tenant \ i� . !\ r .tl V n ( / /){ to n. r A
At
No.of Wires - Size o4 Wires - Size f Switch / de
Motor Load Voltage Phase
Heating Load "" K.IW. Voltage
No.of Meters - Light`-1--<10 c�Ne Service Reconnect
He6i 8120` kf"FThree Wire More Service
No.of Add.Meters Power, /i}hl�(�eas
�Phe /-Mo�ve Meier
Q•
ELECTRICAL I NSPECTOR (X I/VJJ��/
21083 PATRIOT WAY.
- LOT NO.- ' 48
NO. STREET _
<^TtNd CITY OF CUPERTINO . -PLAN' "BL"
c�1 a APPLICATION.FOR ELECTRICAL PERMIT
-
76' _ Permit
- Date Y` II, :2..�---. -. ..19Fee
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 the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto. "
Useof _- 'Work To Be
pr.LL1)Fam,Residence Performed
'Own*XILLAGE..GREENS, Address
Phone -
BALL—CAL 'ELECTRIC , CO Address 8 STOCKTON AVE. ;SAN JOSE
Controdw,Agent
'Phone 295-5230
Stote.Licensa 228-622 APpror
• EI tric Inspector
1 AGREE 1 WILL NOT VIOLATE ANY OF THE W RKME 'S ,
"COMPENSATION LAWS'OF THE STATE OF'CALrOR ]A.-
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ROUTE SLIP
File No.
/ Date `�• '/ 7
Location
Subject
U
Notes
Approve i s
Date Inspect
9108' Patriot Wav Plan RI LOT NO. 48
NO STREET
__ CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JAN 19 197;
Sanitary No.
Date Jan:, 22 _ ,19 76 - Permit No.
vv it Loo Fees
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.
U"of Single Family Res. Work ToBe Plumbing
Pr miles PP�(p�r�ed
l.Uper 1n0 1 age reen L`J/UEl Camino Suite 3OZ, Mt. View, Ca.
Owner Address
Phone 941-6050
BJoe Amaral Plumbing Address
150, S.C. , Ca.
2gl�oj,§ gAgent
Phone 1
State License 175299 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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21083 Patriot.Wy a8
LOT NO.
NO. STREET r /.
p'r C�"• - - CITY OF CUPERTINO r
01n APPLICATION FOR APPLIANCE PERMIT
`4
Date 6-18-76
Permit No.
.19— Fee E
Application is hereby, made to the City of Cupertino for ci permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the Lprovisions of the Plbmbing Code of the City of.Cupertino, and all ,.
other laws applicable thereto.
We of Res.' wark.Taee Heat/Sheet Metal
Premises Performed -
s 2570 E1 .Camiho Rea] #302 Mtn.
Owner Cupt. Village A re
Phone
SAN CARLOS SHEET METAL WORKS,.INC.
By r.. - �'' A xs.s 779'OLD C0144TY ROAD
C6A�actar,
Phone 592-9292 SAN CARLOS, CALIFORNIA
State License 110828 Approved— i
Plumbing Inspector
I AGREE'I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. '
8 L.
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