NO PERMIT NUMBER 91119 Patriot Way 50
NO. STREET _ .• LOT NO.
4.55 '
CITY.OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
.. - SANITARY NO. 9400 1�9
FILE NO. 51 ,150_p
DATE_?/10/7(; 19_
Application is hereby made for a permit to
Construct (Plan BL) a 2 story,type
to he occupied only as Single FamilyDwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 65,000
FEE$ 217.00 PLAN CHECK$
OWNER Cupt. Village Green ADDRESS 2570 El Camino, M.V.
PHONE 941-6050
CONTR. ADDRESS
f
PHONE STATE LICENSE 238433
y/ APPROVED J•Busto/h
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BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION - FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS- .8 EXT. -•�� -
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. Z(�r
UNDER-FLOOR - L -74 �W
TIEDOWNS -MISC.
DIAPHRAMS
MOORE BUSINESS I ORMSINC..LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
. UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING S FINISH WIRING
FIXTURES 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. -7
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH - FLUES&COMB.AIRi
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE / 36, FINAL APPLIANCE Lb. '1 .t,✓
ROOF DRAIN&LEADERS
MAIN DRAIN G
FINAL GAS % ,e- 74 a
FINAL PLUMBING' 1
MISCELLANEOUS
i M 1
�CERTI FICATE-OF,°COMPLETION
BUILDINGINSPECTOR'SOFFICE
- CITY OF CUPERTINO _
DATE J Z 6 19' BLDG. PERMIT NO.
( J
THE BLDG. LOCATED AT 2,1 //
1 // 1/�r47)2/u7' w y�
'OWNED BY Cola4l- -
ry
COM
HAS BEEN ��FOR USE AS r/ -�-•!/!/(.ts�l•
y
tAL EREDI -
BUILDING INSPECTOR
// 3 &rde/or 4145f LOT NO. s
. NO. STREET VAL GS-•
CITY OF CU• RTINO CAP ( �
CAPP.LICATION FOR BUILDING PERMIT Sl FEE �`rJ
w Z Cm O� Building Per.No. _//._R 3
Date ^^r` ,19 �-
W O 4 F P. 1 u 1 G I v Sonitory Per.No. O /s
0 V Application is hereby made for a permit to CQ,�/,r 74 VG7`
s (�
FLLO 0_12_ story, sType Structure
to be occupied only as c.p/.y646 accordance with
a
'z w Plans,Specifications and Plot-Plan filed herewith.
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Estimated Value of Improvements,$ GsoO 0
PI Ck Fee$
00 It is hereby agreed that the requirements of the
- > 3 Cupertino Building and Zoning Ordinances and all Fee$o2/�
Z5 a other laws applicable to the construction, location,and
Z use of buildings within the City of Cupertino will be Total Fee$
ZO, complied with.
4 L a
w w NE PHO ADDRESS /
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Q 0 CONTR.OR AGENT AD 5 �•
PHONE STATE LICENSE BUILDING PE OR /
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ROUTE. SLIP
File No.
Date -7
LocationZi
Subjects
i
Notes
Approved
Date Inspector
21113 PATRIOT WAY; CUPERTINO LOT NO. 50
NO. - STREET
��@C��N� CITY OF CUPERTINO
O} APP;Ur—ATION FOR ELECTRICAL PERMIT.
_ ` p Permit No.
Date ` 19 76
B -
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.
Use of (1)FPe
am. Residence Work To Be
Premises Performed '
OwnerVTT.T.AGP GREEN.9 Address "
Phone
. e j1LL—CAL ELECT>QIC CO. Address 109 TOCKTON AVENUE r S,J. ..
Phona'
295�523Q9ent
State License 228-622 Approved
Electrical Ins eat '
I AGREE I WILL NOT VIOLATE ANY OF THE'WORKME S
-COMPENSATION'LAWS OF ,THE STATE OF CALIFOR
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21113 Patriot Way Plan BL LOT NO. 50
NO STREET. '
_ CITY OF CUPERTINO
--APPLICATION FOR PLUMBING PERMIT
JAN 19 1S'i,V , I
Sanitary No.
Date Jan:T22. ,1976_ Permit No.
c AA ! U- F.$
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 5l ngl a F.im 1� Rac.__ Performed P1 Nmbl ng
I�}I ertino Village Green 25hgreU Camino Suite 302, Mt Vi w a.
Phone 941-6050
49e Amaral Plumbing AddresP— O.BOX 150 S.C. , fa
Contractor,Agent
Phone 296-3963
Stote 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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' 21113 Patriot Wy #50
LOT NO.
NO. STREET
C CITYOFCUPERTINO .r /✓
3 APPUCATION FOR APPLIANCE PERMIT r
-aVF`• ` .
OPermit'No.
Date @�1 —_7 ,19_ FeaE .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 Plumbin4 Code of the City of Cupertino, ,and all
other laws applicable thereto.
Use ofl Work To'Be Hea't/'Sheet Metal
Premises 'Re s• Performed
Owner Gupt. Village Grn 2576
Address F-1 Camino Real. 7YT tn.
'.Phone 941-6050.
j bpW CAKLOS SHEET METAL.WORKS, Iry C:
BY — 779 OLD COUNTY -ROAD
nrraclor,Ag¢�9292r , S.AN CARLOS
Phone '11
, CALIFORNI
10828 � ,
State License Approved - ZZ� .
.� Plumbing Inspector - ^'
I AGREE I WILL NOT,VIOLATE ANY OF THE WORKMEN'S r
COMPENSATION LAWS OF.-THE STATE OF CALIFORNIA.
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• ELECTRIC SERVICErNOTICE OFFICE COPY
BUILDING'INSPECTOR'S NOTICE '
CITY OF'C_UPERTINO
. . "00il!!
To r ..
Vou are'herebyy/raauth�oLriz'ed to Connect'electrical service for
Owner or Tenant / ////dLCfiL�CJ�X5
At
en
No.of WiresSize of Wires
Size of Switch
Motor Load - Voltage Phase
Heating Load K.W.' Voltage
.� _ Light ✓ 110 New Serve Reconnect
No.of Meters . .
((/1 Heat ' 120 �� Three Wire ' More Service_
No.of Add.Meters 'Power 1 i ree Phase Move Meter
ELECTRICAL INSPECTOR/' w' / n
_ V
CITY OF CUPERTINO - aCOPY
C7I GAS SERVICE NOTICE 7
19
To
You are hereby authorized to connect,the GAS service for
Owneror Tenant -iA//I��Avlt�,.,� •• //tiY�y,y ��//j-gCm .
At
New Service
No.of Meters - . ,Reconnect
No. of Add. Meters Move Service
J,Move Meter moi'
PLUMBING INSPECTOR._,
J':,".: Bldg. Dept
Office Copy f
BUILDING INSPECTOR'S -,OFFICE
'
CITY' OF, CUPERTINO
r .
Sewer Connection., Sanitary Perinit_ No- ----.1��� _
,� Plumbin Final ?�
,� g 'Plumbing Permit',No.
- ,S•�
Lot No. •
Owner or Tenant
At
Tract
..........................------ - - , .
-- :.-
!. Date'Connected ..------- _7�
-.._----------------------------- ..
Date-Final --------------------------------------- ..... ..... . ..---- ;
. .
PLUMBING INSPECTOR'