FILE 51150.2NO.
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CITY OF'CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9409
FILE NO. 51.150.2
4.55
DATE -2/10/76 19_ - - -
Application is hereby made for a permit to
Cnn.gtr rt.. (PlAn RT.) a 2 story, type
to be occupied only as Single Family Dwelling -
Y in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 65,000
PLAN CHECK $
OWNER ('nznprtinn VillAgP ('rPptADDRESS P570 Fl Caminntl M.V.
• I
PHONE 941-6050
255-1422 (job)
L CONTR. ADDRESS
STATE LICENSE 238433
APPROVED J. Busto/h
BUILDING INSPECTION RECORD
DATE I APECTOR I I DATE I INSPEC70R
PRE-GUNITE'
FRAME
BOND BEAMS
LATH
WALLBOARDS 8E%T.
-Z -
FIREWALLS
MEMBRANE
LANDSCAPING.._ _
•'
F,M.O. INSPECTION
f
-
FINAL BLDG.
B•/i7 _
UNDER -FLOOR %i �.%• ��6 ��J�
TIEDOWNS -MISC-
MOORE BUSINESS FORMS INC.. LA
PLUMBING INSPECTION RECORD
---DATE
ELECTRICAL INSPECTION RECORD
INSPECTOR
RESIDENTIAL
DATE INSPECTOR COMMERCIAL
DATE INSPECTOR
UNDERFLOOR S.M.
BACK FLOW INSTALLED
UNDERGROUND ROUGH
UNDERGROUND ROUGH
UNDERGROUND ROU GH•
AF
ROUGH WIRING
ROUGH WIRING-
I -It
WIRING
FINISH WIRING
r .1'(,, .7
FIXTURES
INTERIOR FIXTURES
C.7
MOTORS
EXTERIOR FIXTURES
1l .
FINAL
MOTORS
FINAL GAS _
FINAL
LZ
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
---DATE
HEATING & A/C INSPECTION RECORD
INSPECTOR
DATE INSPECTOR,
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROU GH•
AF
FLUES & COMB. AIR
j S
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE ,r
FINAL APPLIANCE
7 _
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS _
FINAL PLUMBING'/
MISCELLANEOUS
CERTIFICATE.OFCO'MPLETION -,
BUILDINGINSPECTOR'S'OFF.ICE
+. . .
`-CITTY7Y''OF CUPERTINO
DATE f3- f 19� BLDG J. PERMIT NO.
THE BLDG. LOCATED AT2/13 2 - P197 D7- 64l',
OWNED BY 4` 424-1 iW / .
HAS BEEN
( P�FOR USE AS5 JAd
(ALTERED)
LOT NO. J b!
Estimated Value of Improvements, $ 2 o
F
NO. STREET "' PERT"�
CITY OF CUN
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APPLICATION FOR BUILDING PERMIT FEE �L
W z
Deo _& R. n I'7 / I7 19
Building Per. N. y II Sqyp i
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-
SanitaryJ r✓�"
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Application is hereby made for a permit to Co�v dT.[
u1 6 .C.o.J A6
T f7
AGE
OR AGENT
SS
—
Fa_story,
Type
- Structure
a
to be occupied only a%Si uG1 a WAO it ..��cLliv
L in accordance with
i ,i
Plans, Specifications and Plot -Plan filed herewith.
-
`=
Gs c
Ile
o
a w- PI Ck Fee $
_O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning -Ordinances and all Fee $ R21 % e'-9—
aother laws applicable to the construction, location, and
Z — use of buildings within the City of Cupertino will be Total Fee $
ZO complied with.
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Gr �o
uerJ
X570 z7[��sh .vim
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NER
PH �yP
7'e
RLD
ODRESS
CO
CONTR.
AGE
OR AGENT
SS
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Go
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PHONE
STATE LICENSE
BUILDING INSPECTOR
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CITY OF CUPERTINO I °oavE
GAS SERVICE NOTICE
nn
, t9 77
To _
You are hereby authorized to connect the �GAS service for.
Owner or Tenont ` „---+��n .�` 7/,
At
�.
_ - New Service -
No. of Meters Reconnect
No. of Add. Meters - Move Service
Mbve Mete.r,//-//// O
PLUMBING INSPECTOR
... Bldg. Dept. '
- - - Office, Copy
BUILDING 'INSPECTOR'S OFFICE
j CITY'OF CUPERTINO
Sewer Connection Sanitary Permit No..... .Y.......... .
{ Plumbing Final - , Plumbing Permit No..-..r..
Lot ,No. :.S y......._...
— —
-Owner or Tenant :.r a- �!.r-fcci,r.?..1�.�.,i..- %lir �,a,.✓-:_ - _ .
At--------------------------
Tract-----------
---
Tract.-' - • -
Date Connected.......-..
------ - ----- --------------------------- ---------. 19. ... :.
Date Final _--------�--�../ 9 7 �
... .... ' ..... . ........................-- ---------- 19--.... ......
--------------
PLUMBING INSPECTOR
ROUTE SLIP ,.
File No.
./ Date
Location S
v D
Subject ✓"Cr�.,�,.� J _ /�'%-c-r-_ �,r — _
Notes
Approved
21132•PATRIOT WAY, CUPERTINO. LOT NO. 59
NO. STREET
CITY OF CUPERTINO '
ALpP�ICATION FOR ELECTRICAL PERMIT
'h Permit No.
Date �l �. , 19 %6 Fee $
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 applicabledhereto. -
Use ot. Work To Be' '
Premises (1) Fam: Residence Performed' +"
i. OwnerVILLAGE GREENS Addreis
Phone
By ALL=CAI; ELECTRICCO. Addreir' j\VF.WTM, S T-
Contractor,Agent -
'. Phonn295-5230 '
Stateliomm 228-622 Approved
Y Eleciri Ins aor
1 AGREE, I WILL NOT VIOLATE ANY,OF THE WOR EN'S
COMPENSATION LAWS OF THE STATE OF CALIF NIA _�-
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21112 Patrint Plan RI LOT
NO MT
CITY OF CUPERTINO
`'APPLICATION FOR PLUMBING PERMIT
J.AN1 s, ls�f
Date Jan. w,:� 22 . 19 76
,ry e �
Sanitary No.
Permit No.
Fee$ Cf.V c^u
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
ses ames. PerfformSingle Family RWor.med Bek To
PremisPlumbing
Pr
Cupertino Village Green 2570 E1 Camino Suite 3021; Mt. View, Ca.
Owner Address
Phone 941-6050 .
y�-e Amaral Plumbing Address P•0.Box 150;. S. C., Ca.
Contractor, Agent
Phone 296-3963
Statelicense 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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_11. LOT NO. G;9
CITY OF CUPERTINO
cu. APPLICATION FOR APPLIANCE PERMIT
F �
24 1977 .
Permit No.
Date 1-26-77 , 19_ Fee S l � On .
P to 1 v
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 Res., Work To Be V '
Premises Performed Heating. jsl eet Metal
owner CwUt. Village GYn ' Address_Z570 El Camino Real -#--40
Phone'Qy(���
Phone Ci`AZ-9782 779 OLD COUNTY ROAD
. SAN CARL LIF
Stdte License ��Og2B Approved - —� O.
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.