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NO PERMIT NUMBER 21133 Patriot- Way 52.
NO. T - ''' ' o. LOT NO. ,
3:43
CITY OF CUPERTINO
I'
i'APPUCATION'FOR BUILDING PERMIT
i
' Yil SANITARY NO. 9402
M
PILE NO. , 51,150.2
DATE 2%10/76 .19
Application is hereby made for o permit to
Construct , '(Plan C) a 2 story,type
to be occupied only as Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS S 49.000
FEE$ 184.00 PLAN CHECK S
OWNER Cunt. Village Green ADDRESS ?570 Fl Camino, M_V.
PHONE 941-6050
CONTR. ADDRESS
PHONE STATE LICENSE 2384-13
17 APPROVED_ J. Busto/h
BUILDING INSPECTION RECORD '
DATE INSPEC OR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH '
WALLBOARDS INT. EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. /
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS L9 X
MOORE BUSINESS iORMSINC.,LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUG UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING ( (p, FINISH WIRING
FIXTURES "( INTERIOR FIXTURES
MOTORS - EXTERIOR FIXTURES
FINAL ..-7 ...,. MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
0
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR I DIVE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. J`
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN& LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING f
MISCELLANEOUS
n�
/ LOT NO. S
NO. STRE ^
CITY OF CUPER NO - .0 VAL.
d APP DATION FOR BUILDING PERMIT EEE-3 f=�
w Z CITY O Building Per.No. S%/.J L
Datep ,19 .
aFc 0 F U l U I'1 V Sanitary Per.N 9 x—V4A�O.0
N
C
3 u Application is hereby, N��s/made for a permit to C atT — �
n
rLLO a�story,1 Type Structure
a- a, to be occupied only as fi,yC[.if Fear L .11.'e eze'i C.
O < P Y in accordance with
'Z Co Plans,Specifications and Plot-Plan filed herewith.
< w
r Estimated Value of Improvements,$,40 9
O.O"t1
3 LL PI Ck Fee$
O_ O It is hereby agreed that the requirements of the c p p
> oCupertino Building and Zoning- Ordinances and all Fee$ Q —�
p <other laws applicable to the construction,location,and
Z - use of buildings within the City of Cupertino will be .Total Fee$
Z /complied with.
w w _
NER PM E DkR
k/
Q 0 NT R AGENT D S
PHONE STATE LICENSE BUILDING INSPECTORR
• ROTITE SI:TP •
File No.
Dated✓�3/, 7
Location cfr0 d —02// 3
i
Subject.
Notes %/ �Z i/t/ � f!f �%J� Ge
Approved
' Date Inspector
•ELECTRIC SERV,ICENOTICE, OFFICECOPY
l .11,1 BUILDING INSPECTOR'S NOTIQE_�-(.
'CITY OF,&PERTINO
L To }
lor`
tGf q��
You are hereb�T authorized to Con`'/eAleari'm l,,se3rw�ic)e far
Owner or Tenant
(/
At
No.of Wires Size of Wires
Size of
Motor Load Voltagel Phase
Heating Load
K.W. -�Voltage
No.of Meters ct
. ( light 110�New Service -"� Reconnel{/) �c Thee He x "
'120' �T /TThe Wire More Service
No.of Add.Meters w
. Poer /�'/ /Three Phos, /—T' Move Meter
0• ELECTRICAL I NSPECTOR
21133 PATRIOT WAY CUPERTINO.F> LOT NO. ' 52
- CiTYOF CUPc.
07R CITY OP CUPERTINO -
Ua L . APPLICATION FOR ELECTRICAL PERMIT
A�
s` A - D Permit No. .
Date JULY 20". tq 76 Fee E ::2
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 I Work To Be
Premises l)Fam,Residence performed
OWM. LLAGE GREENS Address
Phone -
By`ALL-CAL ELECTRIC CO, Addmsst 9 STOCKTON VENUE s J
295-52mractor3Aggnt
Phone U
State License 998-622 Approved
EI drical Inspec r
((( I AGREE I WILL NOT VIO TE ANY OF T E WO KMEN'S
-11+ COMPENSATION LAWS THE-STATE F C FORNIA.
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a E E' E E E E
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'Z I O_'
CITY`OF CUPERTINO " " - . Oo ICE
ClJ GAS SERVICE NOTICE
19 �7
„To_, ., .
You are herebyauthor
onzed to connect tke GAS service for.,
Owner or Tenant
At
New ervice
No. of Meters, Reconnect
No.
"
No. of Qdd. Meters _ Move Service"
Move M/eier
PLUMBING INSPECTOR
21133 Patriot Way Plan C LOT No. 52
NO STO •
CITY OF CUPERTINO
.APPLICATION FOR PLUMBING PERMIT
JAN 9 Sanitary No.
Date Jan. 22 ,tq_76_ Permit No.
e, © Fee E �` O_v '
Application is herP. eby 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.
k To Be
Pr8 is Sin le Family Res. Warfor ed Plumbing
Premises 9 .y Performed Q
Cupertino Village Green 2570 E1 Camino Suite 302, Mt. View, Ca,
Owner Address
Phone 441-6050 -�--�
fiJoe Amaral Plumbing Address P.O.Box 150 S.C. Ca .
Contractor,Agent
Phone 296-39634
State License 175 99 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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21133 Patriot Wy 3 baY 52
'LOT NO.
. NO. _ __.... STPO
CITY OF CUPERTINO
'01i APPLICATION FOR APPLIANCE PERMIT, ,
M AY. 1'2 1976
` s Permit No.
Date 4-2-76 1 lq_ _ Fee S
Application is hereby, made to .the City of Cupertino for a permit all gas'
appliances as listed on the reverse side hereof, and agrees to install said appliances in '
accordance with the provisionsof the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto. _
Use ofReS. Work To Be
_. _
Premises Performed Hea tina/Sheer Met 1
Owner CuPt. Village GTO. Address 2570 El Camino Real #Iqm nd
Phone ¢}C941-6 pA. View'
s
BY_ �'�� rens
Contractor,Agent SAN CARLOS'SHEET METAL-WORKS, IsvH•.
Phone C09 070_ 779 OLD IuY
State License 110828 Approved SAN CAR g �A
' Pf robing Inspector ,
I AGREE I_WILL NOT VIOLATE ANY OF THE WORKMEN'S '
COMPENSATION LAWS,OF, THE STATE OF CALIFORNIA...
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® Office Copy.
81JILDING INSPECTOR'S Oi&
.
=r CITY OF CUPERTINO
- Sewer .Connection Sanitary'Permit •No. ... .-
Plumbing*`Final. - {' Plumbing Permit -No
Lot No. ... S :. .
,,...- q
Owner or.Tenant . sar --
'At a>Jl�.j :.� �24t tom.. t. ...[r ------.. ------- -..
Tract V ,
.
Date Connected .// ALJ/ 7.. �a ..e`. 1 ... ... ...
Date Final ,.. :..
--------,........................... ....... ... ............... ------
- - 19------------
--------------
/ `
PLUMBING INSPECTORS
,&fRTIFICATk•OF_CO,MPLETION
BUILDING INSPECTOR'S`OFFICE O
�.: CITY OF CUPERTINO
DATE-1 � I"II, 'a,`4977L BLDG. PERMIT NOr.',
�THEBBLDG..LOOGATED tAT.
OWNED BYC�pI VL1� �L 61 eC4t_
I OMP�S
HAS BEEN _ .
fALl"EREDI: ,may
L-,� b(91CDING INSPECTOR '
i