51,150.2 21142 Patriot Way 58
.NO. STREET ,-i d LOT NO.
4.55
j CITY OF CUPERTINO .
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9408 Es
FILE NO. 51 150.2
DATE 2/l0/76 19
Application is hereby made for a permit to
CnnctrnOt. (Plan TIT.) a 2 story,type
to be occupied only as Single Family Thar l l i ng
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 65 s 00n
FEE$ 217.00 PLAN CHECK$
OWNER - CTurrtinn Vjllagr r,rr DDRESS 9570 F.l Caminns M_V-
PHONE 941-6850 '
255-1422 (,job)
CONTR. ADDRESS
PHONE STATE LICENSE 238433 -
APPROVED J. Busto/h
BUILDING INSPECTION RECORD-
DATE INSPACTOR DATE INSPECTOR
FOUNDATION ,�) FLOOR STEEL
PRE-GUNITE FRAME I .
BOND BEAMS LATH ,
i WALLBOARDS f1r4TBEXT.1
FIREWALLS
MEMBRANE - - LANDSCAPING.
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR 6
TIEDOWNS -MISC-
DIAPHRAMS
MOORC BUSINESS r011M51NC..LN - - -
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REOUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR i
PARTIAL ROUGH `( CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADER
MAINDRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CERT FICATE,Q OMPLETION `
a � w ,
BUILDING INSPECTOR'S OFFICE
`'CITY_OF CUPERTINO
- �7 �,.
DATE 73y . 19 �. `• '1 BLDG. PERMIT NO.—t 5 d
THE BLDG, LOCATED AT
Z I/•4 Z-- 16 (�-a
OWNED BY Cie✓ I i a l/l /�SCe_
HAS BEEN (tLIACOTERE�) FOR USE AS
/BUILL)rN(3 INSPECTOR
-2-// T rA/ y LOT NO.
NO. STREET . . T!N
'
CITY OF CU..PERTINOCAP !vgt.6 6 0 0 0
v` Q_CITY W CU APPLICATION FOR BUILDING PERMIT t FEE s�
w Z ( Building Per.No. 6//dM Z
� 0' l D l U 1 J I V Sanitary Per.No.—%"
3 V Application is hereby made for a permit to C4N.t 7,P UG7 ��d.o n/ dam_
ll
u- FaZZ—storry Type Structure
u- Uu to be occupied only ash/�/k in accordance with
a
'Z w Plans,Specifications and Plot-Plan filed herewith.
a w ao
F Estimated Value of Improvements,$ 000
PI Ck Fee$
O O It is hereby agreed that the requirements of the
o Cupertino Building and Zoning Ordinances and all Fee $ o2/ 7 '.-0—
p 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.
w w O I R /f P ONE AD ISS
CO TR.OR AGENT
- V -Gash .2sdf33
PHONE STATE LICENSE BUILDING INSPECTOR
i__0 u�
21142 PATRIOT WAY, CUPERTINO, ,' +; LOT NO., 58
NO., _ STREET
G; CITY OF CUPERTINO
�*_0 I ,FbN FOR ELECTRICAL PERMIT
Permit No.
Date T , _19 •76 ` Fee Ems .
i
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)Fam.Residence Perform Be'
Premise
Owner VILLAGE GREENS' Address '
Phone
';.RyALL—CAL' ELECTRIC CO...AddrAA
TOCKTON AVENUE S.'J.
' Contractor:Agent .Phone 295-5230StoteLiceme '228-622 APPror
Electi all ectorI AGREE I-WILL NOT VIOLTE ANY OF'THE WO EN' .
. COMPENSATION.LAWS OF THE STATE OF 'CALI ORNI
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21142 PatriotWav Plan �L LOT NO.—gg d
NO ST EET
CITYOFCUPERTINO
"APPLICATION FOR PLUMBING PERMIT
JAN19 1S7"r
Jan. 22, ^ Sonitory No.
Date '� 'J ,19 76 Nmnii No.
li- 0-+ Fee S t-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 Work To Be
PremisesSingle Family Res. Performed_ Plumbing
OCupertino VilTAge Green 2�Jd0 El Camino Suite 302, Mt. View, Ca.
re
Phone 941-6050
BJoe Amaral Plumbing Address P•O.Box 150, S.C:, Ca.
Contractor,Agent
Phone 296-3963
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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21142 Patriot Wy LOT No. 53
NO. - STREET "
C',T7 �•' " CITYOFCUPERTINO
APPLICATION.FOR APPLIANCE PERMIT .
FEB 24 •� '. .
1-26-7,7 I Perm it No.
Date ' t ,19_ Fee S_TJT08
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.
useaf Res:' - Work To Be Heating/Sheet Mepal
Premises - Performed
Owner Village Grn Address 2570 El Camino Real #302
Phone_ 8, 6 50 o
9y CoNrador,Agent ��� "" `es dfARLG6 SHEET MF-TAI WORKS INC
Phone 779 OLD COUNTY ROAD
\��,�.�� SAN CAR O OF 1'
State License 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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ROUTE SLIP
File No.
yy _� Date 'A-y--7
Location L> S� — P"
Subject 1121 X
Notes
Approved
Date Inspector
(� OFFICE COPY
CITY OF CUPERTINO ,
�l ELECTRIC SERVICE NOTICE
ig 77
You are hereby authorized to connect electriCal'service.for -
Owner or Tenant
-mss' ............................
No. of Wires .._ ........... Size of Wires ......................'Size of Switch
Motor Load ..........::............_ Voltage .......... ....... Phase .
Heating Load ........_.... ......... K. CU. :_..._. ._!......:...... Voltage• .....:... ......
:..
(Light..... ......:.. . I IU....rZI New Sencr.
..... �No. of Meters. . ../ Herunnect........... . ...
r
Heat.,..........._.. 220_-;;' 'Threc Wire.............. ?locc Scrricc.
Power ...........
No. of Add. Meters............ -
. .x._.:....... •three Phase..............
_ ELECTR!C:•L�!M1SPfCT04 _
OFFICE
CITY QF CUPERTINO COPY
GAS SERVICE NOTICE
tilGtn�i / 1977
To
You are hereby authorized to connect the GALS service for ;
Owneror Tenant'At
�. .-,an��..,+ �� '� :o ✓7iI>p�,i
n. .
New Service l�
No. of Meters 'Reconnect
No. of Add. Meters Move Service
Move��M//es�ter //n •-• '
PLUMBING.INSPECTOR -
Bldg. Depi.
P. .Office Copy
BUILDING INSPECTOR'S OFFICE
CITVOF CUPERTINO
Sewer Connection Sanitary.'Permit No. ..... .........
V` Plumbing' Final - ,. Plumbing Permit No.:.5��1-_ ..............�=
II' `
Lot N ...-- � .?�Owner or.Tenant -l.;r o. 7�� . .� � - o - `..'--.....:.--
M �
I. At ...2r./.`��c........ r. tQ f .. ....J""`-e-.-.._,.-:......--
Tract -------------------------------------
Date*
----------
' Date Connected'....7T ;0.'--76.
-------------------------------- ------- --------------------- 19-.
'• Date Final ----------�..".�.�L...............................................`
.......-
------------------
J
PLUMBING INSPECTOR