NO PERMIT NUMBER 21143 'Patriot Way 53
NO. ST " ''+ • LOT NO.
4.55
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9403
FILE NO. 51,150.2
DATE 210/76 19_
Application is hereby made for a permit to
Construct (Plan BL) 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 65.006
FEE s 217.00 PLAN CHECK s
,OWNER Q=t. Village Green ADDRESS 2570 El Camino, M.V.
PHONE 941-6o5n
CONTR, ADDRESS
PHONE STATE LICENSE 284'3
n f APPROVED J. Busto/h
BUILDING INSPECTION RECORD
DATE ASPECT OR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE - FRAME7.
BOND BEAMS LATH .
WALLBOARDS N BEXT.
FIREWALLS - -
MEMBRANE - LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR -
TIEDOWNS -MISC.
DIAPHRAMS
MOOREBNSINLSS rOPMSINC..LA
r
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DAiE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROU UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING _ i ri NISH WIRING
FIXTURES L , , .INTERIOR FIXT RES
MOTORSEXTERIOR FIXTURES
FINAL _ TOS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DAK INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. JG
BACK FLOW INSTALLED DUCTS S.INSULATION
UNDERGROUND ROUGH? FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE --� _ FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
- "CaTIFICAT.E'OF CMMPL'ETIO.N •
UILDING INSPECTOR;;S'OF,FICE
.-CITY.OF CUPERTINO,T
DATE �" L� a,. , d9Z7— BLDG. PERMIT NO 5
THE BLDG. LOCATED AT �7 3 �����%fir•` (il/�'J
OWNED BY "'Ul.Ic6, a
CHAS BEEN M11_ETE, FOR USEAS
IALTEREDI,,,�, ,
OM
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BUILDING INSPECTOR
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CITY OFCUP6TI O C VAL
d '�UAPP. ATION FOR BUILDING PERMIT FEE
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5 O Date -- ,19 Sanitar Per.No._7 5oO-1 /9/--
o:iLLL p cation Iglu r
3 v Application is hereby made for a permit to 00 N d 7W UGT '0 w/ d L )
Fal_eZ� s{oryr)Type Structure
r to be occupied only assn/A11CLE' ;;;VAf,9e�k 4C41i 4— in accordance with
a
Z 2 Plans,Specifications and Plot-Plan filed herewith.
w =
r x Estimated Value of Improvements, $ S'-00()
a LL PI Ck Fee$
_O O It is hereby agreed that the requirements of the pr
ur Cupertino Building and Zoning Ordinances and all Fee $ .1/z
00 a other laws applicable to the construction,location,and Total Fee$
Z — use of buildings within the City of Cupertino will be
ZO complied with.
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PHONE STATE LICENSE BUILDING INSPECTOR l
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File No.
Date
Location -Zr--O
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'Subject-
Notes
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Approved ��3�7 7 ���c«,✓//�L
Date Inspector
ELECTRIC SERVICE-NOTICE _ OFFICE COPY
BUILDING h�SP,ECTOR'S NOTICE
k— Aft
CITY OF CUPERTINO •
To I r. 1,O . 19
ht�
You are hereby'o utr)0rized to Corinecr electri
cal servic(e�fo/r',, '
Owner or Tenant
At -z.
Na.of Wires .Size of Wires Size'of Switch 0 !-l_
Motor Load voltage Phase
Heating Load K.W. _ ' /Voltage
(
No.of Meters I,--- Light 110
New$
/ erv'¢e
1 Reconnect
ll{ Heat �'i�/7-y�0 '✓h ee Wire More Service
No.of Add.Meters Power i� '
^^ f\ th+refe Phase Move Meter
Q• ELECTRICAL INSPECTOR
21143 PATRIOT WAY;, CUPERTINO 53
LOT NO. '
' NO. ET
CITY OP CurnTINO CITY OF CUPERTINO'
APPLICATION FOR ELECTRICAL PERMIT
J U L 2 6 1976:
Permit No.
Date JULYi� 24 r Iq 76 Fee$�� 10
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/orfixtures in accordance with the provisions of the Electrical Cade of-the
City of Cupertino,and all other lows'applicable thereto. ,
Use of Work To Be ,
PremisAl )Pap/Res i tience Performed
OwnerVILLAGE GREENS Address
Phone �t
By ALL=CAL ELECTRIC CO. Addre:sl ,y8 STOCKTON AVENUE S.J.
• Contractor,Agent -
Phone .295-5230
State License 228-622 Approved
/ EleFtricol Im actor
I AGREE I WILL NOT VIOLkTE ANY OF THE Mi&t N'
COMPENSATION LAWS OF'THE STATE OF WIFORNIA. '
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K143 Patriot Way Plan BL LOTNO. U
NO - ST •
CITY OF CUPERTINO
_.::-''-APPLICATION FOR PLUMBING PERMIT
JAN ! 9 1971
Sanitary No.
Date Jan.. 22 ,19 -r C 16) Permit No.
r `x L I., Fee E
Application is hereby made to the City of Cupertino for a permit to install plumbing
,pipes and/or fixtures listed on the reverse side hereofr'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.
PrC is Single Family Res. reef rmed Plumbing
Premises
oCupertino Village Green 2jd0 E1 Camino Suite 302, Mt. View, Ca. ',
Phone 941-6050
Bgoe 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. �s
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GAS SERVICE NOTICE
197
To
You are hereby outhorizeddo connect the GAS service for.
Owner or Tenant oh ao,LeJt�r-�t.� �/ ".Q� ✓'�j��1,
At
Service
No. of Meters /Reconnect
No. of Add. Meters Move Service
Move MeA 4�terr �
PLUMBING INSPECTOR W�l pp
P1141 Pitrint Wy54
;I - LOT,NO. -
NO. ST `UPERTIN '
I CITY OF CO
QTY Or CUAPPLICATION FOR APPLIANCE PERMIT
MAY 12 1916
n Permit No.
Date 4-2-76 s,, ,19_ Fee S
1.r --��/ yam— .
Application is hereby made to the City of Cupertino for a permit Tov 11-1-1 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 R?S•. - Work To Be Heatin `
Premises Performed 9�Sheet�;Meta1
Owner CUpt• Village Grill'., Addres2520 Fl r
a-inn- Real #-2R2
Phone - /�'s SAN CARLOS SHEETNIM41. W(@RJCS, INC.
eY gess 779 OLD COUNTY ROAD
—"Contractor,Agertt SAN CARLOS, CALIK)KNIA
Phone 592-9292
State License 110828 Approved
PI mbing Inspector
I AGREE I WILL NOT VIOLATE ANY OFTHEWORKMEN'S i
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. \XI\
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Bldg. Dept.
Office Copy
ILDING' INSPECTOR'S OFF
CITY OF' CUPERTINO
Sewer Connection_-- Sanitary Permit No.
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Plumbing Final Plumbing Permit No.
I
Lot No. .... S 3...........
Owner or Tenant 'AA
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At .... ....................
wid��- --------------- ----------------------------------------
Tract ............. -------------------------------------------------------------------
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Date Connected ....3-30
19
Date 'Final ----------------------------------- - -
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PLUMBING INSPECTOR... ---------