51,150.2 r
21153 Patriot Way54
NO. - So ,=+� :�• S LOT NO:
CITY OF CUPERTINO 4.55
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9404 1T_
FILE NO. 911156,2
DATE-2/101715 19_
Application is hereby made for a permit to
Constr„n+ (T)Ian RTL) a 2 story,type
to be occupied only as Si ngl a Family DwE ling
in accordance with plot plan,plans and specification filed herewith.,
ESTIMATED VALUE OF IMPROVEMENTS S 65,000
FEE S 217.00 PLAN CHECK S
OWNER CILI Village l age Green ADDRESS 2570 El Camino. M.V.
PHONE 941_(,o50
CONTR. ADDRESS
PHONE STATE LICENSE 2'384-n
APPROVED J. BUStoIh
I - BUILDING INSPECTION RECORD
D TE INSPE TOR DATE INSPECTOR
FOUNDATION4 FLOOR STEEL
PRE-GUNITE FRAME T _)
BOND BEAMS LATH '
WALLBOARDS N).8 EXT. i
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. -0_
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINE55 FORMS INC..LA
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 ,(p. MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR PATE L INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH ] FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADER
MAIN DRAIN
FINAL GAS 7
FINAL PLUMBING /( 77
MISCELLANEOUS
21153 Patriot Wy 5
OT NO.
NQ. So - 0 3L
CITY OF CUPERTINO /
C" O: 'APPLICATION FOR APPLIANCE PERMIT
MAY 12 1976
4-2-76 Permit No.
Date ,19 Fee$
Application is hereby made to the City of Cupertino for a permit to installs
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.
D5e Of Res. Work To Be Heating/.Sheet Metal
Premises Performed
Ov.ner GUpt . Village Grn. Address 2570 El Camino Real #302
Phone
1"_6A5 / , Mtn. VieVJ
BYress,SAN CARLOS SHEET METAL WORKS, hxl.
4 Add
Contractor,Agent R AD
Phone 592-9292 SAN CARLOS,110828 CALrRNIA
State License Approved � 2a
ambing 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
ALDING _ INSPECTOR'S ' OFFI�
' CITY OF CUPERTINO /
Sewer Connection Sanitary -Permit 'No.•.........---� U�(.--
!' Plumbing Final '.Plumbing'Permit No. ..-.r:.1.L1.f
Lot No. .......:......'�-/
Owner ocTenant -:-�..rt. f?:^o.,f.: ....:. �f!... �,-
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PLUMBING INSPECTOR
,ILERTIFICATE OF COMPLETION
BOILDINCrINSPECTOR,5"OFFICE
CITY OF CU_PERTINO:. �''�•
DATE /- 19Z BLDG. PERMIT NO.
THE BLDG. LOCATED AT• 2J/5 0`;9.702/ UT W l�
OWNED BY
HAS BEEN ."COti1PLETED FOR USE AS < I" %✓w'C ' '
(ALTERED)
•- - BUILDING4INSPECTOR �`
L•/ROUTE SLIP .
-V ile No.
Date,
Subject. Co- 11J•, �c/ F
Notes
ApprovedZ/3—/-77
Date Inspector n •`'
/,S O LOT NO.
NO. STREE - -
CITY OF CUPE TING II CAF VAL CA,4'0'0aTr W APPLICATION FOR BUILDING PERMIT FEE
Z Z 1 Building Per.No. -
F Date'L
• -I ry "Q Ifi ,
m o f V >- - /1ON.�ZfucT Sanitary Per.No.-7
/�rGO.t/ BC•
3 C
u Application is hereby made for a permit to ( �
_ a story, Type Structure
O < to be occupied only asJ/�/6L _/�L:U`LCi.vC- in accordance with
Z ,i Plans,Specifications and Plot-Plan filed herewith.
a w
Estimated Value of Improvements,$�PS dOz>
PI Ck Fee$
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee$
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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WN P E A�PDRESS
0 :E > 00
CONTR.OR AGENT
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23 Q'L.IC
PHONE STATE LICENSE BUILDING INSPECTOR
ELECTRIC,.SERVICE NOTICE OFFICE COPY
l _ f� �4• BVILDING FCUPERTI NOTICE , ' T
CITY OF CUPERTINO �(L
To _ ! 9 /
You are hereby authorized to Connect,we�tricoll/service for / �7
Owner or Tenant ( 1"JOI—rad / V
At
No.of Wires
Size of Wires Size4Switch �-
l�J
Motor Load Voltage' Phase
Heating Load I' K.W. ,Voltage
No.of Melers ` Lght . l 10 ✓.�/New Service /-Reconnect
Hear T120 ' •%r, Thlee Wue -More Service
No.of Add.Meters - � f ;
.Power' l ihiee Phase' 'Mo^ve_Meter
De M ELECTRICAL INSPECTOR
2115p'3 PATRIOT WAY CUPERTINO LOT NO - 54
N L17Y CF CUf::iilNo.
CITY OF CUPERTINO
Ju` 2 8 194)PLICATION FOR ELECTRICAL PERMIT
Date JULY- 20, 76 a Permit No.
19 Fee E 1
Application is hereby made to the City of Cupertino for a permit toinstall 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 Cade of'the
City of Cupertino,and all other-laws applicable thereto.
Use aIl7Pam.Residence WorkToBed
Premi s Performed
OwneWILLAGE GREENS Address
Phone
BY ALL—CAL ELECTRIC 'C0. Addre7 STOCKTON AVENUE S.J.
Contractor,Agent
Phone 295-5230
State License 228-622 Approve
Ele rico)lnspecto
I AGREE I WILL NOT VIOLATE ANY OF TH WOR MEN'S
COMPENSATION LAWS OF THE STATE OF ALI RNIA.
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CITY,OF GUPERTINO COPY
GAS SERVICE NOTICE
19 �7
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You are hereby authorized to-connect the GAS service for
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Owner or Tenant �3. 1�e"7
At
aiis3
New Service
No. of Meters - Reconnect - r
No. of Add. Meters Move Service -
Move Meter
PLUMBING INSPECTOR
21153 Patriot Way Plan BL LOT NO. 54
NO Sr�
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JAN !919iI
Sanitary No.
Date Jan. 22 _ ,19 76 Permit No.
A 9 v 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 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.
"°°°f Single Family Res. Performed Be
Premises y Performed Plumbing'
Cupertino Village Green 257Q E1 Camino Suite 302, Mt. View, Ca.
OW nar Ad ress
Phone 941-6050
�qe 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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