NO PERMIT NUMBER X1162 Patriot -Way - a 1s•-�'.F�; 56
NO. ' STREET 'j •;.� ;" "� . ., .. LOT NO.
3.64
CITY OF CUPERTINO __. -
APPLICATION FOR BUILDING PERMIT._
SANITARY NO. —9406 n
FILE NO. ' 51.150.2
DATE Ph 0/'7(; . 19_ - - - -
Application,is hereby made for a permit to -- - • .. -
Cnnetnsrt (Plan T)) a -•2 story,type- -'
to be occupied only as SinglpFamily. Thaplling •-
in accordance with plot plan,plans and specification filed herewith.
• - ESTIMATED VALUE OF IMPROVEMENTS $ 52,0110
FEE$ l ql -00 PLAN CHECK$
OWNER CUpt. .Village Green ADDRESS 2570 E1 Camino Real, M.V.
.PHONE 941-6050 -
255=1422 (sob)
CONTR. ;I ADDRESS '
PHONE STATE LICENSE
l+�"-"—`••""` J APPROVED J. BUStO/h ,
�w
BUILDING INSPECTION RECORD Is
DATE INSPECTOR, DATE INSPECTOR
FOUNDATION /p FLOOR STEEL
PRE-GUNITE FRAME -- Z
BOND BEAMS LATH
WALLBOARDS .8 EXT./
FIREWALLS
.MEMBRANE LANDSCAPING `
F.M.O. INSPECTION �.
FINAL BLDG. i
UNDER-FLOOR - - -
TIEDOWNS _ -MISC-
DIAPHRAMS
i
MOOpE BII SIH ESS GORM$INC..L1 ,
ELECTRICAL INSPECTION RECORD
RESIDENTIAL - DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING 7�
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES L•
MOTORS EXTERIOR FIXTURES
FINAL MOTORS FINAL 7q,
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE I SPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. 7 .�
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH .�. FLUES&COMB.AIR 5 (�
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CERTIF,IC•ATE•OrF COMPLETION
BUILDING INSPECTOR'S OFFICE -
,L Cl-Y;OF CUPERTINO _
DATE /r 7 19v BLDG. PERMIT NO.
THE BLDG, LOCATED AT
OWNED BY `� ,/ a L� �✓•fly-� _ '
<Cb / 4 •�77
HAS BEEN CQMPLFSE ) FOR USE AS �• /� } „a -
(ALTERED)
OM
BUILDING INS PECTOR
/ AihE SLIP
v
File No:
Date / � 7
Location
Subject.
U
Notes
/j
Approved 11101-77 L%✓1i�;�L.l��/L/ .
Date ' Inspector
a2//(. A ?,I off !c/a LOT NO.
NO. STREET -NVAL
CITY OF CUPER O CAP.
a CITY o: A ff ff 'ATION FOR BUILDING PERMIT { FEE 3 G
fZD /1 �QiC, Building Per.No, r//.f V .Z
Date ,19 �SL06 =
x O ._ . - Sanitary Per.No.
O a Application is hereby made for a permit toCpN.S`T.0 V C T
uu U la A I F)
= LL
0U-
a_;;kLstory, Type Structure
O - to be occupied only as cow"` 6i➢N/Cy...�C✓i�l/w(. in accordance with
a
Z' w Plans,Specifications and Plot-Plan filed herewith.
F Estimated Value of Improvements,$ SCl/
u_ PI Ck Fee$
O O It is hereby agreed that the requirements of the
3 Cupertino Building and Zoning-Ordinances and all Fee$
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
z0 complied with.
02 �/ ( Alf1 r.ti a
w w WNER PH DDRESS
LPJ
00 ONTR.OR AGENT
PHONE STATE LICENSE OF BUILDINC INSPECTOR
21162 PATRIOT WAY, .CUPERTINO LOT NO. 56
NO. STREET J
O Cuc.nTn+O CITY OF CUPERTINO
oTY G APPLICATION FOR ELECTRICAL PERMIT .
J
Permit No.
Date 3�. 19 76 Fees .
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 611 other laws applicable thereto.
POt (1)Fam.Residence' Work To Be
Premise Performed
OweerVILLAGE GREENS Address
Phone
BALL—CAL ELECTRIC .CO. AddressAANY
STOCKTON AVENUE, SJ
Contractor,Agent.
Phone 295-5230' ,
State License 228-622 Approved
1. Elect c I Spector
I AGREE I WILL NOT VIOLAOF THE WO CMEN .�
'COMPENSATION LAWS OF THE STATE OF CALI RN .
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D (c CITY OF CUPERTINO oOPY
COPY
GAS SERVICE NOTICE
197
To
You are hereby authorized to connect the GAS service for
Owneror Tenant
New Service
No. of Meters' Reconnect'
-No. of Add. Meters Move Service
Move meter A -
PLUMBING INSPECTOR-
s
J Bldg. Dept.
Office,copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ....�9--- 1).. -------- -
Plumbing`Final Plumbing Permit No. :,...../.------.....%.....
Lot No. ... �C�I ---
Owner or .Tenant ---L[. £-----•tU�w�+�\------------.._-----
At ..-- -------------------------------------------------------
Tract-
'------._ _--------- .Tract. -...--..---........-------------------------------------:.------.....--------'----....--'---.-....--
o ------------
Date Connected ..... ... ---------------------------------- -------- 19....... ...
I' Date Final ....'------�: -----
. ---------- 9---...---..
........................----- .....................:....---.
PLUMBING INSPECTOR
21162 PatriotWav Plan D LOT NO. GA
NO ST ET
CITY OF CUPERTINO
'r = APPUCATION FOR PLUMBING PERMIT
,JAN ! 9 1571 { I
C Sanitary No.
Dale Jan. 22 . n ,191_ Permit No,
A I v 6_ Fee$ .3 6, "a
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.
Pre is Single Family Res. Workrm Be Plumbing
Premises
oCupertino Village Green 22dO E1 Camino Suite 302, Mt. View,' Ca.
Phone 941-6050
Yoe Amaral Plumbing AddressP.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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21162 Patriot Wy LOT NO. 56
NO.' STREET ^
r
.^,Tt`.to CITY OF CUPERTINO
`_L- APPLICATION FOR APPLIANCE PERMIT
_B`LX91 (.
Date Ft1 261j77 Permit No.
Iq— Fee$ 1 100
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 alli
other laws applicable thereto. '
Use of 'Work To Be
'Premises Res. -Performed— Heating/$heet Metal
owner Capt. Village Grn Address 2570 El Camino Real #302 Mtn. V:
Phone 8941-60
BY �q j 5AN CARLOS SHEET METAL WORKS, Ir1G.,
Contra:or,Agent
---777-0TD—00UNTr—lZCrA-D--
Phone S�f-" -q� CyRLOS, CALIFORNIA
State License \D°4�--� Approved
MmbingInspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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