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NO PERMIT NUMBER10052 Senate Wad __ _ 41 NO. STREET - - LOT NO. 4.55 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. 9413 W- FILE NO. 51,150.2 DATE 6/17/76 19 ' - -- Application is hereby made for a permit to _Construct (Plan BL) a 2 story, type 5 N. Hr. to be occupied only as I & J Single Family Dwelling in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 65,000 FEE $ 217.00 PLAN CHECK $ OWNER C» .. Village ge Greens ADDRESS 2570 El Camino Real, M.V. PHONE 941-6n5n .255-1422 PHONE STATE LICENSE 220382 APPROVED James H. Sisk/h BUILDING INSPECTION RECORD DATE ANSPECTOR DATE INSPECTOR FOUNDATION L. I FLOOR STEEL PRE-GUNITE FRAME f BOND BEAMS LATH WALLBOARDS FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR TIEDOWNS -misc- DIAPHRAMS ' ELECTRICAL RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR I UNDERGROUND ROUGH / ROUGH WIRING UNDERGROUND ROUGH ROUGH WIRING FINISH WIRING72 FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL 7 MOTORS FINAL MISCELLANEOUS INSPECTIONS i PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR I DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. z BACK FLOW INSTALI DUCTS'& INSULATION UNDERGROUND RO FLUES 8 COMB. AIR PARTIAL ROUGH NDENSATE DR NS ROUGH COMPLETE AL APPLIANCEROOF DRAIN & LEAMAIN DRAINFINALGAS - FINAL PLUMBING I MISCELLANEOUS I I I CERTIFICATE OF COMPLETION BUILDING'INSPECTOR'S OFFICE CITY OF CUPERTINO DATE �' - 192 BLDG. PERMIT NO.f5//TG THE BLDG. LOCATED AT NO �'Z '5r1JA7l< 6C)Ay OWNED BY GV)trr V1l--(- 6 e HAS BEEN MPL FOR USE AS. S / (ALTERED) v, Q W Z OO 3v w =0 0 O a T N Z w w = a LL _00 > N O < Z 30 ,v n« CITY OF CUPERTINO CAP VAL. `Sr "U ` CITY APPLICATION FOR'BUILDING PERMIT FEE CL rX Date Building Per. No. r�•.� •�- ,19.. Sanitary Per. N .� Application is hereby made fora permit to C"J7�y 4 7 AAAi at. i a story,I Ty-pA Structure to be occupied only as in accordance with Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ de Q O O PI Ck Fee $ It is hereby agreed that the requirements of the Gv Cupertino Building and Zoning Ordinances and all Fee $ a/ % �— other laws applicable to the construction, location, and Total Fee $ use of buildings within the City of Cupertino will be complied with. 31Z, _; P0 s sue' NER PHONE CONTR.OR AGENT .Pss = Ayem PHONE STATE LICENSE 9DUESS FaR'S NSPECTOR74 ROUTE. SLIP File No. Date ��� 7 Location/%J .--/ � H ,�%�, ,, 6(z. ice„ d / �-C/��/�,p� �� � � �,/fir/ / �\ Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO er Connection Sanitary Permit No . ..... �F 1// 3 K—sew ------------------------- '-r71 Plumbing Final Plumbing Permit No. a.::. I............... - LotNo . .......... �q -------------- Owner or Tenant -------- — ------------------------------- At Tract ................................................. ......................... Date Connected -------- ............ ---------- ............. 19 ------------ Date Final .......... 7 7 . ................................. ....................................................... 19 ------------ PLUMBING INSPECTOR I To You are hereby Owner or Ten At /-6 C No. of Wires Motor Load _ Hearing Load ELECTRIC -SERVICE NOTICE _ OFFICE COPY BUILDING.INSPECTOR'S NOTICE `• CITY OF CUPERTINO 19 rued to Connect elect,; cc service for Size of Wires V Size of Switch K. W. Voltage No. of Meters / ( Lighl r l 10 New Service Reconnect l(/1 Hoot / 120 �� Three Wire More Service No. of Add. Meters Power Three Phose Move Meier (/ / ©"' ELECTRICAL INSPECTOR ` Q y U CITY OFFICE 8 CUPOTINO coax GAS SERVICE NOTICE z'l To You are hereby authorized to connect the GAS service for '.,Owner or Tenant f /irt l ��)%� L/�C..'a v New Service No. of Meters 1 Reconnect No. of Add. Meters Move Servi /M/ovvee Meter PLUMBING INSPECTOR h7SF�rp OM 10052."SENATE.;WAY 41 - NO � STREET �. ITYr �y�y, - -, w 3., LOT NO. ._ _, CtTY Or G�; Ef:T4N0 C'OF CUPERTINO PLAN ^Bu - APPLICATION FOR ELECTRICAL PERMIT 19�1 � - Permit No. Date 11l/S-,iL `� (''� , 19 76 Fee 'Application is hereby... made to the<ity of Cupertinofora permit to install electrical?- wiring, and/or fixtures as .listed on the: reverse side hereof, and agrees to install said wiring and/or fixtures i'n--accordance with4he.provlsions of'the Elec{ricol Code of iKe- ' City of Cupertino, o9cfall other laws apphmbWthereto.'. .: -' use of {'1,)'Famy,Residenc6 WorkToBe - <Premises - Performed - VILLAGE GREENS' .Owner - Address Phone ..ByALL—CAL. ELECTRIC CO Add're: 0 . - Contractor; Agent. Phone' .295—'5730 ., y State 4cense 228 f 22 - Approved' Elettncdl specs <, I AGREE 1 :WILL NOT VIOLA LANY OFiTHE WORKM 'S COMPENSATION LAWS' OF THE STATE OF CALIFOR M&PLANIM- ""BM-0, 'E'tRVVCT,` 5-M96V-� E -NEW RPL -FEES' f0otlets, Numbeao Number 6f,'Switches Number of R "cplaic Wv k ..Number of FixtbreC k, Zl_ 1 :(.,20 -. '�.Rangesor Ovens KiW.Y_ -Size of MoinSemce 4 Number Of Meters,*,, Nuir�Ser,o Pooes?l 6 Li ro —9s q[mers A-4 Q�yers�. s'. Motors KP-Ph6ie j7H7P.'Phase. H P Phase � �Po� Poles - 'r MISC., Permit Fee H7P..,C,har&.s T6io]'Fees 10052 Senate Wav Plan BLLOT NO S REET CITY OF CUPERTINO APPLICATION FOR PLUMBING PERMIT jNIA 1 Sanitary No. Dote Jan, 22 _ 11976 Permit No. - :] Fee b c, 62 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 NemisesSingle Family Rec. Cupertino Village Green own r Phone 941-6050 By Joe Amaral Plumbing Contractor, Agent Phone 296-3963 175299 Work To Be Performed Pl ilmbi ng 2,jdpe l Camino Suite 302, Mt. View, Ca. Address P•O.Box 150, S.C., Ca. State License Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® L1 FIXTURES NUMBER MAIN DRAIN Units Fees Units Water Heater Size /Fees ,7. Water Closet Material Bath Tub To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink Not Conn. Dish Washer Waste Disposal Wash Troy STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb. Sink & Tray To Curb Dental Unit - Drinking Fountain Floor Drain WATER SYSTEM Hopper Size —RestouranLSink— _ Material Sand Trap TOTAL FEW- -Urinal Fixture Fee Z Re, (/ O Are. Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee / Q Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Sweeper Permit Fee Jay Total Total Fee 10052 Senate Wy LOT.NO 41 STREET CITY OF CUPERTINO CIT•r Or: Cue::•TAPPLICATION FOR APPLIANCE PERMIT JUiti 3 0 1976 6-18-76 Permit No.—'� �-- 19— Fee $ �-` mac' rr3erB 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. ear Res. Work r PrmeHeat/Sheet Metal Premises PPerff ormedd Owner Chet Village CASaess 2570 Fl Camina R al &'Aw A" Ph o �'(Pb 0 j Wee, - �gy - rpgc ysy ssS'AN '3M.^.lOg 4WFET METAL WOkr Uvka Contractor, Agent eUNTY Phone 592-9292 MN CARLOS, CALIFORNIA State License 110828 Approved algzD Flu rbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® L" APPLIANCE I UNITS FEES n FnarFn AIR OR GRAVITY FURN. TO AND INCLUDING VENT 4-HP. ABSORP. ABSORP. MECHANICAL 101 FOHIPMENT NOT COVERED BY THE ABOVE L�f/ II 1 SW PERMIT FEE TOTAL FEE