NO PERMIT NUMBER (2) 10062 Senate way- z 40
NO. STREET i i •i" - LOT NO.
L
CITY OFCUPERTINO 4.55
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9412
FILE NO. 51,150.2
DATE 6/17/76 19
Application is hereby made for a permit to
Construct (Plan BL) 0 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 Cupt. Village Greens ADDRESS 2570 El'Camino Real, M.V.
PHONE 961-6050
. 255-1422
CONTR, ADDRESS
PHONE STATE LICENSE 220382
/L`��� �y/ APPROVED James H. Sisk/h
7
7
BUILDING INSPECTION RECORD .
DATE ItOPECTOR DATE INSPECTOR
FOUNDATION , /__X-70 IL—wol FLOOR STEEL
PRE-GUNITE FRAME &Z
BOND BEAMS LATH
WALLBOARDS .e,E%T. 'L•l 6
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. Z —
UNDER-FLOOR
TIEDOWNS -MISC.
DIAPHRAMS
MOOgE B1151N E55 lOq M51NC„LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING / o�LJ ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES 'L INTERIORIFIXTURES
MOTORS EXTERIORFIXTURES
FINAL -MOTORS�
FINAL
MISCELLANEOUS INSPECTIONS
li
I
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR I DATE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. -
BACK FLOW INSTALLED DUCTS&I INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH' CONDENSATE DRAINS
ROUGH COMPLETE / FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN Ir-/9r-
FINAL GAS
r/ -
FINALGAS _ 7
FINAL PLUMBING 77
I
MISCELLANEOUS
I
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Q "51! LOT NOAVO
NO. STREET
CITY OF CU RTINO VAL. G t,0ed
CAP. {(
<_ C APPLICATION FOR BUILDING PERMIT t F�EEr
w Z Data Building Per.No. J //.m
W i i:,l 1 n-+r. ,19 ..
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Y LL -'I V Sanitary Par.
O a Application is hereby made for a permit to Coa sre U c'7 cTr�wA L 1
3 J p A 4T
i LLO a story; Type Structure
to be occupied only as in accordance with
a
'z w Plans, Specifications and Plot-Plan filed herewith.
a ,,,
x Estimated Value of Improvements,$.6 4C 000
a LL PI Ck Fee$
O_ O It is hereby agreed that the requirements of the C a
w Cupertino Building and Zoning Ordinances and all Fee$ 3/ ;P
0 a other laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be
Z complied with.
3 �C� o� tvo !�/I�, pec I�rtS zts90 EI L°wtM/No
w w NER PHONE ADDRESS
Q D C NTR.OR AGENT AD S f
PHONE STATE LICENSE BUILDING INSPECTOR
(�(D LV
ROUTE SLIP
File No;
Date
Location t�4�) `�0
Subject.
( S .r�•�J /� .0 c�
Notes
Approve —�
Date Inspec or
/1 �UELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO
- t1 , ,9' 7
To i
You are hereby au' thorized to Connect electricalservice for _
�
Owner or Tenant --�`"\ (/ NC,-Lt7,_o��. - �w A_ A
At
�FAu> Q4
No.of Wires Size of Wires Size'of Switch IN
Motor Load Voltage Phase
Heating Load K.W. Voltage
No.of Meters ( Light t �I 10 ✓New Service Reconnect
({l1 Hear �r —I'20;� Three Wire More Service
No.of Add.Meters Power `[ ; Three pha / Move Meter
@ ELECIRICALINSPECTOR
CITY OF CUPERTINO OFFICE
GAS SERVICE NOTICE
,9 77
To
You are hereby authorized to connect the GAS service for
'
Owner or Tenant �� -.fay _ ��-�iQ �4
At /iJ/1/ � ✓Id�a ,(i . ls�ir /
New Servicey
No. of Meters Reconnect
No. of Add. Meters Move Service
/Move)Meteor
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO GG
III Sewer Connection Sanitary Permit No.
Plumbing Final Plumbing Permit
Lot No. --------�b..............
Owner or Tenant ......
Y ----------
At ----
Tract ..............
...............................................................
Date Connected ---------
................................................................. 19............
Date Final .... q — -7 �7
.............. ........................................................I------------------------------- 19.......-----
--------------
-----------
PLUMBING INSPECTOR
10062'SENA4FE WAY 40 A
LOT NO
NO. STREET m
�.r
:CTtY OF�pJ"r�TO CITY'OF CUPERTINO ' PLAN "BL"
ry APLP,LICATION FOR ELECTRICAL PERMIT ,
�. <.
-4 1 Permn No.
'19 - 76 :L; •' FeeS
:;.. '.Application is'hereby_made to the CityQ uperimo fora permit to install electrical -_
wiring and/or fixtures a's,listed on thereverse -side hereof,-,`and agrees to install said
wiring and/o'r fixtures.in accordance,wdh The-orovtston`s-oUthe-Electrical Code,.of.the•- =-
City of Cupertinoiand all other laws,dpp(icable,thereto. .t
;Use of " "' Work To Be - - 4. •
d Premises(1)_FaIII'.REsAdenc e .Performed - -'
','Cn&ne}7,ILLAGE GREENS. Add ess'
Phone:
- g�1IL-CAL ,ELEC;TRIC CO. Addresj-'O ;STOCKTON AV$: SAN' JOSE.
Contractor,Agent -
' Phone' 295'''-5r23A ;.�
State license 228,-622 *: A rove - - r
_ PP,,, f Electric I Insp for
"1 AGREE`I WILL NOT VI LATANYs;,OF THE WORKM '"1s
r ,COMPENSATION LAWS.OF THESTATE OFA'CALIFORNIA.'
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10062 Senate Way Plan •JBL LOT NO' 40
NO STREET
_ CITY OF CUPERTINO
..APPLICATION FOR PLUMBING PERMIT
JAN 19 1,977
Sanitary No.
Date Jan. r22 -11976 Permit No.
Fee s
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 ofWork To Be
Premisis Single Family rTo Be l Um b i n g
Cupertino Village Green 2570 E1 Camino Suite 302, Mt. View, Ca.
Owner Address
Phone 941-6050
dyoe Amaral Plumbing Address P.O.Box 150, S.C. , Ca.
Contractor,Agent
Phone 296-3963
State License_ 1 75999 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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'CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO C
DATE 2 "� 1977 BLDG.PERM5�
IT NO. /l-
d
THE BLDG. LOCATED AAT ,,/0Q 6 Z 5/0.4 rC Wia y
OWNED BY �U/�1T•, 1/1� L.4�7� O///�eo) Q
HAS BEEN ( MPLET EDI FOR USE AS(ALTEDL.
IL 'NG INSPECTOR
10062 Senate Wy LOT NO. 40
NO, STREET
Cli i G CUTCTi1rt0 13 L
CITY OF CUPERTINO
Jud 30 i97APPLICATION FOR APPLIANCE PERMIT
r
to I Permit No.
Dote 6-18-76 ,19_ Fee S. n0
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.
Use of Res. Work To Be Heat/SHeet 'Metal
,Premises - Performed
Owner hspt- llil 1 Ane OS89ross 2570 Fl rami n0 Real #40 M n
Pho a D�O /J Vle6V
B —Cs, �y.-+�,,,�.– yam,.,"';gJAN CARLOS SHEET,, METAL WORKS, INC.
Contractor,Agent 779 OLU LUUNIY ROAD—
Phone 592-9292 SAN CARLO/S, ALIALIFOOIA
State License 110828 Approved
Pldmbind Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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