NO PERMIT NUMBER10092 Senate Way "' 37
NO. STREE"i' LOT NO.
CITY OF CUPERTINO 3.43
APPLICATION FOR BUILDING PERMIT
SANITARYNO. 9470
FILE NO. 51,150.2
DATE 6/17/76 19
Application is hereby made for a permit to
Construct (Plan C) 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 $ 49. 000
FEE $ 184.00 PLAN CHECK $
OWNER Village Greens - ADDRESS 2570 El Camino Real, M.V.
PHONE 9H1_6050
255-1422
PHONE
STATE LICENSE 220382
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE
1 CTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
6
WALLBOARDSC IN E%T.
/ 1
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
•
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
DERGROUND ROUGH
ROUGH WIRING
-1
AOU WIRING
FINISH WIRING
INISH WI
FIXTURES
„
INTERIOR FIXTUR
MOTORS
EXTERI RES
FINAL
i
OTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
I INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGV
FLUES & COMB. AIR /
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GASj
FINAL PLUMBING
q
MISCELLANEOUS
CERTIFICATE OF -COMPLETION
BUILDING INSPECTOR'SiOFFICE
CITY OF CUPERTINO
DATE 2' _!b , 19� BLDG. PERMIT NO.
THE BLDG. LOCATED AT 100�72 �f�U rF
OWNED BY-C-gQl 11'. 0111-, s> %Y'�,2 w
HAS BEEN AL� FOR USE AS_y . '� IT
r 1 . -Z
A Z9
CITY OF'CUPERTINO CAP. (l (vAL. 9, �'►9
d APPLICATION FOR BUILDING PERMIT FEE N'1
wz CITY C. C... E;TlyO. Building Per.No.
Date
0 1 I ',�I Suritory Per. No. q is BF
3 Applicatiordislhereby mia le for a permit to
V Co.vr�C� tT ed f
Fa
Vry`�Tye A)
Structure
O a
to be occupied only as
in accordance with
i w
Plans, Specifications and Plot -Plan filed herewith.
aw
F
Estimated Value of Improvements,
a u.
PI Ck Fee $
O O
It is hereby agreed that the requirements of the
Cupertino Building
Fee Z&Oi
3
and Zoning Ordinances and all
$
'O a
other laws applicable to the construction, location, and
Z
use of buildings within the City of Cupertino will be
Total Fee $
Z
complied with.
O
3
�C
ass+
�v�LM.�ve
w w
ER PHONE
ADDRESS
Q
CiNTR. OR AGENT
AD RE S
_ ,�,
. PHONE STATE LICENSE
/ BUILDING INSPECT
ROUTE SLIP
k^ile No.
y Date
Location per. p J - -
Subject
ROUTE SLIP
File No.
Date 2// X17 7
Location
Subject .8,^ y i A-
; .
/ ELECTRIC SERVICE NOTICE
JLj BUILDOF CUPERT'S NOTIC_,.E%`._ss..
CITY PECTOR CITY OFINO
To
You ore hereby authorized to Connect el
ec/tr'Ic`al service.for
Owner or Tenant /?�L'�� l f (aQN,- J t; IQJ2_C
At i�e� -I 1/r 'c 14 VX�n,
No. of Wires \
Size of Wires /ie of Switch
il,-
Motor Load Voltage Phase
Heating Load K. W. V, 11—
OFFICE COPY
No. of Meters
( Light
- 110 ✓ New Service ✓' \
Reconnect
Heat
-1,20 1 Thrree Wire More Service
No. 04 Add, Meters
Power
/��
t(/1
three Phose -Move Meter
�� ELECTRICAL
'(j/yL''
INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ---------
.---------
Plumbing
Plumbing Final Plumbing Permit No.>r..yt./-4o,2--
7
Lot No. --------- 7-------------
Owr
/;
y 3 CITY OF CUPERTINO OFFICE
f� GAS SERVICE NOTICE f 7
�fu % 19 /
To
You are hereby authorized to connect the GAS service for
Owner or Tenant f7/I<n
At /IT /ll/ 2 U
V /
t New Service C/
No. of Meters t Reconnect
No. of Add. Meters Move Service ,1
Move Meter
PLUMBING INSPECTOR
16092 SENATE "WAY =.4 37
NO. STREET +r LOTNO. -
x
o
CITY;OF CUPERTINO PLAN "C"
kll.ICATION FOR ELECTRICAL PERMIT
n c r c {
Permit No. '-
iApphcation -is hereby made to the: CiTy of Cupertinot.for a'-m ,perit to. install electrical+
r wirinRg,and/or fixtures as listed on The"''reverse*side hereof 'sand agrees to installiaid.;`
wring and/or.fixtures in�:accordanceM1with„the provisions ofthe Electrical Code of "the
Cityof Cupertino, and all other laws applicable ihereto
rt 'orUse of kTTo Be��1FeYenCeerfunPreinie' - s
OwnerV= A +R NG' Address
T �. r`
,,Phone-
` By ALTL'-CAL ELECTRIC CO. Address109�3 OCKTON AVE SAN JOSE.'r
s P' Comructoc. Agent
Phone' 295-5230¢t.
.{ ,(..e. i...
Stwe License 228-622 . Approved
„E,eFeriml Inspector�' '
+ - -I AGREE,I WILL NOT VIOLATE ANY _OF THE }WORKMEN'S -
COMPENSATION.LAWS OF THE STATE •.OF"CALIFORNIA. - - a
_" W%PLAN' a, 4 is TRAMT 45�6J%
.`
-•-�.
erTJTEM V �` �'?�°
NEW'RPL�
"'
-FEES -'
Number of Outlets
;-ifr `,.y_.
y� _
fy, :Number of Swg5. esy
r9 Number of Receptacles
-,Number of'Fiafuies
Ranges or Ovens K.W.
'i
i
Si a of Mam $eryife'A` s
4 -,o-
JINumberof Meters'
'-.
'*<<' Number of-P,onels,'
m_
` Signs Transformers
_
Dryers
_.
. a. fJ1P Phase -...' '.',-k•. '�M ::
:i
y': r =
- 'H P Phase -r
14;, 'H P Phase,
"
k
Power Poles''`'
yprgl
Misr? .Y .: •Y .:�,.
r - a stir
ui.
�4
Permit Fee
Q"
-.,H.P. Charges'.: -
- 4,
��T t I Fees - a ��h'; :A .a.
i-�
. -'
T..aA .. a 1✓d1.K
10092 Senate Way Plan'SL LOT
NO STREET
C:^t `, CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JANI9 1:1%[
Date Jan. 2,2 .A e
i ,19Zfi—
f�
Application is hereby made to the City of Cupertino
pipes and/or fixtures listed on the reverse side hereof,
and/or fixtures in accordance with the provisions of th
Cupertino, and all other laws applicable thereto.
urem,eaisr es Single Family Res.
P
Cupertino Village Green
Phone 941-6050
s oe Amaral Plumbing
Contractor Agent
Phone 296-390
1752
Sanitary No.
e
Permit No.
Fee $ W. 6,,,
for a permit to install plumbing
and agrees to install said prices
Plumbing Code of the City of
Work To Be
Performed Plumbing
?,5]0 El Camino Suite 302, Mt. View
P.C.Box 150, S.C., Ca.
State License 99 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® c+
FIXTURES
NUMBER
I MAIN DRAIN
Units
-_Fees
I
Units
Fees
Water Heater
Size
,j CD
Water Closet
Material
Bath Tub
To Curb
Shower
z
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
asher
t
Disposal
ray
STORM DRAINAGE
g Machine
Size
Softener
Material
k
Rh
To Main Drain
Sink 8 Tray
To Curb
Unitg
Fountainrain
WATER SYSTEM
Hopper
Restaurant Sink
RFixture
pry
.p
Sand Trap
TOTAL F,
Urinal
Area Drain
Fee
i Q
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
2�QQ
Relief Value
Gas Fee
Z. D
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Q
Total
Total Fee
10092 SPnatP LOT NO. 37
NO. STREET
Ofl O' CU7S;TINO CITYOFCUPERTINO
APPLICATION FOR APPLIANCE PERMIT
.JUN 3 U 1976
�
6 18- 76 Permit No.
Date l' n r, 19_ Fee E A 00
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.
of Res
Vl
0
Work To Be HEat/Sheet Metal
Performed
.. 2570 El Camino Real #302 Mtn.
View
SAN CARLOS SHEET METAL WORKS, b:G.
Phone 59� � `v SAN CAR,.LOOSS, CALIF RNIA
State License Approved /I
r Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S/
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 1A
APPLIANCE 11 UNITS I FEES
B.T
CU. FT.
16) HOOD- MECHANICAL EXHAUST 11 1
PERMIT