NO PERMIT NUMBER 20873 Sola St' eet 2
NO. STREET j - - - - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10080 BF
FILE NO. 51,335
DATE 9/13 19 77 .
Application is hereby made for a permit to
Construct Plan 2150A a 1 story,type 5 NHR
to be occupied only as I 6 J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 72,000
FEE$ 231.00 PLAN CHECK$
OWNER George L. Fain ADDRESS 225 S. Mathilda--Seale
PHONE 255-9449
CONTR, Same ADDRESS
PHONE 733-7111 STATE LICENSE 272470
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE INSP CTOR DATE INSPECTOR
FOUNDATION / _ FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH -Z
WALLBOARDS-0.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION '
FINAL BLDG.
UNDER-FLOOR / /�--
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..LI.
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUG UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
IE4
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE IWCTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION 3,
UNDERGROUND ROUGH 7 FLUES&COMB.AIR 7,f
PARTIAL ROUGH y CONDENSATE DRAINS
ROUGH COMPLETE yl•7 FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS U
FINAL PLUMBING
MISCELLANEOUS
.1 ` CERTIFIC•ATEbF COMPLETION
.`
BUILDING INSPECTOR'S OFFICE
CITY OF CUPED. INO tt _
DATE y /Zg 1922_ BLDG, PERMIT NO.✓/����/
THE BLDG. LOCATED AT log 3 �OC-A S-1jzGr
OWNED BY 6(y'W L661" � • �I3/J
HAS BEEN OMPLETE ) FOR USE ASr n/ V �• f /L9CQ��
(ALTERED) -; -
BUILDING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF, CUPERTINO
Sewer ConnectionSanitary Permit No. Jp-q-Y-6)..........
Plumbing Final Plumbing Permit No. ....3---
Lot No. ..........r--?................
Owner or Tenant
-------------
.........................................................
At --------- ....... -Ak......
Tract
Date Connected 19........ 7
..................................------------------------------------------- ............
Date Final ------- P
7/
............ .. 19-
......... .. ......._......-- ------------- ............................. . ............
..................
---------------------------------------------------
PLUMBING INSPECTOR
"CITY OF CUPERTINO °OPYE
GAS $ERVIGE NOTICE
G� ao to 7k
To
You are hereby authorized to connect the GAS service for
Owner or Tenant -�7a�-_�..i'. nn /a,,...
At a � St�3 �Jo.Y
New Service
No. of Meters Reconnect
No. of Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR � `/
/W/l.(LtZ.0 0„
/ ELECTRIC SERVICE NOTICE r` A" OFFICE COPY
[` BUILDING'INSPEGTOR'S NOTICE
[./ CITY OF CUPE/R;TO
'hN
To � � . 1 r� �. , 197L
I You ore hereby authorized to Connect electrical service for
Owner or Tenant � c 6/C)
At 2 `7�A►z .9j-
No.of Wires Size of Wires Size of Switch Iyy
Motor Load Voltage Phase
Heating Load K.W. Voltage
Light /
No.of Meters10-New Service Reconnect
Heal120-Three Wire More Service
No.of Add.Meters Power' Th�eiP.hase I Move,Meter
ELECTRICAL INSPECTOR
ROUTE SLIP
File No.
Date .
Location
Subject �•�
Notes ,2
ApprovedJ
D e Insmec or
,)-o 71 -64,4- LOT NO.
NO ko STREET
s"V ' CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date � 19Permit No.
Fee E Q,d:j
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 Work To Be
Premises Performed
15,
Owner T Address
Phone (�
By� —nt -(N-a , �X �kT1GTYY C/�
aniroctor ent
Phone
State License rf�'0 Approved �2G
lumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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ZO $73 ASO[-,9 ST LOT NO.
NO. STREET "•
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Date
2
1971 tq 7 / PermiFea E ZT�
O o
Applicatioili is�6,reby made to the City of Cupertino for a permit to install gas,
appliances as listedon 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 Work To Be
Premises Performed
Owner Address
Phone ' � 11
By e.l)�Tnq �TC Address �:�r/ y CN
Contractor,Agent
Phone '?)2 -Z C' �
State License 1?-1/7 TG 7 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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2087_ Sol� treet LOT NO. 2
C„ 7STRF T ' Mode 1 2150
OCT � 1 7 1 CITY OF COPERTINO
L APPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date ]()—I
Fee E
Application isherebymade 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 Codeofthe
City of Cupertino,and all other laws applicable thereto. ”
Use of Work To Be '
Promises I -fam. res. Performede_lCrtrlCal
Owner rn6lrP rons:tt: Address
Phone 733=7111 -
np�N�'�)�Fu�FFs�� y s
BywBlycn'Cfs k.IcLr.I(.i'I,IIL,1 .�5��i 1- s'{�P r' I`W 5 tin c t A I P
Contradoq A ant
State License QS /
Elect' al spector
I AGREE 1 WILL NOT VIOLATE ANY OF THE WOVMENJS
COMPENSATION LAWS OF THE STATE OF CALI
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KOG 73 So /.v ST ' LOT NO. 7'3
NO. STREET '
CITY OF CUPERTIAO (VAL.7 O d
4-r Tt:O CAP. o y
a 1 APPLICATION FOR BUILDING PERMIT FEE `�
f 3 F oath ,1 1977 9/�3 Qszz.. Building Per.No.-573s
>< 0" Sanitary Per.No: /0080 B�
ae _
O < �AppA catjonpyhereby made fol.oermit td"'AISiCT�f CT P1_0'y A/r0 A
= O a—story, Type—
,_�_�_ _> Structure
DWL
to be occupied only asz4s S.Fin accordance with
a
i u, Plans,Specifications and Plot-Plan filed herewith. (�
a a,
x Estimated Value of Improvements,$ 7e? 000
PI Ck Fee$
O_ O It is hereby agreed that the, requirements of the
ua Cupertino Building and Zoning Ordinances and all Fee$ fRJ/ �-
a other laws applicable to the construction,location,and
Z - use of buildings within the City of Cupertino will be Total Fee$
ZO compl1 a with.
Z
O ER PHONE ADDRESS
Q CONTR.OR AGENT
O I SS
PHONE STATE LICENSE IL G INSPE /
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