NO PERMIT NUMBER 10115 1 Swan Oak Lane Lot No. 59
No. Street j 21017
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
. Sanitary No. 7403
6/15/71
Filo No. 51231 . 1
Dote 196
Application is hereby made for a permit to
Construct a 1 story, Type
to be occupied only as Si nal e Fami l V Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 16,000
FEES 51 .no Plan Check $
0„.,,.r Shapell Industries Addrees 3000 Scott Blvd.. S. C.
Contr. Address
Phone 247-3801 State License 169863
252-3831 Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PE Tg'
Date 196 FEE$
Contr.
Phone Q 0 State Licen Q Tr
Approve
APPLICATION FOR PLUMBI G & GAS PERM!
Date 196 - GAS FEE $ d3 l
PLUMBING FEE $
Contr. Address p p
Phone 1/4a �40 State License Z"
Approved
APPLICATION FOR APPLIANCEERMV 7S
Date �n` ' 96 ))�/ mb
Cantr • i� //`4-�ht�d rosd ��/ `.'ct u4+c-^'�r� /�'
Phone – � aca0 S� State License A/ Fo2A
Approved
Applicants agree not to violate any of the Jr�
Workman's Compensation Laws of the
State of Californ in
it
RECORD OF INSPECTION APPRbVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL 11
FOUNDATION /
UNDERFLOOR -
FRAME I
LATH & PLASTER
GRADING FINAL
FINAL BLDG. �t '
ELECTRICA
r
DAT CTOR MI
UNDERGROUND
y,u
ROUGH WI11fG'-
FINISHED WIRING
FIXTURES -71
MOTORS -]
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. Z{F SM • '7-
SANITARY
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 71 +
MAIN DRAIN 7
Ir 77)
FINAL PLBG. / J� 7
FINAL GAS v
FINAL APPLIANCE
DATE INSPECTOR' "�� I° MISC.
MISC
MISC c
N
MISC
y
ti ocV;
N
C� 0
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U
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A A
d O N O
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ROUTE SLIP
File No.
Date
Location
/ R
Subject
Notes
Approved —_
Da�. �
nspe or
ROUTE SLIP
File No .
Date
Locatio
Subject A-,Volg ra&Q
Notes
Approved i
D to Spector
TEMPORARY - GAS SERVICE ' -
�VAT& ............................. FLe: ...
......................
No\f ---- ------ . ..................
P A d AD ........
LOT: .....
................................
REASON:
The undersigned agrees to be responsible for the gas service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino.
Phone ... ------
.75-
INSPECTOR TEN"OVgNER
.............. ----*----- ----------*-----------------------
117 1/63-500
OFFICE COPY
k-.
SERVICE NOTICE
t* INSPECTOR'S OFFICE
ITY OP CUPERI'IN ) f1w,To -You are heto connect gl ctricaI service for
01v"r or Tenan �,At � �_.......... ..:/ �,_52.�__4.��..
No. of Wires ......... .............. Size of Wires ../....;. Size of Switch ..'.
Motor Load ........................ Voltage .._ ........................... Phase .............................. ...
Heating Load ............ K. W. ............................... _ Voltage ...___......... ._........ .
Light............_.. 110............ New Service_.............. Reconnect...._...........
No. of Meters----................
Heat................. 220......... Three Wire..... ....�. Move Service..........
No. of Add. Meters............
Power............... Three P ase........... Move Meter..............
ELECTRICAL INSPECTOR � ,
ijCERTIFICATE OF COMPLETION
W, BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ...................... 19.71. Building Building Permit No. ....................
The Building
. ......... .... ......------ ..................................
Located at ---
.... .....
Owned by ---5k. ......i.". . ..............................................................
( mpleted �
Has Been 4:�;�or Use As: ....-Z--.r:'.--- .........................................I....................
(Altered)
..........:..............................................................................................................................
..........
....................................................................... --------------------------------------------------------I...................
-------------------------------------------------------------------------I................................................................
............
---N...............................
±U%DING INSPECTOR
Bldg. Dept.
Office'Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- -------
Plumbing Final Plumbing Permit No.
Lot No. ..............1-1
Owner or Tenant .........
At -------
Tract
...................................................... ..........
Date Connected -----7.........).JV 71
. ..................................................................... 19..... ...
DateFinal ........ ......721............................................................. 19-..........
. ..................... .................
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
To
e�,You are hereby, 'Autho'n" toxonnect electric service.�4,c
_L c
Owner or Tenant .................
7-
At ..........
No. of Wires ........................ Size of wires
Size of Switch
Motor Load ............. ---------- Voltage ..... Phase ....... .........
Heating Load ........................ K. W. ................. ...... ........ voltage .. .....-.............
Light..... I
No. of Meters.---....._L....... ....... 1 New Servic,...... ....... Rewnmect ..... .. ...
Heat......._._..... 220..—
No. of Add. Meters........._. m' Wife'�. ./......_ Service_..:_.. .,
�Power.............. 6hr,,
K-EC TR!C AL INSPECT(I
10115 Swan Oak Lane
No.
CITY CUPEFTINO Street Lot No. 59
APPLICATION FOR BUILDING PERMIT A- 21' O " 7
JUN 15 1971 City of Cupertino P-7403
P Dr May 2� 196 71 Permit No SanitaryNo.
TTS— .�W?4/. �
E Application is hereby made for a permit to construct
°
3 ro a 1 story,Type Building
m
W to be occupied only as Single Family Res. in accordance with
Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements,$
16. O O O Fee$ 3% r,•v
o `o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all otrtinher laws apO
*e to the construction, location, and use of buildings within the City of
c A Cope
o weco plied with.
3 Owner and t i of Address
y00 Scott Blvd.
,. r 1 n . Inc.. Santa dray . d l .
� a BAddress
0 Ph ne 247-3801 ApproveA to
State License 169863 Building Inspect VI.^'
GAS SERVICE NOTICE OFFICE
BUILDING. INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
......................... . .
To
You are hereby autharized to connect the GAS Service for
Owner or Tenant
.......................... ....... ..................
At
New Service .....�
No. of Meters ....... .... ... Reconnect
Move service .........
No. of Add. Meters .............. Move Meter ........................
............ .. ..... ..... ...............
..............
PLUMBING INSPECTOR
S
Inter-Dept . Route Slip _
File # 13 � Subject
Requested by
Inspector or Dept . Date Remarks
' -- aUAla
,d
i
t*Buildi - Inspector f DaPte
4: ...,
TEMPORARY ELECTRICAL SERVIICE
DATE: ......... .Q:z.......
..�.9.,.../.9.Z ........ Fee:
--
OWNER:
AT:
REAS............................ ............. .
GAFF
The gndkrsigne�Gr�es to be responsible for the electrical service at the above location, .`P
untfl ttthMhe11��dlI-ng is ready for occupancy, and is released by the Building Department-
city, •;
l tin
Phone .. y7 .. .fF6..�................r
-......................... ..... . ,. ...�ir.�.PGfs`u�s
116 1
63-500 1NSPECTOR TENANT O OWNER
�.