NO PERMIT NUMBER r
I
10165 I .-Swan Oak Lane Lot No. 64
No. 'Street 2101.7
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 74o8
File No. 51231 . 1
Date 6/�5/7� 196
Application is hereby made for a permit to
r
Constr6Rt a I story, Type
to be occupied only o` . Single Family Dwelling
•in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 16,000
FEE$ - 91 . 00 Plan Check $
Owoor Shapell Industries Address 3000 Scott Blvd . S. C.
Contr. Address
Phone 247-3801 State License 169863
252-3831 Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date "' 19Ion FEE$
Contr• Address J �j
PhoneStat
o Licen
Approved
APPLICATION FOR PLUMBING & GAS PERMI �� ll
Dote -, �' 196 -71 C/'a)
GAS FEE E
�J
� r
PLUMBING FEE $ d. S-2)Conte d—A—V -L. e. Address
PhoneSe O State.L ice nsa
Approved
1 6�LIGATION FOR APPLIANCE RMIT
Data 16 7.4:,C ontr. y �p �/! �ss / -7 v'i.Cr' l.C'r^-i'Cb �17 n
Phone - r��/—� O,(— State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVAL'S
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION '
UNDERFLOORJR.
FRAMELATH & PLASTGRADING FINA
FINAL BLDG. `
EECT ICAL
ATF1 E TOR IS
UNDERGR UN G
ROUGH
FINISHED WIRING ' 7
FIXTURES
MOTORS
FINAL ..�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR ,,II MISC.
tel
BACK FLOW REQ. . .S • ,
SANITARY NO.
UNDERGROUND ROUGH • �'
PARTIAL ROUGH •
ROUGH COMPLETE .+
MAIN DRAIN 7ITL
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
a-
ROUTE SLIP
File No .
Date
Location _ /,f/G� _
Subject fK��ri✓���
i
Notes
Approved -_
Date I spector
ROUTE SLIP
File No .
,Date
Location
Subject...
Notes
Approved. /7- 7,P
Date Inspectiofr
ERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ------ .1._.- —10.1............... 19D.L. Building Permit' No.
...................
The Building Located at ---- .....CAk.,.x
..
Owned by ... CS-L",
rn;ltt -- - - ---- - - .- . .
...... ...... ......... .............. ............
Has Been tared) or Use As: ------- -
e . - --- ------ --- - - -
.............................................................................. .. ................. ......... ......... ......................
................................. ................................................... .... .........****................111"111111 ..........
............................................................................. ------
- - ----- ------ ..............
-:21LDING
YN INSPECTOR
{�• I OFFICE COSY
{ I p v CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
To —�
You are hereby autfi/brize'ittto connect electrical sem afor
o
Owner or Tenant .........f.... .) i
V7
At ..........
..C2_�.. ::�....._C7^. _. _ .. �cm k ..._hr-,^�. g_........_.......
— e1
No. of Wires ........................ Size of Wires ...................... Size of Switch .f�.Qr2liCt.:
Motor Load .......................... Voltage ....................._....._.. Phase
..........
Heating Load .......--.............. K. \fir. Voltage
Light......!.....-... ttO. -' New Senica•................ Keronnect ............ ..
No. of Meters.......�'....._...
Heat..........._.... 220....... h rec Wirr. .. .. ?loco Senicc.
No. of Add. Meters............ .- ._.... .
.Power............... �1'hree asc.....�....... \fuoe Meter.......
i:LECTMCAL IN51-ECTti4 Cl
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
4 Sewer Connection r'� ' Y
Sanitary Permit No. ..._7.:.�!
Fd'1 Plumbing Final Plumbing Permit No. ..r...�J.3�•.
Lot No. ........_�..�C...-- -
Owner or Tenant
....................................................
-l --------------------------------------------------
Tract ---.-_.-----'------....
Date Connected ......:?.,------- ------
Date Final ..............�
-
XI
----- ------- --------- ---- .... ......-
PLUMBING INSPECTOR
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE CO.PY
CITY OF CUP E RT IN 0
To
You are hereby aut4grized to connect the GAS service for
Owner or Tenant
At
New Service ........41--�
..................
No. of Meters ......../......... Reconnect ..................
Move Service ..................
No. of Add. Meters .............. Move Meter ........ ...........
......................... ... --:)... . .... ..........
PLUMBING INSPECTOR
-23y
10165 Swan Oak Lane I
ct*oF cuputINo Street Lot No. 64
A .2, off ,
JUN 15 1971 APPLICATION FOR BUILDING PERMIT
City of Cupertino
Sanitary No.P-7408
^� PateAIMb 25 , 196 1 Permit No. ��/7.i►/.
Application is hereby made for a permit to construct
`o
3 _ a 1 story,Type Building
m tO
0
to be occupied only as Si ngl a Family Res. in accordance with
0 v Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
c
Estimated Value of Improvements,$A, O p O Fee$ 3
o e It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
c n Cupertino wi plied with.
0
owner P Ind stri of 3000 Scott Blvd.
Address
0 � B rens
0 0 Phone 247-3801 Approved WILLIAM D. GENEVIt^•r,
State License '169863 Building Inspector
v