NO PERMIT NUMBER 10091 United Puce , .,{ 32
NO. - -,STREET" LOT NO.
3.43
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
` t SANITARY NO. 9465
FILENO. '51,150.2
DATE 8/31/76 19
I I
Application is hereby made for a permit to
Construct (Plan C) a 1 story,type
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
FEES 184'00 PLAN CHECK$
OWNER Cupertino Village Green DDRESS 2570 E1 Camino Real W.
M.V.
PHONE 255-1422
CONTR, ADDRESS
PHONES STATE LICENSE 313885
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE INSPECTOR I _DATE INSPECTOR
FOUNDATION - FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH '
WALLBOA -INT. E%T.
FIREWALL
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
/ FINAL BLDG.. -/
UNDER-FLOOR 'y i _ 1
TIEDOWNS 7,1 -MISC-
DIAPHRAMS
MOORE JUSTNESS FORMS INC..LA
ELECTRICAL INSFECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES L INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
r PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION y/
UNDERGROUND ROUGH ` FLUES 8 COMB.AIR X )/
PARTIAL ROUGH L'T CONDENSATE DRAINS
ROUGH COMPLETE 'j. Y�7 FINAL APPLIANCE Z N-
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING ,. ?
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSPECIQR'S OFFICE
CITY OF CUPERTINO
DATE_ / . 19ZZZ" BLDG. PERMIT NO. Z4
THE BLDG, LOCATED AT 0 O
OWN EDBYO��.-Twy,l
HAS BEEN (COMPLETED) FOR USE AS A N4
i
ALTER DI
I
AA
\ BUI DING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Jil Sewer Connection Sanitary Permit No. ... ....65
[F Plumbing Final Plumbing Permit No.
J� Lot No. .........S�-----------------
Owner or Tenant
Tract ---------------------.......... - ............ ........ - ....... -....... - ...............
Date Connected ------I"--------- ...................... .. .. .. --:-------------- 19............
DateFinal .......... - �� ....�............. .......................�............-- .. 19........
....... ------- ......................
PLUMBING INSPECTOR
/^' ^ ELECTRIC-SERN,ICENOTICE OFFICE COPY
BUI DING,INFP.ECTOR'SNOTICE ..
,V rP� CITY,uF'CUPERTINO
To 19
You are hereby authorized to Connect electriml service for
i e � - /J )(
Owner or Tenant /W`7Q >, Dxti,w ra/� (� /�10 0. C
At f r'nG 1
No.of Wires ""' Size of Wires
Size of Switch �on
Motor Load Voltage Phase
Heoting Load K.W. Voltage
No.of Meters I Lighl -/ 110 `/New Service_ —�' Reconnect
Heat - 1120 /�Three Wire More Service
No.of Add.Merers Power U
three Phase—move Meter
�� ELECTRICAL INSPECTOR r / ,t.�..r�X�
/ V � V
�j y '.CISY•OF CUPERT NO - . oOPY
COPY
GAS SERVICE NOTICE
19 7
To .
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service l/
No. of Meters l Reconnect
No. of Add. Meters Move Service
� Move Meter /
PLUMBING INSPECTOR I,z/70 _'WE
10091 UNITED PLACE LOT No 32
NO. STREET
' •� CITY OF CUPERTINO PLAN "C"
lall Q APPLICATION FOR ELECTRICAL PERMIT
�J e� Permit No.
Date ,19J3" Fee$
Application is hereby made 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 Code of the
City of Cupertino,and all other laws applicable thereto.
use or (1)Fam.Residence Work To Be
Premises Performed
Owner VILLAGE GREENS Address
Phone
ByALL-CAL ELECTRIC CO. Addressl0 .8`stockton Ave San Jose
Contractor,Agent
Phone 228-6295-5230P
State license 228-622 Approved 1 ►�w..`•�f
Eledricdl Imp"for
I AGREE I WILL NOT VIOLATE ANY OF THE WORK ",S7
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10091 United Pl . 131"an (' LO.TNO.222
NO STREET
CITY OF CUPERTINO
` ':::c:-,APPLICATION FOR PLUMBING PERMIT
JAN 19 1977
Sanitary No.
Date11 22 ,19 76 Permit No.
D Fee 5
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
PremisesSTnolP Fernil-y RPC- Performed Plumbing
ouerertino Village Green ?dVeQ, E1 Camino Suite 302, Mt. View
Phone 941-6050
BJoe Amaral Plumbing Address P.O.Box 150, S.C. , Ca.
Contractor,Agent
Phone 296-3963
State License 175299 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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10001 TTnitor9 Pl. / 32
- _ LOY•NO.
NO, STREET
O
Ort G_1 GSG%'� CITY OF CUPERTINO
NgAPP.LICATION FOR APPLIANCE PERMIT
aFG3 '
nPermit No.
Date 110-T 2-76 ,19_ Fee E 1 .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.
lU3e of Work War"Tose Heating/Sheet Metal
Premises Performed
Owner Cupt. Village Grns 2570E Cimino ea .•
Address
ByenO--��J 41fSU AddreS�sA`N CARLOS SHEET METAL WORKS, hVC.
Contractor,Agent 779 OLD CO
Phone 592-9292 SAN CARLOS, CALIFORNIA
State License 110828
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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IUQq I L i/rLG� LOTNO. _� L 74V
NO. STREET VAL. '
CITY OF CUPEWrINO CAP
d PPLIGA TION FOR BUILDI/NG PERMIT Sl EEE 3 �
DateO C C.,• X77 7b Building Per.No.
x O
I t9 Sanitary P r No;
3 v Apphco�ton s ereby made for a permit to
a��torY•, �'P- r)
am`— Structure
ato be occupied only as SGL. �.2n>'1���✓ .� in accordance with
Z w Plans, Specifications and Plot-Plan filed herewith.
a u,
F Estimated Value of Improvements,
LL PI Ck Fee$
O O It is hereby agreed that the requirements of the �p
u, Cupertino Building and Zoning Ordinances and all Fee$
O' a other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
OZ complied with.
w w 9 OWNER PH NE qp
VSsD �; j 99040
Q U CONTR.OR AGENT
�/ to .tet r ADDRES
PHONE S �NSE BUILDING INSPECTOR
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