NO PERMIT NUMBER 10100 ljnitpd Plg.ce 28
NO. - STREET . •>Id r, LOT NO.
CITY OF CUPERTINO 4.55
APPLICATION FOR BUILDING PERMIT
SANITARY NO. g41Fi RF
FILE NO. 51 150-2
DATE 8/3l /7� 19_
Application is hereby made for o permit to
(PI an RT,)o 7 story,type
to be occupied only as Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS s 65.000
FEE s 217.00 PLAN CHECK s
OWNER Slnertino Village OrPPnc ADDRESS2570 F.1 Camino Real West
M.V.
PHONE 25.9-11122
CONTR, ADDRESS
PHONE /f STATE LICENSE -n 885
APPROVED James H. Si Sk/h
BUILDING INSPECTION RECORD
DATE I P TOR, DATE INSPECTOR
FOUNDATION _j FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH g -
WALLBOARD - INV&EXT. 3
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
/ FINAL BLDG.
UNDER-FLOOR 0
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..L.
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR J
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES f
MOTORS EXTERIOR FIXTURE
FINAL i MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. / y
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH - FLUES&COMB.AIR /p )
PARTIAL ROUGH .J CONDENSATE DRAINS
ROUGH COMPLETE Z- p_ FINAL APPLIANCE _ _7
ROOF DRAIN&LEADERS
MAIN DRAIN a 7
FINAL GAS
FINAL PLUMBING p_
MISCELLANEOUS
ROUTB. SLIP
. File No.
v
Date
Location
Subject.
Notes
Approved/' --
Date Inspector
CERTIFICATE OF.COMPLETION--
BUILDING INSPECTOR'S-OFFICE
CITY OF CUPERTINO
DATE-`j- I 19 BLDG. PERMIT NO. -,�-7/,/( L
THE BLDG. LOCATED AT 0 Q /t-
P
OWNED BY / i
(COMPLETED)
HAS BEEN FOR USE AS
(ALTERED)
.�M
'i OM
BUILDING INSPECTOR
i
�� rl EIECTRK SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'$-NOTICE
�( CITYOFCUPERTINO • ,
To U //'�� VVVp 19�
You are hereby authorized'to Conne'ct electrical services for
(��
Owner or Tenant I k-9
At I o (3Z) / \ C_ V WA) of) 4
No.of Wires Size of Wires
Size of Switch
Motor Load Voltage Phase
Heating Load K.W. Voltage
No.of Meters ( Light "� 110�/ New Servi_7go� Reconnect
1) Hear N120 •
No.of Add.Meters Pohr e Wvfe More Service
wer Y Thee Ph�se Move Meier
0• ELECTRICAL INSPECTOR
•E tirr.T�� �
O.
CIfiY OFCU PERTINOFFICE
.�)�.,., COPY
GAS SERVICE NOTICE
19
To
You are hereby authorized to connect the GAS service for
OwnerorTenant
At
New Service
No. of Meters Reconnect
No. of Add. Meters Move Service
Move Meter
/n
PLUMBING INSPECTOR
10100.-UNITED PD. ,CUPERTINO' 28
LOT NO.
NO. STREET-:1
CITYAOF CUPERTINO v
;., APPLICATION FOR ELECTRICAL PERMIT
JAS1015iI � ,.
Permit No.
Data 71 /\:�t�CN-
'19 19 i . e,
a _ 7 Fe
T, "�
Application is hereby made to the`Ctty of Cupertino fora permit to install electrical
wiring and/or;fixtures oilisted on-the
`reverse side hereof; and agrees to install said.
R.
wiring and%or;fixtores -in'accordance,w'w' ith'-.the
the prowsion3';of the Electrical Code of the',5-
3 City,of Cupertino;and-all other laws app'hcable thereto
Use of y..-Q.,. Worn•T6 Fb .
reW.fl)Pat.:Re'sr'dence Performed
e' VILLAGE,n;GREENS; ^+`
Owner "Address - +. •.• �". :i
Phone
ey?LL=CAL ' TRT Z' gAdores 10,9 S °CK ,AVE SAN
GSF
Con}raaoii Agent • q. .,
'PhaneQ:.'S.
h
State Ucenie'-2286�2�~ A proved
:: Eledricfil s ect rT
P
I•AGREE4I,WILL NOT.NIOLATE ANY-,OF.THE-WORKME 'S r,
°' ,,,COMPENSATION.LAWS�;OF THE-.STATE OF'CALIFORNIA r
� iw Y'�'!�'' 014 c "h E 3 :� ,.< ^r✓rt.; Yyr," �a �ga'. Ys ,�
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F':
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J�,wN�l+mx•4 *�va�`cL±.ta.-..`r1".:.:a31.1��«v
10100 United PL. .Plan B1 LOT NO. 28
NO STREET '
`._t z _;._-_,,,,� CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JAN 19 1977
Sanitary No.
Date J an r,22L I n ,19 76 Permit No.
e r% e .�- Fee$ �T+ v'd•
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
PremisesSi ngl P Fami 1-V RPC. Performed Pl Umhi ng
OCupertino Village Green Zpd7.9, E1 Camino Suite 302, Mt. View
wn
Phone 941-6050
.Joe 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.
p�.
m 1
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3 3 m =0 �
10100 United P1. 28 LOT NO.
NO. STREET
gut „Man CITY OFCUPERTINO
U;f APPLICATION FOR APPLIANCE PERMIT
r� 19`it�
Ot J i s� Permit No,
1
L,Date OF 12-7fl eq_ FeaE T a00
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 Idws applicable thereto.
Use of Res. Work To Be Heating/Sheet Metal
Premises Performed
Owner t. Villa 9 e GrnS Address XEM2570 El Caipino #302 Mtn. Vi
Ph a SALT CARLOS SHEET METAL WORKS, INC.411 ��`'�""'v� 779 OLD COUNTY ROAD
By Contractor,Agent Address SAP' CARESS, EiAhIF8RNbt
Phone 592-9292
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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/0/00 Lty_X.(GK-; (::e� LOT NO.'_� 67
NO. STREET
iJMO CITY OFCUPERTINO CAP. 1 VAL.
urT 0400LICATION FOR BUILDING PERMIT FEE
w z 9 r ¢ �� Building Per.No. fi/�JT�,
Dat , 19 ..
� I V Sanitary P9r.No.
3 U Application I f`ere¢SY made for a permit to
= O a story,@Tyebp-e�_ DiV'�- Structure
O . to be occupied only as /U"Q-c�4>�.lr in accordance with
a
'Z Plans, Specifications and Plot-Plan filed herewith.
W
Estimated Value of Improvements,
a u_ PI Ck Fee$
O O It is hereby agreed that the requirements of the
> a Cupertino Building and Zoning Ordinances and all Fee $ rz/,7 =
0 a other laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be
OZ complied with.
- Z ��
FOWNER HObIE ADDRE;A§- y
Q O CONTR. DRA ENT ADDRESS
PHONE STATE LICENSE BUILDING INSPECTOR /
O Ln