NO PERMIT NUMBER 22864 VcLss Avenue 6
NO. Sim LOT NO.
CITY OF CUPERITINO
APPLICATION FOR BUILDING PERMIT p C
SANITARY NO.
FILE NO. 51,423
DATE -Tune 6, 19 7_
5-NHR(2409 sq. ft.
Application is hereby made for a permit to living and 484 sq.
CnnaYrnrt Plan #16 a 2 story,type ft, garage)
to be occupied only as I and J Single Family and Garage
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 80,000
FEE$ 247_on PLAN CHECK$
San Carlos Homes & Dev Co
OWNER Al—Ide K-11,s ADDRESS1620–r Fl Caminn, San CAr1C
PHONE 595-0555
CONTR. Same ADDRESS
PHONE STATE LICENSE 268987
APPROVED James Sisk/k
BUILDING INSPECTION RECORD
DATE IN ECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME _)
BOND BEAMS LATH
WALL B AR S- INT. EXT.
FIRE ALLS
MEMBRANE
LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MI -
DIAPHRAMS `jf-+k T� 71 (0404 x
at
MOORE BUSINESS PORMSINC.AA
ELECTRICAL INSPECTION RECORD
RE51DENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING - ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DA INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH I ll*(7f FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN y 9
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
.r.
CERTIFICATE OF COMPLETION •
BUILDING INSPECTOR'S OFFICE
} CITY'OF CUPERTINO v
DATE ���� 19 BLDG. PERMIT NO.
THE BLDG. LOCATED ATZ09�(,-
OWNED BY 7�i1111�����// �����
HAS BEEN FOR USE AS.
����
(ALTERED)
OM
BUILDING INSPECTOR
CITY OF CUPERTINO ^laov ET
ELAS SERVICE NOTICE
To
'Fuy sxe hereby auth iced to,connect the C44 service for
(rlti rR or Tenant
i
s
NewServise
f
i,. ko.`bf Meters ✓ Reconnect
a:
Move Service
No,of Acid. Meters,
Move Meter
PLVMBI*, PIP*
• ELECTRIC SERVICE NOTICI. OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIIy,O
el
To
You are hereby authorized to connect electrical service for
Owner or Tenant ..............................'.0 rtJ CLO S . ...L..f!f V,C'� -Az
p;.............. go-V4
f�1 ............
At .....e....................:
.............
.........................._....................._. ......
No. of Wires ........................ Size of Wires ...................... Size of Switch
' Motor Load .......................... Voltage ...................... Phase ...................
HeatingLoad ............ ......... K. W. ................................_ Voltage
Light............... 110....._....... New Service .... Reconnect...... .........:
No. of Meters.................... _ _
No. of Add. Meters............ Heat................ 220............ Three Wire............... Move service........._.
Power............... Three Phase................ Move Meter..............
. ... ...........................
ELECTRICAL INSPECTOR
BUIWG INSPECTOR'S OFFICE •
CITY OF CUPERTINO' Bldg. pi.
C
Office Copy
❑ Backflow Device Sanitary Permit No.
❑ Sewer Connection Plumbing Permit No.
dN Plumbing Final Lot No.
Owner or Tenant 11,16ca; ti ^11.x• £i 1�/J — ,$.r.DE llbC�
At A),5-0 tie'
Tract
Date Connected C9 ' 19�Date Final
19
Z,PLIUOM MBING INSPECTOR
07 to LOT NO.'
NO ET •
Ctf Ce CUA:.:TIwO CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
APR 131978
n2 / 1977
Sanitary No.
Date - P A u nes ,ig_ PermiWo. �-.�✓
Fee E
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premises /?� QL Performed
Owr -"�`+/ (fid A Address/1f7 3x-09—C
Phone_
By rA'f �• L• WKFy QnNS nCvdress W.
Contractor,Agent F' 0• COX Bla aJ fie''
Phone Sunny ya�f
C fI' � 088
State License ��7� 3 Approved
Plum ing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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2'19 694 DSS Ave
LOT NO�
NO. T
CITY OF CUPERTINO •�
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Date r� ,19 ?q Fee$�T
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.
Use of 2 perlorm d_ 7U Vr'/N
Premises ((� /7,� /, ��22,� /� �} �A7 I '
Owner VEA CAP_LIDS I DAF,$ Address &g S-M V�'AJ A4A-[6()
Phone_ S�9a]C4 e2 �7
By P42k .le SIM Address Z2 lXw)-S Juse
Contractor•A ant -
Phone
/C
1 _ 1���U
State License , 14L�I50 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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V ss Ave. LOTH
NO. EET
CITY OF CUPERTINO
J AP',PLICATION FOR ELECTRICAL PERMIT
Data 7Permit No.
4i31� 78 ,19_ Fees 40 . 00
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 of Residence `Mork To Be Electrical
Premises Performed
Owner San Carlos Homes Address 1650 S AmT)hlett Blvd
Phone_ 573 9982 San Mateo
By Hill Electric Address d= Birchwood Dr_
�3dor38�0'
Phone vale
Stote License2 2 0 0 6$ Approved
Eleciri 1 Inspki.r
I AGREE I WILL NOT VIOLATE ANY OF THE WOREN'S
COMPENSATION LAWS OF THE STATE OF CAL :00
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NO. STIP
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CITY OF CUPERTINO ,C • (VAL
g,ba
APPLICATION FOR BUILDING PERMIT' (l PEE S
w 7
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Wata �/�9- / Building Per.No.
19
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Sanitary Per.No.
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Application is hereby made for a permit tzOA/S T. ��/9.y ihE /(v
v, LL a-story, TypesN�i� .15�a4�.c�v S��yd(�g,r;) Structure
= O
0 a to be occupied only as�A/�yJ T .S/IL.J G LE FH/X s'G/1/�,accordance with
'Z ,i Plans,Specifications and Plot-Plan filed herewith.
a o�
F � Estimated Value of Improvements,$ 80, 0 06 —'-z_•O
yL.
u_ Ca( C- PI Ck Fee$
_O O It is hereby agreed that the requirements of theta ae
> w Cupertino Building and Zoning Ordinances, tinct all Fee$
00 a other laws applicable to the construction;.location,and
Z use of buildings within the City of Cupertino will be
otal Fee$
Z complied with. p
3 ° San Carlos Homes & Dev.
- y
Co.-AT CFLIA a KnoTTs 599-0555 162_0-c R1 SaMinos San Carlo
OWNER PHONE ADDRESS
a San Carlos Homes & Dev. Co. 1620-C El Camlino,San Carlos
CONTR.OR AGENT ADD
- 595-0555 268987ft
IY PHONE STATE LICENSE BUIL SPE TOR,
o..