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NO PERMIT NUMBER (2)10084 Congress Place 8 NO. STREET N - LOT O. 3.08 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. -9-182 °B9 FILE NO. 51,150.2 DATE_12 /1 5 /75 19 Application is hereby made for a permit to - - r.nrgt.nlr•f. Plan DAD a 9 story, type 5"N. Hr. to be occupied only as T ✓Zt .T Si ngll e_Fami13. Dwpl l i ng in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS S 44, n00 FEE S 169 - 00 PLAN CHECK S OWNER Guipertin0 Vlllage Greens ADDRESS 2570 El Camino Real West M.V. PHONE 941_6050 PHONE ADDRESS STATE LICENSE 238433 APPROVED James H. SiSk/h BUILDING INSPECTION RECORD DATE I RECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS - & EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION F AL BLDG. J , UNDER -FLOOR • 1 TIEDO W NS SC- DIAPHRAMS NdH MOORE BUSINESS FORMS INC_t ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING JINISH WIRING FIXTURES - �, _ INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL 'L _ MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. /- J BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH -DL' FLUES & COMB. AIR PARTIAL ROUGH % CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN 8 LEADERS MAIN DRAINFINAL GAS FINAL PLUMBING . MISCELLANEOUS CERTIFICATEDF COMPLETION BUILDING INSPECTOR'S OFFICE �{+ CITY bF CUPERTINO DATE 19-21L]_ BLDG, PERMIT NO. / 11 THE BLDG. LOCATED AT 0 D 9'f ( C70612 3 //mil. OWNED BY L-13ae& 11..1.,E U,/VIC, 40 l3 HAS BEEN TELEDI&TED) C R USE AS 1 `✓ J • : LC ROUTE SLIP File No.' /� jDate b, Location Subject Notes /4QdL Approved Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. ...... Plumbing Final Plumbing Permit No. LotNo ................................. Owner or Tenant ... . . . ...... At ... .. ....... C ......................................................... Tract DateConnected ........ ................................................................. 19............ DateFinal ......... . ................................... 19 ............ ........................ ............................. ..................... A go, ................... PLUMBING INSPECTOR ELECTRIC SERVICE NOTICE r . OFFICE COPY BUILDING WSPECi,OR'$ NOTICE CITY, OPCUPERTINO C l� 1974. To You are hereby`(a uth'or�ized-to Connect electrical servi�cje for( Owner or Tenant --"-"-^' `� v+ /•�C��-•��1 . /: l /�.IZt A 4 At t o�� lI'..�-„_.r..g'l o a •A C �/.(-?z b� Q No. of Wires Size of Wires Size of Switch j�h + �� �'+" Motor Load Voltage Phase Heating Load K. W. Voltage No. of Meters Light •� 110 'ram New Se,ire Reconnect ' Heot 170 Three Wire More Service No. of Add. Meters Power / /\Three /P14se� MM/ovve�M�eteyr ©• ELECTRICAL INSPECTOR- L, OFFICE CITY Of CUP�RTINO may GAS SERVICE NOTICE To You are hereby authorized to connect the GAS service for Owner or Tenant At New Servicey No. of Meters _ / Reconnect No. of Add. Meters Move Service Move Meter PLUMBING INSPECTOR p r NOTICE OF INSPECTION CHARGE CITY Or CUPERTINO BUILDING INSPECTOR'S OFFICE CITY OP CU. MJIMO ............................... .......... Date ---- Z) -.7r. 1907(o Permit No. &//IS 'TO ....... ................. . ......... Location.... .... . .. D . ..... ............. ..... ...... I ............... 11 --------------------- ------- Reason ... C< Depesi� $ .................... 64 Amount $., ................ Refrrrrr—$ ......... ....... - ... ........ 10 ------------- ----- --------- .................. INSPECTOR 114 9 /60-200 10084 CONGRESS PL.,CUPERTINO 8 LOT NO. CRY O` CVMNb CITY OF CUPERTINO APR5 r�APPLICATION FOR ELECTRICAL PERMIT Permit No. Date m'llA.Gh�' I'/�, 19 76 Fee E ' Applicotion�is-hereby made to the City of Cupertino for a permit to install electrical wring anil/or fixtures as listed on the reverse side hereof, and agrees to install said winng`cndjor fixtures in accordance with the provisions of the Electrical Code of the Ciyiof_Gupertino, and all other laws applicable thereto. Use of Work To Be Residence Store CO. ,,,,10 1 AGREE I WILL NOT VIOLATE ANY OF THE COMPENSATION LAWS OF THE STATE OF TRACT #5696 ' , PLAN. -"Vt - ITEM NEW RPL FEES Number of Outlets Number of Switches .� Number of Receptocies - .3 . Number of Fixtures - Y. 3 Ranges or Oveml(.W. O Size of Main Service Number of Meters Number of Panels Signs - Transformers - " Dryers Motors: H.P. Phase - - - H.P. Phase - - H.P. Phase - Power Poles - - - Misc. ". Permit Feed' - trf7 H:P. Charges-- Totdl Fees ; oom I cac,» 4 X �2 LOT NO. CR NO, STREW1 14 40 G 00LICATION FOR APPLIANCE PERMIT Dai�aV1S 6 CITY OF CUPERTINO - Permit No. Fee$._ I3� Application is hereby rtmrle 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 Premises Res. Owner Cuoextino Village Grns Address2570 El Camino Real #320 Mtn. View By San Carlos Sheet Metal Works Address 779 Old County Rd. CONTRACTOR, AGENT San Carlos Phone State License 11+0-828- Ap 6ved PLUMBING INSPECTOR APPLIANCE UNITS FEES Gas I op Gas Oven Wall Furnace Gravitv Furn. Forced Air Form. 80 M OD Gas Fired Boilers Warming Ovens Susp. Units Dwelling Kit./Bath a Inde end. Vent System Com., Indust., Inst.Kit. Hood & Vent System Forced Air Under 4000 CFM Forced Air Over 4000 CFM ' Ind. Ventilation System without Comfort Cool.) Forced Air. Mech. each Power Gravity System t.&.-ei-,r rem'Mts, No. of Flues Stacks !;mi fire aces Smoke Stacks. Misc. Equip. 15'Hizh _Under Over 1 I' Comfort Cooling Comp. of 20 HP or less & absorp. units with input of 500,000 BTU or less Comp. over 20 HP & Under 50 HP & Absorp. units with input of 500,001 & Under 1,000,000 Permit Fee Total Total Fee �N 3 $ No. 1 1976 4. . APPLICATION FOR PLUMBING PERMIT CITY OF CUPERTINO Lot No. _9 i D Sanitary No. Date T� , 1982.{r- Permit No. Fee $ ay, Od 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 Premises /y e' 5— o Owner 'e - i % " 7f7j Addre By A / /�� /- `re �va�',^ !!yi/ >7�% Addre Contractor, Agent Phone 2 521, '%� Slate License_ ?% Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units I Fees Units Fees Water Heater I Size Water Closet 'Z Material S Bath Tub To Curb Shower / To Pro . Line Lavatories To Ezistin Kitchen in N t Conn. Dish Washer Ale, Waste Disposal ivE- Wash Tmy STORM DRAINAGE Washing Machine f 1 11 Size Water Softener Material Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit Drinking Fountain Floor Dmin WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEE Urinal Fixture Fee o d Area Drain Main Drain Fee ilr� 0+1 Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee a Relief Valve Fee Vac Breaker Skimmer Filter Permit Fee . Gd Total / Total Fee D d i8 LOT NO. 30 NO. STREET VAL 4e L CITY OF'CUPERTIHO • CAP ( pf' ctv O-APKI'EXTION FOR BUILDING PERMIT Sl FEE '1 Data (, Building Per. No.4i�AV.� enitory Per. M Application is hereby made for a permit to ° story, � ry, aKType r.,_/.rX.%�%L/i9� fO11r� i/'et!'f![�( 'l',,,�P Structure to be occupied only as ,�TT�L�A& SWAP in accordance with Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ PI Ck Fee $ It is hereby agreed that the requirements of the Ib Cupertino Building and Zoning Ordinances and all Fee $_ �9 - other laws applicable to the construction, location, and 'Le —� use of buildings within the City of Cupertino will be Total Fee $ /a _ complied with. WNE . / / prypNE CONTR. OR AGENT PHONE STATE LICENSE >r90 E/ C ram. vd uPirf AQDRESS A�(IRES BUILDING INSPECTOR �. 0 1.