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NO PERMIT NUMBER (2)10104 Congress_Plaep ,_ _ 10 NO. STREET LOT NO. CITY OF CUPERTINO 3.57 APPLICATION FOR BUILDING PERMIT SANITARY NO. 9-iM sm. FILE NO. S1 B150.2 ' DATE _19 /15 /75 19_ •, 3n Application is hereby made for a permit to Construct (Plan BIRa a 2 story, type 5 N. Hr. tobe occupied only as 1 & J Single Family Dwelling in accordance with plot plan, plans and specification filed herewith.' ESTIMATED VALUE OF IMPROVEMENTS S 51,000 FEE S 189 . oo PLAN CHECK S OWNER Cupertino Village GreenS ADDRESS 2570 El Camino Real West M.V. PHONE 941-6050 PHONE STATE LICENSE 238433 APPROVED James H. Sisk/h 166 7 4 BUILDING INSPECTION RECORD DATE IVINBIECTOR DATE INSPECTOR FOUNDATION SIMMMMI FLOOR STEEL PRE-GUNITE FRAME y ZA - BOND BEAMS LATH WALLBOARDS NEXT. •) FIREWALLS MEMBRANE LANDSCAPING ' F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR ItIa TIEDOWNS .-MISC- DIAPHRAMS MOORE BUSINESS FORMS INC.. LA r ELECTRICAt'INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING T. ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES i INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE I INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. }�.) BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH .yam f FLUES & COMB. AIR PARTIAL ROUGH % I CONDENSATE DRAINS ROUGH COMPLETE y FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING _S ROUTE SLIP r File No. D.At e Lllz Location i 6 Subject — Notes Approved / d 12 C_ Dike Inspector CERTIFICATE.OF COMPLETION BUILDING INSPECTOR'S OFFICE CI-Tfj.91F CUPERTINO DATE q'=LA)- ,/19 in BLDG. PERMIT NO. THE BLDG. LOCATED.AT ! 0M e'�;,CAS, AfZ 5 e OWNED BY I/f�L- lC7C C�7/�CCNF HAS BEEN 4 IALTEREDID FOR USE AS - 4 V}- J• / To You are hereby Owner or Tenant_ ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S NOTICE .CITY OF CUPERTINO r rized to Connect electrical service for No. of Wires Size of Motor Load Voltag Heating Load K. W.- Size of Switch I (-r) II \-- Voltage No. of Meters LI9ht Hem /� I10 170 New Service Three Wire Reconnect More Service No. of Add. Meters Power IJree // Phase Move Meter ©� ELECTRICAL INSPECTOR O ,�•r•��••//'gGw"_��I /r V Y Bldg. Dept. Office Copy BUILDING ' INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No..... `. 3 {........ Plumbing Final Plumbing Permit Lot No. ........ l...U............... Owr At Tract DateConnected ...... ..... i..`-.?.eF=,76............................ ........ .................... 19............ Date Final .................- "_a_K- 19............ PLUMBING INSPECTOR (/� (v OFFICE `�/Jj I CIT-'OFCUPERTW® COPY 1.GAVSERVICE NOTICE To �. You are hereby authorized to connect the GAS service for Owner or Tenant No. of Meters Reconnect No. of Add. Meters Move Service Move Meter � �> PLUMBING INSPECTOR NOTICE OF INSPECTION CHARGE �ttY O° CuAS:,iAO CITY OF CUPERTINO OFFICE ..-----.-..�Y 19�b Date ---------- an�Nc INSPECTOR'S Permit No. ��.... .-./ d.---- 196 .................... vu Amount ............ . ...................... ......./J................. ........ _...------- ..------ INSPECTOR Rtfffn-cT-$.................... 114 9/M200 10104 CONGRESS ,PL.,'CUPERTINO : xorNo. 10 NO. - STREET c' p' C;J:-g1)!`lp CITYOFCUPERTINO- APNN 5 l G APPLICATION FOR ELECTRICAL PERMIT C/'% 1976. PormF� Date o.� f 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. Premse (1) Fam. Residence Pe ;�,ed O,M11 Y—ILLAGE GREENS Add Phone By ALL -=CAL- :ELECTRIC CO: Address' Contractor, Agent - Phone 295` 5230' Srateu<ea;e228 62-2 APP � t f AGREE I WILL NOT A TE AANY OF. ..COMPENSATION,' S OF=,TNE STATE \ m u TRACT #5;6:9'6 PLAN I'!BL" ITEM .NEW RPL FEES: Narhber?of ,Outlets aL ' Number of -Switches" -� Number of Receptacles, Number of Fixtures i ` Ronges of Ovens K.W. Size:of,Moin Service Number of Meelers� i . Nuinb_ei•of Panels' Sigui,r Trgniformers Dtyori� - ' H.P. Phase . .. H.P. Phase .H,P. Phase -- Pov�er;Poles Misc. - -- ,a _Perhiit Fee r " H.P.,Chorges " Total Fees i n'41i 10 SUN 1 0 CSt\Q�sBh1. :� \' : LOT NO, 1 O NO. STREET „ < APPLICATION FOR APPLIANCE PERMIT R� W z cep" CITY OF CUPERTINO xo 010° �g1h R LL y 3u Dat`J r-2°1-76 191 _ Permit No. a Fee $ 1 ° , F �A �lication is herebymIrde to the City -of Cupertino for pe rmit to install gas appliances as listed on the reverse side hereof, and agrees to i m install said appliances in accordance with the provisions of the Plumbing = Code of the City of Cupertino, and all other laws applicable thereto. 3~ Use of Premises __ Res:. 00 V1}ynae Yti8r0 S „ - 11j CCii o a Owner 9e rn Address 2579 El Camino Raal #, z#320 Mtn. View �Z By --Lan Carlos Sheet Metal Works Address 779 Old County Rd. J'O CONTRACTOR, AGENT ;a 592-9292 San Carlos - „ Phone „ Z 110828 W W ao State License Approved - U ,� PLUMBING INSPECTOR APPLIANCE UNITS FEES Gas lop Gas Oven Wall Furnace Gravity Fum Forced Air Furn. Gas Fired Boilers Warming Ovens Sus . Units Dwelling Kit./Bath n 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 o Forced Air. Mech. each Power - Gravity System '- ^ • -`-, No. of Flues -� ogee —C Smoke Stacks, Misc. Equip. 15' High _Under Over 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 �/� c� W Total Total Fee No. CITY OF un-TINO FEB 2 5 1976 �n 16�4 Lot No. 10 APPLICATION FOR PLUMBING PERMIT CITY OF CUPERTINO Date it 7"7 ) Z Z , 19'V,/ Sanitary No. Permit No. Fee $ 54d 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 /� 2,,70 tl C��s✓>7>C 54>re 3C Ownqf, .wv;7>y/� 1 ��-rrn Address/�iT7/.i:�r/. By jr g AMARAL PLUMBING,. INC. Addresszrd�A l ree'Pam, Contractor, Agent Phonel 91l 3 9zrl 5 StateLicense Z%C% Approved Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units I Fees Units Fees Water Heater Size // Water Closet 3 Material Bath Tub / To Curb Shower Z To Prop. Line Lavatories I To Existing Kitchen Sink Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material ' Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material 6 fr Sand Trap TOTAL FEES Urinal Fixture Fee _ Area Drain Main Drain Fee 00 Water Leader Stnn Drain Fee Sprinkler System Water Sys. Fee 2�0 Relief Valve Vac Breaker Skimmer Filter Permit Fee >': O Total / Total Fee SO yo-00 30 3° NO. STREET - ' CAP. S ag CITY OF CUPER TJNO , � (vAL.vY APPLICATION FOR BUILDING PERMIT l FEE je Dat,crr( O? CUP'..TN0 Building Per. No. ;/a's •'g 38 ��nita ApplicotioriLisrher��b'y�maddm` e for a permit to- c i �8' J ��i/��p�e a �C—story, Types3 /i MJ(M;? « 9"j�,)Structure to be occupied only as T�T% itlLi�iiR 9in accordance with Plans, Specifications and Plot -Plan filed herewith. t� M Estimated Value of Improvements, $s"L/f� PI Ck Fee $ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all Fee $...�Q� other laws applicable to the construction, location, and AV use of buildings within the City of Cupertino will be Total Fee $ i - complied with. o ' � G YIiGLir OYNER �- PHONE CONTR ORAGENT 9y/ - Goso o23�S�.3 PHONE STATE LICENSE ADDRESS ADDS BUILDING INSPECTOR i k J o.