NO PERMIT NUMBER (2) 10144 Miner Place Tract. /1.585 30
NO. STREET LOT NO.
CITY OFCU4RTINO IN
APPLICATION,F.QR BUILDING PERMIT
- SANITARY NO. 9 �/
FILE NO. 51 ,391
/ May 3 77
D)TE 19
i
Application is hereby made for a permit to 5 NHR (2719 Sq.ft.t
Const. ( Plan 2719) a 2 story,type460 sq.ft. gar)
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 92,000
FEE S 271.00 PLAN CHECK$
20823 Stevens Creek Blvd.
OWNER Bas Homes , Inc. ADDRESS Suite C-2, Cupertino, CA
PHONE 252-2077
CONTR. Same ADDRESS Same
PHONE Same STATE LICENSE 323864
A ROVED James H. Sisk/m
BUILDIW.4NSPECTION RECORD
DATV IN CTOR DATE INSPECTOR
FOUNDATION 4b 17,O --FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.&EKT.
FIREWALLS
MEMBRANE.}1 0Y 4, — 7 LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. -7 _
UNDER-FLOOR -7
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BU SIN ESS FORMS INC.L]
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ( O. 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
6DATEINSPECTOR DAT INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. 7
BACK FLOW INSTALLED DUCTS&INSULATION 0 D
UNDERGROUND ROUGH ) FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE I FINAL APPLIANCE y 3- -7
ROOF DRAIN&LEADERS
MAIN DRAIN Q
FINAL GAS
FINAL PLUMBING 07 _7
MISCELLANEOUS
10144 Miner Place Tract 115858 . LOT NO. 30 17
NO. STREET
w CITY O% F CUPERINO'
VAl 92,0
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tICP 6.44
a APPLICATON FOR BUILDING PERMIT FEE
-
z 9BuidingPer.No. 51,391
DatePIIV n1 ,19 O
Sanitary Per.No.
3 V Application is h{reby,ade for a permit to Construct (Plan 2719)
_ 0 a 2 story, Type 5 N.Hr. (2719 sq.ft.+ 460 sq,ft.GarS)rvcture
O to be occupied only osI & J Single Family Dwelling in accordance with
a
i ,i Plans,Specifications and Plot-Plan filed herewith.
a w
Estimated Value of Improvements,$ 92,000
a w PI Ck Fee$
O O It is hereby agreed that the requirements of the 271.00
3 Cupertino Building and Zoning Ordinances and all Fee$
p a other laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be
Z complied with.
0 20823 Stevens Creek Blvd.
_ N Bas Homes, Inc. 252-2077 Suite C-2, Cupertino, CA
w w OWNER PHONE ADDRESS
o. same same
a O same CONTR.OR AGENT 323864 ADDRESS
_ V
PHONE STATE LICENSE BUILDING IF{SPECTOR
O�.
/('//"�" 7C//CSC/ LOT NO.
NO REET
C'3.v"ztNv .CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
J\3N 1
-� �7 7 Sanitary No.
Date v , ,19LG Permit Na. �
Fee 4 7bC C-t
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 Sing& Dweet c:ng Work To Be New Conls)Auc tion
Premises Performed
Owner BAS Homey Address 20823 Stevenh Cneeh B2vd.X")
Phone 252-2077
BYL.C. BohatL.t P2umb.Lng Co. Address139 E. Fnemont Ave.Sunnyvate
Contractor,Agent
Phone 245-2323
State Lice4§G 5 7 9 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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J UP-) 15 1977
o a ` APPLICATION FOR ELECTRICAL PERMIT
LL F Date 19 LL Permit No. _
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< Application is hereby made t?,thelGitytgfi uperdno,Mona'pe"rmif"fo"installj&ctrical
rwiring and/or fixtures as listed on the reverse side hereof, and agrees toyinstall said
0 o wiring, and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws a Ilicable there
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SINGLE F' MILY RESIDENCE
Use of Premises
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3 N Owners �fCKES _ _ AddTiss� s �' —0Vtnn a
By �t E ELECTRIC Address �e _ (4',4
iL75 NTAACTOR, AGENT
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10144 Miner Place LOT NO. #30
NO. �,�;: ;STREET
1971
' CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Date 6-14-77 19_ Fee tO, D D
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 ofWork Toheating & sheet Metal
Premisis .es Perlormed g
Owner Bas Homes, Inc. Address 20823 Stevens Cr. C-2 Cupertino
Phone 252-2077
By San Carlos Sheet MetalAddress P.O. Box 1126
Contractor,Agent
Phone 592-9292 /^/G
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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B �9 CERTIFICATE OF COMPLETION
�7 BUILD'NG iNSPECTOR'S OFFICE
//
CITY OF CUPERTINO
DATE �• `�8 A
19�.L - BLDG. PERMIT NO. y 7
THE BLDG. L�TED AT /D) I l II06JL )�A cL
OWNED BY A.
HAS BEEN CO'MPLET FOR USE AS 4 J• �• �� l'i
(ALTERED)
!c
BUILDING INSPECTOR
OFFICE
` :!CIT.Y OF CLIPERTINO COPY
GAS SERVICE NOTICE
1977
To
You are hereby authorized to connect the GAS service for
�/)
Owner or Tenant A C �A ls1 An _O ( �A G
i 0 � �� l� LL U/=rn7c4c-e-
rNew Service—
No.
ervice No. of Meters Reconnect
No. of Add. Meters Move Service
Move
Meter
PLUMBING INSPECTOR
V
Bldg. Dept.
Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- ---- ............
Plumbing Final
Plumbing Permit No.
Lot No. ...............3-cD
Owner or Tenant ...... .......92,c:� .........................................................
At ------/.nIZZy
...........................................................................
Tract
DateConnected ...... ----------------------------------------------------------------- 19------------
DateFinal ............ 2.: .................................................................... 19----------
------ --- -
9------------
...............Z�....................
PLUMBING INSPECTOR
ELECtIHE Stp1WICE Nd710E �,r _. —� . OFFICE COPY
BGILDING IL�ISPECTOR'S NOTICE �_� 4
UTW F CUPERTIN
-j in
To
Ybu ore hq�e�ip"-6'NhaHz d-f0 Connect electticak service for '
Owner or Tenant ' s
No.of Wires Size of Wires .- We of Switch
`Motor food , -�_ VoltdgeRhos* -
Heating Load K.W. '' ` voPoBge t
MlLight 4 '�MSRf RacMn9cf+.�.r+.+q.r.
No.of' ettis
Haaf 0' 4y1;ra-+f /sbro Seivleewj
No.of Add.Mears Nater
®• IlWaROLINSPECTOR
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