NO PERMIT NUMBER (2) 10153 Miner Place Tract 115858 27
NO. STREET - Jy' -=.i LOT NO.
CITY OFK'P9'RTINO s
APPLICATION FOR BUILDING PERMIT
SANITARY NO. Y Z 7
n;
FILE NO. 51,391
DATE May 3 1977
Application is hereby made for a permit to 5 NHR (1848 sq.ft.+
Const. (Plan 1848) o 1 story,rYPe 441 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 $ 71,000
FEE$ 211.00 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
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE IN5PECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME f,_y_17
BOND BEAMS LATH
WALLBOARD -INT 8 EXT. —22-
FIREWALLS _Z
MEMBRANE d- (rd y 7 LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR j3 7IZ11,44
TIEDOW NS V F -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC.,LA
4 .
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING - ROUGH WIRING
FINISH WIRING - FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL r MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. y-7
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR /
PARTIAL ROUGH /O CONDENSATE DRAINS
ROUGH COMPLETE F APPLI NCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
ROUTE SLIP
File No.
.�\\ Date
Location
_79-
Subject. ._,
Notes
Approve
Insp
CERTIFICA-TE OF COMPLETION
BUILDING INSP.ECTOR'S,OFFICE-
CITY OFF CUPERTINO
DATE 19:71 BLDG.
,PERMIT
,,NO.
THE BLDG. LOCATED AT U
OWNED BY
HAS BEEN�OMPLEPOR USE AS J
(ALTERED) n
f !
�. BUILDING INSPECTOR
EL CTRI',-SERVICE ICE OFFICE COPY
BUILDSPECTOR'S NOTICE
C :OF CUPERTINO
To 19�
You are hereby outh ized'to Connect ele;klcc�service for
Owner or Tenant " +`
At Q-OV
No.of Wires Size of Wires - Size of Switch r �O
Motor Load Voltage Phase
Heating Load K.W. Voltoge 1
No.of Meters Light �I,M' �, ire// RecorMxrI
Heat_ Th 4e More Sarvla:
No.of Add.Meters - Power - P ,4Wer
ON tLKTRICANINSPECTOR 4
i .I v {' r' •"�L1LL,..t,�iiHou�Yflv.�i!r P�i� lr��t d � Jaz s�...i'risi� ti.
V -
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO Bldg.Dept.
Oflire Copy
❑ Backflow Device ' •Sanitary Permit No. G
❑ Sewer Connection Plumbing Permit No.
i
❑iPlumbing Final �' \fes Lot No. Z
Owner or Tenant i c/ +` 1 I` -l.t,l.<2Jj
At
� � C
Tract
i
Date Connected �� • / 19� Dote-Final '}+ ' � 1 q/1
OM r PLUMBIN(�.lNSPECTOR I
~' OFFICE
.��GITY•OFCUPERTINO COPY
GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
OwnerorTenant Ac�,s 14ew, &-s
At M t to P ti P k -P
New Servicey
No. of Meters Reconnect
No. of Add. Meters Move Service
Q e Meter
PLUMBING INSPECTOR �M
O
H toT No. 02 7
NO. STREET ,
�+;,S•-' CITY OF CUPERTINO
C. V 'J\VAPPLICATION FOR ELECTRICAL PERMIT
Permit No.
r
Dote OCT 1� 19110 19_ Fee$'
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premises SIM F FA IV _ C ESperfarmed
Owner +r=lL7�✓� -�'i� Addre Gez-2 '-r1 1 -J IJG+ii a
Phone 41/
By 7FF Ff PC'TR{(` Address 3 _BB elmr
Contrapctor,Apent
Phone r!�9 �20�
Statelicense C-10 241919 Approved
Electric In actor
I AGREE I WILL NOT VIOLATE ANY OF THE WOR EN'S
COMPENSATION LAWS OF THE STATE OF CALIFO
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10153 Miner Place #27
NO. STREET LOT NO.
CITY OFOUPERTINO '
A I 191 APPLICATION FOR APPLIANCE PERMIT
�t 1 Permit No.
Date 6-14-77 .19_ Fee$ 7 �-•OD
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 Toed heatin & sheet metal
Premisses Performed g
Owner Bas Homes, Inc. Address 20823 Stevens Cr. C-2, Cupertino
Phone 252-2077
eY San Carlos Sheet Metal Address P.O. Box 1126, San Carlos
Contractor,Agent
Phone 592-9292
State
$tate license 110$28
Approved
Plumbing Inspector
—
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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'c;;TCiO CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date D ,19� Permit
NE-.
Fee
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
we of Singte DwetUng Work To Be New Cavv�t�Luction
Premises Performed
Owner HAS HOme,6 Address 20823 Stevenh C)teak Btyd. Cup.
Phone 252-2077
B,L.0 HO11Qht PQLUflb.CNQ--C-O. Address139 E. fn m , ,t AVo , 4t anyvaVo
Contractor,Agent
Phone SRSX%.NUX245-2323
1&6579
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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IOL 53 Min r P ane Tract 115858 LOTNO. 27 ty
NO. CS1jRE`ET, _C7,.CITY OF CUkRTINO ' ((VAL. 71,000
CAP. { 4.97
a APPLICATION FOR BUILDING PIERMIT t FEE
Building Per.No. 51,391
Date 19
O ' ` -l Sanitary Per.No.
3v Application is hereby made for a permit to Constrttrt. (Plan 1848)
_ 0 a 1 story, Types 11.Hr.(1848 s(j.ft.+ 441 sq.ft.Gar )Structure
F to be occupied only as T R .T Si ngl P Fami l y Due]l i ng in accordance with
a
Z' Vm Plans,Specifications and Plot-Plan filed herewith.
a a,
Estimated Value of Improvements,$ 71 ,nnn
PI Ck Fee$
_O O It is hereby agreed that the requirements of the
v, Cupertino Building and Zoning Ordinances and all Fee $ 211.00
~O < other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
3 0 20823 Stevens Creek Blvd.
_ N Bas Homes, Inc. 252-2077 _Suite C-2, Cupertino CA
w w OWNER PHONE ADDRESS
0 o same
same
a O same CONTR.OR AGENT ADDRESS
— O
PHONE STATE LICENSE BUIID\IN/G INSPECTOR '
7k 0 1.