NO PERMIT NUMBER (2) 10154 Miner Place Tract115858, T 31
NO. STREET - ° LOT NO.
CITY OF CU?ER FANO
APPLICATION FOR BUILDI G PERMIT
i
SA TAR-NO. lir-/
'FILE NO. 51,391
DATE May 3 19 77
Application is hereby made for a permit to 5 NHR (1848 sq.ft.+
Const. (Plan 1848) a 1 story,type 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 S
20823 Stevens Cree vd.
OWNER Bas Homes , Inc. ADDRESS Suite C-2, Cupertino, CA
PHONE 252-2077
CONTR. same ADDRESS same
PHONE same STATE LICENSE 323864
Z./
APPROVED James H. Sisk/m
- ---/ / — p
BUILDIN SPECTION RECORD
ATE INS OR DATE INSPECTOR
FOUNDATION R STEEL
PRE-GUNITE FRAME .�
BOND BEAMS LATH
WALLBOARDS-INT.R EXT.
FIREWALLS
MEMBRANE-*- LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOOP[BOSIN[55 lONMSINL„lP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING /O . ') ROUGH WIRING
FINISH WIRING z JINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DAT INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGHFLUES&COMB.AIR /' 72
PARTIAL ROUGH p CONDENSATE DRAINS
ROUGH COMPLETE I 1 FINAL APPLIANCE Z
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
S4 CERTIFICATE OF COMPLETION
BUILDING INSPECTQR'S OFFICE
CITY OF CUPERTINO
DATE 2 19 7S BLDG. PERMIT NO. � 17 I
THE BLDG. LOCATED AT IDIS CI /N/N�n- _ Ali
OWNED BY
HAS BEEN (ALT ED) R USE AS ,/ �i V • ✓. - '�.
(ALT
DBUILDING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING - INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ..... .........
171 Plumbing Final Plumbing Permit No.
...........
Lot No. ...........
Owner or Tenant ..........
------------------------------------------------
At -------//j-Z...
-----------------------------------------
Tract
Date Connected ....
------------------------------ 19-----------
-
DateFinal .............?...... S...................................................................... 19.....-------
.................
9------------
................. ..................
PLUMBING INSPECTOR
_ ._.....w e OFFICE COPY
ELE/��•RIC SERVICE WOT��- ICE
e8®I.LtlTfSI:MSPECCTOR'S NOTICE
-� CITY OF CUPERTINO
To
You are hxeby,vYE_f -ri,ibdto Cgnnect elecrricaV slrvlc�for
Owner or Tenant—
At
enant
Paco.of,Wires Size of Wires Size of Swilds
'It1t4to6 VoltagePhar
Heating Load K.W. Voltage ? i
I LightmMMct
_ ! � �Ra .
No.of Meters Hest -
0
No.of Add.Meters _ Power 74� Th ae _ Meter
m• ELCd'TRIEAL INSPECTOIEl-
r r . y
.1\:: W Y.S.i,a..L{'J _r .. .L. ..W.drotS . 2.�ua°n.w.✓LYm�`�L�.�� ' �.IdIIYLri�:.'. :.-. r
OT S `:CfT�Y OF CUPERT IN0 °OPY
GAS SERVICE NOTICE
�2C_ / 3 , 19 77
To
You are hereby authorized to connect the GAS service for
Owneror Tenant I7r�,S U,)j}. 0C* _lt� %n
At 0/S(-/ ( fA P1, 0IdLP
New Service
No. of Meters Reconnect
No. of Add. Meters Move Service
MoveMeter
PLUMBING INSPECTOR'�1,s1.Y �y UiLt�(,y-C�iL_ @M
V
NO. STREET '
r)77 CITY OF CUPERTINO
rli 1APPLICATION FOR ELECTRICAL PERMIT
OCT 1 ?19 i Permit No.
Dote 119— Fee S
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. p
Use°tSINGLE FAMILY RESIDENCE�Per
Premises I rm d sucC��r a/ C
Owner Address90 3.c%,4 K i//&e d
Phone
By ZEE ELECTRIC Address x. CQyF.c�
CantrpaHar,pABenf
Phone— -; 77 —O ;0Q
State License C•10 2419ifi Approved
Electrico nsp for
I AGREE I WILL NOT VIOLATE ANY OF THE WORKM
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10154 Miner Place 'OT No ' #31
NO. STREET
t{,SO CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
(Date 6;,14',—��• 19_ Fee$ Z. O
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 res. Work ToBe heating & sheet metal
Premises Performed
Owner Bas Homes, Inc. Address 20823 Stevens Cr. C-2 Cupertino
Phone 252-2077
eySan Carlos Sheet Metal WoArkj. P.O. Box 1126 San Carlos
'hone
59 -9192 Agent
irate License 110828 Approved_ gz
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT NO. v/
NOSTREET
CITY OF CUkRTINO
Crr C. Cun APPLICATION FOR PLUMBING PERMIT
J�1' 1 Sanitary No.
Date _ ,19_1 Permit No.�—�—
'
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 Sinak.e VWP.P.PAna Pwformed—NM C QIq Alto tt!'t�A fIN
owner BAS Homes Address20823 S.tevems Cneeh B2vd.9WAXX
Phone 252-2077
BYL.C. Bohaht P umbing Co. Addf.ss '39 E. Fhemont Ave. Sunn vake
Contractor,Agent
Phone 245-2323
186579
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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10154 Miner Place TRact 115858 , LOT NO. 31 i$
NO. STREET
CITY OF CUPERTINO (vAL.1,000
C: c cus-nvO • - CAP. Sl 4.97
Z _d APPLICATION FOR BUILDING PERMIT F51 391
T^.R V 11977 Building Per.No.
Date ,19
x � �"' " SanitPr Per.No.
K — Construct flan 1
3 v Application is h\reby mode for a permit to
u- 0 1 story, Type-5 nr TT (T A) A Sq ft WQ g r Structure
to be occupied only as I & J Single Family Dwelling in accordance with
a
Z 0 Plans,Specifications and Plot-Plan filed herewith.
aw
Estimated Value of Improvements,$ 712000
LL PI Ck Fee$
O O It is hereby agreed that the requirements of the 211.00
ut 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.
20823 Stevens Creek Blvd.
3 a _Bas Homes, Inc. 252-2077 Suite C_-2 Cna rtnn [A
w w OWNERPHONE ADDRESS
a same
same
40 CONTR.OR AGENT ADDRESS
— v same 323864
PHONE STATE LICENSE BUILDING INSI EECTOR V
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