NO PERMIT NUMBER (2) 10184 Miner Place Tract #5858 34
NO. STREET ^4' LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. >
FILE NO, 51,391
DATE May 3 19 77
Application is hereby made for a permit to 5 NHR (2719 sq.ft. t
Const. (Plan 2719) a 2 story,type 460 sq.ft. gar)
to he 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 '• E''LSTATE LICENSE 323864
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE I TOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME 1 -17-7
BOND BEAMS LATH
WALLBOARDS INT &EXT.
FIREWALLS {b,
MEMBRANE,. LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. _
UNDER-FLOOR _77
TIEDO W NS -MISC-
DIAPHRAMS
U/tl
MOORE BUSINESS FORMS INC.Li
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 OTORS
LFI
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSP CTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. - 7
BACK FLOW INSTALLED DUCTS&INSULATION - -7
UNDERGROUND ROUGH 7 FLUES&COMB.AIR
PARTIAL ROUGH cJ CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE ,.
ROOF DRAIN&LEADERS
MAIN DRAIN /O
FINAL GAS a- -7
FINAL PLUMBING -I
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CATTY OF CUPERTINO p
DATE J -9 /, 19� ' iBLDG. PERMIT NO. SI3
THE BLDG. LOCATED AT _l 0( et/
OWNED BY
HAS BEEN C MPL FOR USE AS
(ALTERED)
BUILDING INSPECTOR
C ELECTRIC SERVICE NOTICE OFFICE COPY
`I y BUOILDING CITYIOFCUPEORTR S TICE
INO zz CC
J 19 7 0
To 1`,
You are hereby authorized to Connect electrical setrvii'c-e ff'orrh�Lv
Owner or Tenant
No.of Wires Size of WiresI U r \
Size of Switch
Motor Load Vantage Phase
Heating Load K.W. Voltage
No.of Meters ic
Light '� 110 '�New Serve Reconnect
Heat ?20✓I Three Wire More Service
No,of Add. Meters Power Three Phase Move Meter-
ELECTRICAL INSPECTOR
eterELECTRICALINSPECTOR �
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ........
Plumbing Final Plumbing Permit No.
Lot No. --------
Owner or Tenant ......
At ---
................................ ..............------------------------------
Tract
Date Connected ------/..4 L,
------------------------------------------------------ 19------------
DateFinal ................J...'.� -------------------------------------------------------- 19------------
.P
...... ..
.... ...........A�01
-----------------
PLUMBING INSPECTOR
'CITY OF CUPERTINO + OFFICE
COPY
GAS SERVICE NOTICE
, 19
To
You are hereby authorized to /co/nnect the GAS service for
Owner or Tenant 6� Z/ ,,n 2,
At 101pq
New Service
No. of Meters Reconnect
No. of Add. Meters Move Service
Move
//Meter
� /� n
PLUMBING INSPECTOR
A0/P/ LOT NO. ;5Y4
NO. CL; STREET
"i CITY OF CUPERTINO
p�0�1 C APPLICATION FOR ELECTRICAL PERMIT
� LI
QCT PI 1977 Permit No.
Data —19— Fee$. 1 I X
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premises��LEC i�•t 1 n. r rp Performed _
Owner ""'"' GJ Addres0�., .�/�/ A_ Y�
Phone
By ZEE ELECTRIC Address
Contrnactor,Agent
Phone - ��9'YX�9
State License C-10 741916 °
Approved
Electrical lnsp tar
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10184 Miner Place LOT NO. #34
NO. STREET
CITY OF CUPERTINO
1g t_IAPPLICATION FOR APPLIANCE PERMIT
Permit No.
Date 614;;771:
V r`, ,19_ Fee$ 10. 00
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 Work To Be
Premises res. Pe,formed_ heating & sheet metal
owner Bas Homes, Inc. Address 20823 Stevens Cr. C-2 Cupertino
Phone 252-2077
By San Carlos Sheet Metal Address P.O. Box 1126 San Carlos
Controctor,Agent
shone E3$x12W]y 592-9292 n
itate license 110828 Approved_-L ,f'�
lembing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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NO STREET
C;T,f CT CUiZ.JINp CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JUN 1 1977
✓ Sanitary No.
Date ,19 7 Permit No.
Fee s
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 Singte DweU i.ng Work To Be New Ca,tiS�icuc t t:an
Premises Performed
Owner Bas Homes Address20823 Stevens Cneeh Bevd M
Phone 252-2077
BY -C. Bohaht Ptumbing Co. Address139 E. Fremont Ave. , Sunnyvale
Contractor,Agent
Phone 245-2323
State License 186579 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S v
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ///�`
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10184 Miner Place Tract X15858 LOT NO. 94 zl
NO. STREET '
nnn
CITY OF CIIPERTINO [VAL. o,__ .44
44
C-r -- -' -
CAP: 1 6.
a APPLICATION FOR BUILDING PERMIT FEE
w Z Building Per.No. 51,391
K Dare -.,r%% r1 ",C,%7 -19—.
! / T
W IJhI - ' - Sanitary Per.No. S
O a Application is hereby.made for a permit to Construct (Plan 2719
3: V
= LL a 2 ?story, Type) N.Hr. 2719 sq.ft.+ 460 sq.ft.Gar. ktructure
� O
F to be occupied only asl & JSi ng1 e Family y Dwe1 l i ng in accordance with
a
Z w Plans,Specifications and Plot-Plan filed herewith.
a a,
F x Estimated Value of Improvements, $ q2 0LD
PI Ck Fee$
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee $ 271.00
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
-' Z complied with.
0 20823 Stevens Creek Blvd.
- „a, Bas Homes, Inc. 252-2077 Suite C-2, Cupertino CA
W w OWNER PHONE ADDRESS
a M same same
OF CONTR.ORAGENT ADDRESS
_ v same 323864
PHONE STATE LICENSE BUILDING INSPECTOR