NO PERMIT NUMBER (2) 10203 Miner Place Tract /15858 22
NO. STREET - ;• 1(, LOT NO.
CITY OF CUPETIN0
APPLICATION FOR BUILgING PERMIT
SANITARY NO. 77 3�
M
FILE NO. 51,391
DATE May 3 19 77
Application is hereby made for a permit to 5 NHR (1848 Sq.ft.t
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.
71,000
ESTIMATED VALUE OF IMPROVEMENTS $
FEE$ 211.00 PLAN CHECK$
20823 Stevens Creek Blvd.
OWNER Bas Homes Inc. ADDRESS'-Suite C-2 Cupertino CCA_
PHONE 252-2077
same same
CONTR, ADDRESS
same 323864
PHONE STATE LICENSE
I
APPROVED James H. Sisk/m
��? L
BUILDING INSPECTION RECORD
DATE I PECTOR DATE INSPECTOR
FOUNDATION -7 FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS- IN�B EXT.
FIREWALLS _
MEMBRANE -7-7-7 1 LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. U7. ) r F�
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOOME BUSINESS FORMS INC..LE
/i
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING - 1 ROUGH WIRING
FINISH WIRING NISH WIRING
FIXTURES _^l INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
r
_ I .
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. (y /S-2
BACK FLOW INSTALLED DUCTS&INSULATION /
UNDERGROUND ROUGH174
FLUES&COMB.AIR (/f i
PARTIAL ROUGH _ CONDENSATE DRAINS
ROUGH COMPLETE y7 FINAL APPLIANCE /-J
ROOF DRAIN&LEADERS
MAIN DRAIN S
FINAL GAS y )7
FINAL PLUMBING _
MISCELLANEOUS
ROUTE SLIP
File No.
Date
Location � Z — Ltd e `er
Z4 J-9 Jk
Subject �._,�
Notes
Appr v
ate Insp r
58 5 CERTIFICATE OF COMPLETION
.Lv .BUILDING INSPECTOR'S OFFICE
L�rCI"TYY*OF CUPERTINO
DATE Z 19?v BLDG. PERMIT NOOn. 03 �/
THE BLDG. LOCATED AT 1-'u� IY4�J/015A 0'Z d GF
OWNED BY �✓ S ►u-� 40 C .
P/W C
HAS BEEN ICOMPLET FOR USE AS r4
(ALTERED)
O•
BU DING INSPECTOR
J _
Bldg. Dept.
Office Copy
BUILDING • INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ........ � .3.....
Plumbing Final Plumbing Permit No. .-.-✓r- )--- .....--.
,�7
n Lot No. ...........
Owner or Tenant -------f3^�. ..... +y�1. ...lSX^:!-t-------------------------------------`-........-
........................................................................
Tract
DateConnected /_f..1.:... . ..�7---------------------------------------------------------------- 19------------
Date Final -----------------�._....3.. ---- ------ 19------------
-------------------- -----------------
PLUMBING
---------------------------- --------------------
PLUMBING INSPECTOR
ELECTRIC SERVICE NOTICE' - OFFICE COPY
BUILDCtNG
INSPECTOR0;CUP RNOOOTICE
To 19
t
You are hereby authorized to Connect electrical service for
t
Owner or Tenant
At
No.of Wires Size of Wires
Size of Switch
Motor Load - Voltage Phase
Heating Load K.W. Voltage
No.of Meters 1 Lightt1 t 0 •ictce New Service ��Reconne
Heat � 120 ,yam- Th ee Wire More Service
Three Phas
No.of Add.Meters Power '\ t
II \ _ a ave mete,-
ELECTRICAL INSPECTOR
ererELECTRICALINSPECTOR � 1
CI.TYrOP CUPERTINO OFFICE
_ _ --�_ COPY
GAS SERVICE NOTICE
, te 77
To
You are hereby authorized to connect the GAS service for
Owner or Tenantyw� ,;t. C
At to ,?e r
New Service L�
No. of Meters Reconnect
No. of Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR Lll'�i Cil
�O�ZO3 / t l/uG/Q LOT NO. —�2�2–
NO. STREET '
G 0Y C� 111 CITY OF CUPERTINO
�9APPLICATION FOR ELECTRICAL PERMIT
Q"(!��� Permit No.
Date ocy pi9�_,19_ Fee$�
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of they
City of Cupertino,and all other laws applicable thereto.
Use of SINGLE FAmoY RFCmGmr serkme.
Premises s Pe// � rformed F
ZO 6N
Owner �4S /40 KFC Address.ZddJ.39° 7 6K 4M CUDFQT/n/6
Phone
By ZEE ELECTRIC Address-? Ceaz Sa,�,-ra. c<aza
Contractor,Agent '
Phone 2 f41—8 po?)
State License C-10 241916 Approv,
Eleis IInspector
I AGREE I WILL NOT VIOLATE ANY OF THE WO EN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10203 Miner Placeor'No. x43x #22
NO. STREET . .
C �? CITY OF CUPERTINO
��APPLICATION FOR APPLIANCE PERMIT
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6z 147 Permit No.
Data — 19— Fee$ / T—• 0 0
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
(remise: res• Performed heating h sheet metal
Dwner Bas Homes, Inc. Address 20823 Stevens Cr C12 Cupertino
shone 252-2077
Iy San Carlos Sheet Metal Address P.O. Box 1126, San Carlos
Contractor,Agent
'hone 592-9292
nate License 110828 Approved
Plumbing Inspet or
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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NO ��"" STREET
CITY OF CUPERTINO
'^^ gPPLICATION FOR PLUMBING PERMIT
P / 2 V Sanitary No.
Dot a J ,19 Permit No.
FeeE3�
Application is hereby made to the City of Cupertino for a permit to install—pTu—mbing
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.
woof S.ingte Dwett i ng Work To Be New COnZtILU.CtiOn
Premises Performed
owner BAS Homm Address20823 Stevens CAeek BCvd., Cup.
Phone 252-2077
By L.C. BohaAt P2umbing Co. Address 139 E. F2emont Ave. . Sunnyvake
24
� ntrocicsr
2 3 Agent
Phone
State License 186579 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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10203 Miner Place
Tract #5858 LOT NO. 7'j ry
NO. STREET 1 000
CITY OF C`UPERTINO (((V EE—3—s—
CAP. { 4:.97
C-1f -- - ' l
z < APPLICATION FOR BUILDING PERMIT FEE
w z Building Per.No. 51,391
Dates a n v 9 1077 , 19
O plht '- � Sanitary Per.No.
3 V Application is hereby made for a permit to Construct (Plan 1848)
/.
= p a 1—story, Type-5—IL—Hr. (1848 sD ft + 441 sD ft nar�tructure
O < to be occupied only as T & T i ngl e�mi l y Dwel I i ng in accordance with
'Z ,a Plans,Specifications and Plot-Plan filed herewith.
aw
L Estimated Value of Improvements,$ 71 nnn
a LL PI Ck Fee$
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee$ 211.00
O' 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.
3 0 20823 Stevens Creek Blvd.
_ N Bas Homes, Inc. 252-2077 Suite C-2, Cupertino CA
w w OWNER PHONE ADDRESS
a same same
Q 0 CONTR.OR AGENT ADDRESS
_ U same 323864
PHONE STATE LICENSE BUILDINI INSPECTOR
/\ Q 1e