NO PERMIT NUMBER (2) 10256 Virginia, Swan Place xractl111590 54
NO. STREET j..,,, p. - - LOT NO.
CITY OF CuP RTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9994
FILE NO. X1,399
DATE May 11 197
Application is hereby made for a permit to 5 NHR (2405 sq.ft.1
Cnnst. (Plan 2405) a 1 - story,type 440 sa.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 $80 000
FEE$ 247-00 PLAN CHECK$
20823 Stevens Creek Blvd.
OWNER Ras HnmpcB Inc ADDRESS Snit C-9, Cngp_rtino CA
PHONE 952-9077
G�
CONTR, came ADDRESS same
PHONE
--� gnmp STATE LICENSE •123864
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✓ APPROVED k m
BUILDING INSPECTION RECORD
DATE PECTOR DATEINSPECTOR
FOUNDATION ) 7, i FLOOR STEEL i '
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS<9?8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOW NS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..L1
a f!
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING I ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL OTORS
19 1 FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE I INSPECTOR DATE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. 1-J
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS t-21 pit-
FINAL PLUMBING
MISCELLANEOUS
Y
n )� CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE,
/iV-7 CI`T�YcOF CUPERTINO' _ Q
DATE I /� 19�_ BLDG. PERMIT NO. �
I/�7
THE BLDG. LOCATED AT / 0'�_ "r911`• Y -( •
OWNED BY 631) S / 'U ^�-�✓ �T/�-�- C '✓✓✓,111y, ln�
HAS BEEN IC _LET.E FOR USE ASI• 5- /• (%!N� "
(ALTERED)
J BUILDING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ...........
Plumbing Final Plumbing Permit
Lot No- -------SZ-----------------
it
Owner or Tenant ........
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Tract
Date Connected ..........);z. -.7 77
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Date Final ------------------------------------------------------------------------------------------------------------ 19............
...................... ....................
PLUMBING INSPECI'OR
,(/ 1 ELECTRIC SERVICE NOTICE . _ OFFICE COPY
BUILDING INSPECTOR'S NOTICE——
11 CITY'QF,CUP.ERTINO
- 3a
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To
1
You are hereby autlioriieedd tooCConnect electrical service for (�
Owner or Tenant1A
a
No.of Wires Size of Wires/ Size of Switch
Motor Load Voltage Phase
Heating Load K.W.
Voltage
J (
No.of Meters Light -1 110 New Servl ce / Reconnect
l(/1
Hear -120"�/✓
�Th eerue More Service
No.of Add.Meters Power I Three Plot
re
reMove Meter
Q• ELECTRICAL INSPECTOR
�; u
C( .c .-"'��'� OFFICE
CITY OF CUPERTJI O a copy
GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
Owner or Tenant r�n.o /y/,At
,,_
i
ONew Servicey'
No. of Meters / Reconnect
No. of Add. Meters Move Service
Move /Meter
PLUMBING INSPECTOR
1(1256 Virginia Sven P1 LOT NO. 54
NO. STREET
�_•C_TCtO CITY OF CUPERTINO t
APPLICATION FOR APPLIANCE PERMIT
1-19—78 Permit No.
Dote t. A l 0 19_ Fee$ 10.00
s .
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
BeATING 6 SHEET METAL
Premises Port To o BBe
O,npas Homes Address 20823 Stevens Crk #c2-Cupt
Phon252-2077
oARIOQ WET METAL WORKS, INC.
By Gs. �dr/rn � p. 0, BOX 1126
Contractor,Agent wwl.DS, CA 94630
Phone 592-9292
State License , t O 119 Approved
Plumbing Inspector
,j I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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Number of Outlets
Number of Switches / Q
Number of Receptacles `
Number of Fixtures
Ranges or Ovens K.W. 0,C)
Size of Main Service S
Number of Meters
Number of Panels d p
Signs-Transformers
Dryers 'QC)
Motors:
H.P.Phase
H.P.Phase '
H.P. Phase
Power Poles
Misc.
Permit Fee O
H.P.Charges ,Z
Total Fees
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��L///Y'.QJ LOT NO. (. <
NO STRE
CITY OF CUPERTINO
Ju '`12 190PLICATION FOR PLUMBING PERMIT
Sanitary No.
Dote 19_ Permit No.
Fee$ Cfa�
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 lows applicable thereto.
Use of Work To Be
Premises&xa.e�'jg Performed New ConAtthllo.}ion
Owner BAS Home6, INC. Address 20823 S.tevem Cheek Blvd., Cup.
Phone 252-2077
BY L.C. Bohaht P2umbing Co. Address 139 E. Fhemont Ave. , Sunnyvate
Contractor,Agent
Phone 245-2823
19-65-7 9
Slate 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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10256 Virginia Swan Place 5"j 07 -LOT No.54
NO. STREET
CITY 9F CUPELYTINO - (vAL.B0 0010
N CAP. Sl FEE 5.60
�VAPPLICATION FOR BUILDING PERMIT
-5;4 eH
Z z Date r5) 77 Building Per.No.
xO 1, Sanitary Per.
W 0
3 u AppIM tion is hereby made for a permit to CenstrNEt�PiaE! —
Fa story Type-
0 5 N.Ix(2405 sq.ft. + 440 sq.ft. Gar Structure
F to be occupied only as I & J Single PanELly Dwelling in accordance with
a
'Z Plans, Specifications and Plot-Plan filed herewith.
w 80.000
F x Estimated Value of Improvements,$
w PI Ck Fee$
O O It is hereby agreed that the requirements of the
.n Cupertino Building and Zoning Ordinances and all Fee $247.00
'O a other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
ZO complied with. 20823 Stevens Creek Blvd.
3 N Bas Ikxws, Inc. 252-2077 Suite C-2, Cupertino, Ca.
Z OWNER PHONE ADDRESS
w w
Sam
Q U S'iI11L CONTR.OR AGENT Satre ADDRESS
PHONE STAT BUILDING IN SPECTOR /�//