NO PERMIT NUMBER (3)10295
NO.
Virginia.Swan.Place
STREET ' ,r: j...
,1
CITY OF CUP9'RTINCI
APPLICATION FOR BUILDING PERMIT
DATE May 11 f9 77
#59n7
SANITARY NO. 9981
FILE NO. 51,399
41 V
LOT NO.
Application is hereby mode for a permit to 5 NHR(2719 sq.ft.+
Const. (Plan 2719) a 2 story, type 460 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 $ 92 000
FEE $ L /I - UU PLAN CHECK $
20823 Stevens Creek Blvd.
OWNERBas Hnmesr Tnr_ ADDRESS Suite C-9s Cupertino- CA
PHONE 959-9U77
CONTR. same ADDRESS Same
PHONE same STATE LICENSE 997964
APPROVED " .Tamar H_ Sick /m
BUILDING INSPFCTION RFrr]Rn
DATE
INSPECTO
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
Z
WALLBOARDS NT 8 EXT.
— —;t
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
77
TIEDOWNS
-MISC-
DIAPHRAMS
C
—L2
INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
In
ROUGH WIRING
FINISH WIRING
-LI _�,
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
-
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPE TOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
-((-
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
i
CONDENSATE DRAINS
ROUGH COMPLETE ( -
FINAL APPLIANCE y
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
Virs inia Swan Place Tk',,}a"-1-5i70% LOT NQ. 41 (A
NO. STREET - 92000
vo CITY OF CUPERtl;40 CAP. VAL r
a _ APPLICATION FOR BUILDING PERMIT FEE���q
w Z C 5 11`1 y rJ -r 77 Building Per. No ��
Date hq 1� , 19
V Sanitary Per. No.
3 u Application is hereby ade for a permit to Constntrt (Plan 719)
=u LL a��story
O Type 55 N.11r( 71 S .ft :M0 SSl f Ggr) Structure
O . to be occupied only asI & J Single Family Dwelling in accordance with
a
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Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 92, 000
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be
complied with.
OWNER PHONE
S_an-p
CONTR. OR AGENT
z
n
� L
PHONE $ A E LICENSE
PI Ck Fee $
Fee $ 271.00
Total Fee $
20823 Stevens Creel: Blvd.
Suite C-2 offrtino), Ca
ADDRESS
Same
ADDRESS
ECTOR
�.
BUILDING [ySP
X
ROUTE SLIP
File No
Dat e
Location
Subject
Approved %-
ate n for
�U �% 1 ///•�Gfi N�4 �v.rA..+ iL iR c,C' LOT N(
NO STREET
Cif C5 C" -1:,p
CITY OF CUPERTINO
(]F( 1 ,A, rq, ePLICATION FOR PLUMBING PERMIT
y Sanitary No. �^ '
Date ��� 19 Permit
Fee e$ J
5
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 pipes
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 ��/� Q Work To Be
Premises Performed SS i
Owner /j F1 ii OA '12A v1 Address—>�'r2�/� Ui �Glif'�•/✓ 7�:.�;v /�/,
Phone it y/f' 3r7O '
By Address
Contractor, Agent
State License _ Gfiis..�,(��j ��/
Approved
' P}Lmbing Inspector /'
i I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S Jf
1, COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 LA
FIXTURES
NUMBER
MAIN DRAIN
Unitsi
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener .
Material
Bar Sink
To Main Drain
Comb. Sink 8 Troy
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
.Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
11
Total Fee Ir�
CERTIFICATE OF COMPLETION
1 � BUILDING INSPECTOR'S OFFICE
V CITY OF CUPERTINO _
DATE_lBLDG. PERMIT NO.
THE BLDG. LOCATED
/yAT % C)Z/q
OWNED BY
HAS BEEN IC MPLETEDI FOR USE ASS
(ALTERED)
ELECTRIC SERVICE NOTICE. OFFICE COPY
BUILDING INSPECTORS NOTICE
•' CITYOFCUPERTINO
,,9S
To
You are hereby authothorizeydto Connect ele(/ctrica4 service for
Owner or Tenant I `�/_V ✓r %v `�_�����f /�
No. of Wires Size of Wi,e) Size of Switch
L
Motor Load Voltage Phase
Heating Load K. W. Light �.—' Voltage
r/
` '/ Reconnect
New Service /
No. of Meters 1 —�
(i Heat k�I 10 1P0ihr�I Wire More Service
No. of Add. Meters Power r I <
/�(y vThief a Phase •Move Meter
Q• ELECTRICAL INSPECTOR ` (r �/I / —•^' /�
To
•- .. 6 Y & CUPERTINOw:_�J �+
GAS SERVICE NOTICE
You are hereby authorized to connect the GAS service for
Owner or Tenant
At /0d` -;-
No. of Meters
No. of Add. Meters.
New Service
Reconnect
Move Service
OFFICE
COPY
,19 %�
Move Meter n /
PLUMBING INSPECTOR - � » o /9 pp „
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- ----- ----------
Plumbing Final Plumbing Permit No. :S ,I 3 q1
...................
Lot No- -------------- 16/ -------------
Owner or .Tenant ----------
At t ."
.. 7 = . .... . ....... X� ... . . �-,s ------- 1?p ........................................
Tract ...........
DateConnected -------- 9 ------ 72 .................................................................. 19..........
Date Final .................. /- Ro- 7s
................................................................................. ------- 19 ............
...................... AV .......................
PLUMBING INSPECTOR
10295 Virginia Swan P1 LOT NO. 41
NO. STREET -
t100 CITY OF CUPERTINO
cZ APPLICATION FOR APPLIANCE PERMIT
19(6
pl;,.
'.i
1-20-78 n Q-� Permit No.
Date
19— Fee $ 10..00
C
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 ofRes Work To Be
Premises Performed
BY
Contractor, Agent
Phone 592-920Z t�
I'O`Fl
Heatin & Sheet Metal
20823 Stevens Crk C=2
METAL WORKS, INC.
CA 94M
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® L.
APPLIANCE 11 UNITS I FEES
7) BOILER OR COMP. TO 4-HP, ABSORP. SYSTEM
TO 100,001 B.T.U.'S
8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,000 TO SDO,DD, B.T.U' S
9) BOILER OR COMP. TO 15-, TO 31,P. ABSORP.
SYSTEM 500,000 TO 1,000,001 B.T.U'S
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM 1,000,001 TO9,750,001 B.T.U.'S
II)AIR HANDLER 10,000 CU. FT.
12) AIR HANDLER OVER 10,600 CU. FT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
15) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16j MOOD -MECHANICAL E%HAUST
17) DOMESTIC INCINERATOR
18)COM. OR INDUST. INCINERATOR
iol Fni IIPMFNT NOT COVERED BY THE ABOVE
PERMIT FEE
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I Y
or
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N Q
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NO. 5"
LOT NO.
r o
_,,,py�0 CITY OF CUPERTINO
0 _
t `U' APPLICATION
FOR ELECTRICAL PERMIT
sU
1
= 0
DEC 1 1977
'o r
a
Date pw , v
19 _ Permit No.
N
a w
M`
Application is hereby made to the
Fee
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
o`o
wiring and/or fixtures in accordance
with the provisions of the Electrical Code of the
S N
City of Cupertino, and all other laws
applicable thereto.
z _j
Use of Premises SINGLE
FAMILY RESIDENCE
— —_
=o
3 <
Q
Owner�EZLLECTAddress�
4�
w
By
(C y�
O F
a o
CONTRACTOR, AGENT
/�O
ApProved
— U
Phone
_.
ELECTRICAL INSPP
State License - )Z/ 9/6
�22
Number
Size
ITEM I NEW IRPL (FEES
of
Phase
NO / STREET LOT,NO.
„z Clir�;tNO '
Ct0 CITY OF CUPERTINO
�19P +ICATION FOR PLUMBING PERMIT
(� Sanitary No.
Date ` , 19_ Permit No.
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.
Use of Work To Be
Premises52nQ-ea Pvlormed New Con,6t)zurtin
owner BAS Homes, INC. Address 20823 Stevens Cuek Blvd., Cup.
Phone 252-2077
BYL.C. Bohant PQumbcng Co. Address 139 E. Fremont Ave., Sunnyvale
Contractor, Agent
Phone 245-2323 /
State license 186579 APpraved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® L.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
HeaterSize
Water Closet
Material
WUn�itsFeesWater
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories .c
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink 8 Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM -
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
_
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee