5141921015 Laaretta Drive 2
NO. STREET - - LOT NO.
CITY OF CUPFFeTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO, 10066
51,419
FILE NO.
DATE 9 /4/ 19 77
Application is hereby made for a permit to 5 -NHR (2228 sq . ft .
Const. Plan 112 -A a 1 story,typliy.+504 sq.ft.gar)
to be occupied only as I & '.J Single Family & Garage
in accordance with plot plan, plans and specification filed herewith.
- 75,000
ESTIMATED VALUE OF IMPROVEMENTS $
FEE $ 237.00 PLAN CHECK $
OWNER Dividend Development CoraDDRESS 3600 Pruneridge Ave. -
PHONE
246 -5001 Suite 340 - -Santa Clara'
CONTR, Same ADDRESS
PHONE STATE LICENSE 275773
James H. Sisk /m
APPROVED
BUILDING INSPECTION RECORD
MOORE BUSINESS FORMS INC.. LA
DATE
NSPECTOR
DATE
INSPECTOR
FOUNDATION D
- /1-
FLOOR STEEL
PRE - GUNITE
FRAME
BOND BEAMS
LATH
-f-
WALLBOARDS IN . & E% .
% g
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAP.HRAMS
MOORE BUSINESS FORMS INC.. LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
ATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
UNDERGROUND ROUGH
BACK FLOW INSTALLED
UNDERGROUND ROUGH
DUCTS & INSULATION
ROUGH WIRING
.-
UNDERGROUND ROUGH i
ROUGH WIRING
7
FLUES & COMB. AIR
FINISH WIRING
PARTIAL ROUGH
FINISH WIRING
CONDENSATE DRAINS
FIXTURES
ROUGH COMPLETE
INTERIOR FIXTURES
FINAL APPLIANCE
MOTORS
-
EXTERIOR FIXTURES
FINAL
MAIN DRAIN /
MOTORS
FINAL GAS
FINAL
FINAL PLUMBING
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
ATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH i
7
FLUES & COMB. AIR
PARTIAL ROUGH
/-
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN /
y 7
FINAL GAS
,7
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY �OFF�CUPE.RTINO
DATE 19L1i_ BL'DGG. /PEERMIT NO-4
THE,BLDG. LOCATED AT
OWNED BY
HAS BEEN (COMPLETED) FOR USE AS -27 Y
1AtAER�I
BUILDING INSPECT.OR'S OFFICEf
Bldg. Dept.
CITY OF CUPERTINO I —' Office Copy
❑ Backflow Device Sanitary Permit No. It s -I'
E Sewer Connection Plumbing Permit No.
21 Plumbing Final Lot No.
Owner or Tenant
At
Tra
Date Connected /`] - !J - 19777 Date Final (�''�l' 19 7�
�" PLUMBING INSPECTOR
2101r L/9(JRE%%/4 D.O. . LOT NO. k Go
NO. STREET
CITY OF CUI'ERTINO.' CAP. ( ((( VAL. 7, S, -2 S
d APPLICATION FOR BUILDING PERMIT l FEE ���p
w ¢ _ 7.t '' Bailding Per. No. �� V/9_
xO Date , 19�. Sanitary Per. No.
�� .91 •-�
3 u Applicotion_R hereby made for a permit toco IV J T, P tow � a( —/j
= p a stgry, [ype�1 N!�Q o12:? 8 l� l l U 7! SU`% G Ail. Structure
O to be occupied only as;� AND J Sr N G 6E Fpm -t:.- a il 2, in accordance with
a
'z ,�„ Plans, Specifications and Plot -Plan filed herewith.
a a,
u, Estimated Value of Improvements, $ 7_5' 6-
a PI Ck Fee $
O O It is hereby agreed that the requirements of the 37 t7 a
> .n Cupertino Building and Zoning Ordinances and all Fee $
0 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.
30 )IV/DElUD Yo
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ron
<0 CONTR. OR AGENT � yDpeE�5
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21015 (Laurette Dr.
NO. STREET
C!:( C? CUPE.NlO
CITY OF CUPERTINO
LOT No. 2
Plant
OCT 18 N77 APPLICATION FOR ELECTRICAL PERMIT
A 1
y Permit No.
Date _]_D —i —.1977 Fee $
Application is hereby made to the City of Cupertino for a permit to install e1e5"ical
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_I -fam, re5. Performed PIPC t I CAI
Owner Dividend Dev. Corp. AddfB9, P.O. Box 2805, Santa Clara, CA
B*ANnFRER ELECTRIC, INC =,:
^�Commcto r, Age t
Phone / � 6 — S�I';�
State License '' % k'iGo 7 C,
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LOT NO.-? — G% 6J1, S
NO. STREET
CITY OF CUPERTINO
.TIAPPLICATION FOR APPLIANCE PERMIT
R -S '1918
, 0QT 119197719_
Permit No.
Fee $
a- — rD
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.
of
Work To Be
Phone�'�"L�10
By �t• /ter J(��si/�LB� - Address
�Cyontractor, Agent
rt.A.SS C -20 LIC. Y 279C31
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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�( %�� //I.PC✓ /�� /� cL� LOT NO.
NO
STREET
CITY.OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Ost , `v' � 5 A,- �� � ? 1,97/ x
' Sanitary No.
Dote 4 ,19_ Permit No.
1P. Fee E Q Q�
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 SA!-
Pramis •� Performed G.��% p %
Owner r[ ^ `�7/
Phone ����7 /U U // ! /
By ��,. 1,h" Addres, %�
� Contractor, Agent
Phone 5 7 �� 2 s—;2-3
State License /��W —S'7 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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