514194
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10068
FILE NO. 51,419
9/21`4 77
DATE 19_
Application is hereby made for a permit to 5 -NHR (2454 sq. f t .
Const. Plan #3 -C o 2 story,typliv.+ 528 sq.ft.gar)
to be occupied only as I & J Single Family & Garage
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 82,000
FEE $ 251.00 PLAN CHECK $
OWNER Dividend Development CorRODRESS 3600 Pruneridge- -Suite 340
PHONE
246 -5001 SAnta Clara
Same
CONTR, ADDRESS
c; "ic,/,
LICENSE 275773
APPROVED James H. Sisk /m
:nm.�r.LHrf.�xyarefx.T•rL.
MOORE BU SIN ESS FORMS INC, ILA
DATE
INSPICTOR
DATE
INSPECTOR
FOUNDATION 1
' I t -','i
FLOOR STEEL
PRE - GUNITE
FRAME 6T c4tj67,..r, -,w
pi
BOND BEAMS
LATH
-
,)
WALLBOARDSc -I .8E
-�'
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
- ISC-
DIAPHRAMS
MOORE BU SIN ESS FORMS INC, ILA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
DATE
CTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. t
UNDERGROUND ROUGH
BACK FLOW INSTALLED
UNDERGROUND ROUGH
DUCTS & INSULATION },
ROUGH WIRING
'T
UNDERGROUND ROUGH
ROUGH WIRING
FLUES 8 COMB. AIR Y
FINISH WIRING
PARTIAL ROUGH
FINISH WIRING
or. z
CONDENSATE DRAINS
FIXTURES i
ROUGH COMPLETE Y
INTERIOR FIXTURES
INAL APPLIANCE _
MOTORS
ROOF DRAIN & LEADERS
EXTERIOR FIXTU
FINAL
MAIN DRAIN
MOTORS
FINAL GAS
FIN
FINAL PLUMBING
.)
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
CTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. t
tfi�
BACK FLOW INSTALLED
DUCTS & INSULATION },
UNDERGROUND ROUGH
FLUES 8 COMB. AIR Y
/
PARTIAL ROUGH
or. z
CONDENSATE DRAINS
ROUGH COMPLETE Y
INAL APPLIANCE _
_
ROOF DRAIN & LEADERS
MAIN DRAIN
V y
FINAL GAS
FINAL PLUMBING
.)
MISCELLANEOUS
CERTIFICATE OFCOMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIt
�/ - r
DATE �� 19L1r BLDG.
THE BLDG. LOCATED AT
OWNED BY �Jr��/t�f Oar .1/ .�✓�r
HAS BEEN (COMPLETED) FOR USE AS
(ALTERED)
BUILDING INSPECTOR'S.OFF.ICE Bldg Dep.
CITY OF CUPERTINO — off"e��c.p,
❑ Backflow Device Sanitary Permit No. /0'
ESewer Connection
i
.E. Plumbing Final
Owner or Tenant
Tract
Plumbing Permit No. S/. `l- o
Lot No.
Date Connected J - a 1977 Date Final lo-6 197E
PLUMBING INSPECTOR
2i4d35' STREET 6A(heETTR. DR. LOT NO. T LL
NO. VAL. Ci � O�0
CITY F)F CUPEONO D
i-&TI CAP. { S. 74e
a „tAPPIICATION FOR BUILDING PERMIT l FEE Q
w Z (,�� Building Per. No.1 /, y� 7 _
Y Data `'� L '19-2-4
.. Sanitary Per, No.
CoasT,
3 u Application is herebygde for a permit to
=u a tor yYType�NHK-, 7y5`/ 'OA IU.nRCPtS.?8SAC:RR.Structure
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.
to be occupied only os�.4nJA:1 S i at C �.E FPiM N
Ci' A 2, in accordance with
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Plans, Specifications and Plot -Plan filed herewith.
a �'
Estimated Value of Improvements, $ O .? /t44
a LL
PI Ck Fee $
_O O
It is hereby agreed that the requirements of the
Fee $ Sri. U`V
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Cupertino Building and Zoning Ordinances and all
p a
other laws applicable to the construction, location, and
Z -
use of buildings within the City of Cupertino will be
Total Fee $
Z
30
complied with.
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CONTR. OR AGENT
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PHONE STATE LICENSE f/�l`
BUIIDIN INS ECT
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21035 I Lauretta Dr.
CT! .:' STREET '
LOT NO,
z a CITY OF CUPERTINO
Yo OCT181977 APPLICATION FOR ELECTRICAL PERMIT
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Date 19 77 Fee $fir =_
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OF Application is hereby made to the City of Cupertino for a permit to install electrical
> F wiring and /or fixtures as listed on the reverse side hereof, and agrees to install said
Z" wiring and /or fixtures in accordance with the provisions of the Electrical Code of the
F F City of Cupertino, and all other laws applicable thereto.
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TCtp CITY OF CUPERTINO
.APPLICATION FOR APPLIANCE PERMIT
ISiR
0 CT' 1� 9 j197�7
Permit No. .
Fee $ laga—
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.
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of
Work To Be
CLASS C -2(] LIC. $ 279031
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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NOV _ 197 APPLICATION FOR PLUMBING PERMIT
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W U e `+ , ? 5 197 Sanitary No.
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Z pipes and /or fixtures listed on the reverse side hereof, and agrees to install said prices
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