51419 21065 LAURETTA DRIVE
51419
F
DIVIDEND DEVELOPMENT CORP.
SCANNED BOX # 709
21065 Lauretta Frive 7 P
NO. STREET - LOT NO.
;e
CITM OF°,CUPERTINO
APPLICATION 7R BUILDING PERMIT
f SANITARY NO._ - 10119,
FILE NO. 51,419
DATE 9/27 19 77
Application is hereby made for a permit to 5-NHR (2454 sq.ft.
Const. "Plan 3-A a 2 story,typeliv.+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 COrRDDRESS 3600 Pruneridge-Suite 340
PHONE
246-5001 SC
CONTR, ADDRESS
PHONE STATE LICENSE 275773
APPROVED James H. Sisk./m
BUILDING INSPECTION RECORD
DATE INISfiECTQR DATE INSPECTOR
FOUNDATION .. )_t FLOOR STEEL
PRE-GUNITE FRAME I X Ch�V• 1 GSz: '� " _
BOND BEAMS LATH \,
WALLBOARDS N .B EXT. �!
FIREWALtS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR -y
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS rORMSINC..LC
ELECTRICAL ASPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING Z ROUGH WIRING
FINISH WIRING �,S i FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL OTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTORDATE INSP CTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. _-
BACK FLOW INSTALLED DUCTS&INSULATION 2
UNDERGROUND ROUGH ) FLUES&COMB.AIR Y 6 1
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE y3-1 FINAL APPLIANCE (`
ROOF DRAIN&LEADERS
MAIN DRAIN y 7
FINAL GAS S
FINAL PLUMBING
MISCELLANEOUS
I .
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF COERTINO
1 - •
DATE _ /X 19-M BLDG. PERMIT NO.
THE BLDG. LOCA .ED AT-,�2T/>L
OWNED BY
(COMPLETED) /
HAS BEEN I;R'tTEREDI FOR USE AS �9`� �Q
OM
BUILDING INSPECTOR
I
BUILDING INSPECTOl OFFICE
CITY OF CUPERTINO Bldg.Dept.
Office Copy
❑ Backflow Device Sanitary Permit No.
Sewer Connection Plumbing Permit No. S/•+���7
M Plumbing Final Lot No. /
Owneror Tenant .����+-+L�-:> '>%-.�-Ml/rt'- r,x�" �;✓1/,�'.
At c9 /r �C` c�//A_ull,l�GCCc, ,ciJl,c-a�a
Tract
Date Connected 1977 Date Final 4 —�`� 197E
/ /"
�" PLUMBING INSPECTOR
A & S A. a tj R ETI /7 bR, LOT NO. 7 GS
NO. STREET
CITYOFCUPERTINO VAL.0 ,
cftlt7o y CAP. {
d �•rpPPUCATION FOR BUILDING PERMIT l FEE • 7-V
wn 19�� Building Per.No.s�_
Dore ,19 7 7
x SF (j Sanitary Par.No.
3 u Application is herebyode for a permit tori A4ST
= LL a sY�ryP7ypeH� ay�y ��IVARC-Ie1>"�.2� �GfJ�tructure
zO
Ow to be occupied only mZi vA .7 5 im,C. E LFflm t L H P-- in accordance with
a
'Z vi Plans,Specifications and Plot-Plan filed herewith.
Q w
r Estimated Value of Improvements,$O r"? e—gf-6
a w PI Ck Fee$
O O It is hereby agreed that the requirements of the Fee$�.s�D-e
w Cupertino Building and Zoning Ordinances and all
0 a other laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be
ZO complied with. f
3 �
A)J)
D�JF_ LoAM�n.°r otCP J-W( -SCo f .�(,n� I�L'NERII)6C HJE
w Z OW �5NER PHONE ADDRESS
e, S.4 001c j P.,
T'4 ��!-ARa l ,4 Lro
a 0 CONTR.OR AGENT A D S
— v d7,F77.3
41 112A(A
PHONE STATE LICENSE UILDING SP OR
O�•
21065 I Lauretta DR. LOT NO. 7
NO. STREET Plan 3
z— CUT -TISO CITY 'OF CUFERTINO
¢000T 1 81977 APPLICATION FOR ELECTRICAL PERMIT
OJ �
mp � A I j Permit No.
Za Dare10-17 19J_[—
O Fee$��_
F
o F Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
r F City of Cupertino, and all other laws applicable thereto.
a
J LL
00 use of I -f am. res. work To Be electrical.
> ul Premises Performed
z< owner Dividend Dev. Corp,-tiAdd,B5. P.0 Box 2805 Santa Clara, CA
�IANDERER ELECTRIC, 'n<--,,
J z C IN
C.
J O eV �'wra�'d[ess - 1P, tJ 61Q
H
Contractor, Agent - -
3
-y
Phone '3(7�� �/J-I
wz
w w State License¢a
veod
O 2 Electrical l nspect
QO
- u
2 2 y 31 Z Z 2 2
c a d m O' v v v
m n T O S y S• d 1 0 0 O O O O O
o O d y d x d F c
N
r
T
, e
LOT NO.L—ILC�I S
NO, STREET
C._, _ CITY OF CUPERTINO
Q
APPLICATION FOR APPLIANCE PERMIT
OCT P$JlJ/ ( Permit No.
Date —19— Fee E ?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 // Work To Be
Premises Performed
Performed
Owner���.''�//(�1>�'� &cZ �+�--2.��,� Address
Phone/.�Y� -rU(21
By y-�h/�-�� �/ti ��p-.-��• Address
Contractor,Agent
Phone /�JE3----�Z2(t J
State License CLASG r.-7n p ,-E)MjAPPro,ecl
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
®u
z
) ( - 0 ! ! 0
Z 2f\ \ \ \ � \ \ \ \ � K § § . 0
| � j \ ( § ) 0 i \ j \ // 1\ z k & 2 /
P� ; §� § o `!§ l. ` a3- 5, \�® §& R2 �
6orGz( 8 /3 � & = | !\ . , 3 « § ! 2
;. \< 2 - \§ $\ /§ ! 2f: , 60 � ) ;\ � - \ k ( \ (\ ! ! f \ ) / § \ a ) j (
2 \ \ ) § P § ! 2 / 2eme » y 0
: !.
��C)G-SJ .CC/1L✓ //I.`%1�1�/.«/ LOT NO /
NO. '---STREET
Luz G.,TV OF' CUPERTINO
� Q c.� Cr
YD A �9(� APPLICATION FOR PLUMBING PERMIT
O J f `-
3Q T Sanitary No.
W Date low 9 q lne , 19_ Permit No.
�O [ Faa$ T� ��
0
D~
a Application is hereby made to the City of Cupertino for a permit to install plumbing
>
Z
y pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
u,= and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a Cupertino, and all other laws applicable thereto.
JLL
0 O Use of /,', ��/ Work To Be
Premis Performed �/ CCY• +�=-
z� Owner!
JD ByL�L!��/�/c-�t�� Address
3 Q Contractor,Agent
w Z Phone
w >9
¢ n State License Approved
U 0 anlz�
QD Plumbing Inspector
_ U
o O T F m m c d D C S? A a T OI� O �
br C
C N ] O b
Vf ' m u u m m O - y u' O n C y n 2
F n y p d y rt c
N ' ] ET
O ] F m bG O b F b m 9
C Q ] m
3 F _
� m
Lt C
m m
m m
9 Gl N 9 T
O b N d 0 d, X WN O O d O O O O d N
m T A n m
T ~ m N O m d_ b. b_ O O C _
H
3 D_
D 9 Z
V p m
y i 2
C 3 m 2
b
b