51419 21135 LAURETTA DRIVE
51419
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DIVIDEND DEVELOPMENT CORP.
SCANNED BOX # 709
i
21135 Lauretta Drive 14
NO. STREET - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10076 BF
FILE NO. 51,419
DATE 9/23 t9 77
Application is hereby made for a permit to 5—NHR 2454 sq.ft.
Const. Plan 3—B o 2 story,type liv.+528 sq.(Et. 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 S 251.00 PLAN CHECK S
OWNER Dividend Development CorPDDRESS3600 Pruneridge Ave.—Sw.340
S.E.
PHONE 246-5001
CONTR, Same ADDRESS
PHONE STATE LICENSE 275773
7/ APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE INSP§CTOR DATE INSPECTOR
FOUNDATION '-)4-77 FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS yMISC- n
DIAPHRAMS ) J
MOORE BUSINESS FORMS INC..L<
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSP CTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION �L
UNDERGROUND ROUGH /1 FLUES&COMB.AIR
PARTIAL ROUGH F�.. CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE 6 i7�7a
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE OF.COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
/ Q J
DATE (n —an - 19,LL_ BLDG. Pv vERMIT NO. 1 /
THE BLDG. LOCATED AT
OWNED ?�v
HAS BEEN (COMPLETED) FOR USE AS �� y�' T
/ 'fAtFER-ED I
BUILD( -INSPECTOR
I -
BUILDING INSPECTOR'S OFFICE o
CITY OF CUPERIIN0 efay. Ceps.
ldge Copy
W Backflow Device Sanitary Permit No. 1a6�613F613F
0 Sewer Connection Plumbing Permit No.
•0 Plumbing Final Lot No. 1
Owner or Tenant JIII/76t1nei /2,
Tract
Date Connected 19Date Final X27 197
PLUMBING INSPECTOR
.G A u se E TTA DR. LOTNO. /St 7'NO. STREET
CITYOFCUPERTINO (VAL.�O
CAP. S ��`/
Q. APPLICATION FOR BUILDjNG PERMIT FEE v`•, 7
z Data `�1/.�.'- +r9"1T1�LD r 19��., Building Per.No.�� 7� _
y O to r Sanitary Per.No.16
3 v' Application its ereb3Focle for o permit td✓Q467- 2.4.41-1 $ .3—d
"story, Type5/VI'R �5E5's� �/V f ur.28 Z�6-42 Structure
Ow to beoccup,.Anlylos fl *-1.TS11064C CM `l6f4(l,inaccordance with
�
a
i w Plans, Specifications and Plot-Plan filed herewith.
4
F 2: Estimated Value of Improvements,$ O 07"
PI Ck Fee$
p O It is hereby agreed that the requirements of the aS�
w Cupertino Building and Zoning Ordinances and all Fee $ r
6 a other laws applicable to the construction,
truction,,location,and Total Fee$
Z use of buildings within the Cit of Cupertino will be
Z complied with. I
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OWNER PHONE ADDRESS
a 34111 c S ,,iT•t �L.4kA 1 9�°tel
Q OF CONTR.OR AGENT ADR
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V e2 7d-7 73
PHONE STATE LICENSE BUI DING
�i,v-���5 i�//i.9y �s J i/I• LOT NO.
NO. STREET ,
• •Ie:p CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
QC f 7, 91977 Permit No.
Date V t- Fee ^QD
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 fWork To Be
Premises __ Performed
Owner �.S Address
Phone•,�21� (J//
By -��'��/�-1i /6Z'4/ Address
�iContractor,Agent
Phone 'W6'1
OLAS5 C-20 LIC, $a79g91
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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YD APPLICATION FOR PLUMBING PERMIT
2 LL - 19�f? ..
3 U `!. L Sanitary No.
W Date ��.T « - 19 1 Permit No.
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< Application is hereby made to the Cit of Cupertino for permit to install plumbing
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a y pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
W= and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a - Cupertino, and all other laws applicable thereto.
0 O Use of �`DX Work To Be
Premises Perfo rm.d ,"/`///,')/�,�,
ZJ Own�{�''�� e/ e^-j1.1./�/��f�/�Gll��i Addressw�(p(/Y�/, GLnLfiV
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