51001.222324 Carta Blanca St.
NO. STREET LOT NO.
.50
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,001.2
DATE -1/24/79 19_
Application is hereby made for a permit to
-_Repair T)amage a story, type
to be occupied only as Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 1.400
FEE $ 14-00 PLAN CHECK $
OWNER R- Mi l l i rnn ADDRESS
PHONE
CONTR, A- R. TPrmiftp Contrnl ADDRESS 20432 Silverado Ave. C
PHONE — 253_774.5 STATE LICENSE 298610
APPROVED J.A. Busto/h
BUILDING INSPECTION RECORD
DATE I INSPECTOR I I DATE I INSPECTOR
FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. & EXT.
FIREWALLS T
MEMBRANE
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
0',.16'14!
DIAPH
MOORE BII SIN ESS FORMS INC..
RESIDENTIAL I DATE I INSPECTOR I COMMERCIAL I DATE I 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 I INSPECTOR I DATE I INSPECTOR
BACK FLOW REQUIREDUNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS & INSULATION
UNDERGROUND ROUGH FLUES 8 COMB. AIR
PARTIAL ROUGH _ CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN & LEADERS 1
FINAL GAS
FINAL PLUMBING
Lot No. T
No. Street (7 0
APPLICATION FOR BUILDING PERMIT l`
CITY OF CUPERTINO
File No. 5000 Z:
Sanitary No. 15y, O
7
Data 196--7—
is
96y—
to be occupied only as
is hereby made for a permit to
story, Type 1 i I V
in accnr6/ce with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements
9nn
FEES _testi Plan Check $ i
Owrmr L/�'a�RJ eLO. Address �& 9//- �-n"p
Address ..p
State License
Approved
$zg000"=
Contr.
Phone — OZ T /— r/
APPLICATION FOR ELECTRICAL / r PERMIIT,
Data 1/4 0 T" /196 FEE$ � 0
Contr. v Z�+-��-==/ Address 95—/•if�i..
Phone ---- 0Z 1.f — r2 7 4 Q State License � p 7%3-�r�9
Approved
7174
Approved
APPLICATION FOR PLUMBING dr GAS PERMIT
S�
Date 4L 196 T GAS FEE $
PLUMBING FEE $
Contr. Address
Phone — a -%'3 -Lf 0 7 7 State License 3 S' i3 S�
Approved \-"' i 1'1 r _'1
APPLICATION FOR APPLIANCE PERMIT 7
Data b �' 1% 7 F,,rtEE$ ,/]
Contr. ��-� -/ )^� ddross 7 2 ;F /1�w
Phone ✓��� 1'� 0 S State License // d'r 2
:Approved V!,fll 116 M1,7 tl RFCJ WVI!`E-6
Applicants agree not to violate any of the `
Workman's Compensation Laws of the
State of Califnmia
RECORD OF INSPECTION APPROVALS
Inspector
_Zd, 17 BUILDING
FOUNDATION
_D_
Inspector
SWITCHES
Date
FIXTURES
UNDERFLOOR
FIXTURE FEE
/Inspector
FIXTURES
to
j.
FINAL
FRAME
MAIN DRAIN FEE
PERMIT FEE
Dgte 6 �
�
LATH PLASTER
STORM DRAIN FEE
MAIN DRAIN
D2 6
FINAL
WATER SYSTEM FEE
J::. 0 CJt�.r
Dofei,-l6-6%
Q
Ins as ctor
R
PL
Inspector
R U H WIRING L
,OUTLETS
_D_
Inspector
SWITCHES
Date
FIXTURES
RECEPTACLES
FIXTURE FEE
/Inspector
FIXTURES
�J
j.
FINAL
H.P. CHARGE
MAIN DRAIN FEE
PERMIT FEE
TOTAL FEES
STORM DRAIN FEE
Q
Ins as ctor
R
PL
Inspector
R U H WIRING L
TYPE OF APPLIANCE
_D_
Inspector
Z,
FINISH WIRING T
Date
FIXTURES
Inspector
FIXTURE FEE
/Inspector
Motors
�J
j.
FINAL
ns pecror
Date t Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
SYSTEM
SIZE
I'MWATER TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
8
FIXTURE FEE
PARTIAL ROUGH
to or
MAIN DRAIN FEE
ROUGH COMPLET "
Dasr
STORM DRAIN FEE
MAIN DRAIN
to or
WATER SYSTEM FEE
GAS PI G
Data r
GAS PIPING FEE
FLOOR FURNACE
FINAL 1
TOTAL FEE
Date ns pector
PERMIT FEE
MISC '
Date InsTactor
TOTAL FEE
MISC
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED
--. Date Inspector
/L�l �ilRYt g�A✓Vc p 1�)7 LOT NO.
NO. STREET
CITY OF CUPERTINCt vAL.� �U d
CAP. {
d CTLY (APPLICATION FOR BUILDING PERMIT t FEE 3�
, 19y.. Building Per. No.82
�_/
O t — Sanitary Per. No.
3 V App kation is hereby mode for a permit to
= 0 a—�stAry,� TyP Structure
0 to be occupied only as in accordance with
a
'Z ,� Plans, Specifications and Plot -Plan filed herewith.
a W
Estimated Value of Improvements, $ r DO
PI Ck Fee $
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee $_ 6�
'O3 other laws applicable to the construction, location, and
Z 5 use of buildings within the City -of Cupertino will be Total Fee $
–' OZ
complied with.
W
OWNER
PHONE
< :E
_ U
,�33-
CONTR. OR AGENT
s s ; ie
PHONE
ATE LICENSE
,ZZI3 41 CART.qv2W sl c,/
ADDRESS
2a Q v
QZAIAD 'LSSA
EIIJILDING INSPECTOR
O L�
9'a31p¢ eIM4* &&L)rA 57- LOT NO.�
NO. STR� 7Q
f 'SAP . PC*T O t FOR BUILDING PERMIT
® ITY OP CUPERTINOL.
a < JUL 13 1967 Sanitary No. 4 OST
s U�N� 3v
_ Date 196-7 Permit No. 6 �O
�o
`o < Not,
q¢ is he l YFinaa �foilat permit to
i In a story, Type S �^ Building
<W
to be occupied only as
o'o in accordance with Plans, Specification P���rA�l herewith.
Estimated Value of Improvements, $ Fee $�o•Sa
i I It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
O Cupertino will be complied with.
-z
O r G OL L eo, Addressp o. E
ca. By Address
tj 6'
-KPon 6 Approved
State License "J=
u NG INSPECTOR /
RECORD
OF INSPECTION
APPROVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDBNG'INSPECFOR'S OFFICE
CITY OF CUPERTINO
Date ......lo2..- ..(................... 1967. Building Permit No.,$7g4* 2'
The Buildii
Owned by
Has Been
( Completed) P I��
ForUse As: .....v ............... - .-..-.-......- ...........
102 12/66-1M
fell
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........................
OFFICE
COPY
196. ,7
You are hereby authorized to connect the GAS service for
Owner or Tenant
At ...
............................
No. of Meters .../.............
New Service ... ..............
Reconnect .............................
Move Service .............
No. of Add. Meters .............. Move Meter ........................
.......... ................
PLUMBING INSPECTOR4
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ..11-1�40457
P-�fiumbi g Final Plumbing Permit No. 1.16100le-A
..........
Lot No . ....... W -------------
.....................................................
Owner or Tenant . ....
ov
At
Tract
Date Connected ............................... 19.4, ?--
Date Final .............................. 14
..........
PLUMBING INSPECTOR
Ill 12/66 -IM,
CE COPY
j
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
��411
CITY OF CUPERTINO�I
1961.
To
You are hereb
au o ' ed o I
e electrical service f
Owner or Tenant .....
_.. _
No. of Wires ..
...Size of Wires . I..t�/.... Size of Switch
Motor Load ..........................
Voltage ..._................. Phase
Heating Load ........................
K. W..._........_.. ...... .._...... Voltage ........
1
'
Lih
No. of Meters .......
. connect......_
Heat/ ..._...-.
No. of Add. Meters..--........•.
................. 220 ..... .._... e We ._. .._- ove Service..........
Power ... ......... .. P
e .......... ove Meter ..............
ELECTRICAL INSPECTOR
N2 STREET
APPLICATION FOR PLUMBING PERMIT
R
If.Y OF CUPERTINO
w� Io Sanitary iA'o.- Unte;lli: 1 ! i
3 < . _ _ �96� Permit No
U
w w Fee $
'0 hca io is•
w 4ihereb (t to Yto Mthe City of Cupertino for a permit to install plumbing
o p,pes,hndl■ Ithetreverse side hereof, and agrees to install said pn.res
'z I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w 2
0 w Use of Premises
00
1 N
3 Ownet d e%ln — �r i� Address::2ez- 4�,, �,e,,. /
o D.( Dom/. ��
Address5�ri�Cf/.(%�2uJ .fl�
3 o F y CONTRACTOR, AGENT
-`m Phone V 5-'—-�U% %
w w WILLIAA7 D. T TNEVICIJ
a(2 State License a-' %f 9 d_{— Approved
r I PLUMBING INSPECTOR
UNITS I FEES
rant
Boxes
Area crams I 1 II Main, Uram Pee I ,� .o u
Fee
tiler Valocs
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final .
LOT
NO. STREET.
® P1 PLUMBING PERMIT
�Iy UPERTINO
FEB 27 1968 si o O
Date February 13 1Qf 8 I _ Permit No. 2-1
CITY OF CUPERTINO Fee $ 3.50
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
o Cupertino, and all other laws applicable thereto.
B Use of Premises
v
Owner Richard Milliren Address 22324 Carta Blanca Dr.
By Rayne {dater Condit! aninjilk Address 243—B Meffett Blvd.
'11 CONTRACTOR, AGENT
Phone 967-4545 _ Approved
r PLUMBING INSPECTOR ✓
J UNITS I FEES 11
1UNITS1 FEES
Water Heater Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Coon.
Dish Washers
Waste Disposals
W h T'TORM DRAINAGE
as rays II 5
rea
ns
Valves
RECORD OF INSPECTION