NO PERMIT NUMBER (2)10072 Senate Way 39
NO. STREET r. LOT NO.
3.64
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
.-SANITARY NO. 9411 W
FILE NO.51,150.2
DATE F/17/7f; 19_
Application is hereby mode for a permit to
Cnns;+ int (Plan T)) a 9 story, type 5 N. Hr.
to be occupied only as T f4 .T Ri ngl a Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 5a,000
FEE $ 191 00 PLAN CHECK $
OWNER CUpt. Village Greens ADDRESS2570 El Camino Reals M.V.
PHONE_ 941-9060
. 255-1422
CONTR. ADDRESS
PHONE STATE LICENSE 220382
J/ n yIll/- APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE I NSPE R I I DATE I INSPECTOR
PRE-GUNITE FRAME
BOND BEAMS I I LATH
MEMBRANE
FIREWALLS
F.M.O. INSPECTION
8 EXT.
UNDER-FLOOR•I-]-%.9,
TIEDOWNS -MISC- �—
DIAPHRAMS
0
BUSINESS FORMS INC.. LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE IN TOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXT ES
MOTORS _ FXTERIORFNTURES
MISCELLANEOUS
PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS & INSULATION 41
UNDERGROUND ROUGH FLUES & COMB. AIR
PARTIAL ROUGH {�� %6 CONDENSATE DRAINS
ROUGH COMPLETE A-07- FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINALGAS_,
FINAL PLUMBING j
MISCELLANEOUS
To
You are hereby outhc
Owner or Tena
At J
No. of Wires _
Motor Load _
Heating Load _
ELECTRIC SERVICE NOTICE
BUILDING IVSPECTO%S NOTICE
CITY OF CUPERTINO
-,'— '. (Z ,,977
r
OFFICE COPY
Size of WiresI CCSA-
Size of Switch /
Voltage Phase
K. W. VnI'
( Light I t0=
New Service �
No. of Meters f
Heat X20
three Wire
Reconnect
More Service
No. of Add. Meters
(}) v
Power
0•
ELECTRICAL INSPECTOR, 1 �{/ ���
Thiee
Move Meter,
CERTIFICATE OF`COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY Of CUPERTINO L
DATE 2- � � - 19_L BLDG. PERMIT NO. 'J �I / f O
1'
THE BLDG. LOCATED AT%/OO7 Z 56� W/4
OWNED BY C Uhl. (%1 (2G C 7YPe-t,- �]
HAS BEEN (AMERED) FOR USE AS Sr,
To
3 / CrTY OF CUPERTINO -
GAS SERVICE NOTICE
You are hereby authorized to
Owner or Tenant
At lbI)�
No. of Meters
No. of Add. Meters
the GAS service
for
New Service_
Reconnect
Move Service_
OFFICE
COPY
19 77
Move Meter p pw
PLUMBING INSPECTOR If .. 0 p„
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No . ......... .......
Plumbing Final Plumbing Permit No.SL./cc
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LotNo...... ...... '-7 --- ------- --
Owner or Tenant ...... 4,1. -
At ------1;2[2_%3,..--...V
. . . ................ ... . ..............................................
Tract---------------------------
Date 'Connected ----...d----
------ -------------------------------------------------------------- 19 ------------
Date Final
ROUTE 'LIP
File No.
Date
Location 9
SubjeFt-���,U
Approved Z
10072 Senate Wav Plan 0� LOT NO. 19
NT
NO REET
— CITY OF CUPERTINO
AP
Jlald PLICATION FOR PLUMBING PERMIT
19 19ii
Sanitary No.
Date Jan jP22A 1 h ,1976_ Permit W.
revs 36 ao
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 Sin 1 Work To Be
Premises g e Family Res. Performed Plumbing
Cupertino Village Green 2570 El Camino Suite 302, Mt. View, Ca.
Owner Address
Phone 941-6050
4oe Amaral Plumbing Address P.O.Box 150, S.C. Ca.
Contractor, Agent
Phone 296-3963
State License 175299 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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"?t T.0.072 'SE.NATE WAY r.-'« 39
LOT NO
s ,v2N0 STREETFi". - -
.C%RERTRIO CIT.IlF CUPERTINO _ PLAN
'i' t!PLICAATIONF.OR ELECTRICAL PERMIT x:r
¢ Date -' EQ ^ �� '" 19 76 } Fee
Application is hereby made to the�City of Cupertino for-'a=permlt'fo install electrical'
'wiring and/or fixtbres as liited.'on the' reverse sides hereof and agrees': to install'lsaid
wiring and/or fixtures in accordance"'Kvwdh'ihe�iprovisions :of_ the Electrical Code�of the- *'
City of Cuperiiino; and all other laws applicable thereto.us _
va
PreZL'i 1) Fam. Residence performed -
p ,VI^LLAGE' GREENS Address T...
c Phone-
gyALL-CAL>ELECTRIC `CO. gddrea� 098 iSTOC_K_ TON AVE SAN 1 Ei "
Contro2toq Agent e -
ri 29'55230„ Y
Phone , , - w
S:.taucense 228'-622 ApproJad
Eleitnoal Inspector �.
I'AGREE I WILL NOT'VIOLATE ANY OF THE ,WORKMEN'
tr
COMPENSATION LAWS=OF .THE_ STATE OF CALIFORNIA. m
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10072 Senate Ily
LOT
CITY OF 01 TRLO CITY'OF CUPERTINO
3 O �9APPLICATION FOR APPLIANCE PERMIT
6-18176 ,19_
ala
39 mm
. y
Permit No.
Fee $::: QQ
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.
wse or WorkToBe
Premises Res. Performed Heat/Sheet Metal
ownerCtiTPt. Village CA&q r, 2570 El Camino Real #302 Mtn.
CARLOS SHEET METAL WORKS, INC.
Phone 582-9292 SAN CARLOJS,,/C/p}�}�'IF/OR IA
Stole License 110828 Approved /`j// ZO_ � &
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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DO 72. SOXI#77E ltJ.04 LOTN0J9 — Q 30
NO: STREET
CITY OF CUPERTINO CAP. VAL. S�r—�--
Sl
a Al64u_�ATIgN FOR�BUII.DING PERMIT PEES a
f Date C70 , 19 Building Per. No.
x � jylllereby 1 t 197' ^^ Sanitary Per. No. 9���.4c
0 Application is hmade for a permit to 04" Ay CT_T
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to be occupied only as
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ J -a! 000
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be
complied with.
in accordance with
PI Ck Fee $
Fee $
Total Fee $
PHONE AgESS
AGENT AD SS
STATE LICENSE BUILDING INSPECTOR