NO PERMIT NUMBER 1011P S n W_Lly 35
NO. STREET- o LOT NO.
4.55
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
i
SANITARY NO.
FILENO., 51 ,150-2
DATE 6/17/76 19_
Application is hereby made for a permit to
Construct (Plan BL) o •2 story,type 5 N. Hr.
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 675.000
FEE$ 217.00 PLAN CHECK$
OWNER CgJ�t. Village Greens ADDRESS 2570 El Camino Real, M.V.
PHONE 961-6050
255-1422
CONTR, ADDRESS
PHONE STATE LICENSE 220382
-y3 '77 APPROVED James H. Sisk/h
�� - 'q
BUILDING INSPECTION RECORD
DATE I PECTOR I J- 5
JINSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME BOND BEAMS LATH
WALLBOARDS N &
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG. '•j 2 -
UNDER-FLOOR
DEDOWNS -MISC-
DIAPHRAMS
MOORE BIISI NE"FORMS INC_L4
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES Z . Z . INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR KIINSFPEPTORBACK FLOW REQUIRED UNDERFLOOR S.M.BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH ,� -Z FLUES&COMB.AIRPARTIAL ROUGH J CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS �7
FINAL PLUMBING
MISCELLANEOUS
Q / r Z _ -/�/,Qy LOT NO.3J am. 2.6
NO. STREET VAL.`z"%
CITY OF CUPS TING
CITY O; Cir,_1T I .�L
a APPLICATION FOR BUILDING PERMIT l FEE
Z Z J u''N 1 l Building Per.No. S //SC. Z
0 Dote �Ci 19 y �G p,_
O Sanitary Per.No. �T
3 u Applicalfon Is he Aeby made for a permit fo CO A0'JTL uC 7 � *A0 d
= 0 a story, Type 1 Ty 1T Structure
a to be occupied only as -5!zA0CLe .�•'iw. f -� i -�' accordance with
O
'Z w Plans,Specifications and Plot-Plan filed herewith.
aw
F Estimated Value of Improvements, $�pSdCO
a LL PI Ck Fee$
O O It is hereby agreed that the requirements of the
a Cupertino Building and Zoning Ordinances and all Fee$ Al
Q 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.
w w ER PHONE ADDRESS
E O C NTR.OR AGENT 'A DREE
� '
PHONE STATE LICENSE BUILDING INSPECTO .K. ''
-Y 3 CITY OF CUPERTitJO '^ OFFICE
U GAS SERVICE NOTICE
119 77
To
You are hereby authorized to connect the GAS service for
OwnerorTenant ��/�-!'r-+�n7�.. ,,. ��i.�4t,so' ✓%nr �....,a
At
New Service U�
No. of Meters f Reconnect
Service
No. of Add. Meters Move I
Move Meter
PLUMBING INSPECTORp
ROUTE SLIP
File No.
Date z;L4 "ell--7 -7
Location ::;41 .3 .f= 1,4 L�
Subject
i
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Approy,ed-- 6
Date I s e or
ELECT-RICSERVICE NOTICE. OFFICE COPY
BUILDING INSPECTOR'S Nd9CE"'—''"
` CITY OF CUPERTINO
r 2
To r/�� 191 1
You are hereby au'thOrized to Connect electcd[service for
Owner or Tenant � �- `'" `��'"✓
At
No.of Wires Sof Wires /
si3e of switch
Motor Load Volydge Phase
Heating Load K.W. Voltage
No.of Meters 75; lrT� L�9h� * / 1101New Service Reconnect
Hear •720///'''L���Three Wire More Service
No.of Add.Meters Power f I \ Three Ph.,e_ e r Mav_ a Meter
�"
ELECTRICAL INSPECTOR —
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- ---- L. ........
C( Plumbing Final Plumbing Permit
.............
Lot No. -------- ;?.,;5-----------
Owner or Tenant ....OL
At ......li5
Tract ....
----------------------------------------------------------------- -------------.......... -...
Date Connected ------- 7c-;
—.................................................................... 19........
Date Final -------------
........................................................ ............................... 19...--------
..................
9-----------
...................
...................
PLUMBING INSPECTOR
101,12 SENATE WAY LOT NO, 35
NO. STREET --- -
CITYOFCUPERTINO PLAN "B,"�
GyjeoOPLICATION FOR.ELECTRICAL PERMIT
Permit No.
Date r 19. 76 Fee
v Y
Application kPhereby',mode to the ,Ciy of Cupertino for permit to install electrical'.
1_, . wiring and/or fixtures.as listed on-the:re4'rrse side hereof, and agrees.to install said
. wiring and/or.fixtures in accordance with the provisions of the Electrical Code of the -
City of Cupertino;and dll other laws applicable thereto. _
`.'Lice of (1�)Fam.Res�iL9ence- work To'*
Prarimisec -,Performed -
Own'6rVILLAGE =GREENS Address
Phone 'v - 6
-BiALL-CAL ELECTRIC CO. Addreil098 /Stockton Ave. ,San Jose
Contractor,Agent.
Phone - 295-5230i
JJr
State License 228-622' _ Apprpved Q ✓ /.�^ '.
;m Eledncal Imoector s/
T"1 AGREE I WILL NOT VIOLATE MANY OF THE WORKMEN�S
I _ COMPENSATION LAWS`OF*THE STATE OF CALIFORNIA
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10112 Senate Way Plan BL7 LOT NO. 35
NO STREET
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date Ja1. ;? I n 1976_ Ptary
v Pee
$
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 Pe
Sin le Famil Res. Work Toed Plumbing
Premises 9 .Y Performed
CQpertino Village Green ]eQ El Camino Suite 302, Mt. View
Phone 941-6050
40e 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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Irl 10112 I Senate Wy
LOT NO. �S
NO. STREET' . •
W a CIT D, C�;:.nttD CITY OF CUPERTINO
s APPLICATION FOR APPLIANCE PERMIT
,I 3 0 i97b
UI Permit No.
�: < Date 6-18-76 • tg Fee$
1-0 Application is thereby made to the City of Cupertino for a permit to installgas
0,-
appliances as listed on the reverse side hereof, and agrees to install said appliances in
F accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
a N other laws applicable thereto.
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Use ofRes. _ work to Be
�u Premises Pe1formed1ieat/ShEaet Metal
O
Owner Vlll a Gins /A/J rass2570 RT !`a o ^T t2^no Mtn
Z ey-� iP<�x0 f+ytti �y SAN CA nI fly SHFFT MFTAI WO RKV41C41C
J Z Contractor, Agent J%9 OLD COUNTY ROAD
D Phone 592-9292
3 . SAN OS ALIFORNIA
w y State License 110828 Approved
2 i PI robing Inspector
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