NO PERMIT NUMBER (2)100g4 Congress Places
NO. STREET " ys` % �• LOT NO.
' 3.43
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9383 W
FILE NO. 51,150.2
DATE-12/15/75 19_
Application is hereby made for a permit to
nnnstrnet. r , a 2 story, type 5 N. Hr.
to be occupied only as T R .T Si ngl P Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 49,nno
FEE $ 169 - on PLAN CHECK $
OWNER Cupertino Village Greens ADDRESS 2570 El Camino Real West
M.V.
PHONE 941-6050
PHONE
1
ADDRESS
STATE LICENSE 238433
APPROVED James H. Sisk/
INSPECTION RECORD
DATE
IN R
DATE
INSPECTOR
FOUNDATION
I 00.A_�FLOOR
STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOARD -IN dEXT.
•3_
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. /
• // •
UNDER -FLOOR
•i
TIEDOWNS
- -
DIAPHRAMS
MOORE BUSINESS FORMS INC.. L.
ELECTRICAt 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 8 A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. -
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
y
FINAL APPLIANCE
)
ROOF DRAIN & LEADERS
MAIN DRAIN
1-i -1
FINAL GAS
FINAL PLUMBING Q"
MISCELLANEOUS
ROUTE SLIP',
File No.
Date
Location
Subject —✓`� ,��C �—vee^-_
Notes
Approved
e Inspector
C ERTI BUILDING 6`OF`COM OFFICE
N
BUILDING INSPECTOR'S OFFICE
'ClTTYIOF CUPERTINO
DATE %0 ,h19LMti BLDG. PERMIT NO.
THE BLDG. LOCATED AT lw ��% � �okjr -eK
OWNED BYC;AA�,t?A,,7'1-n7'J VI' L1-6-66 /�C/LF��CI^C
HAS BEEN I (ALTERED)mom" r FOR USE AS1. Sr` V J . P. •
11
Bldg. Dept.
Office Copy
BUILDING ' INSPECTOR'S OFFICE
CITY OF CUPERTINO
-A Sewer Connection Sanitary Permit No. .... �����3......
,:..
Plumbing Final PlumbinYIKg Permit No. ........,. .....U•oZ
Lot No.
Owc
At
Trac
Date Connected ... I......... � �(�.... ............................... 19........
DateFinal .........1A.... ey... �6........................................... I........................ 19............
........•....�/ . -........................
PLUMBING INSPECTOR
9
To
You ore hereby
Owner or Tenant_
At r% P1
No. of Wires
Motor Load
Heating Load
ELECTRIC SERVICE NOTICE
OFFICE COPY
BUILDING INVECTOR17)NOTICE
CITY OF CUPERTINO q
n X 19
Voltage
K. W. Voltage
I L i 'J !'f
Light -"�I10 New Serv�i ce Reconnect
No. Of Meters 1 Heal -' y120 — rThree Wire More Service
No. of Add. Meters 1 Service —
Power. -7 �f� fi(/�/\ Three/Phhaas�e......+' �� /M(Qo/ve�Meter
OO M ELECTRICAL INSPECTOR ��` s r ` 41 Y s'
6( \� 7CIT,Y_!OP:6J6TINO COPY
y GASikOVICENOTICE
i - 4d 3 ,19 7//
To 4
You are hereby authorized to connect the.GAS service, for
OwnerorTenant-���n�:.� V'yJ6;n. sIA,e1�•ro -
Ar .pj
r
,New Service
No. of Meters Reconnect
No. of Add. Meters Move Service
Move Meter
/�
PLUMBING INSPECTOR /ti/.7oX�2i p
NOTICE OF INSPECTION CHARGE
city OP cura::ni ClTy OF CUPERTINO
MAY 12 1 y i IL
e DING INSPECTOR'S OFFICE
Date ...................:.../ d......................... 190 Permit No. .............................
Location................................._...-----............
....................._....................
......
.......
..... V
Reason ...
/u o... ... �1.... .... QP, /............... a
�� �...........................
................. ...............................
Amount$.j..`r'S.—......... .._..............--.............................
SPECTOR
10094.CONGRESS PL.,CUPERTINO 9
LOT NO.
NO. STREET
CITY OF CUPERTINO
"'"('APPLICATION FOR ELECTRICAL PERMIT
✓ Permit No.
Data _' 19 76 _ , F,
Application is hereby made to the City of Cupertino for a permit to install electrical
Wiring. and/or fixtures as listed on the reverse side hereof, and agreesto install said
wiring; and%or fixtures in accordance with ,the provisions of the Electrical Code of the
;City of Cupertino and all other laws applicable thereto.
Use ot,(1)Fam_Reaicienee Work a
Phone 295-5230
State License 2'28`-622 Approved
I AGREE I.WILL NOT VIO TE ANY OF THE
` COMPENSATION LAWS OF THE STATE OF
® �A
TRACT, #56.9.6 -,PLAN-
rt'ITEM _ -- NEW RPL FEES
Number of Outlets - a,
Number of Switches •��T JJ. JV:.
Number c&Eixtures -'
Rar g6es or Ovens,�K.W:
Size of Main Service_
-
Number of Meters
-- Number of Panels
Signs -Transformers. -
. H.P. Phase
tbo[l LOT NO.
NO. STREET
APPLICATION FOR APPLIANCE PERMIT L
w otyy o � CITY OF CUPERIINO
Y O
� LL
3u Daieta� 1-21-76 19• _ Permit No.
i LL {* , Fee•$ -
LL w Application is hereby ❑mile to the Cityof Cupertino for a permit to
0 a install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
j Use of Premises _des.
00
oa Owner Cupertimo Village Grn'Address2570 Rl .amino Roal #321
Z_j Mtn. View
j = By San Carlos Sheet Metal Works Address 779 Old County Rd.
CONTRACTOR,AGENT Sari Carlos
K Phone S92-9292
u 2
W' W 110828
ao State License Approved
U PLUMBING INSPECTOR
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
400
Inde end. Vent System
Com., Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
_
Ind. Ventilation S stem
without Comfort Cool.)
Forced Air. Mech. each Power
Gravity System
,—of+lir9tRf2S . No. of Flues
r4l.)XVrets
Smoke Stacks, Misc. Equip.
Under 15' High
Over 15' 1" eh Ali
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of .500.000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with input
of 500,001 & Under 1,000,000
Permit Fee
�^
3cl !
Total
Total F
c No. Street Lpt No.
1��9y
a APPLICATION FOR PLUMBING PERMIT
E CITY OF CUPERTINO
0
CTVY of CVWtSanitary No.
pate n Permit No.
3 its t Fee d
Y Applic�tioril isreby made to the City of Cupertino for a permit to install plumbing pipes
add/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures
0 in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other
'p laws applicable thereto.
0
0 Use of Premises ,rP7>P P_
.s �3 �Ci za�rsi�ro ram ..Tc 3t'R
0 Owner - /' '.eyf Address d
P4 /jn�C / O
By CIO AMARAL PLUMBING. INC Address(±, 9 ,-2
il .a Contractor, Agent
w
Phone 2%�•-,s'%'G s
State License /%�S Z 9�' Approved
�{' 4— Plumbing Inspector
FIXTURES
NUMBER
I MAIN DRAIN
Units
Fees
I
Units
Fees
Water Heater
Size
Water Closet
y
Material
Bath Tub
I To Curb
Shower
Z
1 To Pro . Line
Lavatories
1 To Existing
Kitchen Sink
Not Conn,
Dish Washer
Ali -
Waste Disposal
A,0,
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
'
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size 11
Restaurant Sink
Material
Sand Trap
TOTAL VEFS
Urinal
Fee
a2 Y, Cla
Area Drain
rain Fee
. 00
Water Leader
Drain Fee
rWater
Sprinkler System
ys. Fee
r 6 d
Relief Valve
11 Gaq Fee
Uv
Vac Breaker
Skimmer
Filter
Permit Fee
3+
Total
/
Total Fee
r 0
0
Z
3°
C17Y OF CIJPERTINO ^ CAP. { ((( VAL.
APPLICC..T_ION FOR BUILDING PERMIT FEE J �=•
Date UTI O` r Building Per. No. 3�/ s�
9 .. C
4. J noary Per�Jo.
Applicatio6. "rebyy made for a permit t`o/� + 'now
aJstory, Type�7.�— '��. ¢l�T�d HIV 1'4 �7f Structure
to be occupied only as Z� r7',,�w9lll f RSNO i in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $
PI Ck Fee $
It is hereby agreed that the requirements of the ,,,,o�O
Cupertino Building and Zoning Ordinances and all Fee $
other laws applicable to the construction, location, and to
use of buildings within the City of Cupertino will be Total Fee $_!.—L
complied with.
l.. iil%a ,fio
•—� O I R PHONE
CON .OR
' rce0 S-O 7'
PHONE STATE LICENSE
�s90 E/CD.yvri�o [r/�s/
.ADDRESS
ADDR
BUILDING INSPECTOR
VO LA