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NO PERMIT NUMBER (2)10125 Congress PSace 3 NO. STREET ,•'� ,1" LOT NO. 3.57 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. 9377'EW- DATE _12L15 /75 19 Application is hereby made for a permit to •r M wa 1ITZ WE 572T.11 to be occupied only as T & .T Ri ngl-e Fami l Y Dwelling in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS FEE $ 1'99 - no PLAN CHECK $ OWNER Cupertino Village GreenDDRE55 2570 El Camino Real West M.V. PHONE 941-6050 CONTR. ADDRESS PHONE STATE LICENSE 238433 Alf APPROVED James H. Sisk/h BUILDING INSPECTION RECORD DATE 00I DATE INSPECTOR F UNDATION FLOOR STEEL- PRE-GUNITE I FRAME BOND BEAMS LATH t • WALLBOARDS . & EXT. • -A.tf r, FIREWALLS MEMBRANE LANDSCAPING Lo '•' F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR TIEDOWNS -MISC- DIAPHRAMS MOORE BUSINESS FORMS INC. LA ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING - ROUGH WIRING FINISH WIRING (p, �� FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. .l- -,21 BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH FLUES & COMB. AIR PARTIAL ROUGH _y CONDENSATE DRAINS ROUGH COMPLETE ,r G FINAL APPLIANCE ROOF DRAIN 8 LEADERS MAIN DRAIN 7 FINAL GAS FINAL PLUMBING MISCELLANEOUS Location.ZQ' 3 Sub; e c t Notes Aogroved� .a L'C 17)S J0C C�. i CEERTIFICATE-OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE �D' �3 , 1970 BLDG, PERMIT NO, 6 THE BLDG. LOCATED AT OWNED BYV HAS BEEt� PL TEDI FOR USE "1 �v J To "' 1 You are her Owner or Tena At No. of Wires _ Molar Load _ Heating Load ELECTRIC SERVICE NOTICE a ._ BUILDING INSPECTOR'S NOTICE '1 ,CITY OF dUPERTINO authorized to Connect electrical service of WI/ s 1 v Size of Switchy Voltage Phase K. W. Voltage / 9 OFFICE COPY ' Llght �� 110! New,5ervi ce �"/ Reconnect No. of Meters Hear 120-_. �ihree Witt, Mere Service No. of Add. Meters Power hrePhase Move Meter R w ELECTRICAL INSPECTOR C7!// �[—�,,•,,��/I • Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE C1141 OF CUPERTINO Sewer Connection Sanitary Permit No. ...... ?.':3.7T...... Plumbing Final Plumbing Permit No..$..,.aO.;»�ss�:.rZ. Lot No....c/...� f...... �....... Owr, At Trao Date Connected ..... ...'./ %�...................................... 19............ Date Final ......... 1W..:-.... _." 19............ PLUMBING INSPECTOR �,.� CITY OFI COPERTf0 aCOPYE 3 . GAS SERVICE NOTICE 9 , , 9 'To You are hereby authorized to connect theGAS service for Owner or Tenant New Service — No. of Meters Reconnect No. of Add. Meters Move Service M`oo/vee M�eetter//A PLUMBING INSPECTOR/y� p. NOTICE OF INSPECTION CHARGE CITY OF CUPERTINO C31 ppClr�'fiIQIDING INSPECTOR'S OFFICE Date ... hpX/..Tl..A9. I 19(7.6' Permit No. To ..... / �27)w --- ----- ..................................................... Location .............. p ........ ........ .. 10125. CONGRESS.PL. CUPERTINO #3 1,. - •LOT NO. .��CUP T•i`O CITYOFCIIPERTINO M c!,r 'APPLICATION FOR ELECTRICAL PERMIT i -, D Permit No. f o Date A 19 767 Fee Application is hereby made to the City of Cupertino for a permit to install electrical wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicable thereto. . Use ot�,(I)'F am. Residence work To se Premises Performed C CO. ,,,,_.j.09j3/ STOCKTON AVE. SAN JOSE State license 7 7R—i i i Approved -' Electrijjjjjj 1Impe or I AGREE I WILL NOT VIOLAT ANY OF THE WORKIAEWS COMPENSATION LAWS OF THE STATE OF CALIF RNIA (X 0 LA TRACT #56,96 PLAN sir$i " ITEM _ - -NEW Rk FEES Number of Outlets- Number of Switches -I /— CY Number. of,Receptacles -Number of Fixtures - _...3• d = Ranges.or Ovens K.W. Size of din Service Number of Meters. - - Number of+Panels-- - Signs` -Transformers Dryers .' Motors: - R O - �" ;H:P.Phose - r,' " - ' H.P. Phase - - - - H.P. Phase.--„ Power Poles - 'AWC. h. Permit Pea _ `, C) _ e cc 10125 Congress Pl.. LOT NO. STREET ' C It StrLO CITY OF CUPERTINO APPLICATION FOR APPLIANCE PERMIT 3 U L Permit No. Date 2-2-7,19_ Fee$9.00 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. U3e of Res. work Toee . Heating & Sheet Metal Vil l � ge Grn Adores?570 El Camino Real #32,0e1 Mtn. SAN CARLOS SHIFT METAL WORKS, By Ad rein Contractor A ent Phone 592-929� SAN CARLOS. CAU NIA 5tate License' 1082f3 Approved PI mhing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. APPLIANCE II UNITS I FEES 11 FORCED AIR OR GRAVITY FURN. TO AND INCLUDING VENT SYSTEM TO 51-HP. EXHAUST EQUIPMENT NOT SYSTEM KIMIT m / Ac. bd G 0 No. APPLICATION FOR PLUMBING PERMIT 04t.0 cJ b CITY OF CUPERTINO Sanitary No. >a» ,I_ /_ Lot No. „S Date/�i �-/ ?-2. , 19Y.I Permit No. Fee $ �D O 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, outer laws applicable thereto. Use of By 16.E AMARAL PLUMBING, INC: Contractor, Agent Phone 29&'-. Sfiy State License //%rZ 917 Address/�)4/5!;,TO. Approved Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater ^� Water Closet 3 l S Bath Tub / b Shower 7 Prop. Line rNot Lavatories Existing y Kitchen Sink nn. Dish Washer Waste Disposal Wash TraySTORM DRAINAGE WashingMachine Size Water Softener Material Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM ' Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee 1 OCT Water Leader Storm Drain Fee - Sprinkler System 11 Water Sys. Fee 7; Vac Breaker Skimmer Filter Permit Fee Total I Total Fee 1/O.Gp is z O 0 LL O a 3 L, W ,y 2 0 O � a z y z aW w = a_ LL 00 0 z 30 _ Q w Z LL' 6 a0 O CITY OF CUPERTINO • CAP. { APPLICATION FOR BUILDING PERMIT FEE_1 z CITE O' CJf'�• n... Building Per. No. Dore • 19.. �5j L ymrary�Pe.r No. Application s' he7e, 'I'Lle for c, permitt rt�t/1Lf/ r•B a_Q?_st' jy, /Type i7 �/���r/P/��6�%��/�iw .�� Structure to be occupied only as x�_y d1Jw_AkV40,,in accordance with Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ ,ab L PI Ck Fee $ It is hereby agreed that the requirements of the all Cupertino Building and Zoning Ordinances and all Fee $ other laws applicable to the construction, location, and Total Fee $ use of buildings within the City of Cupertino will be complied with. cope,/ND Llf G ` pb6/vs ER PHONE CONTR. OR AGENT / bvs`o __23? SG33 PHONE STATE LICENSE ADDRESS lei L W AD SS BUI LDING INSPECT © v