NO PERMIT NUMBER 21065 Freedom"Dr. 19
NO. STREET R• LOT NO.
3.43
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9452 YO
FILE NO. 51.150.2
DATE_ 7/14/76 19_
Application is hereby made for o permit to
Conatrnrt. (Plnn C,) a 2 story,type 5 N. Hr.
to be occupied only as T & T Single Fe _ami l Y Dwelling
ing
in accordance with plot plan plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 49 000
FEE$ 184-00 PLAN CHECK$
OWNER_ Cli prtinn Villagp rrppn cADDRESSP570 Fl Camino Real. M.V.
PHONE 941-6050
255-1422
CONTR, ADDRESS
PHONE STATE LICENSE 238433
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE IWPECTOR DATE INSPECTOR
FOUNDATION ^j Zg• FLOOR STEEL
PRE-GUNITE FRAME Z7- 2
-
BOND BEAMS LATH
WALLBOARDS .&EXT. 1.11-77
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG, 7 7 '
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..LR
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING p. ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURESINTERIOR FVORES
MOTORS I EXTERI FIXTURES
FINAL _ MO RS
F AL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH J -) - FLUES&COMB.AIR /y U
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN - -7&
FINAL GAS
FINAL PLUMBING -]
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSP-ECTOR'S:OFFICE
CITY OF CUPERTINO
DATECr BLDG, PERMIT NO
THE BLDG. LOCATED AT ,/�.10�6
OWNED BY�._�il ltf,
MPLETE /HAS BEEN G Z/ v "
� 1 L EREDI
OM
BUILDING INSPECTOR
ROUTE SLIP
File No.
Date
Location /+U.,!% —
Subject
71
Date Inspe for
LOT NO.
NO. STREETVAL,�(�' P7J'O
CITY OF CUPERTINO � CAP �
CITY OF APP..0 - TION FOR BUILDING PERMIT FEE 9 3
w ZBuilding Per.No. S5 Z
s
Y ° J U L 14 1 y , 9 176 Sanitary Per.No. 9
3 v Application is h eby m de fora permit to
w LL a p �A.story,[Type C - O Structure
= O
t-
O . to be occupied only as T in accordance with
a
Plans,Specifications a Plot-Pla filed herewith.
aw `y
ua � Estimated Value of Improvements,$
,,. PI Ck Fee$
O O It is hereby agreed that the requirements of the o 0
w Cupertino Building and Zoning Ordinances and all Fee$ I JP�4
aother laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total fee$
Z complied with. -
3 a
u+ Z ,OWNEa, PHONE �d7AR�55
w DDRES�r 94090
O f CONTR.OR AGENT ADDRESS
a_ ° 9741-6oso a3S�13�
PHONE STATE LICENSE BUILDING INSPECTOR
O L.
ELEC`TRINRVICE:NOTICE OFFICE COPY
BUILDINGNG INSPECTOR'S NOTICE
CITY OF CUPERTINO r
;9 7
To
You are hereby au�rized tto]Conneu electrical servic/e.for
Owner or are
— / r• 'e' f �l_�XX 011 .
At
No.of Wires Size of WiresSize of S
witch
�d
Motor Load Voltage 'Phase
Heating Load .K.W. Voltage
I Light 110-�
No.of Meters New Service ✓ Reconnect
//
Heai �
/rU 120f��.. yyThree Wire More Service
No.of Add.Meters Powe"
,{�/ l Three Phose/ Move Meter
�'r ELECTRICAL INSPECTOR r / /
1' CE
CITY O.F CUPERTINO COPY
/ GAS SERVICE NOTICE
19
To
You are hereby authorized to connect the GAS service for ,
Owner or Tenant ��-�- sn ^^-' /%�� n .Z/r n�„a • ,
At
New Service
No. of Meters ! " Reconnect
No. of Add. Meters Move Service ,
Move Meter�v/
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
rj( Sewer ConnectionSanitary Permit No. ........�/3.:.�.......
Plumbing Final Plumbing Permit No. .��.._.�I-.�r�?.:3'"
\ ' Lot No. ........... .............
Owner or Tenant ....... . . _ ....:.... . ...........:..
�.e ...ua., `cr G(J ...- .-...
Tract ............ .............................-.....................---......-.-.................. ....................
DateConnected ....... ..9."...d.., .:':.74.._........... ........ ....................-........ 19............
DateFinal -----------------3-.":-.--�.."...��--...........---...........---...---...............-----.. 19.........--
................ 4--.4...................
PLUMBING INSPECTOR
21065 FREEDOM DR. ,CUPERTINQ 19
LOT NO.
� NO. STREET
On cmv', CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
Permit Na.
Date — —19 76 Fee I 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 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.
useof (1)Fam.Residence Work To Be
Premises Performed
OwnerVILLAGE GREENS Address
Phone
BALL—CAL ELECTRIC CO. Address 109 STOCKTON AVE. SAN JOSE
Contractor,Agent
Phone 295-5230
State License 228-622 Approved
Electrieal In pector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN,f ,
COMPENSATION LAWS OF THE STATE OF CALIFORNI#.
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21065 Freedom or. _ Plan
o No. Street Lot No. 19
ry APPLICATION FOR PLUMBING PERMIT
J 9 19 r CITY OF CUPERTINO
y
..� Sanitary No.
m 1
Date RanA 79 , 196/j� Permit No.
3 Fee S
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
-t laws applicable thereto.
0
Use of Premises Single Family Residence 2571)-,E1-�:3m171a—S�t�302
_o U
o Owner
o � Cupertino Village Green Address Mt. ViPW, fa.
By JOE AMARAL PLUMBING INC Address P.O.Box 150 S.C. ,Ca.
3 $ Contractor,Agent
° Phone 296-3963
State License 175299 Approved
Plumbing Inspector
1
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21065 Freedom Dr . 19
LOT NO.
NO. STREET -
CITY Oe CU:E:TINO
CITY OF CUPERTINO
�JiNY ]APPLICATION FOR APPLIANCE PERMIT
31 30—7'6 Permit No,
Date —19— Fee b *WQQ.W
Application is hereby made to the City of Cupertino for a permit toGinstaTgas
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. -
Use of Res. work To Be Heating/Sheet Metal
Premises Performed
Owner Cupt. Village Grn Address 2570 El Camino Real ##320
Ph , Mtn. View
V--"_ SAN CARLOS SHEET METAL WORKS, INC.
By �+4 Ad rens 779 OLD COUNTY ROAD
Contractor,Agent
592-9292 SAN CARLOS, CALI ORNIA
Phone - ��
110828
Slate license Approved
Plombing Inspec r
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. v(
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