NO PERMIT NUMBER (2) I(11'40 iini ted P',arP •X i 25
NO. STREET - �. _ LOT NO.
3.43
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9458 or
FILE NO. 91 -150.2
DATE RPRI /7F' 19_
Application is hereby made for a permit to
Construct (Plan C) a 1 story,type
to be occupied only as Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 49,000
FEE$ 184.00 PLAN CHECK$
OWNER Cupertino Village GreenSADDRESS2570 El Camino Real West
M.V.
PHONE 255-1422
CONTR, ADDRESS
PHONE STATE LICENSE 313885
p APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION IFLOOREEL
PRE-GUNITE ',-
BONDBEAMS RD -INT: EXT.
S
MEMBRANE LANDSCAPING '
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS i✓ S /O
MOORE BUST NESS FORMS NC..LP
ELECTRICAL 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 ♦ OTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION a3�7
UNDERGROUND ROUGH FLUES&COMB.AIR J .i 3
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS i
FINAL PLUMBING
MISCELLANEOUS
t
CERTIFICATE'O.F.COMPLETION -
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE , .19-1-7 BLDG. PERMIT NO._SI� L
THE BLDG. LOCATED AT. 1 63 O
ff
OWNED BY
COMPLETED `�
HAS BEEN IIFOR USE AS��p�n
IALT EDI
� A
BUILDING INSPECTOR
ROUTE SLIP
File No.
Date d 7
Location
Subject /L>
Notes
Approves
"Dt I
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ...... ------
[Plumbing Final Plumbing Permit No. .....
Lot No. ............. ---------
Owner or Tenant
L ......... ....... --------------------
At ----
Tract
Date Connected ...... 1.r.:%-?..'..7r:............. ........... 19------------
DateFinal ------------ -------------------------------------------------------------- 19............
........................ .................
PLUMBING INSPECTOR
ELECTRIC SERVICE NOTICE 'e " OFFICE COPY
L A
BUIL DING
CI Y OF CCUPEERRTINOOTICE
ior, \/.
You are hereby authorized
uthorizzed•to Connect electnc6a se,vvicee,fbr
Owner or Tenant --�"`-"-'\�^i
At if o
No.of Wires ,' /Size of Wires
Size of Switch
Motor Load Voltage Phase
Heating Load K.W. Voltage
No.of Meters Light �10/ ew.5eivice / Reconnect
p Hear 2200//✓XX hree Wire More Service
No.of Add.Meters 4 Power �/r` ( /\Three Phase / Move Meter
ELECTRICAL INSPECTOR I` /,j
I / /
Y
CIT O�'CUPERTINO �OPYE
GAS;.
SERNICE NOTICE
19 77
To
You are hereby authorized to connect the GAS service for
Owner or Tenant �• -��� T 7�O�E,� ,ff o.�
At
New Service
No. of Meters Reconnect
No. of Add. Meters Move Service
Move 'Meter
PLUMBING INSPECTOR 0.
10130 UNITED PL. ,CUPERTINO AOT.NO. 25
NO. STREET. -
CITY OFCUPERTINO'
APPLICATION FOR ELECTRICAL PERMIT
JAW
^ Permit No.
Dote r !J ,19 7,7
Fee E .
Application is hereby made to the Cityof 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 occordancti with the provisions of the Electrical Cade of the
City of Cupertino,and all other lawsapplicable thereto:::
useof (1)Faza.Residence Work To Be.
Premises— Performed
OwnaVILLAGE GREENS Address
Phone
BY ALL—CAL ELECTRIC CO. Addrm:10 1 STOCKTON AVE. r SAN JOSE
Contractor,Agent -
Phone :295-5230 -
State License ' 228-622 APProred
' Ele7cal inspector,
I AGREE'1 WILL-NOT:VIOLATE ANY OF THE WOPKM �S _
COMPENSATION LAWS,OF THE STATE OF CALIFORNIA.
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10130 United P1.. LOT NO. 25
NO. STREET
CITY OF CUPERTINO
0
r1 1LAPPLICATION FOR APPLIANCE PERMIT
Permit No.
Date 10-12-76n 19F $
_ Fee
14 99
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.
Use of Res. work To Be Heating/Sheet Metal
Premises Performed
Ov.nerCunt Village Gxns Address 2570 El Caminib #302 Mtn. View
Phone 9 =6050 SAN CARLOS SHEET METAL WORKS, INC.
RyG -•� - ��_ �s 779 OLD COUNTY ROAD
Contractor,Agent SAN CARLOS, CALIFO N
Phone 592-9292
State License 110828
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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CITY OF CUPENTINO � CAP j((VAL�tL-•---
aAPPLICATION FOR BUILDING PERMIT t FEE 3 �
w �' 7� Building Per.No. .1—// SZ- .L-.
Data '197L
0 CITY Of CU':MNO Sanitary Per.No.
3 V Application
is ereb{y.;made for a permit to -��/t-�-c'S GC^�
_ a A(J G Scary �T Pe „n,(�n..t
FAL" Structure
to be,'pccypie jonlyy)as �`- h2n!-�04C�-U in accordance with
a
i h Plans, Specifications and Plot-Plan filed herewith.
aw
F Estimated Value of Improvements,
u- PI Ck Fee$
O O It is hereby agreed that the requirements of the d
u, Cupertino Building and Zoning Ordinances and all Fee $ /ePo=
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
Zp complied with.
3 i 'U��Gtou�/d ceeriyrai 8670 U
z � E
OWNER _//Zll1.y1(.tQ-
Q 0CONTR.ORA EiFSS,NT ADDRESS
- � � 3_
PHONE STATE LICENSE BUILDING INSPECTOR
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