19624 (2) y POST THIS CARD NEAR FRONT OF BUILDING PERWT NO.
•
CITY OF CUPERTINO 19624
A A A .
INSPECTION DIVISION- JOB INSPECTION.RECORD ry� �7/
JOB ADDRESS_zL4 2 D ���'D `_e- �■p
Z. O O
_ �V`UNIT# LOT# CATEGORY CONTROL N
• OWNER_ tEz�ulK CONTRACTOR BUILDING PERMIT INFO
INSPECTION
FOUNDATION/PIERS DATE INSPECTOR NOTE ALL GRADING INSPECTION AND DRAINAGE El Q D
UFERCROUND SHALL BE INSTALLED TO COMPLY WITH JOB DESCRIPTION
-PAD/SETBACK-CERT THE APPROVED PLANS AND CITY OF
CUPERHNO STANDARDS.
GARAGE SLABS PREGUNITE - -e.•LA 0 If ' ;
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ' 11 In
UNDERGROUND/SLAB . INSPECTION DATE INSPECTOR
PLUMBING - -
ELECTRICAL
MECHANICAL -
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
WOOD FLOOR
PLUMBING
MECHANICAL
ELECTRICAL
FRAMING/VENTS/CLEAR
INSULATION -
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGH
PLUMBING
TUBS&SHOWER PAN
MECHANICAL -
ELECTRICAL ACUZZI BOND
FRAMING/STAIRS -
INSULATION/VENTILATION
EMERG.EGRESS
SSOWER WATER
COVER NO WORK UNTIL ABOVE HAS 13EEN SIGNED
EXTERIOR SFIEAR HOLD DOWN
INTERIOR SHEAR/HOLD DOWN
SHEETROCK/SHEETROCK SHEAR
EXTERIOR LATI-I/W-SCREEN -
SHOWER LATH
SCRATCH COAT
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
NOTE:NO FINAL INSPECTION SHALL BE MADE BEFORE
THE CONSTRUCTION TAX IS PAID
FINALS DATE INSPECTOR ,
SAN.#
ELECT.ENERGY
PLUMBING ENERGY
MSCI-1.ENERGY
BUILDING ENERGY -
ELECT.FINAL TEST -
PLUMBING
CAS TEST
MECHANICAL
HEATING
ELECTRICAL RELEASE
ilRE DEPT.
GRADE
OCCUPANCY
TEMPORARY APPROVALS
ELECTRIC
GAS
BUILDING
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL ISSUANCE DATE
BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR PAID
ARRANGE FOR INSPECTION BY PHONING 252-4505 BETWEEN
12:30 PM AND 4:30 PM MONDAY THROUGH FRIDAY,24 HOURS FEB U n 1990
BEFORE REQUIRED INSPECTION. JOB ADDRESS AND
PERMIT # ARE NEEDED WHEN PHONING. Git4 Pt PTTnafUBO
IMPORTANT! A
PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION !ss n:DBY: f_ l� NKTi, U 4� �.,�
OFFICE COPY .
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
ui:Bin Pra'ect Identification
lrn PERMITNQ.
Building. xBu
D,i I �o D of a r? thre-
9624
wners aces:_
� . 1 A A A
R OUn1 'hoot.
DS FCITYOFCUPERTINO-BUILDING DIVISION �-/s / _ q
Contractor's Name: Lic.N. APPLICATION /PERMIT Il'-' _ 6 (d
BUILDINGELDCMCALPLUMBING-MEC LAICAL CATEGORY CONIMOL N
Architect/P'glomi. Lle.No:
_ \Itt/1 M QTy ELECTRICPERMIT FEE BUILDING PERMIT INFO
Addrns: I - )-O PFRMITISSUANCE ❑ ❑ ❑
LICENSED CONTRACTOR'S DECLARATION
I hereby affUm that l am licensed under provisions of Cha Ater 9(comiernme. APPUANCFSRESIDENIAL JOB DFSCRB7ION
Ing with Section M0B.f Division 3ofthe Businvand ProfesslonsCodq and my
license Is in full forte and deed. PANELS '`) r,,� / T
Lime Glom Lid.. L/e yvvD (� 1 i
Date Contractor f
ARCHITECTS DECLARATION 201-1000 AMPS
ErN❑Z0
understand my pl..shall beused as public records. OVER 1000 AMPS SQ.Fr.FLOOR AREA $/SQ.FT.
Edo Lkenxd Pro/essional SIGNSELECTRICAL -
�<N OWNER-BUILDER DECLARATION SPECIAL CIRCNT/M15C
7s., Iherebyaflimthat lam exemptfromthe Contractor's License Law for the
-
following reason.(Section 7031.5,Business and Professions Code:Any city or
I Cwntywhich require ru
a permit to moutct,alter,Improve,demolath,or repair TIMP.MEITROR POLE INST.
FE anystmctum priorto its Issuance,also requlrestheapplicant for such permit to
Oc.O file a signed statement that he Is licensed punuant to the provlelons of the ]OWER DEVICES
ecr Contractor's License Lae,(Chapter 9(mmnrntlngwith Sectbn70M)ofDivi.
30'n at.n3.fthc BuYnessand Profsalon Code)orthat he is exempttherefromand SWIMMING POOL ELECTRIC VALUATION
yd the basis for the alleged exemption. Any violation of Sectio7m1.S by any OUTLETSSWITCHESHXfURFS O 11 D ��0
6666p applicant for a permitaubjects the applicant to a del:penalty of not more than 0
❑veM1 died do16n 85001. NEW RFSIDENTIALELECIR—SQ.R. STOHI' TYPECONSTRUCTION
as owner of the property,or my employees with wages as their sols
'Aa compensation,willdothe vockand thestructun at not intended or offeredfor
-sale(Sic.7044,Business and Pmfesslov Cade:The Contractors Limiter Law
(j5$ does not apply to an owner of property who builds or improves themes,and OCC.GROIII' RES.UNITS '
who doessuch work himaelfer through his own employees,provided that such
Improvements are not Intended oroffered forvle.If,however,the W ilding re TOTAL:
Improvernnt atsold withlooneyearofmmpletion,the owner-Wilderwlll have
th,*rden of proving that he did not build or improve for purpose of ask.). QTY, PLUMBING PERMIT FEE E DZONE APN
LJ L as owner of the property,am exclusively contracting with licensed
contractors to construct the project(See.7014.Business and Prodesslon Code: PERMTTISSUANCE
The Commences License Law dm not apply to an owner of property who ALTER-DRAIN 4 VENT-WATER(EA)
Wilds or Improves thereon, and who contracts for such projects with a
t
�. et. s keed pursuant to the Conti pt ' License Law. FEE SUMMARY
LJ I 'm exempt saed�S�ec�� B 6 P C for,thb noon BAIX FLOW PROTECT.DEVICE OUTSIDE FEES
t���// y� �• I- a-_ DRAINS-FLOOR ROOF,AREA,COND. SANITARY Y N=
Ow r Date RECEIPT
COMP 5 NDECIARAT N• FIX'NRF_S PER TRAP SCHOOL TAX Y N
hereby affirm that I haw a cartlBute of consent to self-Insurs,or a RECEIPT N
3500
eabC S F.A.Lateofworken'Compewtlonlnunnce ora certified copythemof fSec. GA .SYSTEFIE Y_INCA OUTLETS PARK Y_ N_
RDCEI
Pobry N GAS FA.SYSTEM-OVER 4(EA) DING DT N
Com any BUILDING DIVISION FEES
�Cedified copy at heed with the cit' CREASE/INDUSTRL WASTE INTERCEPTOR PLANCHECKFEE
�Certi(ied copy at filed with the city Inspection division.
CERTIFICATE OF EK I'M PTION FROM WOR K URS' CREASE TRAP PAID .
COMPENSATION INSURANCEfo SEWER-SANITARY-STORM EA.20*7. Date RC i t#
(TM1at lotion need not M complcted Lithe permit at(or one M1undced dollars
(5100)orfyth) WATER HEATER W/VENT/ELECTR 'ENERGY FEE Y N
I cesee that o the Person
any
m work for whichthat e,permit
subject
c issued, —
I shall not employ any person In any manner eo v to become vsbject to the WATTR SYSTEM/TREATING
O nnrI�n compmaamn la6
w,ofurwnl,. Date PAID
Z PP NEW RESIDENTIAL PLMB. SQ.FT. - Date Remi tic
Z O NOTICE TO APPLICANT:If,ager nodal ng that CenlOcate of Faemptbn,you
H 'bae'bald becomsub}ci m the Workers'Compensation provisions of the Labor TOTAL:
CC N Code,you must forthwith comply with such provision or this permit shall be BUILDING FEE JC
] deemed revoked.
(L _ CONSTRUCTION LENDING AGENCY SEISMIC FEE e$�
a IhenbyafRrm that there is a construction lending agency for the perform- ELECTRIC FEE
Z once of the work which that permit V Lssued(Sm.3097,Civ.C.) TOTAL:
Q2 ILwer,Name - PLUMBING FEE
LL F- 1<ndrr'Address QTY. MECHANICAL PERMIT FEE MECHANICAL FEE
OW Icertify.hatlhavereadthisappllotionandateethattheabovrinformmms
ll 6correct.l agree to comply with all city and county ordinance and Yate laws PERMIT ISSLIANCE FEES PAID:
} N relating to building construction and hereby authorlu representatives ofthls -
H Z city to enter upon the above- nit reed Pro
pertyfor impectlonpurposs. ALTFRORADDTOMECH.
(We)ague to ave,Inpqq n d keep har Nss the City of Cupertino Date Receipt#
V againtllabiB' ,pd aFi(s,m urd expen kh rtuy in any way amur AIR HANDLING UNIT 8010,000 CFM) SUBTOTAL:
• agaimt 1 it qu ' of the mg of this perrBi. AIR HANDLING UNIT(OVER 10,000CFM) CONSTRUCTION TAX Tom^
pPll ret/Conte t0 aO t2 IXtIAUST HOOD(W/DUCT) CONSTRUCTION TAX PAID:
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle haamlous HEATING UNIT(TO IE(L00(I BTU)
material as deMM by the Cupertino Municipal Code,Chapter 9.1 Z and the Date Receipt#
I kallh and Safety Codr Se Ion75537(a)7 HPATINGUNIT(OVER100,"BTU) TOTAL: r
Y. o
Willi], applicant future building occupant use equipment ordrvice VENTILATION FAN(SINGLE RFSTD) ICCIrvAVE DATE
which emithaeard air mn(aMnants as defined bythe Bay Area Nr L'TVCis"
Quality Management Dlsto 7 BOILER-COMP OhIP OR 10QOW BTU)
Yes No FEBIhavereadtheh smateriabnquirementsunderChapter6.95of BOILER-COMP(OVE2100,000BTU) E B U J 1990
the Gllfornla l ica k 5alrty C e,Se Ions 25505,75533 and 2531. I
understand that ifthr buildin 3 armntly ham etant,that It is my NEW RESIDENTIAL MECH. SQ.E7. s
responsibility ctltyt and the rcqui is which mustMmet City.(it,Cupe(t�nlj
prior to i col cdvpan aJ
Owner or au uN agent ISSUED BY.%,
TOTAL: 1
OFFICE COPY
THIS TRANSACTION ENTITLED
nni
TO 20% DISCOUNT ON
UPDATE TITLE INSURANCE PREMIUM
® FIDELITY NATIONAL TITLE - ---
INSURANCE COMPANY
TITLE ONLY 1733 North First Street
OFFICE: San Jose, California 95112
(408 ) 453-1414
TO: FOX 6 CARSKADON Your No.
Attn: Judy Tucker Our No. 509777
Effective Date: December 29 , 1989
at 7 : 30 a.m.
Title Officer: ANNE PLANTIER
Today ' s Date: January 9 , 1990
Property Address given as :
21920 Dolores Ave.
Cupertino, California
The Form of Policy or Policies of title insurance contemplated by
this report is :
(x) California Land Title Association
Standard Coverage Policy - 1988
Schedule Of Exclusions from Coverage, Schedule B
(x) American Land Title Association Loan Policy
with A.L.T.A. Endorsement Form 1 Coverage
Schedule Of Exclusions Coverage
( ) Other:
The estate or interest in the land hereinafter described or
referred to covered by this Report is : A FEE
Title to said estate or interest at the date hereof is vested in:
RHODA FUNK, a single woman
The land referred to in this Report is situated in the State of
California, City Of Cupertino, County of Santa Clara, and is
described as follows :
SEE EXHIBIT "A" ATTACHED HERETO FOR LEGAL DESCRIPTION
At the date hereof exceptions to coverage in addition to the
printed Exceptions and Exclusions in said policy form would be as
follows :
FOR EXCEPTIONS, SEE PAGE(S ) ATTACHED HERETO
509777
• EXHIBIT "A"
That real property situated in the City of Cupertino, County of
Santa Clara, State of California, described as follows :
Section 154 as said Section is shown upon the Map of Subdivision
"A" , Monta Vista, which said Map was filed for record April 11 ,
1917 in Book "P" of Maps, page 20 , Santa Clara County Records .
1
•
Page 2
A509777
EXCEPTIONS : -
1 . General and Special County Taxes for the fiscal year
1989-90, as follows :
Bill No. 357-14-016
Code Area 63-079
First Installment $1 ,194 . 78 PAID
Second Installment: $1 ,194 .78 OPEN
Exemption $7 ,000 . 00
Personal Property NONE
la. The lien of supplemental taxes if any, assessed pursuant to
the provisions of Chapter 3 . 5 , Revenue and Taxation Code,
Sections 75 et seq.
2 . A Deed of Trust to secure an indebtedness of the amount
stated herein, and any other amounts payable under the
terms thereof,
Dated April 6 , 1988
Amount $164,800 . 00
Trustor Rhoda Funk, a single woman
Trustee Serrano Reconveyance Company, a
California corporation
Beneficiary Home Savings of America, F.A. ,
• a corporation
Recorded April 15 , 1988 in Book K502 ,
page 2054 of Official Records
Instrument No. 9659726
Document Returned to: P.O. Box 7075 , Pasadena, CA
91109-7075
Loan No. 892219-7
3 . Community property interest, if any, of the spouse, of the
vestee herein.
Page 3
• 509777
EXCEPTIONS CONTINUED:
NOTE 1 : The following conveyance was recorded during a period of
six months preceeding the date of this report: NONE.
NOTE 2 : , Effective July 1 , 1985 , Sections 480 . 3 and 480 . 4 of the
Revenue and Taxation Code of the State of California
requires that a "Preliminary Change of Ownership Report"
be attached to each recorded document affecting a change
in ownership. In the event a Report is not attached to
such documents, or that said Report is incomplete, pro-
visions in said Sections allow for the collection of a
$20 . 00 fee in lieu thereof.
NOTE 3 : The following tax information is provided for prorating
purposes only.
General and Special County Taxes for the fiscal year
1988-89
Bill No. 357-14-016
Code Area 63-079
First Installment: $1 , 157 . 78 PAID
Second Installment: $1 ,157 . 78 PAID
Exemption NONE
• Personal Property: NONE
NOTE 4 : The following tax information is provided for prorating
purposes only.
General and Special County Taxes for the fiscal year
1988-89
Bill No. 357-14-016-71
Code Area 63-079
First Installment: $194 . 13 PAID
Second Installment: $194 . 13 PAID
Exemption NONE
Personal Property: NONE
NOTE 5 : The following tax information is provided for prorating
purposes only.
General and Special County Taxes for the fiscal year
1988-89
Bill No. 357-14-016-72
Code Area 63-079
First Installment: $15 . 55 PAID
Second Installment: $15 . 55 PAID
Exemption NONE
Personal Property: NONE
Page 4
• 509777
EXCEPTIONS CONTINUED: -
NOTE 6 : The following tax information is provided for prorating
purposes only.
General and Special County Taxes for the fiscal year
1988-89
Bill No. 357-14-016-73
Code Area 63-079
First Installment: $91 . 55 PAID
Second Installment: $91 . 55 PAID
Exemption NONE
Personal Property: NONE
NOTE 7 : "NOTE: Chapter 1004, California Statutes of 1984 became
effective January 1 , 1985 . This legislation deals with
the disbursement of funds deposited with any title
entity acting in an escrow or subescrow capacity . The
law requires that all funds be deposited and collected
by the title entity ' s escrow and/or subescrow account
prior to disbursement of any funds . Some methods of
funding may subject funds to a holding period which must
expire before any funds may be disbursed . In order to
avoid any such delays, all fundings should be done
through wire transfer, certified check or checks drawn
on california financial institutions . "
NOTE 8 : Our Alta Policy, when issued, will contain Indorsement
No ' s . 100 and 116 .
The subject property in question is also known as :
21920 Dolores Ave.
Cupertino, California
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® HOME SAVINGS
S AME" OF AMERICAFA.
r»
Loan Service Center.Post Office Box 7075•Pasadena•California 91109-7075•Area Code(818)791-8170
December 6 , 1989
Ms . Rhoda Funk
21920 Dolores Avenue
Cupertino, California 95014
Loan Number: 00892219
Property 21920 Dolores Avenue
Cupertino, California 95014
Dear Ms . Funk:
This is in regard to your request for a demolition of the
subject property on the above-referenced loan which has been
granted.
If you have any questions, please contact Connie Gonzales on
extension 4012 .
Sincerely,
Pat Mann
Assistant Secretary JANE E. SKROCKI
j Unit Supervisor ASSISTANT VICE PRESIDENT
Payoff Department
CG/cm/fz
Jane E.Skrockl
Loan Manager
n
AMFPCA
HOME SAVINGS OF AMERICA`"
. 1510 South Winchester Boulevard • Sen Jou,California 95128
(408)374-1510
Member: Federal Savings and Loan Insurance Corporation•Federal Home Loan Bank v
HS 9551.3(Rae.A 4186)
STATE OF CALIFORNI�ANTA CLARA ; ss.
COUNTY OF
On_DEC EMMR_2-1 1 989 before me, the undersigned, a Notary Public in and for
said State, personally appeared JANE E. SKROCKI
_ personally known to me ( Z «`O' OFFICIAL SEAL .I
) to be the person(K whose name(9{ I
isla'"ubscribed to the within instrument and acknowledged I NOTARY PUBUC-CALIFORNIA
Y :4 NANCY QUISOL
PRINCIPAL OFFICE IN i
to me that Ilglsheo=executed the same. TSANTA CLARA COUNTY
My Commission Expires Jan. 18.1992 ♦ i
WITNESS my hand and official seal. ••••••••'••�••�•••••�•••••�••
5
Signatur (This area for official notarial seal)
SF 4234 (REV.A-7182) (CA) (INDIVIDUAL)
r -.