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NO PERMIT NUMBER (2) 10234 Miner Peace Tract 115858 39
NO. STREET - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT q
SANITARY NO. ( �'/ S-0
FILE NO. 51,391
DATE May 3 19 77
Application is hereby made for a permit to 5 NHR(1848 sq.ft. +
Const. (Plan 1848) a 1 story,type441 sg.ft. gar)
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 71.000
FEE$ 211.00 PLAN CHECK$
20823 Stevens Creek Blvd.
OWNER BAS Homes Inc. ADDRESS Suite C-2. Cupertino CA
PHONE 252-207
CONTR. same ADDRESS same
PHONE same STATE LICENSE 323864
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE t PECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE - FRAME
BOND BEAMS LATH
WALLBOARDS NT &EXT. 20�
FIREWALLS
MEMBRANE 2 LANDSCAPING /
F.M.O. INSPECTION r
_ FINAL BLDG. _
UNDER-FLOO
-
TIEDOW NS -MISC-
A
DIAPHRAMS
MOORE BUSNESS FORMSINC.LA
v
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING YOUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL i MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
I
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR D TE NSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 8INSULATION -7
UNDERGROUND ROUGH' / ' FLUES 8 COMB.AIR -77
PARTIAL ROU IY Q 77 CONDENSATE DRAINS
ROUGH COMPLEX If I-"71 FINAL APPLIANCE ./
ROOF DRAIN 8 LEA ERS
MAIN DRAIN -7
FINAL GAS
FINAL PLUMBING - - 7
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
V CITY OF CUPERTINO� _
DATE 7 7 - /6 . 1928 BLDG. PERMIT NO. -� 1 3 1 G�
THE BLDG. LOCATED AT/023y l✓///167TZ PG ,
OWNED BY
HAS BEE COMP FOR USE AS 1 F/ N• ��/%
(ALTERED)
BUILDING INSPECTOR
1
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
i
,.
To
You are hereby authorized to connect electrical service for
Owner or Tenant y.- r`At
...r... ..............:........................
No. of Wires ..._ ............ Size of Wires ........ ..___.._.. Size of Switch ..._..... ..
Motor Load --- _.................... Voltage L........ ....... ......_...... Phase
Heating Load ...._..._............. K. W, �.._......_...._......_.._.- Voltage
No. of Meters............. Light..._._.01 110L....._.... Nrw Sen' e....�'�...
..... Kemnnra....
...... ..._...
No. of Add. Meters.... Heat.............. ?]0............ 1-hrce Wire........
_... .. ?f:n'c 5c•n ia.........
.._._.
Power_.__'.'...... ,--4,hree Phasr.... Or
// iiLLCTM'CAL 1\SP[CT11M
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- ..............................
E( Plumbing Final Plumbing Permit No.
Lot No. --------------
-----------------
Owner or Tenant ........
At ---.1-n�----3-4.......T
.......................................................................
Tract -------------------------
Date Connected .----A.
----------------------------- 19...-
Date Final ---------------------- -7
---------------------------------------------------------------------------------------- I9........
..................... --------------------------
PLUMBING INSPECTOR
OFFICE
3 G CITY OF CUPERT NO f COPY
GAS SERVICE NOTICE
, 1 9 7(
To
You are hereby authorized to connect the GAS service for
Owner or Tenant r2a,o /�,.t-.., %D—_v-
At
New Service
No. of Meters Reconnect
No. of Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR ©„
r
LOi NO. el /
NO. STREET
C:i7
QTY OF GUT /
��� A
O `t `- APPLICATION FOR ELECTRICAL
CAL PERMIT
P /a I �? Permit No.
Date OCT 3 1 1977 •Iq_ Fee E�1
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.
Work To Be
PoTtSINGLE FAMILY/RESIDENCES Performed
Owne;- 2-<I— / Z/a/ Addre--.
Phone
gY ZEE ELECTRIC Address o? �s
Contr ,Nor,Agent
Phone ;o;,
State License C-10 241916 Approved
Electri Iln actor
I AGREE I WILL NOT VIOLATE ANY OF THE WOR EN'
COMPENSATION LAWS OF THE STATE OF CALIF
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10234 Miner Place LOT NO. #39
NO. STREET
CITY OF-CUPERTINO
c~ APPLICATION FOR APPLIANCE PERMIT
Date 6-14-77, 6 1) Permit
• 19— Feee$E
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
:use of reWork To Be
heating res. Performed g & sheet metal
Ownef Bas Homes, Inc. Address 20823 Stevens Cr C-2 Cupertino
Phone xfi8$x 252-2077
By San Carlos Sheet Metal Address P.O. Box 1126
Contractor,Agent
Phone 592-9292
State License 11082E
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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/D� J"r� ��//i JCS'✓ ./7��.(_.l'_/ LOT NO.
NO ST EET '
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
�UAd
JI� Sanitary No.
Date S=pi _,19 Permit No.—�—�
!'\ Fee b v2� 0'-r)
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 laws applicable thereto.
Use of Work To Be
Premises Dia Performed New .bnsttwy,'l"ion
owner BAS Hameln Address20823 Steve" Cuek Blvd, siv
Phone 252-2077
By L.C. LBahant Pkumbing Co. Address 139 E. fhemont Ave. Sunn va.2e
24 -2M t Agent
Phone 3
State License 186579 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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10234 Miner Place
Tract #5858 LOT NO. 39 Z�
NO. STREET :. (VAL.71,000
C:71 Z: fu�,i,IPERTINI • CAR j` 9
a APPLICATION FOR BUILDING PERMIT EEE
m Z 7 n 3 1977 Suildinq Per.No. 51 X91
� Date irl„Y , 19 nj l�S—O
Sanitary Per.No.
3 v Application is hereby madeTfor;a permit to Construct (Plan 1848)
a 1 story, Type 5 N.Hr. (1848 sa.ft.+ 441 sD.ft.Gar. ktructure
F O
O to be occupied only as I & J Single Family Dwelling in accordance with
a
Z' Plans,Specifications and Plot-Plan filed herewith.
F x Estimated Value of Improvements,$ 71,000
u_ PI Ck Fee$
O_ O It is hereby agreed that the requirements of the
m Cupertino Building and Zoning Ordinances and all Fee $ 211 ,00
p a other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
3 20823 Stevens Creek Blvd.
— aN _Bas Homes, Inc. 252-2077 Suite C-2 Cupertino CA
w w OWNER PHONE ADDRESS
M o same
< p CONTR.OR AGENT same ADDRESS
_ u same 323864
PHONE STATE LICENSE BUILDING INSPECTOR