51419 21045 LAURETTA DRIVE
51419
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DIVIDEND DEVELOPMENT CORP.
SCANNED BOX # 709
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21045 Lauret'ta Iirive 5
NO. STREET - I I "'- --r— - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10069
FILE NO. 51,419
DATE 9/2' 19 77
Application is hereby made for a permit to 5–NHR (2131 sq.ft.
Const. Plan 1-C a 1 story,type liv+ 469 sq.f.gar)
to be occupied only as I & J Single Family & Garage
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 72,000
FEE$ 231.00 PLAN CHECK$
OWNER Dividend Development CorIADDRESS 3600 Pruneridge --Suite34Q,
PHONE
246-5001 Santa Clara
CONTR, ADDRESS
PHONErSTATE LICENSE 275773
��4 t �. - APPROVED James H. Sisk/m
yrr�-qlp Sy.�
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION (Q yB' (!,� FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH _ n
WALLBOARDS &EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR (•ss–
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINE55 FORMS INC..LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRINGFINISH WIRING
FIXTURES �' INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISC NE SINSPE
klzQ
11
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE I INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. /I-,Z2-77
BACK FLOW INSTALLED DUCTS&INSULATION y si
UNDERGROUND ROUGH FLUES&COMB.AIR } i7A
PARTIAL ROUGH .1 $"-7 CONDENSATE DRAINS
ROUGH COMPLETE 6-7 FINAL APPLIANCE /o- 5 _ ;7
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CERTIFICA'TE'OPCOMPLETION
BUILDING'INSPECTOR'S OFFICE
/
CITY
01 CUPERTINO �/
DATLS.. ��J� b , 192 BLDG. PERMIT NO.�/"/�
THE BLDG. LOCATED AT
OWNED BY vA- '' N�Oe/' • ( � V /
HAS BEEN (COMPLETED) FOR USE AS D` J/iri6 L 6,
(AtTIRF&
elf-
BUILDING I v
ECTOR
h -
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO Officffic C p�.
Office Copy
0 Backflow Device Sanitary Permit No. //-06' 9
O Sewer Connection Plumbing Permit No. /• `�/
Plumbing Final Lot No.
Owner or Tenant J12,
At .1?4 4-Jk
Tract
Date Connected 19 7 7 Date Final 6 5 — 19'7
0. PLUMBING INSPECTOR
.Z/UyS 4A(1/QgT7A DR. LOT NO. V' c3
N • .
O. STREET
CITU 0FCUPERTINO VAL.7� O
CAP. {
i < APPLICATION FOR BUILDING PERMIT l FEE10 S,D
Building Per.No.
Date ,19 �C' O
>< O Sanitary Per.No.
3 v Ap licd ioh Is hereby made for a permit to(0 A)Si.. PIAN -4 A �'G
a story,yTyVe'r/✓HQ -Z/3/ 4.Ci✓; AREA*'Syln9Y'ChP,Structure
to be a� ) d only a Z19A)A,T S i NC F.E F/g fn. *C 09in accordance with
a
Z N Plans,Specifications and Plot-Pion filed herewith.
a w 7�2, daG
x Estimated Value of Improvements,$
a PI Ck Fee$
O O It is hereby agreed that the requirements of the ' -31 �-O
> a Cupertino Building and Zoning Ordinances and all Fee$,2
a other laws applicable to the construction,location,and Total Fee$
Z - use of buildings within the City of Cupertino will be
Z complied with.
30 J1is I/�E'ti: D (i ::Scltre :?iF c.
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CONTR.OR AGENT ADD E
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PHONE STATE LICENSE BUILDING I EC OR
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21n45 lauretta Dr_ 'LOT NO 5
NO. STREET ' Plan I
z a CITY OF CUPERTINO
2M C:77 -'P CU.EanwcAPPLICATION .FOR ELECTRICAL PERMIT
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OCT 18 1977
W Permit No.�
= LLDate 1977 Fee$
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o r Application is hereby made to the City of Cupertino for a permit to install electrical
>F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a N wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
M City of Cupertino, and all other laws applicable thereto.
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00 use of 1-fam. res. work To Be electrical
>to Premises Performed
o< owner Dividend Dev. Corp Address P.O.Box 2805, Santa Clara, CA
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'Z ev WANDERER ELECTRIC, INC. <_AL�dd;a?
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1-4?/Q 4/15— LOT NO.�" (!l%U�.S '
NO. STREET ,
CT• - CITY OF CUPERTINO /
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APPLICATION FOR APPLIANCE PERMIT
L.' Permit No.
Ci �: 1�J IJ/ j
Dote ° �1 !� yr ,19 Fee 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 Work To Be
Premises Performed
1 S
Ownar Address
Phone/•'�"y�/�'/�� UO�
By [�, cQ [1' w� � �� Address
/ ontract'or,Agent
Phone (�'�c YIZAI
State License CLASS C-20 LIC. #27503Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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. z CITY OF CUPERTINO
2� C:Ty c cun.aino APPLICATION FOR PLUMBING PERMIT
O J Sanitary No.
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O l- PA �icaiionDiis hereby made to the Cit of Cupertino for permit to install plumbing
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a m pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
1W and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
<1- Cupertino, and.all other laws applicable thereto.
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<0 Plumbing Inspector
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