NO PERMIT NUMBER 20273 Cg4vri ,t Way 3
NO. STREET - LOT NO.
2.87
CITY'OF CUOERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9300 BF
FILE NO. 51.357
DATE 9/2/75 19_
Application is hereby made for a permit to
ncfnstnint. (Plan A) o 1 story,type 5 I J
to be occupied only as Single Family Dwelling (
in accordance with plot plan,plans and specification filed herewith.
Const. Tax: $150
ESTIMATED VALUE OF IMPROVEMENTS $ 41,ono
FEE$_ 1150.00 PLAN CHECK$
OWNER_Snrntngn T700thi1lc ADDRESS 1745 Snrntngn Ave- R-.T-
PHONE 253-7050
CbNTR. ADDRESS
PHONE STATE LICENSE 233 800
`f APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
TE NSPECTOR DATE INSPECTOR
FOUNDATION LOOR STEEL
PRE-GUNITE FRAME • Y•
BOND BEAMS LATH
WALLBOARDS INT. E%T.
FIREWALLS L �
MEMBRANE •Yi 4IMMIRRIMMIRMIRLANDSCAPING
F.M.O. INSPECTION
FI BLDG.
UNDER-FLOOR
TIEDOWNS -MISC- r
DIAPHRAMS
MOORE BUSINESS FORMSINC..LA
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 (o MOTORS
FINAL
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 l FLUES&COMB.AIR
PARTIAL ROUGH &ZCONDENSATE DRAINS
ROUGH COMPLETE 3 FINAL APPLIANCE - "�•'�
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
f i I
r_ CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUP.ERTINO-� f `
� 2- t -I � 13S '1
DATE w� 9 BLDG FRMIT NO.
1 1
THE BLDG. LOCAT.ED;A�T Z Z
'---,OWNED By - -� X
HAS BEN ICOM PLETED FOR U E A
I-ALTER�DI 1
BUILDING INSPECT R
ROUTE SLIP
File No:
Date 3 c
Location 3— y/---d✓
Subject. 1�
Notes
Approved ril
Dat' Inspector
OFFICE COPY
CITY OF CUPERTINO
Is yt ,) 1 ELECTRIC SERVICE NOTICE
� Z I
You are hereby aut rized to nett electricaj.eervi[a for ,�Q \,t
Owner or Tenant .... ..... ....... _ _..\'-.Y...._6"b-' ,J.XJs„�+..........
At .......z..n. .�.. a ...... ...... . .. ` . ...._ ..... ............
No. of Wires ........................ Size of Wires................. ... lize of Switch ..�.. . .,
Motor Load .......................... Voltage .......... .......-----__.. Phase ..........................:.......
HeatingLoad ........................ K. W. ................................ Voltage ...............................
Light....._........ l io............ New Srn'ic,r'. '.. Reconnect.............. ...
No. of Meters............�...... /,/
Heat................ 220.......e' 1 t• W cT\... .....: y.ce SCrvife......... .
No. of Add. Meters............
Power............... ...Ise:_ ....... \tort Meter.......
i.LfCTR!CdL IN51'G"1i,
•
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S 'OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .._...7.. .......
Plumbing Final Plumbing Permit No. ....4 / 3
LotNo. ............3...............
Owner or Tenant .... ......
At ......
I . ...... ......................................I.......
Tract
Date Connected ........15F------ ........... ....................................... 19............
atFinal ..:....... .......;�4............. .. ........ ............................. .....— 19.........---
........ ... ........... .. ..........
PLUMBIN SPECT
C17
oPrtc}:
CITY OP CUPERTINO COPY
E ;NOTICE
GAS SERVICE NOTICE
...A --..-------..,
To
You are hereby au orized to conned the:GAS service for
Owner or Tenant .. . ... ....... ..... . . .., 4LGco....... tr.._..........:
t. ..cr/ .. v
New Service .........................
No. of Meters .... ...1........... e . Reconnect ......:. ................... .
Move Service ......
No. of Add. Meters .............. Move Meter ......................
.......... .... ............. .. .. ....... ...............
PLUMBING INSPEC R
_ oI� 73 •C2*4 7-wt t&tsoe�'q LOT NO: 3 ov
NO. STREET /
CITY OF CUPERTINO
(
d cT'APPLIEATCAP.IaN FOR BUILDING PERMIT l FEE .7.177
m CGp 9 19,75 -19-
0
1Q7C Building Per.No. ��-"�
Data ,19 ��e„fl
O 'S E—��� � Sanitary er.No.
LL
3 v Application is hereby made for a permit to 9 n/ 13�
= u- astory, TypeD Structure
w to be occupied only as in accordance with
a
'Z a Plans,Specifications and Plot-Plan filed herewith. d•o
a w /1571
F Estimated Value of Improvements,$ �� D0 C)
PI Ck Fee$
O O It is hereby agreed that the requirements of the // p•p
w Cupertino Building and Zoning Ordinances and all Fee
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
ZO complied with.
3aIt
w w OW PHO ADDRM$
s
O
COW.OR AGENT ADDRESS
PHONE TATS E LICENSE BUILDING INSPECTOR
�e
q.
s9q O d 7` W 47Y . LOT NO. 3
a> CITY OF CUPERTINO
QV 25 VPPLICATION FOR ELECTRICAL PERMIT '
Permit No. G
Dora 75 '19 Fee E -
Applicdtioh 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
wiing 'and/or'iixtures in accordance with the provisions of the Electrical Cade of the
,City"of Cupertino',and all other laws applicable thereto.
Urs of�`" ���s������p� Work To Be
Prom+wr- / 1�"' Performed ' /T"y/� c• }
aw"fier '1;D'b/Lc'� t�Y. Addreir �7ySd""'��'(:LU(r- .tLN dD'14.
,
p�Phone"'
�6J�LUc terY H..(tfjy�/�r O. ✓�a.Y 5aS' lA-s 7
Contractor,Agent,,
Phone-. 378--Vg;.`P-3—
State Licomm
`3 -
StateLicenu -�' >- 77's Approved
Electrical I p ctor
I 'AGREE I WILL NOT VIO E ANY OF THE WORI(M 'S
u - - COMPENSATION LAWS OF HE STATE OF CALIF OR
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;10;t .7,3 al d bUYI4�J LOT NO. 3
NO STREET
crry Op cupE=TING CITXOFCUPERTINO
0e� 4 APP
Date L19ICATION FOR PLUMBING PERMIT
�/^^ `J 1 jam' Sanitary No.
!l, , �G Permit No.
Fee S vyL
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 ofT y� 0 C fp Work To Be
Premises ,l J ) Gl. '� I' Performed
Owner 5r9/lf41<mrf{9 � Mvl�.l Address
APICUS PLUMBING INC.
Phone {� 266 McGLINCEY LANE
By ��('Ql, I`��'s7�) Addressa'aeLL, CALLI
Controdor,Agent� r9 5008
Phone l 4CINE37 137
State License C 3 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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20273 • Oartwright Way 10T,NO. #3
NO. 71D10 MEET ,
Cn't O^ CUPL�
CITY•OF CUPERTINO
n ` J . APPLICATION FOR APPLIANCE PERMIT
IM flCT
' 0
3Date 19 _ Permit No.
U
r�
Fee $ -
0 Application is hereby made to the City of Cupertino foraermit to
`o F install gas appliances as listed on the reverse side hereof, and agrees to
z N install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
S �
Use of Premises Rpeir3anna
CC
"; Uwner Sara. Foothill Dev. Corgddress P. O. Box 236 Sara.
Oa
z
�
z By Economy S/M P, Alr Address F_ n_ROx 700gn. a
CCONTRACTOR, AGENT
; < 247-2918
m Phone
aW.W 158494
o State License Approved
-U PLU B1NG INSPECTOR
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