NO PERMIT NUMBER 910'75 Frpedotn T)-iyp,. . - - 18
NO. STREET LOT NO.
4.55
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9451 HF
FILE NO. 51 ,150-P
DATE 7/14/7r, 19_ ,
Application is hereby made for a permit to
Construct (Plan BL) a 2 story,type 5 N. Hr.
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.,
ESTIMATED VALUE OF IMPROVEMENTS $ 65,000
FEE S 217.00 PLAN CHECK$
OWNER Cupertino Village GreenBgDDRESS 2570 El Camino Real, M.V.
PHONE 941-6050
255-1422
CONTR, ADDRESS
PHONE - STATE LICENSE 238433
A&_ p %y APPROVED James H. S].Sk/h
t
BUILDING INSPECTION RECORD
DATE SPECTOR DATE INSPECTOR
FOUNDATION Z FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LgTH
WALLBOARDS 1P.8 EXT. /;-
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS rOFMS INC..L♦
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING /
FINISH WIRING - 'y- FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXT
FINAL OTO
F L
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/CINSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. r% /-JG
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH - - FLUES&COMB.AIR M 76
PARTIAL ROUGH / Z CONDENSATE DRAINS
ROUGH COMPLETE y d 7 FINAL APPLIANCE �J
ROOF DRAIN&LEADERS
MAIN DRAIN -d
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
i
CERTIFICATE OF COMPLETION
' BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE �� 1977 BLDG, PERMIT NO.-5W�5
THE BLDG. LOCATED AT /V IDR
OWNEDBY<C_�Eaa��p�- D•��� ����8 ( 7Y•/7CG� � ,/ -
HAS BEEN `• (ALTEREDI FOR USE AS S V• I. 'y"�'•'t
—3
O-
BU ING IN PECTOR
Aeaant_ LOT NO. 4
NO. STREET G S_&'
CITY OF CUPERTINO VAL.
CAP. 1
AP_PI'C TION FOR BUILDING PERMIT l FEES
" d clTr OF c ,�,a�1
w z O '76
Bailding Par.No.
z
19 ,SL..
�1Wanitary Per.No. s ��5�• L
0 V Application is he eby made for a permit to �° �
cp—CR r�Type 6LL A- -/8009 Structure
= O
wF to be occupied only as •�
+ r in accordance with
O a
Z Plans,Specifications and PI -Pla tied herewith.
a (A3�Ga0
w Estimated Value of Improvements, $_—r
J w PI Ck Fee$
Cr O It is hereby agreed that the requirements of thee-+
w, Cupertino Building and Zoning Ordinances and all Fee $ a
other laws applicable to the construction, location,and
O a Total Fee$
z use of buildings within the City of Cupertino will be
z complied with.
3 00 �4
w z OWNER HONE �,,• A y RISS pI/
O F CONTR.OR AGENT ADDRESS
a_ ° y�i-6oso a38�s3
PHONE STATE LICENSE BUILDING INSPECTOR /
Du
® ROUTE SLIP
File No.
Date
Location
Subject
Approve/
e fnspec or
j
/ CITY OP,CUPERTINO OFFICE
COPY
GAS SERVICE NOTICE
To
You are hereby authorized to con nectthe GAS service for.
Owner or Tenant 0—SIA: � U/ n o— o
At 0 /07S
New Service
No. of Meters Reconnect '
"it ( e
No. of Add. Meters Move Servi�c .+_
Move Meter
PLUMBING INSPECTOR y"J�3lPc_ OM
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE -
pp CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ......{f..%�..:/--..-----
Plumbing Final Plumbing Permit No. .._.f
Lot No. ...........12.............
.......
.............t.:f.�..l.�.. ...?�.
I
At ....p.(l.1.. ...._` 11� ^ / f.1:x ......_
...... .............................................
jTract ....................................................................................................."......................... ...
c — ............................ 19............
Date Connected ......_<�....a..�...Z�::..........................
DateFinal ..........3.....a.:..72.......................................................................... 19.,..........
....................
PLUMBING INSPECTOR
i
/} l� ELECTRIC SERVICE NOTICE. . OFFICE COPY
BUILDING INSPECTOR'S NOTICE """�"
CITY OF CUPERTINO
Z 71
To
You are hereby outfiJoriz�ed to
Connect`electrico l set
ppp
Owner or Tenant
No.of Wires Size of Wires Size of Switch
Motor Load '� 'Voltage - Phase
Heating Load '' t '- K.W. _ Voltage _
Light110 N. Servlce� Reconnect
No.of Meters I /,, X
( r
Heat .r �.7 Three Wlre Mare Service_
No.of Add.Meters Power / Three Phase / Move Meter
O ELECTRICAL INSPECTOR
1
21075 FREEDOM DR. rCUPERTINO 18
NO. STREET LOT NO.
OT. OUP T'µ0 CITY OF CUPERTINO '
OPLICATION FOR ELECTRICAL PERMIT
4.
prG Permit No.
Dote 6p ,1976 Fee S
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.
use of U)FameResidence Work To Be
Promises Performed
OwneYILLAGE GREENS Address
Phone
By ALL-CAL ELECTRIC CO. Add; 1095TOCKTON AVE, ,
Contractor,Agent
Phone 295-5230
State License 225-622 ApproveX-A
'
Electrical lnspe or
1 AGREE I WILL NOT VIOLAT ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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91075 Frppdnm 0r_ —P1 an BL
No. Street tt Lot No. 16
o
;,?f APPLICATION FOR PLUMBING PERMIT
F� g 19i7 CITY OF CUPERTINO
U
'c
D Sanitary No.
n
Date Jin `2 , I967L_ Permit No.
3 Fee SJR
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
0 �; in accordance with the provisions of the Plumbing Code of the City of Cupertino,and all other
c'co laws applicable thereto.
w
o � useofpremisesSin le Family Residence
.' o 25M El amino uI e
o y OwnerQ[nprtinny;1lage green— Address Mt View, Ca
=_ h By JOE AMARAL PLUMBING, INC AddressP.O.Box 150 S.C. .Ca.
3 Contractor,Agent
Phone 296-3963
-� State License 175299 Approved
Plumbing Inspector
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21075 Freedom Dr. 18
LOT NO.
NO. STREET ,
CITY OF CUPERTINO
CITY
{ oa APPLICATION FOR APPLIANCE PERMIT
M `Y 1 2 1976 Permit No.
Date q-10-76 19— Fee S
P A 1 13 / ��
Application is hereby made to the City of Cupertino for a pernn t� mall 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
OWmBr Cupt. Village 6 ns-Address 2570 El Camino Real #302 Mtn.
View
Ph o e_ SAN CARLOS SHEET METAL WORKS, INC.
By
Contractor,Agent SAN CARLOS, CALIF RNIA
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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