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NO PERMIT NUMBER -21747 MCCldllnn -Rd, 18
NO. STRE@T . - LOT NO.
3.50
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9198
FILE NO. 51.344
DATE 4/10/75 19_
Application is hereby made for a permit to
COn St n rt. Plan 4) a l story,type S N. Hr.
to be occupied only as T .T Ri ngl a Fnmi l Y Dwelling
i ng
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 5.0.,nn0 ^
FEE$ i87-nn PLAN CHECK$
OWNER PnndPrngn H^mac ADDRESS 3n8n 01nntt. St.- q.('.-
PHONE P47_11500
CONTR, ADDRESS
PHONE STATE LICENSE P6958P
�) APPROVED .TamPc H- Ri ek/h
BUILDING INSPECTION RECORD
DATE IN ECTOR DATE INSPECTOR
FOUNDATION Lcl- FLOOR STEEL
6,611,
I
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOA S-INT.jAXT.
FIREWALLS
MEMBRANE LANDSCAPING
O. INSPECTION
FINAL BLDG.
UNDER-FLOOR �...
TIEDOWNS MISC- If I -
DIAPHRAMS 1
MOORE BUSINESS FORMS INC..L♦
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUQW UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING INISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
b
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 -/C-p FLUES&COMB.AIRA
PARTIAL ROUGH G _7 CONDENSATE DRAINS
ROUGH COMPLETE _ y 7t FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
. I
MISCELLANEOUS
CERTIFICATE OF COMPLETION ,
BUILDING INSPECTOR'S OFFICE
CITY OF rUPERTINO _
DATE ` ~ __ ••'1191 ( •BLDG'.IP,ER^IT NO. '
THE BLDG. L(O\CATED ATJ�y 1 V "�`�...� O'AA
OWNED BY `,�) Rr-3 DAA
HAS BEENCOMPLE EDD FOR USE AS L`
(ALTERED)
` _ BUILDING INSPECTOR, 1
1
116UTE SLIP
File 1\o. _.-----
pate J
�oc<tion /�—
Sn'o j e c t
— ---
AnlDroved
e_
pa,;e
Bldg. Dept.
office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Ej Sewer Connection Sanitary Permit No.
flumbing Final Plumbing Permit No. ........ ......
Lot No. ........ -------------
Owner or Tenant ....... ------- ----- K----- ------*--------
Q. I
--------- ....................
---------
At ---K
Tract ----------------------------------------------------------------------------------------- --------------------------------- .......
j — f ODate Connected ...................... . ( —---------- - _
DateFinal ........................_....:.I----."....1. .---------- . . . ..... . .............
.....----- --------- .................
PLUMBING INSPE 0
OFFICE COPY
p
'ELECTRIC SERVICE *NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby authorized to conned el�ect�rical service for
PC,
Owneror Tenant .................................................. . .................. ....................................
No. of Wires ........................ Size of Wires ...................... Size of Switch/!nJ 4--,..-
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ..:..................... K. W. .................................. Voltage ................................
vL
Lig'
ig hL............... 110....:....... New Service................ Reconnect..................
No. of Meters.......�..........1 L-
Heat................. 220............ Three Wire................ Move Service............
No.of Add. Meters............
Power............... Three Phase................ Move MMeeetter..............
.......................................... .............
ELECTRICAL INSPECTOR
OF171cl:
CITY OF CUPERTINO COPY
GAS SERVICE NOTICE
To
You are hereby authorized to connect the.GAS service for
Owner or Tenant ..../442*� I............. ....... ............ —
At -W J . ..............._...._....'...//.............
New Service ... ........
No. of Meters ... Reconnect ........-.................
Move Service ........ ...... .
No. of Add. Meters ....... .... Move Meter .......... .............
PLUMBING INSPECTOR
C /�J /9S�LEIL /CF/ LOT NO. i1
NO. STREET '
CITY OF CUPERTINO CAP.'
,(VAL.��d'�'0
' (l
d ♦►LICATION FOR BUILDING PERMIT FEE 3�
z — CITY O, c9!?
. 2 Building Per.No. I
Dote — ,19 .
1 J nitar Per.No.
3 O �ApplicationpOis hereby made for aper ms�tLo-
i O o�story,�Type�AAWI01� —Structure
to be occupied only as '4&'Dr-41A40f A'OLC in accordance with
a
Z N Plans,Specifications and Plot-Plan filed herewith.
aw
Estimated Value of Improvements,$
PI Ck Fee$
O O It is hereby agreed that the requirements of the d o
� .n Cupertino Building and Zoning Ordinances and all
Fee $�8 7
aother laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be
Z co plied with.
O y
ADDRESS
w Z OWNER PHONE
Q 0 CONTR.OR AG ADDRESS
�`�? 5y� 0269S�L
PHONE STATE LICENSE BUILDING INSPECTOR
CY L l��cJA�rI� . ' LOT NO: /Z
STREET y�9 /
MAY 2 2 I97jAPPLICATION FOR PLUMBING PERMIT
��
I P > Sanitary No.
'
Date:/J1l1/�L 19— Permit
Feeei
� s
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 thera. .Use qq Work TPremi Perfor dOwp �- Addre
f5 �• Address .�
Contractor,Agent'
Phan —3
State License Approved
Plumbmg Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
I
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m °33 3
vain >° v"io°
21747 McClellan Rd. 18 Plan 3
'z Z .. Qti O.O. C,%yjj1 JOTRFCT' LOT NO.
p q7r, CITY OF CUPERTINO
o '
MAY 2 $APPLICATION FOR ELECTRICAL PERMIT
5 a
U A
� o Date iy 19 5 Permit No.
O a I=ce j d a°
a m Application is hereby made to the City of Cupertino for a permit to install electrical
W I wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
o
5 m City of Cupertino, and all other laws applicable thereto.
o < Residence
z _j Use of Premises
JO Ponderosa Homes 3080 4lcutt S. C.
Owner Address
ww By Hill Electric Address 12 BiTchwoodl
auh CONTRACTOR, AGENT Approved ,
734 3800 PP Phone ersaRruc [NSP
State License 220068
W 11 <v
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Z Z Z Z fX y Z Z
21747 MOC1ellan .Rd. 18
LOT NO:
NO. STREET �S
C„T.,, CITY OF CUPERTINO 1
CITY °r APt ZATION FOR APPLIANCE PERMIT
JUL 211975
Permit No.
Date_ 4-2?f57$ I n,19_ Fee$ 14.00
Application is hereby made to the City of Cupertino for a permit to install gas,
appliances as listed an 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
Owner Pnn Aar Osa Homes Address
PO Box 357, Santa Clara
Phone 2475(10
Byon mgt Iv Qj%k2ss 779 01dCounty Rd., San Car1OS
ractoq
592-9
Phone
State License 110828 _-- Approved /—'
Plambing Inspect
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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