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NO PERMIT NUMBER21122 Patriot Way= ;a 60 NO. STREET LOT NO. CITY OF`CUPERTINO .4.55 APPLICATION FOR BUILDING PERMIT , SANITARY NO, 9410 FILE NO.51,150.2 DATE 2/10h6 19 Application is hereby made for a permit to Construct (Plan BL) o - '2 story, type to he occupied only as . Single Family Dwelling in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 65, ODO FEE s 217.00 PLAN CHECK S OWNER Cupertinn Village Green ADDRESS 2570 El Camino, M.V. PHONE 941 _6p_5n - - 255-1422 (job) CONTR. ADDRESS - PHONE STATE LICENSE 2384,13 APPROVED S.Busto/h RIIIIDING INSPFrTIhN RFrnRn DATE' IqOECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME r �� BOND BEAMS 'LATH WALLBOARDS - . & EXT. �. - FIREWALLS., MEMBRANE.' - LANDSCAPING F.M.O. INSPECTION FINAL BLDG.,/ UNDER -FLOOR - TIEDOWNS -MISC- - DIAPHRAMS 000ac GUSIxEssronwSiNO,AA _ - , ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING 7 FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL Jf MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD DATE 1 INSPECTOR DATE I INS CTOR BACK FLOW REQUIRED UNDERFLOOR S.M. -% BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH FLUES & COMB. AIR iS PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE / )% _ ROOF DRAIN & LEADE S MAIN DRAIN FINAL GAS FINAL PLUMBING 17 - MISCELLANEOUS CERTIF1GATE..6eco.MPL'E;ri'ON�1 BUILDING INSPECTOR'S OFFICEJ, -'-'bTY,OF CUPERTINO DATE, LL 1 9=-'' BLDG'. PERMIT NO. THE BLDG. LOCATED AT OWNED BY `lj C MPLETED) HAS BEEN OR USE A (ALTERED) ROUTE SLIP File No. Date t Location7i J y7q 61 Subject J yC, ul' m Approved' % •LOTNO. &6) rvv. ancc CITY OF CGPERT 6 CAP S ( VAL. �O G m o a �APP4(CATION FOR BUILDING PERMIT FEE SJ� z l Building Per. No. s//J-V.l LL 1 U Iy/b SanitaryPer. No. 3 V Application is hereby made for a permit to CONJT,t Q47— A) BLS = LL a�_story, Type Structure �O to be occupied only as-s/�/G[g �.y.r siLu�iEC ,&W— in accordance with a z ,N Plans, Specifications and Plot -Plan filed herewith. aw F Estimated Value of Improvements, $ _0_000 a u_ PI Ck Fee $ O O It is hereby agreed that the requirements of the e o ut Cupertino Building and Zoning Ordinances and all Fee $ ZZ'7 �— p < other laws applicable to the construction, location, and z use of buildings within the City of Cupertino will be Total Fee $ zz /complied with. w W Y NER PHON A D ESS 40 CONTR. OR AGENT / Kl _ O it/- osD a3a y�3� PHONE STATE LICENSE BUILDING INSPECTOR ✓,©LAB .21122 'PATRIOT WAY, CUPERTINO' LOT NO.—' 60 NO. STREET .•, ._ . -111AO t" O, �` CITY OF CUPERTINO ' APPLICATION FOR ELECTRICAL PERMIT Permit No. Date �.., , 19 ' 76 Fee i .Application is hereby made to the City of Cupertino for a peimit to install electrical wiring and/or fixtures as liited 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 Work To Be ' Premises1) Fam. Residence 'Perlormed CnvneVILLAGE GREENS Address Phone gyALL—CAL ELECTRIC CO. Addres'0 STOCKTON AVENUE `i`.S.J. Contractor, Agent Phone 295-5230 , State License 228-622 Approved Ele rica nspe<tor ' I AGREE I WILL NOT VIOLATE NY OF THE W KME S _ COMPENSATION LAWS OF THE STATE OF C LIFORNI ' PLAN " B" TRACTs696 ITEM NEW RPL - - FEES Number of Outlets Af Number of Switches - O. . Number of Receptacles - Numberof fixtures ', Ranges or Ovens K.W.. . Sixe of Moin Service y` Number of Meters Number of Panels : lizt Signs - Transformers Dryers Motors: H.P:Phose _ _ H.P..Phose • H.P. Phase Power Poles ' Misc.. Permit Fee H.P. Charges Total Fees yal�ya �ifTw! D ELii LOT NOi J NO.. STREET CITY Of CUP°kil\O CITY OF CUPERTINO APPLICATION FOR ELECTRICAL PERMIT JUI`! 15 1976 Permit No. Date R 1�� , 1.9— .. Fee $ 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 rsaid _ 'wiring and/or fixtures in accordance with the pro4isions of the .Electrical Code of the City of Cupertino, and all other laws ob hereto. .. pp caa o of P- Work Jo Be • . Premises Parfo � r' Owner �I �� Ai G4U Address Phone. BY Address ' Contractor, Agent Phone State License Appro, EI trical In actor I AGREE I WILL NOT VIOLATE ANY OF'THE WRKMEN'S COMPENSATION LAWS OF.THE STATE OF' CA - ITEM- ti NEW RPL FEES Number of Outlets Number of Switches - Number of Receptacles. - Number -of Fixtures ' Rongei or Ovens K.W.- ' Size of Main Service - - Number of Meters '. Numberof Panels _ Signs -Transformers Dryers Motors: H.P. Phase . H . Phds CA. ' P. Pho e - Power Pole / isC v -Permi Fee+ H.P. Charges - Total Fees. O u I'� 1 , ( OFFICE COPY ELECTRIC SEoitEJ NOTICE ' BUILDING 'INSPECTOR'S OFFICE CITY OF CUPERTIN91 &o?u-a�re -.... ereby a horized tocoectri 1 servic forrOwner or Tenant ... :............... e"' `� h-" ...I ...... \ /� n t'............ Size No. of Wires..esSizeS�_CO.f� At Motor.Load ............... :...... :_,Voltage +.,,::....'............ Phase' ................ B Light .............. tlU....'......'New .ServicVoltage ,.., .............. "..:. ....... Heating Load ....:.............:._ K: W..:....:'...:....... No. -of Meters .................._ I Three has/ nnea..........:....... No. of Add. Meters............ Heat..:......30.......... Three Wir .....�.f..., Move Service............ e Move Meter.........._ I Power ............. , . GC7 U`K.fY _..�....:........... ELECTRICAL INSPECTOR..�....-.:..,.,;,h--..' 21122 Patriot Wav Plan R LOT NO ST EET CITY OF CUPERTINO c :=..APPLICATION FOR PLUMBING PERMIT JAN 19 191 Sanitary No. � Date Jan. 22 ,Is, 76 Permit No. L1 , Fee 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 applitiable thereto. 1 Use of Work To Be PremisesSTngle Family US- Performed Plumhing - OCupertino Village Green 2�jdl) El Camino Suite 302, Mt. View, Ca. ress Phone 941-605n Joe Amaral Plumbing Address P.O. Box 150_ S.C. fa I Contractor, Agent 296-3963 State License 175299 Approved ' ' Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S I COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® LA FIXTURES_ NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size ,OD Water Closet Material Bath Tub j To Curb Shower Z To Prop. Line lavatories _ To Existing ✓� Kitchen Sink Not Conn. Dish Washer Waste Disposal (d Wash Tray - STORM DRAINAGE Washing Machine Size Water Softener Material ' Bar Sink To Main Drain Comb. Sink & Tray To Curb Dental Unit Drinking Fountain Floor Drain - WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEE Urinal Fixture Fee 2 if Area Drain Main Drain Fee (rn Water leader Storm .inFee Sprinkler System Water Sys. Fee ZOO Relief Value Gas Fee �C Vac Breaker ' Skimmer Filter Pool Sweeper Permit Fee nn Total Total Fee OFFICE COPY `- .�-, 'CITY OF, OIIPERTINO r� ELECTRIC SERVICE NOTICE n 1 s li . You are her authorized..toq—conncctrelectncal service for •. - Owner Tenant ' 1 cir.✓' ®f-+.ti'r -or Cn,-Ln--, <r .7� ..�1,E-.G'•t-v At No. of Wires - - "... Size of Wires .... Size of -Switch f Motor Load,-• _. c Voltag Phase' ' `.Heating Load.'- 3 4 •K:W.' Voltage:... f No. of Meters.... .'Light 110 v New Sen'ice Kecynoeet -- - •_ No Add. Meters Heat.._� 0 �� Three Wire\1 ie Scr, ice �_... -of ' .._ Power_ ,.1. Ihrca Phase A{Te Meter.... - - - b:eECTN!C.:C INSPECTIIXI' -_l ^�,;,.,�;,,,-CI U l v OFFICE COPY V�iYOFCUPERTINO GAS SERVICE NOTICE r ..i - To ...�. You are hereby authorised to connect the GASS'service for Owner or Tenant .. New Servicey No. of. Meters Reconnect No. of Add. Meters Move Service i i Move Me/tte'rr�/J :PLUMBING INSPECTOR I 'Bldg. Dept. .-Office Copy -BUILDING, INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection.. Sanitary Permit No.' ----- .......... . Plumbing Final Plumbing Permit No. Lt o No . ................................ Owner or Tenant ------------------- At ------------------------------------- ...... -------------- - Tract ........... --------------------------------------------------------- ; -------------- -------- d ------------ ------------------ Date Connected ...... Date Final ------------- � / — - ----------------------------------------------------- --- 19 ............ ------------- ...... .................. 1_( -- ---------- PLUMBING INSPECTOR 19 ------------