NO PERMIT NUMBER 21152 Patriot Way 57
NO:' - STREET -`bv -,.o, - - LOT NO.
4.55
CITY-OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
' SANITARY NO. - 9407
FILE NO. 91 150.2
DATE�-2/10/76 19_ '�-
Application is hereby made for a permit to
Conatrnnt. (Plan RT ) a 9 - story,type
to be occupied only as Single Pami l y Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 65,000
FEE$ 217-on PLAN CHECK$
OWNER Mi t._ Villgge Green ADDRESS 997n Fl raminns M:V.
PHONE 9 Ll_r9(1 . . •` . . .
255-1422 (Job)
CONTR. ADDRESS
PHONE STATE LICENSE P38432
APPROVED T. Rnet.n/h
BUILDING INSPECTION RECORD
DATE INSPECTOR I DATE INSPECTOR
FOUNDATION i .. FLOOR STEEL '
PRE-GUNITE FRAME
BOND BEAMS LATH - t —
WALLBOARDS-INT.8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDO W NS -MISC-
DIAPHRAMS '
MOORE RUSIN"SI OR MSINC..IP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING r t.
FIXTURES INTERIOR FIXTURES .L_
MOTORS EXTERIOR FIXTURES /-
�-
FINAL MOTORS
FINAL r 7
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE I INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. 7. y2.,
BACK FLOW INSTALLED DUCTS i INSULATION /S7G
UNDERGROUND ROUGH• FLUES 8 COMB.AIR i11-517
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS ff
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE OF-COMPLETION
BUILDINCr,INSPECTOR'S OFFICE
.CITY OF CUPERTINO
DATE � ' y �! 1977 BLDG, PERMIT NO. 7 �O
'�:'•? THE BLDG. LOCATED AT
OWNED BY BY iii
HAS BEEN (iO PLEFOR USE AS S T • i �Tt
IALTERED)
�f OM
t
I
1
BUILDIKG I SPECPOR
1 i
eZ//S TIiI l d 6(/ LOT NO. 15 �Y
NO. STREET ' (((VAL. cc
CITY OF LUPP E INO' CAP. ( y-�-
W z nry of cAPPIICATION FOR BUILDING PERMIT uildfng Per.No.l.ri SYJ•L
0 �t� 1 U I.y b 19 Sanitary Per.No.
9Sed 7
3 u Application is hereby made for a permit to doyJ'Trlt�cT �5�.9w BL)
= O a� s sttoryr)Type Structure
O Q to be occupied only as sl.V 4 �L 6iL.ti. in accordance with
'Z v) Plans, Specifications and Plot-Plan filed herewith:
aw
r Estimated Value of Improvements,
a LL PI Ck Fee$
O O It is hereby agreed that the requirements of the �p
> yr Cupertino Building and Zoning Ordinances and all Fee$ ol/ 7
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.
3P n
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NER PH E RADDRESS
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O CONTR.OR AGENT
_ U /-Gdsv a?2YLJ3
PHONE NATE LICENSE BUILDING INSPECTOR
21152- PATRIOT .WAY, 'CUPERTINO LOT NO. 57
NO..; STREET '
CF.��pe-atNo- CITYOFCUPERTINO `
O'er
APPLICATION FOR ELECTRICAL PERMIT
,76 Permit No.�_
Date . t', ,19_ Fee ET�—
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 installsaid
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto: -
Useof (1)Fam,Residence. Work Toee
Premises Performed
OwnerVILLAGE GREENS Address
Phone ByALL—CAL ELECTRIC CO: Addres'09 STOCK ON A--VEN� S _,7
'Contractor,Agent
Phone 295-5230
State License 228-622 Approved
- Electric Insp for '
I AGREE 1 WILL NOT VIOLATE ANY OF THE WORK EN'S
COMPENSATION LAWS OF THE STATE OF CALIFOR ,�
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L4 I Z Z Z Z' in Z Z
Q CITY OF CUPERTINO- OFFICE
/ GAS SERVICE NOTICE
19 77
To (7 . .`
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service
No. of Meters Reconnect '
No:of•Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR' �� �. Oo M
21152 PatriotWav P1-an B11 f LOT NO. 57
NO WET r
CITY OF CUPERTINO
C`'r ".'APPLICATION FOR PLUMBING PERMIT
JAN? 7 lyT> Sanitary No.
Date Jan. 22 / ,19 6 Permit No.
p+ '' Fee$ car c 3
Application i 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 Single Famy es. Worts To
Be
Premises ilRPerformed
Plumbing
Cupertino Village Green 2579, E1 Camino Suite 302, Mt. View, Ca.
Owner Ad ress
Phone 941-6050
4yPe Amaral Plumbing P.0.Box 150, S.C. , Ca.,
Contractor,Agent
Phone 296-3963
State License 175299 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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21152 Patriot WY 57
LOT NO.
NO' STREET "
�.� ��.-:TWO CITY OF CUPERTINO '
APPLICATION FOR APPLIANCE PERMIT
FEB 2 1971
Dose r•. l^26-7 7Permit No.
C
r '19— Fee$— j 00
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 alli
other laws applicable thereto.
Use of - Res. Work To Be Heating/Sheet Metal
Premises Performed - '
Owner Cup t. Village Grn Address 2570 El Camono Real 3
Phone -6 0' '•
By Address n.0 CARLOS e
Conlraaor,Agent ,
Phone 'S�Zq'Zq� 779 OLD CO NT Y ROAD
S N LO ALIFORNIA
State license ���9+7-� Approved
um ing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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ROUTE SLIP
File No.
Date //-,�--/7 7
Location S- 7 ' 7a.l�-Y— ��J:�
r J
Subject
Notes 42
Approved // 17/ 7 J
Date Inspector
- Bldg. Dept.
Office Copy'
BUILDING INSPECTOR'S' OFFICE
i CITY OF CUPERTINO '
Sewer Connection - Sanitary Permit No. ......��.-..`�� 7
Plumbing Final -Plumbing Permit No. .S/--/S U.Z
//''�� -�/ n Lot No: ..----5� ---
Owner or .Tenant ..._rl... r.'1/..f.+-.,,u.....1/.Q111-�a/r...._tF��1.6< c�..-----._--
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Tract --- -----------------------------
------------- ------- -----
DateConnected .:.....�' u-710-..-----.........------------------------------------------------ 19...--------
DateFinal .......... -- ..`. . ......7^..------.:.............................---...---................... 19............
-------....`------: LAS-.....-..............
PLUMBING INSPECTOR