NO PERMIT NUMBER 10155 :I Swan .Oak 'Lane - Lot No. 63 t
No. 'Street 21017
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 74o7
File No. 51231 . 1
Date 6/15/71 ,96
Application is hereby made for a permit to _
Construct a 7 story, Type
to be occupied only as Single Family Dwelling
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $ 16,000
FEE$ 91 . 00 Plan Check $
Dvrr.er Shapell Industries 'Address 3000 Scott Blvd. S. C.
Contr. Address
Phone 247-38o1 169863
State License
252-3831 Approved W• D. Benevich/h
APPLICATION FOR ELECTRICAL PE MIT`
Date � 1�L�o FEE$ f
Cantr. Address
Phone State Licen �� 0 � �•`
Approv
APPLICATION FOR PLUMBING & GAS PERMI
Date : 2:
196 -7/ GAS FEE $ C/ _
PLUMBING FEE $ 02 3- S y
Contr. _ Address
$tote License
Approved W
y APPLICATION FOR APPLIANCE PERMIT
Data n/7 -7/ 7 r
196 �/ FEE$ �� pG /-1
Contr, -- �i �s 77 ri �"t-E' -C�_ /rte
Phone O 1 State License 1/A X�
Approved �/✓�_J+�c�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH IS PLASTER
GRADING FINAL
FINAL BLDG.
E ECTR AL
ATE I E OR ISC
UNDERGROUN
ROUGH WIRI '
FINISHED WIRING
FIXTURES
MOTORS
FINAL �1 ^ r, 1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. ovF r
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. l
FINAL GAS
FINAL APPLIANCE 7Y0• I
DATE INSPECTOR MISC.
MISC
MISC
MISC
ROUTE SLIP
File No .
' '
/� �// Date 1/29_7/
Location �.ti� ly'e,,, e-
�- G 3
SubjectFiNixriG✓e
Notes
Approved i/ZfLr(,6pectorr
Date I pector
ROUTE SLIP
File No .
Date
Loc ation
Subject : a0.`f A �rti 'i✓`��
p
Notes /
Approved 19- r'7 ' ice'✓ // s
Date -Inspec tor`""Y
CERTIFICATE OF COMPLETION
lPk BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...............
Date --------- Building Permit No.
The Building Located at ...
Owned by
................... ...................................................................
fete
, Use As: ------->-,J
Has Been .t.......:..--------------
(Altered)
------------------ ------------------------------------------------------------------------------------------------------------------------------
.................................................................................................................................................
.......................... ................................................. ............... ......... .. :..................
.............
ILD
ING INSPECTOR
• OFFICE COPY
f_ CITY OF CUPERTINO
- � ELECTRIC SERVICE NOTICE
��-�� .. _.....:_...... ..... 191
191:.].
To You are hereby .echo z d to conned electrical ice t
Owner or Tenant .__......__. ...L.....
At
No. of Wires ........................ Size of Wires ...................... Size of Switch .... ..
Motor Load .............—.......... Voltage Phase
Heating Load ........................ K. W. ....... ................_...._.. Voltage
Light....../71(1...../ew� Ser,ice.........�iunnect—.__......No. of Meters........_.......
No. of Add. Meters...........Heat.............._. ?20...._. c Wire....... . .. MOIL Sen•iic......_. ..
Power............... ..
Ph, e...../..A.
. ... ......
iiLECTMCAL INSPECTI14 / i L
BldgDept.
Office Copy
D, BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .....
A .... ....... .
Plumbing Final Plumbing Permit No.
Lot No. ._------lC .n?........
;� UA
Owner
o- ----------
Owner or Tenant ......-'`=4---
...............................................
Tract ............
DateConnected ----------V ---,7, --------------------**--------------------*----------------------- 19----....
.. ....
DateFinal . ....... �/, ......... 7/---------------------------------------------------------------- L9....--------
7
9------------
e
..................... ..........
PLUMBING INSPECTOR
OFFICE
GAS SERVICE NOTICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby auth?fi�zed to connect the GAS service for
Owner or Tenant
.....................................................
At ...
New Service ..........................
No. of Meters ........./.......... Reconnect
Move Service .......................
No. of Add. Meters .............. MI(o.ve Meter ........ .............
.
................................." z .. ......
PLUMBING INSPECTOR
I- IL35
10155 Swan Oak Lane ,
No. Street Lot No. 63
CITY OF CUPERTiKoA c;X/ a/ 7
APPLICATION FOR BUILDING PERMIT
JUN 15 1971 City of Cupertino P-7407
Sanitary No.
-� Date May 25 196 71 Permit No. J5;,i?/�
YD
' App cationmadefor apermit to construct
`o wo,
3 a 1 story,Type Building
m
I to be occupied only as Single Family Res. in accordance with
o
Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
m Estimated Value of Improvements, $ /6/ O 0 0 01- Fee$
oItis hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
0
'> all other laws applicable to the construction, location; and use of buildings within the City of
ACupertino wi complied with. I
Ownera Industri C s of Address 3000 Scott Blvd.
3
Sdlltd Clara,
C B Address
UPhone 9A7_�R(Il ApprovedWILL1Ann n cr ;;VI fir
State License 169863 Buildmg Inspector
y