NO PERMIT NUMBER10080, United Place 30
NO. ;,STREET„ - ! LOT NO.
3.64
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9463 BF
�CL�117.Y�7F�
DATE 8/31/76 19_
Application is hereby made for a permit to
Cnnct.rnet (Plan D) a 1 story, type
to be occupied only as Single F mi l y Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 52, 000
FEE $ 191.00 PLAN CHECK $
OWNER -0tznPrtinn VillAgin GrepncADDRESS 95,70 Fl Caminn Rpal Wpet
M.V.
PHONE 959_1 499
CONTR, ADDRESS
ATE LICENSE 3l - 885
APPROVED -Tampg TT. Ri ek/li
BUILDING INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
FOUNDATION -
Z -
FLOOR STEEL
PRE-GUNITE
FRAME 1
�,
BOND BEAMS
LATH
-
WALLBOARDS . & EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC.. LE
o
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DA E
I 1p4SPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.(.
-
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR y
PARTIAL ROUGH
cFINAL
CONDENSATE DRAINS
ROUGH COMPLETE a
(p _
APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN /U
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
�07— 3 'CERTIFICAT-E'OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO '1
DATE6;i4Z:q,( .( 19� BLDG. PERMIT NO. �i/�y 2---
THE BLDG. LOCATED AT ODR� /.G1w i,In,O P�Oy
OWNED BY.
(COMPLETED)
HAS BEEN _,_ ___ FOR USE
BW& Dept.
affi« cap,
BUNA G MWICFG 'S► DW4 E
crnr OF. cvemr a
OF 2
cmnecOom sonau, *ereu$ o..._`�.`f ..... i
Pleml,ing p6of Plunking Permit No. j 1
1
Lot No......... ------- i
Oaber or Te�esat ...�� x .�r� -----"�-L `---•--�P P�t!rr€�.....-.-•......... .............
'.. At .. eta?-p.:f_..:. zs� �_ -
`. t:�r .......................................... ..............•------ --•
Hatt Heat ± ... 19
---
.....----•----• --- - � .......... ------
PLMMMG vm*:Ma j
01• ELECTRIC'SEr'fVICE..NOTICE L
G BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO
To '�' I
You are hereby authorized
to Conne(ct� electrical
Owner or Tenant 7.Cy
At t c)c)R ,
No. of Wires `J Size of Wires
Motor Load Voltage_
Heating Load K. W
No. of Meters ' Light
Heat
No. of Add. Meters Power i�
QM ELECTRICAL NSPECTC) ^V
for
OFFICE COPY
q-1
�s
Size of Switch
Wire More Service
Phase Move Meter
10m
3 G ��- .„... .
'CITY'OF-CUPERTINO
GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At 1nn57,-)
No. of Meters
No. of Add. Meters
New Service
Reconnect —
Move
OFFICE
COPY
Move Meter
PLUMBING INSPECTOR ..��, / n�, ,%— ..� Oo M
U
G ROUTE SLIP
File No.
A Date
Location
Subjectp,
Notes
ROUTE SLIP
File No
Date
Location/d
Subject
Notes Q
Approved _7-2- - % ? A
Date Inspector
10080 UNITED PLACE LOT NO. 30
NO. STREET PLAN PDrt
_ CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
JAN 2 0 1S77
yyyy"� Permit No. A
Date , 19 71— Fee E
u e�
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.
utePremiseaf J1)gam. Residence Work To Be
Performed
OwnerVILLAGE GR P..NR Address.
By ALL —CAL ELECTRIC CO.
Contractor, Agent
Phan. 295-5230
State License 228-622
I AGREE 1 WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
0u
PLAN "D" TRACT #5696 40 %` &0
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles -
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Power Pol
Misc.
Permit Fee
H.P. Char£
Total Fees
c.
1121 tJnitpd Pl. Plan*1
NO STREET
CITY OF CUPERTINO
::.:;APPLICATION FOR PLUMBING PERMIT
JAN 19 19717
Sanitary
Date ® _, 19 76_ Permit No.
,t,� Fee S3 r
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 thereto.
Use of Work To Be
Premises Single Family Res, Performed Pl Umhing
oCupertino Village Green Ud70 E1 Camino Suite 302, Mt. View
v,nress
Phone_941-6050
BJoe Amaral Plumbing Address P.O. Box 150, S.C., Ca.
Contractor, Agent
Phone 296-3963
175299
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 1.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees '
Water Heater
Size
t/
Water Closet
2
Material
-S
Bath Tub
j
To Curb
Shower
Z
To Prop. Line
Lavatories
To Existing
L/
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
-
Bar Sink
To Main Drain
Comb. Sink & Tray
To Curb
Dental Unit
WATER SYSTEMSize
MF,..nto.nuntainn
Sink
Materialf7
TOTAL S
Fixture Fee
Main Drain Fee�iL7�
Water Leader
Storm Drain Fee
Sprinkler System
I
Water Sys. Fee
iQGI
Relief Value
Gas Fee
�(�Q
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
3 (JQ
Total
Total Fee
,S iCJ
10080 United Pl. LOT NO. 30
NO. STREET
U
G' GSs~nN CITY OF CUPERTINO
3 APPLICATION FOR APPLIANCE PERMIT
ptC
fs , ` d Permit No.
Date 10-12-76 ,19_ Fees 1 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 all,
other laws applicable thereto.
lunmises of Res. Work To Be
e..a..—. Heating/Sheet Metal
Pre _
By
Contractor, Agent
Phone 592-9292
Address 2570 El Camino Real #302 MV
• SAN CARLOS SHEET METAL WORKS, INC.
SAN CARLOS, CALIFORNIA
State Licensel T n%Q �P Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® u
APPLIANCE
UNITS
FEES
1)FORCED AIR OR GRAVITY FURN.TO AND INCLUDING
1
4. O
100,000 B.T.U.'S
_
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
3) FLOOR FURNACE
4) SUSPENDED, REC. WALL, FLOOR HEATER
5) INSTALLATION OF APPL. VENT
6) REPAIR OF, ALTERATION OF, OR ADDITION TO
HEATING APPt., REFRIG. UNIT, ABSORP. UNIT,
COMFORT HEATING, COOLING, ABSORP., OR EVAP.
COOLING SYSTEM
71 BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO 100,001 B.T.U.'S
8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,00) TO 5W,001 B.T.U.'S
9) BOILER OR COMP, TO 15-HP. TO 31-HP. ABSORP.
SYSTEM 500.000 TO 1,000,001 B.T.U: S
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM 1,(00,001 TO 1,750,001 B.T.U.'S
IIIAIR HANDLER 10,000 CU. FT.
12) AIR HANDLER OVER 10,000 CU. FT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. 70 SINGLE DUCT
15) VENi. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
161HO02- MECHANICAL EXHAUST
'
17I DOMESTIC INCINERATOR
15) (,UM. OR INDUST. INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
3 .,OC
TOTAL FEE
I.
LOT NO, 3<-D L/
3°
GL
iT VAL. _)
CITY OF CUPERTINO SAP {(
ICATION FOR BUILDING PERMIT l FEE 3, 6-Le
�4 19-Building Per. No. .i i/d-V.
Sanitary Per.No. 475443JE
ereby made for a permit to 1. - k
Type �J Structure
only as �Iplfit/(�ol in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ S 4'�O
PI Ck Fee $
It is hereby agreed that the requirements of the �y.� �
Cupertino Building and Zoning Ordinances and all Fee $
other laws applicable to the construction, location, and Total Fee $
use of buildings within the City of Cupertino will be
complied with.
,unen��ra L/ f�llst� /�2�vnz �%D(�LC'�j�uxo LcJ �
OWNER C PHONE ADDRff, 6S
CONTR.OR A3&53'5 ADDRESS
PHONE STATE LICENSE BUILDING INSPECTOR
e &�.