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NO PERMIT NUMBER (2)10145 Gong&t� Place _ _- 1LA)egLz 1
NO. STREET -- V �/ LOT NO.
p
CITY OF CUPERTINO 3.08
APPLICATION FOR.%gILDING PERMIT
-`SANITARY NO. 9375-j§k
FILE NO. 51-,1 5n - 9
DATE I2/15/75 19_
Application is hereby made for a permit to
Cnngt. nirt. Plan "An) a 'J story, type
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS S 44 000
FEE S 169.00 PLAN CHECK $
PHONE—. _4 _ - i i
iiel 1
CONTR. � a / ADDRESS
PHONE ( / STATE LICENSE 2-iWyi
1
IL 1 "n�7y APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE
I SPECTOR
DATE
INSPECTOR
FOU
ION
1 A
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOARDS 8 EXT.
• Z
L
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. p
UNDER -FLOOR
(
' "
nez
TIEDO W NS
-MISC-
DIAPHRAMS
FOAMS INC.. LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
'S•
ROUGH WIRING
FINISH WIRING (e
a..1
FINISH WIRING
FIXTURES p
7,.
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL d
V r
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD I HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE „�
FINAL' APPLIANCE
k/
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
Q ��
MISCELLANEOUS
Ly
CITY OF CURERTINO'
CAP.
APPLICATION FOR BUILDING PERMIT FEE
Building Per. No.
Date rv?'raY"•TRYO 19 B
SaniJ�ry.Per. No.�ws�-
Application is hereby}n'b�de for a permit to �Q�/.�r l° �,flw /7 / .
y A
a�story, Typ, Structure
to be occupied only as �E in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $
OF PI Ck Fee $
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all Fee $J�t�
other laws applicable to the construction, location, and Total Fee $ /tee
use of buildings within the City of Cupertino will be
complied with.
ADDRESS
n
ADDRESS q
BUIL SPECTOR/,�/ — —
-'NO.- STREET LOT Nf
CITY OF CUPERTINO
My of cu?cRAPPLICATION FOR ELECTRICAL PERMIT
AUGli Z 1977
Permit No.
Date , 19_ Fee S
Appl�icaiio'h,-I heUreby made to the City of Cupertino for a permit to install electrical
wiring and%or'fiztures 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.
Use of d
Premiut�(AJIn//-fy �(✓cn��.f,��tf/�
Owner iEb �i y IJy�LC'��
� '-Contia<tor, Agent '
State License a2 7 z 9 3 at
Work To Be
Performed /
Addrca 10� b� -
1 AGREE I WILL NOT VIOLATE ANY OF THE
- COMPENSATION LAWS OF THE STATE OF
ITEM -
NEW
-RPL
FEES_
Number of Outlets
y
6 - Number of Switches
Number of Receptacles_, -
i"
Number of Fixtures
-
Ranges or Ovens K.W.
- Size of Main Service
' Number of Meters
Number of Panels
-
-
Signs -Transformers -
-a
i Dryers
• Motors: -
-
H.P.Phase
) eD -
' H.P. Phase
-H.P. Phase
' Power Poles
-
l
Misc.
2
f'
I- Permit Fee
_,1Y.Chargei --
-
Total Fees
® c,
Locaticn�-
dub--
Notes —
Approv
CERTIFICATE OF COMPLETION,.. ,
BUILDING INSPECTOR'S OFFICE
e CITY OF CUPERTINO
DATE ( �� 19 ?6 'BLDG. PERMIT NO. = S/. /'SO •2
THE BLDG. LOCATED AT / 1
OWNED BY
HAS BEEN, COMPLET FOR USE; AS
(ALTERED),
BUILDING INSPECTOR
CERTIFICATE"OF COMPLETION f i
'tT'.-VIL'DING•INSPECTOR'S OFFICE - �' ,-
CITY OF CUPERTINO .'
ti
DATE ��ry 1976 BIDG.,PERMITNO. 2z7• �Z©•1
pp
THE-BLDG. LOCATED AT
OWNED BY
____ s .
�J•,'; HAS BEEN (COMPL€TED)OR USE AS
IAIRI-IEti ,D).,
t,:
Cupertino Sanitary
District Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO , +
Sewer Connection Sanitary Permit No. ..............
Plumbing Final Plumbing Permit No.5�./50:.�-'..
Lot No.
Owner
At ....
Tract
DateConnected ...... ..lFi....._...........................---........_......_......__... 19............
DateFinal ---------- Gi.................. ....................../.�.i..�._...---.-- 19.....---.-
.................... 1�-.' """'.-tc...........................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.....?14.Z ........
�i Plumbing Final Plumbing Permit
LotNo . ......... 4 ...................
Owner or Tenant ... Ce' !.n-�.L::e.... t-!.'_ �� I
At ..
Tract.......................................... .......................................................................................
DateConnected ...... ..- �.3..7v�.................................................................. 19............
Date Final .......... /�.../r/- 7Gi..................................--- 19............
.................... `.4!4.....................----
PLUMBING INSPECTOR
To
You are hereby
Owner or Tenant_
Ate
No. of Wires
d -
Motor Load
,Heating Load'
ELECTRIC SERVICE.NCITICE
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO
P.G. & E. COPY
to Connect ele trical service fo
h..�s
Size of WW it Size of Switch
.Voltage Phase
K. W. - Voltage
19
, 1 i Light / I10 New Service Reconnect
No. of Meters Heat 120 hre Te More Service
No. of Add. Meters Power hr Phm Mov%pMepr
�• ELECTRICAL INSPECTOR
To
You are hereby
Owner or Tenant_
No. of Wires
Motor Load
Hewing Load
f
ELECTRIC SERVICE NOTICE _/
BUILDINGINSf?ECTOR'S NOTICE
CIYV''OF CUPERTINO
OFFICE COPY
• r JU-IV,fs7�.
of to Connect electrical service fay n
Y
�kze of
K. W
Size of Switch 1 ' I 1:1�
Voltage
Light % Ito New Service Reconnect
No. of Meters
Heat 120_Th,oe,W,,e More Service_
r
No. of Add. Meters Power �.g✓Three Phase_ Move Meter
ELECTRICAL INSPECTOR
�t
t:ITY OF CUPERTINO PCOPe.
GAS SERVICE NOTICE
t
.. .ry ,1970
To -
,..You are hereby outhorized,to connect theGAS service for -
Owner ot.Tenant '
At o ys^
_ New.Seevic*e
No. of Meters l' - Reconnect
No.'of Add. Meters Move Service
- Move Meter -
'� PLUMBING INSPECTOR�A�o t7�
To
You
Owner o
At
.q OFFICE
'CITYCOP CUPERTINO COPY
GAS'SERVICE NOTICE
'19�
hereby authorized to connect the GAS
Jservice for
nont—
New Service
No. of Meters Reconnect _
.No. of Add. Meters
Move Service
• Move Meter �A
PLUMBING INSPECTOR
NOTICE OF JNSBECXION CHARGE
CITY OF CUPERTINO
CnPUILEF190-,�'vTar.CTOR'S OFFicr.
ti
Date ...... ...... 41 ... 067� Pe,mit No.
........... ..
TO
14�lv ............... ..................................
. . ................. 0 .... 'k-
Location.........................................
. ..........
Reason ...
................. ...................... .............................. U
.. ..... ...... ........
Deposi $ .......... .... ....
Amount$-7-,....... ............... ......................
I SPECTOR
TWuRd $ ...... ...... 114 9 /60-200
10145,,:CONGRESS, PL.,CUPERTINO LOT NO. —1
NO; STREET
CITY OF CUPERTINO
parr °F�APPLI�ATION FOR ELECTRICAL PERMIT
'1'976
Permit No.
Dater , 19 76 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 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.
Useof (1) FAM. RESIDENCE Work To Bs
Premises Performed
OwnerVILLAGE GREENS Address
Phone
B,ALL=CA tdT, —R�IC CO.
' ;Cdntraao'r, Agent
Phone 29.5;d5230
State License 228 — 6 2 2
I AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS'OF THE STATE OF
�/ e LA
I TRACT #5696 'PLA& �d]0'
ITEM
NEW,
RPL�
FEES
Number of Outlets
: 7,
Number of Switches
Number of Receptacles
3ZU
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Servicece pis
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
CIO
H.P_ Phase
H.P. Phase
H.P. Phase
-
Power Poles
Misc.
Fee,
—Permit
7.,H:P. CAqrjgs
Total Fetii
10145 Congress Pl. LOT NO. 1
NO. STREET A
""o
' . GU'" CITY OF CUPERTINO
o-
APPLICATION FOR APPLIANCE PERMIT
Dote 2 Permit No.
-.. , 19_ Fee S OO
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.
Use ofRes. Work
Promisis To,1yeating & sheet Metal
Premises Performs
Owner Cuper ino� Villa Address 2570 El Camino Real #302 Mtn
Phone 991-6050 View
By San Carlos Shet McA84,, 77 9 OldCounty Rd. S C
Contractor, Aggent T METAL
Phone 592-9292 $AN CARLOS 9H"
779 OLD COU Y ROAD
State License 110828 Approved a e M CARLOS, 7N
Plumbing 1 ea r
I AGREE I WILL NOT VIOLATE ANY OF THE WORK M N'S
y� COMPENSATION LAWS OF THE STATE OF CALIFORNIA,
APPLIANCE 11 UNITS I FEES
BOILER OR
TO 1.000.001 B.T.U.'S
BOILER
•�r
191 EQUIPMENT NOT COVERED BY THE ABOVE Ai// II / 1 3 &�
No. Street Lot No.
�V7Y C°' CUP:171N0 , q
APPLICATION FOR PLUMBING PERMIT
�EQ '� rj 1916 CITY QF CUPERTINO
1 Sanitary No. _
L �
Date (/,V a % 2 , 19JZ4 Permit
Fee s 3
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.
ByJDE AMARAL PLUMBING, INC. Address14'0/G )X/5f1 S�
Contractor, Agent
Phone 25Y— ltoo�'.3
State License 17s2.29
Plmbing Inspector
r
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
31
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop- Line
lavatories
To Existing!/
Kitchen Sink
Not Conn.
Dish Washer
O
Waste Disposal
Wash Tray
ORM DRAINAGE -
Washin Machine
Water Softener
lBar
Sink
Drain
'Comb.Sink
& Tray
Dental Unit_
'Drinking
FountainFloor
gFixtuTeFeel
Drain
SYSTEM _Ho
r
��
-
Restaurant Sink
l
.vim
.Sand
Tra
OTAL FEES
_ 2Urinal
FeeArea
Drain
rain Fee
5 .• 00Water
Leader
rain Fee
Sprinkler System
Water Sys. Fee
O
Relief Valve
Gag Fee
2, A Q
Vac Breaker
Skimmer
Filter
Permit Fee
'. 10
Total
Total Fee
LOT NO.
STREET CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
CM, ¢Ss tG377L: Ab
( 511 " Sanitary No.
Date DEC �, 19_ Parmit No. •:
Fee $
Appli�ptioA,is �er�tQy made to the City of Cupertino for a permit to tall plumbing
pipes arl'd/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
Cupertinownd all other laws applicable thereto.
Use of
To Be
-Address / 4M awwAr o I (/e
Phone 1' 4,1 (0 40
State Licensews�7i'SS� Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 11
FIXTURES
NUMBER
MAIN DRAIN
Unitsj
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Mater' •
Bar Sink
To M'gal
Comb. Sink & Tray
To Curb
Dental Unit
IP
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
•^
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
AT
Total
Total Fee