NO PERMIT NUMBER (2) T
10153 Pari sh. Place 28�
NO. STREET' .> - r. - LOT NO.
CITY OF CUPERTINO 3.43
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 19436
FILE NO. 51 364 '
I
DATE 3/31/76 9 f
Application is hereby mode for a permit to
Canstrurt (Plan (7) a 9 story,type'
to be occupied only as Ai ngl p Family DwP1 l i ng '
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ _149 a noo
FEE S l Ah nn PLAN CHECK$
OWNER_a,YCO Const. -Co. ADDRESS 21060 Homestead Rd. C.
PHONE 733-993
257-3831 (,job)
CONTR. ADDRESS
PHONE STATE LICENSE 284337
11
APPROVED JaTnes H. slsk/h - • I,
BUILDING INSPECTION RECORD.
ATE CTOR DATE INSPECTOR
FOUNDATION - FLOOR STEEL
PRE-GUNITE FRAME •T,,7.
BOND BEAMS LATH
WALLBOARDS
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. J .
UNDER-FLOOR
TIEDOWNS. - ISC-
DIAPHRAMS
MOORE BUSINESS FORMS INE-LB
I
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FJNISH WIRING
FIXTURES ' TERIOR FIXTURES
MOTORS _ EXTERIOR FIXTURES
FINAL OTORS
FINAL
MISCELLANEOUS INSPECTIONS
O
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE I INSPECTOR
IBACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH A CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE -
ROOF DRAIN&LEADERS
MAIN DRAIN y
FINAL GAS -�
FINAL PLUMBING
f
_ MISCELLANEOUS '
. I
I
I '
II _
.ROUTE- SLIP
7-File No.
Date '
Location . '��
Subject .
'Notes
Approve;—
Dat ... inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
h CITY OF CUPERTINO
DATE 19 76 BLDG. PERMIT NO.
Vo im /�
THE BLDG. LOCATED AT— �D�S-3 /-i-/t� PY -
OWNED BY
"CON PLETEDI '
HAS BEEN ��FOR USE AS �-
(ALTERED)
zC
BUILDING INSPECTOR
is
- Bldg. Dept. -
• Office Copy
CITY OF CUPERTINO -
SEWER-PLUMBING NOTICE
X, Sewer' Connection Sanitary Permit No- ---- .
Plumbing Final Plumbing Permit No. .�.'`.'`.,/..., Gc/.___-
Lot No. ----:-.7P... -' ...
2
Owner or Tenant .f-----------------------------------------------------------
D
At ---f i1_ ...5........ i.ti:.t.:a ...... :1..:.
.............. .............. .......... .. .......
Tract -
Date Connected ----- _7y .............-- 19
Date Final .....-..4. %{ !r.- .-
�...... ...... ..... .... .... _. --.. --- ... .......:........... 19.-----..----
�........-
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC. SERVICE .NOTICE
C� BUILDING IN' SPECTOR'S OFFICE
CITY Or CUPERTINO
To � 1. ,
You are hereb�uth rued to conned a edrical service f sr n
R r
Owner or Tenant ...... .......... z5"0+� tam r�
� .U ... CJ � ............. _ . ..
At ...............'..........-........- .. ,}}�:.r..i• [Y �: X �
1 ........ ................... ............... ....... ....... '
�J ,f� �
No. of Wires ..................:...... Size,of Wires ......................•Size.`of Switch -.t:.l-.t:
Motor'Load . ...:... Voltage ................:...........
.... Phase'
................................
Heating Load ......................... K. W:"... ......:.........:.........
- Voltag.e... ,
No. of Meters........ Sercea47—. Keonn
ect..............._. ;
.ice y f
No.of Add. Meters............,Heat............?..: 220...: "! /Wir���:.......-... Move Service............
Powei..:.......:...:.. 'jhree�"P' ....-....... Move}tie ter......
..:....................................-
.acernucnc tHdr<acroii
�� ._•_•6. .i...,`'_ V._'7 _� _O OFFICE i
P "r EIT-Y OF CUPERTINCOPY .
GAS-SERVICE NOTICE
Ie 7G
To
You ore hereby authorized to connect the GAS service foi .
Owner or Tenant ��-t/�csl �.,. ; L�j - �'•
At
a
Newq,..• //
�+ Service
No. of Meters `Reconnect
No. of Add. Meters f 'Move Service
.} Move Meter A
PLUMBING INSPECTOR
10153 Parish P1 LOT NO. 28
NO. STREET
CRY O; CUi c:.Tlr10
CITY OF CUPERTINO
J-�LICATIO
AN FOR APPLIANCE PERMIT
Permit No.
Date PPbruasy Ion t9Z Fee S7z--0T—
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 provisionsof the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
Use of Work To Be
Premises Performed
Owner MAPCO Address 21060 Homestead, Cupertino
Phone 733-9693
By ATLAS AIR DATING Address 1665 Old County Belmont
Contractor,Agent
Phone_ 593-8065
,State License 266137 Approved
Plumbing Inspecto
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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O/S,3 ?9'/Q/.$ LOT NO.
NO STREET
s0 CITY OF CUPERTINO
Oct O, C -�' PPLICATION FOR PLUMBING PERMIT
o�YSanitary No.
Date 1 ,19 Permit No.
`—Appr. sees 4L_-
Application
lication 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 provisionsi;of the Plumbing Code of the City of
Cupertino, and all other laws applicable.thereto. "
Usa 0." i , Work-Tolle
Premises Performed pliall
Ownera
- Address
',Pfion gddress AI/�/1///— �'1/
Phone
Stote lcnsApproved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. r.
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LOT NO.—
NO.
O.NO. STREET
CITY�0FCUPERTINO
a�� r APPLICATIONIFOR ELECTRICAL PERMIT
Permit No.
t Daft ` ,19
g'
- Application isherebymade to the City of Cupertino for?5'permit to install electrical..
wiring 'and/or fixtures-as listed on the reverse side hereof, and agrees to install'saida
wiring:and/or fixtures in accordance with the provisions of the',Ele'ctrical Code of'the''l,
City of Cupertino,and all other laws applicable thereto. 1
Pro' / F /J� .r, Work r Be L�C.7 . .
t'Premises /L.�LN Performed �J'�
.Owvner'�f�C/�/ Address /D�O [f G� .iGJ L--G[//• .
Phone ' 3 9(a 93'
By f ne. AlAsev-1/iUG Address A /(� •�CQ •/ V, �`;r
Con actor,Agent. -
Phone 7?���'.�2//O - ..
;. State License J� Approved
ct cal Inspector '
I AGREE-1 WILL NOT VIOLATE ANI F THE` R MEN'S
.COMPENSATION LAWS OF"THE STATE OF ���ggqAAA{{{{{{ ORNIA. \ \
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In 1_5 3 A. r/S A PL-. T t P LOT NO. /,
NO. STREET
CITY OF CUPERTINO CAP. (VAL,
Sl
a APPLICATION FOR BUILDING PERMIT FEE 13
f - Dated Cu " ^7� ,19 Building Per.No. S 6
�� n ,\ \J' Sanitary Per.No.
3 - Application is hereby made for a permit to Od AIX=4 UliT if L9.t/ C
a�'tory Type Structure
LLO to be occupied only ass / L C.. WEL6iIJC-in accordance with
a
Z w Plans,Specifications and Plot-Plan filed herewith.
a a,
Estimated Value of Improvements,$ O'O—d
PI Ck Fee$
_O O It is hereby agreed that the requirements of the
3 Cupertino Building and-Zoning Ordinances and all Fee$
other the
Z g useof buildi applicable gos within City construction,
location,
Cupertinowill be Total Fee$
Z complied with.
3 ° l
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� IfoLc l 'NP 5t2 Q
W Ph
OE ADDRESS
4 FOr CONTR.OR AGENT ADDRESS
_ U aKXS37
PHONE STATE LICENSE BUILDING INSPECTOR, /