NO PERMIT NUMBER (2) 10191 Parish Place,' ' _ ;n :i2l'
NO. STREET - LOT NO.
3.43
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
- �• SANITARY NO. 9429 BF
FILE NO. 51.364
DATE 3/31/76 19_ _
Application is hereby made for a permit to
nnnatrnr+. (Rl an !A) a 2 story,type
to he occupied only as Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 49 000 -
FEE$ 184_n0 PLAN CHECK$
OWNER Mayrn ADDRESS 21 nFin HORIPCtPAd Rd
I
I
PHONE 722-1
257-3831
CONTR. ADDRESS
PHONE STATE LICEN __ 84547
I
7 APPROVED .Tamps H. Rink/h
BUILDING INSPECTION RECORD
DATE INS COR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE - FRAME
BOND BEAMS LATH
WALLBOARDS EXT.
FIREWALLS .t
MEMBRANE j, LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR -
TIEDOWNS -MI C
RJAPHIRAMS,
MOORE BUSINESS FORMS INC..LP
J
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING - .?6 ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINALMOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION (J .
UNDERGROUND ROUGH FLUES&COMB.AIR -
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS J
FINAL PLUMBING i
MISCELLANEOUS
n0UT.E-'-SLIP
File No.
Date, 7 -7
Location .-0
Subjects
U
Notes'
Approved ,
ate C I s_ector
l .
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
I� CITY OF CUPERTINO ,/
DATE ,�-/ / 19� BLDG. PERMIT NO. Sl 3G
THE BLDG. LOCATED AT
OWNED BY /fly
HAS BEEN MPLET FOR USE AS_
(ALTERED)
(/N
BUILDING INSPECTOR
Bldg. Dept.
Office Copy
CITY OF• CUPERTINO -
Y_
/3T� SEWER-PLUMBING NOTICE '
Sewer Connection -, Sanitary. Permit No. ---.. 1/0 .. .-
Plumbing .Final Plumbing _Permit
Lot No: ............2.�.-----------
Owner or Tenant -.''.�c. :.:.rw"-.....---.._-.........---- ----..- _ ._
------------------------
At ...:..t.r .f::_ Q_
Tract .- ---------- ......... ... ...---- ... ------------------------------- -
Date Connected ...3"'/
.......... .................................. ...............-------- 19....--"---
DateFinal -`------------------'.............-----------------....................... 19.------..---
........................
PLUMBING INSPECTOR
OFFICE, COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
? I CITY OF CUPERTINO
1�Gt-
To r
.: You are hereby auth r'ied to con8"ect electrical seceiC -foi
'Owner or Tenant L� " `�1��+ �rn"',.'
....... ... 4
No, of�Wires . .:..:.: Size of Wires Stie of-Switch
Motor Load:..................:.:. .: Voltage ......,.........*....:::..:::... Phase' :::.'... ........ .......
Heating Load K W Voltage
r
of Meten..........r:.., (Light... � a.... :. ...�Mov nnect ....-.....
1t0 N rvice Iteiro
No:of Add. Meters:.:....._: Heat...........:.... 220.......r.:'.� . �'Wite..... . ..... Move Service......:.:...
Power.._'........'... ..:
Ttir Pais A1C
.�, � ELECTRICAL iNSPECCTox .�.
CIT,Y OF CUPERTINO - - " " . .. OFFICE
`
�J COPY FFIC
? GAS SERVICE NOTICE
To lJ
'You are hereby authorized to connect the GAS service for -
Owner or Tenant
�/�
At
` New Service
No. of Meters Reconnect
t
`
Move Service
No. of Add. Meters ,.
Mo6e Meter
PLUMBING
INSPECTOR' : ��1—i OM I
I 07 A'1 'Pari sh P] LOT NO. ?I
N STREET -
psY 0T. Cvs:GTWo CITYOFCUPERTINO - f
APP
u LICATION FOR APPLIANCE PERMIT
Date Februaryk 2� '1976 ' - Permit No.� .00
` Fee t A11
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 of -Work To Be
Premises Performed
!owner MAYCO Address 21060 Homestead Cupertino'
Phone 733-969 ,
By ATLAS AIR BATING AdId,es, 1665 Old County, Belmont
Contractor,Agent
Phone 593-8065
Stote License 266137 Approved_ �
Plumbing Inspector—P
I AGREE IWILL NOT VIOLATE ANY'OF THE WORKMEN'S -
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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! LOT NO.
NO. STREET
CITY OF CUPERTINO .
• CITY OF CUF;r"NO ,
APPLICATION FOR ELECTRICAL PERMIT
APR 197.6 .
Permit No..
Date � f, ,197 Fae E7 —
l.� a
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.
Use ofis e �F�J.. .Work To Be
EGLCr7e/L
Premises ,,// Performed '/ •
Owner 209V 0 LG'JT(7, 1 :Address .2/060 IA r11; z- W-"/ e: p
Phone - ;7
Phone i
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YAddressContractor,AgentPhone .-7ti ev-'�. � �State license " e�a IbgPPravad eALEO'c,
al InspectoI AGREEI WILL NOT.VIOLAF THEEN'S
COMPENSATION LAWS OF THE.STATE.OFNIA' /-7-�—
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LOT NO:_ �—_
NO STREET ,
A CIT': ci C:J-. INO CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
%' _ , ) - •//7� Sanitary No.
Date �• ��� ,19 LLL Permit No.
Fee$'
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side'hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertt b,and all other laws applicable thereto.
Use o4 / Work To Be
Premisesantrpclorenl�
` Performed
OwnerAddress
Phone
BYAddress
PhoneState LicenseApproved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION .LAWS OF THE STATE OF CALIFORNIA. -
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j,xi'� CITY OF CUPERTINO' (vAL—�5�—
,.t7.:� CAP. tl
d �\i!APPUCATIO_ N FOR BUILDING PERMIT FEE �/_
w Z : \,, Building Per.No.�-r1-3 4�
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Date---,0 ,19—. 9 �
0 ��\t-"- �..T Sanitary Per.No.
3 V Application is her By made fora permit to 040nJS7,eut:,7 C?4,gV if
_ a story, Type Structure
00- - to be occupied only as s' GG6 C �21exle"iA)& in accordance with
a
Z o Plans,Specifications and Plot-Plan filed herewith.
a a,
F x Estimated Value of Improvements,$�?" 0
PI Ck Fee$
O_ O It is hereby agreed that the requirements of the p-e
3 Cupertino Building and Zoning Ordinances and all Fee$/ff
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
ZO complied with.
3Q 3
Z PHONE
ADDRESS
Q U CONTR.OR AGENT ADDRESS
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PHONE STATE LIC7ENSE BUILDING INSPECTOR /
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