NO PERMIT NUMBER (2)10162 Parlet.t Place 11
i
NO. .+ STREET - i- LOT NO.
CITY OF°CUPERTINO
APPLICATION FOR BUILDING PERMIT
9894
SANITARY NO. i
51,391'
FILE NO.
April 18 77
DATE 19
Application is hereby made for a permit to 5 I NHR (2712 sq. f t .
Const. (Plan 2712). 0 2 story,]4'i:+535 sq.ft. gar)
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and, specification filed herewith.
' I
I
ESTIMATED VALUE OF IMPROVEMENTS $ 90,000
FEE S 267.00 PLAN CHECK $
OWNER BAS Homes, Inc. -ADDRESS 20823 Stevens Cr. Bl. -SW-C-2
PHONE 252-2077
CONTR, Same ADDRESS Same
PHONE Same STATE LICENSE 323864
JLL APPROVED James H. Sisk/m
I
BUILDING INSPECTION RECORD I
•
DATE
SPECTOR
i
FOUNDATION
/O•
FLOOR STEEL
PRE-GUNITE
FRAME
JDATEINSPECTOR
BOND BEAMS
LATH
WALLBOARDS - INT. & EX
1'1'eIr
FIREWALLS
.19
MEMBRANE )l
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
'
I
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
t
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
_y
ROUGH WIRING
FINISH WIRING
_
FINISH WIRING
FIXTURES
�. - ,
INTERIOR FIXTURES
MOTORS
�.i
EXTERIOR FIXTURES
FINAL
irMOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECT96
BACK FLOW REQUIRED
UNDERFLOOR S.M.
- -]
BACK FLOW INSTALLED
DUCTS & INSULATION
-7
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
'.
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
_y Z
ROOF DRAIN & LEADERS
L
MAIN DRAIN
�))
FINAL GAS
77
FINAL PLUMBING
}p 7
MISCELLANEOUS
r
' ROUTE SLIP
File No.
i
Date,./
Location
Subject. -�
Notes
Approved 7 /7
D e`er'Inspector
r
CERTIFICATE?OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CIT-Y7OF-F-CUPERTINO p
DATE ��d - 19 / BLDG. PERMIT NO. �13
p
THE BLDG. LOCATED AT/6�
OWNED BY�/o'f y_�iI M
, HAS B
r 11
USE AS
IG,Gl�/tir.
♦Bldg. Dept.
- - Office Copy
BUILDING .INSPECTOR'S OFFICE .
CITY OF CUPERTINO -
Sewer Connection• Sanitary Permit -No. ------ ��/.. .........
x� Plumbing- Final Plumbing Permit No ..-f...l i .i
r.................
�•
Owner or Tenant
......... ..r.2--- .------
-s..----.----------=------------------'
At. X1.+1...H..-------- --.-----
- - ----------------------------- -----
Tract � , -
Date Connected . -�'- 1?_..�..........------------------ ---- ------------------------------------- 19....
Date Final ---;... ... ....,U....� ......... ----- .
........:................ ............ ram...---- ..- � . .
PLUMBING INSPECTOR
I
I
i
To ^
i
You are hereby a
t
Owner or Tenant)
No, of Wires
Motor Load i
Heating Load K. W._
i
I
No. of Meters t - Light
Heat
No. of Add. MeteriIs ` Power_
QM ,`k, . ELECTRICAL INSPECTOR
i
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR S NOTICE'L
"-CITY OF CUPERTINO
.:. .. l L-.its-
1hor�d to Connectelectrical service for -
OFFICE COPY
197 7
Size of Wires Size of Switch lJV
110 ^ New Service ' Reconnect
LI Three Wire More Service
Aee Phase 4Move Meter l
CITY OF CUPERTINO
10300, Torre Avenue ,'; ' ' :.._ ' '' Telephone 252-4505
INSPECTION NOTICE
BUIL I G DIVISION'
dQB, •: , DATE �•G''LJ
.'ADDRESS TIME
'. DAILY REPORT ❑ 'CORK_ ECTIONlNOTICE ❑ VIOLATION ❑ -
TYPE INS'P.: BLDG. ❑ { ELEC. (] PLBG.= MECH. El
t /
1.. J
-
.1
'WEATHER I" SP. '
�.[/ d
V -Or ( v OFFICE
t y 0.1 OF CUPERTINO COPY
`GAS SERVICE NOTICE
To
You'are hlereby auuthhorize•d to connect the GAS service for
Owner or Tenant Sd C. O A.i IP c.
At i/)/Plpi-
• - New Servicel' v"
No. of Meters' � � •Reconnect
No. of Add. Meters'. Move'Service -
Move Meter
PLUMBING, INSPECTOR
Q NO. s'rRCCT LOT NO.
u ] r
r o w0 I CITY OF.CUPERTINO ;
p < it r PPLICATION' FO'R ELECTRICAL PERMIT i
s
W W
1 O
��Ce Date/���
„ W 19 _ Permit No. _
O � 1.
< w/✓ "Application' is heleby Wade to ttcGty,of` Cupertino for 1 permlt,to,instalI electricat -
W'a wiring and/or fixtures as listed on the reverse side hereof; and agrees, to:install said
0 o wirinp, acid/or fixtures'in accordance with the provisions of the Electrical Code of the
City of Cupertino, anaSfNGLEwsFAMILY RESIDENCE.
o<
z Use of Premises —
J
3 a 01
Owne ;Q Addres O
p a By ZEE E[ ECT Add, Say
U Y CONTRACTOR, AGF.N-T
< o Approved
LEMICAL INS
17.
State License, e7// 9/6 1
-97/Z
ITEM
NEW
RPL
FEES
Number of Outlets -
Number of Switches
.2 0
Number of Receptacles
Number of Fixtures
o
✓�'
Ranges or Ovens K.W.
�-
e2.00
Size of Main Service
400
Number of Meters
/
Number—�—
Signs - Transformers
Dryers
Motors:
H.P. Phase' -
H.P. Phase
Power Poles
Misc
Permit Fee --
2.00.
-H.P.Ch es
Total Fees
10162 Parltett P1.
LOT
NO. STREET.
11
" CU2•.,TINC . CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
'Date 5-4-771 Permit No.
J 19— Fee S 10.00
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. -
Use of Res. , .
D ..
Owner Bas Homes
Work •ToBe Heating/Sheet Metal
Performed
2082 S even
Address_.. -
SAN CARLOS SHEET METAL WORKS, INC.
P: 0: BOX 1126
none 592-9292
State License 110828 Approved
'Plumbing Inspector -
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® cn
- APPLIANCE -
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
'
10Q000 B.T.u.'S
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
1
5. 00 ,
3) FLOOR FURNACE -
4) SUSPENDED, REC. `HALL, FLOOR HEATER
- 5) INSTALLATION OF APPL VENT
6) REPAIR OF, ALTERATION OF, OR ADDITION TO -
HEATING APPL., REFRIG. UNIT, ABSORP. UNIT,
COMFORT HEATING, COOLING, ABSORP., OR EVAP.
COOLING SYSTEM
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO 100,001 B.7.U.'S,' -
8) BOILER OR COMP. TO 16-1-1P. ABSORP. SYSTEM
100,000 TO 500,0016.T.U'S
9) BOILER OR COMP. TO IS -HP. TO 31-HP. AB ORP�
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
10) BOILER OR COMP. 30-HP. 1051-HP. ABSORP. '
SYSTEM 1,000,001 TO 1,750,001 BTU 'S
1I) AIR HANDLER 10,000 CU. FT.
_
12) AIR HANDLER OVER 10,000 CU. FT.
i.
13) EVAP. COOLER PORTABLE
l4) VENT. FAN CON. TO SINGLE DUCT
15) VENT. SYSTEM NOT A PART OF HEATING OR
_ 1
2.00
AIR CONDITIONING -
16)HOOD -MECHANICALEXHAUST _
-17) DOMESTIC INCINERATOR -
18)COM.ORINDUST.INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
PEIIMf�FEE
00
"TFI FEF
10162 PaAtettt Place 51 LOT NO.
NO STREET' nz
0 CITY OF. CUPERTINO
APPLICATION FOR PLUMBING PERMIT
��j�i1977
Sanitary No.
Dote 19% Permit No.
Fee$ /�4} O`_
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 S.intge DwetZCng Work To Be New Con.a.tAuc t i on
Premises Performed
owner B" Homer, Address 20823 Steve" Cheek Blvd
Phone 252-2077
B C. Bohaht PQumb.ing Co, Acd,ess139 E. Ehemont Ave,Sunnyvate
_. 24 � 2 3r2 3 tor Agent
Stote License 186579 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® �e
FIXTURES
NUMBER
MAIN DRAIN
Units -
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
Material
Bar Sink
To Main Drain
_
Comb. Sink & Tray
To Curb
Denial Unit
Drinking Fountain
Floor Drain .
WATER SYSTEM, _
Hopper
Size
Restaurant Sink
Material
d-
Sand Trap
-
TOTAL FEES, '
Urinal
Fixture Fee
U
Area Drain
Main Drain Fee
Ur
Water Leader
Storm Drain Fee
'
Sprinkler System
Relief Value
Water Sys. Fee
Gas Fee
_ U
Voc Breaker
Skimmer i
Filter
Pool Sweeper
Permit Fee
�)
Total -
Total Fee
^�
1O162
r .S rrS p LOT NO. y/
Panlett Place 11
NO. STREET ♦ .•
CITY OFCUPERTINO
VAL 90.000
d
CAP.
CE77 r_ _„---- . _ {
APPLICATION FOR BUILDING PERMIT
FEE 6.30
z
ADD D ') O 1Q77 Building Per. No.'i,�
Dale • 19
9
>< O
Sonitory Per. No.
�9+
Application is hereby made for a permit to Const . ( Plan 2712
3 V
2PstAo !yD5 N.Hr.i2712 SD.Ft.Liv.+ 535 Sq.Ft.9�ucfdre
a
�o
O .
to be occupied only as I & J Single e Fami1y Dwelling ne in
accordance with
a
i 0
Plans, Specifications and Plot -Plan filed herewith. '
Estimated Value of Improvements, $ 9n , 000
PI Ck Fee $
It is hereby agreed that the requirements of the 267.00
Cupertino Building and Zoning Ordinances and all Fee $
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be Total Fee $
complied with.
SUITE C-2
BAS HOMES, INC. 252-2077
OWNER PHONE
CONTR. OR AGENT
SAME 323864
PHONE STATE LICENSE
20823 STEVENS CREEK BLVD.
ADDRESS
ADDR S
BUILDING
INSPE TOR