NO PERMIT NUMBER (2) � fl
10271 Parlect' Place " : , 3
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NO. STREET � +� ' � LOT NO.{' 7
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
9904'
SANITARY NO.
' FILE NO. 51,399
DATE
April 18 19_77
Conslittion
Planby2080)rapermit to 1 _ Si�VH�(4�00gaW3ft.
o 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.$ 70,000
227.00
FEE$ PLAN CHECK$
OWNER BAS Homes, Inc. ADDRESS 20823 Stevens Cr.Blvg --Q
PHONE 252-2077 a
Same Same
CONTR, ADDRESS
SAme 323864
PHONE STATE LICENSE
i; APPROVED James H. Sisk/m
// j//7
BUILDING INSPECTION RECORD -
DATE INS ECTOR DATE INSPECTOR
FOUNDATION - FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDSINT. EXT. s(
.FIREWALLS _
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. —j
UNDER-FLOOR
TIEDOWNS MISC-
DIAPHRAMS J—
i
MOORE BUSINESS roRMsiNc_u
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR' COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUG UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING 1 '� FINISH WIRING
FIXTURES ,y INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. J
BACK FLOW INSTALLED DUCTS 8 INSULATION
,+UNDERGROUND ROUGH FLUES 8 COMB.AIR
PARTIAL ROUGH _ CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN B LEADERS
MAIN DRAIN 7 -
FINAL GAS
FINAL PLUMBING O
MISCELLANEOUS
ROUTE SL•IF
File No..
i
Date /6
Location - tip
Subjecty/� WQJ167
Notes
Approved.
Date 'Tnsp ctor
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S.OFFICE
�� CITY OF CUPERTINO C .
DATE�G_„C,L 19�Z BLDG. PERMIT NO.�4
THE BLDG, LOCATED AT I O Z-
OWNED BY - I—Kee "2,
HAS BEENI FOR USE AS l�--
' ALTEREDI
BUILDING INSPECTOR '
ELECTRICSERVICE NOTICE �f OFFICE COPY
BUILDING INSPECTORS NOTICE
CITY OECUPERTI NO
To za—
You are hereby outh ir(2t/ed to Connect:electric(user ice for '
Owner ar Tenant I `�. l ',-L?.•�-�.:9�?
At
No.of Wires Size of Wires v Side of Switch w
to,Load - Voltage` - Phase
Hearing Load K:W.' Voltage
1
Light O�New$ervice
No.of Meters i Reconnect
Heat- -„j20 '`!r\T reetW ire More Service
No.of Add. Meters Power l��� t(\''�/!�)\ Thr�elPhose "' ' '�MMo/ve meet
�� ELECTRICAL INSPECTOR
_ - Bldg..Dept. 1 .
" ,Office Copy
BUILDING INSPECTOR'S OFFICE '
CITY OF CUPERTINO
I!
` Sewer Connection Sanitary Permit No. .......
.�7.
` 1. .:
lumbing Final PlumbingPermit. No. .
p _
Owner or :Tenant
Lot No
At
Tract ................................ -
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DateConnected ` .- ----------------------------------------.._----- - --------:.. ------- 19.......----.
I
DateFinal .------- n-----`�--` --7 --------------------------------- ------------------------ 19:.......----
'PLUMBING INSPECTOR
f
� .. - ^�• �...y OFFICE
CITY.OF CUPERTINO COPY -
�`� 3 GAS SERVICE NOTICE
ae` ,92,7-
To
You are hereby authorized to connect the GAS seerrvice for -
Owner or Tenant ai o NL�r� - -
- -New Service '
No. of Meters - • - Reconnect
No. of Add. Meters Move Service \
Move Meter 7
PLUMBING INSPECTOR
N < No. STREET - No.
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5,U , ?I91APPLICATION FOR ELECTRICAL PERMIT
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m Application is hereby made to the City of Cupertino for a permit to install electrical
W i wiring and/or fistures.as listed on ilic reverse side hereof, and agrees to install said
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0 0 wiring and/or fixtures in'accordarce with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
z Use of Premises SINGLE FAMILY RESIDENC
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I n971 I. LOT NO. • 3
NO; TREET
patlTflip CITY OF CLIPERTINO
APPLICATION FOR APPLIANCE PERMIT '
_ Permit No.
Date 5-4-.771 19
,_ Fee$
e
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 lows,applicable thereto. „ . ..'
Premise s es res Work To Be
Performed Heating/Sheet Metal
Pr
Owner 'Bas Homes "Address' 20823 Stevens .Crk C2 Cupt.
Phone 52s.2
By e-SAN CARLOS SHEET-METAL WORKS, INC.
%K dctor,Ait�i-
Phone 592=9299 SANCARL�4070
State License 110828 Approved
• 'Plumbing Inspector
1 AGREE-I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.'
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a ApplicaytionjP%hQrellyrmade to the City of Cupertino for a permit to install plumbing
_ Z y- pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
w= and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a Cupertino, and all other laws applicable thereto.
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use oil Work To B , / {/ ^ �� >
y ?PremisesAaj
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10271 ' Parlett Place _r.• b-90? LOT NO. 3 3�
NO. STREET ` '
CITY OF CUPERTINO VAL. 70,00
CAP. 4,90
C''TY 'A'PPLICrA�7TqION FOR BUILDING PERMIT FEE
d Date-^I Q iJl l _19_ Building Per.No. 51 3,99
>< 0 JAY l\ t Sanitary Per.No.. 99o4a, _
3 V Application�is hereby-mode for a permit to_rnn c+ _ (Plan 2(80)
= LL a l �storAytype 5 N.Hr. (2080 Sq.Ft.Liv.+ 440',_Sq.Ft.�a�fu)e
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O < to be occupied only as T R 7 Single F •l Th El l�in accordance with
Z' 0 Plans,Specifications and Plot-Plan filed herewith. -
a w
F x Estimated Value of Improvements,$ 70 s 000
PI Ck Fee$
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee$ 227.00
0.Q other laws applicable to the construction,location,and
Z - use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
3 o SUITE C-2
W Z BAS HOMFS� INC 292-2077 20921 STFVRNS CRF.RK RTV1),
w w OWNER PHONE ADDRESS
SAME
QCONTR.OR AGENT ADDRES
_ v SAME 321R64
PHONE - STATE LICENSE BUILDING INSPE TOR