5141921034 Lauretta Drive _
NO. STREET
CITY 00 CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10335
FILE NO. 51,419
DATE 4/13 I978
42
LOT NO.
Application is hereby made for a permit to 5 NHR (2228 sq.ft.
Const. Plan 2 B a 1 story ty4l. +504 sq.ft.gar)
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 75 , 000
FEE $ 237.00 PLAN CHECK S
OWNERDividend Dev. Corp. ADDRESS 3600 Pruneridge
Santa Clara
PHONE 246 -5001
rnw,rta Same Annpr CG
NE �1 STATE LICENSE 275773
LCA APPROVED James H. Sisk /m
BUILDING INSPECTION RECORD
ESS FORMS I NC.. Li
DATE
SPEC OR
DATE
INSPECTOR
FOUNDATION
(i
FLOOR STEEL
PRE - GUNITE
FRAME
BOND BEAMS
LATH
1 -307
WALLBOARD - . I & EKT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
.'L
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
ESS FORMS I NC.. Li
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
HEATING & A/C INSPECTION RECORD
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
DATE
INSPECTO
BACK FLOW REQUIRED
UNDERFLOOR S.M.
UNDERGROUND ROUGH
BACK FLOW INSTALLID
UNDERGROUND ROUGH
DUCTS & INSULATION 'Ile
ROUGH WIRING
r
.ROUGH WIRING
FLUES & COMB. AIR
FINISH WIRING
JDATE
PARTIAL RO H
FINISH WIRING
CONDENSATE DRAINS
FIXTURES
7q
INTERIOR FIXTURES
FINAL APPLIANCE
MOTORS
ROOF DRA & LEADERS
EXTERIOR FIXTURES
FINAL
119
MOTORS
FINAL GAS
FINAL
FINAL PLUMBING
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTO
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLID
DUCTS & INSULATION 'Ile
*7107
UNDERGROUN OUCH
_
FLUES & COMB. AIR
%
'
PARTIAL RO H
CONDENSATE DRAINS
ROUGH C 4PLETE
FINAL APPLIANCE
ul
ROOF DRA & LEADERS
MAIN DRAIN
FINAL GAS
7
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Cry OFI2-UPEkTINO
DATE ! Z� 1 �C IBLDG. PERMIT NO.
THE BLDG. LOCATED AT I V 3 V �� u V P (((1
OWNED BY 1 /i V 1 >('ti I) V - \� VK. V
HAS BEEN�(COMPLETEp�FOR USE AS�w
(AETEREDI
BUILDING INSPECTOR'S ,OFFICE
Bldg. Dept.
CITY OF CUPERTINO office Copy
❑ Backflow Device Sanitary Permit No. T '
❑ Sewer Connection Plumbing Permit No.
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C Plumbing Final Lot No.
Owner or Tenant 1 f —'t V I\ ) G
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Date Connected / �• ' 19Zb Date(FinaI // ' 9 19
PLUMBING IINSPECTOR
q0 /R c> 7- 7-/1 .%l•� • _ oL. - � LOT NO. z 3o-
NO. STREET ,.
CITY OF CUPERTINO , CAp (vAi'7 —'3i �s
d APPLICATION FOR BUILDING PERMIT I FEE S
w Date 7 , 19 �. Building Per. No.
xO r Saritory Per. No.Z4L3
3 V Applic tibn is hereby by made for a permit to C O N.5 7. P4 ,60L) .2-13
_u- a—." /ztstory, Type NAllq 2.1.84.41 V,V Sc�i •�G%1� Structure
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to be occupied only as —
in accordance with
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Plans, Specifications and Plot -Plan filed herewith.
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Estimated Value of Improvements,
PI Ck Fee $
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It is hereby agreed that the requirements of the
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Fee $.2 3 7
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Cupertino Building and Zoning Ordinances and all
p a
other laws applicable to the construction, location, and
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use of buildings within the City of Cupertino will be
Total Fee $
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complied with.
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State Contr's Lic. 27577 'I
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PHONE STATE LICENSE
BUILDING INSPECTOB��
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/ 0 i / Lt'� dJ' LOT NO.
NO. STREET ,
CITY OF CUPERTINO
11 _ Sg ,FPLICATION FOR ELECTRICAL PERMIT
Data // J M , 19 /
Permit No.
Fee E�
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 of Work To Be
Premises Performed
Owner Address '3
Phone d
By Address
Co a' or, Agent
Phone
State License Approved
Electrical lnspecto
I AGREE I WILL NOT VIOLATE ANY THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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21034 Lauretta Dr. LOT NO. �2 42
NO. " REET',
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
OCT 1 D 1978 Permit No.
Cate tg Fee$ el—�7 c'"LJ�
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 of 1 -fam. res. Work ToBe electrical
Owner Div. Dev. Corp. Address_ P.O. Box 2805, Santa Clara
By WANDERER ELECTRIC, ,.VOe_;•
Contractor, Agent
Phone 0 3c —r 5- W/
State Licensee 6 Approved
Electrical Inspector
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CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Date , 191�� Fee S Gam'
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 C
Address
Phone
�iLfl!/� /�-�
By L /././�
Address'
Contractor, Agent
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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CQ7 C? CU'MTCtn CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JU1'1 19 1978 t� v'/ sanitary .No.
Date_ - ✓ 19 -'U Permit No
Pee $�
Application is hereby made to the City of Cupertino for a permit to install Plumbing
Pipes 511(110r 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 Premises . Single dwelling
Owner Dividend Dev Corp
Address 3600 Pruneridge Ave
By Bohart Plumbing Company Address 139 E. Fremont Ave
CONTRACTOR, AGENT
Phone 245 -2323
State License 186579
PLUMBING INSPECTOR
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