NO PERMIT NUMBER 10892 Canyon Vista Dr. 19 ss
NO. STREET /( ,i c 1t;, ..ty�; ' �C ice-F. LOT NO.
f 4.90
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9580 BF
FILE NO. 51,122
DATE _9/ 91 /7(; 19_
Application is hereby made for a permit to
T:nnetnTnt Plan R) a story,type 5 N. Hr.
to be occupied only as Si ng],P. Fpmi l_y Dwelling
ng
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $70.000
FEE S 227.00 PLAN CHECK$
OWNER Gateway Const. (:n- ADDRESS 4t oo FlCriminn Real T..A,
PHONE 257-2572
CONTR, ADDRESS
PHONE STATE LICENSE
4 APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME 6 _
BOND BEAMS LATH
WALLBOARDS-&N .8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TI EDO W NS -MISC-
DIAPHRAMS
( /
MOORE BUSINESS FORMS INC..LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROLND ROUGH
ROUGH WIRING ROUGH WIRIN
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTUR
MOTORS EXTERIOR FI RES
FINAL MOTORS
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
UNDERGROUND ROUGH FLUES&COMB.AIR �y
PARTIAL ROUGH y CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN a-
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CERTIFICLT OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF-CUPERTINO
DATE ` 19 BLDG. PERMIT NO'.
�I THE BLDG. LOCATED AT
OWNEDBYI7 7WI-3 1V lB6--ylg&Le-T'�0 CD •
lGF77MPCETFIII� FOR USE AS
HAS BEEN
I!i
(ALTERED)
I
p
O(IBUrtDING INSPECTOR
ROUTE .SLIP,
File No.
Date n
Location
lie
Subject
Notes
Approved 2/
Date lnspe r
OFFICE
CITY OF LUPERTINO COPY
GAS SERVICE NOTICE /
/L.f 2 i ! .3 , 19 Try
To
L
You are hereby authorized to connect the GAS service for
Owner or Tenant -
At / /,.4 r
/ New Service
No. of Meters Reconnect
No. of Add. Meters - Move Service
Move Meter�� �/ p
PLUMBING INSPECTOR !)
,e OFFICE COPY
i 1 ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
VVV CITY OF CUPERTINO
i
............................... t
To
You are hereby authorized to connect electrical service for
Owner or Tenant ..�?c�..... .�raa. ...... .'...........................................
At .....�.n.. '.y ........L -r.::7. n .....�.e%/ '°..�...P�.............................................
I
No. of Wires ........................ Si4e of Wires ...................... Size of Switch � A.....
Motor Load .......................... Voltage ................................ Phase ...................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
r Light............... 110... New Service......vl Reconnect..............
...
No. of Meters..........(......... r/
No.of Add. Meters............ Heet................. 220.0...... Three Wire................ Move Seryice...........:
Power............... Three Phase................... Move Z41ter..............
........................................,' '9 �
........................................
ELECTRICAL INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
FII Sewer Connection Sanitary Permit No. ..........
Plumbing Final Plumbing Permit No.
Owner or Tenant ....... Lot No. ............li............
..........................................
At ........1. /7-V..f�2.
, .1. ......................r.................
Tract .................................-.. ......../.
.........................I........... ..................I............................
;�o
Date Connected ......... ..........--.............. 19............
Date Final -----
................................................................... 19
...................... ........... ....................*......
PLUMBING INSPECTOR
/)'f- 9 A, C.4,V V-'1 I/i.f 719 .:,U.Q. � LOT NO. 19,
NO. STREET
CITY OF CUPERTINO" CAP. {(VAL.
f0
0 d APPLICATION FOR BUILDING PERMIT ( FEE
wz cn �
Building Per.No.I-r-/3�.Z.
Date ,19_.
0 S F e 1 Sanitary Per o.
3 v Application is hereby made for a permit to 0.4' j—rf 7 ��
= v_ a f7 Ary, Type Structure
� O � �
- to be occupied only as�J�,�6 L E- Y7�1-r.L4 Y'W(!W in accordance with
a
'Z Plans,Specifications and Plot-Plan filed herewith.
aw
Estimated Value of Improvements,
.� PI Ck Fee$
O O It is hereby agreed that the requirements of the ps
3 Cupertino Building and Zoning Ordinances and all Fee$ a ez 7
p a other laws applicable to the construction,location,and Total Fee$
Z - use of buildings within the City of Cupertino will be
OZ complied with.
3 l xl�7' ELe o�ri.j o eaw('-
w w PHONE ADDRESS 4-
� d
Q 0 CONTR.OR AGENT ADD 55,E -
_ V �r4�,il(�
11 PHONE STATE LICENSE BUILDING INSPECTOR Ik
10892 Canyon Vista Drive LOT NO. 19
NO. STREET
CITY OF CUPERTINO
1611APPLICATION FOR ELECTRICAL PERMIT
f
Permit No.
Date February l..—,Ig 77 Fee$i;p R
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 `Single Family Work To Be Electrical
Promises Performed
Owner
Ga" AddresstewaytConstr. 4600 E1 Camino Real
- -
Phone ' 2,57-25:72
y
Address P•0. x 5945, San Jose, Ca._
Contractor Agent
Phone 226-2020
.State Licen,e259308 Approved
—&'('�'
ElectrI II pector
I AGREE I WILL NOT VIOLATE ANY OF THE WO ErfS
COMPENSATION LAWS OF THE STATE OF CALItORKIA.
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Io&o' lKnwaN (�i� L �t LOT NO.
NO. STRE
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
~ 1 "0 r T t Ct 197 Permit No.
Date ,- 19 Fee E « a"-
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 Ba
Premises a .r62MOSL Performed tknn -q C%='h_h a.JiWpA a 0 .
Owner Address, �-4bC)C' nn
Phone 1 ,,
By ,Al 2 fha, L �2ja n.,<1 11M Address 611 ^Hcsi
tm .0 -nv
Contractor,Agent
Phona�2.�-1 bbl(o
Stara License 15 I3 9 S 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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d P%d— !/&Al g g4xy 'IS'/ 1 LOT NO.�
NO STRE
CITY Op CU"ERTINO CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
SEP 2 01976
A Sanitary No.
Date / q r/NT I / ,19 / Permit
{� Feee$3e 0'D
Application is hereby made to the City of Cupertino for a permit to in tall 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 Work To B
Premises e- ePerformed !/
Owns � Address //I
Phone
' By Address
Contract/or/, g/�;nt'1 ,L.
Phons
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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