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NO PERMIT NUMBER (2)10903 Canyon Vista Drive 26 NO. STREET - - , . LOT NO. CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. 10010 B.F. FILE NO. 51, 322.1 DATE June 10 19 77 Application is hereby made for a permit to 5-NHR(2203 sq. f t.liT Const. (Plan IICII Special) a 1 story,type+529 sq.ft. gar) to be occupied only as I " & J Single Family & Garage in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS S 74,000.00 FEE S 235.00 PLAN CHECK $ OWNER Gateway Conat. ADDRESS '10850 Stevens Canyon Rd. PHONE 257-2572 CONTR, ADDRESS — PHONE STATE LICENSE h'Ff FNSED 6,4s v EL E� !�,/Jd77 APPROVED_ 268076 James H. Sis BUILDING INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL _ 7 PRE-GUNITE FRAME /(_ -7 BOND BEAMS LATH WALLBOARDS FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR TIEDOW NS -MISC- DIAPHRAMS R MOORE OUSINESS FORMS INC,, L, ELECTRICAL INSPECTION, RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING • 7 ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL ll-1 MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE I INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS & INSULATION I UNDERGROUND ROUGH FLUES & COMB. AIR PARTIAL ROUGH Q iEE CONDENSATE DRAINS ROUGH COMPLETE /p /).) FINAL APPLIANCE 0- 7i ROOF DRAIN & LEADERS MAIN DRAIN t 1-011V-77 FINAL GAS -27 PLUMBING CERTIFICATeO,F-COMPLETION BUILDING INSPECTOR'S OFRCE CITY OA�F CUPERTINO DATE �� ' 1—� 19LL BLDG. PERMIT NO. THE BLDG. LOCATED AT 0!507 (fLr oAo r%I�/A t11Q OWNED BY G)ATI-kJA�y COO HAS BEEN lm ALTER D FOR USE AS 1 . `� V . 1 lR c�1 i • rZ� ROUTE SLIP File No. L Date `/� 7 Location �-6' Z2,CZ - 'G Subject Approved/) Date Insp ctor ROUTE SLIP File No. Date 221L+ �% Location � Subject Notes ROUTE SLIP File No. �A /�� Date L 7 Y Location Cam/` ;--i. IL,-4 Subject Subject Notes Approved ? k Dafe Jgspector ) r ,CIT;Of: CUP5RTINO�_ GAS SERVICE NOTICE To You are hereby authorized to connect the GAS service for Owner or Tenant �J �H-%�//�• At IoCYN� New Serv' No. of Meters f Reconnect No. of Add. Meters Move Sere OFFICE COPY '11 9 77 Move Meter�� PLUMBING INSPECTOR �y✓TO�o p. j ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECIDR�S-N6TICE CITY OF CUPERTINO•' %� /✓eG �/ 71�7 To You are hereby authorized to Connect electrical service for Owner or Tenant 1,\,TekAJd,/ CO /�'i.]—/7 At na/) No. of Wires Size of Wires Size of Switch U Motor Load Voltage Phase Healing Load K. W. Voltage Light.) 10—New Service Reconnect No. of Meters Heal 120 Free Wire More Service No. of Add. Meters Power C'" hree Phase Move Meter O� ELECTRICAL INSPECTOR N BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO 8 F- Sewer Connection Plumbing Final Bldg. Dept. Office Copy Sanitary Permit No. .16611e) ........... ................. Plumbing Permit No. Lot No . .... ........... Owner or Tenant ..... At...JrJ.19. Z23 .... .................................... Tract DateConnected ........ -77 ......................................................................... 19 .... ....... DateFinal . ............. . I .. ................................................................. 19............ .. ..... Rii.:, A.v. .. ................. J,z M IN6 INSPECTOR P OR BUILDING INSPECTOR'S WPM~ Bldg. Depl. CITY OF CUPOTINO office copy BackflowDevice O Sewer Connection! ❑ Plumbing Final (_, Owner or Tenant / �, Sanitary Permit No.! UU I 0 Plumbing Permit Nc i( J 1 7 - 1 No. �7— L Date Connected h- 4 19� Date Final 19 ©� , PLUMBING INSPECTOR CITY OF CUPERTINO 10300 Torre Avenue Telephone 252-4505 INSPECTION NOTICE nn /, BUILDING DIVISION J• I DA1 ADDRESS —IL Bt' �L-6 TIME Ptj DAILY REPORT g� CORRECTION NOTICE ❑ VIOLATION ❑ TYPE INSP.: SLOG. ❑ ELEC. ❑ PLBG. MECH. ❑ WEATHER —fir Afu 1e INSP. CITY OF CUPERTINO 10300 Torre Avenue Tophone 252-4505 INSPECTION NOTICE i BUILDING DIVISION JOB DATED - ADDRESS TIM U DAILY REPORT ❑ CORRECTION NOTICE 0-' VIOLATION ❑ TYMINSP@ . BLDG. ❑ ELEC. ❑ PLBG. MECH. ❑ qw WM�. -ll" A MENIMBITANWIN A Mmp . M40 0 Ww�mwmaxflwl �A: Mlm w CITY OF CUPERTINO, - (VAL. CAP. a APPLICATIONSOR BUILDING PERMIT l FEE W W Dote . __� 19 Building Par. No. 0 W LL IV J U IOU f nitary 3 u Application is hereby'made for as to ,permit —story, :.sYr���1 Structure _ a �TypeA�+liQ� O w a to be occupied only in accordance with Z M Plans, Specifications and Plot -Plan filed herewith. a W Estimated Value of Improvements, $ it 5 LL PI Ck Fee $ _O O It is hereby agreed that the requirements of the s.`�/ vt Cupertino Building and Zoning Ordinances and all Fee $� p a other laws applicable to the construction, location, and Z use of buildings within the City of Cupertino will be Total Fee $ L ZO complied with. 3Q ATEulA� EaaJsre�a �0 �So .SYEob C�vYav W OWNER PHONE ADDRESS O: 6 f CONTR. OR AGENT a69-0 �r�, qD ESS qR 7II PHONE STATE LICENSE Jd�� BUILDING INSPECTOR Y /D U3 C'/lA//DAI GSiR -'K LOTNO. �6 NO. STRfEi r CC:=SCIo CITY OF CUPERTINO uARPLICATION FOR ELECTRICAL PERMIT / a Date_ n _, 19_ Permit No. Fee $� 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 o1 Premise. l;C44-Le Owner 4,&g J-4Y Phone i S y g Reluo i lectri un ruc ure, T Contractor, Agent Phone % �-6" 7-e } O G10 259900 State license Work Porfor d 4LEc Addnr✓d/-S'�11 .l%EIS Cif�iOA� /c-P, Inc. I AGREE I WILL NOT VIOLATE ANY OF THE COMPENSATION LAWS OF THE STATE OF 45 LA G✓C ITEM NEW RPL FEES Number of Outlets Number of Switches t, Number of Receptacles 31 9 i ri=3 Number of Fixtures l Ranges or Ovens K.W. a 4 Size of Main Service -v 0 Number of Meters Number of Panels - 04 Signs - Transformers Dryers q Motors: H.P. Phase �Q CT eZ•O H.P. Phase H.P. Phase Power Poles Misc. Permit Fee -O H.P. Charges Total Fees b c+ C>WnJVI.tp �— LOT NO. i NO. STR ET • ' I CITY OF CUPERTINO ' APPLICATION FOR APPLIANCE PERMIT Permit No. Date Q, ' Ir�i , 191]_ Fee S�1��'8 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 p04, At' 1' Performed Owner(73n:7111—M -_.COM{'n—•nr,i, Address 40 ls•v�s�+a By ddress—Fill ')4nrvns&rr,Q Contractor, Agent �— Phone -3"l 4_ 1 1-1 1- State License I J .f at S Approved 9rGCi(14 P ummbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® LA APPUANCE UNITS FEES 1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING 100,DD0 B.T.U.'S 21 FORCED AIR OR GRAVITY FURN. OVER 100,DDO B.T.U.'S 31 FLOOR FURNACE 4) SUSPENDED, REC. WALL, 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 LJ TO 100,001 B.T.U.'S ' 8) BOILER OR COMP. TO ISHP. ABSORP. SYSTEM - 100,000 TO 5D0.001 B.T.U.-S 9) BOILER OR COMP. TO 15-HP. TO 31-HP. ABSORP. SYSTEM 500,000 TO 1,000,001 B.T.U.'S 10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP. - SYSTEM 1,OD0,D01 TO 1,750,001 B.T.U.'S ' 11) AIR HANDLER 10,000 CU. FT. 12) AIR HANDLER OVER 10,000 CU. FT. 13) EVAP. COOLER PORTABLE 14) VENT. FAN CON. TO SINGLE DUCT 15) VENT. SYSTEM NOT A PART OF HEATING OR AIR CONDITIONING 16)HOOD - MECHANICAL EXHAUST 17) DOMESTIC INCINERATOR 18) COM. OR INDUST. INCINERATOR 19) EQUIPMENT NOT COVERED BY THE ABOVE 3cC TOTUM � �NO. �/5TREET PN� l f11� 40T NO. CITY OF CUPERTIN� APPLICATION FOR APPLIANCE PERMIT Permit No. Date �. 192,2-- Fee $ 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 n Work To Be Premises �,�t/ //F S _ Performed //�� 4/� ^^ /� Owner PW241ft141Z 0,722/ w Lo. Address L' Phone State License --ZO Appro,ed- Ph,mbinb Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. (51. APPLIANCE 11 UNITS I FEES BOILER OR BOILER TO HOOD TO 191 EQUIPMENT NOT COVERED BY THE ABOVE II 1 I m MTM M /0 %O -� ,.l'itnc.•-ro+'I✓ (ILOT NO, IV_6 NO .S STREET ' .. Oj CITY Of CUPERTINO APOICATION FOR PLUMBING PERMIT ' , Sanitary No. Date Z�(7 ,19Permit No. X 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 Work To Be Premises Performed Own Address ,Z sd Phone�77��nj��/ State License 2A3 % 7` Approved Plurnlift Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® c. FIXTURES NUMBER MAIN DRAIN Unitsl Fees Units Fees Water Heater Size Water Closet 0�7-Material S 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 6 Troy To Curb Dentol Unit - rinking Fountain or Drain WATER SYSTEM opper Size Restaurant Sink Material Sand Trap TOTAL FEES Uri I Fixture Fee tyja Drain Main Drain fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Sweeper e Per]F" Total Tota