51,322.110913.Canyon Vista Drive 27
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
10011 B.F.
SANITARY NO
51,322.1
FILE NO.
June 10 77
DATE 19_
Application is hereby made for a permit to 5—NHR(2203 Bq. ft.
Const. (Plan "C" Special) a 1 st,ry,typ,liv.+529 Bq.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 Const. ADDRESS 10850 Stevens Canyon Rd.
PHONE 257-2572
CONTR, ADDRESS
PHONE STATE LICENSE 26
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
FOUNDATION
LANDSCAPING
F.M.O. INSPECTION
....
ra��P11M
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
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
1
UNDERGROUND ROUGH
FLUES & COMB. AIR
_ykj
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE A.
FINAL APPLIANCE
%
ROOF DRAIN & LEADERS
MAIN DRAIN ,
d- 7
V
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
ROUTE SLIP
File No.
yy.am2�,, Date
Location 4�,, ce,
Subject V e,
Notes
i
i -
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Q CITY OF CUP.ERTINO
DATE w 19� BLDG, PERMIT NO.�
THE BLDG, LOCATED. AT
OWNED
(COMPLETED) ik -f (?' f 9 !3'
HAS BEEN r l FO SE AS j V , l2&I j�,�
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
,Iff Backflow Device
lQc Sewer Connection
LI, Plumbing Final
Owner or Tenant
At
Bldg. Dept,
Office Cap,
Sanitary Permit No. /O0 / /
Plumbing Permit No. %y. 3'-)
Lot No. P 7
Date Connected /0 19_! Date Final -s - 1979
PLUMBING INSPECTOR
7
ELECTRIC
� OFFICE COPY
SERVICE NOTICE
BUILDING
INSPECTOR'S OFFICE
CITY
OF CUPERTINO
�J p
TO
You are hereby authorized to connect electrical service for
Owneror Tenant
../....*^
a `—�
............_......................................................
At ....... � ..3
.......................(.....................
C CL r �/ v�
//�y� �., �r .
14.1................................................... ...A..
No. of Wires ........................
Size of
��
Wires ...................... Size of Switch ....................
Motor Load ..........................
Voltage
................................ Phase ..................................
HeatingLoad ........................
K. W .
.................................. Voltage ................................
No. of Meters..................
Light ...............
t 10............ New Service...... 4�. Reconnect..................
No. of Add. Meters............
Heat .................
220............ Three Wire................ Move Service............
Power..................................Three
Phase ............... Mov eter..............
............1f................
ELECTRICAL INSPECTOR
To
You are hereb a thori
Owner or Tenant .................
At............ Uq...............
CITY OF CUPERTINO P G k G
COPY
GAS SERVICE NOTICE
►-�_ i3. ^�t
CC-
-to connect th�GAS service
[for
` ( czw-
f.........-........ ........... �........ ................. .
No. of Meters ... .......... I.......
No. of Add. Meters
..........._- .--------- ..---------- %................................
j New Service --------- K�
..............................
Movq Service ..............
Y I¢J
o e� Meter ..........................
r..
............. .................... .................. y-----.....---
PLUMBING INSP yT0
i
/09/3 �'.4A/Ya✓ &7-,4 Oe- LOTNO.'-2%
NO. STREET
-C.AV» CITY OF CUPERTINO
V• .
G ` l APPLICATION FOR ELECTRICAL PERMIT
d Permit No.��
Date / y6 / V , 19_ Fnf I � '�
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 ofWork Toed ELEcT,ei�.4G Promises a Performed �
Owner 7,5i �4 Addnnde�d J%/S rile Ie—w /oe!i
Phone--,' S^7- --?57L
BY Roloo Electrlcol Contrectom Ina, Addreu al'
Contractor, Agent
Phone %6"..20a-6
State License C-10 459309 Approved
ctrical nrpeaor
I AGREE I WILL NOT VIOLATE ANY OF THE VfCRKM 'S
COMPENSATION LAWS OF THE STATE OF CAOFMIA.
L1
,%a,✓ C
ITEM
NEW
RPL
Number of Outlets
2
l!oFEES
Y
Number of Switches
Number of Receptacles
3
Number of Fixtures
1
Ranges or Ovens K.W.
O E
Size of Main Service
J
Number of Meters
Number of Panels
Q D
Signs - Transformers
Dryers
J )
Motors:
H.P. Phase yQ/j C T
7.01
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Foes
e c+
Date
NO. STREET
LOT NO. '
CITY OF CUPERTINO
APPLICATION -FOR APPLIANCE PERMIT
.�'
19ZL
Permit No.
Fee Ste_
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 Pan..si1-n ' Performed �ai.�.Cr'YIc�Lc„err,C �ia ite.f Min Y.r 6
Owner )1n_:++yin-rLnvA:.�•ns*rn Address i-1loC'1G �i� CnMaMr
Phone
r�
By lslnn•L_�or-ii, , Address 5,11
Contractor, Agent QQ
Phone. 3L4- 169U
5tote License 1513915 Approved-
PIWIrnbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® c.
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,0D0 B.T.U.'S
2 FORCED AIR OR GRAVITY FURN. OVER 100,0D0 B.T.U.'S
3) 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
I
4 U
TO 100,001 B.T.U.'S
8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,0DO TO 500,001 B.T.U.'S
9) BOILER OR COMP. TO 15-HP. TO 31-HP. ABSORP.
SYSTEM 5D0,0DD TO 1,000,001 B.T.U.'S
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,ODO 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.ORINDUST.INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
nlaldh Wes,
I ^,
KRWT M
3
11 TOTAL FFE
n
ANf/O/l �t'� LOT NO. It
C ^ • CITY OF CUPERTINO
Z 7: APPLICATION FOR APPLIANCE PERMIT
o, I'.'f
M= �
19 Z;7—
Permit No.
Fee S
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 / ✓ / r Work To Be
PremisesT/� F/� // Performed
Owner YPYI�Q+9 /.b/.�f•yu, Address /!l.(�?9/±/ _ 1 •i'Or/�i1S /�i, /Arh r�DH A'✓
ts7 .r9�
Phones : / 4
Phone •i% *�A'1,;e /
State Ucensa W e<-I �� Approved �-
PlumInspector /
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
APPLIANCE 11 UNITS i FEES
SYSTEM
CU. FT.
EQUIPMENT
B.T
�M m
LOT NO. eF 7
NO ��st�' STREET T
LJ
Cit `Oj'`1 CITY OF CUPERTINO
; ULICATION FOR PLUMBING PERMIT
PSanitary No.
i
Date �U Z ,19� Permit No.
Fees h
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
OwnAr Address r/94&
Phone 7 %`
State License �? �� 7� Approved_ Ve` �-C L 105k
Plumbing I spector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
f
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
Dental Unit
'
- rinking Fountain
W r Drain
WATER SYSTEM '
opper
Size
.�
Restaurant Sink
Material,
Sand Trap
TOTAL EES
U
Fixture Fee
a Drain
%
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vcc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
CITY OP CUPERTINO
CAP.
crAPP,LICATION FOR BUILDING PERMIT ( FEE e% •
Data 19 Building Per. No.
J U\I 11 I y I nit ary Pey N;.
Application\is hereby made for a permit to�
a ��story; Type �il T�/���.��X/K 1-6-1�y Structure
to be occupied only as ZL e/Uzaw 91&r in accordance with
Plans, Specifications and Plot -Plan filed herewith.
19 Estimated Value of Improvements, S
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be
complied with.
PI Ck Fee $
Fee $ f
Total Fee $
A aAL e25 Za,S /OASO S7ZitE s6 G4NYt+�
OWNER 7.-- PHONE ADDRESS
CONTR. OR AGENT O� DDR�Sfiif$ S
-157 at7� a268o7h 7fii
PHONE STATE LICENSE jIF BUILDING INSPECTOR