51,332.1 SFD10923 Canyon•Vista Drive 28
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO
10012 B.F.
FILE No. 51, 322.1
June 10 19 77
Application is hereby made for a permit to 5-NHR(2203 sq.ft.liV
Const. (Plan "C" 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.
FEE $ 235.00
ESTIMATED VALUE OF IMPROVEMENTS S 74 ,000.00
CHECK $
OWNER Gateway Const. ADDRESS 10850 Stevens Canyon Rd,
PHONF 257-2572
PHONE
STATE LICENSE 268076
APPRnVFn James H. Sisk/m
BUILDING INSPECTION RFCORD
DATE
INSPECTOR
DATE
INSPECTOR
FOUNDATION
V
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH/G •7
WALLBOARDS - AT. d EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
ELECTRICX� INSPECTION RECORD.
RESIDENTIAL
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING /O
JDATEINSPECTOR
UGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
IA
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
OTORS
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 8 COMB. AIR
PARTIAL ROUGH O
/O -
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
J
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
L
FINAL PLUMBING
4-%=]P
MISCELLANEOUS
CERTIF[CATE OF.00MKETION
BUILbING INSPECTOR'S OFFICE
/ CITY OF CUPERTINO
DATE 197Z BLDG. PERMIT NO. 5 /� 3�-� • )
THE BLDG. LOCATED AT / 1 4)
i
OWNED BY��
-COMPLETED,
HAS BEENI---�FALTEREDF- FOR USE AS J
BUILDING INSPECTOR
ROUTE SLIP
File No.
Date K
Location
G
Subject
Notes
Approve
D t Inspector
CITY OF CUPERTINO '�COPYr
GAS SERVICE NOTICE
........ ...
................... .....
�.....
._ 19 �. .
To
You are hereby " horized to_connect the GAS service for
Owner or Tenant '�" N X—. cr C 1 -
........................................................ ....
At CMG 1% 0.n �.
..... ................... ............_�.. .......- - ------------- -
1 New Service ....
No. of Meters ..........�.......... Reconnect ........
No. of Add. Meters .............. %, .I k4elmeter ..........................
.... .................................... ...........
....t ......
PLUMBING INsOcTbR /I
ELECTRIC SER.V.,iCE NOTICE OFFICE COPY
2 ' '
BUILDING INSV.ECTOR'S NOTICE
61TV OFCUPERTINO 1
To / i r � I
-� t
You are hereby omho med to Co�nnQe�ct electrical se ice for
Owner or Tenons 1�•��""n— �j0-'� )'��. `
No. of Wires Size of Wi/res 1 Size of Switch / V Z)
f
Motor Load Voltage Phase
Heating Load K. W. Voltage
No. of Meters
Light 0 � � 17New $ery ci a �/ Reconnect
1 z l�
1 Heat !0 hree Wte Mare Service
No. of Add. Meters Power Three Phh66s Move Teter
r� V ---�
0. ELECTRICAL INSPECTOR �
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO Bldg. Dept.
Office Copy
,e❑ Backflow Device Sanitary Permit No. hard/J
Sewer Connection Plumbing Permit No. 3» I
,[D, Plumbing Final Lot No. a
Owner or Tenant
At
Date Connected 1977Date Final
//��1 — %— 197'F
OM ✓ ) ,r-OL'LT h.
PLUMBING INSPECTOR
CITY
CAP.
d APPLICATION FOR BUILDING PERMIT
w
Dab Building Per. No.
S , 19 unitary P W JUN 10 1977 WdiW
UApplication is hereby made for a perm to '
W a
'O
LL W
OQ
` W
W =
a LL
00
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0
Z
i O
_a
W i
it a
aU
to be occupied only as & arTF. f4or" j 1W—, IFIM in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $
de
PI Ck Fee $
It is hereby agreed that the requirements of the 00
Cupertino Building and Zoning Ordinances and all. Fee $ d�—
other laws applicable to the construction, location, and Total Fee E
use of buildings within the City of Cupertino will be
complied with.
C/QTEWRy CtOAZ70— —757aQ� /08'SAJ o SMODUS (ZA&,Q ?b
OWNER PHONE ADDRESS
CONTR. OR AG T
-457as�� 6, "O7�
PHON STATE LICENSE
ADD F,
��
BUILDING IINSPECTOR
/
V of,
LOT NO.
/0923 l'} vsinA/ l�Ilr� .•�R
NO. RE T
"Tl:io
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
Permit No.
Dale —19
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 46 Werf To Be C
Ue 01 �� Performed _ Lac TXic.a L
Owner Address Address/af�6 - tTE! kls
Phone-- 24�:7- 2-r 77-
e Telco Electrical Contractors. Inc.
T Contractor, Agent
Phone
C-10 259908
State License
I AGREE 1 WILL NO
COMPENSATION LA
m '.
PLA,tj c
ITEM
NEW
RPL
FEES
Number of Outlets
2.2
f6
Number of Switches
Number of Receptacles
3
Number of Fixtures
/9_
Ranges or Ovens K.W.
Z
O
Size of Main Service
1.06
Number of Meters
Number of Panels
- 0 O
Signs - Transformers
Dryers
0 O
Motors:
H.P. Phase FrQgi T
-0 6
H.P. Phase
'
H.P. Phase
Power Poles
Misc.
Permit Fee
0 6
H.P. Charges
Total Fees
be
L lilii ✓n/7 L� ,,I, i //r , LOT NO. 1.iY
NO. ST EET '
1 CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Data •� /N/�✓y?� , 19ZZ Fee $ 7 —
AppligVtion 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.
Work To Be
Performed
%oAddresf
���� t /z Y�9' �P���q ✓ / /i /
/YA"ddreu 'fBri3 xA "zri �?�/� �/gssfl/O/��
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 'e
APPLIANCE 11 UNITS I FEES
8) BOILER OR COMP. TO 1 &HP. ABSORP. SYSTEM
I00,000 TO 500,001 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 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,000 CU. FT.
12) AIR HANDLER OVER I O,ODO 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
IB) COM. OR INDUST. INCINERATOR
191 EOUIPMENT NOT COVERED BY THE ABOVE
\oA2?, CLaN�.'tA V 1SLA _ LOT NO. _
NO. SIRE T '
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Date F — �� , 19Z7_ Fee $ vD
i
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 I� Work To Be
Premises PQ,0 'nod Performed n.A Z(-n c6l uv e e i-
Owner C'Adiu.nl hk Addrass LUoCO C 0 )C hA,
By S(sn.n•S- -A ;nn Address &11 �iCIM si'i� i1
Contractor, Agent
'hone --t l L1.1 Lnr110
State License \51_'S9G Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,000 B.T.U.'S
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 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, A55ORP. UNIT,
COMFORT HEATING, COOLING, ABSORP., OR EVAP.
_
COOLING SYSTEM
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO I00,001 B.T.U.'S
8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,000 TO 500,001 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. 300.HP. TO 51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
1)) 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
L+
O
AIR CONDITIONING
16) HOOD - MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
18) COM. OR INDUST. INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
4
O
TOTUM
Z CU
f0T NO. 51 Z
O �p STREET '
c-t '\ CITY OF CUPERTINO
O� \%PPLICATION FOR PLUMBING PERMIT
` Sanitary No,
Date s/ ,19Permit No.
Fee $ 140 or=
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 lows applicable thereto.
ark To Be y�K;
'arformed
Address
qs/may
State License 21171
Approved �
. Plumbing Insp (((
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. /x\,
® LA
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
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
/
Water Softener
Bar Sink
/
in
Comb. Sink 8 Tray
Dental Unit
inking Fountain'WATER
nMcinDrainF�51
SYSTEMopper
Restaurant Sink
Sand Trap
TOTAL ESUri
I
Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Bs
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee