NO PERMIT NUMBERNO. STREET
to Drive
CITY, OF CUPWINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10013 BF
FILE NO. 51,322
DATE July 8 1977
Application is hereby made for a permit to 5—NHR (2054 sq.ft.liv
Const. Plan "A" a 1 story,typet483 sq.ft. gar)
to be occupied only as L & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS E 69 ,000.00
FEE $ 225.00 PLAN CHECK E
OWNER Gateway Const. ADDREss4600 El Camino Real
Los Altos, Ca
PHONE 257-2572
CONTR, ADDRESS
STATE LICENSE
S/. �7 i APPROVED James H. Sisk/m
/
BUILDING INSPECTION RECORD
DATE
INSPE TOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME 11)
'
BOND BEAMS
LATH
WALLBOARDS INT dE%T.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION -
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
C.
DIAPHRAMS
INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
7
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
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
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
{(-7J
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS lZ-1
FINAL PLUMBING
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
DATE
THE BLDG. LOCATED AT
OWNED
HAS BEEN (COMPLETED)
!CITY
OOfCUPERTINO �+
19 a BLDG. PERMIT N014 1-1
ROUTE SLIP
FileNo.
Date
Location ,;f) _
J�
Subject
Notes
Approv —
a e nspec or
ZA
To
You are
CITY OF CUPERTIN6 COM
GAS SERVICE NOTICE
.— ...... ... - ... ... .1?.-1 k(-- 17.
connect thd' GAS service for
Owner or
Tenant
At Tenant
......... ..0 ..... ......
New Service ..... 6 ......
No. of Meters ...... Reconnect ... - ... ... ......
Move Se icc ... ........
No. of Add. Meters .............. ve eter
........ .. ...... ......... .......
4PLUMBING INSPEC R
7� J
ELECTRIC
' OFFICE COPY
SERVICE NOTICE
c7 r
BUILDING
INSPECTOR'S OFFICE
CITY
OF CUPERTINO
7
....................... !. G.'"v,.�.......%�..........I Af
To
(�
You are hereby authorized to connect electrical service for
Owner or Tenant .............
....._...0 /.....G1e^"
................................--------................................--
'
At .....
/�))
�'�....L=.-
.................................................................
No. of Wins ........................
Size of
; ,
Wires ...................... Size of Switch f.'..............
Motor Load ..........................
Voltage
................................ Phase ..................................
HeatingLoad ........................
K. W .
.................................. Voltage ................................
No. of Meters.........�........1
(Light.
t...............
0...
11V' New Service...... V...
� Reconnect...............
No. of Add. Meter............
(Il Heat .................
220............ Three Wire................ Move Service .........
Power ...............
Three Phase................ M e Meter..............
...............................1. ...............................................
ELECTRICAL INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Y /7P
Sewer Connection Sanitary Permit No. ............
[� Plumbing Final Plumbing Permit
Lot No............ Ry -----------
Owner or Tenant ..._ t7f .. -;:,ter...... %z"a-
Gr
Trail
DateConnected ..... AQ...... 5....'..../.................................................................. 19............
DateFinal .............. //-:..7................. ................... ...%................. 19........----
.............--....�YP ......................
PLUMBING INSPECTOR
CITY OF dUPERTINO CAP. ((( VAL.
{ M
APPL FATION FOR BUILDING PERMIT t FEE j
C-!SY EF �J� u.t i0 Building Per. No.
Dare
I pil R .1977 Sanitary Per. A . .
App ication is hereby made for a permit to 04jiM F
a-PlAstory, Tjype f~ 411141K)-Structure
to be occupied only as�^ in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $L9
PI Ck Fee $
It is hereby agreed that the requirements of the s�N
Cupertino Building and Zoning Ordinances and all Fee $
other laws applicable to the construction, location, and Total Fee S
use of buildings within the City of Cupertino will be
complied with.
OWNER PHONE
CONTR. OR AGENT
PHONE STATE LICENSE
ADDRESS
s
6
6�m
1"NO. 3 (AI, Y'e,L/ !//STiA O A .. LOT NO: '2 9 /
C'j' CITY OF CUPERTINO
IWLICATION FOR ELECTRICAL PERMIT
1 �l Permit No.
Date �Y �j%� ,19_ Fee$ yy�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 LE Fier/L v Pnmiws >
Owner �^
Phone l✓J 7^ f77Y
er Relco ClecU'lcal Contractor&
*+��iC-�o�ntractor, Agent
Phone CA-.2e10
State License
010 259308
Perk To Be
Performed L/ /^
I AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
m �A
;I
ITEM
NEW
RPL
FEES
Number of Outlets
4,;!3
1-3-
Number of Switches
Ito
Number of Receptacles
Number of Fixtures
l6
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
a d
Signs - Transformers
Dryers
%
100
Motors:
H.P. Phase c
H.P. Phase
'
H.P. Phase
Power Poles
MIX.
Permit Fee
P!
H.P. Charges
Total Fees
8 c+
/lJ 19"ONEET '6rYdo .,%t/Y" LOT NO. --Z/
CITY.OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Fee $(1�' f —
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 `Y /Yr �- PerformedpEj
Ownerr�PH�A �Ilf /"H /d Addrw %d p -i fl lr�f 1•Zr /itt.H ✓l�li �d
? n 7 _ 9G,![/
Phone t:?7"P=,?,P/,7
State License Approved_
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
APPLIANCE 11 UNITS I IRS
5) INSTALLATION OF APPL. VENT
6) REPAIR OF, ALTERATION OF, OR ADDITION TO
HEATING APPL., REFRIG. UNIT, A85ORP. UNIT,
COMFORT HEATING, COOLING, ABSORP., OR EVAP.
COOLING SYSTEM
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO 100,001 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,ODD,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 10,DD0 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
191 EOUIPMENT NOT COVERED -BY THE ABOVE _
I nC ' ^1J� l0T NO. `
NS7REPf
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Date �'' I� , 19T-1_ Fee S y �
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 7o Be
Premises Pa rl n i.Cr, Performed N ras{ ''
Owner,-y `n �. m r}� � ni X, -. c, Address iAll 1)() U+ (im.M
By S • s ^ n •'t 1"� (Jr"}T C, Address Gs 1 1 �('I . , 0 iry
Contractor, Agent
Phone L4— I loc,( ,
State License Approved
'Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S r
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
O �.
SYSTEM
APPUANCE II UNITS I FEES
51-HP. ABSORP.
MWT
TOTM i£E
LOT NO. -2
C.TJ C7 O ,�L\O
. CITY OF CUPEPTINO
APR 2 5 19-/& APPLICATION FOR PLUMBING PERMIT
PA u D Sanitary No.
Date ;L ,1972 Permit No.
Fee
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.
State License : •3 7 ,K
Work To Be
Performeded
yy�� �7�/y nn �7 //������
Address_'/6 Off% &� i — duo 6 XeyO
Addr2 i% A)d A;- /~
Approved
Plumbing Inspector
`1 I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
�1 COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
311
Water Closet
L,
Material
S
Bath Tub
To Curb
Shower2_
To Prop. line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Troy
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink d Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
'
Restaurant Sink
Material
Sand Trap
TOTAL IWES
Urinal
Fixture Fee
'
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee