51322.211042 Canyon Vista Drive f
53
f, • LOT NO.
CITY OF CUPI RTINO'
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10097
FILE NO. 51,322.2
DATE 10/12 19 77
Application is hereby made for a permit to
Construct B Plan o 1 story, type Single Family &Gar
to be occupied only as Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith,
ESTIMATED VALUE OF IMPROVEMENTS $ 70,000
FEE $ 227.00 PLAN CHECK $
OWNER Gateway Const. Co. ADDRESS10850 Stevens Canyon Road,
Cupertino
PHONE
PHONE STATE LICENSE 155136
APPROVED Robert COwan/m
BUILDING INSPECTION RECORD
DATE
INSPECTOR
FLOOR STEEL
PRE-GUNITE
FRAME
*DATEINSPECTORFOUNDATION
BOND BEAMS
LATHWALLBOARDS
.8
FIREWALL
MEMBRANE // /
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MIS -
DIAPHRAMS
I
Z
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
;OMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGW.
UNDERGROUND ROUGH
ROUGH WIRING
LOUGH WIRING
FINISH WIRING
D
NISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL _ 'j,
'},�.
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE I
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
/
UNDERGROUND ROUGH
- -j
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAT S
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
'! 72
FINAL GAS -
p -)
FINAL PLUMBING 2./
MISCELLANEOUS
RTIFICATE OF,C60MPLETION
IBUILDINGdNSPECT R'S OFFICE,.. .
CITY OF CUPERTINO _
DATE 2 �1�' , 19.. BLIrIPERMIT NO.
THE BLDG. LOCATED AT/ O v i
0WNED�BY c=/ \ —
HA BEEN - AUTEkED D FOR USE AS �)
1) U��
1 OFFICE
&I.VtOP:CURE RTINO • COPY
�p t 53 GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
Owner or Tenant -%��^� •-e-�
At
New Service
No. of Meters Reconnect' —
No. of Add. Meters
Move
Move Meter
PLUMBING INSPECTOR
To
You are hereby
I Owner or Ten
At
No. of Wires
Motor Load
Heating Lood
No. of Meters
No. of Add. Meters
O•
ECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S NOTICE •
.- .CITY OF CUPERTINO
-2-yo �
19
r
Size of
Size of Switch
Rhose
K. W. Voltage
Light ��� 110 —New Service Reconnect
Hcat +120 Thrye W re More Service
� I
Power r� /il�ro\V c Mo,,e Minie,
ELECTRICAL INSPECTOR II`
� U
BUILEWINSPECTOR'S OFFICE O• aia9.o�p.
ITY PCUPERTINO niece Copy
❑ Backflow Device „ Sanitary Permit No. , U U G 1
❑ Sewer Connect
�0 Pl�ing Final
Owner or Tenant
Tract
Plumbing Permit No. —Q I � -" 1 ti
Date Connectedy 19qV—Date
o.
Lot No.
192G
NO. St • . -
CITY t5F CUPERTI140
J VAL. %� QOa
d
APP FOR. BUILDING PERMIT
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p,ICJATION
gri ``le— ��D/�1 w��.. Building Per.Nt Z
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N /2 Structure
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to be occupied only as St !6* Ff"ll.y AC"/
. in accordance with
Z vi
Plans, Specifications and Plot -Plan filed herewith.
aw
F x
Estimated Value of Improvements, $ O O D
5 LL
r
PI Ck Fee S
O_ O
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It is hereby agreed that the requirements of the
Fee S ��
vs
Cupertino Building and Zoning Ordinances and all
p 3
5
other laws applicable to the construction, location, and
z
use of buildings within the City of Cupertino will be
Total Fee E
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complied with.
N
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OWNE.i'ONE
AD E55
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CONTR. OR AGESf 6
n ADDRESS
00
PHONE STATE LICENSE
BUILDINUIN5PECUM
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LOT N
NO. 'ET ,
CITY OFCUPERTINO
J 4�ty 1 JAPPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date � YL`L —19_ Fees 1073—
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 "z ���i� v Work To Be
Pnmiser�T Performed EL E e'7- eCA L
OwnerAddress /O�.rO _rTE!/ENr (A.t/ro.tl
Phone
By Relce Electrical Coatractorbi'"I Addrox
Contractor, Agent
Phone— ;I 16 —2- 010
GIO State License259808a Approved
Electrica ns ctor
1 AGREE I WILL NOT VIOLATE ANY Of THE WOR N'S
COMPENSATION LAWS OF THE STATE OF CALIFO
m ',
ITEM
NEW
RPL
FEES
Number of Outlets
of (
s, y
Number of Switches
77
6-7
Number of Receptacles
Q
0- 6 0
Number of Fixtures
/ ]�
Ranges or Ovens K.W.
Size of Main Service
, U
Number of Meters
Number of Panels
Signs - Transformers
Dryers
/
_a0
Motors:
H.P. Phase WAC j
- O
H.P. Phase
-
H.P. Phase
Power Poles
-
Misc.
Permit Fee
3 O Q
H.P. Charges
Total Fees
/
'i 31i
® ..
NO. ati.,na V oka LorNo.
NO. W
40
CITY OF CUPERTINO
c.: =''' ALPPLICATION FOR APPLIANCE PERMIT
Permit No.
Date z" Zfl , 19 7'L Fee S as—T—
e
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
Promise, Performed
9^�.tAurnaa. Performed d
Owner L„f cu"'A Address 'AGOG 1C .
Phone a
By .& L'w. A Address 511 _iA a ftzn l ttry ,
Contractor, Agent
Phone 'J Z4- 14 01 ID
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 L.
APPUANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,ODO 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, ABSORP. UNIT,
COMFORT HEATING, COOLING, ABSORP., OR EVAP.
COOLING SYSTEM
7) BOILER OR COMP. TO A -HP. ABSORP. SYSTEM
(�
TO 100,001 B.T.U.'S
8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,OD0 TO 500,001 B.T.U.'S
9) BOILER OR COMP. TO 15-HP. TO 31-HP. ABSORP.
SYSTEM 500,0DO TO 1,0D0,001 B.T.U.'S
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM 1,0D0,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,000 CU. FT. i'
12) AIR HANDLER OVER 10,0D0 CU. FT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
a 0
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
Clllbg
'ERAVf r�
-3 00
TOTALM
22.00
-w/.tYo�9 4.�1,�n GfvY'C LOT N0..�-3
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
�/J Permit No.
Date // Gr f .�_ 19l.,L Fee 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 P.I.ise
i
Owner rG70se1'✓!a Z n/j1y%`-
Phone
Work To Be
Parlormed �t�iiJ/l7 pT�� r��
Address /D rPJ�L7 . Rylly..+1 /�'. /nn Y
Phone —�/O '3dn'.tn0
State License Approved ��,•••VVVMMMAAA��'
I Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
��} COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
EQUIPMENT NOT
APPLIANCE iI UNITS I FEES
rnwr r�
//Q 4 off— LOT N S�
NgLj— OpCUB • ET 1
19 CITY OF CUPERTINO
OCT. 17 d14;PLICATION-FOR PLUMBING PERMIT
P A 9 D
Date 1 O — ///, 19'7L
Application is hereby made to the City of Cupertino
pipes and/or fixtures listed on the reverse side hereof,
and/or fixtures in accordance with the provisions of th
Cupertino, and all other laws applicable thereto.
e
Sanitary No.
Purnit No.
Fr f CLO .t
for a permit toinstallplumbing
and agrees to install said prices
Plumbing Code of the City of
Work To Be I
Performed— _ 7"
Address
Address'
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® lA
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
OV
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
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink & Tray
To Curb
'
Dental Unit
_
rinking Fountain
'
r Drain
WATER SYSTEM
'Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Ur'
Fixture Fee
Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Wafer Sys. Fee
Relief Value
Gas Fee
.
Vac Breaker
Skimmer
Filter
Pool Svree er
Permit Fee
Total
Total Fee