51181 Hot Tub 21442 Elm Ct.
NO. STREET LOT NO.
' CITY &CUPERTINO
APAICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,181
DATE 12-12 1979
Application is hereby made for a permit to
install a story,type
to be occupied only as Hot Tub
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 2,400
FEE$ 24.0 PLAN CHECK$ 12.00
OWNER Raymonde Nystrom ADDRESS
PHONE 725-1138
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED Angelo Leber czs
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS NC_LA
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 - H< MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE I INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS 3-j_-8Q hk
FINAL PLUMBING
MISCELLANEOUS
LOT NO.
NO. STREET
CITYOFCUPERTINO '
APPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date A9, tq_ Fee$ 7 s0
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 Work To Be
Premises ��77 Performed
OwnerZJ 1?2YQ L64:5 0W Address
Phone /rl�j�.?2
By Address
Contractor,Agent
Phone
State License Approved > L.Q
Electrical Inspector N.0
I AGREE I WILL NOT VIOLATE ANY OF HE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. LA
W �
LL
a
W
Z
5,
� = 3
L �
y u c N D N
> O O O
O O O
O d
E E E E c d E E
Z Z Z Z z° i%1 Z Z
r /yy/2 ex)n lj/ LOT NO.
NO. STREET
CITY OF CUPERTINO VAL
CAP. {
d APPLICATION FOR BUILD�INqG PERMIT t FEE
F Date 19l�_ Building Per.No.•S� �y
>< O Sanitary Per.No.
3 V Applic&(tP#& egreby,� a for a permit to
m a-��y�r y`Type �Lt/O O n Structure
O uu to be occupied osor Td B in accordance with
a
'Z w Plans,Specitcations and Plot-Plan filed herewith.
a w
F Estimated Value of Improvements,scz firL
a u_ PI Ck Fee$
O O It is hereby agreed that the requirements of the �y
ut Cupertino Building and Zoning Ordinances and all
0 a other laws applicable to the construction,location,and 3 6
Z use of buildings within the City of Cupertino will be Total Fee$
ZO complied with.
3 Nty/70/YDFNYSI.�W
W w OWNERPHONE ADDRESS
CONTR.OR AGENT DRES
_ V
PHONE STATE LICENSE 6OUILDING INSPECTOR
v a LA
ID.L/=Lr.. & — LOT NO.
NO STREET
_�,y��p CITY OF CUPERTINO
PPLICATION FOR PLUMBING PERMIT
9 Sanitary No.
Date� _„ 19�,..L Permit No.
�'
r 1 Fee E ! .to
Application is hereby made to the City of Cupertino for a permit to install plumbing
plpes};and/or fixtures listed on the reverse side hereof, and agrees to install said pipes
and/or fixtures-in accordance with the provisions of the Plumbing Code of the City of
Cuperfipo,and all other laws applicable thereto.
Use of Work To Be
Premises Performed
Owner N�o�' NN'!S�N( Address
PhonoV—(�.��.— -
By Address
-Contractor,Agent
Phone
State License Approved i
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY O THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
LA
1
W 0
J
Z FF O jNy1 •'
,C .O 0"M C U C D O v a p N ai u. d
j p - p N LL
o o 0 o H 0 o o w 0 Ti o 0 0 0 € o
h 3 U' a r
v
F
M
Z C .
i
4 p C .NG MO• ` F O t 3g 3o LN .J� xt NoO 3o 30 30 N30 C�m^ in LQ.E x' oC=p' �Np-m -3k0
x V
x ,o 0 S .ri s O°< ` E5co
0CLLo
'e^
u0o >u o
N i G
oyz o^j ` LOT NO.
NO STREET
00110'so CITY OF CUPERTINO
'PLICATION FOR APPLIANCE PERMIT
Permit No.
19 Fee$ �7 0
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
�J Performed
Owner AnAW-m& E Anoeft Address
Phone /.�s�//3Q
By Address
Contractor,Agent
Phone
State License Approved
Plumbing Inspec or
I AGREE I WILL NOT VIOLATE ANY OF E WORKMEN'S
�p COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
6 ®u
| .
k | |
zi
\ ® ` ! )
\ 0 § m
[ ( ( j § % !) ;$ / k
e ® , 2 ¥ 7 o
!
§ - %s � o
m §* § a § e ~
f« §/ £� / P R jw
/2�#�!2® lkw
WZ ;5ree0 § o � o § l § � gmu | -
z
§ 22!: # o22E
) B ; l@ \ . Il ; A§Gk ) \ e � uo! § 22ee !2® .!-