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5140610501 S.. Foothill Blvd. 3
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10246 BF
FILE NO. 51,4o6
12/16 19 77
Application is hereby made for a permit to 5=NHR ( 2148 sq. ft .
Const. a 2 story,4y. + 445 sq.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 $ 72,000
FEE$ 231.00 PLAN CHECK $
is a oo cTs
OWNER Clayton T. Woods ADDRESS 4:
PHONE
2.00
Alto
CONTR, Ron Olivotti ADDRESS 1150 Canary Ct.--San
a Marcos, CA
PHONE '289-8166 STATE LICENSE 333049
-�ItJ?l APPROVED James H. Sisk/m
BUILD INSPECTION RECORD
DATE IN PE TOR\ DATE INSPECTOR
FOUNDATION 4 1i1,n FLOOR STEEL
BOND BEAMS LATH
WALLBOARDS - INT. 8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
TIEDOWNS 1 1 1 -MISC-
DIAPHRAM$
MOORE BUSINESS
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE I INSPECTOR COMMERCIAL DATE I INSPECTOR
UNDERGROUND ROU
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
ROUGH COMPLETE
FINAL
MISCELLANEOUS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE INSPECTOR
DATE INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION "f
UNDERGROUND ROUGH I W(1(17-71AFLUES
& COMB. AIR
PARTIAL ROUGH 7
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE / 7
ROOF DRAIN & LEADERS
MAIN DRAIN y / 77
FINAL GAS /Q
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE. OF COMPLETION
•$ --•.-•..w .. BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE �% " c,+` "- 19 �� BLDG. PERMIT
/NO.
THE BLDG. LOCATED ATS'^„"�`""'�'Y'QI'
OWNED BY
HAS BEEN C(„O,OMPLETEDN FOR USE
(ALTERED)
ELECTRIC SERVICE -NOTICE
>< / -r 3 p BUILDING INSPECTOR'S NOTIC
CITY OF CUPERTINO �*�'� �; r `.', '•
I _
To
. YOU are hereby authorizedto Connect electrical service for r
Owner or Tenant C I'kL"%1 IiL( div •
OFFICE COPY
At
No. ofWires Size of Wires • Sizeof Sm'Ich �� 7
Motor Load Voltage " Phase
Heating LoadNoitoge
No. of Meters Lght 110_ v "New Service Reconnect t
Heat 120_ ��'4hree Wlre More Service
I
No. of Add. Meters Power Three
�Pryhr�a^•s�e1 Move Meter _
0 r" ELECTRICAL INSPECTOR
BUILDING INSPECTOR'S OFPFCE'4*�
CITY OF CUPERTINO fficfficDept.
oe Copy
❑D Backflow Device Sanitary Permit No.
�O Sewer Connection - Plumbing Permit No.
❑. Plumbing Final Lot No.
4
Owner or Tenant
At
3
Tract
'7
Date Connected— 192 Date Final 19 �>
i ©" PLUMBING INSPECTOR
.
�.:.
CITY -OF CUPERTlMO
oFFice
COPY ;
a
'GAS SERVICE NOTICE'
TO
You are hereby authorized to connect the GAS service for.
'
Owner or Tenont
New Service '
No. of Meters Reconnect
Move Service
No. of Add. Meters
'.
. Move Meter
'. PLUMBING INSPECTOR'''-'•"'`'-
.. '©"
a CITY CIF CUPERTINO( VAL.!
. (l
d APPLICATION FOR BUILDING PERMIT CAPfEE 3^—/
w
Z C+,T r Building Per. No.
:E z Date
O
Sanitary Per. No b 1" - -
c 1 Cpr^•
3 V Application is hereby made for a permit to ar
= O
1_X__st0ry,6,Ty�e �/V�/P�/'i�✓ A'✓l/. 949"tj Structure
� � to be occupied only as Tpin accordance with
a
i Plans, Specifications and Plot-Plan filed herewith. -
a w dD
Estimated Value of Improvements, $_2 V
a PI Ck Fee $�_
O O It is hereby agreed that the requirements of the /�.��
w Cupertino Building and Zoning Ordinances and oil Fee $
p a other laws applicable To the construction, location, and -
Z < use of buildings within the City of Cupertino will be Total Fee $
Z complied with.
-N�rovraw u/oovs ��o sTrNFoe.� ¢u. �s7.
Z w OW R. PHONE ADDRESS
w //JJ y_
� �/y�.�✓ �% ivO//l /ASO L.V�LA:Pti C S%iirL.JYi `iGO S
a O CONTR. OR AGENT AD SS
- �Zg9-ff/d G 3.Z?eP /
PHONE STATE LICENSE BUIL I G NSPECTOR,
P25 X13 Q 1—.vz) D LOT NO.
NO _ STREET -
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Oate'� ,1926— Permit No.� /
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 pipes.
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�ES PerBe T '
Premises Performed —L 2�e jF'�/Ci/J/T—/ OJJ
Owner C7'Z I A 7_'60-3 Address-
Phone'
ByAddress
Contractor, Agent +�
Phone d�/�j� °
Stat.license &J'13 9 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY CeTHE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
®ce
FIXTURES - NUMBER
- - Units Fees
.,Water Heater -
WaterCloset
Both Tub
-Shower
Lavatories .c
Kitchen $ink' - -
Dish Washer 1
Waste Disposal
Wash Tray
Washing Machine _
Water Softener
Bar Sink
Comb. Sink 8 Troy
Dental Unit
Drinking Fountain
Floor Drain
Hopper
Restaurant Sink
Sand Trap
Urinal
Area Drain
Water Leader
Sprinkler System
Relief Value -
Voc Breaker
Skimmer
Filter
Pool Sweeper
Total
MAIN DRAIN
flunitsIF"sN
STORM DRAINAGE
Size:
Material
To Main Drain
To Curb
WATER SYSTEM _
Size
Material, _
TOTAL FEES
Fixture Fee
Main Drain Fee
IT Storm Drain Fee
Water Sys. Fee -
Gbs Fee
Pe=FeedTo
NO. STREET LOT•NO.
CITY OF CUPERTINO
ctrr ca cuaAPPLICATION FOR ELECTRICAL PERMIT
JUS. 4 R ��7� Permit No.
Date
-_-_----_-19L_� Fee$ '%——
Application is hereby made to the City of Cupertino for a pce miF toi ztt ll2elec ri�cal+
/
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said 1
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, an all other laws applicable thereto. ))) ,
Use of ts/ / work To Bej'�
Premises GGGfff Performed �/ d /%
Owner Address_' h rf'r•'�'`t'
Phone 3a• - ao
9y . �• Addres� lY i
�f Con�tr/aytor, A ent
Phone % / ��
State License �l�DUl' S Approved
Elect r call spedor
1 AGREE I WILL NOT VIOLATE ANY OF THE WOR E S
COMPENSATION LAWS OF THE STATE OF CALIF NIA.
® u
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
, SO
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
r
Motors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
Ov
H.P. Charges
Total
Sa
0 L,
570 ZL
NO LOT NO. / rJ
STREET
CITY OF CUPERTINO
C---' - - ' � Tl;: APPLICATION FOR APPLIANCE PERMIT
SLI JLC' �i�X
Permit No.
Data 19_ Fee $ of
� P
Applic do 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
Pertarmed _
Address �f 'i
n} -
Address^ n �" —
41
State License Ay -7 07
AppraveA..;&,.L011LO/i
Vlum Spector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
6
APPLIANCE 11 UNITS' I �FEESI
TO
VENT. SYSTEM
VENT
411170—
n 3 v
i:7411170— LOT NO.
NO. STREET I. '
€file &r 6UFa^P.TttlO CITY OFCUPERTINO
APPLICATION.FOR ELECTRICAL PERMIT ;
AN 2 41978
-7 p Permit No.
Date ,19'� U. Fee$ �''"'
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/fin Work To Fb
Promises Si/7l.a
w l Performed
Ov.,nerC,(—Q�?e /.(IDOy.S Address _
Phone 2 9S us -i G/
BY POGS7
f/ Address
Co©A Dt
Phone
State
/License A PProved
- E tricall e
EE I WILL NOT VIOLATE ANY OF THE WORKMEN'S .
-L COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® u
l
ITEM I NEW I RPL I FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W. -
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Permit Fee
LA
ELECTRIC SERVICE NOTICE .
BUILDING INSPECTOR'S NO716E� '
_ CITY.OFCUPERTyNO a. +• 'L
i
6
'You are hereby outh(Q'o rQI Connect electrical service for
TC '. l` O'b' l In t i) I '--1� t.
I No. of Wires
I Motor Load
I Heating Load
OFFICE COPY
I
Size of Wires 'Size of Switch L7 t
y
K. W
Voltage
Light
110 ✓ New Service
Reconnect
No. of Meters
'
Heat -
%120Three Wire
More Service
,No. of Add. Meters
Power ��
` ,/.///\\Three Phase—Move
Meter
I/
��' ��Q._EL�CTRICAL
INSPECTOR'
\ / ,
'J✓ `' —_''
' M/o lve4 LOT NO. .
NO STREET -
CITY OF CUPERTINO
C ,V P, PLICATION FOR PLUMBING PERMIT
uc 19 1917
e ,19_
ApplicdRtionr s hg
ere 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 the
Cupertino, and all other laws applicable thereto.
Use of S }� Work To Be
Premises P / Wt Performed
Owner Address
Sanitary No.
Permit No.
Fee $30, O G
for a permit to install plumbing
and agrees to install said prices
Plumbing Code of the City of
Phon/e
By da]2�Address
CVntractor, Agent p
Phone 2,� Z—� /-(_ / y
State Licens..) f+ U ��� Approved V®{
Plumbing Inspector
I AGREE I WILL NOT VIOLAT ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® L.
FIXTURES
NUMBER
MAIN DRAIN
Units Fees
Units Fees
Water Heater
Size
Water Closet
9/,06
Material
Bath Tub
2 q.OD
To Curb
Shower
To Prop. Line
Lavatories
1,Ab
To Existing
Kitchen Sink
I pC
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
I .c 0
Size '
Water Softener
Material
Bar Sink
To Main Drain '
Comb. Sink 8 Tray
To Curb
Dental Unit
Drinking Fountain
'
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee / r0 6.
Area Drain
Main Drain Fee : () ✓J
Water Leader
Storm Drain Fee '
Sprinkler System
Water Sys. Fee ; Z A L'
Relief Value
Gas Fee —
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee ,) U t7
Total
Total Fee 30-00