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NO PERMIT NUMBER10505 S. Foothill Blvd NO. STREET 4 CITY OF CUPERTINO APPLICATION FOk BUILDING PERMIT DATE 12/16 1977 Application is hereby made for a permit to Const. _ 2 SANITARY NO. 1024 FILE NO. 51, 406 5-NHR (2266 sq.ft. y;iv. + 399 sg.ft.aar) to be occupied only as - I & J Single Family & Garage in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 75,000 FEE $ 237.00 PLAN CHECK $ 3.00 la a Woods OWNER Clayton T. Woods ADDRESS 430 Stanford Ave. -- Palo Alto PHONE CONTR, Ron 0liyottl ADDRESS 1150 Canary Ct.-- 28 81 San Marcos, CA PHONE 9- 66 STATE LICENSE 333o49 APPROVED James H. Sisk/m BUILDINGJNSPECTION RECORD DATE I SPEC R,DATE INSPECTOR FOUNDATION li FLOOR STEEL PRE-GUNITE FRAME - BOND BEAMS LATH WALLBOARDS - INT. & EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR TIEDOWNS -MISC- DIAPHRAMS MIN /1 ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROU UNDERGROUND ROUGH ROUGH WIRING a ROUGH WIRING FINISH WIRING INISH WIRING FIXTURES 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 8 INSULATION q' idJ,' UNDERGROUND ROUGH / �G 77;47 FLUES & COMB. AIR PARTIAL ROUGH i IFfi CONDENSATE DRAINS ROUGH COMPLETE (p /x/9,9 FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN / FINAL GAS FINAL PLUMBING MISCELLANEOUS NO. STREET• --- CITY OF CUPERTINO CAP. { VAL s�- d APPLICATION FOR BUILDING PERMIT FEET O Date ^' rU-= T1t40 Building Per. No. Cu • - 9 . unitary Per. No. la. V7 O a Applicationli� ereby made for a permit to O -� 3, pti LO astor T e -5'�A�L6"AL7/. �.Sqp ,) = O , r yp—T rStructure LLO T�//!L�'jil/ 9yil.O to be oaup d only as- - %aoi' in accordance with a i Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, O O PI Ck Fee $.411 It is hereby agreed that the requirements of the ',rj,� w Cupertino Building and Zoning Ordinances and all Fee $ 3 Z 5 other laws applicable to the construction, location, and Total Fee $ use of buildings within the City of Cupertino will be Z d compliewith. complied 3 cUo 04l a� , o r/ ///odiJJ• yi0 s n/rve3p �r®�•C .�iS� W Z'OW�•1ER �FQw� PHONEADDRESS /Xiva //fD crov.s.4 c rfv Ai9itcop Q O CONTR. OR gPNT ADD S A/6� S�3®y% - PHONE STATE LICENSE BUIL I G NSPECTC LOT NO. STREET �,-,-wo CITY OF CUPERTINO 1 pp APPLICATION FOR ELECTRICAL PERMIT Permit No. *' , 19� Fee $� Date r Application is hereby made to the City of Cupertino for a pe'rmitlto ins elf e�echirical 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 t Premises / Performed Owner ' ` Address a.___ 2.o. % 57 ., > %7) Phone.,— State License I AGREE I WILL NOT VIOLATE ANY OF THE WORKWN'S I COMPENSATION LAWS OF THE STATE OF 0ALIFO ITEM NEW RPL FEES Number of Outlets 6, D Number of Switches D Number of Receptacles Number of Fixtures Ranges or Ovens K.W. Size of Main Service Number of Meters % Number of Panels Signs - Transformers Dryers Motors: H.P. Phase H.P. Phase _ H.P. Phase Power Poles Misc. Permit Fee H.P. Charges i Total Fees ��+ &'" SS ' LOT NO, CX/ NO STREET CITYOFCUPERTINO APPLICATION FOR APPLIANCE PERMIT r;l;u'' 1978 „ Permit No. Date , 19_ Fee E7T Appli 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. Use of Premises Owner Phone By �7 ContLa_ctor, Agent Phone / _q/' 'f Z State License /JZ 6 -% �'O Approved Plumbing lryp4Wr--� I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. eu 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,ODO 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 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 1,000,001 B.T.U.'S 10) BOILER OR COMP. 30-HP. TO 50-HP. ABSORP. SYSTEM 1,000,000 TO 1,750,000 B.T.U.'S 11) BOILER OR COMP. 51-HP. AND OVER ABSORP. ' SYSTEM OVER 1,750,001 B.T.U.'S - 12) AIR HANDLER 10,000 CU. FT. 13) AIR HANDLER OVER 10,000 CU. FT. 14) EVAP. COOLER PORTABLE 15) VENT. FAN CON. TO SINGLE DUCT p 16) VENT. SYSTEM NOT A PART OF HEATING OR AIR CONDITIONING - 17)HOOD - MECHANICAL EXHAUST 18) DOMESTIC INCINERATOR 19) COM, OR INDUST. INCINERATOR 20) EQUIPMENT NOT COVERED BY THE ABOVE PERMIT FEE O TOTRI iEE � /arS'OS 5. 07.�r//�(S//�iO• - ,LOTNO. , NO •>.�@OSTREET C <f CITY OF CUPERTINO APPLICATION FOR PLUMBING PERMIT Sanitary No. Date ;_/q�P 6 ' 19 /O Permit No, ., Fee $ ,Application is .hereby made'to the'City, r of for permit to in"st`lrplumbing .. 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. - I. Use of '�/`-'(%� .Work To Be j Premises ^ Performed �� /e^+���0•� i p Owner r'TA�K Li-�i 6S Address Phoned . By yJ �S ^ 'Address " -C//o'�ntractor, Agent Phone �(�� �'���p� '041 State Llcense ice✓ �� / Approved Plumbing Inspector ' - . - I AGREE I WILL NOT VIOLATE ANY FTHE WORKMEN'S I_ COMPENSATION LAWS OF THE STATE OF CALIFORNIA,� " �. 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 Conan. Dish'Washer Waste Disposal Wash Tray, STORM DRAINAGE - Washing Machine Size - Water Sofrener - "� Material' - $or To Main Drain Lomb. Sink E Trcy To Curb Dental Unii Drinking Fountain - -1 . Floor Drain WATER SYSTEM Hopper Size Restaurant Sink - Material Sand Trap TOTAL FEES Urinal 'Fixture Fee �-- Area Drain M6in Drain Fee Water Leader Sto{m Drain Fee. -- Sprinkler System - Water Sys. Fee ' Relief Value Gas Fee . VocgBreaker'. - Skimmer Filter Pool Sweeper Permit Fee Total, Total Fee - 6 0 LOT NO. NO STREET CITYOFCUPERTWO cIT " ` 'E'T'NAPPLICATION FOR PLUMBING PERMIT pEC 19 1977 Sanitary Nt Date 19-- Permit $. i ^ ` FeeNo. n � 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. Use of Work To Be Premises s Performed Owner Address Phone By Address Contractor, Agent q Phone .2 \�—L'7��/9ty7— State License o2 Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S - COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 1e FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet a CA Material Bath Tub J- .0 To Curb Shower To Prop. Line Lavatories j Zr — To Existing Kitchen Sink 1 , CC Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine ,C10 Size Water Softener Material _ Bar Sink To Main Drain ' Comb. Sink & Tray To Curb Dental Unit - Drinking Fountain _ Floor Drain WATER SYSTEM ' Hopper Sixe Restaurant Sink Material ' Sand Trap TOTAL FEES Urinal Fixture Fee g' QQ Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Relief Value ��Voc Breaker Skimmer Filter M—Syp Pool Swee er )A * CITY OF CUPERTINO 16360 Torre Avenue. Telephone 252-4505 •-INSPECTION NOTICE I -DING VISION JOB C' ��� ZND ST i DATE ` 2 S' Z ADDRESSTIME CO O _• ILY REPORT ❑ CORRECTION NOTICE E-, VIOLATION ❑ j�LbjJ PE INSP.: ' BLDG.,Rb ELEC. ❑ PL'BG. ❑ MECH: ❑ + w (f/�t����y��toJ�in7f-�uiyYl! v r � i I WEA P / i�I � ,ra ♦ � 1 CERTIFICATE OF COMPLETION .-BUILDING INSPECTOR'S OFFICE CITY OF,CUPERTINO DATE 19_2�_ BLDG. PERMIT NO. ,� { THE BLDG.'LOCATED AT OWNEDBY�A�l� HAS BEEN""'e01 FOR USE AS / :/• 7•�' Y'9 f (ALTERED) , �- `1'^f,y (1' .� ' ....�i�'J� ,.• OFFICE TYOF_f_'UPERTINO COPY "GAS -SERVICE NOTICE To You are hereby authorized to connect the GAS service for - Owner or Tenant oAt � 'e New Service — No. of Meters Reconnect Move Service - r No. of Add. Meters 'Move Meter PLUMBING INSPECTOR _�". OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO .. ............. ..................... 1961.:7 TO You are hereby authorized to connect electrical service for # Owner or Tenant 3n-,'-,A�.... ..................... w. " . ( ... I ................... At .... j.L,(A ?7�� ........................................................... ................. No. of Wires ........................ Size of Wires ...................... Size of Switch .................... MotorLoad .......................... Voltage ...................... ...... Phase ......... ................... . . HeatingLoad ......................... K. W . .............. ................... Voltage ..' ................ ......... . L' hL 110 ...... ..... New Servill-I..— - - - Reconnect ... ....... No. of Meters... H 220 ... Three Wire................ Move "Seivice .......... - W No. of Add. Mers:�::�: Power..:............ Three Phase Move Meter.............. ................. ... ... fi ..... .................. .... :-, - * ... I ELECTRICAL INSPECTOR I BUILDINGANSP.ECTOR'S OFFICE Bldg. pr. CITY OF CUPERTINO Offre Copy ❑ Backflow Device Sanitary Permit No. / D © Sewer Connection Plumbing Permit No. .Q Plumbing Final Lot No. r /� / Owner or Tenant �U�rQ n At U` 6l ✓lam' Tract c Date Connected L��+ 19' / D(ate)Final6/z� lq/ OM _ ' - /PLUMBING.INSPECTOR