NO PERMIT NUMBER I
19369 Greenwood Jr. 1 12)
NO. STREET - -�. LOT NO.
i
CITY OF CUPERTINO 3.01
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9227 BF
FILE NO. 51,345
DATE 4/18/75 19
Application is hereby made for a permit to
Construct (Plan A-2) a 2 story,type 5 N. Hr.
(1582 sq. ft. Liv.&+�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 $ 43,000
FEE$ 166.00 PLAN CHECK$
OWNER May Investment CO. ADDRESS 21060 Homestead Rd. C.
PHONE 739-5446
CONTR, Mayco Const. Inc. ADDRESS
PHONE 733-9693 STATE:LICENSE 284737
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
DATE CTOR DATE INSPECTOR
FOUNDATION -ZB-�J FLOOR STEEL
PRE-GUNITE FRAME "
BOND BEAMS LATH
WALLBOARD -INT,8 EA
FIREWALLS
MEMBRANE -7 LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS - ISC-
DIAPHRAMS
6i
MOONE BUSINESS FORMS INC, L4
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUG UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING INISH WIRING
FIXTURES , INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M:
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH .tea FLUES 8 COMB.AIR
PARTIAL ROUGH 0141-2s, CONDENSATE DRAINS
ROUGH COMPLETEF P LI CE
ROOF DRAIN&LEADERS^
MAIN DRAIN ,7
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE.,OF.COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OfSUPERTINO
DATE . 191 r BLDG` REE7RMIT NO.
THE BLDG. LOCATE(P�AT ���� �"/�`RD�..-c�
OWNED BY "-^,
rOMPLETEDI
HAS BEEN AS-
(ALTERED)
p� ( FOR USE AS
In ti
' BUILDING INSPECTOR(
ROUTE SLIP
File No.
Datc
ocat_on
ct
>o''ove a it
Date I^soector
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No.
mbing Final Plumbing Permit No,
Lot No. -------- --------
Owner or Tenant ------------"k,'.
At .............. ...............
Tract ------------------------------------- -------------- ------------------------------
."...........------/----....--'-----....-..
**------- -------------------------------- -
4-z7' -7- 71
Date Connected ........................... �_i--------- ---------- --- ----- 19
- ---j------------ .........
Date Final .....................................q
---------....................... . ......V;*�:...7. ..... I 9�........
PLUMBING INSPECTOR
OFFICE COPY
/ ELECTRIC 'SERVICE NOTICE
l`�..._s---ly''"•J BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO--i
To ®
You are hereby authorized to connectjelectrical service for
��I.. r� ,i ��... .0 .....
Owner or Tenant ........ .................. ........
1 •.t J 't1L....,th_�--- r t+-J, lxJ... .` ..`'C-..
At ................. .............. ........ ..... :. '
No. of Wires ........................ Size of Wires ...................... Size of Switch . ..t'.�J.�..
Motor Load .......................... Voltage . Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Lig ..ht..... . 110.....
No. of Meters.... .x..... New Service.....l......... Reconnect..................
No.of Add. ......:......... n
Heat................. 220.......... Three�Wit�,............. Move Service............
Meters............
Power............... �,�' Three Phas4t ...
ELECTRICAL INSPECTOR
• OGFICfi
CITY OF CUPERTINO COPY
GAS SERVICE NOTICE
............. ./?......... I�S.
To Q
You are hereby authorized to connect the GAS service for
Owner or Tcnant .........
................._.....
At
New Service ...... ,/
No. of Meters ......./.......... Reconnect .............................
Move Service .......................
No. of Add. Meters ...... .... Move
Meter
�........................
PLUMBING INSPECTOR
/L/�G7 Ce irWDQD f3JJC LOT NO. /a 2
NO. STREET
CITY OF CUPE.RTIWO (((vnL.��
CAP. ( pI
z d �aTtt ,P LICATION FOR BUILDING PERMIT t�FEES�/�
Building Per.No. y
O < Application is hereby made for a permit to Cly«�/➢-2
a�•story Type � ���1 f�4�� 4j✓Lf"&) Structure
F O P 1•
F to be occupied only as�'�bT/ ✓/ �s97/•Yeei , in accordance with
a
i ,> Plans, Specifications and Plot-Plan filed herewith.
a w // do
w m Estimated Value of Improvements,$?
a w PI Ck Fee$
0 O It is hereby agreed that the requirements of the Go
w Cupertino Building and Zoning Ordinances and all Fee$ Ae
other laws applicable to the construction, location,and Total Fee$ v�
Z — use of buildings within the City of Cupertino will be
Z complied with.
30
— a MR-Y INV Com.- , 73g-S�/y6 c)-/D60 /-{om_f 7 C�TeNC
w Z OWNER PHONE ADDRESS
Mf}`/C,u ( oNs TR Oc.7e a,J
CONTR.OR AGENT ( A ES `
ao 73� '`164_�_ �kV737
PHONE STATE LICENSE BUILDIN INSPECTO
/! x Z/r '/V'4/00'/ LOT NO.
NO. STREET ,
CITY OF CUPERTINO
CIV ° cu APPLICATION FOR ELECTRICAL PERMIT
Al� ��2�571�75 Permit No.
Date f"1 ,19_ 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 Cade of the
City of Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premi Performed
Owner Address d `-"—
Phone
By •6d.S3�.l1YEri51TY Address
Contractor,Agent
LOS'GAT
OS, GAL. 95030
,no
Stote License State Lic. No. 88216 APprov
Ele ric Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE W K N'S
COMPENSATION LAWS OF THE STATE OF CA NIA.
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l / 36 1 & .LOT NO. `
NO. STREET
CITY OF CUPERTINO
art O� curlIPRICATION FOR APPLIANCE PERMIT
JUL 21 1975
_ /
1 //ff�� Permit No.
Date - , 19� Fee 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 BetW4
Premises / Performed
Owner— Addressoning
Phone 13270 Depot Avenue
By Address Sen Mersin. Cal ornia 95046 —
' Contractor,Agent (408) 683-4101
Phone
CLASS C-20 LIC. p 279031
State License Approved
PI robing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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/ 2 "// / i�- LOT NO. 12—
NO
2—
NO STREET
CITY OF CUPERTINO
Wyq �o FOR PLUMBING PERMIT
JUN 18 1975
•//� Sanitary No.
Date _,19L�L Permit Na.
s _ Fee E
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 / '-' //J� Work To Be
Premises L( Psuformed
Owner Address
Phone /n/I��� _ /
By Addss (� i 1/(�
C tractor, gent mD
Phone
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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