NO PERMIT NUMBER19382 . Grc3nwood'Dr. _^ 1
NO. STREET to LOT NO.
CITY OF CUPERTINO 2.8o
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9216
FILE NO. 51,345
DATE 4/1.8/79 19_ .. '
Application is hereby made for a permit to
(.nnctrvrt. (PT an A-1 a 2 story, type 5 N. Hr.
(1440 sq. ft. Liv., 454 sq. ft.
to be occupied only as T & J Single Family Dwelling & Gar. Gar.
in accordance with plot plan, plans and specification filed herewith.
FEE $
ESTIMATED VALUE OF IMPROVEMENTS $ 40 - 000
PLAN CHECK $
OWNER MSy Investment Co. ADDRESS 21060 Homestead Rd. C.
PHONE 739-5446
CONTR, Mayco Const. Inc.. ADDRESS
PHONE 733-9693 STATE LICENSE 284
APPROVED James H. Sisk/h
BUILDING INSPECTION RECORD
FOUNDATION eli��
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WALLBOAMA
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LANDSCAPING
F.M.O. INSPECTION
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ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUNDROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
I INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
- p..7
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE /�
_y
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
C' O
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ` aa
�;DG. PERMIT NO.
DATE L�
THE BLDG, LOCATED AT
OWNED BY
HAS BEEN ICOMPLETEDIJFOR USE
'IALTEREDI
CITY OF CUPERTINO
TEMPORARY ELECTRICAL SERVICE
67 .. .................
DATE: ................................. Fee: .
........................ .................................
PA)ri: ... 10.r .... 6.!)W. 4p:-CAV .... w .. #..@ ... 4 ...
- -----
LOT: ....A....L...... ..... .. .......................... ........ ........... ...........
. I -- - -----
REASON:... ........ ....... A --- ca-A ------------- ---
The undersigned agrees to be responsible for the electrical service at the above location,
until IltbtlildilIg is, ready for occupancy, and is released by the Building Department,
City ( Cupertino.
OR OWNER
117 1/63-500 PD4
V,
TEMPORARY, GAS SERVICE
CITY 07 Cy;'Z—TINro
-I ... . ............................... Fee: -0 . ......
DATE: .........
O�VNER --------
- j .0 .............. .... -- ---------------------------------------------------------
AT..
-- ----- ----------
..................................
LOT: ----- / ...................................
REASON: ...... ........ 41JOC;P1 - & - - ------ ...............
The undersigned agrees to be responsible for the gas service at the above location,
until the Pilding is ready for occupancy, and is released by the Building Department,
City of /pertino.
Pho I
....... b.............. -- --- .......... ... � INSP..I7.01ro TENANT OR OWNER
11'� 117 1/ 63-500
A 9 d i'r, j
NOTICE
OF INSPECTION CHARGE
CITY 0T CU-P-Elt—Ti—NO
BUILDING INSPECTOR'S OFFICE
Date ......
.... 7,_.7..3.77 ..............
4
........ 196 .... Permit No..............--------...--
To
—
--- .........
............ .... ...... - - --- -------
...........
----
0
....................
Location
------
-- - --- ---- - - ---- ------
Reason
�0
0
.. .........................................................................
.....................
.............
...... ......................
.............
.......... ... . ..... ..
Deposit
$ ....................
......
Amount
............... ... ......
Refund
8 ... ...
114 9 / 60-200
'rotes
ROUT S',T
File ----
Date
;,s�eo�or
Cupertino Sanitary
District Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No......... ......
Plumbing Final Plumbing Permit No....s.�.y,$._.
LotNo. ............I .................
Owner
At .....
Tract
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No........ 7 --.--.15......
Plumbing Final Plumbing Permit No...:!y_�[..3�
LotNo . ............ I---------------
i r r. ,. O, .. .
Owner or Tenant /..... .._....�[. 4 .--- k...............:. y-I ................ ........ ..........
er
Tract.......................................-........------_..............---------------.......------------------------.---- ------
Date Connected
Date Final ------.
19------------ -
19..-- ....
PLUMBING INSPECTOR
f Orrta:
` CITY OF CUPRRTINO COPY
GAS SERVICE NOTICE ��11
._.......:.. T........, 197-1
To...
You are hereby authorized to
connect the GAS services for
Owner or Tenant................ .._.........
_...
At .../...93.%�r.... �t.cP�r�., or�rr ...t n..................................................
New Service ........
Nu of Meters Reconnect ................ ......._....
Move Service ... ......... ......
....
No. of Add. Meters _............ Move Meter .......................
................................................
PLUMBING INSPECTOR
Cal
CITY OF CUI'ERTINO P G R P
GAS SERVICE NOTICE COPY
.. �_ i.................., 19'r5.
To
You are hereby authorized to connect the GAS service for
Owner or Tenant.....q�::>-s:L............:.`y,::,..%.............
.....
._--....__.....
4 - - 9, d C
New Service ..........v../.....
No. of Meters Reconnect ... ......._..................
Move Service .......... _.........
No. of Add. Meters .............. Move Meter ..........................
0>.�'ay.�'Z_
...................................................
PLUMBING INSPECTOR
CITY OF CUPERTINO
Lam: G.
c� A-OLICATION FOR APPLIANCE PERMIT
�U �915
pp Permit No.
)ate V 0 n , 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.
Jse of -1-9 Work To Be — b/
sremise Performed
JIr
wner Address �Q Q
'r Con itioning
Phone 13270 Depot Avenue
ay Address Me",
Contrtor, Agent (408) 683-4101
shone «
Nate License LASS C-20 41C. • 279031 Approved �� /
ambing Inspec EF
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
�- COMPENSATION LAWS OF THE STATE OF CALIFORNIA. i
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY TURN. TO AND INCLUDING
100,000 B.T.U.'S
4) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
3) FLOOR FURNACE
4) SUSPENDED, REC. WALL, FLOOR HEATER
S)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.0 '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 51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,000 CU. FT.
11) AIR HANDLER OVER 10,000 CU. FT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
IS) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
10)HOOD - MECHANICAL EXHAUST
77) DOMESTIC INCINERATOR
p
16) WM. OR INDUST. INCINERATOR
I9) EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
0
TOTAL FEE
LOT NO. L—
NO STREET
CITY OF CUFE: T,140
90CITY OF CUPERTINO
. 1 8 1075 APPLICATION FOR PLUMBING PERMIT
P A` 'i M_ i� ' / / ./ Sanitary No.
Date —L7[ , 19'//�f/s Permit No.
Fees
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 tlie'provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto..
Use of _ Work To Be.
Premises Performed
Owner [ Address
Phan
By (/ Addressl/7A✓ ' z5W
Cjentract Age
Phone
A d
State license PProvePlumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater v
Size
.�
Water Closet ✓
Material
Both Tub
To Curb
Shower
To Prop. Line
lavatories
'
To Existing
Kitchen Sink ✓
Not Conn.
Dish Washer
Waste Disposo
y
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
_
Comb. Sink & Tray
To Curb
_
_Dental Unit
-
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
-�
Sand Trap
TOTAL FEE
Urinal
Fixture Fee
Area Drain
Main Drain Fee
—
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee/
Vac Breaker
Skimmer
Filter
Pool Sweeper
j 3
h
Permit Fee
Total
Total Fee
/&Oc 6MQ24 " LOT NO. /
NO. STREET
CITY OF CUP'ERTINO ' vAL.-7'
CAP.
�;I'E[i��0 �O
z d cM APPLICATION FOR BUILDING PERMIT FEE
.2 '+C3 �� �1f Building Per. No.,.
W x �_ O Dote ` is 19 unitary Per. No.
3 V Application is heribyr`'�i ode for a permit to- 4?490n AWW'
= O a�(story, Type fll f&A y. .ir 29e Structure
?'E+b r% .f%6l�LFf/bMygde
u. w to be occupied only as in accordance with
OQ
i , I Plans, Specificationsand Plot -Plan filed herewith.
Q w �_
w Estimated Value of Improvements,
p O It is hereby agreed that the requirements of the
> rn Cupertino Building and Zoning Ordinances .and all
3 other laws applicable to the construction, location, and
Z use of buildings within the City of Cupertino will be
Z complied with.
�O
PI Ck Fee $ %Q
Fee $
Total Fee4z�,
3a
R / Tniy�S�mEx�i(nC739S_Vy6
a-N&o./�omESTEAD �'77n.
w Z
OWNER PHONE
ADDRESS
i T/II{)�([O
CON57'7�Jc,TI ON JN C-r�,
C nay
4
CONTR. OR AGENT
AID
_$�733
5b93 �Js /737
a.�..
PHONE STATE LICENSE
BUILDING SPECTOR
1
0
/113'f'5- 6�?15eva/oaa
NO. ^STREET '
X O2 CITY OF CUPERTINO
19AL PLICATION FOR ELECTRICAL PERMIT
Date f. Kv, 19 75
Permit No.
Fee Ei 35"
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 -'s Perfomwd
Owner
0
W. E. MASON, INC.
. . ...7 64AUNIVERSITY
Phone
tGf9 Llc• NO. 8e'�jg Approved
State '<ensa
t Electric Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKM 15
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
Y
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
r7�
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
/ 0
Size of Main Service
�0
-04
_Number of Meters
Number of Panels
O Q
Signs - Tronsformers
Dryers
Motors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees _