NO PERMIT NUMBERa.
21115" 3.auretta Drive ' ? „" 12
VO. _ STREET 3 _ - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT -
SANITARY NO. 10074 BF
FILE NO. 51,419
I DATE9/23 t9 77
Application is hereby made for a permit to 5-NHR 2535 sq.ft.li
+506 sq.ft. gar
Const. Plan 4-A. a 2 story, type
to be occupied only as I & J Single Family & Garage
r in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS .$ 94,000
FEE $ 275.00 PLAN CHECK $
OWNER Dividend Development CorlADDRESS3600 Prune ridee--Sw: 340
S.C.
PHONE 246-5001
rniNTa Same
PHONE -STATE LICENSE 275773
G APPROVED James H. Sisk/m
Rl III OINr, IIJRRFrTIn1I ocrnon
DATE.
IN CTO
DATE
INSPECTOR
FOUNDATION
/
FLOOR STEEL
w
PRE-GUNITE
_
FRAME
BOND BEAMS
LATH
WALLBOARDS & EXT.
'
'FIREWALLS
:MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDERFLOOR
f _n
TIEDOWNS'
ISC- t
DI .,AR .15
;,L .n
:i
1
MOONE BIISINESi cnouciu� e
I
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUG
el(UNDERGROUND
ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
NISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTIONAECORD
HEATING & A/C INSPECTION RECORD
--
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
j
UNDERFLOOR S.M.
y 7
BACK FLOW INSTALLED
-
DUCTS & INSULATION
UNDERGROUND ROUGH j
FLUES & COMB. AIR
7
PARTIAL -ROUGH—
71'
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCH_ _
ROOF DRAIN & LEADERS
MAIN DRAIN
7 7
FINAL GAS
FINAL PLUMBING
`
MISCELLANLUUL
`OUTE SLIP
File No.
Date
(Location
Subject,
Notes
Approved I
Date Inspector
CERTIFICATE OF COMPLETION
.BUILDING INSPECTOR'S OFFICE
CITY OFF CUPERTINO
DATE 4� 1979 BLDG. PERMIT NO._`
THE BLDG. LOCATED AT
OWNED BY
HAS BEEN (COMPLETED) FOR USE AS
CAGLEREDI
BUILDING INSPECTOR'S.OFFICE
CITY OF CUPERTINO
/O
Backflow Device
tEl
Sewer Connection
Plumbing Final
Owner or Tenant
Tra
Sanitary Permit No.
Bldg. Dept.
Office Copy/
Plumbing Permit No.
Lot No.
Date Connected .—% / — 19 7e' Date Final ` r% 19 7,
PLUMBING INSPF-,CvUA�—� �
Pa.
CITY OF CUPERTINOiCOFFIC
OPYE
GAS -SERVICE NOTICE
19
To U
You are hereby authorized to connect the GAS service for
Owner or Tenant JD._'GryQ er� /) ,.,�,,, —}�'• (}�n.tiy
� � qU_A
At Z I I I - (f; m, n n V
New Service
No. of Meters Reconnect
No. of Add. Meters ,_yM,ove Service '
ov M
—.
' - 'Move eter
PLUMBING INSPECTOR.''_
You are hereby a
Owner or Tenant (.�.
At
No. of Wires
Motor Load
Heating Load
ELECTRIC SERVICE NOTICE - _ OFFICE COPY
BUILDING INSPECTOR'S NOTICE �.
CITY OF CUPERTINO �
cJ 197
/]
rized to Connect electn of service for
Size of Wires Size of Switch �t "
Voltage Phase
K. W.
No. of Meters
light
110
ew;
Heai
^1Y70'y/
Thre
No. of Add. Meters
Power
_,J:'�
y
Three
vM
�
ELECTRICAL INSPECTOR
Reconnect
More Service
ROUTE SLIP
File No.
Date
Location
Subject
Notes
Approved 4.r ij&t`y?
Date Inspector
CERTIFICATEIOF COMPLETION
BUILDING•INSPECTOR'SOFPICE '
CITY OF CUPERTINO w
DATE ��'✓ _ -, 19 BL G:�ER6T NO.S
THE BLDG. LOCATED ATE///S
0 W N E D BY
HAS BEEN (COMPLETED) FOR USE
"(A'1-T.ERW)
''r
S _ Aiivit ifTTA n p. LOT NO. ,IZ 70
NO. STREET (( VAI q
CITY OF CUPERTINO CAP.{
a APPLICATION KjR BOILDING PERMIT, l PEE-�'S�
�Z++ Z ��+ Building Per. No.s/.
C Date -+mrn , 19_�. �Q 0 -7 /C � r Sanitary Per. No.
3 u Application is/Ihereby made for a permit toCO Nsr p.CAI✓
ww a `, eS_Nzye ag3Sa
= O _srory T yp iC Al 57 C-4 k Structure
0 to be ooxup}ed onlyll�&sNaccordance with
a _
'Z Plans, Specifications and Plot -Plan filed herewith. -
a
F x Estimated Value of Improvements,
LL
O
It is hereby agreed that the requirements of the
PI Ck Fee $
_O
a
Cupertino Building and Zoning Ordinances and all
Fee $ U'[1
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.
_a
N
�E�V E>L-nf+rh [-rJr oR .36n,2
Pleu A.'C=Rt/JFE. �r;E
w w
OWNER PHONE I
4DDRE55
- ix,1_4
C I -AR A yJo I
a O
_
CONTR. OR AGENT 1
� � t -7ig"
.a
AD R
PHONE - STATE:LICENSE .,rr-
UILDING PE R
• ' _
O LA
' E
LOT N
_ CITY OF CUPERTINO
�'' �L 'APPLICATION FOR APPLIANCE PERMIT
Date n.r.. T I - 9/ 7 Permit e$
f � 1 i-' 19— Fee 5
Application is hereby made to the City of Cupertino for a permit to ins±all -g s;
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
Performed
Ownar
iJ Address.
Phone%^ i)
By Contractor, Agent Address
Phonel6 ee� —!Wt")
State LiceRk-Ass C-20 LIC.627903, Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 LA
APPLIANCE
UNITS
FEES
Al) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
i 100,000 B.T.U.'S
';,2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
.'13) FLOOR FURNACE
_4) SUSPENDED, REC. WALL, FLOOR HEATER "
73) INSTALLATION OF APPL VENT
`i REPAIR OF, ALTERATION OF, OR ADDITION TO
.ii 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 BTU'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-MP. TO 31-HP. ABSORP.
'
EM 500,000 TO 1,000,001 B.T.0 'S
LER OR COMP. 30-HP. TO 51-HP. ABSORP.TEM
1,000,001 TO 1,750,001 B.T.U.'S
HANDLER I0,000 CU. FT.
HANDLER OVER 10,000 CU. FT.
P. COOLER PORTABLET.
REM
FAN CON. TO SINGLE DUCT
T. SYSTEM NOT A PART OF HEATING OR
CONDITIONINGOD-MECHANICAL EXHAUST
17j DOMESTIC INCINERATOR
` 18) COM. OR INDUST. INCINERATOR
`-09) EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
TOTAL FEE
45-
--Xtao CITY. CF CUPERTIN0
1a-APPLICATION FOR PLUMBING PERMIT
1977 Sanitary No.
Date n 7B Permit No.
Pk I �aa
®® Fee _
Applii;ation 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
Premises
Owner
Phone
Contractor, Agent
State License
Work To Be
rformed
{
Address
Address
Approved
Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
��
Material
Bath Tub
To Curb
Shower
Y
To Prop. Line
Lavatories
To Existing
Kitchen Sink
/
Not Conn.
Dish Washer
Waste Disposal
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 FEES
rinal
Fixture Fee
3 /y
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
'Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
-
J J I N qSTR ETA LOT NO.
iv—:.:TCtO CITY OF CUPERTINO
r' APPLICATION FOR PLUMBING PERMIT
p Sanitary No —
Dote
' Dote •hai] i , 19_ Permit No.
Fee $
Applicafion`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
Owners 6 h Y
By
Contractor, Agent
State License
I AGREE I WILL
s: C&PENS'ATIOt
Work To Be
Performed SDIn �� Pr 5 5te WI
rmm ing inspec
;GA 'ANY, OF. HE WORKMEN'S
OF THE`STATE OF CALIFORNIA.
® L.
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 Conn.
Dish Washer
Waste Disposal
Wash Troy
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink & Tray
To Curb
Dentol Unit
5i1
Drinking Fountain
%�
_
Floor Drain
WATER Sy EM
Hopper
Size
Restaurant Sink
Material
Sond Trap
TOTAL FEES
Urinal
Fixture Fee
O'er
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee'
Sprinkler System
Water Sys. Fee'
Relief Value
Gas Fee r
Vac Breaker
Skimmer
Filter
Pool Swee er
Permit Fee
Total
Total Fee
O�