51,419 21064 Marcy Court 39
NO. _ - y - • LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10332
FILE NO. 51,419
DATE 4/13 19 78
5 NHR (2835 sq.ft.
Application is hereby made for a permit to L9.4.t506 SQ.f t.gar)
Const. Plan 4 C a 2 story,type
I & J Single Family Dwelling
to be occupied only as
in accordance with plot plan,plans and specification filed herewith./
94,000 /
ESTIMATED VALUE OF IMPROVEMENTS $
275.00
FEE$ PLAN CHECK$
Dividend Dev. Corp. 3600 Pruneridge Ave.
OWNER ADDRESS
"manta Clara
246-5001
PHONE
• Same
CONTR, - ADDRESS
P .• • STATE LICENSE 275773
i ' 11111 • APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
CrTE INSP TOR DATE INSPECTOR
FOUNDATION 11, ')t FLOOR STEEL
PRE-GUNITE FRAME 184.."-fE Pt `.L..,
BOND BEAMS LATH U�8-)R
WALLBOARDS SSB EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION •i; ,i-s FINAL BLDG. C' I,�'7 C„,-
UNDER-FLOOR 17-16'•-;R7
TIEDOWNS -MISC-
DIAPHRAMS6L- !',� Yom ?--- 9-7'$ +CJ.
•
•
MOOREBUSINESS FORMS INC..LA
• . 4 _ •
ELECTRICALINSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING LQ-2-,x76 (i)FC .ROUGH WIRING
FINISH WIRING � _T r�1 Cf FINISH WIRING
FIXTURES z _I.i.' r INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL Z- 'j, lq MOTORS •
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR SM. y
BACK FLOW INSTALLED DUCTS&INSULATION 74/]]((''
UNDERGROUND GH)LS'7 4!� FLUES 8 COMB.AIR y/ 2 /!�,
PARTIAL ROU f//c/fir ,. CONDENSATE DRAINS
ROUGH CO PLETE /yby FINAL APPLIANCE '7 I,s:-.11
ROOF DRAT 8 LEADERS
MAIN DRAIN
FINAL GAS 6, `R
_!/
FINAL PLUMBING Z - ' , 1 C -
(�
MISCELLANEOUS
•TIFICATE OF COMPLETION IP
BUILDING,INSPECTOR'S OFFICE
DATE Z I J/ 1 191 OF CUBLDG. PERMITONO. "I I
THE BLDG. LOCA. ELAT • \ � J�C�C
OWNED BY -� 1/4--\--"‘ V ?
HAS BEEN_COM EDIJFOR USE AS v- �
(ALTERED)
4
,n r, oM
VchLA
BUILDING INSPECTOR /
Vis,Ci
SERVICE NOTICE
• . OFFICE COPY
C.:a. } � BUILDING INSPECTORS NOTICE
ay CITY-OF CUPERTINO
-U' 7 , 1 { 19 161
To
You are here6Y'authorized ro Connect.el\ecttrical service for r
Owner or Tenant 1 T • h Aka
CI-- J - lcC
At Z 1 U (.--. . t� n C a A �}
No.of Wires Size of Wires Size of Switch I Vr` '
Motor Load Voltage Phase
Heating Load K.W. Voltage
Light ...-"'-----110 -/---
New Service Reconnect
No.of Meters Heot X20/7`� Three Wire` More Service_
No.of Add.Meters Power 1`/\i/1h1rree Phase Move Meter
I• /// V ELECTRICAL INSPECTOR \ /
LI < J
BUILDSINSPECTOR'S OFFICE •
-C Bldg.Depl.
ITY OF CUPERtINO Of COPY
SanitaryPermit No. b 331-
❑ Backflow Device
(— ) liiC)
❑ Sewer Connection Plumbing Permit No.--
D'Plumbing Anal Lot No.
Owner or Tenant �`/ t.'U •The \I - "_ 2)6�p
At "2 ‘ (-) b \-i LA C_ X -
Tract J
le
Date Connected 1 S 19ltSt Date Final re - ( , 19 '
OM - PLUMBING INSPECTOR()
?j / • • '61T+Y,OFCUPERTINO LL. • COPY
GAS SERVICE NOTICE
• -ta y e' , ,9
•
To
. 0
You ore hereby authorized to connect the GAS service for
Owner or Tenantc' "t- �-`z-.' ^� ��f�n.-r Rt-'1_41 •
At o) /0 t/ tin -ld . t1
•
U v .
New Service
No. of Meters / Reconnect
No. of Add. Meters L Mo e•Service
Move Meter Q/�-
PLUMBING INSPECTOR - �g-P^�'Gt em
� TIC C
ECBUILbRING INSPECTOSERVICERSNOTINOTICE E � OFFICE COPY
c....J1H- CITY OFCIIPERTINO •4 . •
�� 7 i 2 , 197k
To O.r✓ • . .
--1 I
/YofLare hereby.auth--C-.)
ized to Connect electrical.s�rvice'for�,
// i I l ) l J f 1Pc.� b ( )0 J • � 1�
Owner or Tenant (
INA
_ �•-
Ar 1 O 't ll •M A. O. C C1 no f \ i
No.of Wires Size of Wires �. Size of Switch U
Motor Load Voltage Phase
Heating Load K.W. Voltage
' Light 110 New Service Reconnect
No.of Meters 11 Heat 20 'Three Wire More Service_
No.of Add.Meters Power ��I Three Phose Move Meter
Q• ELECTRICAL INSPECTOR V \
X •1 /O (c di— in /CC_), f". -- 0 LOT NO. S 9 i
NO. ST �i/ODQ
' CITY OF.GUPERTINO '4' Elk VAL.
C:Tt ::: :t'- tt2 C FEE to �-
a APPLICATION FORSUILDING PERMIT
w Z r, WnI y ,9 BGilding Per.No. S/ Vi9
NC O �Defe� �47n r 19-�-"— Sanitary Per.No/O33.2.
3 u Application Y is hereby made for a permit/ to C O NST. PL 9w./ 4'-C.
= u. a A story, Typercfl Q�283S Ch 4 iv Q.546 /ft&n) Structure
r0
to be occupied only asS'�S -5, ` Aw'4. in accordance with
Oa
i w Plans,Specifications and Plot-Plan filed herewith.
a ,,,
w .E Estimated Value of Improvements,Sall!, 0 0 0
1-
:3 LL PI Ck Fee$
p O It is hereby agreed that the requirements of the -175- own„
> to Cupertino Building and Zoning Ordinances and all Fee $
3 other laws applicable to the construction,location,and
5 a Total Fee$
Z -' use of buildings within the City of Cupertino will be
z complied with. 3 ba a .�2 I.µ/y/Ct.l D 6C
3 0 .%0/JrOFNn.))Cl1�u>fmcn)K n,4R c rtn/ FA CI—A/e.,*
w Z OWNER PHONE ADDRESS
tile iL .a4n'IE
Q CONTR.OR AGENT ADDRESS
° a�( .1-0 o , . '"27577 �"^_NG TOR
PHONE slate •IRfITLI E er. BUILDING INSPECTOR
02/J fp • C C .iaf� LOTNO: /
NO. T t •
•C" - ' ' •.). CITY OF CUPERTINO
JUL APPLICATION FOR ELECTRICAL PERMIT
/
A. @ t Permit No.
Date ,19_ Fee 5 r
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 Performed �2i P /76.-7=—.4./ 6. 7=—.4
Owner est 4.---"o(y.2' Address
Phone2- V-Co-- C l70
By /5 a-1e ?via Address
Contractor,Agent
Phone
State license Approved
Electrical Inspector
PI AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 LA
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W. JI
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
Total Fees
LA
21064 Marcy Ct. No.
39 i
NO. • STREET �' Plan 4
z a ' CITY OF CUPERTINO
tuz
y0
cc •
APPLICATION FOR ELECTRICAL PERMIT
au.
OJ
3 a
U Permit No.
tu
7
I
o Date OCT s 1 0 7819 Fees /A/ J ci
o r
u. Application is hereby made to th`e City of Cupertino for a permit to install electrical
r F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a m wiring and/or fixtures in accordance'with the provisions of the Electrical Code of the
F I City of Cupertino, and all other laws applicable thereto.
aH
_ILL
0 Use of 1-fam. res. work To Be electrical
>N Premises Performed
oc owner Div. Dev. Corp. Address P.O. Box 2805, Santa Clara
Z WANDERER ELECTRIC, INC.I - .%" _ �✓. l�r Qya,I bur, {/ (eJ 2 BeJO Addie '' .- p"iaa.
3 Contractor,Agent
Phone r23O' %
— '
toUl
w State License / Approved
6 LL
CC Electrical Inspector Coo
.0
ITEM NEW RPL FEES
Number of Outlets
-7/j
Number of Switches R% ?r
Number of Receptacles 53 f
Number of Fixtures 2L
Ran1r Ovens K.W.
Size of Main Service 2a1�
Number of Meters
Numbgr.of Panels
Signs - Transformers
Dryers, - j
Motors:
H.P. Phase s
H.P. Phas •
H.P. Phase
Power Poles
Misc.,
•
Permit Fee x.00
H.P. Charges
Total Fees
.>7/0 (BV /,�'J^�/� LOTNO.J9
NO. BT� // •
- - . .
,. .
'. VCITY OFCUPERTINO .
APPLICATION FOR APPLIANCE PERMIT
q� Permit No.
Date A%'../..... i' , 19 7K Fee S /T N
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 A/ ,�/yew Work To Be
Premises `��///}'� / " v Performed
Owner d Address? /oiv7//O 67,,,,>/:,,,p---
Phone
���---
Phone?/71,1,./1,4/ }W/G'' // '
Byre ,*& /a, Address L�+C4.1 XLG/
Contractor,Agent n (/
Phone
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
®LA
APPLIANCE UNITS FEES
I)FORCED AIR OR GRAVITY FURN.TO AND INCLUDING a P--
100,000 B.T.U.'S
2)FORCED AIR OR GRAVITY FURN.OVER 100,000 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 5I-HP.ABSORP. •
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11)AIR HANDLER 10,000 CU.FT.
12)AIR HANDLER OVER 10,000 CU.FT. _
13)EVAP.COOLER PORTABLE
14)VENT.FAN CON.TO SINGLE DUCT
15)VENT.SYSTEM NOT A PART OF HEATING OR H ~
AIR CONDITIONING
16)HOOD-MECHANICAL EXHAUST
17)DOMESTIC INCINERATOR
18)COM.OR INDUST.INCINERATOR
19)EQUIPMENT NOT COVERED BY THE ABOVE
•
PERMIT FEE a
OT FEE /'
4. 1 714. LOT NO
NO. • STREET ey ..
CITY OF CUPERTINO
• a err of cuPEAPPLICATION"FOR PLUMBING PERMIT
Luz 2
•
. LL
JUN 19 1978 /� ti sanitary Nn.
0 a Date , 19 — Permit No
a P A 9 I Pee $ 54->4=(�
c
u.S ° ApHirttion is hereby made to the City of Cupertino for a permit to install Plumbing
o a 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
a w Cupertino, and all other laws applicable thereto.
W x
1 LL Use of Premises Single dwelling
O 0
5 N
,. 3 Owner Dividend nPv Corp ' Address lens Prunari Aga Aare
O a
z
J
By Bohart Plumbing Co Address 139 E. Fremont Ave.
n CONTRACTOR, AGENT
3r-
- w Phone 245-2323
w z
•
cc u s State License 186579 Approved
a o
— 0 PLUMBING INSPECTOR
FIXTURES NUMBER I MAIN DRAIN
Units Units Fees
-�
Water Heater em i Size Fa
Water Closet WAI7'��1ZW
Bath Tub WWI To Curb
Shower _a.a.l To Pro.. Line MM
Lavatories LiV7Sllt To Existin:
en in IIIM_E%l N.t Conn
I MEM 1.1
—_
Waste Dis.osal
Wash Tra 'MEW STORM DRAINAGE
Washin: Machine r� 921 Size .
Water Softener MISMIl Material
Bar Sink =WM To Main Drain
Comb.Sink&Tray - To Curb
Dental Unit __—=
Drinking Fountain __
Floor Drain __ WATER SYSTEM
Ho..er __ Size IAN ,
Restaurant Sink __ Material .SM
Sand Tra. __ TOTAL FEES
Urinal _—111 a
Area Drain __ Math Drain Fee ItiWg'
Water Leader __ torm Drain Fee
Sprinkler System _NE Water Sys. Fee IIWA 740
�__ E+ �
Skimmer
Filter __
Pool Sweeper _i
Mil _
ma Permit Fee Wil _
Total rat Total Fee