51,41921094 Marcy Court 36
NO. STREET LOT NO.
t - -
CITY'OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10329
FILE NO. 51
DATE 4/13 19 78
Application 5 NHR (2835 sq.ft.
hereby mode for a permit to Liv.+506 sq. f t. gar)
Const. Plan 4 B 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
246-5001
PHONE
Same
CONTR, ADDRESS_
,t
P E 1 n ATE LICENSE
APPROVED_
275773
James H. Sisk/m
BUILDING INSPECTION RECORD
DATE
I INSPECTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOARDS - INT. d EXT.
0 26-7
W Few
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
7
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAM$
MOORE BUSINESS FORMS INC.. L.
INSPECTIQN RECORD -
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING O
V�
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
INSPECTO
BACK FLOW REQUIRED
-
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
y�
UNDERGROUND RO
FLUES 8 COMB. AIR
7
PARTIAL ROUGH
V
CONDENSATE DRAINS
ROUGH COMPL E U
FINAL APPLIANCE
g
ROOF DRAIN 8 L ADERS
MAIN DRAIN
FINAL GAS y
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE OFICOMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE �%� � '� 19z� BLDG. PERMIT NO. 5^�• ����
THE BLDG. LOCATED AT I 02; `/ -Z'
OWNED BY
HAS BEEN-------MPLET,EDI>FOR USE
(ALTERED)
,ROUTE SLIP
File No.
Date
Location
Subject P
Notes
Approve— Z
Date Inspect6r
S r..
i C" CITY OF CUPERTIIVO m"
GAS•SERVICE NOTICE
197,�E_
To
You are hereby authorized to connect the GAS service for
Owner or Tenant +��-c �� ^"
At
New Servicey..
No. of Meters l Reconnect
I
No. of Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR ®'
ELECTRIC SERVICE.NOTICE
OFFICECOPY
BUILDING IgSFCicrowi NOTICE
,
CITY OF CUPERTINO'
L—
TO
�.
.19!
Yau am hereby oulhorixed to Connect sleclricel service for
r - ( •,
t.
Ownerar Term
••�I.�a.
k
'I"` `- a-••.••%r•rr•
I
01170-4/
7YAdLi ax CT
Ar
O'Sixe
No. of Wirers
of Wire
Size of Switch
Motor Load
Voltage
Phan
Heating Load
K. W
Voltage
�Recannea
/
Light 11 g�_Nwr
Ravin
No. of Melon
Heu1 170
Thrm WIN
Men Swvtrs�
No. of Add. Nletan
Power
three Phan
= /eeve Matw
®a
ELECTRICAL INSPECTOR
•
ELECTRIC SERVICE NOTICE O"ICE GO"
BUILDING l silimTOR'S NOTICE "
CITY OFrCUPERTINO
To
You are C outjhh�or6iclttoo Conned electrical service r�
Owner or Tom ' li�l wr"" "'�"` �'�.l.t' �-R t✓�� '
No. of Wires' Size of Wire Sim of Switch
Motor load Volioge Phase
Hearing Load K. W Voltage
light 110 N" Siew/d nesor
No. of MNere Flsot 14b ,V= W0e Mon Se ia,
No. of Add. Meters Pa.rsr �� Thr r Maw Merw�
BUILDING INSPECTOR'S OFFICE
C17* OF Cu►ENTINO oete�r: cow
❑ Backflow Device 'Sanitary Permit No. 3J y
0 Sewer Connection Plumbing Permit No.
p�Plumbing Final Lot No. 3�
Owner or
Date Connected �� J rl" �-9 19_Dote Final
�� F` F ,q 791
®r _"-PLUMBING N
�( /C7 e7 � 2 5c 'T- %7 - LOT NO, d b : 2.
NO. STREEP
A R C�
CITY OF CUCAP. PERTMO ((( VAL.D O
{
d ciiv ��APP�nC��ATION FOR BUILDING PERMIT FEE
'-A 7 9 Building Per. No.
w Z r
xO Data Sanitary Per. No. 1.0,3 -2,9
_ APR 1 q IM
3 Apphcatlon is'hereby made for a permit t
Vo� ONSf
u'w a st(rY•LTTYpe`rN�R �383.5 .1 ✓ +5�(n Q5 69R� Structure
_O
to be occupied only ►G J -' uJL in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 9t D O O
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be
complied with.
OWNER PHONE
SA'11E
PI Ck Fee $
= Fee
Total Fee $
�%600 %'iE'UN6�In6C
64N rA 21 APA
ADDRESS
CONTR. OR AGENT n ADDf{ES�S J -�
� N L n I jfg g } - Zi$cTa �J'�•'+e`IN ,ji+ /OR /
PHONE 5 1 E BUILDING INSPECTOR
O LA
/k /09 P, '"et/.Y �/'LOT NO. �'� !
NO. STREET ' I, r
CITY C1 C;;'::..�c:J Orr I
CITY OF CUPERTINO
IUL 5 - 1978 APPLICATION FOR ELECTRICAL PERMIT
PA '� Xry Permit No.�
Date _ , 19 V Fee b
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
Owner Q Address 3 6 cc)
f
Phone J. j
By
Address
Contra f. Agent
Phone
Store License Approved
Electrical Inspector 1y1
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
ITEM I NEW RPL FEES
Number of Outlets
Number of Switches
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.
—
Z!1
Permit Fee
H.P. CForges
Total Fees
O �.
U
21D94 Marcy Cf.
NO. STREET '
Cty Qa CITY OF CUPERTINO
LOT NO.
a r4110
SEP Z 5 APPLICATION FOR ELECTRICAL PERMIT
1978
Plan
'et
® Permit $
D e[e ' • � � 19 Feee
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.
of Use ork To Be
_ i-fam. res. W„electrical
Owner Div. Dev. Corp.
_rac�ct-or, Agent
1hone�7y/�I
State License./ n
V�
Number of Outlets
Number of Switches
Number of Receptacles
.�.3
Number of Fixtures
ram. s
Ranges or Ovens K.W.
Size of Main Service
_
Number of Meters
Number of Panels
Signs - Transformers
Dryers
J
_
Motors:
H.P: Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
.1.00
H.P. Charges
a.�
Total Fees
���
fttLOT NO.
L'•� ' S F
CITY C"r CUPE:iTINO , CITY. OF CUPERTINO
JUN 19 197APPLICATION FOR PLUMBING PERMIT
sanitary No.
DIP A � � � I9 �� Permit No
Pee $�
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 Plumhing Code of the City of
Cupertino, and all other laws. applicable thereto.
Use of Premises Single dwelling
Owner Dividend Dev Coro Address 3600r Pruneridae Ave
B Bohart Plumbing co Address 39 E. Fremont Ave
y CONTRACTOR,AGENT
rn....... 245-2323
State License 186579
A
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
'
Water Closet
Material
Bath Tub
/
To Curb
Shower
To Pro . Line
Lavatories
To Existing
Kitchen ink
Not C n.
Dish Washer
Waste Disposal
' WBsh Tra
/
STORM DRAINAGE
WashinR Machine
/
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.S ink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Imp
TOTAL FEE
Urinal
Fixture Fee
_
Area Drain
Main Drain Fee
Watt,.r Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
J
Rclief Valve
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
�.
Total
Total Fee
LOT NO.* gl NO.. STREET- '
�- CITY OF CUIPERTINO -
APPLICATION FOR APPLIANCE PERMIT
1?rR
7 Permit No.
Data , 19/ Fea 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 Be
Premise Performed
Owner Addras �cX2 �
Phone
ei
Contractor, Agent J
Phone
State License Approved
Plumbing Inspector
I AGREE 1 WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
APPLIANCE II UNITS I FEES
9r51 tM 50U,000 TO 1,000,001 B.T.U.'S '
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM I,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
AIR CONDITIONING
16)HOOD MECHANICALEXHAUST
17) DOMESTIC INCINERATOR
18) COM. OR INDUST. INCINERATOR r-
19) EQUIPMENT NOT COVERED BY THE ABOVE II I