File 5144021821 McClellan Road
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,44o
DATE 9/23 1978
Application is hereby made for a permit to 5—NHR Wood Frame
Const, a 1 story, type - 26, x 27
to be occupied only as J Garage ( Private)
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 4.000
FEE S 28' oG PLAN CHECK $ 14.00
OWNER John Allan Jr. ADDRESS 10207 Orange Ave.--Cupt
99 -3355--
PHONE 996-4696
ADDRESS
STATE LICENSE
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE I INSPECTOR I I DATE I INSPECTOR
FOUNDATION 111 -:ZZ DA111)f-C&A>FFLOOR STEEL I I
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. 8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
TIEDOWNS I I I -MISC-
.00.E 8V51.ESS 1.r.5 I C., LA
RESIDENTIAL I DATE I INSPECTOR I . COMMERCIAL I DATE I INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRINGFINISH
WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
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
FLUES 8 COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN' (1 "
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
�Y/ /l/ ��f 6�+o•Y� '' LOT NO. 3Y
NO. STREET
CITY OF CUPERT ;NO CAP IAL.
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a --"s _or), 1 pe 3/'/�f/� — dw �iy,01�?—Structure
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F m Estimated Value of Improvements, $ 00 0 04
a PI Ck Fee $
p O It is hereby agreed that the requirements of the4
n Cupertino Building and Zoning Ordinances and all Fee $a89
other laws applicable to the construction, locationand �(, a`°
OZ a , use of buildings within the City of Cupertino will be Total Fee $�
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PHONE STATE LICENSE BUILDING INSPECI;OR�—
CITY OF CUPERTINO U
TEMPORARY ELECTRICAL SERV
JCE
DATE: ...../ �P /7 `1 ..................... .
LOT: .. _ D ....................----..--..............................
REASON:----G�.VS,7!Ct�!.GT/U .. r 7... 15......aN /.
The undersigned agrees to be responsible for the electrical service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone -_�-��
..." . ..........
-'--- ..................INSPECTOR
TENANT OR OWNER
117 1/63-500 PD4
"r CITY -OF CUPERTINO
TEMPORARY ELECTRICAL SERVVIvf �CE
DATE: .... �/(`//— ......... :....... Feei .. z OD
OWNER: .... S.L..�-.� .1.. .......q.��� �1 �L----- ------------------------
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LOT: .......... _.........._.—........................................................................
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RGASON:.....................................................................................� .
The undersigned agrees to be responsible for the electrical service at lire above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. G�j-33�
Phone (/ (9
INSPECTOR TENANT OR OWNER
117 1/63-500 PD4
21821 McClellan Road
NO. STREET LOT NO.
CITY OF CUP ERTINO
APPLICATION FOR BUILDING PERMIT
-tM SANITARY NO. 10298
FILE NO. 51,440
DATE 3/23 19 78
Application is hereby made for a permit to 5—NHR
Remodel (Move -In) a 1 story, type Wood Frame
to be occupied only as I- Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 25, 000
FEE $ 112.00 PLAN CHECK $ 56. oo
OWNER John Allan Jr. ADDRESS 10207 Orange Ave.--Cupt.
PHONE 996-4696 - -
CONTR. ADDRESS -
PHONE
STATE LICENSE
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE I PECTOR 1 1 DATE I INSPECTOR
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. & EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
UNDER -FLOOR
TIEDOWNS i MISC-
ESS FORMS INC LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE I INSPECTOR I COMMERCIAL DATE I INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
INSPECTIONS
PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD
DATE I INSPECTOR i I DATE I INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
LOT NO. 33
NO. STREET
CITY OF CUPERTINO vAL.a iy �_
CAP.
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F � Estimated Value of Improvements, $ � y0�-6 as
a PI Ck Fee $
p O It is hereby agreed that the requirements of the 00
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3 other laws applicable to the construction, location, and / (o �, 0-0
Oz - use of buildings within the City of Cupertino will be Total Fee $
zcomplied with.
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Sanitary
Date V - —, 19 /0 PermO No.
Fee S
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 ofWork To Be
Premises e 5 Pmfarmed
Owner "Z /TyNf1 f T In Address
Phone C/o/ zi, -- ^n - 5
By QW%l P— Address
Contractor, Agent
Phone
State License Approved P/ —
Plumbing Inspector
1 I AGREE I WILL NOT VIOLATE ANY F THE WORKMEN'S
\� COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
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Dote Permit No.
Fee$
yAplication 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 n Work To Be
Premises Use
Performed
OwnerL� /G �� Address
Phone 9-C//' -- 3 3 5._ 5
B (1) tyh Q E� Address
By Contractor, Agent
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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•Iti7 CITY OF CUPERTINO
Cn APPLICATION FOR ELECTRICAL PERMIT
JI L 5, 1978
Permit No.
Date t PL—, 19 Fee $ /-3 %,�
- � LA
Ap ication 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 C'�-Ce G� �15� a Performed
Owner
Address
p /
Phone
Address
Contractor, Agent
Phone
State License Approved
Of Electrical Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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NO. STREET ,
_rn,�p CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
-7�Permit No.
Date C , 19L.SZ F.'$
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 theElectricalCode of the
City of Cupertino, and all other laws applicable thereto.
Use ofWork To 8a
Premises Res Performed
_ /� �
Owner GT(,t./�_A/Address
Phone 1,"
By (�-�%"s. Address
Goniractor, Apent
Phone
State License Approved
Electrical Inspect r
I AGREE I WILL NOT VIOLATE ANY O HE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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ELECTRIC SERVICE NOTICE' `-
"'L BUILDING INSPECTOR'S NOTICE
_ CITY OF CUPERTINO (�
To
You ore hereby
Owner or Tenant
At -) /;? a
No. of Wires
Motor Load
Heating Load
v /,
Connect electrical service for I
OFFICE COPY
19 / 7
rry
Size of Wires D Fl Size of Switch
Voltage Phase
K.
Zl—
Light 110__New
Service
Reconnect
No. of Meters
I Heat I20_Three
Wore
More Service_
No�of Add. Meters
1 Power
Three Phcse
Move Meter
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ELECTRICAL INSPECTOR
2/ 8 2 ( Ae LOT NO.
NO STREET.
�u•� CITY OF CUPERTINO
Cr
�a�Q APPLICATION FOR APPLIANCE PERMIT
Permit No.
Dote n S� , 19 Fee SSV
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 ofWork To Be
�� p{eo,Te, BTU
Premises #0 (a --Performed I
Owner S/5 ill t'•�— Address 2/8'2/ AC CAP,446%, �
Phone1+ 33s 'S T
By "Q� t-wpj Address Lri prQ �`t•it l�'
Controctor, n _
Phone
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S e.
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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