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NO PERMIT NUMBER (2)10414 McJinsa Court 18 NO. _ •�•� LOT NO. CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. 1015.3 BF FILE NO. 51 423 f wftr - W Application is hereby made for a permit to Construct -(Plan 17) o story, type to be occupied only'as Single Family Dwelling in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 64,000 FEE $ 215.00 PLAN CHECK $ OWNER San Carlos Homes ADDRESS PHONE ADDRESS LICENSE APPROVED James H. Sisk/m BUILDID161NSPECTION RECORD DATE IN5VCTOR DATE INSPECTOR FOUNDATION �Lg.'j OR STEEL G P E-GUNITE FRAME - S BOND BEAMS LATH 4 Q WALLBOARDS - INT. BrEki. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION -FINAL BLDG. UNDER -FLOOR TIEDOWNS -MISC- DIAPHRAMS MOORE..sINEss 10R.s I C.. Lt ELECTRICAL INSPECTION RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING GH 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 INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. J BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH 2 FLUES & COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS - )- FINAL PLUMBING MISCELLANEOUS OG 49=dd �C./r LOT NO. Z✓ NO T CITY C` CUB _;_1"'� CITY OF CUPERTINO - F�'R 1 15APPLICATION FOR PLUMBING PERMIT OpT IK' ss•-ty 'jjtSanitary No._ Date �V , 19_ Permit Fee sS E 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 of �jy,�, Work To Be Premises p /� Performed Owngafn l�siC; %17P�_ Address 16 2A_C UC�•C/i� A'c/� I�-JI�L�i.�S Phone Y'• L HICKEY SONS INC, �J� W. L HICKEY Stl .,; INC Address By Contractor, Agent Sunnyvale, Calif. 94088 State License R �a °2 Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 6 L. FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet Material Bath Tub To Curb Shower 2 To Prop. Line Lavatories y 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 8 Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap 16TAL FEES Urinal Fixture Fee 30 Area Drain Water Leader Sprinkler System Main Drain Fee Storm Drain Fee Water Sys. Fee a Relief Value Gas Fee oZ Vac Breaker Skimmer Filter Pool Sweeper Permit Fee Total Total Fee fo3 LOT NO. , /1 NO. 5 _ CITY OF CUPERTINO APPLICATION FOR APPLIANCE PERMIT ?4Wt047 Permit No. 157 2'1 s Date �� II �F , 191.1p — Fee $ 7�J� Application is hereby made to the City of Cupertino for a permit to install gas. appliances us 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 (1 Work ToBec�4 J2o,NJt Premises IC G $ Performeedd 7 Owner Sors CAP12S 41n 'S Address PJ i2OX .71egI — S/1 tl C,4 QiuS Phone /��7 //�z�,, — 9/!,6 Z CA — 41I Lt4u L— By pa'—JC' �'y'hn. Address 7 Z" FGa [S Y2 --j rf Contractor, Agent C7A- 9 S U/ Phone % 2<- Ot( L•.J c.Y.i State License P 7 4 L 40 aG s Approved 1� L P umbing Inspector I AGREE 1 WILL NOT VIOLATE ANY OF THE WORKMEN'S (V� COMPENSATION LAWS OF THE STATE OF CALIFORNIA. X O L. APPLIANCE UNITS FEES 1) FORCED AIR OR GRAVITY FURN. TO AMR t 1 100,000 2)FORCED AVITY FURN. OVER3) FLOOR FU4) SUSPENDEALL, FLOOR HEAT5) ETY INSTALLATPPL. VENT6) REPAIR OF,ON OF, OR ADDIHEATING AIG. UNIT, ABSORCOMFORT COOLING, ABSO ' COOLING SYSTEM , OR COMP. TO 4-HP. ABSORP. SYSTEM ' 001 B.T.U.'S OR COMP. TO 16-HP. ABSORP. SYSTEM TO500,001 B.T.U.'SR lT COMP. TO 15-HP. TO 31-HP. ABSORP.500,000 TO 1,000,001 B.T.U.'SR 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. 12) AIR HANDLER OVER 10'000 CU. FT. 131 EVAP. COOLER PORTABLE 14) VENT. FAN CON. TO SINGLE DUCT 15) VENT. SYSTEM NOT A PART OF HEATING OR �'2._ AIR CONDITIONING 16)HOOD - MECHANICAL EXHAUST 17) DOMESTIC INCINERATOR 18) COM. OR INDUST. INCINERATOR 191 EQUIPMENT NOT COVERED BY THE ABOVE PERMIt FEE ,VJ TOTAL FEE I.w av NO. T -- COT N�/? CITY OF CUPERTINO /Car C.;APPLIrCATION FOR ELECTRICAL PERMIT ' Itr � 1970 Permit No. Date ,.�/JC �7i 0, 19L/fLy Fee E�� K Application is herebyr'ade 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 ;f Z/ p T' Owne Address 21 Phone By Contract r, Agent Phone z "2 171� Stote License d`a42!26 I AGREE I WILL NOT VIOLATE ANY OF THE COMPENSATION LAWS OF THE STATE OF ® LA ITEM NEW PPL FEES Number of Outlets S/ Number of Switches y �0 Number of Receptacles r Number of Fixtures Ranges or Ovens K. W. Size of Main Service ZA Number of Meters Number of Panels i Signs Transformers Dryers Motors: H.P H.P. Phase H.P.Phase Power Poles Misc. Permit Fee H.P. Charges Total Fees r rvv. �i rtr• .. .. CITY OF CUPERTINO VAL. �rJGG d APPLICATION FOR BUILDING PERMIT CA FEE lj Z O Building . . S11 Dote c: r cF curs:<Tr.:o t9 ° Per. No. Sanitary Per. Na. .0c, Y C04,1 ,[aC-7 Ap -I - -ion is h , . . made a� permit to '% %ILIA/ 0' 3 V = u- O a D st ry,A Ty�pe� Structure M d ' LJ S/N �C Fiwt", L�'n accordance with . to be occupied only as O a i N Plans, Specifications and Plot -Plan filed herewith. a w = Estimated Value of Improvements, $ (O t„ PI Ck Fee $ O O It is hereby agreed that the requirements of the o 0 Fee $ A /r w Cupertino Building and Zoning Ordinances and all 3 O a other laws applicable to the construction, location, and Total Fee $ Z use of buildings within the City of Cupertino will be , Z complied with. O w Z OWNER PHONE w w d' 6 G i C(?14TR. R AG N PHONE STATE LICENSE ADDRESS ADD E BUILDING IN5 ECTOR � ' p �• OFFICE COPY OLECTRIC SERVICE NOTICE. BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO n To You are hereby authorized to connect electrical service for Owner or Tenant• .... -�!.''.^f-:..... L.... ... .?"a- '"c� ........................................................................... At............�.Cc�..a ... .... ..... ................... .......... ............--......................-..- No. of Wires ........................ Size of Wires .........---.......... Size of Switch ..r................. MotorLoad ....._................... Voltage ... ........ ..................... Phase ....... _............. .... ...... HeatingLoad ........................ K.W.................... ....... ..-..... Voltage ................................ (Light ............... 110... v.. New Service.... �.:....._ Reconnect ............. .... No. of Meters ..--.....I........1 G- Heat ................. 220............ Three Wire................ Move Service ..... No. of Add. Meters....---..... Power ............... Three Phase ............ Mover. Meter.............. i ELECTRICAL INSPECTOR BUILDININSPECTOR'S'OFFICE' ; • CITY OF CUPERTINO Office copv ,© Bockf low Device Sanitary Permit No. Sewer Connection Plumbing Permit No. i 5- Plumbing Final Lot No. Owner or Tenant At //I r// ,/ 1� of'i:, , 0—,.n t-, Traci Date Connected — 3 n 1 9 > Date Final p. PLUMBING INSPECTOR • y • OFFICE rY OF CUPE;1.1Nwa,_ COPY 'bA ' ERVICE NOTICE '197� To You are hereby authorized to connect the GAS service for Owner or TenantAt �y New Service L� No. of Meters Reconnect Move Service No. of Add. Meters Move Meter PLUMBING INSPECTOR IMF File No. I-qw y , Date Location _.6 LeC.) Subject �� �� File No. Date Location /f- Subje t Notes File No. _ Date Location L / f - 6 ��, Subject v Notes Approved/ D t Sns c or C TIFICATE OF,COMPLETI6'14 ' 'BUILDING{INSPECTOR'SOFFICE - CUPERTINOJ 1-CITY;OFq'Y 3 BLDG. PERMIT NO. 41 . THE DG. LOCATE/D� AT BL OWNED BY n ICOMPLETEDD) �FOR USE AS �� HAS BEEN,_,LALTEREDI ' Aq,?, 61, BUILDING INSPECTOR