FILE 51,39510020 Scenic Blvd. 3
NO, S1REET, I'„ LOT NO.
,CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9611 BF
FILE NO. 51,395
nov 30. ._ 76
Application is hereby made for a permit to
Const. (Plan B) a 2 story, type
I & J
to be occupied only as Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
FEE $
$239.00
ESTIMATED VALUE OF IMPROVEMENTS $ 76,000
PLAN CHECK $
119.50
OWNER May Investment ADDRESS 21060 Homestead #207
Cupertino
PHONE 739-5446
CONTR, Mayco Const ADDRESS Same as Owner -
PHONE 722-9693 284737
STATE LICENSE
APPROVED James H. Sisk
BUILDING INSPF('T1nM RFf(1Pn
DATE
INS CTOR
DATE
INSPECTOR
FOUNDATION
,� •
FLOOR STEEL
PRE-GUNITE
FRAMEt
L1-�
BOND BEAMS
LATH
WALLBEXT.
FIREWMEMBRANE
7
LANDSF.M.O.FINAL
_
UNDER -FLOOR
TI EDO W NS
-MISC-
DIAPHRAMS
.t _�
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
-JROUGH
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 I
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
yf 7&
FLUES & COMB. AIR 3-
)J
PARTIAL ROUGH 1
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
7
ROOF DRAIN 8 LEADE95
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
J-o7-3 CERTIFICATE OF;COMPLETION
BUILDING"INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE 11 IA P i 1") 1977— BLDG. PERMIT NO. •� /A �� Y
THE BLDG. LOCATED AT % D'O 2_0 '�'� v 4 fs %I%01
OWNED BY
HAS BEEN
r\ ELECTRIC SF,RVICE NOTICE OFFICEcorY
I V� BUILDING INSA,ECTO�'S NOTICC E, _
CITY OF COPERTINO
•tq7
To - � r /
You ore hereby outho zed to Connect electrical service for
Owner or Tenant 141 0. n i 1^1Uk y��-*•CAW
No. of Wires Size of Wires CY)}
Size of Switch ,--
Motor Load Voltage Phase
Heating Load 7 K. W. Voltage
No. of Meters / Light 1,:Oz �. Newi wire Reconnect
Hear lsl� •� 6hree Wire Mare Service
No. of Add. Meters Power /�
f ThedPhase Mave Meter
orr ELECTRICAL INSPECTOR. s•
Bldg. Dept.
• Office Copy
BUILDING INSPECTORYS, OFFICE
CITY OF CUPERTINO
F
Sewer Connection Sanitary Permit No- ----- ...........
Plumbing Final Plumbing Permit No. ..51.)-3 - -------
Lot No------ -- -----------
Owner or Tenant .......
At ----
�,-- & ...... ..................................
----------------------
Tract
Date Connected -------- )-/7--77
- ---------------------------------------------------------------------------- ............. 19 ------------
Date Final ._...--------(a... ..._- 7-7
- --------------------------------- ......................................... 19 ------------
...................... / ................
PLUMBING INSPECTOR
CITY OF CUPERTINO
10300 Torre Avenue -Telephone 252-4505
INSPECTION NOTICE
• 09�
JOB
ADDRESS
DAILY REPORT
U.
SnInONN
TIME .� �Cj
C_T.ION NOTICE ❑
ELEC. ❑ PLB6
VIOLATION ❑
MECH. ❑
OFFICE
-A CITY OF CUPERPN6. COPY
v W GAS SERVICE NOTICE
"i •�,.i Sri 1 1 9 % 7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At /C%Cd &
New Service
No. of Meters / Reconnect
No. of Add. Meters
Move Servi
Move Meter /
PLUMBING INSPECTOR /V•i�� L[ Q„
ROM SLIP
File No
Date
Location)
U
Subject
Notes
� r
Approved4 "� �� �/(
Date Inspector°
I
l00 10 / /ue a LOT NO.
NO. •STREET •
C': Cl:'_:TINO
CITY OF CUPERTINO
pU G 4APOW&TION FOR ELECTRICAL PERMIT
Date A L�, 19
Applicati n is hereby made to the City of Cupertino for
wiring and/or fixtures as listed on the reverse side hereof,
wiring and/or fixtures in accordance with the provisions of
City of Cupertino, and all other laws applicable thereto.
Permit No.
Fee $ Sr
permit to install electrical
and agrees to install said
the Electrical Code of the
Work To Be
Performed
Address_,g / D d D CO-d1.IPi
i
Approved
-----
ElectricalI a or
I AGREE I WILL NOT VIOLATE ANY OF THE WORKME 'S
COMPENSATION LAWS OF THE STATE OF CALIFORNI .
0 LA
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
t%
Number of Fixtures
Ranges or Ovens K.W.
/�
✓
Size of Main Service
t
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
a
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
•
Permit Fee
H.P. Charges
Total Fees
ay,SS
l a'PA49 LOT NO.
NO. STREET
CITY OF CUPERTINO
-APPLICATION FOR APPLIANCE PERMIT
Date_ IAN) 121977 .19_
Permit No.
Fee S / ';4 n d
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.
of
Work To Be
Owner�Cti Address
Phone 40 EAST SAN MARTIN AVE.
BY r! n� ��� Address
(J Contractor, AgentMARTIN, CA 95046
Phone 683-4101 265-2447
State License CLASS C-213 LIC. y279C31
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® lA
APPLIANCE II UNITS I FEES
AND
5)
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM 11
TO
OF
COVERED BY THE
PERMIT FEE
TOTALFEE
10090 Scenic Blvd LOT NO. T 3
NO. STREET
CITYOF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No, J
Date Mgr 9.-1977 ��'��
tq— Fee$ f
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
Premises Home Performed
0V.ner_ Masco Address 21060 Homestead Rd. #216
Phone 733 9693 630 St. George Dr. Salinas
BY r- & G Cons t Address
Contractor, Agent
Phone JA,4,2a-625o .o:�
State License 2II34 828 Approved -1,
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 u
APPLIANCE I UNITS FEES
n cn.rm AIR OR GRAVITY FURN. TO AND INCLUDING
5) INSTALLATION OF APPL, VENT
6) REPAIR OF, ALTERATION Of, OR ADDITION TO
HEATING APPL., REFRIG, UNIT, ABSORP. UNIT,
COMFORT HEATING,COOIING, ABSORP., OR EVAP.
COOLING SYSTEM
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO I U,001 D.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 15-1mP. TO 31-11P. AB ORP.
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
10) BOILER OR COMP. 30-14P. 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.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
15) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16)HOOD-MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
18) COM. OR INDUST.INCINERATOR
Im c,i i,,MFNI NOT COVERED BY THE ABOVE
PERMIT FEE
LOT NO.
NO STREET n
- CITY OF CUPERTINO �J
`JPN1 9 1CAPPLICATION FOR PLUMBING PERMIT
DE',
' 1 "A19 / V Sanitary Fee
i
Date 4 ::JJfL / v , 19 Permit No.
s � I rwa�
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
Cuperti and all other laws applicable thereto.
Use of Work To Be
119
Premises Performed /
Owner Address
Phone �'
By ROWLI'.s% i': )%lf P,,, Ni it Address_
grtl� <tor, get /�
Phone
State Licens-q�}---R��y `° �_ Approved
S 6y e 9 Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® s.e
FIXTURES
NUMBER
MAIN DRAIN
jUnitsl
Fees 11
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 8 Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leoder
Storm Drain Fee
Sprinkler System
1
1 Water Sys. Fee
Relief Value
as Fee
Voc Breaker
Skimmer
Filter
Pool Swee er
Permit Fee
Total
r Total Fee
LOT NO. . -F 'e
NO. STREET i
CITY OFCUPERTiNO' VAL. 7� OOO
4AP.
a APPLICATION FOR BUILDING PERMIT l FEE��—
Z Z CITY O: CUF:.'.TINO Building Per. No.f
x0K Date 19 r�jC
Sanitary Per. No. 94 0'/i
3 K — ti(�t1 4 1QWZ /PLAn/Ri
V Application is hereby made for a permit to
= 0 a story,^
to be occupied only as
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ %40 CO40
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 !j Cupertino will be
accordance with
PI Ck Fee $ // 9 '2
Fee $__3� 0
Total Fee $