FILE 51,395Q
10072 S c Blvd.
NO.
14
PERMIT
SANITARY NO. 9622 BF
FILE NO. 51,395
DATE 11/30 Iq 76
Application is hereby made for a permit to
Const (Plan A) a 2 story, type I&J
to be occupied only as Single family dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 56,000
FEE $ 199.00 'PLAN CHECK $- p
L
OWNER May Investment ADDRESS 21060 Homestead`,:Rd #207
Cupertino, CA
PHONE 739-5446
CONTR, May Co Const. - ADDRESS
PHONE 733-9693
STATE LICENSE
i
- APPROVED_
Same as owner
284737
James H. Sisk/c
BUILDING INSPECTION RECORD
DATE
SPECTOR
FOUNDATION -
EL
PRE-GUNITE
IFRAME
JDATEINSPECTOR
BOND BEAMS
DS N Bi
MEMBRANE _�
6��-99
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TI E DO W NS
-MISC-
DIAPHRAMS
'
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
(Z
MOTORS
FINAL
A MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
�'J
FLUES & COMB. AIR
PARTIAL ROUGH
O-
CONDENSATE DRAINS
ROUGH COMPLETE
7
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
�IFICjk -OF GOMRLETION
UILDING'INSPECTOR?,OFFICE •
CITY OF CUPERTINO
DATE w i 19% % BLDG. PERMIT NO, 9'
THE BLDG. LOCATED AT n n % ZIT &AM
OWNED BY
HAS BEEN (COMPLETED) FOR USE AS
IALTEREDI
� e ez l �'
ADING INSPECTOR'S
CITY OF CUPERTINO
x 3f:
Q/ Sewer Connection
Plumbing Final
Owner or Tenant
t
Tract -.....-......._-
Date Connected ...
/(7_i%
Bldg. Dept.
Office Copy
OFFI
Sanitary Permit No...I...l---------
Plumbing Permit No....<...�l.s.-S
Lot No. ........ 1 �-----------
19.... .....
DateFinal -------------- 15K- --�� -?.............................................................. 19............
i
>� "----------------------
PLUMBING INSPECTOR
�/ El TRIC SERVICE NOTICE OFFICE COPY
0 �� / DING INSPECTORS NOTICE --r !r .
CITY OF CUP.ERTrNO '
Cc u�rccA ! , ,q 77
To r
You ore hereby authorized to Connect electrical service far
Owner or
At
No. of Wires
Size of Wires Size of Switch
Motor Load
Voltage Phase
Hearing Load
K. W. Voltage
�Reconneo
No. of Meters
Lighf 110New Service
Heat 120Three Wire More Service
No. of Add. Meters
- Power Three Phase MMro�v)e Meter
0•
\ tl /
ELECTRICAL INSPECTOR /OAA.�/N�U ✓c/`/
/� v
r .CITY--QF'CUPERTINO A' •
' ( GAS SERVICE NOTICE
OFFICE
COPY
j 7:3 ,i9 %%
To ( ,
You are hereby authorized to connect the GAS service for
Owner or Tenant -2�r--er-t/ `4`
At
No. of Meters
No. of Add. Meters
New Service
Reconnect
Move
Move Meter
��
PLUMBING INSPECTOR Af�// Z��{ (D
r
• ROUTE -�
File No.
Date
c�S
Location
Subject (C�-t h/� /�✓
Notes
• • • , WAR
�- •-
jjECTRIt SERVICE.NOTiCF OFFICE COPY
BUILDING INSPECTOR'S NOTICE
((JJ/� CITY OF CUPERTINO' /q %
((
To
�C V 19
CVou are.hereby authorized to Connect electrical service for
Owner or Tenant �/ 1 a ,-
No. 04 Wires Size of Wires
Size of Switch
Major Load Voltage Phase
Heating Load K. W. Voltage
No. of Meters ( Light_] 10%N.Service "r Reconnect
l(11 Heai 170 �� Three wire// More Service
No. of Add. Meters Power '�
OM � � �T�IPh�s� Iov Meier/
ELECTRICAL INSPECTOR /`/
NO. s'rNEET \ LOT NO. /
`'` ` APPLICATION FOR ELECTRICAL PERMI
AU G `!. 197 t CITY or �CJUPPERTINo
Da� / _, 19 L( Permit No, �J _
Fee h C
Application is hereby made to the City of Cupertino for a permit to install e e�al
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring end/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and alb other laws applicable thereto.
Use of premises I
Owner
By
CON"ACCTOR, AGENT
P_-p
16�[
State License
Address
Address
ELECrRtrAL
ITEM I NEW IRPL IFEES
Number
of
49T N0.
C: CITY OF CUPERTINO
,3 ,APPLICATION FOR APPLIANCE PERMIT
lltf I; � G
Data JA No 12 1977 Permit No.
,19— Fee$ / 00
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
Pramises�q�% Performed
Owner Address— ASCID AIR CI)NDITION[W Ifsb
Ph ana 40 EAST '-.f MARTIN AVE.
By Address_ SAN MARTIN (A 95046
Contractor, Agent 683-4101 265-2447 Phone
State LicenseCLASS C-20 LIC. p 27913M
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
1 ®�e
APPLIANCE II UNITS I FEES
RAVITY FURN. TO A
RAVITY FURN. OVER
WALL, FLOOR HEAT
APPL. VENT
MON OF, OR ADDI'
:FRIG. UNIT, ABSOR
G, COOLING, ABSC
TO 4-HP. ABSORP.
S
TO 16-HP. ABSORP.
COVERED BY THE
PERMIT FEE
10070Scenic Blvd LOTNo.�_
NO. 5
r CITY OF CUPERTINO
_APPLICATION FOR APPLIANCE PERMIT
Iore March � Vl 977 , Iq_
i
Permit No.
Fee $
r
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
;owner MAgr.n Address 21060 Acmestead flA #Pi A
Phona 7z3-96g3
By G & G Constr. Address 630 St. George Dr. Salina:
Contractor, Agent
'Phone (408) 422-6250
State Licensea3 �Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® c+
APPLIANCE 11 UNITS I FEES
AND
FURN. OVER
ABSORP.
OF
BY THE ABOVE
PERMIT HE
LOT NO. _
NO T •
CITY OF CUPERTINO / Y
APPLICATION FOR PLUMBING PERMIT
t' r 1 n 1�/ s Sanitary N-
Date + , 19_ Permlt Noo..
Fee E Ob
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 — �- /� Work To Be
Premiss / Performed-
-
Owner Address
Phone
B LKU%j7LE, ,LI111 �t�� Address
Phone
State License Approved Q LL-
aJrlvfrbtrg Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
' FIXTURES
NUMBER
MAIN DRAIN '
Units
Fees
Units
Fees
Water Heater
Z
Size _ 7
Water Closet
Z
Material
Bath Tub
2 "
To Curb
Shower
z ""
To Prop. line
Lavatories
—
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
2 _
Size
-
Water Softener
Material
Bar Sink
i
To Main Drain
Comb. Sink 8 Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Z -
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Z -
Relief Value
Gas Fee
2 -
Vac Breoker
Skimmer
Filter
Pool Swee er
Permit Fee
Total
Total Fee
3 -
O O 7 / <.. rJ l.J LOT Nq�
ET
NO. 'ET - -
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
k� Permit No.
Date Y' ,19_ FeeE-3wjp—
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 Cade of the
City of Cupertino, and all other laws applicable thereto.
Use of Work To Be
BY Address
Contractor, Agent
Phone
State License Approved
le rical lnspe for
1 I AGREE I WILL NOT VIOLATE ANY OF THE EN'S
\`d COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
ITEM I NEW I RPL I 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.
Permit Fee
H.P. Charges_
Total Fees
69
NO. SIR ,
CITY OF,CUP,ERTlNO.' C VAL.ADO
a L4PPJZ
UCATION FOR BUILDING PERMIT FEE 3. ?
W Date ... _ 19 Building Per. No. `r
z� IV U V 3 U 011) Sanitary Per. No. 91,
0 v Application is hereby made for a permit to CO.* d 70ey G T
1 4)
= LLO a story,N' Type Structure
O W
a
z
aW
W f
aLL
00
> n
0
z
_'z
30
_a
W z
rc a
<0
_ V
to be occupied only as
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ S6, 00 0
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
in accordance with
PI Ck Fee $
Fee $ /r/rf o0
Total Fee $
v?/06 itiESiESJ� 107
DRESS
m
ADDRESS
BUILDING INSPECTO
0'.