NO PERMIT NUMBER20872
NO. SO
So'a St. ;,1... 5
STREET
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO..
FILE NO.
10083 BF
51,335
DATE 9/13 1977
Application is hereby made for a permit to
Const. Plan 2150B a 1' story, type 5 NHR
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 72,000
FEE $ 231.00 PLAN CHECK $
OWNER George L. Fain ADDRESS225 S. Mathilda — Sunnyvale
PHONE 255-9449
CONTR, Same ADDRESS
PHONE 733-7111 STATE LICENSE 272470
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE
INSPE OR
DATE
INSPECTOR
FOUNDATION
}-7
FLOOR STEEL
PRE-GUNITE
FRAME Z.
_7
BOND BEAMS
LATH
WALLBOARDS '(N7 & EX '
FIREWALLS
MEMBRANE
LANDSCAPING '
F.M.O. INSPECTION
<
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
ELECTRICALINSPECTION 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
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
ERF OOR S.M. %
BACK FLOW INSTALLED
DUCTS INSULATION Z
L,
UNDERGROUND ROUGH .
8 COMB. AIR
PARTIAL ROUGH j _
_ 7
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
%
FINAL PLUMBING
MISCELLANEOUS
ROUTE SLIP
File No.
Date
Location
Subject
Notes
Approved JT
Dat Inspector
OICE
CITY-OF`CUPERTINO :,f ' COPY
GA55E,Rk"ACE NOTICE
To O
You ore hereby authorized to connect the GAS service for
Owner or Tenant �, ".li�./�. /�
At /J A 7 —
New Service
No. of Meters •e Reconnect
No. of.Add. Meters Move Service
Move Meter
i
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING- INSPECTOR'S
OFFICE
CITY
OF CUPERTINO
I�/l�{
11
Connection
0 SewerF
Sanitary Permit No...............................
Q' Plumbing Final
Plumbing
Permit No. _ S.. I. 33----------
Lot No - ------ - ----------------
Owner or'Tenant .......
{
At-... �.G. L 7 ........_
:.. ........
!L - .......... _---------------------
I................. --------------
Tract..........................
----------------------------------------------_..........----
Date Connected ........... L
......'...:::.t%.-7....... ..............
----... ...... 19 ............
Date Final .!................t..-
j
19 ....... --
INSPECTOR
r CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DAT F-"5- 17
THE BLDG, LOCATED AT
OWNED BY
HAS BEEN (COMPL
IALTU
19� BLDG.
FOR USE AS
O•
�`=)( 7 Z cJ ``-� ``�' �'i LOT NO. c S-
NO STREET
11140 CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Data—�♦ Permit No.
7
19� Fees
Applicatiq 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
Premises •Si �iS/� �l Performed
TTTIII"' V�—
Owner Co �'� �'"^ "` �`� Address
Phone n �
By / O� !9 Address 'oe� ,�—Z k
con tractor, ent
Phone 2 S ;-6 3
s;
State License Z6 '�--r/Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBER
MAIN DRAIN
Unitsl
Fees
r Units
Fees
Water Heater
'i/
Size 3
fQn
Water Closet
3
b —
Material 46S
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
p
To Existing
Kitchen Sink
—
Not Conn.
Dish Washer
'
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
'fi
To Main Drain
Comb. Sink & Tray
To Curb
Dental Una
Drinking Fountain
_
Floor Drain
WATER SYSTEM
Hopper
Size c
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
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
`f
Total
Total Fee
a
70872r SO&4 ST LOT
NO. STREET
CITY OF CUPERTINO
APPUTMC�►TION FOR APPLIANCE PERMIT
vO._, .
/o - z..5� 25 �9�;9 ParmiFee$ /K �
Application i; heroky
y lnad) to the City of Cupertino for a permit to install gas.
appliances as IisfId 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
By 4VA<5'%G0 NT6
Contractor, Agent
Phone 3
Work To Be
Performed
Address���Gi�i W
G/�iY�/SEGG..
State License_ ii K6 e Approved
Plumbing Inspector
I AGREE IjWILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 cA
APPLIANCE II UNITS I FEES
TO
EXHAUST
101 FnI IIVMFNT NOT COVERED BV THE ABOVE II 1
PERMIT FEE
208]2 Srsla CtrpPt
NO. STREET
CU.: TINo Mode I
CITY OF CUPERTINO
0 C T 18 AJA06CATION FOR ELECTRICAL PERMIT
@ A I r a Permit No.
Date 1 0-1 ], 19-72— Fee $ % 7 LI-1 _
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 I —fam _ req. Performed e 1 ec t r i ca I
Owner
Phone /33—/I I I
ByaNUERER ELECTRICgen, INC.
Contractor, A�7t
Phone
State Licensee
Address 225 So. Mathilda Sunnyvale
I AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
0 L1
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
3aj
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
3
Total Fees
r ,
W 11
Ok 7 .2 -So 4 Am s?- LOT NO. J' 24
NO. STREET
CITY OF CUPERTINO ( VAL. 20
CkTf CP CC?��mo � CAP. (l
_Q APPLICATION FOR BUILDING PERMIT FEE.'
w 1 1977 d4�' �., Building Per. No. Irl/jss_
S Ol FDate��l . 19 p Sanitary Per. No. IOQ 83 as"'�
3 u App{Icat� n is,hereby made for a permitpt��it/, G% pL,O,t/ .Z/ fv
= O astory, Type S Structure
F to be occupied only as�� �% - SF D4JLr in accordance with
a
Z a
Plans, Specifications and Plot -Plan filed herewith.
a a,
Estimated Value of Improvements, $ %e2 nQ 0
a.
O O
It is hereby agreed that the requirements of the
PI Ck Fee $
Cupertino Building and Zoning Ordinances and all
Fee $ a -I/ G o
3
Z 5
othr laws icable to the cation, and
Is
useeof buildings
within the City Cup ert no will be g y P
Total Fee $
Z
30yk
complied with.
Al
i41,
OWNER _ / iv PHONE /1,
/1
.'u•Cy�,;q
ADDRESS
R
N
OF
CONTR. OR AGENT/��y
PHONE STATE LICENSE
B IDIIN INSPE/CTORR
t
NOt
NO - STREET
7"
iCf'f Qt� Q�wNO ? us CITY';�OF CUPERTINO .Y � }�
91�j91.APPLICATION FOR ELECTRICAL PERMIT
sv Permit No'
Date _ fee E
Y Application.is hereby made to theMtytof Cupertino,for_a permit to.install electrical
c wtrrig and/orfixturez as.li`sted on ihereverse,side hereof;"and agrees toxinztalLsgid
wiring!and/oi`fixtures in aaacfc€ordance?,,_1 � <p,� ions of the EI ` -'cal Code-of,the
Cityaaf Cupertino, and mother laws apple tHer _ o"`T `
jIUse o1. y ;WoikT
'.4,'• F „
"'Premises •: v. -�- Perfime
Owner, ' �' `Address ��+•.�'Id !/N/✓-%T��li/JI'9
4 . K G
Phone
r,
y By ControEtor;'Agantf i x Address+ ,p t 1•, t fi
Phone +•�' a :y •.'t 's, "[ •1. `.
State License 'Approved _
.f sr Ele rical In dor
ANY.OW
AGREE I WILL NOT VIOLATE! F THE OR s - ,
"COMPENSATION LjkWS;,OF�+THE STATE OF,CALIFORNIA. ,
*7s. _ -.. ... ,. �*A'z a'� _ :��.R��#.W,`•A„�F ..34s.0 ,'3 .. __ .. e. _ <•:.in.i .•g'_
- 'ITEM
.NEW `
RPL
/Numbei
' df switches
Number of RecWgtades
:Number'of'F.ixtures
Rariges dr Ovens K.W
--' h"' -
of Mam se',Ce
'.Numberof Meterz
"- Number of PanelsY'
Si6AS jjroniformer,s 'y
.-
" ''Mofors w
H P Phase.
H.P,Phase-a "s
-H P Phase
z
FPermiF'{� t ee
'.',H.P. Charges
'-' Fees.
gg'�Total