5139522093 Stocklmeir 10
STREET ' ,J,y✓ LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9618
FILE NO. 51,395
DATE
11/30 19 76
Application is hereby made for a permit to
Const (Plan B) 0 2 story, type I &a
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 $
OWNER May Investment ADDRESS 21060 HmmeStead Rd #207
upertino
PHONE 739-5446
CONTR, Mayco Const. ADDRESS Same as owner
PHONE 733-9693 STATE LICENSE 284737
APPROVED James H. Sisk/c
BUILDING INSPECTION RECORD
DATE
I>TECTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
$-
BOND BEAMS
LATH
WALLBOARDS I . & EXT.'
'
FIREWALLS
MEMBRANE ii
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. '
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
M
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
ISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD I HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
•4i77
UNDERGROUND ROUGH
7
FLUES & COMB. AIR
/q •yj ,
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
-�
MISCELLANEOUS
ROUTE • SLIP
File No.
Dan/te) 7/ln�� 7
� Location y � / -�v�c7 ''�
v
Subject 6, i / tip
Notes
CER�TIFIpCATNSOPECTOF C pPFEEION
CITY OF CUPERTINO
DATE. 1 q-1Z BLDG. PERMIT NO. C'IJ'
THE BLDG. LOCATED AT Cl ? ,STD C�I Ynn P r
OWNED BY
HAS,BEEN (C.UMPLETEDI FOR USE AS SI bo q f p �ya 1 (w Dwell
(ALTERED)
ELECTRIC SERVICE NOTICE OFFICE COPY
r BUILDING INSPECTOR'S NOTICE
V 1.1 O To CITY OF CUPERTINO
,977
U � ,
You are hereby authorized to Connect electrical
service for
Owner or Tenant / — I �� f/ �',/� .(� ��
At -� 0 9'3 s7nC-/r Pir A
No. of Wires Size of Wires Size of Switch 160 t
Motor Load Voltoge
Heating Load
W.-
No. of Meters
/ ( Light—] 10—NewService Reconnect
l{/1
Hem 120 Three Wire More Service
No. 04 Add. Meters Power (((\\\ �I Three Phase Move Meter-
0 ELECTRICAL INSPECTOR �^f� AIZAAL'vwfl�
v
O ` ( a F
VVV CITY*OF CUPEROFFICE
TINO' FIC
OPY
GAS SERVICE NOTICE
To
s I rV ft O '19
V /
You are hereby authorized to connect the GAS service for
Owner or Tenant
At �_ "?_ O
No. of Meters
New Service v
Reconnect
No. of Add. Meters Move Service
M ( Meter
PLUMBING INSPECTOR � 104.. 14-Ao.44
0
OM
7- ! O _
CITY OF CUPERTI NO COPY
GAS. SERVICE NOTICE
\fU tiL�P 7 119
To
You are hereby authorized to connect
the GAS service for
Owner or Tenant McI t0 [.�I (ll�f�% -e u%
New Service !/
No. of Meters ' Reconnect
No. of Add. Meters Move Service
Mo e Meter
PLUMBING INSPECTOR �✓ d 1� rPAI
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
Plumbing Final Plumbing Permit No. ...... a ----------
LotNo...... bo ---------------------
Owner or Tenant ------- Ve-IT
---------------------- -- IM P.A7
t4At ---- ---
Tract... C.1j.pi ----------- 1K ....................................................................
DateConnected .... .. . .... 7 --- 7 ---------------------------------------------------- 19 ------------
DateFinal -------- ......... r .................... - 19 .............
PLUM 13ING INSPECTOR
`/ Zo may// " �J ///� n
`' "`�Psris 1' IS `�S� `r��LOT NO.
NO. STREET •
C:- " ❑'.O C TY OF CUPERTINO
AU V iVPLICATION FOR ELECTRICAL PERMIT
Date 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 a J, o
permit to install electrical
and agrees to install said
the Electrical Code of the
Work To Be
Performed
Address 11060 a,..r.,
ZjQoor
I AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
O LA
ITEM I NEW I RPL I FEES
Number of Outlets
Number of
Fixtures
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels R(7
Motors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
u
^LCC_TP,:7
CITY OF CUPERTINO
,APPLICATION FOR APPLIANCE PERMIT
W
Date JAN 1 21977) 9-
Permit No.
Fee E Z V-- O J
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 Performed
Owner tractor,Agent Address ncrn AIR GONDITIONING IW
Phone 40 EAST S';1 MARTIN AVE.
By Address UN MARTIN CA 95046
Con
Phone 683.4101 265-2447
State Licens EL C-2C LIC. g g�7gC3y Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® u
A -
um
APPLIANCE 11 UNITS I FEES
'S
I01 ROILER OR COMP. 30-HP. TO 51-HP. ABSORP. II 1
BY THE ABOVE
PERMIT FEE
- W093 CtQSWFgP}P st LOT NO. TOt #1()
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
\:il'
Permit No.&RAW'"
p4srskTl� y��- Fee$
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
Addres, 2106o Homestead Rd. #216
Address 630 St. George Dr. Salinas
\ T '
License 2L.34 82_$._ Approved
�F Plumbing Inspector i
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S rl/
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 'e
APPLIANCE 11 UNITS I FEES
TO 1,000,001 B.T.U.
CU. FT.
HOOD
PERMIT FEE
TOTAL FEE
A
e�
r1T LOT NO.��
' NO STREET '
1 CITY OF CUPERTINO
c 2 APPLICATION FOR PLUMBING PERMIT
`C•V
DEC 1 0 1g76 Sanitary No. _
Date , 19_ Permit No. S
Fee s 3 910-19
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 Work To Be*9.
/
Premis's Performed
Owner ` Address
Phone
eyCROWTT-�' CI(; .ti ANY Address
—I�/���(/
A CCoop(rLac_tor, A�1 .,5(/
Phone /'✓ — i,r� / O
State Licensee Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY'OF THE WORKMEN'S _
PI COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
d' ®�e
FIXTURES
NUMBER
MAIN DRAIN '
f
Units
\Fees
Units
Fees
water Hee;er
2 —
Size ,3 „
5-
Water Closet
—
Material
Both Tub
Z-
To Curb
Shower
1,7-
To Prop. time
Lavatories
6 —
To Existing
Kitchen Sink
y-
Not Conn.
Dish Washer
Waste Disposal
Wash Troy
STORM DRAINAGE
Washing Machine
— '
Size
Wafer Softener
Material
Bar Sink
To Main Drain
'
Comb. Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTALFEES .22
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
'—
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
3
Total
Total Fee
.2,2,0 9 3 S TO C ",e L LOT NO.
NO. STREET ` .
CITY OF CUPERTINO CAP. ( VALE+-y- 00
d 6fPLICATION FOR BUILDING PERMIT Sl FEE 3- 9 L
w ."f Building Per.No.
Date 19 .
Y O Sanitary Per. No.
0— Nnis bI� ad
u Application is hereby made for a permit to-
jr.
_
cistory, Type
Structure
w
a
to be occupied only as
in accordance with
'Z w
Plans, Specifications and Plot -Plan filed herewith.
x
Estimated Value of Improvements, $ SLR 00 T1
u_
O
PI Ck Fee $
O
It is hereby agreed that the requirements of the
fig. 9 tv�
rn
Cupertino Building and Zoning Ordinances and all
Fee $
p a
other laws applicable to the construction, location, and
Z
use of buildings witIlLn the Cit of Cuperino will be
Total Fee $
=� Z
3 °
complied wit
�/O fi�m�S.vDZ�7
—vt
o
OWNE PHONE
z a
`SADDRESS
V^�3NTR.
OR AGENT
ADDRESS
PHONE STATE LICENSE
BUILDING INSPECTOR
O L•