NO PERMIT NUMBER (2) 20800 McClellan Road
NO. STREET LOT NO.
CITY OF CUPiRTINO
APPLICATION FOR BUILDING PERMIT
10108
SANITARY NO.
51,424
FILE NO.
DATE 1/25 19 78
Application is hereby made for a ermit to 5—NHR
Const. (333 sq.ft. addn.J1 1 Wood Frame
a story,type
I Single Family Dwelling
to be occupied only as
in accordance with plot plan,plans and specification filed herewith.
10,540.00
ESTIMATED VALUE OF IMPROVEMENTS S
FEE$ 56.00 PLAN CHECK$
Ignacio Maciel
OWNER ADDRESS
PHONE
CONTR- ADDRESS
PHONE STATE LICENSE
James H. Sisk/m
APPROVED
BUILDING INSPECTION RECORD
DATE IN E TOR , DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..LR
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPEKTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH A U DER D ROU
ROUGH WIRING j ROUGH WI I
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
Q- �0
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 8 INSULATION
UNDERGROUND ROUGH FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFICUPERTINO.
r
DATE °� /a 19 7 �' BLDG. PERMIT NO. "E/4
THE BLDG. LOCATED AT
OWNED BY `��^`..-."Ct_,
irr PHAS BEEN (COMPLETED) FOR USE AS
ALTERED /
i
BUILDING INSPECTOR
eTr/fta rn" UP,\\4Lt� .4d LOT No.
NO STREET
CRY OF CUPERTINO
S`• APPLICATION FOR PLUMBING PERMIT
1 „ �
Sanitary No.
Dust .A �146U b ;lfl� Permit Nw
►eeS17
Application i ►I streby made to the City of Cupertino for a permit to install—plumbing
pipes and/or flures listed on the reverse side hereof, and agrees to install said pipes
and/or fixtures In accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
Urs of Werk To Be
Pnmi•n Perforffad
Owner Add _
Phm..v=.67 • % 41
BY Addn s
Contractor,Agent
Phone
Stele Urnw APProrin!
OF Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
m cs
� &
■ ! § ■
B �
R ■ ! !
M
72 -e
Malls
� !
l � k ■ ! ! ! )
B $
x • � } � ■ - �
� il . � I � k . � ■ | ■ !
| ! ! ` ■ m ■ � ; j � � ! ■ 11 | 77 % � . a _ 7
„ � ! s ! & � ■ k ||! � ! ! ! fla � _ , a , , � !
]O$OO ae_\\,ar, LOT NO. /
NO. STREET
r' -APP CITY OF CUPERTINO
AP.P_LICATION FOR #PPLIANCE PERMIT
Permit No.
Data �, , Fee$ ! d 0
/{ /
Application is herebyOmade 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 '7erformed
Owner ddress
Phone D6,57)
By Address
Contractor,Agent '
Phone �f n
State License Approved
Plumbing Inspector
1 AGREE I WILL NOT VIOLATE ANY OF A WORKMEN'S
IL COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
l ®L.
z ) - \ ! ! §
\ \ / \} ( \ \\ } ( : u ( � }
\ \ \ \\ \( § \/ _
! » ! R £ / � 22 °
� ( ) } � } �\ \\ �/0 \/ � / § & & \
OP ! » » zE � : . , � y
lag !& = / � (/ §\ /\ /[ 2 § / Eai ( f2
(( \\\ ) \/ § - 2 ! m § ! ) § ! ! l2 , 9 ) A § Rz
(- }/}\ (} ) \iz / /�\\}(\® /}}}
LOT NO. 'y
o�
NO. ',:STREET. -
q\ - CITY OF CJPERTINO - - �
AOPLICATIO.WFOR ELECTRICAL PERMIT
�S . � Permit No. rsr
Data '•7 s !yL�J ,1 - Fee;,S u
t, -Application is hereby made to the City of Cupertino for a permit,to install electrical
rwi'iing and/or fixtures as listed on the reverse side hereof, and agrees to install-'said ,apt«`
wiring, a'nd/or-fixtures-in accordance with the provisions of the Elecfticol Code,of the . ;
e City-;f Cupertino,and `all other laws.applicable thereto.-
',Use of -Work To Be
-V - 11 ' Performed-'
Premises' y�� -
Oaine t•WO \v W�.Q• '� Address
..-Phone -7isS� �. 9S,
;o
gy Address _ 4{
Contractor,Agent
Phone - 001 - '
3.
$tate Licenu Approved-
- _ E16dri<al'Inspector ,> a Vr
d M� - l' AGREE [WILL NOT VIOLATE,ANY O THE WORKMEN'S -
(COMPENSATION LAWS OF THEY STATE OF CALIFORNIA.
{rnJ
N � 9
W
' W
' .LL
LL
F
3
z a �
E - 3
W °
v o Em
v
E
O ✓;i � = i '4 °' o o m m w
E E E E m `oY.° o
z z z z. ¢ JI zIz
14" LOT NO.
((
CITY OF CUPERTINO CAP VAL.
d APPLICATION FOR BUILDING PERMITl PEE
w Z CllCJ%tiM
, Or O Building Per.No
Date ,19 ..
O Sanitary Per.No. /^��
3 V Application is'Urrgby made for a permit to �f!/lT�a��� ffwy�?Jd�t�
= 0 `AE)/AtsTy,�Tvpe��� Oh= j.�f � Structure
O to be occupied only as in accordance with
a
i a Plans, Specifications and Plot-Plan filed herewith.
LU OW
x Estimated Value of Improvements,$.
a PI Ck Fee$
O O It is hereby agreed that the requirements of the
> w Cupertino Building and Zoning Ordinances and all Fee$
aother laws applicable to the constru cation,and Total Fee$
Z — use of buildings within the City o uperti will be
Z complied with. /}CI F—1-
0
0 J�GNA'Cio M
w w OWNER PhI,JJE �t ADDRESS
CONTR.'OR AGENT A DRESS
_ U
I PHONE STATE LICENSE BUILDI IN PECTOR -