NO PERMIT NUMBER (2)10394 Melissa Court
,
NO. STREET ,
! CITY OF
APPLICATION F(
DATE 11/29 977
Application is hereby made for a permit to
Const. Plan #10 1
to be occupied only
EiTINO
t.
ILDING PERMIT
SANITARY NO.
FILE NO._
20
DT NO.
10155 BF
51,423
5-NHR (1943 sq.ft.
typliv.+630 sq'.ft.gar)
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 67,000
221.00
FEE $ PLAN CHECK $ San CArl:os
OWNER Co.--Alcalde Knolls ADDRESS 1620—c E1 Camino --San
Carlos
PHONE 595-0555
San Carlos Homes & Dev. ADORESs Same
CONTR.
PHONF STATE LICENSE 268987
James H. Sisk/m
BUILDING INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
-1378
(;)FCAeu
BOND BEAMS
LATH
a,-W-7S
(-r c
G RG FSN
9-57
if
WALLBOARDS- INT. &EXT.
10-N.7B
WF-CAP,
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
1 vt�):
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
MOORESUSINESS EORMSINC..LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROU
UNDERGROUNDROUGH
ROUGH WIRING
1
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
.. 'IK��CI.IY�l�b'7GF79Y91NP�F.
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
I INSPECTOR
DATE
I INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
.,
BACK FLOW INSTALLED
DUCTS & INSULATION
y
UNDERGROUND ROUGH
�
FLUES & COMB. AIR r(
/
PARTIAL ROUGH
f
CONDENSATE DRAINS
ROUGH COMPLETE f
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN Q/ _
6 _.
FINAL GAS
FINAL PLUMBING
�
MISCELLANEOUS
LOT NO.
NO STREET
CT,! =T CUr>•+T1N0 CITY OF CUPERTINO
At 3 197£APPLICATION FOR PLUMBING PERMIT
(�977 Sanitary No.
(�
Date �" , 19— Perm' No.
Fee S / Q d
Application is hereby made to the City of Cupertino for a permit toiinstall 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 2, Work To Be p
Premises '~�-p Pwformed
Owner � 14 //�•(%ll-0rL i�/JrG.e Address ce 1e—,nn!-,?zj
Phone W. L HICKEY SOUS INC.
B k 1HICICLY SOBS tNG Address n_
' Contractor, Agent Sunnyvale, Calif. 94088
State License 5;�; X12) za,- Approved Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
MBER
MAIN DRAIN
Fees
Units
Fees
Size �i
E
rUnnits
Material
To Curb
ToProp. Line
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
IOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
,5
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
u2
Relief Value
Gas Fee
Vac Breaker
-
Skimmer
Filter
Pool Swee er
-
Permit Fee
Total
Total Fee
��
/0,Z9L UOisso Cr /\
NO. STREET LOT NO. �.LJ
CITY OF CUPERTINO
, ,APPLICATION FOR APPLIANCE PERMIT
�14,Iyl-j
Dose C�' mo D , 19L
Permit No.
�
Fee $�� ��
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
enf To Be I g 1/f-0 J. 4 SI 11
erlormed Jf�'/� [V ,f nL Q //V��/s .(,.
Address vt/Yi JH'`l' UG Yi AaI4GV
Address eA9," Li--W;S Rcl, %San Sass
1pproved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 'e
APPLIANCE 11 UNITS I FEES
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
10) BOILER OR COMP. 30-HP. TO51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,000 CU. FT.
11) AIR HANDLER OVER 10,000 CU. FT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
IS) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16)HOOD - MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
18) COM. OR INDUST. INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
'TMMe'3'i:ssa Court iorrlO '2'0
NO. STREET'co
.- ra -
Ar CITY OF CUPEBTINO +. .
AU G APPLICATION FOR ELECTRICAL PERMIT .
Permit No.
-Date '7 _'31 �7 8Q 19_ Fee S' 3 7. 2.5 f '
+$
` Application'is hereby made, tb.the City of Cupertino for a permit to`,in'stllaelectricals
' wiring and/or;:fizfures'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'tlie" ,,'rr
Y 4 City of Cupertino, and all other laws applicable thereto.
,i
`useoi" Residence work To Be Electrical,
Premises' -� ` Performed - -
0� San :C�`ar<l,os HoLnesAddrsss 16S0 S,•Amphle•t't Blvd r,
an atreo
Phone S73,+9982"' '- c
gY Hil1sE`le6eztr ic 'Address 0, Birchwood'6Y 7
;
_ Contrcctor Agent ti« : - nnyva-1(e
evYA, vn nn- s .Y •.
' - '. ncai nspecsor
`I AGREE 1 WILL, NOT VIOLATE ANY OF THE Wn S
COMPENSATION LAWS OF THE. STATE OF CALIFORNIA., - ,t
r +'®'�A'
/v
ITEM''+. -
NEW
RPL
FEES '
Number of Outlets
C'
/
Number of Switches' -
s,
Number of"Receptacles -
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Signs - TrMe
Dryers
Motors:/,f['
H.P.
H.P:
- - H.P.
Power Pol
Misc.
Permit Fee
3 0
H.P. Charges
-
TotalFees -
7
NO. STREET -
„--ttt0 CITY OF CUFERVINO' CAP. j1AL.
APPLICATION FOR BUILDING PERMIT FEE —
L� ,71 Building Per. No. 3
Dare • � Q 9 , 19.
V V (� San�itQry Per. NO
Application is ;erPby made for a permit
to �6u� Y�� �O
a t strory, Type �17� ���¢1�-38 �s1'0 Structure
to be occupied only as 70_AoT"%✓7 �E- � in accordance with
Plans, Specifications and Plot -Plan filed herewith. �-
Estimated Value of Improvements, $ [6G D
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
c mplirE' with.
los Homes & Dev.
PI Ck Fee $
Fee $Qrz
Total Fee $
Co.-Alcalde Knolls 595-0555 1620-c El Camino,San Carla
OWNER PHONE ADDRESS
San Carlos Homes & Dev. Co. 1620—c E1 Camino San Carlo
CONTR. OR AGENT ADDRESS
595-0555 268987
PHONE STATE LICENSE BUI II G I P TO
ZI-K.
CITY OF CUPERTINO
1030d Torre Avenue Telephone 252-4505
INSPECTION NOTICE
BUILDING DIVISION
JOB
C-c 7-o DATE ` 3_ 7 a
ADDRESS (!-5 TIME I C2
DAILY REPORT ❑ CORRECTION NOTICE VIOLATION ❑
E INSP.: BLDG.V ELEC. ❑ PLBG. ❑ MECH. ❑ ZH7 Le
I
r
c-,- rA)5 UCAT/6
C7
fi`Ifi Tit4� ►l� � _ 4 � G�r�lc"
WEATHER
INSP.
BUILDING INSPECTOR'S OFFICE .
CITY OF CUPERTINO office DCopy
qq _�
'171 Backflow Device Sanitary Permit No.
Plumbing Permit No.
�(] Sewer Connection � � � 9 _
'O Plumbing Final
Owner or Tenant
At_I.1Z?�U
T
Lot No. L e
Date Connected 1'"to 19_Date Final
)Q
O•HLUMbINU INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /
............................................................. 19G.. _'..
To
You are hereby authored to connect electrical service for l
... �. r`il.!.d5 +_til.....n 4 I:Y.......:� '/^.1.1::��:Li', ......
Owner or Tenant ..r..F?.` ...t........ .........
At............._ ..._..... .................. -...........
No. of Wires ........................ Size of Wires ...................... Size of Switch .....
MotorLoad .......................... Voltage ................................ Phase ..........................
HeatingLoad ........................ K. W . .................................. Voltage ................................
f Light .....:......... 110......... . New Service................ Reconnect..................
No. of Meters ...... .............
Heat ................ 220............ Three Wire................ Move Service............
No. of Add. Meters............
.
Phase ........:.::.... Move Meter.............
Power ............... Three
(._,� ? ,i
UELECTRICAL INSPECTOR
OFFICE
0
Jj 1 CITY OFCUPERTINO' coav
GAS SERVICE NOTICE
To v�
You are hereby authorized to connect the GAS service for
Owner or Tenant
New Service
No. of Meters Reconnect
Move Service
No. of Add. Meters
Move Meter -
PLUMBING INSPECTOR
ROUTE SLIP
File No.
ya, Date
Location �v >v —
Sub j ect
__ROUTE SLIP
File No.
Date
Location 0
cze-,�
Subject.
N..+cc
CERTIFICATE -OF COMPLETION
ee
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO Z
l9 BLDG. PERMIT NO.
DATE / �Z!
i I
THE BLDG. LOCATED AT / 63 J I L� L('/�
OWNED BY SAN CA2LoJ 1-f� � `'� / �r1` o • L4CXw�
(ALTERED)
HAS BEEN MPLET FOR USE AS I 4 v 5I —O £ '