NO PERMIT NUMBER (2)10402 Scenic Circle _
�. STREET.
CITY OF_J
APPLICATION F$
21
EUI NU.
RTINO
ILDING PERMIT p
SANITARY NO. _ 7 t?'os D /Z_
FILE NO. 51, 214.1
DATE 3/11/77 19
Application is hereby made for a permit to
Const Plan A a 1 story, type 5 NHR
to be occupied only as 1 & J SFD t Gar.
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS S.
FEE $ 229.00 PLAN CHECK $
OWNER Saratoga Foothills ADDRESS
PHONE 253-7050
Same ------
PHONE
i1/lD/7%
71,000
ATE LICENSE
PPROVED James H. Sisk./c
BUILDING INSPECTION RECORD
DATE
09SPECTOR
DATE
INSPECTOR
FOUNDATION .
/
FLOOR STEEL
PRE-GUNITE
FRAME
yj.
BOND BEAMS
LATH
IF
WALLBOARDS IN 8 EXT.
—%}`
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
7
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAM$
1 -
-ELECTRICAL JNSPECTION 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 I HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
7
UNDERGROUND ROUGH
Z 7
FLUES & COMB. AIR
PARTIAL ROUGH
aj
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
i
ROOF DRAIN & LEADERS
MAIN DRAIN
.. %
FINAL GAS
FINAL PLUMBING
7
MISCELLANEOUS
B,, TJTE' SLIP
File No.
Date
Location
U pp
Subject
U
Notes
Approve f
Da e Inspector
CERTIFICATE OF COMPLETION
. BUILDING INSPECTOR'S OFFICE
'CIYY OF CUPERTINO
DATE, 197Z BLDG. PERMIT NO.
THE BLDG. LOCATED AT LO YD 2-- SGP to yc C p
OWNED BY�k Fn L)7-A
HAS BEEN ICOM�_ P�ETEDI FOR USE AS—
(ALTERED)�I--
Q,21
To
CITY 01 CUPERTINO OFFIC!i
com,
GAS'SERVICE NOTICE.
You are hereby `nut<rzdd to
Ownu or Tenan
At.
No. of Meters .... ......
No. of Add. Meters ...: ..... . . -1.
the GAS rvica For
New Service ..............
Reconnect ......
; IService .... - . ............... NIOg: Meter
PLUMBING INSPFC 11 R*
0.
BUILDINC7 INSPECTOR'S OFFICE
CITY OF CUPERTINO
x
a/--
r--v
i
Sewer Connection
9
Plumbing Final
Owner or Tenant
At
Bldg. Dept.
Office Copy
Sanitary Permit No.....%s 6-5—
Plumbing Permit No. J.�1..��.��.�...-.
Lot No..... ...v7./--------------
Tractp......................`---.....---------'-"----.....---......----.....----............................
Date Connected --------- li..r.. 7..77----------------- ---------- 19............
Date Final ................ `.7'..K.
7.
19 ------------
PLUMBING INSPECTOR
I C, 4r)t�_ & t LOT NO.
NO. STREET
4'CITY OF CUPERTINO
cm. og C'j�zmrtAd
-APPLICATION FOR'ELECTRICAC PERMIT
Permit.No
Date 19
Tas
Applicoa is hereby made to the City of Ftino,for,o peirnit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring an /Rr*fixtures in accordance with'the provisiods'61' the -Electrical Code of the
City of C6,pertino, and'all other laws applicable therito. L zi
F Use Of I- Work To
Performed
Address Own
Add
-Pha
n (Z
,:
Address
0.tr, ..r,A9.;t',
Phan.5—:
State LiCen
C2,1 Wovpd
I AGREE NOT VIOLATE' ANY OF, TI
COMPENSATION LAWS OFTHE STATE C 0"
FORNIA
° �773.7- :
ITEM
NEW
RPLt,
'FEES
�. Number of Outlets
'
Number
of Sviitches``- -
'Numerb
ofReceptacles
Gr-+ - Number of Fixtures
`Ranges
or Ovens"K
+ Size. of M665ervice'l
Number of Meters"•'� -
Wrnber of Panels
�Sign's Transformers
_
it
:Motors
'H whose- "-
Pawwpolis
x
,Permit
Fee
H.P:{harges
Total Fees ^' -
/07✓2 JeE�I/ic/?CLh LOT NO. `A
NO. 4M&EET
CT , ��?_
1977 CIMOFCUPERTINO
JUN 1� 6 !APPLICATION FOR ELECTRICAL PERMIT
'Permit No. -
Date 7, 19_ x Fee E
lm 7 c \ v((
Application is hereby made to the'City of Cupertino for, a. permit to install eectrica-1
wiring and/or fixtures as listed on the reverse -side hereof;- and 'agrees to install said
'wiring and/or fixtures; in accordance with the.,ptcvisions of the Electrical Codeofthe
City of Cupertino, and all -other laws applicable thereto.
.Use i _ /1. _ - Work r Be'
n ,
- Aiemises 'L�LLCLCµCr� Performed
O;vner '�• 7.a�y?/o�7rc�=•. Address/70/6-3 S. J-042
Phone S•!��%OSO
144 ) ' 'v ..
i.. Contractor, Agent -
37Fr-/!p?y V, of
Phone r"K .r{
State License _-Appro
v"pI "Ele n al Inspector
•,•'U" I AGREE,I WILL NOT VIOLATE ANY-�OF TNEtW R ENS'
.-;*COMPENBATION;:LAWSOF THE-STATE„OFi�C', RNIA..?,_ ate•,
44tt -v
ITEM
-.NEW-'.-RPL>-.
"FEES_,
;Number"�of OutletsR" •'„ s'
Gd• -9
Nurr er?of Switches'?
rq,nibe%ofsReceptacfees
iNumber.of Fixtures• ,�
-
iR6ngesor Ovens K'W- r_ .-
-_ -
_ X a0
Mr
r
-
�Sae of A1oinySerJi�e -
0fila
INumbecof Meters
Signs: Tronsforrreis`
(Dryers
.Motorst.�
Phase
H'P'Pba'se
'iPower Polesv; � -
-_}
'Permit Fee - -
Zc,-0
.H.P. Charges
!Total Fees
is -2o
r'
1 Q L O %� Sc'.t�.`« l-�CiLI'iC!/ LOT NO.
NO STREET
CTY
CITYOFCUPERTINO
MAY APPLICATION FOR PLUMBING PERMIT
p A 11 Sanitary No.
Date _/ 5 , 19 7 7 Permit No.
Fee s 3 j d
Application is hereby made to the City of Cupertino for a permit to instalf 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 ofr✓ 0. .. Work To Be
Premises / _-��"r"�r'"w Performed
Owner �`-�s-��`-^'Sat Address
Phone APCOS PLUMBING INC.
By Address 266 Mc,LIN6EY
Contractor, Agent CAMPBELL, CALIF. pqg
Phone PHONE 3%7
State License py f 7� Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® is
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
�'�
Size
set
q l
Material
c0
To Curb
"-
ao
To Prop. Line
Jo
To Existing
iGt6enter
k
c»
Not Conn.
er
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
a`d
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
TOTAL FEES
Urinal
Fixture Fee
610
Area Drain
Main Drain Fee
od
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
a dv
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
3GO
Total
Total Fee
30�0
b U �' �1�G..- -.._+ l�w✓4�. LOT NO. off/
NO. STREET '
`, CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
MAA�Y� 4 19777
Data r'�-{--t 'S , 19�
Permit No.
Fee E
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 Cade of the City of Cupertino, and all
other laws applicable thereto.
Use of //
Work To BePremises Performed
%/w,.
JQ/vAl%�
OwneniA1X19ToA 5-7,i,-110,1
rPerf�orm(q�essd
,XYICA/
-
Phone
LUU\�I
—�Se/—
By
—
AtTND
NIN]fsC
�
Address _
�
Contractor, Agent
t
Phone -2Y7- o29/.P
State License A! YY /q�
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S \ / I
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. /X�//
® 4s
APPLIANCE II UNITS FEES
11 FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
1) AIR
OF
TO
NOT COVERED BY
B.T.U.'S
PERMIT FEE
TOTALFEE
CITY OF CUPERTINO:
_ Y
LOT NO. -
VAL. % ��
CAP. { 1"
d APPLICATION -FOR BUILDING PERMIT PEE
Z n.*L'TINO Building Per. No. S
Dab` '
m O Sanifyr Per. No._�
i v Application is hereby made for a permit to e I N / I
I��l a � � S
Fa�story, Tye
F
a
to be occupied only as ? AR�/d' IMMW
in accordance with
'Z , i
Plans, Specifications and Plot -Plan filed herewith.
a w
tp
r
Estimated Value of Improvements, $ %1
LL
O
PI Ck Fee $
O_
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all
Fee $ ��/Q
3
0 a
other lows applicable to the construction, location, and
Z
use of buildings within the City of Cupertino will be
Total Fee $
L ZO
complied with.
7 _
QJ C)
s�T
,n.-L—h-�--�Sa�
�z�+
yy� 0 I� �¢ PHONE
ADDRE�S_
a 0
CQ174TR. OR AGENT
ADD S
a
Q
PHONE STATE LICENSE
BUILDING INSPECTOR
Q lM1