NO PERMIT NUMBER (2)10432 Scenic Circle
NO. STREET
LOT NO.
CITTOF C hF TINO
APPLICATION FOR UI , ING PERMIT
i
A9816 B.F.
SANITARY NO.
5
FILE NO. 1,214.1
DATE
April 5 19 77
Ap lication is hereby made for a permit to 5—NHR (2117 sq. ft
Const, PPlan "A" 1
a story,typeliy. &493 sq.ft.
gar)
to be occupied only as I-J Single Family & Gar.
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 71,000.00
229.00
FEE $ PLAN CHECK $
OWNER Saratoga Foothills ADDRESS S.J.
PHONE 253-7050
Gordon Augenstein, Supt.
CONTR, ADDRESS
PHONE STATE LICENSE
/'v/-7 7 APPROVED James H. Sisk/M
BUILDING INSPECTION RECORD
DATE
P TOR
INSPECTOR
FOUNDATION j
/
FLOOR STEEL
PRE-GUNITE
FRAME
JDATE
7
BOND BEAMS
LATH
WALLBOARDS - INT. & EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROU
UNDERGROUND ROUGH
ROUGH WIRING
r 1
ROUGH WIRING
FINISH WIRING
y,
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DAT
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH &
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
)
FINAL APPLIANCE
3
ROOF DRAIN & LEADER
MAIN DRAIN
7
FINAL GAS O
FINAL PLUMBING
MISCELLANEOUS
ROUTE SLIP
File No.
Date to
Location
Subject^
Approved A3 f 77
Date . I Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
'l-CIT.Y=OF CUPERTINO
DATE 19L_L_ BLDG. PERMIT NO. L .
THE BLDG. LOCATED AT I D V1 3Z �cc!thOc- CY/ I,P
OWNED BY Sara�a fo-V i )'C
HAS BEEN OMPLETED FOR USE A it ,�2e 5, 6-
'Car-(ALTERED)
d
J CITY OP CUPERTINO OFFICE
COPY
GAS SERVICE NOTICE
I To
You are hereby o
Owner or Tenant
At 1aVia--
No. of Meters
No. of Add. Meters
rized to connect the GAS service for
New Service �
Reconnect
Move Sere
Move Meter
�7
PLUMBING INSPECTOR Jd/_ -.,7 F �„
z
ELECTRIC SERVICE NOTICE OFFICE COPY
(vti�n
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO (( 11
To , 19!�
You are hereby outhaiized.to,Cannect electrical service for% _
Owner ar Tenant
At
No. of Wires
Motor Load
Heating Load
No. of Meters
No. of Add. Meters
Ow
to
Size of Wires' 11 Size of Switch t bo
K. W
( Llght %910
l(/1 Heat ' JOI 20
Power /`-•y�
ELECTRICAL INSPECTOR
More Serve
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO Bldg. Dept.
O1fire C.pyt�
❑ Backflow Device Sanitary Permit No. ( F
❑ Sewer Connection / Plumbing Permit No. t� r L 1 V
❑ Plumbing Final Lot No. f
Owner or Tenant
At
r .-A ,, -\- ,. 0 f f-
1
Tract (� f
Dote Connected - l `1 1 qai
oM
)ate Final 1 A'. T 19 1
--Jl \UAI.
� tf j C" �s (3—�J P LOT NO.
N . STREET
.. CU'r�sTlt10 .
C• C' --tt CITY OF CUPERTINO
-AAPL(ICATION FOR ELECTRICAL PERMIT
1 1) Permit No.
Date
• 19� Fee E
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 �r ` _ /�^ ._J—
Premis4;� Performed•�S�V 1+✓ l� / L `['
Ownp�y[�g/ Address
Phon
B a y Address �•
ntrcsctor, Agent J
Phone
State License �• b "�% �CC� J Approved
Electrical Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 1.
ITEM I NEW I RPL I FEES
Number of Outlets
Number of Switches
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
Total Fees
0 c.
LOT NO.
NO STREET
.Or cyo.-ftrtv� , I
1) CITY,OF CUPERTINO
1977APPLICATION FOR ELECTRICAL PERMIT
P
Permit No.
Dote
Application is hereby made to the Citytof Cupertino for.o
wiring and/or fixtures' cis listed on the reverse I "side hereof,
wiring and/or fixtures in. accordance with. the provisions of
'City of Cupertino; o4oll other laws applicabi thereto.
Yuseof t Work To Be
Premims Perform
Cwn__15"Av_ �167 Addrr/P*SB .�,"z
Phone
/ q
kill �62.4QAddContraaor Agent
1
Phone
State License 7
Y.
El
COMP
I AGREE'I,:WILLNOT'�VIOLATE�'A.�'Y,6F THE
COMPENSATION
1—. .1 . 1.
EN ATION LAWS- OF,�THEySTWE OF CAt
permit to install electric6ij
and agrees to install said"
the. Electrical Code of the
A
IC ^'ITEM
NEW
RPL-.
FEES`
Numberroof Outlets`
i
-:Number of Switches
:2�
-
_ 0 8j0
'Number of Receptacles'+},"
.--Number, of Fixtures -.
k3 . Ranges or Ovens K.W
Size of Main Se`r.vviice _
w
k 7 Number of Meters'
Number of Panels'.,_-
�s v
e
- `Signs -Transformers r
��..-
Dry',ersr''
v
H P. Phasei;
> H.P. Phase
s :,H.P:.Phase-
�,'i, Power Poles ° •k'
V.
f
Permit Fee
H.P.. Charges, I- ,
t Total Fees -
"RG
g
® c. - Zs
LOT
NO. STREET
cTT t' ._flWa CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
JUN I -19?T"""4
All / Permit No.
Data •� �.1'.?�+ , 19� Fee 3 j
Application s herebry) 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.
IUse of work To Be Premises` o-z Performed IZCA%✓G 4 r/,c% A/ 7,/4
OwnersA•pu7_ 4 f 71.'// Address V•!l]• .BaSAdA T�- 5�,#
Phone � uyJ3-70Sd
By ACO/,'/l/ i Sh 7h eTa� a�L gddress/J D licx 7o G S vaAT A
C nira<toq Agent
Phone 2
State License-16-2V %V Approved
�— Punrbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. LA
DOME
APPLIANCE II UNITS I FEES
TO 1.000.001 B.T.U.'S
NOT
PERMIT FEE
TOTALFEE
LOT NO. 1/
tl:10 �_,V"3TREET —n�]
/7
MAY 11977 CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
P A I D
HSanitary No. ,19 �� Permit No.—--
Fees .J O
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 of jJ Work To Be
Premises Performed
Owner—� �t Address
Phone Alacos PLUMBING INq,
By Address 266 MCGLINCEY LANE
Contractor, Agent C'AIV1P CALIF. 9500111:
Phone PHONE 377-1137
State License � � '7 o Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S LA
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBER
MAIN DRAIN
Unitsl
Fees
Units
Fees
Water Heater
Gd
Size -
'j"
Water Closet
ycO
Material
Bath Tub
(
r% ck
To Curb
Shower
a�6
To Prop. Line
✓
Lavatories
ri06
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
wD
Size -
WaterSoftener
Material
Bor Sink
To Main Drain
Comb. Sink 8 Troy
To Curb
_
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM -
Size
ant Sink
Material
'
ap
TOTAL FEES
Fixture Fee
cJo
ain
ffSystem
Main Drain Fee
,zj oo
eader
Storm Drain Fee
r System
Water Sys. Fee
alue
Gas Feeaker
Skimmer
Filter
Pool Sweeper
Permit Fee
"sj co
Total
Total Fee
Goo
/L
NU. Jlltttl '•
CITY OF CUPE'RTINO
CAP. { SAL --
a
APPLICATION FOR BUILDING PERMIT
t FEES
z
w
Building Per. No.
z
Dggte 1g_.
3 � E', ".- Sanitary Per. No.
O Q
h"eiiaby made for` a,.permmiit to �Ri%r
/IApppliicatio'n'is
t aPt ya oic?�Type�,t�[� -PA
071���
-sty
Structure
0 w
O o
13 bepccu ied only as /
MP y .7� r%�/XACS�'
Potions
l�f�i�I in accordance with
'Z w
Plans, Sped and Plot -Plan filed herewith.
a ,a
?
Estimated Value of Improvements,
a LL
PI Ck Fee $
_O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee $�
p a other laws applicable to the construction, location, and
Z use of buildings within the City of Cupertino will be Total Fee $
zz complied with.
3 wL- '/'6(I�//� —-do
OW ERR /PHONE J-
ADDRESS
Q Q CONT�OR AGENT —AZT- A ES
— U111
PHONE STATE LICENSE BUI IN I ECT R