NO PERMIT NUMBER (2)10481 .ScetLa-c -Circle ` = 4
NO. STREET LOT NO.
CITY OF CUkkTINO
. APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9813 B.F.
FILE No. 51, 214.1
DATE July 1 iq 77
5-NHR (2632 sq.ft.
Application is hereby made for a permit to liv.+497 sq.ft.
Const. Plan "E" a 2 story, type ear)
to be occupied only as I & J Single Family & GArage
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 87 ,000.00
FEE $ 261.00 PLAN CHECK $
OWNER Saratoga Foothills ADDRESS San Jose
PHONE 253-7050
CONTR, Same ADDRESS
PHONE
STATE LICENSE
_ 3/,/ APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE I INSPECTOR I I DATE I INSPECTOR
FLOOR STEEL
BOND BEAMS I LATH
WALLBOARDS - INT. & EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
TIEDOWNS 1 I -MISC-
DIAPHRAMS
NC.. L•
INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
a
ROUGH WIRING
FINISH WIRING
_
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
OTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. —
/y -)
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
PINSPECTOR
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
'
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING �.
MISCELLANEOUS
ROUTE SLIP
File No.
Date
Location2
Subject ✓ —��/
U
Notes
Appro J-4`
D to nspe for
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S -OFFICE
CITY OF CUPERTINO '' //
DATE _2 197$ BLDG. PERMIT NO. -/ ZtY
THE BLDG. LOCATED ATT /0YO 5661J(C, CIXCQ%
OWNED BY. 4/ 12,070 �' ) C)%/)(((- T
HAS BEEN OMPLETED) FOR USE AS L, �r �/• %. >f WV• '/�r�i,G
ti (ALTERED)
_ Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No....�..�3..........
Plumbing Final Plumbing Permit No. ...........................
LotNo.................................
'ya 4
To
You are hereby au
Owner or Tenant
At ///'/T(/
No. of Meters
No. of Add. Meters
CITY OF CUP�RTINO
GAS SERVICE NOTICE
OFFICE
COPY
.��. a V '1979,
to connect the GAS service for
Reconnect
Move
L
Move Meter
p /r
PLUMBING INSPECTOR G� �' °i Oo M
ELECTRIC SERVICE NOTICE OFFICE COPY
� BUILDING INSPECTOR'S fJOTICE
CITY OF CUPERTINO
To 19
You are nt v hereby authorized to Connect electrical s� ice for
l/ / � �.
Owner or are
'` �l (,�
' At (2,
Noof Wires Size of Wires c) Q/r�-/k- f?
I Size of Switch
Motor Load voltage- Phase
Heating Load K.
No. of Meters
' ( Light
110 New Service
Reconnect
�� Three Wire
More Service
No. of Add. Meters
IHeat
Power
(/—'/CPO
—V
Three Phase
Move Meter
U
�M
ELECTRICAL INSPECTOR
L /
lJ
/ /J XR C— -
STREET
GY C: C:7``m0i CITY OF CUPERTINO
�� 24 1c�,, PLICATION FOR ELECTRICAL PERMIT
Permit No. c
Date , 19 Fee E ! 1
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listejon 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 Cu? ino, and all other laws applicable thereto.
use
of Work To Be )
Promises Performed �/j' l
Owner Address
Phone
C �
By Address . I
�Con�trac—tor, Bent c�
Phone p-qq,,�
State License < LE - IC�+-f.� Approved
Electrical Inspector
'1- I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 L.
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
H.P. I
Power Pal
Misc.
Permit Fee
H.P. Chor4
Total Fees
c.
/ C'iRc .
!y�"�� SC'PNee LOT
NO. STREET '
�)i s CITY OF CUPERTINO
�Op Aeg�LICATION FOR ELECTRICAL PERMIT
O Permit No.
Date O / ` //��,a� , )9_ Fee $
Application isNfereby 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 1 f ri %itr Y! Work To Be '
5ff
Premises C �Performed / p C./{, je/C4-
Owner/eA1V6'%i /-"r;s+%//`/� Pe'fddress e %yS /� ��lRA .0 V\�
Phone ;2-5 3 ` 7e S d
By 4azz K��,s��� r . ice,
i Contractor, Agent
Phone 3 76r — 4, 9
State License 22, / •as 6
I AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
' os— C-,,#Aft
® LA
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
uej
Number of Fixtures
Ranges or Ovens K.W.
`�,
3- "s
Size of Main Service
ems—
J C
Number of Meters
J
Number of Panels
Signs - Transformers
Dryers
Motors:
S'O.
H.P. Phase
H.P. Phase
'
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
t
v 1,
LOT NO.
NO. STREET C ,
CITY OF CUPERTINO
AU u 18 197 APPLICATION FOR APPLIANCE PERMIT
i7 A Permit No.
Dote CT /T �J , 19LL 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 Code of the City of Cupertino, and all
other laws applicable thereto.
Use of 112j Work To Be
� Premises f - 1-.� Performed
Own Address (/- 0. 0� acj b A �- sS✓JO
Phone .�S.3 =ioSZ7 n p
BY'EcoN dAr✓ s�/ryr/f�c Address (7 ) tiJa--sl ;Ocr
Contr tor, gent
(Phone e? 5 —�2-9/,? / A
State License /_ $�x Approved
lT I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CAUFORNIA.
O �+
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
B�
100,0 10 B.T.U.'S
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
'
3) FLOOR FURNACE
4) SUSPENDED, REC: WALL, FLOOR HEATER
5)INSTALLATION OF APPL. VENT
6) REPAIR OF, ALTERATION OF, OR ADDITION TO
HEATING APPL, REMIG. UNIT, ABSORP. UNIT,
COMFORTHEATING, COOLING, ABSORP., OR EVAP.
COOLING SYSTEM,
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO 100,001 ITT.U.'S
8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,000 TO 500,001 D.A.U.S
9) BOILER OR COMP. TO 15-HP.
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
-
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11)AIR HANDLER 1Q000 CU. FT.
12) AIR HANDLER OVER IO,000CU. FT.
-
13) EVAP. COOLER PORTABLE
'
14) VENT. FAN CON. TO SINGLE DUCT
-
15) VENT. SYSTEM NOT A PART OF HEATING OR
'
AIR CONDITIONING
16)HOOD- MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
18) (,UM. OR INDUST. INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
i
DI
- - C
PERMIT FEE
- ��
TOTAFFEE
JD�lS! EP�� Qv
LOT N6.�
NO STREETL '
GTY C C112 T1No
CITY OF CUPERTINOt
AU Q 16 1977 APPLICATION FOR PLUMBING PERMIT
PSanitary No.
Date u 7 , 19 70�Permit No. � (
Fee E ( 0 Lf`�
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 ofs / l
Premises Owner 5a � 2)e
Phone��r
By AgentI Contractor, /" -;
Work To Be
Address `?nc. Phone -
_ 3-2 37 97 eg
7C�[� ,/y�
State License r/]" 7 i s/ Approved
Plumbing Inspector r /
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S l///
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® L.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
er Heater
/
Size
er Closet
3
Material
Tub
To Curb
er
To Prop. Line
tories
To Existing
en Sink
Not Conn.
Washer
'
te Disposal
Wash Troy
STORM DRAINAGE
shing Machine
Ink
Size
ter Softener
Material
Sink
ToMainDrain
b. Sink & Tray
To Curbtal
Unitking
Fountainr
Drain
WATER SYSTEM
per
Size
aurant Sink
Materiald
Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
'
Sprinkler System
Water Sys. Fee
a�—
Relief Value
Gas Fee
a �'
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
'—
Total
/
Total Fee
c z
of
�n«CITY OF-CUPERTINo CAP. VAL M4W
y 1 I
d APPLICATION FOR BUILDING PERMIT (( FEE`
w Djy rlp Cli S:•'•TINO Building Per. No.
oe 9 .
O
Sanitary Per. No.
LL tt��-]] �Adfi% %ZAd �f ^
3 u AT cation is'We y madame f'or*a?permit to
0 as tort 1L7e���e �/ �J'!f�(_0 Structure
0 < to be occupied only as ..Av"Vr' .�ie'�J�r TWA& in accordance with
'Z ,i Plans, Specifications and Plot -Plan filed herewith.
F Estimated Value of Improvements, $ 6%
a LL PI Ck Fee $
O O
It is hereby agreed that the requirements of the
vt
Cupertino Building and Zoning Ordinances and all
Fee $�
p 3
5
other laws applicable to the construction, location, and
Z
use of buildings within the City of Cupertino will be
Total Fee $
Z
30
complied with.
w w
OVVVNER ..,lf PHONE
ADDRESS
JQA" ! k,g
CON7R.OWAGENT_
ADDRES
- °
PHONE STATE LICENSE
BUIL IN INSPECTO`
/