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NO PERMIT NUMBER 10873 Canyon Vista. Dr.. 20
NO. STREET = - _ LOT NO.
4.83
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9588
FILE NO. 51,322
DATE 9/24/76 19
Application is hereby made for a permit to
Construct. (Plan A) a story,type 5 N. Hr.
to be occupied only as Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 69.000
FEE$ 229.00 PLAN CHECK$
OWNER GntexU Const- Co- ADDRESS 4600 El Camino REal, L.A.
PHONE 957-9579
CONTR, ADDRESS
PHONE STATE LICENSE
r
APPROVED James H. Sisk h
BUILDING INSPECTION RECORD
DATE 011SISEWIR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME _
BOND BEAMS LATH ZZW7Z
-
WALLBOARD INT E%T. 7
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG. —
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
SK lefm
MOORE INS I NESS FORMS INC..L.
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDER ROUG
ROUGH WIRING .1 ROUGH WIRIN
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR A - URES
MOTORS EXTERI FIXTURES
FINAL 7 MO RS
AL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTORD TE INSPECTOR
BACK FLOW REQUIRED UNDERFLOO .Mc
BACK FLOW INSTALLED DUCTS&INSULATION
GH
UNDERGROUND ROUFLUES&COMB.AIR
PARTIAL ROUGH ( 7 CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS 7
FINAL PLUMBING
MISCELLANEOUS
i
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"A�l.� �� 1✓' .LOT NO.--O2
p STREE
OTY 07 CUprXAO CITY OF CUPERTINO
SEP 2 O logPLICATION FOR PLUMBING PERMIT
Sanitary Na.
Dale /y_ ,19 Permit No.
Fe f /��J Of/
Application is hereby made to the City of Cupertino for a permit to i stall 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 Work To Ba c
Premises A L Performed
U
Owner � �— (OLM=S Address
Phone // J ' I
Lr 'r i L Address 4515b (� kP� i A .
9T Contractor, pent
Phone �J`/(U�
State Licensee/ Approved Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 41
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u $ 02 :E W F K
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O
1 O81l3 CoN ew UI CA oar LOT NO. �0
NO. STREET.
Tt,.o CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
r— OCT 1 5 In"S Permit No.
)ate I , 19_ Fee S
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.
Jse of n Work To Be
Premises QA1 ADn Qj Performed �^c—O It QrL ncc,4' !o .
Dwner r Ir, Address 41n0U
Phonee /
BY'�A�s �e'f , n hes rpt-{ G Address SII O_Mil«!��lYs�✓
Contractor,Agent
Phone_'S?U • I b9 b
State License l51 Approved !^"=
1 Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
LA
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1087-3 Canyon. Vyista DrT,ve, LOT No.
- NO - STREET
1 CITY,OFC61)kTINO
1i♦N1 PLICATION FOR ELECTRICAL PERMIT
� -- - Permit No
I DateFebruary 1 191E ,.. Fe.s�
N C
Application Iiheb* madextoe Cit of Cupertino for a permNto Initallelectnccl '
wiring and/or,fixtures{as listed'on the r verse side hereof-;. ands agrees to install rsaid
wtrinp and/orr,fixt In�accordonce with �he,:provtstons of the Eleefrical COd of-the'
t
Cit ,Cupertlnd,�and4 11 ofl er law�apphcable thaieto '
Ureiof - �" .� `,1Y••e e' WorkTo',Ee ° K -
Si+ngllie Famu K- ectrTC60 . :.U'
Pramnn Performed '
'
nor Ga�tewa`yweConstr: . Aaa,,,, 4600;D11-12 rn{o` Real
f PFIOM '.Z57Z , I ,. t� y•Y1� f t _
eaa : near... IPS a8ox 5945; San Jose, Ca:_
y Contraadr„Apmt tu.` 1,.: . t 'r 7k
4 �<
Phone
908t” ° �. '
Stats Mco i
n' A&t ` APProred " y
j.,�r'� - i EISc ¢al ,pedbi
f I AGREE I WILL NOT VATE MANY OF THE WO ME 5 5 '
„COMPENSATION LAWSOf THE 'STATE OF CA`l + A%.Ir
•e
r. .t ug�.....
/0 1p 7 3 C.9.vv o.L/ V ' e.r7¢ LOT NO.
NO. STREET
CITY OF CUPERTINO (9AL.
CAP. Sl
d APPLICATION FOR BUILDING PERMIT spa i
f = Date �GV`�V 119—.
Building Pec No. 9'V71'_
' O (� SanitaryPer.No.
3 v Appli``cptio�is,6ereby made for a permit to �tiS'T'e✓a� �/-�-A-/ A
FO a CJ` story, �ypv Structure
w to be acLupied only as /N C-19 AH.Ly .2"14'n accordance with
a
Z w Plans,Specifications and Plot-Plan filed herewith.
aW
W Estimated Value of Improvements,$ 0
PI Ck Fee S
O O It is hereby agreed that the requirements of the py
a Cupertino Building and Zoning Ordinances and all Fee$
p 3 other laws applicable to the construction,location,and
Z g use of buildings within the City of Cupertino will be Total Fee E
Z complied with.
3 O iy n
- Ileo s z-,Z4yq �/G� tc C'oy,v� SCcrL
WIr
PHONE ADDRESS ,..Q
a' d
0 CONTR.OR AGENT ADDRESS
— V
PHONE STATE LICENSE BUILDING INSPECTOR
k °�
CERTIFICATE OkOMPLETIO.N
'BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO _
DATE 3.3 - 17Z BLDG. PERMIT NO.
THE BLDG. LOCATED AT 09
OWNED BY C�A� �WAvI (�1Jl�s7; C9
HAS BEENOMPL ETEE' FOR USE AS
©M
BUI DING INSPECTOR
• .y OFFICE
CITY OFCUPERtINO' coPr
GAS SERVICE NOTICE
9 7 7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At /n Y 7 �� T 1/«r� L�'✓1 r
New Service
No. of Meters Reconnect
1
No. of Add. Meters MoveService,
Move Meter
PLUMBING INSPECTOR �� f�g O�
OFFICE COPY
d� ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............................................., ..y.........., I .7.
To
You are hereby authorized to connect electrical service for
Owner or Tenant ..... / ....... � tq
At ..../ll. ..7...3....... .' ..... . -r, dJ�. ........... .....................
No. of Wires ........................ iz5 a of Wires ...................... Size of Switch 1... . ......
Motor Load .......................... Voltage ................................ Phase' ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
C/
No. of Meters.........I..........
Light............... 110.v..... New Service...... Reconnect..................
No.of Add. Meters............
Heat................. 22o............ Three Wire................ Move Service............
Power.................................Three Phase..._........... Mo Meter.............,
......... Z G.....................
Rt.RcnucAL 1Nsrecroa
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .......
Ex
Q(Plumbing Final Plumbing Permit No. ....5-1-1...
LotNo. .............2-0-----------
Owner or Tenant ........
.........................
VVddII
At ......k-ff....7.3...... "o................
. �-Y all.... ... .... ............... .....
Tract ........................ ..
...'..........................................................................................................
DateConnected ..... ...................... ...................................... 19............
DateFinal ............ .............................................................. 19............
....................I... ....... ."'/Fr L..................
PLUMBING INSPECTOR
ROUTE SLIP
File No.
Date f19/�7
Location
1/0
Subject.. �( h
Notes ` d-YO' L
Approveo ►
Date Insp r