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51,322.211082 Canyon Vibta Drivc NO. STREET t • CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. 10101 FILE NO. 51, 322.2 10/12 19 77 Application is hereby made for a permit to Construct Plan B a 1 story, typ§ingle Fam 6 Gar to be occupied only as Single Family Dwelling in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 70,000 FEE S 227.00 PLAN CHECK $ OWNER GAteway Const. Co. ADDRESS 10850 Stevens Canyon Rd Cupertino PHONE 257=2572 Same PHONE ADDRESS iTATE LICENSE 155136 APPROVED Robert Cowan/m BUILDING INSPECTION RECORD FOUNDATION FLOOR STEEL BOND BEAMS MEMBRANE P F.M.O. INSPECTION UNDER -FLOOR TIE..a� YY C�Lm!w A�it�t��l�GTO: ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING X2VGH WIRING FINISH WIRING . FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL - MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE I INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS d INSULATION jAf UNDERGROUND ROUGH ( 1L9Ll FLUES & COMB. AIR PARTIAL ROUGH y CONDENSATE DRAINS ROUGH COMPLETE ElNAL APPLIANCE ROOF DRAIN & LEADERS / 7 MAIN DRAIN Z� FINAL GAS FINAL PLUMBING CERTIFICATE OF COMPLETION BUILDING INSPECTOR'509F,ICE.-61 . C TY OF CUPERTINO DATE 119�� kk BLDG�PERfMIT NOS. '� THE BLDG. LOCATED AT I V U ti �� T OWNED BY_ HAS BEEN-- :OMP-LETEDI FOR USE AS (ALTERED) CITY OfICUPERTINO 1) OFFICE GAS SERVICE NOTICE " s� �G to 7� To U You are hereby authorized to connect the GAS service for Owner or Tenant Z—f�-�-�+-ut r i �- -� _% • � ' At New Service No. of Meters Reconnect No. of Add. Meters Move Service Move Meter /11 PLUMBING INSPECTOR �. ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO 19 t! To You are hereby out lorized t Connect electrical service for Owner or Tenant At I 1 e w ;� , lam, (.� , X, No. of Wires Size of Wires ` Size of Switch I Motor Load Voltage Phase I Heating Load K. W. Voltage ( Lig No. of Meters ht 110 -� N wService Reconnect I 1 V eJ N j 1 Heat_a12,0vv��_Tli Wire More Service No. of Add. Meters Power. /( t/\ Three Ph se Mhve Meier ©� ELECTRICAL INSPECTOR / I BUILDING INSPECYOR'S OFFICE CITY OF CUPERTINO Bldg. Dept.Office Copy ❑ Backflow Device Sanitary Permit No. U 1 V ❑ Sewer Connection Plumbing Permit No.'s' Plumbing Final C Lot, No. Owner or Tenant — Date Connected �� 19LDafe Final Ow t LUA �1 //D.P.Z C,on. ✓OA/ X.S 7,0 DR _ . LOT NO. S 7 1 NO. STREET r I VAL. 70 QOe CITY OF CUPERTINO.- CAP.. / e d APPOCATION FOR BUILDING PERMIT FEE w Z C v Building Per. No..�/.��T�- �r r� Dar, r �q- 'z , 19 7 7-, S ^ njT VJ //�� Sanitary Per. No. >i u Application is hereby made fora permit to`6NST! vo7 B pG i0 ✓ =a. a__V_jtor�, Types114l �/Lr �C0/Q4k Structure x O ` ' F to ba occupied only asSr_�k wCAMILY DOWEL, in accordance with Z G Plans, Specifications and Plot -Plan filed herewith. F 0' 00 0 � Estimated Value of Improvements, $ pO It is hereby agreed that the requirements of the ut Cupertino Building and Zoning Ordinances and all 3 other laws applicable to the construction, location, and Z 5 use of buildings within the City of Cupertino will be OZ complied with. OWNEW NE rc a Q CONTR. OR AGENT -0 15Sr3G PHONE STATE LICENSE PI Ck Fee $ Fee $ Aa 7 to Total Fee $ PFA //QQ ?' `�I✓ OAJ U.lrA .L�� 'LOT NO. •S7 NO. BEET L11Y CITY OF CUPERTINO APR 06 1COPLICATION FOR ELECTRICAL PERMIT f A ' Permit No. Date 3 • 19 / 1f Fee S 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 Premise �/l�� Owner c [/lr C 4/ff lr Phone e1.-• %- _24'% L By Relco Electrical Contractors, Contractor, Agent Phone 'P_q /— 6 A 0 State License C-10 259300 Work To Be Performed G T �+G� Address zlzs..b J%EIW'6j'S afteez 'C) I AGREE I WILL NOT VIOLATE ANY OF THE COMPENSATION LAWS OF THE STATE OF ITEM NEW RPL FEES Number of Outlets ,�I Number of Switches ei% Number of Receptacles Number of Fixtures / Ranges or Ovens K.W. -a 0 Size of Main Service / —2-oo Number of Meters Number of Panels Signs - Transformers Dryers Motors: H.P. Phase 4P f-C 7- el f0 H.P. Phase H.P. Phase Power Poles Misc. Permit Fee ad H.P. Charges Total Fees /.lNl �i' EL4-C�C� .�u2.. LOT NO.-.S7 STRE C.._, CITY OF CUPERTINO APPLICATION FOR APPLIANCE PERMIT r (1 I Permit Date ., ig 77 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. State License rZ03�- 89L - %-' Work To Be / L Performed Address /10 8 S Address /,Z-5­9 btAe tt Approved lum ing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. O '. TO APPLIANCE 11 UNITS I FEES TO 51-HP. 161 HOOD- MECHANICAL EXHAUST II 1 TOTALM Lmp�2.- 0(cr.,nhi 'Iit1.� LOT NO. !� NO. STR ET --p•.L CITY OF CUPERTINO APPLICATION FOR APPLIANCE PERMIT °f f Permit No. Date •.12�"L Y$ 19T-1 FeeS aa- Ou 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 Work To Be Premises n•rdrn,nn- Performed Ph e. t-, hnnh - ud1)sA C,n [A. iirm rv.r Owned ,12 r 611. in, M"1,"r C\11 n Address 44--0() is LC° Q...w..,,, By �cyn n=-L �1a e'S1m r •a. QJ�('* Address r, 1 11-� Ovrr« t 1av_. �Puo— Contractor, Apo Phone 3214-I(ng I< State License 1 513q.S Approved Plumbing Impactor I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 LA APPLIANCE UNITS FEES 1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING 100,000 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., REFRIG. UNIT, ABSORP. UNIT, COMFORT HEATING, COOLING, ABSORP., OR EVAP. COOLING SYSTEM _ ' 7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM L4 G'U TO 100,001 B.T.U.'S 8) BOILER OR COMP. TO 16HP. ABSORP. SYSTEM 100,000 TO 500,001 B.T.U.'S -' 9) BOILER OR COMP. TO 15-HP. TO 31-HP. ABSORP. 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,D01 B.T.U.'S 11) AIR HANDLER IO,ODO CU. FT. 12) AIR HANDLER OVER 10,000 CU. 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 181 COM. OR INDUST- INCINERATOR 191 EQUIPMENT NOT COVERED BY THE ABOVE OLT KMTM �j ,�/J/17.1i1-dY� r�,.! ,J —gam L . LOT NO. O — STREE yr c rr c: CL,, CITY OF CUPERTINO GOT 17 10,011.11CATION FOR PLUMBING PERMIT iO d1 I �, Sanitary No. Date �0 — /_/ , 19 / Permit No. Fee$ 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. ✓ork To Be Performed Address Address Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® .. FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet Material Bath Tub To Curb Shower To Prop. Line ✓ Lavatories To Existing Kitchen Sink Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb. Sink 6 Tray To Curb Dental Unit Drink* g Fountain or Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee rain / Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Sweeper Permit Fee Total Total Fee