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NO PERMIT NUMBER20882 Sol'a St. 6 C�
NO. STREET- - - LOT NO.
CITY OF CUP-ERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10084 BF
FILE NO. 51,335
DATE 9/13 19 77
Application is hereby made for a permit to
Const. Plan 2642B a 2 story, type 5 :LNHR
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 88,000
FEE $ 263.00 - PLAN CHECK $
OWNER George L. FAin ADDRESS 225 S. Mathilda--SV
PHONE 255-9449
CONTR, Same ADDRESS
PHONE 733-7111 STATE LICENSE 272470
APPROVED James H. Sisk /m
BUILDING INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
FOUNDATION
y_
FLOOR STEEL
PRE-GUNITE
FRAME _
7.
BOND BEAMS
LATH
WALLBOARDS EEXT. 71
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
J --
UNDER-FLOOR
2 �,
TIEDOWNS
-MISC-
DIAPHRAMS
to I.P
EQ
ESS FORMSINC. LA
ELPCTRICALINSPECT.nN RECORD
RESIDENTIAL
DATE
INSPECTOP
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
Z,
ROUGH WIRING
FINISH WIRING
J.
FINISH WIRING
FIXTURES
p�
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
a.
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
7
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
J
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
(Ji
ROOF DRAIN & LEADER
MAIN DRAIN7-7
FINAL GAS
FINAL PLUMBING s
MISCELLANEOUS
ELECTRIC SERVICE NOTICE
OFFICE COPY
BUILDING INSPECTOR 5 NO?ICE
CITY OF CUPeRTINO
To
You are hereby outharized.fo Connect electrical service for,
Owner Tenant
or
At 2- ©S S'"h—t�-�-'aL
No. of Wires Size of Wires
Size of Switch
J 0f 1 �1y {�
/ —
>
Motor Load Voltage
Phase
Heating Load '" K. W.
1
Voltage
No. of Meters ( Light iI I10
�f� �,
New Service
Reconnect
l(I, leot 120
No. d. Meters �"r
Power � �(�\
t1 \\
Thlee Wire More Service
Three Phos� -Move Meter
V
P M w�
EL IC I 2PpR
V
1/t
V�
U
V
ROUTE SLIP
-'File No.
Date /
Location to t o Y j
i7
Subject'��
Notes
Approved
T r
CERTIFIgATE OF COMPLETION '
BUILOINIG INSPECTOR'S OFFICE _
CITY-OP:CUPERTINO
DATE' i i 19.Z�.1 BLDG. PERMIT NO��.���
THE BLDG. LOCATED AT
OWNED
)
HAS BEEN 1COMPLET&FOR USEAS-1
OFFICE
CITY OF CUPERTINO f'a ' COPY
Q coPv
GAS SEOVICE'NOTICE
.1 1e 7�
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At )I �7p
No. of
No. of Add. Meters
New Servicey
Reconnect
Move Service
Move Meter
PLUMBING INSPECTOR�ic� p„
ELECTRIC SERVICE NOTICE
EleUILDINGINSPECTOR'S NOTICE L�
/� CITY OF CUPERTINO k f
(:3 " r U
To / /
You are hereby autttZ
Owner or Tenant 9—CCV
At U S\L
ad to Connect electrical service for
OFFICE COPY
No. of Wires
Size of Wires
Size of Switch
Motor Load
Voltage
Phase
Heating Load
K. W.
Voltage
Light
=l New Service
No. of Meters
Heor
. I10
'Three IWitt,
Reconriect
No. of Add. Meters
��-120
More Service
Power
Three Phose
Move. Meier
©�
ELECTRICALINSPECTOR
C;L LdT NO.
NO STREET
>,O
�?\ CITY OF CUPERTINO
AQAPPLICATION FOR PLUMBING PERMIT
c 0
V� Sanitary No.
Date / o 1-2 „` 19= Permit No.--�—
—11 Fee S 1
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 Work To Be
Premises Performed
Owner '!'12 TC s �'.i'>' Address
Phone
By L Address�� /9*6. �� f� �+fc 751
��ss onirLactor, tf
Phone c'I '�3�
Stole License '�z 6 a j/ O Approved
'Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
FIXTURES
NUMBER 11
MAIN DRAIN
Units
Fees 11
Units
Fees
Water Heater
y
Size
Water Closet
3
Material 8,S
, Bath Tub
/
7
To Curb
Shower
/
Z
To Prop. Line
Lavatories
o
To Existing
Kitchen Sink
/
-Z
Not Conn.
Dish Washer
Waste Disposal
Wash Troy
y
STORM DRAINAGE
Washing Machine
'L
Size
Water Softener
Material
Bar Sink
2
To Main Drain
Comb. Sink & Tray
To Curb
Dental Unit
Drinking Fountain
t
Floor Drain
WATER SYSTEM
Hopper
Size f U.
_
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
_ O
Area Drain
Main Drain Fee
'
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
/
Relief Value
Gas Fee
Voc Breaker
Skimma
Filter
Pool SPermit
Fee
Total3
b
Total Fee
Z
Zo 88z. Soc .9 LOT
NO. STREET
CITY OF'CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
C.TIY O' CIJ?E TINO
Date io — Z SC C T 2 5 199 �7
Permit No.
Fee $4
Application is ererge ad�eto the City of Cupertino for a permit to install gas,
appliances as listed on the reverse side hereof, and agrees to install said appliances in:
accordance with the provisions of the Plumbing Code of the City of Cupertino, ,and all,
other laws applicable thereto.
Use of n�s. Work To Be
Premises K Performed
iBy Gf%f, TGO fide
Contractor, Agent
Phone 3>7 Zo30
IZ
Address `�/ST/C� (.!✓
6
0 cA
91
APPLIANCE . 11 UNITS I FEES
TO 1
CU. FT.
EXHAUST
THE ABOVE
BUILDING -INSPECTOR'S
CITY OF CUPERTINO
)4 F3 F
Sewer Connection
Plumbing Final
Bldg. Dept.
Office Copy
OFFICE
Sanitary Permit No. /OOYZ/ .............................
Plumbing Permit No. ------
LotNo........ . 4�...............
Owner or Tenant -----
.......
_X
At ...... .... .............................................................
Tract
Date Connected
Date Final -----------
19 ............
.............................................. ------- 19 ............
..................... ---------------------
PLUMBING INSPECTOR
Q$��- jiilfa ,S tk:'.xs. a. r -:1: LOT NO'''(.
NO. sTrsLE Model 2642:, -
CITY OF CUPEIMNO-
c•rt APPLI I N-I'M ELECTRICAL. PER IT A,
C1� Y
Permit No
�ata'r I Q�1 %f T.y 19��, .s e Rz Tit Fae
Ap'phcat�ion w ere by ade to the City of Cuperimo for aRpermrt fo install eledncal "
`. wmrg and/o�bfix�ures aylisted onyihe„reverse side ghof cnd agrees to install sgid' t
r wgmg and/or.fiiitures m-accordance with the prowiwns of�the Electrical Code.of,the'
r�Cityo�Cupertino, and alll oher laws applicable'theioto
Use of - or To Be ice' -
Premees'1�—fain _ • rP5 Perfdinied e 1 ec2r I cal '
t Cookb;e6netr 225 Sg Matda{.`Sunny4a'fe -
a Owner- - Address - hi s
r 1
.h Phone
tey 6LANDERER' ELE'C' INC: Aedms ¢ tom L) An
j711'A. Centraaor;
r 'af...,, r „•.
y State Li<e
atP
r �abj tsectncal Ins ctor A.. ?
I?AGREEsI' WILL NOT YIOLATEfANY: OF'TNE.WORKMEN
COMPENSATION LAWSOF THE-STATE.OF.�CALIFORNI
f..... ns i'SL J.-. r .. sue!:® ln.
�e
�IiEM
NEWp
r.'RPL
FEES
c Number of Outleh` ,'h:"" •' --
'�`-"
- - _ -
v" Number of Switches .'.,a
r_ Number,of'R ePfpcles
N'u'mber of Fi#uies
Ranges or Ove_'n`s K W
+
-Size of Mam,Service"
�k
Number of, Meters
Number of,Panels. 4
r r
Sigris Uansformers'�
.. Dryers'
sr{:�ry
Phase.`'
iH T. Phase
-a,Power Poles:.-
x"
,.P.ermit Fee ""
H!Pl.[Charged
7 D`� -
a B dF .Z 'O 4.0 Sr LOT NO. 6 ">
NO. STREET a�
CITY OF CUPERTINO ' CAPVAL.y��, . ( (M—
t: APPQICATIO/N FOR BUILDING PERMIT Sl FEE G y�
OFes/°t n 19�z Building Per. N°.
LLl = I 1�C Sanita Per. No. �� OByBF
O a Application is hereby made for a permit t1C4 A)SZ9!/C Pta,A ea G fe 8
3up� D
_ a story, Type I Nee Structure
Z
30
to be occupied only asZr -r Z, F D J Ain accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ ecy00
It is hereby agreed that the requirements of the PI Ck Fee $ p
Cupertino Building and Zoning Ordinances and all Fee $ A G 3
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be Total Fee'$
complied with.
• PHONE
d LOT,NO.
ENO STREET
� 4
Cif Cir OUoa3iR, O CITY GF CUP,ERY NO
.. `t l .,
c�(a+.7 j7ZAPPWGATION FOR ELECTRICAL PtERMIT �y
Permn'No...,..(
Date-D _ t q ys�- ` ° .r . j • ` Fee $ V b'ti a
Application is hereby' made to the. City of Cupertino for a permit to install eledncal
wiring and/or,fizt ' as listed on'thetreverse side hereof, and agrees, to install iaid
wiring and/or £fixtures 'in accordonce- w th the `pro'vlsions of the Electrical Code of `the
�..
City of Cupertino, and all other laws appllii}icable�thereto - -
$ Usecq W6AT Ber'�
Pre.ims'+_r P'eCrformed
Owner X%[,�(ry�je— ;address _
- » .
Phone , ,
1i
jr,
ate License
PP v'rNa
I AGREE1 WILL NOT VIOLA'
^- COMPENSATION LAWS.'
El, e' ca
l lnspdctor ;.
VJO EN 5
*6LIFORNIA,s,
&, _ ®cee!
`+:,NEW
S;RPL
"FEES-':,.
Nu b r of Retejodes
C Number of Fixtures "
Rongesor Ovens K.W
?
A
}k
i/Y
$izeof Main
td,
-,yNumb'_ereofMeters'„
-
;p�:.�";
�$igns},.Transformers
Dry'ers
-iMotors eq,x r,'i!'t T"v4`K.a1.. ! ".'
P Phase'r' ; t' ;
R,y"t
-g-H ,s,
no
yr
Pow'e'r Pole f.-
3
x
79
IJF^t 4y+
�r
Y
t Permit fee s ' r ` r `.
i. a
1•
tTa " £,
{ . H�pilChargesAWL
,I:. :Toial Fees
,�.�+