NO PERMIT NUMBERron Vista Drive e
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 10014B . F .
FILE NO. 51,322
DATE July 8 19 77
Application is hereby made for a permit to 5-NHR (2054 scl. f t.
Const. Plan "A" 0 1 story,typliv.+483 so.ft. gar)
to be occupied only as I 6 J Single Family & Garage
in accordance with plot plan, plans and specification filed herewith.
FEE S 225.00
ESTIMATED VALUE OF IMPROVEMENTS $ 69 .000 .00,,
CHECK $
OWNER Gateway Const. ADDRESS 4600 El Camino Real
Los Altos
PHONE 257-2572
PHONE
STATE LICENSE
3 It (7 b APPROVED
BUILDING INSPECTION RECORD
DATE
INSPE TOR
DATE
INSPECTOR
FOUNDATION
-/ -7
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOARDS (TP70 EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-f I C-
DIAPHRAMS
D �
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
9Q
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 & INSULATION
UNDERGROUND ROUGtP
47 77
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
_
FINAL APPLIANCE
—
ROOF DRAIN & LEADERS
MAIN DRAIN o
' 77
FINAL GAS
3
FINAL PLUMBING
a CERTIFICATE OF COMPLETION
BUILDING INSPECtOR'S OFFICE -
CITY OF CUPOTINO _
DATE , Ap� BLDG. PERMIT NO.
THE BLDG. LOCATED AT � � / �f_��hl Nr`�- V/
OWNED BY %�
HAS BEEN PL FOR USE AS �+ �/ "
(ALTERED)
ROUTE SLri
File No
/Date
Location �-6 j-.,— „ Z�
Subject
Notes
Approve
Dat Inspector IL
CITY OF CUPERTINO COPY'
GAS SERVICE NOTICE
............... .................... I77..
To
You are hly�— oriz d.,Lo— connect t?6-�,As servic for
Lo connect
Owner or Tenant ........... ... .. ............. ...
At .... ...
..............
New Service
No. of Meters ........ Reconnect ......... .......
No. of Add. Meters . ............
Mo
PLUMBING
ice........................
OFFICE COPY
y� ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......................................... / A
To
You are hereby authorizyd to connect /el�ectrical �service for
Owner or Tenant .........::... ..zy.� t-� "ate
At ......�.(l y <J 3 C...!?.-s..,r�c�..`.:......� ./li
....................................................................................
/%
No. of Wires ........................ Size of Wires ...................... Size of Switch �� �....
Motor Load .......................... Voltage ................................ Phase ............. :........ ............
HeatingLoad ........................ K. W . .................................. Voltage ........ ............... ........
No. of Meters.....ht110_ L. New Service......Reconnet...........Li...:...
Lr
Heat ................. 220............ Three Wire................ Move Service...........'
No. of Add. Meterr............
Power ............... Three Phase................ Mo a Meter..............
................................ N..-�"-?-...... �................
TO ...
ELECTRICAL INSPECTOR
Bldg. Dept.
Office Copy
BUILDING. INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .............
P, Plumbing Final Plumbing Permit No..., ..
Lot No.
Owner or Tenant
At
Tract
DateConnected ............fll.....�t '..7 7.......................................................... 19............
DateFinal ........... ........... .3...... / ..... Z*....................................................... ...... 19............
...........................{l%oP c .................
PLUMBING INSPECTOR
NO. STREETr -
CITY OF CUPERTINO VAL.�_
CAP. { �/y
d APPLICATION FOR BUILDING PERMIT FEE._2-;c_
z0Date CU �Tn 19 Building Per. No.
O Sanitary PicNod,[t�Itl
3 li'catioTn93 hereby made fora permit to m RSr/ A
Fttory� Type J/�_� Structure
LLO w to be occulpiettdJJonly asA AWMAW � in accordance with
a
Z' , n Plans, Specifications and Plot -Plan filed herewith.
aw w � Estimated Value of Improvements, 3 L9--. LP
PI Ck Fee S
O O It is hereby agreed that the requirements of the qq�����
,n Cupertino Building and Zoning Ordinances and all Fee SJGG.—
b i other laws applicable to the construction, location, and
Z g use of buildings within the City of Cupertino will be Total Fee S
Z complied with.
N
w w OWNER PHONE ADDRESS
oe o
\ CONTR. OR AGENT ADD SS
_ V l
PHONE STATE LICENSE BUILDING SPEC
�0 LA
/61rfl3 CrZ,u6e
NO, REST LOT NO. 3a '
GT; :' rp7:TT11V0
CITY OF CUPERTINO
lad *l APPLICATION FOR ELECTRICAL PERMIT
) Permit No.�,.,
Date �LY , 19_ Y 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.
Premlw.�I&�L� JiZ Work Tod d4EC/
//�J PerformedPerformede•cam / /-• �r
Owner—LTA'TE 41.4 % Addrn.&/'S o JT�dfar/tr' (�fw�Ye.J ,PD.
Phone 42r-7-1.f 7v '
By Rolco ElcctTlcal Contractors, Ino. Adam , 0, d� J4AI �/01
Contractor, Agent
Phone ,21 (,/ ^ ;2 in ,.2 n i1 /1 w �
State Licente C•10 239308
I AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
m UA
EM
ITEM
NEW
RPL
FEES
Number of Outlets
3
/
Number of Switches
7
Number of Receptacles
/
02
Number of Fixtures
/
n _
Ranges or Ovens K.W.
-C'd
Size of Main Service
/
OL
Number of Meters
Number of Panels
Signs - Transformers
Dryers
d 0
Motors:
H.P. Phase it/IC %.
�QO
H.P. Phase
'
H.P. Phase
'
Power Poles
Misc.
Permit Fee
d 0
H.P. Charges
Total Fees
® L.
NO. TREL4if s/nH XJ 4 a., LOT NO. .3D
E- ,
"Tf:O CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
hula 1971
(��jj Doted b X+% , 19Z,7-- Permit No.Fee 9
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—.ze, "age
Work To Be L L
Performed !11///i.1;' �/!Y7 n/�
Address /�,P1a7 oL Pt/Idf /� dd4
Approved lLlA� O,i:
Plumbi p Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
APPUANCE II UNITS I FEES
SYSTEM
CU.
EQUIPMENT
OVER
revert r
I,c,Gv?, 04"1 1 Vt..tD LOT NO.
NO. STREW
I CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
r
Permit No.
Date !=, ' 1 Ot , 19 'T -I 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.
Use of
Qen
Work To Be
,Premises sA..r. po,
Performed Ciiw,.rcmlitt C-un �0 k. -i e1-C-0
Owner 1-•in+re._,...
�py�nl .- Address s'L to/l C) L:V jer, ..my
BY- a Address J 11 N'Q,yv.. 1-irol (-",I
Contractor, Agent
Phone '75^' V - 11,q b
State License 1 J 1 �s�is Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
APPUANCE 11 UNITS I FEES
CU. FT.
VENT.
191 EQUIPMENT NOT
KRMIT fEE
TOTAL M
LOT NO. �U
N STR T
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
1�� Sanitary No.
Date � /1 s�
r �v p P.rmit
F.. S
Appl Lotion is hereby made to the City of Cupertino for a permit to install plumbing
pipes arTd/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.
Work To Be
Performed
Address
Address
9Si/ L
State License Approved (f
P umb np Inspecfo?-
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 'e
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
Drinking Fountain
Floor Drain
/
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee