FILE 51,39510062 Scenic Blvd. �f
12
NO.
CITY OF CUPERTINO
APPLICATIO FOR BUILDING PERMIT
30 19 76
SANITARY NO. 9620 Q)
FILE NO. 51,395
Application is hereby made for a permit to
Const (Plan A) 0 2 story, type I0
to be occupied only as Single family dwelling
in accordance with plot plan, plans and specification filed herewith.
56,000
ESTIMATED VALUE OF IMPROVEMENTS
FEE $ 199.00 PLAN CHECK $
OWNER May INvestment ADDRESS
21060 Homestead Rd. #20i
PHONE 739-5446
CONTR,_ Mayco Const. ADDRESS Same as owner
PHONE 733-9693 STATE LICENSE 284737
f'7 7 APPROVED
James H. Sisk/c
BUILDING INSPECTION RECORD
DATE
5PECTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
ZL
"
BOND BEAMS
LATH
�L'L_
WALLBOARD - INT EXT.
)
FIREWALLS
MEMBRANE L947
'
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
i
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
ip
T
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
D
ROU DR GH
UNDERGROUND ROUGH
ROUGH WIRING
FINISH WIRING
SH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
PLUMBING INSPECTION RECORD .
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
7 j
CONDENSATE DRAIN
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADER
MAIN DRAIN ..Z
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
ROUTE SLIP
File No.
y� Date
Location
Subject. /1?4 .`_
Notes
ROUTE SLIP
File No.
1 nn Date I/Z`717 7
Location 2�
Subject.
Notes
/ 7 t
Approv�
v Date Inspector
Z CERTIFICATE OF COMPLETION
/��("�-- BUILDING INSPECTOR'S OFFICE
DATE �')�j CITY ^O'�F CUPERTINO
19� / BLDG%PERMIT NO.
THE BLDG. LOCATED AT IOU (D y
OWNED BY.
(COMPLETED)/
-(ALTEREDI 0� FOR USE AS c3 0 LO
Z
To
You are hereby
Owner or Tenant_
At i O
No. of Wires
Motor Load
Heating Load
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO
to Connect electric<
e
Size of Wires
Voltage—
K. W.
for
Size of Switch
Voltage
OFFICE COPY
No. of Meters Light 110 ✓ cwt Service / Reconnect
Heat �420 ///���� Thme Wire More Service
No, 04 Add. Meters Power h
M � ihr;e P((hase�Move Meter
O
ELECTRICAL INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
1 r
❑�<wer Connection Sanitary Permit No. ......
--- -----.`.--------......
❑ Plumbing Final % Plumbing Permit No. S-11.._''. -----
T , AT- I/ " .....
Owner or Tenant
At .....
Tract
S
J
Date Connected . --ll -" L-197
Date Final .....__.__..
M
ITeWO �7 `�'CRTINOt OFFICE
rr� Iw�G,CUPECopy
.
GAS SERVICE, NOTICE
19
To O
You are hereby authorized to connect the GAS service'for
Owner or Tenant ltA--
New Service
No. of Meters Reconnect
No. of Add. Meters
Move
Mafve Meter n
PLUMBING INSPECTOR ! ���
¢f.Ers44e LOT NO. OLr
NO. STREET '
_ "•'L� CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
li,Ui I_
,}AN 121977 Permit No.
Date A Y N , lq_ Fee $ I �, C—d
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.
of
To
Address
40 EAST SAN AIIARTIN AVE.
Address SA N
683-4101 265-2447
'State Licenser)-AH6 0-20 Qr. # 279021Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. /J(",
6
APPLIANCE II UNITS I FEES
1)FORCFD AIR OR GRAVITY FURN. TO AND INCLUDING / , d A
OF APPL. VENT
TO 4-HP. ABSORP.
RI BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM II 1
151 VENT. SYSTEM NOT A PART OF HEATING OR II 1
10I FOUIPMENT NOT COVERED BY THE ABOVE II 1
PERMIT FEE
1006;) Seeni O Rl vd LOTNo. Lest #12
NO. _STREET .. '
i CITYOFCUPERTINO
'APPLICATION FOR APPLIANCE PERMIT
op` Permit No.
Date MAPCYS <i , 19�� Fee E_Tfift
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.
of
BY G & a Constr
Contractor, Agent
(1L08) 1}22 6250
Work To Be
/S@�����ai • • u - - e C eFIN M.
Address 630 St George Dri gal in.9s
Phone y
State License` 4z34 82 $ Approved_ 'its
e' Plumbing Inspector /
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S V/
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® e
APPLIANCE 11 UNITS I FEES
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 TO 100,001 B.T.U'S
B) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,000 TO 500,001 B.T.U.'S
9) BOILER OR COMP. TO 75-HP. TO 31-HP. AB ORP. -
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
IOl BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U: S
11) AIR HANDLER 10,000 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
161 HOOD - MECHANICAL EXHAUST
PERMIT FEE
LOT NO. /
NO STREET Y
CITY OF CUPERTINO
C�Q ik APPLICATION FOR PLUMBING PERMIT
DEC 1 01Q7 F Sanitary No.
Dale , 19_ Permit No.
Fee$ S
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
Premises / Performed _/ I
Owner / ( Address
Phone
VANi r Address
C tractor. ^
Phone
State License I Approved
Plum ing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBERkToExis"ting
MAIN DRAIN '
f
Units
Feet
Units
Fees
Water Heater
2.—
3
--
Water Closet
L
—al
Bath Tub
b
Shower
Z �p.
Line
Lavatories
ii
Kitchen Sink
onn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
2 —
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink & Tray
To Curb
Dentol Unit
_
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
'—
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
'L —
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
—
Totol
—
Total Fee
3 —
1 0 U (0 L
fie+ o__.
'rcp
NO.
STREET
LOT NO.
(/�{//,),
, c: APPLICATION FOR ELECTRICAL PE 17
AU G 4, 1977 CITY OF CUPERTINO
Date _, IM Permit No. _
P A 16D FCC $ a3, as
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 Premises �Q-+� �✓
Owner Address
r
By _ Address u S3/
CONTRACTOR, AG NT
Approve
Phony. V• -� / ELECTRICAL INSP
State License
ITEM I NEW IRPL (FEES
Number of
of
�C 0 6 'Sc BN/C 8L.✓. LOT NO. /-,7 67
NO. STREET
CITY OFCUPERTINO- (vAL�-ri
CAP. Sl
d APPLICATION FOR BUILDING PERMIT PEE 9
CiT7 C: CU.:..TINO Building Per. No. S-13 i�
Applicati
Date , 19 Sanitary Per. No. ,
7 onOs1hereby made fora permit to
a story, ,Type IN Structure
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ s40 0 00
PI Ck Fee $
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all Fee $
other laws applicable to the construction, location, and Total Fee $
use of buildings within the City of Cupertino will be
PHONE
O LA