NO PERMIT NUMBER (4)y'1 (Retain. Wall)
le 15
�\\ LOT NO.
CITY OF CUPERTINO •50
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51 2' ?
DATE 9./21/76 19—
Application is hereby made for a permit to
Construct a -- story, type
to be occupied only as Retaining Wall
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $.
FEE S 5.00 PLAN CHECK $
OWNER Gateway Const. CO. ADDRESS_
PHONE 257-2572, 257-2944
PHONE
400
STATE LICENSE
eacanvcn James H. Sisk/h
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
UNDER -FLOOR
.MISC-
MOORE DU SINES 5 FORMS INC LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE I INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE I INSPECTOR i I DATE I INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
-
FINAL GAS
FINAL PLUMBING
-
MISCELLANEOUS
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-- -- CITVIOFJIJPERTINO CAP., VAL. 60L�
d APPLICATION FO? BUILDING PERMIT FEE
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>< Q 17 p Sanitary Per. No.
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3 v App_I cationic hereby made for a permit to ° N S i �C v G T
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a stony IType Structure
O to be occcup end only as C— in accordance with
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'z v Plans, Specifications and Plot -Plan filed herewith.
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Estimated Value of Improvements, $ 4'�'f_Q o-o
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PI Ck Fee $
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It is hereby agreed that the requirements of the
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Cupertino Building and Zoning Ordinances and all
Fee $
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other laws applicable to the construction, location, and
Total Fee $
use of buildings within the City of Cupertino will be
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complied with. ��•y,, 'j/�
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ER PHONE
ADDRESS
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Q OF
CONTR.OR AGENT
ADDRE S
PHONE STATE LICENSE /
BUILDING INSPECTOR 1j
01)
ROUT: SLIP
File No.
Date
Location �' �1— /—
Subject
Approved/7�
Da e Inspector
1
ELECTRIC SERVICE NOTICE OFFICE COPY
'BUILDINTY OF UPERTIS NOTICE
( " CITY OF CUPERTINO
,19
To
/.
You are hereby aurhonied to Co_ nnecYelectricol service ^
Owner or Tenant / L '[]�•/f�i zI •rz—oa'� ` ��a�LT
At 1 ��fi U c 00
No. of Wires Size of Wires Size of Switch
Motor Load Voltage - Phase
Heating Load K. W. / Voltage
Lighl '/• 110 �! /Nevi Service Reconnect
No. of Meters Heal 120- Thiee Wire More Service—
/ s
No. of Add. Meters Power �y f f \ Thiee Phase �JMov M I�
�• ELECTRICAL INSPECTOR
Bldg. Dept.
1 , Office Copy
BUILDING INSPECTOR'S OFFICE
Sewer Connection CITY OF CUPERTINO
"-Sanitary Permit No .`�.....5....(......
[ Plumbing Final Plumbing Permit No...j. �j....�%"..
Lot No...............
i
Owner or Tenant .......,%. +ma c ranq.......C.. ..........................................
At----..yt..�!. 7.Q....... wit--d---- �s..a.. c. �. ............................. ......
Tract......................................................................................................................................
DateConnected .........1/:!..':................................................................. 19----- -------
Date Final ........... .....:7.G."..'..7 . 19............
.. .-------- ..........................
........................1� ---------------
PLUMBING INSPECTOR
CERTIFICATE OF 6fAKETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO -�
DATE r ?' 19? 7 BLDG, PERMIT NO. Z Z
THE BLDG. LOCATED AT
OWNED BY
R USE
aer 70 Amot J TC.,? e✓.f C L a LOT NO.
NO. STREET
CITY OF CUP ERTWO
(VAL. 740 s"
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an c�APPLICATION FOR.BUILDING PERMIT
CAP. [l
Pee `�
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Building Per. No.
Date , 19 ..
9 Sanitary Pe/No.'T
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Application is hereby made for a permit to
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a %'story, Rype
Structure
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to be occupied only as
in accordance with
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Plans, Specifications and Plot -Plan filed herewith.
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Estimated Value of Improvements, $
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PI Ck Fee $
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It is hereby agreed that the requirements of the
2�..��..��--z�
Fee $�
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Cupertino Building and Zoning Ordinances and all
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other laws applicable to the construction, location, and
Total Fee $
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use of buildings within the City of Cupertino will be
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complied with.
PHONE
ADDRESS
X
O
OR AGENT
DDR�
Y
VHONNE� STATE LICENSE
BUILDING INSPECTOR
It
O L.
10870 Kester Circle LOT NO. 15
NO. STREET
�itv pj 2v)7a" CITY OF CUPERTINO
,PLICATION FOR ELECTRICAL PERMIT
Permit No.
Date T) 9Y.291 ,19 76 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 Single family res o'k To BBd Electrical
Premises
Owner Gateway Constr. Address 10850 Stevens Canyon Road
Phone 257-2572
By
Relco Flectrical FnnlEactara. Tne. Address P:O. Box 5945, San Jose
22�—nJTr96 Agent
Phone CCU
State License 259308 APPror
El ric Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE W R N'S
COMPENSATION LAWS OF THE STATE OF CA ORNIA.
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ITEM
NEW
RPL
FEES
Number of Outlets
/ t-
Number of Switches
2
41,
Number of Receptacles
S'D
Numberof Fixtures
Ranges or Ovens K. W.
Size of Main Service
Number of Meters
Number of Panels
O p
Signs - Transformers
Dryers
Motors:
H.P. Phase
!i
H.P. Phase U
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
LA 1
7g Cal'
10R11 V I<eSren. lanoQn LOT NO.
NO. STREET r
CITY 0,; C6T.,t71Na CITY OF CUPERTINO /J
jy
APPLICATION FOR APPLIANCE PERMIT ,
A � y Permit No.
Date r�p, , 19�_ Fee $
Application is hereby made to the City of Cupertino for a permit i ,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 Performed Neat nsn� A 010
Address 109 5 `i OC, L 0, 1 1—$1 vd_
By CiilnstFT H P gt,kf,%f
Contractor, Agent
Phone —I loot fo
irate License I S I?s AS Approved 'GL
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
APPLIANCE
UNITS
'; FEES
I) FORCED -AIR 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
�.q
B'O
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 15HP. TO 3IHP. AB ORP.
'
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 1,750,001 B.T.U'S
11) AIR HANDLER 10,000 CU. FT.
) AIR HANDLER OVER1000CUT12
13)EVAPCOOLER PORTAE
14) VENT. FAN CON. TO SINGLE DUCT
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15) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
161 HOOD- MECHANICAL EXHAUST
1) DOMESTIC INCINERATOR
18) COM. OR INDUST.INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
iOTAI FEE
LOT NO. �J>
NO. STREET ._
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
r
Permit No.
Dote 14ilw% , 197z 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.
Usa of Work Toed
Premises Performed
Owner Address ��IJ� O i•JHi1;LdC mod!
Coo�ntrocttori/yAgen
Phone �� =" rp �:L
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
p L.
APPLIANCE II UNITS I FEES
LER
OR
HOOD
B.T.U: S
OR
BY THE ABOVE
'S
PERMIT FEE
TOTALFEE
/Q d" / D I 0 LOT NO. /✓
NO C 4E' KT U
GSTY Or 9j6 CITY OF CUPERTINO
PVG 3 APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date 3 19 b Permit No.�-
Fee E /f Q
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.^7
Performed
Use of //(n�//, ,, Work To Be / .y
Premises pt4-,W'�iC-�—' / l\\J//
Owner T Addren -yz7///��''�'�
Phone
/J
" nn //�� C /J'A /A/1 �•
gy, 1 Address 45334
Contractor, Agent
Phone �%7, S��& 'p/A
State Licensez- -3 71 c Approvedplambing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® c.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
/
Size �r
Water Closet
Material
Both Tub
To Curb
Shower
°i
To Prop. Line
Lavatories
To Existing
Kitchen Sink
°
Not Conn.
Dish Washer
Waste Disposal
Wash Troy
STORM DRAINAGE
Washing Machine
2
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink & Troy
To Curb
Dental Unit
Drinking Fountain
Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sond Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
p-%-
Relief Value
Gas Fee
_ r;
Va< Breaker
Skimmer
Filter
Pool Sweeper
d,
Z
Permit Fee
Total
Z
Total Fee