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S 2733
-APPLICANT -TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY i z zzB N a� UO 0U U 14 CITY OF CUBEIU'INO BUILDING - HLEC ERICAI. BUILDING m✓INION APPLICATION/PERMIT PLUMBING-MF.CUANICAL BUII.DING 1'ROJEC'1' ID1:.Nl ii'ICA'1' )N I'RRM I"f NO. S 2733 BUILDING AUURP_SS: L4 riii 1 1, El LO I SANITARY NO. APPLICATION SI111MI'ITAL DAT[ OWNER'S I 'HONE: CONTRAM Olt'S NAME: LIC NO: N/C ❑ C NI ROI. d ✓/� rat tC GIN[EN:LIC ND'. ADDRESS: CONTACT: PHONE: ❑ Consultant Pees Paid by Applicant (initial) BUILDING PL MIT INPO BLnry IiL17CTj PLUM Ir MF LTJ/ Lr9f reL�/ .fl LICENSED N"I RACTOR:S DECLAR ION I heresy air +n mm um bee,h,ed angor provlJnna m Chapter 9 (com,neaaing with SeI hen91NX1) ra inn3nfthe Nosiness xnJ 'nJmylicenwis of nll Nome a; J eft cl. Liccnsc'la. Lic.M Dam Consul ARCHITECTS DE 1 nn eamnd my plans,hull w card us public records QTY.y GLE('I'RIC PERMIT FEE - -. •-' ', , JOB DESCRIPTION )P TI 'DWI, ❑KI'I'CIIhN RI?MODEL ❑ADDITION ❑ PLU6IBING HIYPII'E ❑ MULTDUNII' ' ❑ STRUCTURAL MODIFICATION C1 INTERIOR ❑ CHIMNEY RP.PAIk IMPROVEMENT ❑SWIMMING POOLS ❑ BATH REMODEIJNEPAIR ❑DEMOLITION ❑ QI'HER `` PERMIT ISSUANCE i�v IANCIis-NIiS1UliM'IAI. PANELS IIP TO 200 AMPS Licenusl it ..ocsionul Oam csc,fDEBDECLARATION conte 1 breaso .Bion onthat) um eBusin lion+ the Canmam's License city (\,also 7 o 1.5. Business and improve, demote Cale: Any city lir musty ,,Mowing recent, which requirex a permit In ctmswe alcor, impose, demolish, lir repair any ,torture [histo lie crateoe,nlsarcquime prow lootlum lie Ci wast miemaMe a ,igned,mt,ner9brourn Law (Chy+,ur9 (co heI,licensed passion to (lie Provisionso oft Cionlmcess anti Professions (commencing ,cape tSection iga) orbasis birdOheeedewan Pm Aa, nlationot li and the oasis birdie alleged exnnTnt to any vlpenalty of that he is exempt tinny froapplicant notioreThan56ehundred camrs($50nnir subjects the npplicannoacivil penalty or Ll more ,ben live hundred dollars ($500). ❑ Laxo wink, the psome nemyemntended ormerge, rsale( (See 70 4. limiion, will Jo lac tion, C d theLouaureis no , License Lmv do orsaleapply 1. a. weer of License Law da, net apply s ll owner of and Pay islilt b Cotler ThGm thereon. pmpeny who huildx or improves thereon, unJ who Jnee such work himselr lir though his own employers, provided that such improvements are urn intended or offend for ,me. If, however, do, building lir improvement is sold within one year of emillorion,lhe ser -milder will have the harden of tossing that he did nm buil) or impnrva for par- p,m of mleJ. - L., owner at lot property, um ceeluxisely umarnedo, with licensed cnntmdnrx In commit, the pro se't (Sec. 701 Businee.v and Professions Cade.) The Contractor, Li./ unsc LawdaesnaTpplyhe to ownerofproperly who buildsorimpmvexthemon,and who commesf such pnJects with a coatmaor(s) licensed pursuant In the Contiudnh Licanc l,aw. ❑ 1 .,it ecenhpt under See , it & 1' C Nonhis rcasm 201-11000AMPS OVER l(MAMPS SIGNS ELECTRICAL SPECIAL CINCUII'/MING. TEMP. METER OR IY)1.13INST COMMERCIAL ❑ TE NLDGIADDITION ❑ FOOD SERVICE ❑TF:NANT? ' ❑FOODSERVICE IMPROVEMENT' ❑O"1'HER POWER UFiVLCF.S SWIMMING POOL BLI!CTNIC OI1TLIfIS- SWI 'ICHCS-FIXTURES , NEW RESIDENTIAL ELECIR SQ FT SQ 17, FLOOR ARBA•, �� 1 5/SQ. Ff. �'7 /s^ TOTAL S OO` Ar QT. MRING PERMIT FEE VFR!" IANC ALTER - DRAIN & VI7W- WATER (EA) Owner Date ' VALUATION I 3 q �'YPE WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of hhe following declmmiom: Ihuvnvnd will,nnintuinaCeni(ma¢nl Consenunvelf-Insure for Workers G+mpem ealon, as provided for by Section 3iW of the LH,r Calc, for Ill sofformance of the his os is Iued. work far which tponss ❑ I have and will maintain Worker's Couhprnwtlo. Insum.co, as can red by Section T100n1'the Labm Code, I he peri ncenfthewak Norwhichth peorolc,i...ed. My Wnhe ompensainn Insu cit d P d' umbe are: Carrier: L T h. I ' P i KERS' 1 O A (Otis section nnJ of campiemdif the permit i"aror, hundred Jollms($I(Nq lir lco.) I certifyrha inthcpedormancenl lheworkfia whichthis,rain, swirled. Lslmll nal employ any Pelson in any nh;mncr sn as m Mn,mesuhjiw nn the Workers' Compel ,aria. Laws of Colifomia. Dane A,pliwnI BACK FLAW PROIECT DEVICE DRAINS-FTO0R,R FARLfrCMpR) - STORIES 2 RUCTION r i /) I (� � V FIXTURES -PERT - '— t GAS -EA. SYSTEM ..40U'IlEIS 1� OCG CROUP /� 3 APN t n 0 1 GAS -EA. SYSTEA VER4 EA R GREASI%INUUS'1' L 'ASTEIM'ERCF.PIY)H Bull. ISI0N IT.HS GRFASF.TRAP _ — - — TLE ENRRGY FEE z C ZZPLANCHECK SI -VTR -SANITARY -STORM I: . WATER H13AfER W/VENUTJHLECI"R GRADING rE iiY NOTICE TO APPLICANT': IL after making this Certificate of lixemphion, you should hevomc subject m the Worker's Cnmpen.... on provision, aC the L.1 Cods, you mnp forthwith comply wall such provision, or his permit shall se deemed revoked. CONST RUCTION LENDING AGENCY I hereby affirm thoOlare is a ro,nm,lionl odng,tre, her the ferhvmarecof ,he work far which this pe.,it is issued (Sec. 3097, Civ. C.) Leader's N,a eTOTAL WATER SYS'EEMO`RHATING SOUS FET! WATER SERVICE PAID Doc Ri If NEW RESIDENT IAL PLMB. SQ. IN'. Lenacrx Ad mss 1'OfA1. _ BUILDI cu ity that I have read Ihls.ppllcaian anA smm dol he above i,dannalinfit M rma.l stile a, comply with all city and county ordinances and state laws relating u+ nauding a,nxtmaian, and hrreny eaohodro renresem,nmcannhia a,y it) e,ner„l,a, ohe nMve-mentioned Too,”, for inspection purrynes. 01 agru: m xa i indcmnily and keep hornless tar Coy of Cupunian opens, liabilities. judgments. coats slid expenses which may in any way aecmc against said City in quenrc it the grunting of 11....... it. APPLICAN UNDERSTANDS n' WILL COMPLY WITH At LrNO1s SOJ UI,AT NSNS. JJ'y,I 1 U _ M - 'QTY MECHANICAL PERMIT FEE ,Els rt. 7r y O lJ PERMIT ISSUANCE ELECfRI Eli s O ALTER OR AUDIO MECfI. PLU NO FHE AIR HANDLING UNI'r(To 10.(X10 CPM) MECIIA AL FEE 'ONSTRUCTIONTA% a AIR HANDLING UNIT (OVER 10.0(111 CFM) S,g Ap ,amVCo asci .1 I)a"re HAZARDOUS si ERIN.S DISCLOSURE Willrheapplic:un or Room, hailiing a'c,consore or handle limitations m:nedxl as dcfned by the Cupertino Municipal Gulc Chapter 9.12, and the Beall, and Safety Coda Section 2553200'1 El Yet will the applicvm or furore building t.aupmn use equipment or devices which it ha,mdo s sir cmilarainun os defined by the Bay Area Air Quality Management imrim't ❑ Ycx I have Fwd the hnaanlws mn,erials ralnirenhcntx under Chapter 6.95 m do, Cali- a ersmm �h.. i'hha Liman lie It , may Code, Sections 25505 533 and 25534.1 makers huildir nu, a onanty h:aca di n. myow"no didn'tonorf"'I' c ant nl hbe quire, cab eufa Qnifcum I , : 1i%HAUSTII000(W/DUCD HOUSING MITIGATION FEE HEATING UNIT (TO OfIi B'IV) HEATING UNIT (OVER 100,010 BTU) PAID - Dais Receipt# VENL'ILA'L'[ON FAN (SINGLE RISID) BOILER -COMP (7f{POR IIN),(N70 RTU)N) TY)fAL: B MOILER -COMP (OVER IIN),gTII) AIR CONDITIONER ISSUANCE DATE /////,,,,�+++++ ///// �pi S y`i -l- C ", (�r '��" ISSUED BY: (� NEW RESIDENTIAL MECIL SQ. PI. Owncn I Uat 'IGI'A OFFICE Brian Kangas Foulk 0 sneers . Surveyors . Planners July 9, 1999 960069-50 Chuck Schoenberger O'Brien Group 2001 Windward Way, Suite 200 San Mateo, CA 94404 Subject: Oak Valley—Foundation Verification Dear Chuck, On July 8, 1999 we performed a field survey of the location of the foundation forms for the buildings being constructed on Lot 5-40 and Lot 5-41 of the Oak Valley project in Cupertino. The results of that survey clearly show that the location of the foundation forms are consistent and in conformance with the design location of the buildings, as said locations are shown on the plans prepared by our firm. •This letter is intended to provide you with the verification of those units per our survey. If there are any other questions concerning that location, please do not hesitate to call. Sincerely, &ANKA K Bradley A. Bilbo P.L.S. 6141 Project Manager Survey Department • a' v 7 esnDLNhsfLeo 't \ ECP 3/31/02 �l:Jyy CA! - 540 Price Avenue . Redwood City, CA 94063 . (650) 482-6300 . FAX (650) 482-6399 ENGINEERING WEST INC. , OBSERVATION CHART ... .rac1 nouenlT f I IOCRTINO. CA. 5 -_ 9 30 2 :/BONUS C 141 4N (WI W99 w/unry I 0526199 - O9I03/U9 ----- 00/03/96 O9R0 0 S 5 10 11 6B 0 J 114.20.99 OS 7159 OE4?9/99 C1a 9l 5 72 O0 31BONUS (iA/01/99 0521!99 O8f2V93 '_ _C8R3/99 09/03A9 5 13 3C ,/BONUS 114/01199 0627199 08/18/99 5 14 0E 2BONUS OIdmll99 07102169 00/18/99 OB/16r99 oe 3 99 5 15 3P 3 ON 'S U4l 1109 05/11199 09/1 D199 Coll )99 5 6 2C UO 5 17 4A 1/02/99 12.29.99 5 18 5D "1/02/99 12.15.99 1. 1. 000 5 i0 OC "•1/ /9 ? •13.99 1.20 .200 5 0 3C ^110219 12/OZ19B 21 '22 59 _ 06118/B0 Ofilt 9 10114199 09 79900',_•2i•200Q _ d.n,.. 5 7C 1C 08/18/99 09117199 1. 0,2000 1.71.2000 d.na 5 5 23 24 7A 2 p 3/ 9 104.39 1-102000 1-7-2000 d.n,a 5 25 -- 5 1B 2 0 199 e`rzs19 0/0 10/64/99 10111 9 5 27 28 28 78 2 1)5/07109 062 9199 'B9 1 l o/ 1014198 101 4 9 10/1889 I 5 19 ID o 05.10.99 7l 9199 10/18/99 10/18109 5 30 MR 5 31 B 3 I) 199 0710!99 10.2200.22.8.8 10.27-90 5 32 A 2A J 95/07199 07112/99 11/02199_/ 1 9.99 .� 5 34 38 2 1 UWIJ099 (Q783/99 11108/99 12.190 12.6.09 5 35 58 315ONU5 45 99 0 88/99 11-10.99 11.10 9J 5 5 36 37 2C 2 )fJ23/99 ^05/3/99 0726/99 _ 11,-12_36 1•,22.99 12.9.99 5 38 JF 2 08/12/99 11.22.99 124.99 ;Z.14: B 9 GA 3 )613199 69/16/99 12.8.99 12.6.99 12.21-09 5 40 6C ^!BONUS' 071 9 08112199 12.13.90_ 3 5 41 3A )7108199 08123199 1-3.2^OC 1-3 -200 1 _ ' (1) LbT 6 PLAN 2A 6 LOT 7 PLAN 5C . BID NOT OBSERVE PIERS. '(ZML SIDED SHEAR WALLS (3) FLR. NAUN3 • ENGINEERING WEST INC. F_ngineers and Scientists •425 ROLAND WAY OAKLAND, CA 94621 (510) 568-4001 �U (y ", / 599 Ti -"4 rScl / s Charged To Project1 Nuclear Density Tests t Task Number • 0' } Concrete Cylinders FOLLOWING WAS NOTED: DATE JOB NO. 7 - PROJECT PROJECT lhk I/ally r2r_,ldc.l,h« LOCATION CONTMCTO OWNER WEATHER TEMP. -/IPat AM 5;0*at PM PRESENT AT SITE ( '16,1 1 'Cr or7a L/ l I,JYGI�hC YS c l i �P rn I., �crirn l-` � 4 f-. 40 Q" cf 5--,11 h rJu� r 7IC-,,,l 1!7 Gt'11o� �r'7 " S � r`r'r 1 f-"n� r -C;- ; zoic G'Icn_ �ll to /)7� I l �l Q l �''1 /�O� � >' ^f0 ('1'l.P 1 i �f r',� )^ I'r'lG�•� ...�� �i'l C, ('C': , ��; I' G7 ';(-� yl a n nc r i. l- i r'/ U P; 7r7,(i I,1 r1/ r -'i 1,. v r -C 1 P_�_ t' i �l{ r� <, G2.7 ./ -,)i��eC J• G'�3U , ,' 1 CGCG r :O") �'i- � f - ( '7n 7P 'YOn� r?c, �nr� 77J �r , 1-', �c '1 �n l! c l i �P rn I., �crirn l-` � �Jr-" / i .��r'c�"tl, •, �-, 5, h - r�:"/�"1<;hl- r1/ r -'i 1,. v r -C 1 P_�_ t' i �l{ r� <, G2.7 ./ -,)i��eC J• G'�3U , ,' 1 CGCG r :O") COPIES TO SIGNED /4) 01 IFIlIT 77J i �I���'�r-1=C�-, �r�a,.� ro,- �o,:u�_,c•r r�:"/�"1<;hl- COPIES TO SIGNED /4) 01 IFIlIT J'�RIEN GROUP t Burk© Jim Rlploy(S1YITP,rlploydg(gpacboll,nolj Monday, March 001 1999 210 A vi PAT OURKE , OAK VALLEY O oy o, CA :o, Linear parkway plan(ing, igs wllhln the linear park aro conslslonl whh Iho landscopa ion documeNs prepared by Ihis ofnco and rovlowed by Ino cky 1098 and conform wilh lho prollminory approval doumonls, Ripley )sign Group, Inc, ri U c 1;�,�La��f�I��G SIGN OFF • ) WAY, St IIIT. 200, SAN MATED. CALIII OHNIA 044(14.1473 '11P1I.IIP I I ONii (650) 3770300 FACSIMILE (650) 349.2441 U.vl..,l Mnrrh I, 1996 MAR-tl'2.-00 �k133 FP.OTt<COA9T INSULATION 'JAN JOSE I0:906 296 3788 PACE 4 9 y INSUL_ATIQN CERTIFICATION CXIAsrr "mac 1 G 85112 regulations, e �011 the -,z, --I nsu`auon nasi �a'Sta e of Calttor�a, the bu icing located at: 9 a ;she CoCe, ------------- a-value ThlcxnessfTyne ` :F �IgMV ThlcknesslTYpC a'value ` C�I1�If�'11���1 ~--`,v3; rnrF►i� CORNIIis2lM�L- - Thi&nesslTyPe�- p-Y2fut ThkkneSs�'Type �— R-Vaiue 3 Sags Usad — Sq- Ft Covered ,ti�XL9ay .�y— Fln ;O!y SEpy:.hi INST YES NO LICENSEDATA E TITLE: 1--�—�' c� • - COAST INSU ON CONTRAC,7UCENSE 0RS, INC. ' TITLE: DATE: .JLc ---�- BY: d 0 STALLATION CERTIFICATE G /�/¢iu Wrrvl e?2 ev044l,av% LO% S— 1 of 4) CF -6R 11 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment N of Emdcncy Equip. Type (pkg. CEC Cedircil Mfr Name Identical (AFUE, ete.)t "rLln.film !)V ?ND v N moo/ r Duct Duct or Healing Healing Location Piping Load Capacity Int���lt>1eir�ai'1li-r r� Cooling Equipment Cooling Cooling Equip. CEC Certified Compressor q of Efficiency Location Duct Load Duct Type (pkg, Unit Mfr Name and Identical rear. R aaluel tattle. ere.) R value (Etulhr) (EPulh ) uca, u... ?NIS 1. >_ reads greater than or equal to. 1, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part.6), where applicable. ��-!!rP'l4liYi•,,y -?%ry�i Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HLATiNC 4YSTRM&: Distribution If Recir• q of Rated' Tank Em• External io Heater CEC Certified Mfr Type (Sid, culallon, Identical Input (kW volume eieneys "am, Ys IRP.-veluen Type Name & Model Number Pnlnl•0 C•Usc) Control Type Systems or ntu/hr) (gallons) (EF, RE) ) • 2 For small gas storage (rated input of less than or equal to 75,000 Blulhr), electric resistance and heat pump water heaters, list Energy Factor. Forllarge gas storage water healers (rated input of greater than 75,000 Dtruhr), list Recovery Efficiency, Standby Loss end Rated Input. For iastarttaneous gas water heaters, list Recovery Efficiency and Rated Input. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Subchapter 2, Section III. 1, the undersigned, verify that equipment listed above my signature: 1) is the actual equipment installed; 2) is equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) the equipment meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Eficiency Regulations or Part 6), where applicable. lgnature, ate COPY TO: Building Department Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner