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S 2733-APPLICANT -TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
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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
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5
10
11
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114.20.99
OS 7159
OE4?9/99
C1a 9l
5
72
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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
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5
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1/02/99
12.29.99
5
18
5D
"1/02/99
12.15.99
1. 1. 000
5
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"•1/ /9
? •13.99
1.20 .200
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12/OZ19B
21
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06118/B0
Ofilt 9
10114199
09 79900',_•2i•200Q
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5
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08/18/99
09117199
1. 0,2000 1.71.2000 d.na
5
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24
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104.39
1-102000
1-7-2000
d.n,a
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5
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062 9199
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1014198
101 4 9
10/1889 I
5
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05.10.99
7l 9199
10/18/99
10/18109
5
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5
31
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3
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0710!99
10.2200.22.8.8
10.27-90
5
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95/07199
07112/99
11/02199_/
1 9.99
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5
34
38
2
1 UWIJ099
(Q783/99
11108/99
12.190
12.6.09
5
35
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315ONU5
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0 88/99
11-10.99
11.10 9J
5
5
36
37
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^05/3/99
0726/99 _
11,-12_36
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08/12/99
11.22.99
124.99
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9
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69/16/99
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12.21-09
5
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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