S 2737 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPRMPINO IIUII,I11N0-ELECTRICAL PEROT F NO.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING�MFIDENTIFIC S '737
•BUILDING PROAECI'IDI!NTIh ICA'T )n' \J [,
IIUILDING pDRESS: / w T SANI'fANY No APPLICAI'10 SUBMI IT\I.DATE
OWNER'S N PRONE: C'ON'I'RACI'OR'S.AMG LIC NO
• _ NIC ^CON'flf(lLX
ARCO IT G[NEER: LIC NO: ADDRESS: ❑
CONTACT: PHONE!: "BUILDING PERNII•IINF _
❑ Consultant Fees Paid by Applicant(Initial) BLDG FLECT' PLUMB MF.CIE
1. I.ICI!NSED C N'TRACTOR:S UIiCLARAI'ION QTY. ELECTRIC PERMIT)• FEES
1 hereby arum that I air hcteled ander penciller,of chapter 9 aammenang _ JOB DESCRIPTION
ADZ whh Senin 7000) to, ;mn3onbe Bu sine..ands" •.. on"Cale.amt ley Bamai" RESIDF,NTIAL:
W 00 PERMIT'ISSUANCE C1
CWS in full force unA efl'cot ❑SPOW'1. ❑KI'PCHEN REMODIiI.
QUU License Cla LiaK APPLIANCES-RI?SIDI:NTIAL ❑ADD]TION [I PLUMBING HH-111PIi
N�y Vala-----�' Cnlllmelor vi
AItCHI'IECI':SDIiCh ---J()-
MOLT[-ONE*[ ❑STRUCI'11RA1.
F 7 m PANELS MOIIIFICA'I'ION
z O.z. I understand Ili,plxm.1'hall he coed a.meth re...Ns
U P'10200AMPS
Oz^O ❑INI'EIIOROVE ❑SWCHIMNEY MINGREPAIR
BOOT
QY2� IJrcmcJ l'rnfwvianW 201d(XNIAMI'S IMPROVEh1EN'T SWIMMING POOLS
OWNER-BUILDER DECLARA'T'ION
C J OVER 100DAMPS El BATT REMOUIiI/Rlil'AIR ❑DEMQLI'I'ION
xW06Cay' I naso anima,bat do see nt frn,,i the Cnnure.Co License Low Tarim
U watch mgrenwa(Seabee]IU15 CBualter and Pte,dennns C:de:Any city nrmene SIGNS ELECTRICAL [I OTHER
1- W y which its iss'a permit re connmct.ober,nt for such
hp i,or repair any sareurm
Fa O
pro t- I. q B pili II hpermitl File a ogned smmman, SPECIAL CINCUI'1'IMKC.
Ilso he is T foodI EN�
Wa CL pe y IIll p fContractor's (Chapter 4
to ]XIfi.fo3olla,Business JIf. ons Codeor
1h1METER ON POLE INCOMMERCIAL0 Ieorrocacng will Sec
hm he x exanpl enmlend The buls for henllege
excnlplin i.Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION
^N
Section 7031.5 by any applicant for a panml subjects the applicant to a civil ivialry of POWER DEVICES ❑'I'12NAW [_1 17001)SERVICE
nm mum he Eve bundrcd dollars($501). IMPROVEMENT
❑ Q ❑Las nwncraf,he pmpeny.or myenNlayceswith xmgeu asfbeirsolemmpenvminn. SWINIMINGPOOLELI!
X�O i l l do the work,and the shuctum i s nor at,(See Ilusinc"' ❑DPHIiR
w
YW^� and Profession.Cde:'[be Conrecmr's License Law does not apply It,na rarer of OUTLI IS-SWI'T'CH - URES
pmpeny who builds e,impmvc,rbercnn,end who does such work hlm.c..of Ihmugh
his own colonists,provided that such impmvemenb arc not intended or offered for NEW R]SIDI3NTIA1.1-1 1 R SQ FI'.
"ala.IL M1owcv
erthe huilAing or innpmvemmtis ndJ within enc year nt cunrplmian,the �SQ,<�N.FLO
OR AREA �5�SV•.�FI
•rbulder will have the adhooftoming that hdodo build orimpowe hopur
pl ) le❑ 1 fth P tary% t d l4.contracting with
�
wal"somm,t I
onamanhe pJ11591144 B ." ' oil PI' IIII.L.—Is f' f . L-
I d I apply to fp per h b 'ld. -improvesm 1 QTY.. PLUMBING PERMIT .FEE - ��• d�-�. -
whoatd
tens for such p I:1 with aconarchchdfice to insusion,the Co armors I C.I
Limn,e Low. P17RMI'T ISSUANCE
1 am esempr under Sec. .B&P C or Thi.,maw r
AIJER-DRAIN&VI!NT-WATER(EA) VALUA'T'ION
Ow net Date � 8 z
• WOItK1erp COM Pt KrjuhI on DECLARAI TON BACK PLOW PR(YI'ECP,DEVICE a
1 hereby allirm under penalty of perjury one of the ifoure ing declarations:
❑ Ibave and will mainm Section
ice)of Ge Labor mlpinwrce Win ker'ce of the DRAINS-PI,DDN,R(JOP.AREA,CON6 STORIES 'I'YPI?CONS"BUCI'ION
sen as 1,vh th i for by Sermon3]Wof the LnMx Code,for the performance nl the
work!'mated ill derrnnills Workers
FI%TUNIiS-1'EH'I'RAI' �9/^/ ,I
❑1 have and will mvinf Worker's Compensation Insurance.h require)by Section /� /AP
1]Ilfl of the LaMn Gaafor fFe perlom nce11 theia lirr which til't's i'c'ed CAS-IiA.SVSTIiM-I IN�t U'fLLT <� OCC GR(JUP APN
My Worker'.Com I d P y l nb r
Carrier: - 1 GAS-EA.SYS'I'Evil A)
CER'1'IPICC MI'I- F:h F'I F M N' 'ERS'. 19
(••U QIi13A51%INUUS'I'RL\VA.'C[./N'1'E iPI 1R
(11o" finfrecadl CION!11 d/�c h I'�,�Io 'f{ I Jreddollars(EIW) BIJIIDI of(VISION w,is
the pitfomn:ufc I 11.TarN t(n 2ri�n)�' GNF:A513 TRAP 'J �O
or lest) I' ANCTECKPEE Le,
(cenify that in cap Ih li a s'ned,l.ball SI3WEN-SARI1'ANY-S 1 1I3A.2(NI FI'. /�
not ennploy any penton in dry munner sit as fit become aubjeet to the Wokers'Conapen- E ERGYME 2 2'V
Q z .canine Lawx of Cul;farnia.Dwc WATER HEATER WIVE NI GRADING NRI:
Q Applicant
y NO[WE To APPLICANT If,after making this CeniEcate of Exemption,you should WATER SYS TBM/TREATING
F� ? Mcnme"object In the Weaker',Compensation provisions of the Latour Code,infuses, 5011,5 FEE
W (loo ith comply with such provloovs o, his permit had he deemed ravmkcd. WATER SERVICE
Q
Uz CONSTRUCTION erisaconstruction
ri AGENCY NEW RISIUEM'IALI'LMI1. SQ,PI'. PAID Dam RcciptA
U O Ihereby afbmuhaubereicarat.wctionlendinSagenp�for the perfnmmnmof
the work liar which this pcmnit is vied(See 3047,Clv.C.)
lL U LenderNam
s Nae DXIFAI.:
O U I.cm&o"Addm," TOTAL: ,
r G I cenify that 1 have mad this application and state that the above information is BUILDING B
.N. (A correct.I agree to comply with oil city and county and teem..and w,am rowsrelating ,, Q'I'Y. MECIIANICALPHRMIT FEF.
U 'Z
handling construction, SEISMIC 'E: 5�
above nondeaed pmpeny lar in.pecuour purpauw. - PERMI'TISSUANCF, F.LIiCTItIC
J
(Wel agree m"ave,indemnify and keep hnnnkss the Ciry of Cupertino against t g
Iiahilitics,Judgmems,cossand expenses which nmyin anyway"ecru,against said City AIJERORADD'i'OMF,CIi.
in nxcqucnce of the grunting of this permit. PLUMBING d3E 14 134
! APP. ANT UNDERSTANDS ND WILL COMPLY WITH AI.I. 'ON- )N'f AIR HANDLING ON[T(1Yl 10,000 CPM) My7CflAbl ITE ROY,
50 ENEGl1LAl'IC1NS.
AIR IIANIl1.ING UNIT((OVER III.IN111 CPM) CONSTIfI]CI' N'I'AX 8
Signature of Appiic nmmor IDat EXHAUST 11001)(W/DUC'1) HOUSING M I I'IGNITION PE II
IIAZARDOdlS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hmallous material HEA'T'ING UNIT TO 100,NNJB'T'U)
as dchard by the Cuperiinn Municipal Cele Cbapmr 9.12,and the Headband Safely
Calc.Section 25532(x)'! /I HEAI'INO UNIT(OVER 100.X4)BTU)
Yes lry'f,it`
' � VBN'fILA'IION I'AN ISI1i ItBSIII) PAID
Will thea hcant ea hunt boildin•occupant use a I or device,which Date Remain B
pP S I Arco
11(111-ER-COM,CHI,OR INI,nif,fir emit haznrJoua nit ammminam s defined by the Bay'Arca Air Quality Managcmem 'TOTAL:
IJ incl!
❑Ye, No BOILER-COMI'IOVP.R IINI,IIIN10T11) ,
I hamm,al file hvardnu.vmaterial,ltyuiremensunder Chapter 6.95oflbe Cali AIR CONDITIONER ISSUANCE DATE .fa
forma He Safety Code,Sedhons 25505.25533 and 25534.1 undersand that it the NEW RESIDENTIAL SECT SQ.T'f.
duildln d • ramuerenif havcu tc ngIIit is my rcspa oihiliry�mifyE copent I 1
n[Ib reWgghul h6rrrfil Ipnea t��is"uvnn-ofvC VIM Ownif o� gelllf/lI_ Dn �&//� TOTAL: ISSUED BY,
�� OFFICE
J.JF. ':9.1999 19'cFJ�.PI �F'=Ai lUSI IGF° F0i-U' F.='
Brian Kangas Faulk
e�picaore . Survapor¢ . Piannory
July 19, 1999
960069.50
Chuck Schoenberger
O'Brien Group
2001 Windward Way,Suite-200
San Mateo,CA 94404
Subject: Oak Valley—FountlatSnn Veri1'scatfon
Dear Chuck,
On July 16, 1999 we performed a liold survoy of the location of the fouindmfon forms for the buildings
being constructed on Lots 5 24, 5-42, 5-43, 5-44 and Lot 5.45 of the Oak Valley protect in Cupertino.
The results of that survey clearly stow that the location of the foundation forms aro consistent and in
coufelmance will;the design lccadon of dte buildhim m said Iocallons are shown on the plans prepared by
our tlrm.
This letter is 4uerded w provide y:a with die verification of:case units pet our survey. ftnhzre 4.rc any
odor questions concerning fiat lomion,please do no:hrsi:am to czll.
Sincerely,
a5 ?yT
J Q
BRIAN IC.4 \ •OL LIC BSAOLEY' OIL00 a
Bradley A.Bilbo P.LS. 6141 I-s D.P.3131/02
Project Manager 'n, No.6141 `y�r
Survey Oepaitinent '�l pv'`
E OF (;At-�F
540�'riue avenue . F66wood Cltp,;A 34063 1650)494.030C . FAX(460)462.6333
ENGINEERING WEST INC.
OBSERVATION CHART -
OAK VALLEY DEVELOPMENT CUPERTINO, CA.
4-6-2000 PAGE 3 OF 4
•
UNiT Lat Plan OPTION Fdn. 1st noor Roof Eat I Set.1r.nl as+o r 5 42 60 BONUS I 07/13/99 1 09/03/99 1 1.3.2000 1 1.3-2000 2.1 B-2000
5 43 20 3 CAR I 0700 09/03/99 1 1-5-2000 1.5.2000 2-18.2000
5 44 50 BONUS 07/2359 09/D3t% 1-5-2000 ' 1.5.2000 2.1&2000
5 45 6E 3/BONUS I 07x359 1 09/0359 1 1-11-2000 1.5.2000 1 1 2.18-2000
S 46 30 12-8.99 1-27.2000
5 47 NA NA NA NA NA NA NA
5 48 4B 3-CAR 12-1-99 ' S
5 49 3D 3 AR 12.1-99 1-21.2000
5 50 SC BONUS 12.1-99 1-21.2000 -- 1.2000
5 51 38 31 BONUS 12-8-99 1.11-2000 4-4-2000 4.12-2000 4.4.2000
•
)5)HD OUT OF ALIGNMENT AT REAR OF GARAGE
£O-d OLSS 96Z 804 iS21M ONYUA1INZJN3 dOZ = ZO OO-£L--AdV
bene ny: cvutu ent,u,rrum� >eo euo r+e. , wo: . i , -.Ju -.joro; rade i ;
ENGEO
GCOFECHNiCAL AND LN\ 1RONMENTA?CNS-5 LTANrs
I N C O R P O R A T E D MATERIA- LS TESTING
. Fro ect Vo.
4136.4.050.01
Aprfl 17,-1000
N1r.Pat Burke
The O'Brien Group
2001 Winward Way, Suite 206
San Malec,CA 94404-2473
Suhejct: Lot 5-44,Tract -Oak Valley
Permit Number S••2737
23686 131a_k.Oak Wav
Cupertino, Caiifurtia
SF,JSivJJC FXkN1E LVSPECTIONS
Dea Mr. Burke:
With your authorizat.inn, RNGBC incorpo.at:.d perfo_7ner_special inspections and ultra-su:11c testing
related to tlic seismic damn atsu 41,ion ttt the subject propem location Ln Oak VP.11c:y in Cupcnino,
Califomia. This report is submittal in accordance with Chapter i7 of the L r.ifomt fsuilding Code.
0bsetvation and testing scrvicas were u.ovided using the approvedplwis for the fcllowirg:
• Field wslding Of thn seismic flame tnOment cotmcoEOns.
• Fieid welding of tate framing: bps.
To the best of our knowlcduc anti bassd on our observations. die work requiring spcciitl irv7ec[ion
and testing is in co.itormance Aidi the appmvad plans, fiald recommeniiaticns of the Structural
Engineer, and the appli;;able workmanship proviwns of ]C Urdform Building Coda.
We make no representation ns U. the acourecc of dhncnsions, calculations or any portion of the
design for this project.
If you have my question or coinnitn', please do not hesitztc co comic: our office.
Very truly yours,
ENGEO TNCORI'OR.ATED Rei sewed.by:
EL
r. � �l'tOf ES81[r�r
Robert X. 10 ' son Uri Elialm
-,j!jd:1ot5.14
rGjjEF 1�1�ch�.,.
cc: ( -Ciiti`of Cu fcriii:c
1 .. Tho O'Brien Grein, I.,,r. Gcu}'Pioof
24111 Crmr(boson I:nad . S,i Ic ilio • S.m Ranur.,C.i 6458:1-1595 • (?2.i1 N.iF IE(11 • Fn.(4251 s; 7427
• w.... nt:.n.hvu F.rn„1:'.ny,>t-1rCi`ee},reo.eom
uen my; elvucU u'H cuj ucJ o.➢o r»cV hJl'- II _l iv.+I-11 ruac it
DAILY FIELD REPORT
OIUM Nf
( p•I[Ni . I: +119uwc(nuM4[4
faq LR NUrN tR
—_
'COMMENTS
✓C/42-
77i
F —
!/✓d/li
-
. ��/�✓G'. d��C s�`i�r✓ivj�l(`1 JiJ?r�:'T � '•'r'Qlt/e��—c?/�"� T/i✓ -
t/ ?,C, e 5 f 2��✓iC�l %. _.
i
THE AREA; IDENTIFIEb A80VE COMPLY WITH THE FR0LEC7SPECIFICATI00f ! YES NO
'MR/MS WA411JFO;LMEDOFTMENON-CO/1.PLIANCEi
I
SIGNATURE .. .__-.. ....___ RATE ----
TIME EI L L E D HOURS
Consulting Engineers and Scientists DATE 1 -2/- 179
da NoC� /O 7-
425
425 ROLAND WAY PROJECT
OAKLAND, CA 94621 Q1 k t //r /-I a
• (510) 568-4001 EOCATJON
TO U i.Jt'1 ` ,`,(•r CONTRAC OR OWNER
4; .
DateWEATHER TEMP.
/ Al Oat AM
_ i< h cl V 80 °at PM
Hours Charged To Project Nuclear Density Tests PRE//S`ENT Ai SITE
Field Task Number
. Lil}
Concrete Cylinders
t n opn
THE FOLLOWING WAS NOTED:
' /;rl i, l Gi r- .:1.f' I�(i r?(- r I'. �; , ) 7' E, I-
U
1-J t"(1P,:a . Tiro `�•a, K� J %� rf rl �C IC c- n f t Ir 'mac
i
I I a / / ;
Yhi-FC /- O Y"'L`�"� ./ S 'Y'' (�u) S '`f3C .20') 5 14 ( ' % c /
( ( £ � GIrr,TCS
,J I
_ ? t LJrr( 4 Cc✓,tior Wll� ' c `c f re � cc� JeC d( cIt
t✓. .,L;i,l "��.[ t-IX)I� `! 5 i.•. 'fl,,'., Gree. (.c-kn ��I. 1t- [.c'� 'ru JCG✓ 1hL� `'r f' C'AOrcr x�_
'J
CilI rc`t. r IutS (- (ol`S rtu
r� l-
ln.. .�..: r 'Thr
r t
fcc 01c, 'r- ', � � �C(' -, rt �� ir- 'r: if" �a O - C /G'G' P r'17c ITr ( I L'..,tV, f
hc•IGI �.t :�f-✓u .6-c�,�. ��r • ,,ee'rs �✓�.�
AIrl N <l/I
�- Q :r /- rd pc'o
� «J t r x' I Cr.0-c r.rcl c• , 'r F r c) l� -�
t.ItC' (' !1'7 � CI,, .O� , .. l�Cii. � )� i C-• l-'('- e f.l�• 1'r,.
-.T: : rF ?1"U3CCI- �->��Z,'1- -� •-.r.,�,< I! ,l GI -F-1 w- cc/
G
h(' ,'1 . 1 II,c' I �,r t1U C,I
COPIES TO LfJ�LC,L�D� RX-(p/ y
SIGNED
JBRIEN
GROUP
rick Burke
From: Jim Rlplay(SMTP:MPleydg@pacbell,nelJ
Sent: Monday, March 08, 1999 2:26 AM
To: PAT BURKE
Subject: OAK VALLEY
'at Burke
)ak Valley
;upertlno, CA.
eference: Linear parkway planting,
3l.
I plantings within the linear park are consistent with the landscap '
nstrudion documents prepared by this office and reviewed by thee city
March 1998 and conform with the preliminary approval d0umenls,
'nes A. Ripley
ley Design Group, Inc.
a FINAL PLANNING 8IGjq OFF
®SITE
SIGWURE
.0.,SHITE 200,SAN MATEO, CALIFORNIA 94404.2473 TF,LEFHONF.(650)377.0300 FACS(.MILE(6 50)349.2442
G.vi��� Marrh 1, 1996
•� COAST Insulation Contractors, Inc. INSULATION CERTIFICATION
1086 N. 11th St. • San Jose, CA 95112
This is to certify that insulation has been installed in conformance wth the current energy regulations,
California Administrative Code, Title 24, State of California, the building located at:
ctFLOSITE ADDRESS: �J•44 Cal-
FLOORS:
ORS: /y
Manufacturer OWENS CORNING/MV Thickness/rype I9'I4 R-Value l
EXTERIOR WALLS:
Manufacturer _ OWENS CORNING/MV Thickness/rype 311a R-Value I'�>
CEILINGS: 1 I_ 2^
BAITS: Manufacturer-QwENS CORNIN •/MV Thickness/TypeMtl_ 2 LSIR-Value N ��
t
BLOWN: Manufacturer OWENS QQRNING Thickness/Type R-Value
Weight/Bag 35 Sq. Ft. Covered R # Bags Used �3
AIR INFILTRATION SEALANT INSTALLED: YES NO ❑
GENERAL CONTRACTOR i �j7t��_ Fj nit_ LICENSE #
• BY: TITLE: DATE
COAST INSULATION CONTRACTORS, INC. LICENSE #
BY: 1UDu- t iv✓1 TITLE: �� DATE: �J 0
FROM CPPISJI FAX N0. : 6313356329 Mar. 13 2000 09:25r11I PS
• Commercial Roof Management San Jose, Inc.
Residontial)tonf$vsleln )nspec.iun Rcpurl r
Project: Oak Valley Homes Inspection Date: 3/10%00
Address: 11009 Sycamore Dive City: Cupertino State: CA
Client: The O'Brien Group
Contact: Pat Eurkg/fin
Roofing Contractor: id-Out Roofing
CRM Inspector: Charles Thomas
Lot Number: 5-44
Type of Inspection: Fait_ Final X
Type of Roof: Shingle X Tile Other_
Underlayment: JQ(b, Shl:Metal Flashing: OK Gutters: OK
Skylights: OK Attachments: CK Vents & Pipes:
Valleys: OK Ridges: OK Eaves: CK
Comments/Observations:
All of the gutters and downspouts have been installed and are complete. All of the
flashings are In and installed correctly. This is a very professional looking roof and
installation is complete.
cc, Rid-Out Roofing
•
04;� l/14//,0/ _ P/.4•u tine vus
w _
.INSTALLATION CERTIFICATE (page 1 of 4) - CF-6R
�ittee Address ermrt um er
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
i gformation 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).
I�YAC SYST iVIS:
Heating Equipment
Equip. aof Efficiency Duct Duct or Heating Heating
Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)t Location Piping Load Capacity
heat um and Model Number Systems 2CF-I R value attic etc, R-value Btu/hr Btu/hr
Sr �a voce y
S T
?ND ,FriAtlAll� iARAya7o-t2 fr .4771r, L4 yh� :r6l con
Cooling Equipment
Equip. CEC Certified Compressor qof• Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER,dc.)t Location Duct Load: Capacity
_ heat um Model Number Systems 2CF-IR value attic etc. R-value Btu/hr tu/hr
SI �_
38GI1GorFZ �— /o Set' 4� dO
?Nr> � r�eGrGCo 3�- �_ io e� rc -7,5 70 0
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-IR) 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.
_ Signature,Date Installing Subcontractor(Co.Name)
OR General Contractor(Co. Name) OR Owner
WATER HEATING SYSTEMS•
Distribution If Recir- q of Rated' Tank Effs- External
Heater CEC Certified Mfr Type(Std, eulalion, Identical Input(kW Volume eieney2 Standby' Insulation
Type Name&Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss(%) R-value
2 For small gas storage(rated input of less than or equal to 75,000 Btu/hr),electric resistance and heat pump water heaters,list Energy Factor.
For large gas storage water heaters(rated input of greater than 75,000 Btu/hr),list Recovery Efficiency,Standby Loss and Rated Input.
For instantaneous 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
Ill.
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 Efficiency Regulations or Part 6),where applicable.
• Signature, Date Installing Subcontractor(Co.Name) OR
General Contractor(Co.Name)OR Owner
COPY TO: Building Department
Building Owner at Occupancy
POSTTHIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO PI.RNlINU
BUILDING DIVISIONS 2737
BUILDING 1'R(IIk L"f ID '1 I '1'10..
IIUILU�I}IAUb RY.Sp, SANHAR)A0 AI.1•I.IC,A OlU
NSUNA Mll.
Ij3L'B L.$) i�;t1- e/�. •:i 91<= L-v4T. :�, ,�fS .:; l '6 �`i
UN'NER'S1.1J ME'. PHONE. C'ONTRACII 'S NAME) IIt',No.
NIC CON'D401.0
'ARCHDE%(ENGINEER: LIC No: ADDRESS. ❑ /..-r � �V
' BUILDING PERMIT INFO
INSPECTIONS DATE INSPEC. ❑ Cnmullam Fce,Paid h) Appliauu pniliull BLDG ELI: I I'LUMf ntl:nl
FOUNDATION/PIERS/H.D.S. INSPECTION RECORD JOB DESCRIPTION
LIFER GROUND NOTE: ALL GRADING AND DRAINAGE RESIDENTIAL:
,PAD/SET BnC K-CT:RT SHALL BE INSTALLED TO COMPLY WITH ❑SEIML 'O rH CHEN RENIODI
THE APPROVED PLANS AND CITY OF ❑ADDITION [I PLUMBING RE-PIP
GARAGESLABS/PREGUNITE t CUPERTINO STANDARDS. ❑.MULTI.L.cD ❑STRUMUR.AL
MODIFICATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED TO ARRANGE INSPECTION ❑NrERIOR ❑CHI.NLNE1'REPAIR
UNDERGROUND/SLAB CALL AFTERNOONS (1.00 PNI - 4:30 PM) BATHR MODE' ❑SwIMwTO I'Oun
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PLUMBING 777-3228 MONDAY TO FRIDAY 24 HOURS BE. ❑OTHER
ELECTRICAL FORE REQUIRED INSPECTION. JOB ADDRESS
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED AND PERMITN ARE NEEDED WHEN PHONING.
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PLUMBING ATTEN'T'ION CON'T'RACTORS: ❑NB: BLDG/ADDITION ❑DENIOUTION
MECHANICAL ` AT NO PERSON(S)SHALL PERFORM WORK ON ❑TENAINT ❑FOOD SERVICE
THIS JOB SITE WITHOUT BEING IN COM- I.MPRO\'EVENT
ELECTRICAL fA ❑oTHER
PLIANCE R'ITII WOR KERS'COM PENSATION
FRAMING VENTSVC2 INSURANCE REQUIREME'NT'S.
INSULATION40LINSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INsi
PLACE NO SUBFLOOR UNTIL ABdYt FTAsB EN SIGNED
ROOF SHEATH/DIAPHRAM
PLUMBING 00
TUBS S SHOWER PAN
MECHANICAL.
ELECTRICAUPOOL BOND
FRAMING/STAIRS/E.EGRESS
IN S ULATI ONN ENTILAT I ON 22
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
EXTERIALSHEAR/HOLD DOWN 'L
INTERIOR SHEARIHOLD DOWN
SHEETWROCK/SHEETROCK SHEAR
EXTERIOR LATH/W-SCREED
SHOWER LATH
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
SCRATCH COAT
SEWEWWATER �•'Yj
TEMPORARY APPROVALS
OCCUPANCY
ELECTRICAL II'
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GAS TEST
GRADE
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"CHANICAI-
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VISUAL FINAL ONLY CEHTIF1CATEOF OCCUPANC
BUILDING IMPORTAN"f: ISS DANCE o}u
OCCUPANCY OF BUILDING IS- OTPERMITTED PLEASE READ REVERSE SIDE BEFORE
UNTILBUILDINGFINAL IS SIGNED BY BUILDINGN'AL INSPECTION!! - .
INSPECTOR. A,� i -_ Nst 1:.11 By