00010103 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES•USE BALL POINT PEN ONLY 000 I 'U
CITY OF YUPF,RTINO P6OMAISNG-AIL TRI.ICA PERMITNO.
'BUILDING DIVISION APPLICATION/PERMIT .;•BUILDING PROJECT IDENT'IF'ICATION*r;.r,;,1, ",,
BUILDING ADDRESS: SANITARY NO. APPLICA ON SUBMITTAL DATE
Y o 14-1,J Ohl 0 9-1< W L 3 � ; f i y
NER'S\AME: 6� P�NLF/ q CON'IRAcTOR'S NATE: LIC NO:
vv T N/C CONTROL#
CHI" NEER: LIC NO: ADDRESS: ❑ Q
CONTACT: PHONE: ft 'I'll' ' BUILDING PERmTTINFb;;
634� ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT' PLUMB MECH
INS D CON'FR OR 4 DECLARATION QTY/I. ELECTRIC PERMIT In t ' `PEE
-� l
I hereby that l licensed under 1 rel Chapter (.r tomer "s r ' ' f r. - L:r JOB DESCRIPTION
��Z th5 1t m900 ),if Moran IIhe Ravine, rr 'vin ode anscal
F O a full force mJ feet. PL'RMI l'ISSUANCE
CWP i° SFDWL ❑KITCHEN REMODEL
4 V U License Li<.p
NQZW D9a Lec.I v.r APPLIANCES-RESIDENTIAL ADDITION ❑PLUMBING RE-PIPE
F.Dm ARCHI'I'f:CTS DEC, PANELS ❑MULTIUNIT ❑STRUCTURAL
Z O V,Z 1 underxtal i my plans shall N,used a,p. is rears MODIFICATION
OZ-0 UP'102W AMPS ❑INTERIOR [_1 CHIMNEY REPAIR
I-V7E-41 Laen'ed Profrsnavel 20I-1000AMPS IMPROVEMENT
X*iJ OWNER-BUILDER DECLARATION ❑SWIMMING POOLS
pet
..4'a Q 1 hcscby Apra,that I mm exempt firm the Contractor's License Law for the OVER 10(IOAMPS ❑BATH REMODEUREPAIR ❑DEMOLITION
W 3 C following rens,a forma
9mom Business andProfession,
.a, a moll Code:Any city ur county SIGNS ELECTRICAL ❑OTf1ER
4 O y which requires a e..1...,onset.alley,int]orsu demolish, file
repair any mearm _
yg Vatheistficen n.e.almrcaoithe theapplicoml lar .at to asignrJ stumtncm SPECIAL CIRtTII'I'IMISC.
^t,�y that he roti..nscJpursanon.thcpr.vixinnsnfOmCumrumar'sLicenseLaw
(Chaplet9
�{Y0O (commencing with Section 9(X0)rf IN virion 3 oft he Basin...and Professions Codc)or 'ITNIPM 'ERORPOLF,INST. COMMERCIAL:
4 0.n That he is exempt therefrom and the hesi'for the alleged exemption.Any vidatiun of ❑NEW BLDGIADDITI(3N ❑DEMOhITION
Section 90JL5 by any applicant foraperMtsubjects the applicam to penahy of I'OW ;ES
..y []TENANT ❑1'ODD SERVICE
nm mom than live hundred dollar.(S500). Of
IMPROVEMENT
FSG ❑1,as owner of Otepropeny,cony employees with wages ns their,ole compensai.n, SWIMMING LT IC
` will do the work,and thesWa.rc is not imm�Jed ar elTe.d l.rsale Sue.7& business ❑OTHER
Y3^ and Prnfesxime,Cnde:The ConlmconO,License law does not apply to un°wrier of OU'I LI?fS-SWITGf1E$-FIX
properly who build,or Improves thereon,and who Joe,such work himself ur thmugb
hi, an employees,provided that such improvensn¢are not inm ehol.r o rout for NEW RESIDENTIAL ELECTR SQ FT.
xsle.If,however,the building Or improvement is sold within one year ofcompletien.the SQ.F1 FLOC)RAREA $SQ,I7,
pumer-builder will have the hu len of proving that he did not build or improve for pur- �^-//
tt of rule.). / 3
❑ I.m owner of the property,ant exclusively contracting with licensed nmtnnvns to TOTAL:
O.nuar thcpmjmt(See 9111.1 Hmme,5 Unit Profinsicans CWc)'Ibe Contractors Li-
cense
se law does net apply to an f pro,avay who builds or improves thereon d QTY ; PLUMBINGPERMIT, "/ !• . FEE
wh a.,.La ufor sveh pro) swthac.ntm.I r(.)larnsW pursuuntmlhe Contrau e- UA Fes.. ��
sc Law. I EItMI'I'ISSUANCE - /
Tun cxwnpt undo Seo ,9&PC he thismason
r Umc ACTER-DRAIN&VENT-WATER(EA) _ /� V LUAI'ION
WORKE'R'S COMPENSATION DECLARATION BACK FLOW PROTECT.DEVICE
rte Ibercby ut'firtnnnder penalty of perlury aneof the follrwmg declanniam: ! 1
❑Ihave:md will maintain aCertifianeofCament toself-insure for Wmkefs Compal- DRAINS-FLOOR,ROOF AREA.COND. STORIES 'TYPE CONS'INUCI'ION
source,as provided fear by Section 3900 of the Unfair Costs,for the performance of the
work Ior which this permit is issued. 14X'1 ORES-PER TRAP
❑I have and will rammumn Wmora,Con,vemad i h mrmm.,it,reyuif,d by Section
My W.the Lunn G"le,ii a the pert rm:mcc o_D it work for which t, � I hs GAS-EA.SYSTEM-I INC.40Ut'LETS OCC.GROUP APN
My W.rkcr'a t roti n Ensu, cam d Policy he :
Cortico GAS-EA.SYSTEM OVER4(EA)
Ek' CAlE0 1; hh111GN pk(�1W�/lk�Kl?k5' GREASD[Nr)usrRL WAS'T'E INTERCEPIOR
S �'r 'BUILDING FEES "
Qhis sections t stop acdi t epennitA for one hundredJollars(51 W) • -
or less) GREASE'FRAP PLANCHECK FEE
Toy anylhat'm the perforany
sol he as to
subjech thlo#cytonirkes rd C,h,hWF SEWHR-SANITARY-STORM EA.200PC.
not etnpluy any person In any manner so as m bm.nm subject n:the Workers Gsmpen- ENERGY IEE
Q Z ,.tion Laws of California.Dam WATER HEAL"ER W/VENT/ELECTR
Z Applic.t GRADING FEE
y NOT ICE TO APPLICANT:If.after making this CemiFiem,of Exemption,..ou,ho.ad WATER SYS'T'EM?Ft EATING
H tN become e.bj,ut m the Worker',Compensation provisions of the Lunar Gale,you must SOILS FEE
Forthwith comply with such provisions or this permit%hallbe deemed revoked WATFiR SERVICE
Q
CONS]RUCTION DING AGENCY NEW RESNIiN'FIAI.PhMR. SQ.FT. PAID Ilene Receipt It
G Phar hielfrm than there i'sued(Seeti30G,Cin'agency lits the perform:mw of
W Iw the work Na which tris permit is issued(Sec,3U9'I,Civ.C.)
I-' Lender's Address
TOTAL:
L) herders Address TOTAL
4 1 certify that I have J this l pal t 1.1 t the,tl ha f t - _ r BUILDING FEE
rn anect,lugrcw
emnply w'thIl ly J county J Jtt It gt Q'ry,�: MECHANICAL FERMI'! J rFEE'd
UZ hsldngconxtruwon andlrehy authorize representatives ofth'.sily to inherence the Itr ' ,(, rC SEISMIC FEE:
above-mentioned propeny lot inspection purposes. PERMIT ISSUANCE
(We)agrw to,ave.Indemnify had keep harmin,s the City of Culwnlno against BLOC'IRIC PEE
ham Fities.judgnienu,cu,ts and expenses which may In any wayarice against said City A OPER OR ADD TO MECIL
to rice of the'roman,of this mat.
PLUMBING TEF?
APP"Ci 'T UNDERSTANDS A ILL COMPLY WITH At/.NON- DINT AIR HANDLING UNIT(TO 1E000 CMM)
SO CII EG�TIO MECHAN ICAL FEE
A IS I TANDLING UNII'(OVER 10,000 CFM) CONSTRUCTION TAX
Signora.mlApp scant/ r ate EXHAUST HOOD(W/DUCT)
HAZARDOUS MATERIALS DISCLOSURE. HOUSING MITIGA'110N FEE
Will the aa,hwuafur fmurn huildi"g.....un''lure or hm.dlr boeurdn einhaw el HEATING UNIT CPO I 01IX0131Of
,dftdonned try the Cupenlno Municipal Cnde,Chap r,9.12,and the Health and Safety
dc,Scdinn 25532(")1 `' HHA'I'ING ON[T'(flVEItIW,g101iT1A
❑yes
Y\3 No V ENI ILA]ION FAN(SINGLE RISID) PAID .-
WIFE thea licant or future.building occupant use equipment or devices which Date Receipt#
pp gn panBOILER-COMP I3HP OR 100,010 R'PU)
mit hm.enlous air crnmarm t,as defined try the Bay Area Air Quality Managnnem 'FOI'AL:
Uisriou:' BOILER-COMP(OVER I00,W)B'I'U)
Ysn
LN11
AIH CONUI'f10NF:ft
1 dare nam sacpitaysvmaakt, o "'a
under Chapter 695 fine Cali- ISSUANCE Dj �,
tassa[ssy CWeSectiom 255341 msJer" tlthmil the NEW RI?SIUPN'I'IALMECH, SQ.I'F. /J�'�^
,— a tun.,,,, „ttr 1, yy�s((�� semInch to bef.CmiOyt¢si .ua
O-har mhgi (�J`` Dotyea, TOTAL: ISSUED BY:�
OFFICE
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
BUILDING PERMIT INVOICE OPERATOR: christya
Sec: Twp: RnS: Sub: Blk: Lot:
INVOICE DATE.... .. : 01/25/2000
REFERENCE ID # ...: 00010103
SITE ADDRESS ..... : 21140 CANYON OAK WY
SUBDIVISION ....... -
CITY CUPERTINO
IMPACT AREA .......
OWNER ... ....... . . :
ADDRESS . .. . . . .. ..: 21140 CANYON OAK WAY
CITY/STATE/ZIP ...: CUPERTINO,
CONTRACTOR .. .. . .. : LIC #
COMPANY .... .. ....:
ADDRESS ..........:
CITY/STATE/ZIP . . . ,
TELEPHONE ........:
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
--------------- -------- ------------ -----------
BCONSTAX 410.63 0.00418.63
BMNEWSF&2F P 263.41 0.00 263.41
BNUSFD P 263.41 0.00 263.41
IF
EE P 1888.00 - 0.00 1888.00
ICRE P 37.50 .0.00 37.50
AM P 263.41 0.00 263.41
TFEE P 35.52 0.00 35.52
MPERMITFEE P 35.52 0.00 35.52
PPERMITFEE P 35.52 0.00 35.52
--------- ------------ -----------
3240.92 0.00 3240.92
r. i..�,i.�uw _ ..� ii 31•.Lr. n.nVnp f'./VLr'. Iv.UOD r.uc
C � ♦
Brian Kangas Faulk
inginaers • Surveyors • Plannsts
AprII U,2000
SKF N
o.960069.50
Au.CAuck Soboenbergta
O'Brien Group
1001 Wlaward Way,Suite 200
Sao Memo,CA 94404
Stood: Oak Yawy-F000dauen�'ari6cetled,
Dow Chuck: .
On Apt Uk of this ymr wa peiformed a field Survey of the locaeioa of%be foitndadoo forma for the buUdials
being eonauvoled on l,.3 01;1-03 and 3.07 of the Oak Volley project in Cupertino.
Tbo rostalls of that away clearly show that the tooadon of the foundation forma aro coaaistam cad in
oonformaooe with the deals Iaatloa of the buildiaga,as said locations arc shown on the plan prepared by our
rtrm.
• TLie lotm ii latooded to pmvlde you with the verificadon of them units per om stwoy♦ If that ore any other
questions concorttin;am$locations please do not hesitate to call.
Sincerely,
BRIAN KANOAS FOULKlJ►M10 S�y4F
RAW).81190VW
Bradley A.Bitbo?.LIS.6141 *� 02
Projoathfaoaku m
Survey Deparm t Op CAUECC
. I
543 Price Avenue a Redwood CIN.CA 94063 0 165 01 402-6300 0 FM 165014826339
SEP-26.OD 161D6 �foi�IlAR{A EMGINEERINii GOIWANY - DAK�AND 510676211& T-I I6 P.01/02 JGo-JIY
Enylneerin� Company w'21'O0
426 Rcland W4Y 2601 Sarrng=COur) 14:SpfeoKIN W".SuNPa01aCT e 206 b•
OaW",CA SMi Hayward,CA 84645 Sa6fraa.CA 03806 �„ .
PH:(610)66&4001 PH: (601)466.6160
F%:(at 0)636'2/7! FX:(691)466.8161 Woa""
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PRINTNAMR'
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•. Oak Valley, Cupertino '
ENOINElaINO WR"INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO,CA.
1110612000 PAGE 4 OF 4
-- - - - n. - - SWAN.n . Bate
_MW---'3- J . 2 3 _ �4.252000 &13.2000 0911211000 08/0812000' _1 MM2000
3 3 2A WAR 4-252000 6.13.2000 S-29.2000 B-29-20W 1085100^ 0922/2000
3 4 4A 3CAR 47252000 531-2000 5-16.2000 &152000 1023/00^ B•252000
3 5 SE —SM/60N 4-12-2000 5-26- 7-2000 8-7.2000 &25-2000
3 6 4C 3CAR 4712.2000 -T2000 7-31-2000 31-2000 t ddo 152000
3 7 5C 4-12• &16.2000 08882000 1611 to do 10/162000
3 S BMR 521-2000 slab 10/10550-5- 10112/2000 to do 1011112000
3 9 BMR Ditto Ditto Dille DMO Ditto Ditto
10 10 1 4-12-2990 7-&2000 1061812000 1012aWW 11.8. 11 18900
3 11 - 3CAR1B N 4-12-2000 519.2009 7-26-2990 7-26.2600 11- '-8-14-§W-
3 12 48 SCAR 4-32-2000 6.102000 7- 2009 7-20.2000 8-30.2 2000
3 13 7 S-27-2000 8-&2000 10838000 1 1
3 14 2D &27-2000 8-&2000 101302000 1110180W 010 to Flnbh 11/038000
3 15 3C 3CAR/BON &27-2000 8.5-2000 11/0320W r7 t0 do
3 16 6C BONUS 9? &15-2000
3 /7 3E WAR 8.27-2000 8.15-2000 11/93!2000
3 18 BMR NA s
3 19 BMR ditto d'dto ditto ditto ditto
3 20 1 18 1 3.30-2000 05112MW o8 MMW W=000 Na 7-202000
3 21 1 3A 3,30.2000 5102000 7-202000 7-202000 8+2000
3 22 1A 7-20 &
3 23 4C 3CAR 7-202000 &2D-2000
• 3 24 38 3CARIBON 7.20 8-20.2000
7-2
3 25 6B 3CAR/BON 02000
3 26 2C 3CAR 7-202000 9-1-2000
3 27 BMR 7-2&2000 NA
3 25- BMR 7-202000 NA
3 29 78 7-20-20W 9.1-20W
3 30 6A BONUS
3 31 28 1 3CAR
3 32
3 331
3
35
35-
3 37 7
38
3 39
3 40
3 41
3 1 42
[a],sm lags not 1ed8ed one doubie#5 panel
0&Now2000
80 d OLST ,96Z SOb 1S3M ONIN33NIJN3 d£Z = ZO 00-90-AON