00030185 CITY OF CUPERTINO PER!,I 9 NO.
BUILDING DIVISIO� CONTRACTOR INFORMATION:
UILDINGADDRES
SANITARY NO JAP ONW ITTALDATE
Ne),NA& u7m
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4elj�� 6"b�p a. CONTROL,#
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RCHTTEMENGINEER BUL.DINOPERNIMNIO
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U
LICENSED coNTRACTOWS DECTARATION
I hadebyinflins,that I scre litchrod]under provisions of Chapter 9(commencing Job Description I
r im S-Ii..:O f.Q�7-�.fduaflmuruuaisad
b
!cLe". my me is
c. '."imanclit
a on 1.1-1—LAI
L�,OuI ARcNrnicrS DECLAI!7ffON�
u. u, Lwarod!professional OWNEK-BUHLDE.R DKI,AMTION
I hereby affirin that I am exempt from the Contivactor's License Law for the
M finflounng doxion (Section 703 1.5,Busichass anct professions Coula:Any city or county
which dopiftes a permit to construct.What.imphoun.doexclith.or ispour any or
pd.,1.it.issuance.also defeat,tho.,heam firromh permit to Fit,.ii,parl.tionorner, 'u a ion
u Ron he is licensed picionind 1.theprovi,imix.frive Coomactim,License U,(Chapter 9 3,919-0-14
(ommovencia,witti Semb..7W)of Division 3.1filue Bioi.end Professio.-_- i
that he is exempt therefrom and the tossix for dre.[],,it exemption A.,violation of m er
Section 7031.5 by any applicant for a parrout oubjects the applicant to 4 civil penalty of _�u b 9ccupancy I Type
nor am than five hundred dollars o5M). (90
0 .: Required Inspecti s
avildoth."mic,invithninnotion jaunt onence,j m.dhddj frood.(Sao 7044.Bmunbel. P e
and Profeadens Cut1h:Tho Cmusectim,Loduse Uis,does.Wly to an owner of
larelpe"Y who buildar or firopmosear bereen.shil who does such woric himself or through
his n employees,provided that such improwerneents are chn intended in offereci for
mv
will have the barden ofthesing that he dal not Wild drimpost,for pur:
posciff'oh.). 2 ,
[3 1,as owner of the lo-pary.mr,as
construct she P.J.,I ud=va�ly Z'Uticon,AM licemixi commuce.to
S..7041,1,B ons Core)nor Cmusibud.U.
ineprosevithadson;rand
who croodsols for such pmjccm with a conditions)licensed p or
urnbutto,th,cmixtructor'.
Lic'ma I-aw.
lmni,xenn'smsdmso�. B&P C for this
0
N—DE Date
WORICER'S COMPENST770 CL:&�-�ON
I hereby affirm mider penalty of parpory one of Line following declarations:-
. ml will no.mun.is C'nift.of Consent to xcif-mome for Worker.Corripm.
11MP a"on,a,
—k or which bjx annut is ided.
Bob.,so providext for by S.o.n 37W of dre 1-abe;,Code,In,be performance of the
C3 I love and will mi W-duse,C-onfeecardium Innocents. a noctimed 4 Secimi
371KInfile(,absorcrele,forthoperficion. filbe work firrovidich Ihi.provii.ni'sured.
My We& not I mrscric ... P.Rc
u—c "mo- poll'
C074.4GIE1 Iff
COMPENSATION 1NSURANC72
ITS oj� i. fy "I ocand],olled($10))
or It's.) Dnepu
let. Rube
a
an, aZ .Iqf j�his parrout is issuoul,I duall
employ Any terso.in any number w as to become subject to the Woncent'Camn,n-
somich Ca.,ofC.Iifmci Data
Applicator!
NOTICE TO APPILICANT.If,after maturing this certificate of Exempt.,You shoZ
.1soome ioubject-the Winion'.Cimpedooko,provilimus of the,L.1hor Conte.y. in
forthwith comply wit such provisions or this parmit shelf W demoved novoked.
z CONSTRUCTION LENDING AGENC� v
thereby.offirm bere is a construction ludifing agency forthe performance of
work for which thi,=Mi,is issued(Sao 3097.Co,C.)
> MU does Name
aeaAckindi,
QQ Fz I cerify t1hin I base d"dii..,location andmea that the above of.b.in i;
Cl.
:) Z building cranstroudon,sudi hereby ambourize,representatives ofthis city to enter upon the
U 0 albove�noutntioned propurty So inspection porposon,.
�w P (We)apre,to save.indemnify 6d Iteep,harmleas do.City of C.penimi.painst
C'U Iibifities,,odgmema,costs and x.picusex hichmay in any soij sec.e.griust said City
W d .. I the'"'no'of this permit.
I ",se "' I MNDS ANIAWEI.LCOMITY WITH ALL NOIfFOIN
;L- A 01MUND
V) 'IH , ER
EGLH
rj . A to S.
U z
VA—, ,O— le,00'0'
HAZARDOUS MATERAU DISCLOSURE
Vill the applicant or future Wilding occupant store or toodke hicuoundom material Re-roofs
Code,Section 15532(it)? Type of Roof
.0yas f
icam or future 1xoldbS;,uc,.pxnI so equipment.:devvioax which ' All roofs shall be ins d prior'to any roofing material being
.zdxuwill, Ptuarri us s&f'nMbytheBayMcaAirQuWityMmage�t installed. If a roof is =led without fir9t obtaining an inspection
rdbm�L I I
[jyxx , o I a ree to,remove all new ma�terials'for insp&�tion; Applicant.
I have de,h, uZerstands and will comply with all non point sohrce regulatibns.
forms Dart dYC
"a"
der,
building 'L
oftlic ne I c,
L he .. �ignature of Applicant Date
PN,
G-*
I All roof coverin&to be Clas�"B"or better
OOFICE
MAY. 9,2000 9:23AN BFIFlri KNNSPS FOUL✓. NO.436 P.2/2
Brian Kangas Faulk
Enclneers Surveyors Planners
•
6 O b'H r9
��� r N
May 9, woo
BIS No.960069-50
Mr.Chuck Schoenberger
O'Brien Group
2001 Winward Way,Suite 200
San Mateo,CA 94404
8ubjectr Oak Valley_Foundation Verification
Deer Chuck:
On May 3rd of this year we performed a field survey of the location of the foundation forms for the buildings
being constructed on Lots 2.05 and 3-10 of the Oak Valloy project in Cupertino.
The results of that stnvey clearly show that the location of the foundation forms am consistent std in
conformance with the design location of the buildings,as said locauons are shown an the plans prepared by our
frrn.
. This letter is inwnded to provide you with the verification of these units per our survey, if there are any other
questions canceming these locations plum do not hesitate to call.
Sincerely,
BRIAN KANGAS rOULK
LAPo x
"r V
Bradley A. ellM IXIN IL DIL69
er 4L QL?�/9V02
P.L.S.P L.S.6141
Protect MuellerSurvey Department 4j. Ha 6141
r�
540 Price AvEnue • Radwood Chy,CA 94083• (650)4628300 • FAX(850;482-8399
FROM : CRMSJI FAX NO. 8313358329 Mar. 06 2001 03:52PM P10
FROM : CRMSII FAX NO. 8313356329 Mar. 9B 2091 10:57AM P1 .
L? G UJB
• G Commercial Roof Mansgement Spa.lose, Inc.
'// Residential RoafSysrem inspection Report
Projeet:dA� /d«E✓ alZ/rulnspeetionDate:
Address;&YO✓Of/( Pj/ City: Cupertino State: CA
Client:The O'Brien Group
Contact: Pat Burke/Dan
Roofing Contractor: *?rb 6ur FWA/4
/� s
CRM Inspector: CXAC e 7 C/l�t
Lot Number:
Type of Inspection: Felt_ Final
Type of Roof: Shingle_ Tile Other
Underlayment: _ Sht Metal Flashing: _ Gutters:_
Skylights: Attachments: _ Vents & Pipes: _
Valleys: Ridges:_ Eaves:_
• Comment5JOb5ervation3:.
L FtIJAL
DK
cc Rid-Out Roofing
01/23/2691 14:49 5198861835 FOUR SEASONPAGE 05
�oY 1.-0S
INSTALLATION CERTIFICATE CF-6R
• Site Addr0s ormn um er
An Installation Certificate is required to be posted at the building site or made available for all appropriate impactioftS. (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).
HYACAXSIM
Hearing Equipment
Equip. 0 o Emcienry DuetOuna Hosting Hooting
Type(piss. CEC Cetilfled Me Nene Identical (AFUE,aka.)' London Plping Load Capacity
het um and dalN c -IRwt40 fatft et . R•vdue Btuibr atwhr
uD � r1..— -_W"L77r�^ �t1LG_ �_ !4.�.a-W i 7. 000
Cooling Equipment
Equip. CEC Certified Compressor Y of Efficiency Duct Cooling Cooling
Type(pkg. Unit Mk Name gad Identical (SEER,aro.), Location Duct Load Capacity
hod "11L dei Numidet S t ¢CF value anis eta. "go ,(Sturn n ttou
r s r _- Q71 1 1�
�Na
1. �reads greater than or equal to
1,the undersigned,verify that equipment listed above Is: t) Is the actual equipment installed,2)equivalent to or more
efficient than that specified in the certificate of compliance (Form CF-SR)submitted for compliance with the Energy
Ef eidney Standards for residential buildings,and 3)equipment that meets or exceeds the appropriate requirements for
manufactured devices(from the Appliance EBtdiency Regulations or Pan.6),where applicable.
•
Signature,Date'
/.1?-;rei v sp Asn i c N eFtitLi� �d �s��
nam g ubeontraetor o.Name)
OR General Contractor(Co.Name)OR Owner
WATER HRA_IINGGgxgT'
Distribution IfRecirry Yof hued' Tank HER. External
Hearst CEC Cerdfled MB Typo(Std, culmen, identical Input(kw Volume owrtcy, standby, Insulation
Type Name d:Madel Number pelnt�(-Ula) Control Type .Systeme or Stumr) (gall") (EP,RE) Loss(Y) R vtluc_
2 par email gas storage(rated room of Pas than or equal ta,77.000 Btwhr),electric reshtanee and heat pomp water heaters,Ilat Eeargy?error,
For Iarge gas storage water hasten(rated Input ofgreatst than 71,000 Etufhr),list Recova y,Efficisney,Standby Len and Rated Input.
For I main isneo us ass we ter hutere,flat Recovery Efficiency and hated InpuL
Faucets&Shower Pleads:
All faucets and showerbeeds Installed are certified to the Commission,pursuant to Title 24,Part 6,Subchapter 2,Section
Ito.
1,the undersigned,verity that equipment listed above my signature: I)is the actual equipment installer!;2)is equivalent
to or more efficient than that specified in the cetti$cste of compliance(Form CF-I R)submitted for compliance with the
Energy F,glolency Standards for residential buildings;and 3)the equipment meets or exceeds the appropriate requirements
for manufactured devices(torn the Appliance Efficiency Regulations or Pan 6),where applicable.
signature,r5ate installing Subcontractor(Co.Name)OR
General Contractor(Co.Name)OR Owner
COPY TO: Building Department
Building Owner at Occupancy
12-.,:earl March 1. 1996
O'BRI EN
AwtVGROUP
t"_.4ovlgoA! ovA
Patrick Burke
From: Jim Rlpley(SMT
P:rlpleydg®pacbell.not)
Sant: Monday, March 08, 1999 2:28 AM
To: PAT BURKE
Subject: OAK VALLEY
Pat Burke
Oak Valley
Cupertino, CA
Reference: Linear parkway planting.
Pat,
h the landscape
All plantings within the linear park are consistent wit ,
construction documents prepared by this office and reviewed by the city.
I on March 1998 and conform with the preliminary approval dourrlents.
James A. Ripley
Ripley Design Group, Inc.
M ,
WARD WAY,S111TR 200,SAN MATEO,CALIFORNIA 944044473 TFLFFH(1NF((5nl i77.ninn r.I�111 , .,
FROM LEAK FINDERS FAX NO. 8682964682 Mar. 06 2001 09:02RM P1
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EWE 50MELHIN6 5AC5 • (600)261-2619
DATEO NO
Engineering Company Jam, Z
Roland Way 2601 Barrington Court 14 Spreckles Lane, Suite 208
Oakland, CA 94621 Hayward, CA 94545 Salinas, CA 93908
PH: (510) 568-4001 PH: (1831) 455-8160 LO I N
FX: (510) 636-2177 F�X: 3 /4585-8 8.J1/�/�//�j////
U��/ `% ,(/`^%C•�'I / J ( CO CT09 WINE /
Harza Project anager ij�,jJyf O
TEMP. °a AM
Task Code ' /` ` 00i#.'
'at PM
PR/srs,�¢NT AT SIyT�E /
Hours Charged to Project ° O Signed On-Site by
PERMIT a
THE FOLLOWING AS NOTED:
ve
COPIES TO NAME: (7!//Ki// / RIELD .✓��/� JQQI,��� 0 W7
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