B 0134 APPL%CIi FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CCPERTINO BUILDING.ELECTRICAL. PER IT NO.�Q 13 4
BUILDING DIVISION APPLICATION/PERMIT PLUMBING.MECHANICAL SOOOI L
- 1' -- d' BUILDING IsROJECf IDCNTIF'ICATION
BUILDIN(' DDI S. SANI'I'ANY NR APPLICATION SUBMITTAL UNIT
OWNER'SN�E: PHONE: CON'fRACI'OR'S NAME: LICNO: NIC COM '
NTROL
The 0 Brien Group 656-377-0300 The 0 Brien Grou 691513 B
CHITF I NGI LCR hIC NO: 605755 ) S' Kin,
ac ic Peninsula Architects �'�� bak Grove Ave. , Menlo Park 9 025 I
CONTACT: 111IONE: - '•r- BUILDING PERMIT INI70
Gerry Ploof/Director of Purchasing El Consultant Fees Paid by Applicant(initial) BLDG Ia.Ecr I'IDMR MEC IT
The O'Brien Group 650-377-0300 ��
LICENSED CONI RAM DIS DECLARATION QTY. +., ELECTRIC PERMIT' FEE'
I hereby an -n'h t 1 am firealed andial p -:f Chaptar9 ot,ounnernicn, _ _ JOB DESCRIPTION
O�Z with Secuna91KK1)nf Di iso 3mit] Basinessandl es s Mc anJmyl mnsens R••I TI
w00 in PCRMITISSUANCE .'Q
i-�� full force and ITect. DWL ❑KITCHEN REMODEL.
�UIJ Licensc n Lica APPLIANCES-RESIDES FIAT, ❑ADDITION ❑FLU MB ING RIUMPI:
Fara Dati , CoL-)
ARCffI'l li(:1"S DIiCLA ,TION ❑MUL'f1-UNIT ❑STRUCNRAI.
FOh PANELS
Z OyI 1 understand used plana shall M1a a. as public records MODIFICATION
O Z—'O UP T02IXIAMPS L1 INTERIOR ❑CHIMNEY REPAIR
Liccoced l'ndessiunal 201-IIMI0AMP5 IMPROVEMENT E]SWIMMING POOLS
K
OWNER-BUILDER DECLARATION k U ❑
OVER IOIMIAMPS BA'fl{ItIiMODEI/REI'AIR ❑DEMOLITION
o Q 1 hereby storm that Contractor's 1 am exempt from the Contctor's Licensc Lew forthe
(3150 y U following reason.(Section 7031.5,Huntress and Fiumicino,Code.Any city of county SIGNS ELECTRICAL ❑OTHER
ut�+lL y which reyuim,a permit In construe.alter,improve,demolish,or repair any nmaturc
L.�Og prion its issuance,also requires the applicant for such permit to file a signed statement SPECIAL CIRCUlF7M
�y that be isIwvmedpursuvmn:theprnvisiomoftheCummiLicense Law(Chapter 9
0 (mninhoo a,with San.,,7000)ofDivision3 ofthe Bm,arm,,and l'mfci,ors,C:de)nr TEMIIMETEROR L ST. COMMERCIALMR that he is exempt therefrom and the basis for the alleged exemption.Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION
not more]am five htmdmllJollan,,ana,�it suhao,The applicant In u civil penalty of POWER DI?VICES
dr 10'It ❑TENANT ❑FOOD SERVICE
F Z P .IMPNOVI:'s1EN'P
SQ ❑Losowner k,the propenyl or my knorime le wimwages
ced roe their so.eampehation. SWIMMING POOL ELECTRIC
G
will JO the work,soul One smmturc ie not intenJcdoroffereA for sole(Sw.7044,Ifusiness ❑OTHER
6 3 m and Professions Cadc The Conwmor's License law dcex not apply Int an owner of OUTLETS-SWITCHES-FIXTURES
property who builds o improves Ihemon,and who Aces such work himself or through -
bes own employees,provided Ibar inch impruvemen0 are nut Intutded or offered for NEW RESIDENTIAL.ELECT SQ
sale,If,however,the building or impmvemenl is sold within one year efcompletion.the SQ.IT FLOOR AREA $)SQ.FT.
ax,ner-buhdder will time the burden of proving that he did not build or improve for par-
pts f.l ). I OT
Fl Las a n r ofthe property,can exclusively contracting With licensed contractors t
consumer h p ) t(Sec.7(IW,Business had Pod.into Code:)no Contractor's Li
hL J t apply loan ownerad pnpdy b 'Ids I th n 1 QTY.' ILUMBINCI ERMIT j. FEE '
:contracts for such projects with a connotations)licensed pursuant to the Contractor s - - - (O t L/ / —/ AV .2el,
License law. PERMIT ISSUANCE
❑I am exempt under Sec. ,B&P C for 0n,mason
Date ACT ER-GRAIN&VENT-WATER(EA) VALUATION
w e WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT DEVICE 130610 ,00
I heathy aflirm under penalty of perjury one of the following dicarntions:
.O l have unit will maintain a Craddicuteot Consent to self-insure for Worker's Compete DRAINS-FLOOR,ROOF,AR G,COND' S'FORIps TYPECONS'I'RUCUON
,atter,as Provided for by Section PW of the Labor Code,for the performance of the
ark for which Nis permit is issued. FI%TURES-PER TRAP
❑ I have and will haintain Worker',Contpcnsaiiot Insurance,as required by Section U
3101 office labor Cabe,for a performance ofthe work for which thi-permit is issued. GAS-EA.SYSTEM-1 INC.4 OU'T'LETS OCC.GROUP - MIN
My War .Compcnsati and , tart: GASB-EA.SYSTEM-OOVER 4(PAT
Crown
CF.RI'IFICA'IE OPE .MFvGO,Dt.M WORKERS'
COMPENSATION INSURANCE CRIiASFi1NDUSTRL WASTE INTIiRCGPTOR
BUILDING pIV1510N 171(15
(This sc li n([eed�^ryf'{,by��'Ihrp1m I}}}'tt�fff nhundmtl04bnre($IINIj GREASETRAP C - -
orJms.) 1/y IU c L//'><../7 v-/ PLANCt111CK Ppct
I cenlfy hal in lh I'e}N}r / a'996 dfn wht I permit is issued,l shall SEWER-SANITARY-STORM EA.20017, d ) z,Ja�
not employ any person in any manner so as to become subject tto the Workanv Compen- ENERGY EE aD . `W
Z nation Laws of Cal\fnmia.Date WATER HEATER WNENTIELECTR
z0 O APPli,.( CRA
G y
NOTICE IX)APPLICANT.If,after making this Certificate of Exemption,you should WATER SYSTEM/1'RG'I']NO
a ^ become subject to the Worker's Compensation provisions of the Labor Cale,you most SO
Iti forthwith cnanply with such provisions or this pemaal sholl he deemed revoked. WATER SERVICE,
C. CONSTRUMION LENDING AGENCY NEW RESIDENTIAL PLMIL SQ. PAID
U O Ihereby affirm that There sa construction andlng genoyfothe pefomeme f Dm Receipt#
the work for which Oris permit is issued(Sec.3097.Civ,C.)
0 U Lender's Name • TOTAL:
O U Lr.ur,s Addre„ 'IOTA
i L 616 0
1 cenify that I have mad this application and state that the above attenuation is - BUILDING FE
h correct,l agree to comply with all city and county ordinaries and state laws hearing an QTY. MECHANICAL PERMIT f ITE //--
Uz hnddlag Interco . ad hereby aumonze namsenmme,of his city were,.pmmme ,+ SHISM1 �•�k/
above-mentioned property for inspection purposes, Q
(We)agree to save,indemnify and keep harmless the City of Cupertino against PERMIT ISSUANCE CLI' R E
IiubilitirajuJancro,,emstsand expanseswhichmuy in any way accrue againn,nd City ALTER OR ADD TO MECH. Oe /Q
is coaseq •a cofthe granting ofthis permit, PLU I ;FEE O 4)
APPLE TUNDIiRS'I'ANDS AND ILL COMPLY WITH ALL ON- OINT AIRHANDLINGUNIT(TO 10,000CFND ,CI LAICAL,FEE Z rO
SOU CF LGULATLON) 3'a
1� 10A
AIR HANDLING UNIT 10,000CFb) C(I SfRUCT10NTAX a .
igamre lTfXpplicardCorDiddl I EXHAUST HOOD OVMUCI) )USING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will theupplauntortohne huildlngoccupuad,humar handle hnotolons material HHAI'INC,UNIT CIO 100,000 BTU)
as defined by the Cupertino Municipal Code Chapter 9.12,and the Health and Safety
Coda,Section 25532(a)'t / HEATING UNIT(OVER I(M,0130 B'ITI)
❑Yes ( N VHNTILATION FAN(SINGLE RESID) PAID
Date Receipt
Will the applicant or future building occupant use eAir
or devices which
mit bacchantic,vie comantineno as dented by me Hoy Arca.Alr Quality Management BOILER-COMP(31IP Olt 100,000 13 ED 7A
Disaict^ / BOILER-COMP(OVER l(K. 11 SITU)
❑Yes
AI12 CONDITIONER
I h: 'c read me hamNous anamnals rryuirensen¢voter Chapter 6.95 mf the Celt- ISSUANCE FIAT
taenia He t &Su Pity Code,Sort 21.105,25533 and 2.5534.1 mmdcrsmnd that i(The NEW RESIDENTIAL MECH. SQ, �I f&Solely Code,S^(cats 25Nf5,25533 and 2.5534.1 understand that if the NEW RESIDENTIAL MECH. SQ, ��
haddi nottomnpyhaveate nI lhatat,ra'a"mlbilityu dfy cupant / l(
of V u 'hi n pnnnnissuance ofaC - t f
)w rvmhonzeJ I TOTA_ ' ISSUED BY.
OFFICE
ru1R. 2.15 5 12%88F'19 BRlk'i KFlliGkS FOULK fIV.C41 Y.0/c
Brian Kmn®an Fmdk
• Engineers . 9u vavoro Planners
Much 2, 1999
960069-50
Chuck Schoenberger
O'Brien Group
2001 Winward Way, Suite 200
San Mateo,CA 94404
Subject; OnkValley—FoundationVerification
Dear Chuck,
On March I, 1999 we performed a flald survey of die location offte foundation forma for die buildings
being constructed on Lot 4-10,4.11 and Lot 4.17 of the Oak Valley project in Cupertino.
TI1e results of that survey clearly show that die location of the foundation forms are consistent and In
conformance with the design location of tic buildings,es said locations are shown on the plans prepared by
our firm.
This lener Is tnionded to provide you Witt the verification of those units per our survey. If there are any
other questions concerning drat location please do not hesitate to call.
• Sincerely,
LAND SUS
O
BRIAN KANGAS rOLfLK BRADLEY A.BII80 m
Bradley A, Bilbo P.L.S,6141 it EXP,3131/02
Project Manager 01 Na,6141
Survey Department q c�
lFOf CAUF��',J
• E40 Price Avanuo • RP1IM(ld City.CA PQ63 . (650)4112 3= • FAX IE30)482.6366
•
�® O'BPJEN
,. GROUP
Patrick Burke
From: Jim Ripley(SMTP:dpleydg®pacbell.nelI
Sent: Monday, March 08, 1999 2:28 AM
To: PAT BURKE
Subject: OAK VALLEY
)al Burke
)ak Valley
;uporillno, CA.
taference: linear parkway planting.
rat
ul FIengs within the linear park are consistenl with the landscape
onslruction documents prepared by this office and reviewed by the city
in March 1998 and conform with the preliminary approval doumenls,
ames A. Ripley
tipley Design Group, Inc.
FINAL PLANNING SIGN OFF
DATE z��u
SIGNATURE
INVO WAY,SUITE 200.SAN MATEO,CALIFORNIA 944044473 TFLEFHONF.(610)377.0300 FACSIMILE(610)3494442
G,.vlud M.rrh I. 1996
ENGINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY D LOPMENT CUPERTINO, CA.
PAT BURKE STRAUSS BROS. PAGE 1 OF 3
660 237.0076
(4081267-1923 DATE: 9-29.9
THIS CHART INDICATES THE DATES AT WHICH EACH COMPONENT OF:EACH BUILDING WAS
OBSERVED AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE DRAWINGS.
LEGEND
N.O. . CONSTRUCTION NOT COMPLETELY OBSERVED
• CORRECTIONS REO'D. LIST GIVEN TO CONTRACTOR.
FDN. . STEEL REINFORCING,HOLDOWN ANCHOR BOLT OBSERVATION
1ST FLOOR . UNDERFLOOR FRAMING OBSERVATION
ROOF PLY. . PLYWOOD NAILING OBSERVATION
EXTERIOR PLY. . PLYWOOD NAIUNG,HARDWARE OBSERVATION
BASIC FRMG. . GENERAL FRAMING AND HARDWARE OBSERVATION
I ofPlan ION n. AB' 1st fluor R I 1 Ext aslc
00
4 04/1 199 9 06MM 4/99
4 8 7C 03/10/99 04/14199 06/24/99 06/24/99 07/01/99
4 9 SC 3/50NUS 03/10/99 04/14199 07/09/99 07/09/99 07129/99
4 10 2D 3 03/01/99 04/0259 07/20/99 07/14/99 072989
• 4 11 3B 03/01/99 0410259 07/01199 06/30/99 0711619W
—
j_ 12 48 3 11113/98 12/10,58 01121/99 01/21/99 01/25199
4 13 6C 2 0912888 10109,98 11/00/98 11/13/98 12/15198
4 13 6C ADDITION 1) 1 02/09199 02/0988 1 02/09/99 02/09/99
4 14 1 2A 2 02/0289 03/01.99 05/1989 1 058189 08/0489
4 15 I SD 2 02/0289 03/08,59 052789 1 06/0989 0810989
4 17 1 2C 03/01/99 03/30,99 06/1789 O6/3089 07/06/99
4 18 6E 2/BONUS 12/1488 1224198 03/08/99 03/0889 04/12/99
4 20 4B 3/BONUS 1222/99 04/14!89 03/1689 032289 0411489
4 21 28 2 03/1989 04/14/99 07/2789 072789 06/1089
4 22 5A 21BONUS 0311989 04/14199 0720/99 072389 08/10/99
4 23 3A 3 1 01/1289 02/18199 05113/99 05-07-99 068189
4 24 6D 3113ONUS 1 0111289 1 02/17199 1 05-03-99 04-30-99 0511789
4 25 5C 3 1 122388 1 02/18199 1 04/02099 04/05/99 05/1489
4 26 2D 2 1 01/0889 1 02/12199 1 05/1089 0426/98 1 05111/99-
4 1 27 4C 3 1 01/0889 1 02/05199 1 04/14/99 04/12/99 1 05-07-99
4 28 8B 318ONUS I 12/14/98 01/04199 03/0389 03/03/99 03/30/99
4 29 7A 2 11/1388 12/10/98 02/1089 02/1089 03/03/99
4 30 3C 3 1111388 12/10/98 02/0389 02/0189 03/1189
4 31 56 3BONUS 02/1289 03118!99 08/0389 06/0989 08/1789
4 32 28 3 02/1289 03110/99 08/1189 06!17199 06/30/99
NOTES:
(1)•LOT 13 PLAN 6C FON. (OFFICE OPTION); CORRECTIONS NOT 013SERVED,
10'd OLGT 963 eOt, LS3M SNEN112INIUN3 dLC'60 66-OC-5nV
•
A 4JZZ
• � DATE Joe
Consulting Engineers and Scientists :5 //?e7
• PROJECT !; i
425 ROLAND WAY /(.
OAKLAND, CA 94621
(510) 568-4001 LOCATION
t CONTRACTOR, OWNER
7-PAU5 4;
r `1 VA/I�.tG/�.) ,1 WEATHER TEMP.
Date •-� �, ' '8t AM
z oat PM
Hours Charged To ProjectPRESENT Nuclear Density Tests-C Y a sl E
^_ ConcreteCylinders Nr y
ri .
.r (j: 0 G
Field Task Cumber
THE FOLLOWING WAS NOTED:
ARRIVAL:
SITE DESCRIPTION: _� � [p t;7 .='rf.rDv:y /- Cor.Jr:N� 7lt✓ `.� E%i?a �t':T fai luv%i+.may ;i'xr_.a,.,�I7,}✓.f
v
t
COMPLIANCE & NONCOMPLIANCE: . %r:a ., 1;-, :;, t,,. ;a / .; ;: i .i^t 'Ca� ',J �.. . •,t: r /.`cYv
%O7 N aJJ LP
vr
WORK IN PROGRESS: 'f 5i?,, , c i',it ' j fir, ai i✓4^TC" :T . % ✓� �/�
/'. .,! ail �,. ,;: `'; � �; �: a :v'%l.ii; )c•'. '/tJSL' 411.2;4
� rl�') �.., r� :^✓I '�, r: 11 ica�. L't-�, .T n(i.y.r Y � _ �)y� -.�r•i G.vt -ky'I i.c'..,-. ,:% rr. � !,Y.F t-=
A.
j —, ...11 ,".,: i/C,l� � ".,�.,V ,'�.;. � i� if'r :'r. � 'l` .,v�- ; l c n...,r,•.M.: �.'�,i,Jv
SPECIAL CONDITIONS: G,/p a�.�. ,•e.,.n, f s. t !"' i /•l r;c ; ..�t ( �! ti� �'.: -lC`!
t ::r! :.r,-a'+. f� l�•)U'^P -�i/:,.: i`) 7 �• :�.� �� ,•'r v�'/L I' � i� i I' l :!"� /ltr• 4r �i��
.. � 7%: r :,•� :.i / �^i.>r /=cl'1 .r C;a:( ,'l;( Cf,',cp �
EQUIPMENT IN USE:
COPIES TO �!�`: Y J. :...:/�_ .- ,. ✓, ,!I FRED aCEpD�`�
/ SIGNED
� T
CLIENT
•
EP.13,1559 11:54PPi NG.655 F.2,'9
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1,077 4- it
IOTALLATION CERTIFICATE (page 1 of 4) — CF-6R
Site Address Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
infprmation provided on this form is required;however,use of this form to provide the information is optional.) After
eomplelion 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).
r
HVA SYCSTEMS:
Heating Equipment
Equip. 0 of Efficiency Duct Duct or Healing Heating
Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load -Capacity
heat um and Model Number systems aCF-I R value attic etc. R-value Btu/hr Btu/hr
r N u
y� S&aR�oyoSe-/R. �_ Pt7 07,2 "q 7n C, a2�272 g2:42=0
Cooling Equipment
Equip. CEC Certified Compressor Xof Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER,ete.)t Location Duct Load Capacity
heal oumol Model Number Systems 2CF-IR value attic etc. R-value (Btu/hr) tu/hr
3t;'G KGn:?o Z /Osi�r/L f-7oae �i� �cy �s�
ID �a. 3A/ / _ _� /e_&—ok— �T7%C �.� 7 =� _ x,00
I. >_reads greater than or equal to.
I, 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 HEATINr SYSTEMS:
Distribution If Recir. got Rated' Tank Ef . External
Heater CEC Certified Mfr Type(Sid, culation, Identical Input(kW Volume cicncy' 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 beaten,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-1R)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.
gnaNre, ate Installing Subcontractor(Co.Name) OR
General Contractor(Co.Name)OR Owner
COPY TO: Building Department
Building Owner at Occupancy
17nviauri Marrh 1. 1996
•
M
Rug 20 99 05: 0ep KELLER LBR SRLES 530-246-0796 p. 2
_ 7297
,SIE OF Ilk
I
CERTIFICATE OF CONFORMANCE
HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES
that the products Identified below and on attached sheets Nos. are marked with
the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)and were
manufactured in conformance with applicable provisions of American National Standard ANSI/AITC
A190.1-1992, Structural Glued Laminated Timber,and that such manufacture has been at our plant '
in Drain, OR , which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and Inspected periodically by such Bureau.
loot y—1 f
JOB NAME: Keller Lwber Sales, Inc. for Stock
JOB LOCATION: Redding, CA
CUSTOMER'S ORDER NO. 7297 DATE 1.2-22-98 MFGR'S ORDER NO. 4202-D
SUNNYVALE PO4 39449 6-3/4 x 19-1/2 x 23'
SIGNATURE COMPANY Duco-Lam
TITLE Quality Control ADDRESSPO Box 297, Drain, OR DATE 1-8-99
AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the qual-
ity control system in effect at Bald plant is periodically inspected and verified by the Inspection
Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgement
of AITC, said company is capable of complying with applicable manufacturing and testing provisions
of said Standard in respect of products manufactured at said plant. Conformance with the Standard
in respect of any specific or particular product Is the sole responsibility of the manufacturer; AITC's
guarantee hereunder being that the said company is qualified to produce a product meeting the said
Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
AITC Certificate No, 92- 047835
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
RECEIVED
• JAN 12 1999
KELLER L8R. SALES
®1992 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
AITC FORM IBC