S 3193 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO RUILDING-RLEC TRICAL PERMIT NO.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-ME01ANICAL S 319.3-
AIUIL GI'll '%P IIIISNTH(CATION
HUILOINGADDRESS. SANITARY NO. APPLICAITON SUBMITTAL DATA
o7YY �� e 36
OWNS ' MIe' PHONE: CONI RACI OR' NA LIC NO:
1 NIC CON"IIROI,a
TECUENGINEF.R: �� LICNO: ADDRESS: - ❑ _n
epfN
COMPACT: PHONE: BUILDING PERMIT INFO�
❑ Consonant Fms Paid by Applicant(Initial) I DGS 1:LliCr PLUM MECH
u�{a/
LICENSED NSFD CONTRACTORS DFCI ARA'I ION QTY 'ELECTRIC PERMIT' PEE
I -by d J t r J I f . :rchapar 9(room a ng -_ _ JOB DESCRIPPION
M9z wilhS ( IIXXII f inJafWe13usmes Cnde,ata nyl Goose's RN D 1
W O t PERMIT ISSUANCI.
Fw� in f:Il liic, tdcll � I n + SFIIWL ❑KITCHENREMODEL
CUb Lice"a CII Lica
Cub ' EN'DAL ❑ADDITION ❑I'LUAIEING RE-PIPE
FzW Date Cnnaacln
mDtl ❑MULTI-UNH' []STRUCTURAL
ARCHITECTS❑IiCL
~HZ I understand my plans.,hall be ncpublic records PANELS MODIFICATION
OZ�� UP102an AMI'S C1 INTERIOR El CHIMNEY REPAIR
�F"uaI Licenced Prnfessioml 201-1000AMPS IMPROVEMENT E]SWIMMING POOIS
OWNER-BUILDBIt DECLARATION OVER IOWAMIS ❑HAITI REMOIIEURETAIR 0DEMOLITION
ry I hereby uflirst that 1 am axampt frim the Contractor's License Law for the
x 3 W HER
U following r:ason.(Section 70111.5.Boone,and Vrrfessions Code,Any city or,oMONS GNS L'LECfHICAL -
F.w,O m which reyui to a permit to mn.cwe,eller,improve,demolish,or repair any onemerc
inio Bois ientmce,a...Iguides the i,mr,o for such Peons I,rroc Law C1.1ner t SPECIAL CIRCUITIMISC.
that he is licensed punuannolhc provisions nfthc Cnnlfvedor'nl icons,Law lCh.pmr)
al Qf (conanencing with Secli 11](XXn of Dlvisinp3nl the Ba,inea Boil Professions Cnle)nr TEMP MRI'EH OR POLE(NST. L[
a 0.Oo O thud he o umnpt thcrcfn)m sell the hnsia Tr the alle,cd excmptim:.Any vlolmloa of >W IILDG/ADDI'I]ON ❑DEMOLITION
Lam. Section 7031.5 by any uppluonl for apennit subjects the applicaal to a civil penalty of POWER DEVICES T ❑I°GOD SERVICE
nore thus Ise tr
lmmAlBelk ($50(h. 1
m m
Q �I,as mwnerof the property,or my employees with wages as their sole compensation, SWIMMINGI'GOLIiI,FCTRIC
will do the work,and the structure is red intended nr offered for sale(See 7!144,Busincse ❑OTHER
C 3 m sod 1'unfessints Cale:The Contractor's I weme Law doe,had apply to an owner of IKL D,ET SWI'ICIILS-pIXTUIRFS
property who builds or improves loci ,end who does such work himself or through
his o..cm,l.y,c,,pros Jed In.,m h im,owentere,are ran unmake tooffered for N i EN UAL PLECI'k
sale If.however,thebit(Jing nnmpmven I':. IJ within t ) f pr'i the SQ,FT.11.0011 ARf?A $/SO.Irl'.
r tw h ld 111 M1 e the border of pro g that h did t l IJ 1 1 r- /'7
pow f sole'). '�� L ��-
DI fthe p pity clan ly toi:ywith J sora In TOI'A ' ��
construct top iecl(s 70u4 R :neax d I r cw )lT c tract . 1.1' ��
1 .a np11y t nfl rw ty M1 hIIJd pct :J arc nd QTY. ) q. LUMHING NE MIT FEC
Girt
whocontraca for such projects with a contrector(s)licemcd pursuanno the Contractor's
Ciccone Law. PliIt MII'ISS CE J ��
❑ lamexamplunder Sec. ,13&PCfor Ihi,rcasoo
AurER-DRAIN T WATF.R(HA) ALUATO
Owner OW PROTECT.1 VE. I O
WORKERS COMPENSATION DECLARATION BACK FL
I hereby affirm under penalty of perjury nine of the follnwiny declnnnian �� 1 O
f Ihave and will maimaina Certificate ofConacnuo elf-insure for Worker's Contpen- DRAINS-FLOOR.R(IUF.AR ONII.' .S TYPE CONSTRUCTION
,in 1.as pm olid for by Seetlon 3700 of the Labor Code.I'nr the perfunnance of the
work for which this Permit is issued. FIXTURES-1'17R T RAP
❑ 1 have um qR mamtam Worker's Con pems:aion Insurance.as required by Section
A(Mlof the ' rGxlc,for the pert noon laneork for wbichll's t + nmeJ, CAS-HA. His
I IN .4'I1TLIi'I:S (ICC.GROUP MIN
MY Wnrkc nx uiou 'n'a cl F J u _ GAS-PA. }'1Y .M0 1'Ra REN
at
) 11
CLKI'IIgC O PE SATION10N AN WOHKIiRS' GILEASE11 III.WAS'tE INI'F. Cli
�(vg`V/y�'/p COMPF:NSATIO,,�Nyy�CCppINWW,��S��U�//��RQ��A��jjNC////E//'//^^ IMQ
1 II,DING DIVISION TEES_ _n
or lessJlT ifycthatin the foam nlhewaRkfrd�hAhlltis Percaunmit `I at0a11 GREASE Z!o I,^�✓
ell PLANC 'CK 1 iE
not employ any Person in anYmamanao to on became mbjec'I In IM1e WorkmS CnntPeo- SIiWEH-S '(ARV-STORM EA.21X1 FIt ENER 1 Za�
oz satins Laws of Callifrdo.Date WATER TIE IVF.NI' GRAD. i
z 0 AppEcant
Vy 17
NorEcE l0 APPLICANT:If,after making this Certificate of Excitation,you should Wq'fEli SYSTIiMlIRG'1 TNG
Ince nnosoh ect m the Worker's Cnm lion f he Lase you matt SOUS Flt
j tense pntrisinnsn
forthwith comply withsucM1 Provisions in this permit shall be deemedosoked. WATER SERVICE
F Q �p
CONS'rRUCrDON LENDING AGENCY NIIW RIiSIDIiM'IN.PLMI3, Sf).Fr. PAID V I
U Dene Rc''m'a
U I herebyidirhi that nuil i is...ed((See
3097,Cing agency Tonne performance of
the rood for which lhis pcttnil is lssnral fSw.3097,civ.CJ
LenJds NameTOTAL'
r� U Leine? Address TOTA _
W Icanify that lhave rcdflo application d stan,that the hove information is -. BUIL 1 .I?
0 awo I agf.am comply 'than city solcounty I dstate lrelatingt QTY, MECHANICAL PERMIT .t, FEE, �
U z building construction national, .and hereby national,rep motives,fthls OIy,o, mn:pon the SEISK P E
.nm
ova- mproperty
ufoned for inspection Fur ow, PERMIT ISSUANCE„
(We)egrae to na.e,Indemnify vnnal keep hmmlces the City n1'Cupeniun a,mrsst EL )FEEin
1iahilinics.judgments,costs and expenses which may in any way accrue agaimuaid City gITF.R OR AUDIO MECH. �J •//�
1 cc of the granting.1an,permit. PLU TNG FEE !� q
API'LIC N UNDERSTAND /�l WILL COMPLY WIT4 ALLNONd'OIN'T AIR HANDLING UNIT(TO 10.000CPM) MEC ANICAL FEE /Z 9s [/' O
StlUttret RtCULAT'R / �y.L '/I!.
AIR HANDLING UNIT(OVER Iq(XXt CPM) C( STRUCI'ION 1'A%
Sig t pplicant/C EXHAUSTROOD(WIDUCI) HOD. GMITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future Moulding oceupanl store or handle hazardous to n eri.l IIEAUNG UNIT('10 100,1110 It'I'U)
its dermell by the Cupertino Municipal Cale,Chapter 9.12,and the Hwlth and Safety
Code,Scmign 25532(a)? UI?AfINC,UNIT(OVER 00,0(00BTU)
Yes
VIiNTI1,Al'ION PAN(SINGLE HLSIDI PAID Dutc Iicccipla
Will the applicant or In Jdlmg tecamnt use alaipmem or devices which
Nobler
haiurdea,air cnndam'utm dcbncd by uta Itny Anv Air Quietly Managemou HOILER-COMP(HIP OR If0,00R(ITU) ;' T
Nobler? 11OILER-COMP 100,(X0 HT U) ii'
❑Yen !' , 3 ,70
I have read the h:aalloun m:neriula rc ouster CM1a ter 6.95 of the Cnli- AIR CONDI LONER ISSUANCE DAT F
quia p
fnmia 1 ,9th&Safety Cole,Sections 25505,2553]vnd 353jamil',j
dersea J Ihal if the NflNV R SIDHNTIA1,MECH. Sp.PI'. ry
hl' Icec urn currcnllyi:v nnm,lam it irony rc,ponsihihe occupant /I 3 -
s : ther a Lc a nl melprimwinsuencc ofvC ey. V
rum ono p m TOTAL: 2 O ISSUED By.
OFFICE
DEC,EQ.'1955 4Fi � BR1Rri ICNtJ6RS FUJLK 16 P.2,2
t
Brian Kangas Bulk
Enoinears • Surveyors - Planners
December20, 1999
960069.50
Chuck Schoenberger
O'Brien Group
2001 Windward Way,Suite 200
San Mateo,CA 94404
Snbjoeu OakVadey—Foundation Verillation
Dear Chuck,
On December 20, 1999 we performed a field survey of the location of the foundation forms for the
buildings being conshvcted on Lats 4.03,4-05,4.33,and 4.34 of the Oak Valley project In Cupenino.
'Me results of that surJey clearly show that the location of the foundation forms are consistent and in
conformance with the design lacaticu of die buildings,as said locations am shown oh the plsns ptepared by
our firm.
Thle letter is intended to provide you with the verification of those units per our survey. if there arc any
ether questions concerting that location,please do not heSkate to call.
Sincerely,
U
• +' eq,Lr AtAr?rtly
BRIAN KANGAS F06LK 4t GP.6/ OOp af'
Billy Martin, PLS 5791 11s.37B7 a
Expires:06!30,2000 0
F�'CALIF�Q
540 Price Avenue RecwOM Clty,CA 94663 (650)02.6300 FAX(660)462-6399
•
LA ZZ
i DATE JOB NO.
Consulting Engineers and Scibntists q9' ti�go • T
425 ROLAND WAY PROJECT
OAKLAND, CA 94621 (.1b l<. I/a 11; -e 5 I C xr� C' I
(510) 568.4001 LOCATION
TO 1 1y' P�'1 l r C:�!.��) CONTRACTO OWNER,
Date
`N,(:p.`n `jQY .-a lC(�y I LI�Y'N .QG'J WEATHER - TEMP.' .'. ."u°8S AM
CI'eCnt' ,' ,.�o°at' PM I
Hours Charged To Project L Nuclear Density Tests PRESENT AT SITE
v17
Field Task Number ' Cgncrete Cylinders yr• _
THE FOLLOWING WAS NOTED:
�,'� .`:/�•1-C Cl IYQ{.4 P`:ItC�I' ��Y.i!" rCL,I'^ "•G I, :.I'1`t`_C I-i G'\ v {LOQ_, 'a 6. 3g 3LI 30
G1.v,Oy r' 045-
0
!"1/'(11-
tC 0Q'SC v-')e,C1 FC>Uh i `GS O» CCl�ly/ FL'Lt:\', CSG hCn-\ r. Il '
'-r" {:11-.) `- , l'✓T1 CC"'i ��l'X' I'P,1��' ':CL•yv-e C�G r'G- FUryY1 C, hON\
1 ' '
lll,.rf CIe.n'� 04 6.E L•..-_ /•Y /CJG S$ o 1n4T.ti 1C' , 1- C` IsG Q.C.C(Y- ••• 1+1.01 rIIl-
C• li
•) cr 0 C :I-(n. C,v: 4-:i n1 S-rCi Itr-o✓- C1'..0e LJev'C imrCC I
.U'ge f-'U'C,r_.",�aLl !',1:✓1`:i We,y"l'. r'C�..C�_C_C71 i.vl (�U/v11171iCV16(;(
1'C. ''r.0 �� I C1 C'/ __//`�jP,C1:li
'r '/ `71.C, II.G TMJ lf. I't.t r rl
COPIES TO HELD
�p (IR
f,
SIGNED
CLIENT
• ENGINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO CA.
SAM PETERS STRA BROS. PAGE 1 OF 4
(6503237.0076 14081297.1923 DATE: 7.12-2000
THIS CHART INDICATES THE DATES AT WHICH EACH COMPONENT OF EACH B JILDING WAS
OBSERVED AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE DRAWINGS.
LEGEND
NA. = 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 NAILING,HARDWARE OBSERVATION
BASIC FRMG, = GENERAI.FRAMING AND HARDWARE OBSERVATION
UNIT Lot PLan OPTiON I Fdn. 1stfloor Rcal P Ext ply Sec, rolo, flask in .
4 1 _
4 2
4 3 ID i 12-21-99 3.2-2000 5-21-2000 5:1.2000 d.n.a. 5.21-2000y
4 A NIA
4 5 18 _J 12-21.99 3-2_2000 5.48-2000 5.21.2000 e.n.a. 5.21-2000
4 8 78' 03/10/98 04! 1 612 06124,S9 06/24
4 6 7C 03/10199 04114!99 06/24/99 06;24/99 07
4 9 5C 3iBONLIS i D,3110/994114199 07/09/99 07/09/99 0712989
4 10 1 2D 1 3 03/01199 04/02/99 07/20/98 7/14199 0720199
4 11 3B 03/01/99 0410289 07101/99 00089 0711889
4 12 4B 3 11/ima 1211019 0112189 1 01121.99 _ 012589
4 13 6C 2 09126!90 10109198 11/00/08 1 11113198 -i- 12JI$196
• 4 1 6C AODIT ON 1 02/09199 _ 02/09!98 02109/99 0210989
4 14 2A 2 02/028D 03/0189 05119!89 05!21199 + 0844/99
4 15 5D 2 02102199 03/06!99 05127199 0610989 OBPJ989 -
4 17 2C 0 1 1 9 0 /30! / 06/30/99 07k6)99
4 18 6E 2;BONUS 12/1488 12/24198 03/0889_1, 03/08/99 �— _ 04/12199
4 20 4B 3/90 122288 04/14199 03/188fl 0322199 0411489
a 21 28 2 03/19/99 0411a/99 07/27/99 07t27/99 08!1089
4 122 5A 2100 US 03/19/99 04/14/99 072089 0723199 06/1089
4 3 310 01/1219 118/ 9 I 05-07.99 0910189
a 24 6D 31BONUS 01/12/99 02/1789 05-03.99 04.30.99 117
4 25 5 3. 12/23/98 02/18/99 04)0289 04/05/99 0511489
4 26 20 2 01108/99 02112/99 05!10 04! ! 0611189
4 27 1 4C 31 01N8/N 1 02/0589 04114/99 0411289 05-07.99
4 28 1 6E _WBONUS 12YI4/ 1 01104i9g03/03199 03/0389 0313089
4 29 1 7A 21 11/13W--I- 12/10/98 02)10199 02110/99 OW03199
4 30 C 3 1111388 12/1088 0210389 02/0189 03!1189
4 31 SB ONUS 02!12199 03/1 0610O6109M 0611789
4 32 1 2B 1 3 0211289 03!10/99 06/1189 1 08/1789 0
4 33 1 SA 1- 0 5-21^2000 6-21-2000 8.21-2000
4 34 1 7C 1 1 12-21.99 1 3.7-2000 8.8-2000 6-b-2000 n/ "-2000.--J
NOTES:(PENDING ISSUES)
(1)'LOT 13 PLAN 6C FDN. (OFFICE OPTION): CORRECTIONS NOT OBSERVED.
FROM : CRMSJI FAX Ivo. : 8313360329 k4q. 20 2000 04:20PM P2
:AUL-.a-00 0: : 44 Fm , k'r9ZJ1 ac: ?.=s 3�9 �>. e1.
• Cclnairr
Roof A¢ana emchi E
slat Sin JOPa,dye,
%--,
Lupec
RssGianriai RovJSysian rioa Re art
p a J
proJoet: DVq,LEY tiuA'1t5 Inspectlon Date: ?•la-0o
Address: COY: • ;n state: Qg
Client the Q'Brfon
Contaot: P�urk yn
Roofing Contractor: .'rte 1)4r R6brjriG
CRM Inspector: ?15 rn ,•�><
Lot Number: � $
Type or inspection: Fe;'t Mlna! !�
Typo or Roof: Shingle Tila Other
Underlaymcnt: . Ric'
s: _ gas:Shi Metal Flashiri
Skyllghta: Athmen�'oo g Gu: ers,
Valley — Vents & pipes:
,
Eaves!
• •�PPPP#P#PPP♦PP
Commentsio bservetio rls:
�-,! r,4ST
9; A' v�ric 194 JF$ z5 , y4aA� 91� 'eAl Ex�'Es5 /l� LntA( t7y,
rRn�i'1 £'oOF 19ti/� i;7rUT7i`-�+Cs.
Cr,:Rid•Oit RaoBng
•
AUG-26-00 16 .45 FROM-COAST INSULATION SAN JOSE ID-406 268 3766 PAGE 1!1
K O m m ° a m z (D n n
Z i — x g
z :� r m mm
ca
m„ y D a aDto
y Z
Ci
��nn (mom CCC ♦� a�r n
I ..
m
4 C 17.
n y
r. _
r
N
�O R w n
y A�
!n fAcr
S
o c-)
i
to jz� W m Z
I w
.91
� I
A
•
3RZ EN
•
urke
JlmRiploy(SMTP; ployd9 jpp4cyo16no1)
Monday, March 0B, 1999 2;28"AM
PATAURKE
OAK VAt•L E Y
y
ca
Linoar parkway plamInq.
I
s wllhln Iha Ilnoar park aro conslslonl wllh Iho landscapo
n documonls prepared by Ihls oince and rovlowod by Iha clly
998 and.conform wllh Iha prollminary approval doumonls,
1pley
9n Group, Inc,
• R6��� P�q�q
oleo
UAI& 3� o
•T1i700,SAN MATOO, nALIPONNIA 94047,173 TIILfIP I ION X(610),377,0)00 FACSIhIILC IL4Q) �19•f�/�
U.vl,.�{ Marsh I, 1998
GaT. 4 S
.INSTALLATION CERTIFICATE (page 1 of 4) . – CF-6R
lee ress ermd um er
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 tttust be provided to the building department(upon request)and the building owner at
occupancy, per Section 10-103(b).
HVAC SYSTEMS•
Heating Equipment
Efficiency DuU Ductor Heating Heating
Equip. pof E
-rypc(pkg. CEC CenIred M fr Name Identical (AFUE,ctc.)i Location Piping Load Capacity
heat um and Model Number Systems NtCF-I R value-- attic etc. R-value Btu/hr (Btu/hr)IJAIDCAI
Cooling Equipment
Equip. CEC Certified Compressor g of Efficiency Duct Cooling Cooling
Type.(pkg. Unit Mfr Name and Identical (SEER,ate.), Location Duct LoadCapacity
heat pumpi Model Number Systems (2CF IR valuel (attic etc) R-value (Btu/hr) (Btu/hr)
47
g�t
r 3T 8CKCOLo L— r� seeae_ �/ 33 �lno1? .
1. >reads greater than or equal to.
1, the undersigned, verify that equipment listed above is: l) 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.
i 7:Z�� S�fEvr�fONlf riE KIS 4— /9/2, _
Signature,Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER H ATIN SYSTEMS•
bistribution If Rceir- 0 o Rated' Tank Effi- External
Heater CEC Certified Mfr .Type(Std, culation, Identical Input(kW Volume coney' Standby' Insulation
Type Name&Model Number Paint-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 Btuthr),list Recovery Efficiency,Standby Loss and Rated Input. .
' For iastanlaneow 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
111.
I, 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
D...d.....1 M,..,.H 7 1000