S 1606_F___
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -USE SALL POINT PEN ONLY
�• ,r
CITYOS CUPERTINO I oMmrvc-MECHANICAL
ItU1LnING DIVINION APPLICATION/PERMIT
IIUII.DIN(;PROJItUl' IDEM IF'IL'AE'10
O KITCHEN REMODEL
DUILDINGADDRESS: / ^ J • /
D PLUMBING RIZ PIPE
,10798 Juniper Court, Cupertino, CA 95014
D STRUM URAL
O 'R'$ NAM E: PHONE:
15re 0 Brien Group 650-377-0300
CON'MACC('li'S NAME: LII
The 0 Brien Group 691
❑INTERIOR
tCHCI'ECC/IiNGINEIiR: LIC N(1:
acific Peninsula Architects 605755
ADDRESS:
18 Oak Grove Avenue Menl
D SWIMMING POOLS
'CONPACI': PHONE:
-
D OTIIHR
Gerry Ploof/Director Of Purchasing
❑ Consultant Feu Paid by Applicant(initial)
PLANCHIiCK LLE
ENERGY FEL,
The O'Brien Group 650-377-0300,
LICENSED (ON'1 RACTOR 5 DECLARATION
ITY.ELECTRIC
1 h by o R man l I a licensed lid p , m C ciple, 9 Eorma 'ng
wiles I 7000) Divi 3ofheBas d son'wa 'lid
In Pop fOrCe at It Jlwl
License Class Lic.p
Dam Carlo,
Q r PERMIT
- -
"Z
+�10p^
�UF
Q. U
G
FOy
m Z
OZ-CI
PERMI ISSUANCE-
AI'PLIANCLS -Rf ti1D1iN'1'IAI.
ARCIII'I'IiCTS DECLARATION
DECLARATION
I understand my plans shall he used as public records
PANELS
UP TO 200 AMPS
CCG
ig(O y U
Licensul Poor .. i .... It
OWNER-RUILDER DE'CLARAT'ION
1 hereby alfirm that 1 am exempt front the Coavamnr's Llcmlm Luw for the
following o—an. (Section 70315, Ilaslness and Prolessium Cock: Any city lir county
201-1100AMPS
OVER INK)AMPS
SIGNS ELECTRICAL
W 3 k vFi
FWOQ
W CZ C)
6 q E
tLSecnun
which reunites a armit at ntmtmm, alien improve, demolish. lir repair any I ucmre
priao,it, issuanee,al,nn'quir.s the applicant limocn permit to till a eigned stoical",
that he n. licen,ed jairsourat to the provisions of the Commemas License Late (Cloputar)
(commencing with Section 7000) of Division 3oOhe foaacssand PndeaslonsCalehar
tial Jul is exempt ocrti and the basis ]I,, the alleged ption exemAny violation (,ItZI
703 is by any aimheal for a io,mr,olhjuelx lheopplieanun a civil penalty of
SPECIAL CIRCUI Uldis .
TITMI'. ME PER Oil P EI
POWER DEVICES
IiX1
ZC
�+
3
t mom than five handled dollars ($500).
❑Lusownornflne progeny, lir my employees wllb wages ns their loll compensnton.
will do that work.andllmstmmare n moa intntded.,ofered on -in (SI 71H4,Euxiness
and I'rom,"I , Code: The Cnntractnre License Law, does nal apply In an owner of
StITNIMINGPOOLEPtIOTR
Oil ILETS - SWI 'I ClI W -FIX'
a
Properly who builds lir improves Ihereno, and , an does such work mar,elr ser Ihmogb
his own entPlnyecs, provided That such iraimAOnem, are not in coded lir olfcred for
NEW RESIDENTIAL ELECT it SQ
t
sale. IL hnweven the building lir improvement of sold within one year of compleumt, that
erbullder will have Lha burden of proving That Ito did not build lir impoon it par.
hall RCCCIPlp -
p c lir sale.).
Fl 1 as owner or the facially, I '' ly contracting x'm licenwal coubacon, w
TOI'Ale
convarawlthepodcet(Su.70VI.n d ProbcWtuniCode:) PrCarlic,Ia, I,
t Lu 1 I apply h ow ter a f I any h nails p Ih m anA
r,
QTY -PLUMBING PERMIT
who contracts for vach Projects I,th a contract OI cemedp tt douCouncillors
11PRIIIII SUANCH
License law.
tom cxetnpl under $ea, ,II&PCfonhistcasnn
ALTH - A ENT-WA'IER(EA)
Owner Date
WORK17R'S CGMPINSATIGN DECLARATION
HACK FLOW rCT. 'VICIi
1 hereby aliinr under penally of perjury one of the following declamtib.m:
I have and will maintain a Cenif,cale of Conxenuo self -insure for Worker's Coonan-
DRAINS- PLOOR, R(14 AREA, GOND.
,mina, us pn Iidod fnr by Section 3710 ol'the Lubor Code for the Pedomutnm of the
rk fnr which this permit is issued.
1 have and will maintain Worker's Contpensalnn Insurance, as required by Section
700 of shat labor Cod, bathe perfnnoanenal me work for which don Permit uissued.
FIXTURE -P[R Ili
GAS -EA. SYSTEM -I INC.4 OUTLETS
Ciamen ',,�rtaB �TianLtlt�rft~�e��t n tkty;hn,N9`84699191
Cantle trM-
GAS -EA. S M-OVI:R4(EA)
CERA IFICAI'L OF EXEMPTION[7ROM WORKERS' 7/98-7
CONIPINSAI'[ON INSURANCE
GREASE WASIL IN I'ENCIE'TOR
GRCASETRAP
(Thixsection neednnl hemmdrued i(Nepennil is Grtonc hunarW dollars(811X1)
or lcoJ
/
SEWER -SANITARY -.p (M EA. 2(O FT.
I certily that In the Petbnninccofihe work fnr whiehmis Permit is meed, Ishall
e object e Worked Compen-
no, ta employ any am in any manner m m m becomum
WAI17R PRINTER W/Vf? {:L.TR
zZ
salum laws of California. Dole
APPli, I
y
a
NOFIC17 TO APPLICANT: If, after snaking this Cenlficma of Exemption, you should
become subject to the Worker's Compomntion provi,iu car Ila Lubar Coda, you must
farthwllhcvn,ply withumh,mekima orchis Pennitshall he deemed revoked.
WATER SYSTEMG'REMING
^
WATER SERVICE V�
Q
V 0
4 p -I
•`�
WLender's
tl
�y
UIQ
CONS] RUM LENDING AGENCY
I hcrebyoffirm that there is u,omamelion lending agency for the perfnmunce of
the work for which this pemtit is issued (Sea 3097, Civ. CJ
Lender's Name
NI?W liIiSIIIEN'fIAI. PLMB. T.
TOTAL.
Armes,
lica ion and se that the shore i aturation is
I certify that 1 have real this appur
enrrea lagree to comply tulle all oily and ry rd' d:rl rIfngm
building o ... notiat mail hereby clnnr'r.e rupon coolives of lhsClym enar upon the
QTY. MECHANICAL PERMIT.
PERMIT ISSUANCE
ahnveamenllonad property for inspection puHstses.
(We) agree In save, indemnify and keep lwnnlesa the City of Cupertino agmiml
ALTER OR ADD TO MECH,
Iimbililiev,judguenlx, casts anti expenses which may In any way aeerueugoinal said City
msrquence of the gramin, of this Permit.
Alit HANDLING ON IT(TO 10,000 CPM)
APP.;ANT UNDFRSTANDS NO WILL COMPLY WITH ALNON-POINT
'E ' 'LAP NII_
AIR IIANIILING UNIT (OVER 10,100 CPM)
Si btar, pp limon We
HAZARDOUS MATERIAL ti DISCLO.'USE
EXHAUST 11001)(W/DUCT)
Will the applicant or future building occupant store or handle hmvanousne,d.1
HEATI NO U NI' 11 T 0 I onExin it GO)
as Mused by the Cuaminn Municipal Coda, Chapmr 9.12, mud the health and Safety
Cola, Scctiun 255320017
HEATING LIST (OVER II0,onE B'I U)
❑Yes E] No
VENT] LATION FAN (SINGLE RFS III)
opid,ta?
Will Ila upplicnm or from building occupant toe equipment lir devices which
nit limardoom air contaminants as defined by the Bay Arca Air Quality Management
BOILER - COMP (3HP OR 10(,00(1 BTU)
BOILER- COMP(OVER 100,100)11' 1'f1)
❑Yes 7 N
AIR CONDITIONER
I have nista the hmardous mncrids requirements under Chapter 695 of the Cali-
NI7W RESIDENTIAL MECH. So.
Ibntia Health & Safety Code, Steelton, 25505, 25533 and 255311 understand ata if the
building does nm,mormly have a reran, Lha it is my resptmsihiliry to maty the ocelmar t
of the abInsenoats which must he met prior to insa ore of a Cenilicale of OavPancy.
TOTAL
Owner ser acral Tri agent Dale
No
FEE
1606
95-67-1 11102
No 9a`Vrst y
oZs s
BUILDING PERMIT INFO
JOE DESCRIPTION
RESIDENTIAL
SFDWL
O KITCHEN REMODEL
ADDITION
D PLUMBING RIZ PIPE
C MUI TI -UNIT
D STRUM URAL
MODIFICATION
❑INTERIOR
OCHIMNEYREPAIR
IMPROVEMENT
D SWIMMING POOLS
El RAI It REMODEI/REPAIR
0 DEMOLITION
D OTIIHR
BUILDING DIVISION FEES
COMMERCIAL:
0 NEW BLDG/ADDI'I ]ON
❑'TENANT
IMP'ROVEMEN'T
DOTTIER
D DEMOLITION
D FOOD SERVICE.
$/SQ. FI'.
90 o4a
/3fsm
ISSUANCE DATE
rilla, ,q$
./
SQ. FI'. FLOOR AREA
3052=House
508=Garage
FEE
,, Jy0
VALUATION
303 a26
STORIES sag
TYPE C(
OCC. GROUT'
BUILDING DIVISION FEES
PLANCHIiCK LLE
ENERGY FEL,
GRADING
SOILS A
PAID
Unto Receipt d
O
TOTAL:
/
BUILDIN( AREkilt d
FIsI,
SHISSUC PEli
PLuld- 2
M17CIIANI LI'EE irl
CONS 'FROM I TAX
HOUSING MITIGATION FEE
PAID
t
hall RCCCIPlp -
$/SQ. FI'.
90 o4a
/3fsm
ISSUANCE DATE
rilla, ,q$
./
•
0
rWR. 9.1999 li:03ki BRIRI Kr,NGAS FOULK
Brian Kangan Faulk
EMOineers • Surveyors • Planners
March 9, 1999
960069 -SO
Chuck Schoenberger
O'Brien Group
2001 Winward Way, Suite 200
San Mateo, CA 94404
Subject: Oak Valley—Foundation'Verification
N0.502 P.22
Dear Chuck,
On March 1, 1999 we perfotmod a fteld,survey of the location of the foundation forms for the buildings
being constructed on Lo[L4'06land Lot.9:0fS vfthe Oak Valley project in Cupertino.
The results of that survey clearly show that the location of die foundation forms are consistent and in
conformance with the design location of the buildings, as said locations are drown on the plans prepared by
our firm.
This letter is intended to provide you with the verification of tliose units per our survey, If there are any
other questions concerning that location, please do not hesitate to call.
Sincerely,
of
LAND SlG'p�
RMAN KANOAS FOULK `' BRADLEY A. BJLBO m
Bradley A. Bllbo P.L.S, 6141 EXP. 3/31/02 'f
Project
Department
tNr Na 8141
Sura�
Y
540 Price Avenue • Redwood City, CA 94063 , 16501482-6309 9 FAX IBS01081.6399
JZZAi
Consulting Engineers and Scientists
425 ROLAND WAY
OAKLAND, CA 94621
(510) 568-4001
Date (7u r
Hours Charged To Project l Nuclear Density Tests
Field Task Number L/Y 7 Concrete Cylinders 10'
7
THE FOLLOWING WAS NOTED:.
DATEJ013
'.
NO.:.
9;
�
I t sela cc
PROJECT
04
LOCATION
CONTRACTOR
OWNER
WEATHER
TEMP. at. AM
eiv
oat PM
PRE§�NT AT,141E
4
Lf//,�57 7D V;� 0,
V) 7'e)
I F/777'
I -P -� I 1�
D(
COPIES TO oe�4 T - CJI"J r-2 �IFO L No
-1--
CLIEN
Brian Kangas Faulk
Engineers • Surveyors • Planners
•
March 9, 1999
960069-50
Chuck Schoenberger
O'Brien Group
2001 Winward Way, Suite 200
San Mateo, CA 94404
Subject: Oak Valley—Foundation Verilication
Dear Chuck,
On March 1, 1999 we.performed a field survey of the location of the foundation forms for the buildings
being constructed on Lo ---t 4-06�attd Lot 4-08 of the Oak Valley project in Cupertino.
The results of that survey clearly show that the location of the foundation forms are consistent and in
conformance with the design location of the buildings, as said locations are shown on the plans prepared by
our firm.
This letter is intended to provide you with the verification of those units per our survey. If there are any
aer questions concerning that location, please do not hesitate to call.
Sincerely,
LAND
BRIAN KANGAS FOULK BRADLEY A. BILBO p
Bradley A. Bilbo P.L.S. 6141 'h EXP. 3/31/02
Project Manager (P Na 6141 �Q
Survey Department 9tc 1
•
540 Price Avenue 9 Redwood City, CA 94063 • 1650)482-6300 • FAX 1650) 482-6399
0
ENGINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO, CA.
PAT BURKE STRAUSS BROS. PAGE 1 OF 3
6501137.0076 114081267 -1923 DATE: 8-29.99
THIS CHART INDICATES THE DATES AT WHICH EACH COMPONENT OF: EACH BUILDING WAS
• OBSERVED AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE I)RAWINGS.
LEGEND
—Ext. —
082419
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 NAILING, HARDWARE OBSERVATION
oemr emu_
AvuCOAI concur_ eun ueonweoc riancova7inu
•
__UNIT_'
y I —
_ 4
-lot
N Fdn.--AB'S_ _1st.floof— —Roof- —
04/12/98 08 2!99
—Ext. —
082419
- esac
0624/98
4
—8—-03/10/99—
04/14199
06/24190
0824/99
07/01/99
4
9
M03
03/10/99
04/1499
07/09/99
07/09/99
0729/99
4
10
03/01/98
04/0259
0720/99
07/14/99
0729/99
4
11
03/01/99
1 04/0259
07/01/9
1 06/30/99
07116/98
4
12
4B
3
11/13/98
1 12/10.58
0121/99
1 012119
0125/99
4
13
6C 1
2
092818
10/09,98
11/0018
1 11/1318
12/1518
4
1 13 18C
ADDITION
1
02/09,99
02/0919
02/09/99
0219/98
4
1 14 1
2A
2
02/0219
0311.99
05/1919
1 052119
06/0419
4
15
5D
2
02/0219 1
03/08,99
1 052719
1 06/0919
08/0919
4
1 17 1
2C
03/0119
03/30,99
06/1719
06/3019
07/D6M
4
f 18 1
6E
21BONUS
12/14/98
1224198
03/08/99
03/0819
04/12/99
4
1 20 1
4B
3BCNUS
1222/98
04114199
03/18/99
032219
04/14/99
4 1
21 1
28
2
03/1919
04/14199
0727/99
072719
08/1019
4 1
22 1
SA
21BONUS
03/1919
04/1419
072019
072319
08/10/99
4 1
23 1
3A
3
01/1219
02/18/99
05/13/99
05-07-99
06!0119
4 1
4
4
24 1
25
28
6D
5C
2D
3BONUS
3
2
01/1219
12/2918
011818
02/17199
02118199 1
02/12199
0543-99
04101199
05/10!99
04-30-99
04105/99
042819
05/1719
05/1419
0511119
4
27
4C
3
011819
02/05/99 1
04/1419
04/1?J99
05-07-99
4
28
68
3BONUS
1211418
01/0419
03/03/99
03/03/99
0313019
4
29
7A
2
11/1316
17/10/98
02/10199
02/1019
2M2fll9
4 1
30
3C
3 1
11/13/98 1
12/10/98
F 02/0319
02/012
03111!99
4
31
55
3.BONUS .
02/1219
03/16/99
_ 0613/99
06109/99
08/1719
nsulting Engineers and Scientists
425 ROLAND WAY
OAKLAND, CA 94621
•
(510)) 568-4001
D �`1 y 1- i\\ l '1 - L L. I J
ate 11 r. ....,\ it ry ICC. C? nlL,LI gG�G y
ours Charged To Project 3 Nuclear Density Tests
field Task Number I Concrete Cylinders
FOLLOWING WAS NOTED:
DATE
c
Joe NO.
40Ll0 T
3 11
PROJECT n
cc,
LOCATION
CONTRACTOR
OWNER
�LL r
�r,Ztl
WEATHER
TEMP. 36 'at AM
-
G i�"at PM
P
PRESENT AT SITE
n,I ISI L. J•
Yl
OPIES TO I IELD o D O I�
SIGNED r
En
INSTALLATION CERTIFICATE
Fess
D,41z� aWkoy - 7 Aim
age 1 of 4) — CF -6R
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 must be provided to the building department (upon request) and the building owner at
occupancy, per Section 10-103(b).
IRVAC SYSTEMS:
Heating Equipment
Equip. 0 or
Type(pkg. CEC Certified Mir Name Identical
Efficiency Duct Duct a Hewing Heating
(AFM etc.)' Location Piping Load Capacity
OUO UFieC r lYK' o+ec:.�
Cooling Equipment
' Equip. CEC Certified Compressor g of Efficiency
Type (pk& Unit Mfr Name and Identical (SEER am)'
Duct Cooling Cooling
Location Duct Load Capacity
IFT 1'il Wy- kjE >>
1. >_ reads greater than or equal to.
I, the undersigned, verify that equipment listed above is: I) 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
•anufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Signature, Date Installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
Distribution If Recir- g of Rested' Tank EHi- External
Heater CEC Certified Mfr Type (Std, colatfon, Identical input (kW Volume eiency Standbys Insulation
ivoe Name & Model Number Pointaf•Use) Control Type System or BtwV) (gallons) (EF, RE) Loss (Y-) R -value
i For small gas storage (rated input orlus than or equal to 75,000 IStuthr), electric resistance and hest pump water beaten, list Energy Factor.
For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Eficicney, standby Lou and Rated Input
For lastanlancous 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
lll.
1, the undersigned, verify that equipment listed above my signature: l) 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.
•
tgnature, ate
COPY T0: Building Department
Building Owner at Occupancy
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Insulacion Concraccors, Inc.
N. 111h St. • San Jose, CA 95112
INSULATION CERTIFICATION
I is to certify that insulation has been installed in conformance with the current energy regulations,
fornia Administrative Code, Title 24, State of California, the building located at:
is /^I
Manufacturer OWENS CORNING Thickness/Type4 R -Value 19
OWENS CORNING Thickness/Type E R -Value 13
3�
Manufacturer OWENS CORNING Thickness/Type Q Ib —R-Value
n
Manufacturer OWENS CORNING Thickness/Type Q R -Value 3�
Weight/Sag 35 Sq. Ft. Covered 11,20 # Bags Used 490
�R INFILTRATION SEALANT INSTALLED: YES 1R NO 0
ENERAL CONTRACTOR 71U O'FSnnr\ 611IM-0 LICENSE r
Y: TITLE: DATE
OASPNS CATION CONTRACTORS, INC. LICENSE * 465440 C-2
t: _ Kit' l TITLE: DATE: --:74a
0
O'BRIEN
GROUP
Patrick Burke
From:
Jim Ripley(SMTP:dpleydg®pacbell.net]
Sent:
Monday, March 08, 1999 2:26 AM
To:
PAT BURKE
Subject:
OAK VALLEY
Pat Burke
Oak Valley
Cupertino, CA.
Reference: Linear parkway planting.
Pat.
All plantings within the linear park are consistent with the landscape
construction documents prepared by this office and reviewed by the city
on March 1998 and conform with the preliminary approval douments.
James A. Ripley
Ir Design Group, Inc.
F'';H` rLANt;lrJG SICH; OFF
AT •
8rku Kangas Foulk
Engineers a Surveyor a Planners
Marcb 9, 1999
9600 MO
Chuck Soboenberyer
O'Brleo Oroup
2001 Wleward Way, Sults 200
Sen Mateo, CA 94404
Scbjectt Oak Valley—Foundation Verification
Oo March 1, 1999 we performodm field survey of the location of the foundation forms for the buildings
being constructed on Loc d Lot08tof the OaVa!ey proj�ac: In Cupertino.
The results of that survey clearly show that the :nation of the fbundadon forme are consistent and in
conformance with the design loatlon of the buildings, as said locations arc shown on the plans pretp&M by
our firm.
This letter is Intended to provide you with the verification of those units per our survey, If there an any
other Ruaations concerning that location, please do not hesitate to call.
Siccerely,
1) LAND
• ISRIAN KANOAS FOVLK 0 BRADIPy A. BUD
Bra&q A. Bilbo P,L.S, 6141
n, Na M102
,941Serve Doptmoat
r.
940 Price Avenue . ABdwood Clty, CA B4093 a 15501402.5300 a FAX (ISO) 402.1399
0