B 0496 .APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL. - PERMIT NO.
BUILDING DIVISION APPLIC TION E IT PLUMBING-MECHANICAL c000� O �I J n�
' BUILDING PROJECTIDENTIFICATION L}
BUILDING ADIIR,S JSANITARY NO. APPIACATION SUBMITTAL DATE
D
OWNER'S NAM : PHONE: CONTRACTOR -Ir-
'S NAME: LIC NO: !!
NFC ///���CONTROL#
.•ARCHITE b:F.R: LIC NO: ADDRESS: ElEJ/
Ll I
TAC71 PHONE: ,BUILDWGPERM ITiNFO E
34h ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH o� ❑ ❑ ❑ ❑
1. PNSFDCMD RACT0 DECLARATION
QTY y-r ( ,eLEGTRIC PERM17r* I IFEE
I hereby afion h I I efimdl 1 p v f 9( me g ,« r s „r _I_,• IJOB DESCRIPTION
0o2 with Section 9000)off) ''doe Hu.nes.and {$ e, yl"ame RESIDENTIAL' -
Fy-�wB�+ Mohave all 9 t � /���mPERMIT ISSUANCE ❑SPUWL El KITCHEN RP;MODP:1.
6V0 Liwaau Lic.M {{{/ -APPLIANCES-BESIDBN'1'IAI. ❑ADDITION -❑PLUMBING RE-PIPE
7d-4 Dam Contractor
STRUCTURAL
F,aq I n errand m AR CH T CTS
D C Ac ecome PANELS ❑MULTI-UNIT ❑MODIFICATION
ypy^, yp anssm p
O',L,-0 UP TO 200 AMPS El INTERIOR El CHIMNEY REPAIR
Licensed Professional - 201-100(1 AMPS IMPROVEMENT El SWIMMING POOLS
C6L OWNER-BUILDER DECLARATION OVER I. AMPS ❑HATH REMODEUREPAIR ❑DEMOLITION
Q I herehy uffinm the,I am exempt font the Contractor's License Law for the
following reason.(Section 7031.5,Business and Professions Code:Any city or county SIGNS ELECTRICAL ❑OTHER
3 w y which requires a permit to construct,affair Improve,demolish,or repair any stricture
ndstoiDiAn re.algin rirestheapplicent forseh,caran to file a signed annuitant SPECIAL CIRCUIT/MISC. .
�;!(y (hothe)r licensed pursuant In the provisions ofthe Contractors License Law(Chapter 9 If
00 (commencing with Sems,7000)of Division 3 ofthe Business and Professors Code)or TA?PFETER OR POLE INS'1 COMMERCIAL:
d pl m eG the,he is exempt men,fr an and the basis far the alleged exemption.Any violation of ❑NEW BLDG/ADDITION C1 DEMOLITION
Station 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of P DEVICES
W^m ❑TENANT ❑FOOD SERVICE
F,'Z>•
in more than Five battered dollars D500), IMPROVEMENT
y�ad �I,as nwnendthe Property.or my employees with wagesas thnirsola compensation, SWIM ELECTRIC
Y�p.o will do the work.and the surefire,is not intended cardboard for sale(See.9044,Business OGTHER
and Professions Cede:The Contractor's License Law due,not apply In an owner of OUTLETS-S S-FIXTURES Kof
property who builds or improves thereon,and who does such work himself or through
Iris own employees,provided that such improvements an,not intended or olfeed for NEW RESIDEN L TR SQ FE
sale.If,howovagthe building or improvement is sold within one year of completion,the SQ.FT.FLOOR AREA $/SQ.FT.
ner-holder will have the burden of proving that he did not build or improve for pur- Ion, r .). TOTAL. Y
❑ 1 fish p .704 Business
ly contracting wohlicensed I l i
V
fin
nu tth Endear to
H IP f nsCode:)Th (references L .
I does not pplprplrt fproperty h bn3ea improves m rc JQTY'. " ( slI+PLUMBING-PERMTT_ -S
has I c,f rsuchp i ( i@amntra I (.71' nein pu vannas me Gmtr dors
License Law. PERMIT ISSUANCE
❑ I am exempt finder Sec. ,B&P C for Nis mason
Owner Data ALTER-DRAIN&VENT-WATER DEA) VALUATION
WORKER'S COMPENSATION DECLARATION _ BACK FLOW PROTECT DEVICE 3.03
I herehy if,.under pennity of perjury one of the folhm-ing declensions: !
❑I have and will mainnin a Certificate of Gsment in self-insure for Workers Comptfi- DRAINS-FLOOR,ROOF,AREA,COND. S'LORIEs TYPE CONSTRUCTION
hot,as provided for by Section 37M of she Labor Coda,for she performance of the
rk for which this prof is issued. FIXTURES-PER TRAP - `
J I have and will maintain Wo kers Compensation Insurance,as required by Section
3700 ofir odor f1), c dorm ft he workforwl�hviycha.(s'htp{�p(�m�a�ls l_s..L GAS-EA SYSTEM-I INC.4 OUTLETS OCC GROUP ANN
My Work a ounces too e� �-lkii lM
Carder: GAS-OA.SYSTEM IOVER 4(EA)
(PICA -OF EXEMPT OMWORKERX -
RANCE GREASE/INDUSTRI,WASTP:INTERCEVrOR
(Thins nnecda. recomp em , thepermil ie foronehundred tlollare($I W) - BUILDING gIVISION
orb,".) GREASE TRAP PLANCHECK PEE.
I,any
in pefonnance ofshewmkfm subvertch 1. ermit itis issued, SEWER-SANITARY-STORM EA:2. .I O
- not on Tem,any Canna in any manner so as to became subject m the Workers'G,mpen- - ENERGY FEE
',� Applicant
Laws of Glifomia.Data
Z O Aprpiic fit � - WATER HF.ATF.R WNENT/ELF;LTR GRADING FEE
NOTICE TO APPLICANT.If,after making this Certificate of 9xampsiom,you should WATER SYSTFM/fREATING
(~ become subject to tbo Worker's Compeneation provisions of the Labor Code,you nuns, SOILS PEE
- forthwith comply with such Provisions onhls permit shall be deemedrevoked. WATER SERVICE
Q Fw
ID _ CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL FILMS. -.SQ.FT. PAID J
U 01 hereby that there is a construction lending agency for she performance of Dam Reccipl#
W the work for whichnna peed,Linseed(San 3097,Civ.C.)
U toodar,Name TOTAL:
W Leade :Add....
fOIA —
Ha 1 ciony that I lad has applicationand state that too above information FCE it , y ,,.t I BUILDIN OQ
., rn tone 1 g I vlr 'm II 'ry da Iy r d ht I I t gt QTY"C MECHANICAL PERMIT ,FEE
Ula7.
building construction,and hereby authorize representatives ofthscty to cnteruponthc 't ! '. r«i•. ' SEISMIC Q_�Q
abme-mentioned property for Inspection purposes. PERMIT ISSUANCE
(We)agree to save,indemnify and keep harmless the City of Cupertino against ELECTRIC E ' (,
liabilities,ga,mare,cosaaad axpamevwhichurayin any way no....agaiml said City ALTER OR ADD'T(1 MECH,
nsegt oof lM10 gmmimg anis permit. i PG
UMBIN FBB
APPLIC1 cUNOF.RSTAN AND WILL COMPLY WITH'ALL GON-P INT AIR HANDLING UNIT(TO 10.000 CPM) MCHANIC .PEE-
SOUR .F O14,ATI /
/ Alit HANDLING ONr1'(OVER 10.X1(1 CFM) NSTRUCTI TAX
Sign re of Appli.amUContmemr ate EXHAUST HCOD(W/DUC9) HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
WilllncapCllcaml or future hulldingoeseuprantamrenr handle has...hasmamdal HEATING UNIT(TO 11X1,000 BTU)
as defined by the Cuparian Municipal Code,Chapho 9.12,and the Health and Safety
Code,Seeie.25532(a)p HEATING UNIT(OVER 100.000 RTU)
❑Yes No VENTILATION FAN(SINGLE RESIDE PAID
Aoki Date Receipt#
Will s ar coma o u re buildingdefined y the B use ea Air Qu of Micas whirr BOILER-COMP(3RP OR 100,0110 BTU)
IMF mutt friar?
hazardous air contaminants as defined by the Bay Arca Air Quality Management TOTAL:
Disuic,E �� BOLLER-COMP(OVER 100,000 BTU)
❑Yes - IANo � 10
&S'
thehvwdaosmamdal,c requirements under Chapterfi95 of the Cali- AIB CONDITIONER ISSUANCE DATE7SafetyCaleSection 5505,25533 and 25534.I u demmnJ that if the NEW RESIDENFIAI,MP.CH. SQ.FT.irrounl ly have}m ,that it Jany eapomi hi1"" notify {emcatepat'', It l vOI9tanceofvood as
' an.
TOTAL ISSUED BY:
OFFICE
SEP.26.2000, 2:36PN 3RIRN KRNGNS FOLLK NO.946 P.2/la
A
Brian Kangas Faulk
Enpinasrs Surveyen Planners
•
September 20,2000 '
960069-SO
Chuck Schoonbargor
O'Btiea Otoup
2001 Windward Way,Suite 200
Sen Matoo,CA 94404 ,
Subjectr Oak Valley-6oundatloo V41006011
Dear Chuck,
Ott September 26,2000 we parfotmrd afield survey of the looetion of the foundation forms for the
buildings tieing constructed on Lora;1.6,3-11.3-1Z 3.20 and 3-21 of the Oak Valley project In Cupertino.
The results cf dart survey clearly show that the loeadou of the foundation forms are consistent and in
etoufnermaaoee with the design location of the buildings,as said locations are shown on the plant prepared by
our fur
This letter Is Intended to provide you with the var6oA6on of thoeo units per our survey. If there are any .
• other questions c000enting these 100 dons,please do not beeltate to call.
Sincerely,
BRUIN KANOAS POULA BPADLE7 A.BMW
Bradley A.Ubo P.I.S.6141 Fab 3/g M �
PrejoetMansger ,p Iham -Z
' Survey Department
' Fo�on SFr.
•" ENGINEERING WEST INC.
OBSERVATION CMART
OAK VALLEY DEVELOPMENT CUPERTINO, CA. .
6.29.2000 PAGE 4 OF 4
UNIT Lot I Plan OPTION Fdn. Ilo
or Roof •n eo. r. Basic m .
1 6 I 4-25-2000
2 38 3 4.25.2000 6.13.2000
3 37- 2A 3CAR 4.25.2000 6.13.2000 8.26 !000 6.29.2000 ' 2
3 4 4A 3CAR 4.25-2000 5-31-2000 8-15•;!000 B•1 S•2000 8.2 003 k?).S
5 6E / N 4.12.2000 5.26-2000 -6 2000 8-7-2000 1 8-25-2000 SP
6 4C 3CAR 4.12.2000 5.26-2000 7.31_!000 7.31-2000 1 8.15.2000 •r-o e
7 5C XAFVBOf4 4.12.2000 6.16.2000
B BMR 521.2000 NA
3 . 9 1 BMR 5.21.2000 INA _
10 1 1D 4.12.2000 7-5-2000
3 11 50 J AR/BON 4.12.2000 5.10.2000 7.28-2000 7.26.2000 8-14.2000
12 4B 30AR 4.12.2000 5.10.2000 7.20-2000_ 7.20.2000 7-20-21500
13 7C 6-27.2000 8.5.2000 _
14 2D 6-27.2000 8.5.2000
16 3C 3CARl ON6.27.2000 6.5.2000
16 BC BONUS 8.15.2000
17 3E 3CAR 6-27.2000 8.15.2000
3 18 WAR NA _
19 SMIR NA
3 20 18 330•^c000 5.10.2000 6.20-2000 6.20.2000 'tde 7. 0.2000
3 21 3A 3.30.2000 5-10-2000 7.20-2000 7-20.2000 84-2000
22 1A 7-20.2000 8-20.2000
23 4C 3CAR 7.20-2000 8.20.2U00
• 24 3B 7-20-2000 8-29-2000
25 88 3CAR/BON 7.20.2000
26 2C 30AR -20.2000
27 1 EMR 7.20.2000 NA
28 1 BMR 7.204000 NA
29 1 78
3 30 1 5A BONUS _
31 i 28 3CAR I I _• -__-
i
32 1- - -
33
34 _-
3 35
36
77
38
40 ---
41
42
i (�(� 2 - 10 No wi �c,y � •
•
SEP-25.00 11:01 FruR:HARZA ENOINEERINO COMPANY - OAKLAND 5I03302117 i•I10 P.02/02 Juh-910
' are aoa No. .
Enginooring Company b••r
425 Roland Way 260184(1`00011 COUr1 14 5pracklas Lane, SUIT*206 CLAM
PRaecT
•Oakland,CA 64821 Hayward,CA 84845 Salinas,CA 83908 wuTON
PH: (6 10)6664001 PH: (631)455.6160
FX:(510)8362177 FX: (831) 456-8181
OONTRAC Rod c li OWW64
Haria Pr0)ea Manager
WEAniiR 1CNR !if"'iI AN
Task Coda >S•0'j- _ 'aI PN
PRitiNT AT t
Moura Charged to Prolev A'�u Signed On-Sits by
PfiRNii
THE FOLLOWING WAS NOTED:
�.�i'FG aS reap i.�k� i�r � * S•eS� �
,�.fl • ZD
B. Zf Y
fbroFkar"c5� r�ti-_�- er.,�r _ Cy�o,z�"�f31nti6 •1 fr,�u . x _�`11t6.'dCL
;,015vieLLI ZZ r Poti.t.y%QkQ i;in yC61! ANO h'e -c ek Fo F:r rvA_ _
elrnNo 0t -f• MnMw;r.2 G
For r1E l 5h7a�tr lrn-I e( ske (_ r1(:11� ,• ,• s d 7*A C=IWJ:
• play rd had -rkt w� cd uG gL �fsr� /►I'n —�'�L� Y fAU r Qdag& --
I.J t I C1AeG{C 'M�51y�_a i uy Circ n Le o[nr••�•e J- -r�5v►�.wn�.�
i1m� I.OF-a00 J-Ob r 3-r1 ,� � 1 3 •l.2 dtl in 4�eA
N,r.N.l.�.k .. _•l.- ,( �nt/rg I.ce in 01riY,1„pl,- eY3_�'—� --
led -M
t A
I
�1r. .r,n ^Rrnrlerr W,n ^ n rrlt �]Jq.Ctr�ldac+��i'SS�iC�"�-�
COPIES TO NAME:: FEE LDL) � " (Ufn�4
• SIGNATURE: PRINT NAME: - ✓n��h� '`"rte
ORIGINAL 4,064V 02152}11- dg
QRZ EN
.-TI ROTjP
•rke
Jim Rlploy(SMTPlrlploydpopacball,nol)
Monday, March 00, 1880 2126 AM
PATDURKE
OAK VAL•L EY
YCA
Llnoar parkway plonllnq,
wllhln the Ilno►r park aro conrlilonl wllh Iho Iondreopo
n docvmanit prepared by Ihls oinca and rovlowod by Iho clly
999 and,conform wllh Iho prollminary approval doumorlla,
iplay
9n Oroup, Inc,
NL
• 1011 -7
•rll ton, SA11 hl Aran, NA IPC)NNIAt) 7•
17! TIILIIPIIONH (410) 177,0100 fA CSIhIILa 14101 114-14/1
1996
POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO PERMITN40498_
BUILDINGIDIVISION
BUILDING PROJECTUENTIF'ICA.
NIl I1.O1N(.All RF. qL7' SANOARY Ntl. APPI.I('AI'ION SIIIINIITI'AI.UAI I,
OW NHH'$NA i P O. AC H:S NAME: LIC NO:
I NIC CON'fHULx
ACHIT EI(}r '� NEER: LIC NO, ADDRESS: ❑ -'1 (,., '� I
rr '.' BUILDING PERMIT INFO (�
INSPECTIONS 'DATE ,t INSPEC. ❑'Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH
El E-1 Ej 13
FOUNDATION/PIERS/H.D.S. INSPECTION RECORD
JOB DESCRIPTION
UFER GROUND NOTE: ALL GRADING AND DRAINAGE RESIDENTIAL,
SFDWL
PAD/SETBACK-CERT SHALL BE INSTALLED TO COMPLY WITH CSFDWL EEI IPLUM INHRI%PIPI.
THE APPROVED PLANS AND CITY OF ❑ADDITION � CPLUMBINO RIYPIPR
GARAGE SLABS/F'REGUNITBCUPERTINO STANDARDS. ❑MULTI-UNIT ❑STRUCTURAL.
POUR NO CONCRETE UNTIL ABOV 'HAS MODIFICATION
DEEM SIGNED. TO ARRANGE INSPECTION ❑INTERIOR CCHIMNF:YREPAIR
IMPROVEMENT, El SWIMMING POOLS
UNDERGROUND/SLAB CALL AFTERNOONS (1:00 I'M - 4:30 PM) [3 BAT]I REMODEUREPAIR ❑DEMOLITION
PLUMBING 777-3228 MONDAY TO FRIDAY 24 HOURS BE- [I OTHER
ELECTRICAL FORE REQUIRED INSPECTION. JOB ADDRESS
DO NOT.POUR FLOOR UNTIL ABOVE HAS BEENSIGNED AND PERMIT N ARE NEEDED WHEN PHONING.
COMMERCIAL
co
PLUMBING W r ATTENTION CONTRACTORS: ❑NEWBLDG/AUDITION ❑DEMOLITION
MECHANICAL. I4O PERSON(S)SHALL PERFORM WORK ON CTENANT ❑FOOD SERVICE
6 b p IV THIS JOB SITE WITHOUT BEING IN COM- IMPROVEMENT
ELECTRICAL PLIANCE WITH WORKERS'COMPENSATION ❑OTHER
FRAMING VENTS INSURANCE REQUIREMENTS.
INSULATION G ev 015INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSR
PLACE NO SUBFLOOR.UNTIL_ ABOVE HAS;BEEN SIGNED 11
ROOF SHEATH/DIAPHRAM
PLUMBING
TUDS&SHOWER PAN
MECHANICAL
ELECTRICAL1POOL BOND
- ' FRAMING/STAIRS/E.EGRESS
'ULATIONNENTILATION
VER NO WORK'UNnl:ABOVEIHAS:'BEENISIONED;i+;"�
EXTERiAL SHEARMOLD DOWN
INTERIOR SHEAR/HOLD DOWN 1 V92
SHEE IVROCK/SHEETROCKSHEA
EXTERIOR LATH/W-SCREED 4C:;Rrj
SHOWER LATH
NOTAPEORPLASTER;IJNTIL ABOVE HAS BEEN S[ ED''
SCRATCH COAT-
SEWER/WATER
'TEMPORARYyARPROVAL9 ': ;i';:w ��11{'s_SiI 'fI ;A„,v7¢J
OCCUPANCY
ELECTRICAL
GAS
Fir ;' Nm
GAS TEST
GRADE �O
FW
HANDICAP
ELECTRICAL
PLUMBING
MECHANICAL
ENERGY �
UAL FINAL ONLY CERTIFICATE OF OCCUPANCY.
LDINGIMPORTANT: ISSy�vCE DATE n
OCCUPANCYIOFBUILDINGUS Tg ERMITSTED�,gg%' PLEASE READ REVERSE SIDE BEFORE �/
'UNTIL
UN
BUILDIN IG3FINAL'�lsr'Si6NED' 4ILtDIN6� CALLING F012 FINAL INSPECTION!!
TOR'
ISSUEDBY,
APPLICANT'S POSTING COPY
LoT 3 - 21
.INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
res' ermtt 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 must be provided to the building department(upon request)and the building owner at
occupancy, per Section 10-103(b).
HVAC SYSTEMS:
!/eating Equipment
Equip. 9 of Efficiency Duct Duct or Heating Heating
Type(pkg. .CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity
heal um and Model Number Systems 2CF-IR value attic etc. R-value (Btu/hr) Btu/hr
_ 2 u
X&RQdeYo-/A _� . pQ1712 /4 M C.
Cooling Equipment
Equip. CEC Certified Compressor sof Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER ctc)' Location Duct Load Capacity
heal um Model Number System CF-IR value attic etc. R-value tu/hr tu/hr
Q
� = io--anxQ .e70,2p �q �3
I. >reads greater than or equal to.
1, 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
Egiciency 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 HEATING SYSTEMS:
Distribution ICRecir- Mof Rated' Tank Em- External
Heater CEC Certified Mfr Type(Std, culation, Identical Input(kW Volume clencya Standby' Insulation ..
Type Name&Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss(Ya) R-value
t
2 For small gas storage(rated input of less than or equal to 75,000 Bluthr),electric resistance and heat pump water beaten,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 lostanianeous 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,Subchapter2, Section
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 E2tciency Regulations or Part 6),where applicable.
gnature, Date Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name)OR Owner
C PY TO: Building Department
Building Owner at Occupancy
FROM CRMSJI FW N0. t 0313359329 Sep, 17 2000 11:33W P5
Co»imr:rclal Roq[Ntanq&einent S.-In Juse, luc.
• Resl�4sntiul RoojSysrem hirpeclion Repm r
Project: LAK 1� AC(E�/ Inspection pate: y15- 00
Address:�D Lr Clty; In State;
Ciient: T�h p g�(en roup
Contact; P�
Roofing Contractor: Z/ -•pu 7-
CRM
CRM Inspector: ZLa x',45
JIM r �2
Lot Number: 3•is
eeooeeee�oeee+♦
Typo of Inspection; Fell; Final
Type of Roof: Shingle— Tile Other_ _
Underiayment: " Sht Metal Flashing: Gutters.
Skylights: Atmohments:
Valleys: -- Vents l ►.. ,
Ridges: Eaves:
• t•e0♦ee��tV�9�.��
Comm enta/O bser=ti,.-AS,
d0MP0Sz7Xo4 S�llrl4i E P• ooF j�j�Er1Z5 7'o NAGE der"f/ p�� a
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