00050213 CITY OF CUPERTINO
_., eun.glNcntwSION' PERMIT: CONTRACTOR INFORMATION:
BUILDING ADDRESS: •b ' '" a `" I'IiI2M1'f NO. ,
OWNER'S NAM': NZNITA APPLICATIC000 &�13
1447-MAAU3/49 /
mous. /✓ SANITA`y V5 31 F°E`'�+0L21ao'
THE 'OBRIENGROUG /^ '
O O O 'ARCHITECT'ENGINE6R: - l� HUILUING I'IiRMn'INFO
y'fJ - ' • � ' IILDG I:LEC'I' ', I'LUMH MECII
oncern
II vat 9 ��
an LICLNSI DCONfRACrON S OCCI ARAHON
Fzin C Inc by «rmm 1 licensed d provisions.of Chapter 9(comnencng Job Description
''tl S , 7dINRafl) fn Etc dW&�
Im,license
ffc T.
c < Luence CIy 1 Ht:0sAif
mal- A3563 LIVING' SPACE, 481 GARAGE,
g I undersmnJ my plans shall be,used as public meords
oo laccn.cd I'rofessloand
K o LL OWNERdi UILIIRR DECLARATION
= I tim
br xft th,,1 tin l ,he C u arm :L Liw far the
F•Z_Q Iefl bmaccer(Section 70315 business endI f.: r,Cl An, lyornmmy
�=M which requirespermit construct, h p dcnrh p' ytmcmrt ,
n 3 E "mart t " I'o,c,,mm,,hw applicant 1 h peri t l .bn d statement
moan 1 dp n In nl
'ng withsec, n7q) rhci- ni fhtm HI :i 1 andnProfession,Corro9) Sy
.'Ft.Floor Area
ended helsexciTiptthcrefronitindthchiForthe all: eempnn Any violation O,C�J
meein0031.5by anydpplicu l frapannll vujecLdocapplcum on coil Penny
hot than rose nunare,I dollars Jd
JuGa
Le�$pe
Castro). - � - •APN Number
01 l he p Perry: >mu'loym,withE. d I p saint '
will do the k td he , at re is an, , dM or offimd for sid,(See 7W. - -
En. dP 1 Cor TheC indent',L c : 1 d ,applym.n Required Inspections -
nol perty hoh fres,r improved ,n,and who d:es:uch work'lonowil - ,r: - ..
throughp y pm.ided,hat such:mpmvemcros are not intended lir ,
offered for sad,If,however the building or int......mount is sold within one year of .. -
hmpledntt,menwnr-bu0derwauaniftenerdenofpmvingdw,hed'd.,,IlanHdin 101 — FOUNDATION
nnp r pea„. r ) - .
01 fdep minly.all,exclo. ly contracifing with : I , trsll, 702 - PIERS .
construct the priced(S7014 Business adrf ; ncl )Th c-t et , 1.01 — UFER
anLicd
I I t I 1 ��� 4 .
rr r P p rtr li n ld 1 . Pace, 1.04 — *REBAR 1 t o comma„for nh Pnjvns with a c nirucuu(s) t.od pursuant ,o the •a.
Cnmmma/s l.iccnse Ldw. � � -
01amexempt trader See. .H&Pcfar this rearm 1.05.;= ANCHOR BOLTS '. ,
Owner rate 106 — SEWER & WATER'
WORKER'S COMPENSATION DECLARAnON
2@3 — UNDERFLOOR PLUMBING
Ihemby..Bird unJer penalty of perjury one of me fellawin%:4'dam,ionc:� 2@2 UNDERFLOOR „
jail UNDERFLOOR MECHANICAL
0 1 nave and will nntinmin u Cenilic:ne al'Cansem ,o self-inxure for Worker,
nmpcn„a,inn, as provided for by lection 37W of me Labor code, for lite 204 — UNDERFLOOR 'FRAME'
R„mnnennfinewnrkror,which nti._pemRi.ci lied. 205 '-`;UNDERFLOOR INSULATION
01 have and will mainmin Worker's Compensation Insurance.as required by Section
37 00 of me Labor Code,for me perrormance of me work for winch has permit i, 301,' — ROUGH PLUMBING .
i.,.lied.My Workers CourXioa:dnmInsurance carrier anti Policy number are:. 302 - TUB & OR SHOWER
Carrier:
CERTIFICATION orezen+rlN'IrvitRGMWORKERS' , - 3@3 ROUGH MECHRNICAL;,'
COMPENSATION INSURANCE - 304 — ROUGH ELECTRICAL
1'I his senlon need not he complv¢d It IIs pvmtit is I'or one hundred dollars'
- 305 — FRAME ”
I itchy that in the wribroodc,of the work for which Ilan.ninth is issued, I - HOLDOWNS- t
shall no,employ any person in any manner en> a become...mem un,he Work, ' 307 — INSULATION -
Condu n.dion Too,of Culifnrniu.Dam
Applicant -308 — SHEETROCK,
NOTICE TO APPLICANT:1f,after making,his Certificate of Exemption.you Mould
0
become saftecttothe wtorker' Cntnpetcationpmdsionsolthe Labor Code,y,,amua 309 EXTERIOR LATH
Q forthwith comply with such pro,kiom is,the,peril shill h dncmcd rcvoknl. '
z 310 — INTERIOR LATH
'CONSTRUCTION LENDING A.ENCY
> Ihereby whrmdtmmereifacdnstruclorlendingagencyfor the performance 311 — SCRATCH COAT • '
0. G of the work for x hich,his permit is iaubd(Sce.31197,Co,C.)
Leader,Name 313 — ROOF NAIL ,
1<neeranddrea. 501 - FINAL ELECTRICAL ENERGY, .
V ,fyIf.,Ih mail this application aid late that the h obstruction is
c F. co ct I g t ply ithall cly d t> r da, 1 daing 502 FINAL PLUMBING ENERGY
f, mho ld' - , ci t erk by ec p tint o:fm. ry, t rup:m
r w mea alproperty l p i ,o . 503 — FINAL MECHANICAL ENERGY
E. 0.Z) OVlay msa d myvnd keep) ml.s,hc Cly fC pe, It ngdm, ,
Z) Inabtl, ; d N.c , d spmneswh'cl r nany , gin.,cad 504 FINAL BUILDING ENERGY
V GI,r In ct t.isc c of ine'um"inam,e, mil.
APPLI A. DE ANDS ND COMPLY WITHALL 505 — FINAL ELECTRLCAL �,
SOUR:E s.; Iss d by: Date
isnatnre npI xalARD . TERIAISDISCOSURE °vI` Re-roofs 507 — FINAL PLUMBING '.
Will me:mpu„d ar tmme bu0dir,occnpant.nnm or nand],haaann,ua nna,edad Type of Roof 508- •FINAL MECHANICAL_ _
as al ncd by the Ci penin.Municipal Code,Chapter 9.12,and,he Health and Safety t t
Code,Section, 2ssz(a) ry •• kv�
9 — FINAL GRADE
'All roots shallti]sect to•I atenal being installed:
�r' �- I L L+Lr�R4 I*Iffl”
Will theapprcant t in
pan,ux equil t d ce.which If a roof Is instyy withnnnn��'���1� obt' ' ❑: lit res IO remove
c pith rd u: ono t: J16 day the Rxy AreaA Q I,y Ma nge:mnl U — ). 011' ,,��(�;+ Lar
nalrcl. " all new materitr insp o� 'P �L1U e N sad will comply'with
ayes - No all non-point s(64r _ regula. tt__
'I hale read he Iot !> or turn
mi,mr,mcot.under Chapter 6.95 or the - 603 ROOF BATTENS
'alifomia lieahh&Safety Code.Sections25505.2553 and 25534.1 understand that "
if1lmb m gdnocnn c'unemly M1vve4tenanr thin i,in my mrpopsihilitymnnlify the -
:a<upam 1 he rtyuiremems wlnid nn:.a be it
prior m ismume u Centf n,e ul'
Occ u c n ..
Signature of Applicant . , •a -. Date
Is, at cmdas - Da,e 'All roof coverings to he Class"B" ocbettet '
OFFICE - '
Brim Kaigkp'Foul
II talneeri r Survevors Manners
; II
• 1 A
f t MamboT! WW I 11 L� l i ISI i
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1 ' 960059•tS0 ! '
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akSchcanbargor
t,3001 Windward Way,Sona 200
SMt Tt4tdao,CA %404 < ;
D
B1tWsx4. Oak Valley SouAdathoc Verification /
k F 1`
I{ h I
k 'y JI 1 1151
I<,Oa»wsmd>or 27;2000 we pc4fotmad a field urveY;of the location oldie foundation forms fvr the,
buildings being eonstrttaed on Lots 3.48; 3.50 of du Oak Valley project is Cupertino,
1bo reale of datlurvey clearly show that des laathon of the foundation tormi aro consistent and fn
plans re aced b
design location of the buildings,as said locations are shown on du P P P Y
confortnaace with the deer g gs
our rum.
Ws letter is intended to provid0 you with the verification of those unix per our survey. If there are any
other questions eoneming 1114601owdone,P10asn do not hesitate to call.
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Jul 13 nl ln: 1Ba
Commercial Roof Managemeut San Jose, Inc.
Residential RoofSYStem Incpacti ' Report
• Project: Oak Ila" 40-0,Q o " C
Inspecban Date:
Address: City: State: CA
Client: The 0�p
Contact: `71ur�
Roofing Contractor: lurl
CRM inspector: C
Lot Number: 349
♦eeseeeeeeeeeeo
Final
Type at Inspection: Felt_
Type of Roof: Sningie VZ Tile Other_
Underlayment: Sint Metal Flashing: Gutters:
• Skylights: Attachments: Vents & Pipes:
Valleys: Ridges: caves:
eeeeeeeeoe♦eye•
Comments/Observations:
1, RE�o✓E Tut 3o4RD fgc.Kc- + BoRRDS
2 PAINT #46C Sk�Ft�ErhC FLASIfc�(GS
•
OBRIEN
GROUP
•
Patrick Burke
From: Jim Ripley(SMTP:dpleydg®pacbell.naq
Sent: Monday, March 08, 1999 2:26 AM
To: PAT SURKE
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 doumenls.
James A Ripley
Ripley Design Group, Inc.
•
•
YARD WAY,SUITE 200,SAN MATEO,CALIFORNIA 94404.2473 TPI.EPHONF.(6501 177-01m) c.rcn • r
n hliiwr repairs alre guaranteed for JO days., Major, repairs are guaranteed'.for 12 months.
A11 repairs are guorameed from date of completion and for,defeclive workmanship only. In the
event that company : is unsuccessful in repairing a 'leakcompanies liability to 7
cuslolll,r shall be limlcd to the amount of money paid to. company. In no,event rshall�
so" M
� �� cump;µj—Ihe.liable to customer fur any mlcldellial,'Ilr c, jaclueniial dm11ages CIIUSCd..by hf
r: 3 �Z cunlp;oues failure to properly repair o leak.
\I his Company charges 6y the hour to Innk I'ur leaks. l.'onyluny nukes no guarantees that o o
1 s ellbns will be successful in locating existing leaks unless such guarantee is in writing - m e
G g d signed
by an authorized rev any.of this company. 0 z Ng j m r
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FOUR SEASONS OAK VALLEY CUIRelease lb RPh jLot–jIte 'e 1-2
Street Address City State_
Date when notice to commision system was given. _/_/_ Resch Date
• Item check Yes No If no, list corrective action. Date Complel
as me er is ins a e .
ower a ec nca su isconnec e
rea ers a su ane are on.
us uses areInstalleda isconnec
sconnec swi c is on.
sw c is on.
assu s opena w 1P.
s s em is wired in. oc
ousm is c can an ama e r
on ensa a lines aresli:1111,w osi ry
on ensa a nes are se in s ec s
on ensa a pan is c can an ama
e n eran Ines are sea e a
uc s are sea a an unres nc e x
uc are s ra a wi ess an
-s a connec ions ma e a
ousmane s are secure.
om ressor an coo in ins are a
om ressor o a s raps ro a in
om ressor pene ra ions in o we a
I s-semi ar metal cornaut se era e
-s a connec ions ma e a com res
om ressor an pa are eve .
s em i e with refrigerant.
e In eran Ines and caps are ea r
• om ressor ousing panels are sec
om ressorandrikudonnecte o
urnace an run an as e .
m ien em era ure measure a ra
e is ers a anced trou ou ou y-
e
e is ers are aamage Tree.
e is ers are tree OT Insulation e n
e is ers are se eve o neares wa
it i er is ins a e per op ion.
isc.:
HVAC Technician signature lc�AvL 0--�oc a-C-+-'� Date-/?
O'Brien Group Mgr. signature Date_/_/_
Both signatures required when system has been fully commissioned. Turn into
quality control prior to quality assurance inspection.
— CF-6R
INSTALLATION CERTIFICATE (page1 of 4)
ermlt um er
rte ress
It installation certificate is required to be posted at the building site or madc available for all appropriate inspections. (Che
information provided on this form is required;however,use of this oprovide the information is optional.) After
form to
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).
lHVA •SYSTEMS•
Heating Equipment 11 of Efficiency Duct Duct or Healing Healing
Equip. capacity
Type(pkg. CEC Ccrtined Mfr Name Identical (AFUE,etc.)t Location Piping Bt°u/hr Btu/hrY
heal um and Model umber systems 2CF•IRraluc attic etc. R-value
-- V N
crso
Ao o Arnc �6,
�rLrsc--
Cooling EquipmentDuct Cooling Cooling
Equip. CEC Certified Comprusor N of Efficiency toad Capacity
TYPe(Pk& Unit Mfr Name and Identical (SEER ek.) Location Duct.ValucBtu/hr tuthr
heal um Model Number S stems CF-IR value attk eta. R
rS�
1. h roads greater than or equal to.
1,the undersigned,verify that equipment listed above is: 1) is the actual equipment installed, pl 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 applicable.
oµheres the
eappropriate requirements for
manufactured devices(from the Appliance Efficiency Regulations or Part.6),
• �a�/,��! %//nom, .L.�� z7-9D
Signature,Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
NATER AEATINC SYSTEMS:
External
Distribution IfRecir- Sof Rateds Tank Eni-
T e Std, cdlatlon, Identical input(kW Volume ciencyt Standbys - Insulation
Heater CEC Certified Mfr YP ( Systems or Btulhr) (gallons) (EF,RE) Lou(%) R-value
Typc Name&Model Number Pointa6Usc) Control Type Y
t
ters,list
2 For small gas storage(rated input of less than or equal to 75,000 Btuthr),eicetric resistance Efficiency,d heat mp Lossaend Rated Inputt Factor.
ted input of greater
75,000
For lasFor $anlsnecus gas we gas storage ater aterheaters heaters,list Recovery Efficiency aand Rated Input Recovery .
Faucets&Shower Heads: pursuant to Title 24,Part 6,Subchapter 2, Section
All faucets and showerheads installed are certified to the Commission,
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 Regulatioru or Part 6),where applicable.
Name)OR
ature, ate Installing Subcontractor(Co.
• gnGeneral Contractor(Co.Name)OR Owner
COPY TO: Building Department
Building Owner at Occupancy
no.,:,.a,l Morrh 1. 1Q9(s
.r..02-01 09: 35 FROM:COAST INSULATION SAN JOSE Iib,400 298 3766
PAGE 7/6
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•
,RUG)-02-2001 12:04 HARZA ENGINEERING 1 510 670 0127 P.03i08
'HARZA Engineering Company, Inc. Page of
425 Roland Way,Oakland,CA 94621 Tcl:(510)568.4001 Fax:(5 10)568-2205 DSA File K;
2601 Barrington Cr.,Hayward,CA 94545 Tel:(5 10)636.2162 Fax:(510)670.0127 DSA Application N:
14 Sprcckles Ln.,Salinas,CA 93908 Tel: (831)455.8180 Fax:(831)455-8181
REINFORCING STEEL/ POST TENSION PLACEMENT INSPECTION REPORT
Project Name: k Ve. Due:,2 m lab No.:,�9,46 1-
Pro'ect Location: Weather Temp
J ea / a/ i:/ Range:
S+
Client: r Rep: Present at S t : A cr
1567-Mf:,� �^s U:{ �� 6AuP
ContractorRcp:
JuV/c.r - s1iousi �'�S
Project Manager: �/ aGl� Arrival Time:
1)Task 2)Task 3)Task
Code fj,taj pc Hours: ,[� Code HOUCs: Code Hours:
Cast-In-Place(CIPC) ❑ Post-Tensioned(PTC) ❑ Shoterete(PPC) ❑ Tilt-up Panels(ECP) ❑ Precast(PCC)
Plans C6eekcd: Ycs Nn General Nsdes Checked: 2rye Nn ❑ Ohuined mill cert.reports for materials used
SDen.Checked: Yea No RFIS Reviewed: Yes Nn MITI Cent previously forwarded to Hans
❑ Obtained samples of reinforcing steel for testing(bundle.tag,fill our material sampling sheet,call for pick-up) Purpose for sampling:
❑ Reinforcing was unidcotifiable/unuaccablc ❑ Directed by Engineer,Architect,Owner or Building Official(see comments)
❑ Required by plans or specs. ❑ Requested by Contractor ma ❑ Requested by Project Inspector(IOR)
Verified the minimum dimensions of-. Piers/(:aissons ❑ SOG/SOD Thickness LClyFootings Linde Hcamx;
Placement Location/llemc 13Wall Thickness Column Site Lg IyPancl Thickness ❑ PCC Pita ❑ Olhcr.
I. Member I ID/Area/Lw&Plan Type -`10 'e -7cz ' x1 1147r1-,e to �r�r Ren-
2. Member/ID/Area/Lot&Plan T ,_� �Esttes , .-__to P�/'AYf Ren— _ --to-
3. Member 110/Area/Lot&Plan Type gial4 b AbbitreY ro `Irrr'f Revs sir
i
4�5cmba(Ip/Arca'—Lot&Plan Typc..-..,, At Lincs to _ Row, to
_ to
S. Member/to/Area/Lot&Plan Type At Lincs to Rows to
6. Member/ID/Arco/Lot&Plan Type At Lincs to Rows to
2'1tElNF0ltClNGSTEF..I.Verified: Type a-Sizc 2 Grade 21 pacing ID-Position �p Length
[2 [ap Stagger and Spacing Radii Bend/Hook Extensions.�tarsncts Surface Conditions
❑ Continuity Previous ElCuminuiw Future Rchar Cleon Debns Removal
❑ POST•TF.NSIONINGTF•NDON5 Verined: ❑ Type ❑ Sixe ❑ Grade ❑ Spacing ❑ Position ❑ Drape
❑ Radii ❑ Clearances ❑ Wedge Block Reinforcing ❑ Emensiuns Sheathing Conditions ❑ Coating
CHECKED: 0 Anchor Bola ❑Hold dnwns ❑Tic Downs ❑Embeds for numher,size.lype,grade,placement.rcmfnrcing and engagement
COMMENTS: ,(h�
of 3 FL 'r3 ` . G*- Soe.-&4 s/dcr
e ❑ SEE ATTACHED FOR: ❑ Nota ❑ Deficiencies ❑ Work in Progress Punch List ❑ Non-Conformance Reports
All tests and inspections were performed in accordance with(check one ❑ See below ❑ DSA approved requirements
All materials inspected MEET the requiremen8 of(checA below) C]Same materials inspected DO NOT MEET the requiremmns of(checkbe/o W)
..
....................................... .....................................................................................................
❑DSA approved docurrrcmr. O ADpmtsd plans&steer. 0 URC,p:_ ❑Titk 24.yr._: ❑A WS cwle: ❑see Conunenu" boa
Drawings: Date -I Permit N:}e,v4.e- Application.4:
Noncomplianced Dimrepmf cs reported to: I Report copy Iefl at jobsitc with: �f�s, Orf
Insp. Name: Gyp DIIIAISignatures st: -93
FOR DSA TS CNL D RF MA I1F.D'f0: Co Lefl Onsitc w/Probet Inspector(IOR's name):
School District&Rep: Structural Engineer&Rep:
• Architect&Rep: DSA&Rep:
t chnb0haywardsWnrd PrmcssingWasier Field Iropection Furms(WP)M-I Remi'umingSitel-PTPlacemendnspectiuntxepono.l-RRch.doe_ RP-1