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S 2840
APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING-ELECTRICAL PEROT I'NO. BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECBANICAL - IIUILDIN(:I'ROJI:CTII)PN'1'l I+1CAl'ION 5TABUILDING ADDRESS. / N) ��ANIIAiVNO. AI1LICATIO111 ) /� S"I5 O*4L /A " ill , —TL � lII OWNS , TONE: CONTRACTORS NANIE: LIC NO'. I ;ezA ` N/C CONI'ROLh I ARCI ENGINEER: LIC NO: ADDRESS: - ❑ 'ON'IACT -PHONE: BUILDING PERNI IT INFO u5' a-sAy, ❑ Consultant Fees Paid by Applicant(Initial) RLDO� ELECT. PLUt yi "0 I.]Cii :D ONTRA,r RRSUECI.ARA'I'ION QTV ELECTRIC PERMIT FEE Gl VJ•/ irfJi Lr�J( 1 hereby atrmt that I am En used tinder provisions of chapter 9(Commencing _ JOB DESCRIPTION C{t1WZ w;thsemn,n]aro)afumia ,3onha Rasbte%sa P fes%i s a.anda,y license is 'n IDr F in titll force and effect. e. PERMIT'ISSUANCE - �/ W SH)V ❑KITCHENITE ODHI, lU uceme . Lick ❑ADDITION ❑PLUMBINGRE-PIPE V APPLIANCP_S-RESIDIiNT1AL t; n2 Dmc Contractor i-Orn ARCHITECTS UECLA PANELS ❑.MUITIANI'f ❑STRl1CTURAL ZO-Z )orders nd y plans shall the used as public records MODIFICATION OZ4O UP TO 20X)AMPS ❑INTERIOR ❑CHIMNHY REPAIR I=al Licem.1 Proor,,frnal 2f11-1111111AMPS IMPROVEMENT OWNER-BUIR-DER DECLARATION ❑SWIMMING POOLS C ¢ 1 hercM1y affirm that I am exempt from the Commmoh License Lhw for the OVER 1000 AMPS ❑BATH REMODEUREPAIR 0 DEMOLD'ION �6�((Oil:a U following..air.(Section]NLS,Business and Professions Cade:Any city onumy SIGNS ELECTRICAL ❑OTHER LLP W N which re,moc,a permit to cbnvtme6 alter improve.demolish,br repair any s mcture _ F,.,Od prior In its issuance,vina requires the applicant for such perinit to file a signed st tement SPECIAI.CIRCUI'f/MISC. 'but he is lwansed mi,taoin the provfit... nf! he Cormack,License Law Chapter Iy IYOO (commencing wiN Seed...700B)ofDivision 3 of the Business and Professions Code)m TEMP.MIffER OR POLEI T. COMMERCIAL: a d p C Nat he is exempt therefrom and Ne funds for the alleged exemption.Any violation of ❑NEW BLDG/ADDETION ❑DEMOLITION 1+• Section LS by any upplicam faro pefmit suhjea.the applicant macivil pemthy of POWER DEVIL [I TENANT [I FOOD SIiRVICE not more than rive hundred dollars($SOtp' IMPROVEMENT 'd0 ❑ I,axuwner ofihc thepcny,mmyempWyeox withwageI ,vale(Sol.7044, nsmion, SWIMMING I'O LI TRIC will doThe work,and the a Connector's intended or nRCredI'nr sale(Sec.]1144,Business ❑OTHGR W m and I'rofe%sions Code'Ihe Commetnr's License law da%do,apply to an owner of OUTLMS-S Gr URES 6'3^ property who builds or improves thereon,and who docs such work himself or through his own em,byces,provided that such in,con eaters arc not intended nr offered for Ni 'ITESIDENTIAL F." sale If,howems,the building or improvemenl isold+old within one year of completion, SQ.FTFLOORARHA $/SQ.FT. ar-badder win hags Nb harder of Brosmg mm ha tin n I haild m iatprove impar- ^ posearsale.). TDTA G ❑ 1......recruit,p o,rn,mn xewsisdy rimar cthtg with Bcensed camta<•mrs m . o cdooi the project(See.](W,Bovine.+s and Prob,iod,Code:)The Commcmrs Li- seLaw duesnot applytoanowner ofproperty who builds or improves thereon,and QTY. 1 PERMIT FEE who onuucts for such pn,'Icms withaeonnaamb)licensed pursuant To be Comramor'% 67 7 License law. PERMIT ISSU C. Cl I am exempt under Sec. ,R&P C for this vermin Owner Date ALTER-GRAIN& .N 'ATF.R(BAT VALUATION WORK ERS COM PR NS ATION DECLARATION BACK FLAW PROTECT.DEVICE �j� 'yI, -7 I hcrcby affirm butter acarmkynflarlury ona ot'Iha lollawing declannions: "� ) / / _ ❑ l have and will maintain a Certificate in Consent m sell-insure for Worker'.%Compeo- DRAINS-FLOOR,ROOF,AREA,CONU. CONSTRUCTION tion,m provided for by Section 3)Btl of the labor Cale.for the pefonnarec of the a ol,for which this pe.it is issued FIXTURES—PER GRAP I have and will maintain Worker's Compensation Insurance,as requited by Section ]INl of Labor Code.fanhe performance(it the work for which this peanll is issued. GAS-IiA.SYSTEM-I INC.4 OUTI-17 I'S (ICC.GROUP APN My Worker's Compeneatinn Insurance can ar and Policy number arc: Carrier: Policy Nn: GAS-HA.SYSTEM-OVER 4(EA) n(L 'I 1999 CERTIFICATE OF EXEMPTION FROM WORKERS' 13'1111 1 1 �g COMPENSATION INSURANCE GRGSF/INUUSTRL WASTE INTERCIB'IOR ('Hu"ectian Aced not he compleelotdeparmit is Gaon hundred dulls, SIIXp BUILDING DIVISI F.iS or last GREAS111 RAP %LANCHECK FEE I certify that in the performance of the work for which this permit is issued,l shall SEWER-SANITARY-STORM BA.20NI FI'. — - notemployanypenin in any manner so asmbeconmsubjaomtheWmken'Cnmpen- sant.laws of California,Date o \VATF.R IIIiATER W/VENDELECIR Z O Applicant GRA 1 I BEi N[yfICE'TO APPLICANT:IL after making thin Ceridw tie of Exemption,you should WATER SYS'rEMl1'RIz UNG become xuljcnmthe Wnrkur'x Competsatlnn,rovleinnvtiI In,Lad,...Cada,you must SO]VIE forthwith rnmply with such pmmstnns or this pem,it+hullMdeemed revoked. WATER S17RVICE a � CONSem is ac0NiENDINGAGENCY NEW RESIUF.NTIAL)'LMB. SQ.FT. PAID UQ therehyakilhis,nodtreinoad(Sec.constriction agency for Na per[nnnvnce of 1. m RccciptN W N he winds lbr which thio lmrntit is iscued(gas 9BW,Civ.CJ p U wtdu%Nene - TOTAL: Leader'r AJJrtss TOTAL. G I cenify that 1 have read this application and stale that the aMwc information is - BUILD -FEE - ss /7 �+ ti (A correct.l agree to comply with all city and county ordinmec%and state laws relating to QTY. MECHANICAL PERMIT FEE U7� building amsmmtian,cul hamby authnr6.c mpr vunmtivannfthrvcitymcnmrupan the . SHL' I Pi: `J, '70 abovomendnnaid pfn,edy fm Inspection purposes. PERMIT ISSUANCE - G (We.agree m%sive,indemnify and keep heatless the City of Cupertino ogainat HI.E 1 lilt O liabilitics,judgments,costsand ex,eases which may many way recmt against said City ALTER OR ADD TO MHCIL in conconse ng of Nis,crmit. PLUMB IUAJF APPLICA )NDER$'I'ANfIS A NI WILL'COMPLY WITH ALL.NO -POINT AIR HANDLING (TO IgBIN)CPMI MECfIA ICN.FEE Cl I(ULATION,'. AIR HANDLING UNI'I'(OVER Io,1N)CIM) CONS'rRU 'lON'PAX YD / Si%natu fApphcol/ uc EXHAUST HOOD IW/IIUCD HOUS ING MII'IGATION FEIi IIAZARDOUS MATERIALS DISCLOSURE. Wil l the Applicant or future an ildi ng occupant store or handle hvr.ardbus material HEAT]NO UNIT(TO 100,0k)H'I'U) tie delimud by thc Co,dina Mmocipat Code,Chupmr 9.12,and the 11,J1h and Safe, Code,Section 25532(a)'1. HEATING UNIT(OVER IOO,wit BTU) ❑ye, PAID VENI'ILAIION FAN(SINGLE RFSIU) Date Receipt p Wolin,air ab oduc mm building by Bay Area Air Quality Management ROILHR-COMP(3HPOR IBB,IXIBBTU) nni,rict?a us air amhnninun deffneJ by the Buy Area Air Quality Manugcmem ,TOTAL l E]ye, N BOILER COMP(OVEJR10,OBDBTU) Ih adthe ba d -mat ial AIR CONDI[TONER q t J rCh pt 6.15 fthe Cali- ISSUANCP,,,DA B L ic H lth S f ty C d S n 255115 25533 125534 1 d :I d that If the NEW RItSIDENTiAL MSCI I. SQ.EL ///Jin6J wrtenlly Lvea conA a,t t maty n%ryt t.hlllyt % fylh ,aupara J / '- cha i Its whit i trop br eofu Cent rat d0C �neror to d mu me c TOTAL: 1 ISSUED BY: \ OFFICE DEC.20. 1'3l 'AhAH,.,AS FJL5dFu),Slo P.2, Brian Kangas Foulk Engineers - Surveyors Planners • Aecetnber20, 1999 � 96006950 Cauch Schoenberger O'Brian Group r 2001 Windward W�.Suite 200 San Mateo,CA 94404 Subject: OakVallcy-Foundation Verineslion Dear Chuck, On December 20, 1�9�we for the buildings cconitruccedpun Lotsa„I.O3,4 U5;'4� ' a do4l 34 of the Oak Val eyocaon of the tpmjwt Iion n bCupenino . The results of that 56'vey clearly show that rhe locetion or the foundation forms efa consistent and in conformance with the design location of the buildings,as said locations we shown on the plans prepared by our firm, This letter is intandeld to provide you with the variftoa6an of those units per our stirJey. Ii there arc any other questions cunceming that locar.nn, please do not hesitate to cell. Sincerely, ,`w•av,, ,,r!0 LAND SS4S EIIUV MARTIN z BRIAN K,ANGAS POULF it OfP.E/9IV$O6p hi • Billy Muth, PLS 5167 ys N0. Expires: 06130,12000 ! �4 PN�F�CALIF�Q,A 50. Ptic@ Avenue fievw0M My.CA 94065 a 165014826300 FAX 16501462.6399 • DATE JOB NO. Consulting Engineers and Scientists )z zz ' y� f :(n, Y 425 ROLAND WAY PROJECT OAKLAND, CA 94621 Ah h'c, I (510) 568.4001 oCATION r\ � Ih v,O Alir) I��i P v, 1^.i(u_:. - CONTRACTo OWNa R, Date.�PrP„':'.,.1:,Q.i �.nd 1��71 I/.�n'1'f.��C:� WEATHER TEMP.” 41V'at AM C Ie,C,f i '-700at PM Hours Charged To Project Nucl6dr Density Tests Cr PRESENT AT SITE �tf Field Task Number &4'+ Concrete Cylinders - THE FOLLOWING WAS NOTED: t'.. Iw:,�^ Jrnr',1^. Ir�'17w.. ' 1'� c� ( ko1- r •�f�"� K 3AI ril/l,l- r'' C�,t 1-1 r runrinFiavl =rte (1,,rh' ('1 en" 04- In _x. .cl't � I "'',I�^ . I c� ., ' r� 1,c 1'I ^nJ -';5 a� r^ , I��+ C� Ccv V'\'1 •✓,C.'!' 0CA � ✓' CvK f ._1P V-C V1I f.c>[ a^ nX7420 ;, v.,5P Pcrti ."-"C(er I-,C11 V.ie v'i �'"1I C, c c�I -, .7 (err,, ,Crn�c., (�(n-,'iCi cz"',C'/ --//' jf.T moi . c'/S/.I ' 'I 0010C'�'yAC1 C/L7 F'U\ C> --(•v'v, (7 'F _'( }" . R"'�I;.P f.R.C, )�,i� "/'t'i r —r-z" ICy12"C. I n R L A COPIES TO MIELE) ��M J� SIGNED i r CHFNT 5 ENCONEERINQ WEST INC. • :+ OBSERVATION CHART OAK'VALLEY MEVELOPMENTCUPERTINO, GA. SAM PETERS ST U S EROS. WAGE 1 OF 4 1@501237.007@ 140613@7.1923. DATE: 7.12.2000 7NIS CHART INDICATES THE DATES AT W HICH EACH COMPONENT OF EACH B JILDING WAS .OBS ERVED AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE DRAWINfl9, LEGEND N.O. CONSTRUCTION NOT COMPLETELY OBSERVED CORRECTIONS REQ'D, LIST GIVEN TO CONTP.ACTOR. FDN. STEEL REINFORCING, HOLDOWN ANCHOR SOLY OBSERVATION 1ST FLOOR UNDERFLOOR"FRAMING OBSERVATION ROOF PLY. = PLYWOOD NAILING OBSERVATION EXTERIOR PLY. = PLYWOOC NAILING, HARDWARE OBSERVATION BASIC FRMG, = GL'NERA I:FRAMING NO HARDWARE. OBSERVATION U1,11 Lot Plan. n. I 1st oor ca r2 Extoll ec. rr+ P9slclrm 4 1 4 2 4 3 1D 1 12-21-99 3-2-2000 1 5-21.2 -1 d.n.a, 5.21-2000 4 e N/A - - - 4 5 1B 12-21.09 3-2_2000 6.1E"2000 6.212000 d.n.a. 5.21-2000 4 6 7B 03/10/99 04/12/90 08122199 OB 4 08/24199 4 8 7C 03.11099 04114/99 06/24/99 06124199' 07 4 9 5C iBA I , 1 03/10199 4114199 07/09/99 07/09199.•. 07129199 4 10 1 2D •3 03/01199 04102139 O7f2O/99 07/14199 07/20199 4 11 3B03/01,!39 04/02/99 07101/99 08/30199 07116/99 4 12 48 _ 'S 11/1 B 12I10l9Q 01/21/99 �, 01121199.. ________ 01/26k9 4 13 6C +2 09126/99 1 10109166 11/00198 11113198' 12/ 4 13 6C AD01 ION 1 02/09(99 _ 02/09199 02!09199.' 02109re0 4 14 2A _2 02/02199 03/01199 OS/19i99 06/21199' - 0810410 4 15 50 2 02/02/99 03/08/99 05/27199 06109/99' 06109199 4 17 2C /01/99 03/30/99 190 08130/99: 0711`6199 4 18 BE 2)BONUS 12/14/96 12/24198 03/09/99 03/08!99: 04I1269 - 4 20 4B 31 12/22/06 04/1099 03/16/90 1 03'22/99• 04114199 4 21 28 -2 03/19/99 04/14/99 07/2 9 0717/99, 0811 109 4 22 _ 5A 2/9 US 03119199 04/14/99 07f:ON9 07/23199 . 08110199 4 23 3A 01/12/99 /18/99 I Nt _05-U709. 08101!99 4 24 6D 31BONUS 01/12/99 02/17199 05.03.99 04.30.99- 5H 7f 4 25 6C 3 12/23/98 02/18/09 0102x'99 04/06199 ' 05114199 4 26 20 12 01/08/99 2112199 05110/99 0412 /9 08/11/99 4 27 4C 3: 01/08/99 02/05/09 04114199 04/1259 05.07.99 4 28 8E 3!B US 12114/3 1/041 0303!99 03103%• 03130/99 4 29 /A -2 11113/98 12/10/98 02110999 0211059 03103t'99 4 30 3C 1002 58 12/10/88 02! 3190 02/0159 03/11109 4 31 5B 318' NLIS 59 03/1 O6/ 3 '10 59OB/17/99 4——32_—2B—f'3 /99 03/10/99— A61m1199r-.. 08LLZT —04__ ` _33—. 5A�^' - `"` - ` -2 =76-72 =2000 5,2:1'=2000 6.21.2 0 4 34 '7C"—` 12.21.99 3.7.2000' 6.6.2000 , 64-2000, n/ • 000 NOTES:(PENDING ISSUES) (1) LOT 13 PLAN 6C FDN, (OFFIGE OPTION', CORRECTIONS NOT OBSERVED. • `^ ' .I nt`" (w¢-:. r-.n..• I [-•.1b C\�„'"..I'P" a+`f tNPl"1 .J fr ' OT }r���T .. l rl"• QRZ EN • .urke Jim Rlploy(SMTP!dPloydg(jpdacboll,nol) Monday, March 06,.Mo 2,20*AM PAT OVRKE OAK VALLEY ' yca A1C Linear parkway planllnp, s wllhln the Ilnoer park aro conslslonl wllh (ho landscopa n documonis prepared by Ihis oinco and rovlowed by Iho clly 999 antl_conform wllh the prollmino! approval doumanis, ipley M Group, Inc. FINAL PLANNING 'SIGN OFF DATE /o leo SIGNATURE SIIITI; 200, SANMATen, nAW09NIA M04,2473 TIIL9PIIONN IGf O)J72.0J00 FACfIAIILC Ie10) !14.2{(2 ' EN GEO GEOTECHNICAL AND ENVIRONMENTAL CONSULTANTS 1 NCO R P O RATE , D MATERIALS TESTING Project No. 4136.4.050.01 May 22, 2000 Mr. Pat Burke The O'Brien Group 2001 Winward Way, Suit6 206 San Mateo, CA 94404-2473 Subject: Tract-Oak Valley Lot 5-18, Permit Number S2844 10908 Syc6. ore Drive Lot 5-21, Permit Number S2847 23645 Oak Valley Road ••• L*o[•4;33��peimit�Number,�S2840, „ �—,=23515.0ak ValleyRoad`— �rtino, Callfomla SEISMIC PRANIE INSPECTIONS • Dear Mr. Burke: With your authorization, ENGEO Incorporated performed special inspections and ultra-sonic testing related to the seismic frame installation at the subject properties located in the Oak Valley subdivision in Cupertino, California. This report is submitted in accordance with Chapter 17 of the Uniform Building Code. Observation and testing services were provided using the approved plans for the following: • Pield welding of the seismic frame moment connections. • field welding of the framing straps. • Ultra-sonic testing. To the best of our knowledge and based on our observations, the work requiring special inspection and testing is in conformance with the approved plans, field recommendations of the Structural Engineer, and the applicable workmanship provisions of the Uniform Building Code. 2401 Crow Canyon Rdad • Suite 200• San Ramon,CA 94583-1545 • (925)838-1600 • rax(925)838.7425 www,engeo.com • E-mail:engstaff ieengeo.com The O'Brien Group 4136.4.050.01 Tract-Oak Valley May 22, 2000 SEISMIC FRAME INSPECTIONS Page 2 • We make no representation as to the accuracy of dimensions, calculations or any portion of the design for this project. If you have any question or comment,please do not hesitate to contact our office. Very truly yours, ENGEO INCORPORATED Reviewed by: RobertX.Jo ' son Dan Haynosc}6 QnnFE �a�,x, rxj/ce:seismic 9 a M+r�f%J'; cc: 1 —City of Cupertino I —The O'Brien Group,Mr.Gerry Ploof r nl CH a�OF CAUi • • FROM CRfISJI FAX NO. 8313358329 A-g. 28 2000 04:29RI P4 01 :43 PM P M"T t > U hispecIon Data: 7-U-ew Cjjy: Q_ eta,.: A Client:The 2ajrLn-Q3"U Contact: P 1 pan Roofing Contractor:�6-6'04r CRIA inspector: iLb n/� sr"'e'prcz Lot Numbew--�A§E�i� Type of inspection: Felt Final if Typo of Roof,. Undarlaymotil: Shingle Tile 6"0' —i Ut Motil Flashing: 01tor Skylights: Attaohrnents, s. Valleys: Ridges: Vents 8 Eaves: • Cormrnontslft"r�atlon�' PIPE F'ZAS�4,7 6 5 P4 ij S7 6,C �17SC.7�4 CN MAW Rout WokrW W4%-r. OF A;' ^00;7, O'Brien Group HVAC Commision Check List IiVAC Catrtrallor a5r✓rS Project O s Relaase'Wf Phaco Lot Date FfJ ! Street Address City Slate Zip Code Date when notice to eommislon system was given. -rte Resched Date Item check Yes No If no,lief eonectIva action and reschedule date (tate cormsele 1 Ges Mehr is instaped and valve is open. I >4 2 Powarfefedtiwl SMIY is owneded Breakers at sub panel are on. f ! J I BOB fuses ate installed • .. . -� Disconnad is switched on. 61 FAU switch is on. Gas supply is open aINW . X ZTE system is wined in. - I ! l f FAU is dean and damage free. R ! 7 ! / 1 Condensate lines are set with Positive SIPPe. X, I ! ( ! 11Condensatefines ars,set in 'd sequence- 12) e nce.12 Condensate pan is dean and dame tires. ! I t I 131 Refrigerant fines are sealed at FAU _ 14 Dueb aro sealed and unresbided / ! ! / 15 T def wnnectioM 19 FAU hous nels are secure. x f I 1 1 Condenser and coofto fats dmnagB free. X 1 7 I l 18 Condenser to pad straps mW in for s 19 Condensor etraftm;into wall are sealed. I 20 Dis-simlar metal contact 3eperaled at condensor. A 21 T-slat comrec5ons made at CCndensor. 22 Condensor and pad are level. X ! 1 1 1 23 stem filled%vilh reffigerarit. I ! J ! 241 Ra rand Imes and w s are leak free. 25 Condenser housing panels are secure. ! t ! ! Condenser and FAU conteerodb 2 Furnace and AfCnmand tested. f 1 I I - 26 Ambient temperature measured at random areas. I ! f 1 29 gegisterr,balancad through out house. Registers are demage free. .311 lRedstars we free of insulatiWdebris. ! ! 7 ! 321 Registers are set level to nearest wag. ! 1 1 ! 33 Air hlterisinstalled per option. ! 1 I f HVAC Technician signature •—�ate, J1CX7 Both signatures requinedwhen system has been tally commissioned. 09rien Group Mgr.signature Date ! I Tum into quafiy wnttol pnorto quality assurance inspection. c A I R t c x aoaer n,sc INSULATION CERTIFICAII©N o 1688 N. itlh S(. Sen Jose, CA%112 D m y This is to certify that Inside ion has `z been Installed in conformancw with tno C�.�en, �I cuvo Lube, I Me rd; State Of California. the bUlcp yY oyiiiBllu:Ys, I' ng lopted at: r &TE ADDRESS: O% cy FLOORS: / _ ME"WaCttlrer OWFNS QQMINQ [l m Thtckness/Type "--�( `_ D EXTERIOR WALLS: F-value ll�� —��—__---- z Manutaqurer OWEN RNIN W � 3/z CEILINGS: Th+ckness/r e_i t A-valuo 3 I f °m —sites._ m BATES: klanufacttae SNS COr1Nit --L�. Thkrkness(Type� BLOWN' 48nulacturer OWENS ONNING Tldcknessifype _1 Z value R- o Werghtlaag a 3�_ -- Sq. FL Caverxd��fc ,Z_ ; Begs Wed 2 3 ED AIR INFILTRATION SEALANT INSTALLED: YES -- m a _No, GENERAL CONTRACTOR 0'L7 r j m ay: TITLE'rOv: LICENSE _ m DATE ; COAST INSULATION CONTRACTORS, INC. BY'. S�Yi a r 17. l e I y a1!n UCENSE rR d Reen L. 2 TITLE: �( DATE; _ g_,8— �vop I D + n m 0.4K G�F1//ey .>P/r+•u w/t3oNus rK .INSTALLATION CERTIFICATE (page 1 of 41, — CF-6R Site Address ermtt Number An installation certificate is required tb be posted at the building site or made available for all Oppropriate inspections. (The information provided on this form is required;however,use of this form to provide the inform.4tion 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: Heating Equipment Equip. g of Efficiency Duct Duct or Healing Heating Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity heal um and Model Number 'i Systems 2CF-IRvalue attic etc. R-value . (Btu/hr) (Btu/hr) 2NtJ F�puA� -�PRdtie7o-r2 T-451jri_ ATl/C L 9S s� Coaling Equipment Equip. CECCertlfcd Com pressor gof Efficiency Duct Cooling Cooling Type(pit& Unit Mfr Name and Identical (SEER eta) Location Duct Load Capacity heat um Model Number Systems 2CF-IRvalue attic etc. R-value Blulhr tulhr 2ND ILIa rc o 1. >_reads greater than or equal to. I, 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 residenti6l buildings, and 3)equipment that meets or exceeds the appropriate requirements for manufactured devices(from the Appliance Efficiency Regulations or Part,6),where applicf ble. � • �/i!��7�%/auii 31gn`a`ture,Date iei .�'= Installing Subcontractor(Co. arae) OR General Contractor(Co.Name)OR Owner WATER MATING SYSTEM Distribution If Recir- 0o Rated' Tank' Elf- Extemal Heater CEC Certified Mfr Type(Std, culation, Identical Input(kW Volumi eieney' Standby' Insulation - Type Name&Model Number 'Point-of-Use) Control Type Systems or Btu/hr) (gallonf) (EF,RE) Loss(Y) R-value 2 For small gas storage(rated input of less than or equal to.75,000 Btulhr),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 Lou and Rated Input For instantaneous gas water beaten,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 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 spejified 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. • Signature, Date Installing Subcontractor(Coi Name)OR General Contractor(Co.Nitrite)OR Owner COPY TO: Building Department Building Owner at Occupancy OF I CITY OF CUPERTINO BUILDING DIVISION INGFROACTIDEN IFICATIG AP LICAT NSUBMTT .�ANITARYNO. ALL • BUU_DINCADDRySS. -:; ML: CONTROLN Owr P ONE: CON FRAC�TORS NA NIC /ENGINEER: ADDRESS: BUILDING PS MIT INFO • MIRCH DATE". jNSPECX 0 C..Sulta.t Fees Paid by Applicant(Initial) ELEM myMB INSPECTIONS FOUNDATION/PIERS/H.D.S. INSPECTION RECORD JOB DESCRIPTION UFER GROUND NOTE: ALL GRADING AND DRAINAGE ALU2ENUAL SHALL BE INSTALLED TO COMPLY WITH /0 SFDWL 0 KITCHEN REMOI PAD/SETBACK-CERT THE APPROVED PLANS AND CITY OF DADDITION OPLUMBING RE-PI []MULTi-UNIT 0STRUCTURAL GARAGE SLABS/PREGUNITE CUPERTINO STANDARDS. MODIFICATION POUR NO CONCRETE UNTIL ABOVE HAS ""vn TO ARRANGE INSPECTION- 0 INTERIOR OCHIMNEY REPAI IMPROVEMENT C]SWIMMING 1`00 UNDERGROUND/SLAB CALL AFTERNOONS (1:00 PM - 4:30 PM) 0 BATH REMODEUREPAIR 0 PEMOLITION 777-3228 MONDAY TO FRIDAY 24 HOURS BE- DOTHER PLUMBING FORE REQUIRED INSPECTION. JOB ADDRESS ELECTRICAL AND PERMIT 4 ARE NEEDED WHEN PHONING. DO NOT POUR FLOOR UNTIL ABOVE HAS.BEEN SIGNED" QQNMERCLAI ATTENTION CONTRACTORS: ❑NEWBLDCIADDITION EIDEMOLITION PLUMBING EINO PERSON(S)SHALL PERFORM WORK ON OTENANT D FOOD SERVICE MECHANICAL THIS JOB SITE WITHOUT BEING IN COM- IMPROVEMENT CIOTHER ELECTRICAL PLIANCE WITH WORKERS'COMPENSATION FRAMING VENTS INSURANCE REQUIREMENTS. INSULATION cv INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE PLACE NO SUBFLOOR UNTIL ABO ASBEEN SIONED,,. ROOF SH ATHIDIAPHRAM PLUMBING z TUBS&SHOWER PAN MECHANICAL ELECTRICAUPOOL BOND FRAMING/STAIRS/E.EGRESS A I 9F MAY 1 1 Wu INSULATION/VENTILATION• t 6 11,I COVER NO WORK UNTIL ABOVE HA B EN SIGNED' EXTERI LSH'EARIHOLD DOWN INTERIOR SHEARMOLD DOWN SHEEFWROCK/SHEETROCKSHE EXTERIOR LATH/W-SCREED LATH • NO TAPE OR PLASTER UNTIL.ABOVE HAS BEEN SIGNED SCRATCH COAT SEWER/WATER :TEMPORA OCCUPANCY ELECTRICAL GAS I1,FIN 'S B�l i IFF Jh GAS TEST GRADE FIRE HANDICAP ELECTRICAL PLUMBING MECHANICAL ENERGY CERTIFICATE OF OCCUPANCY VISUAL FINAL ONLY• DATE )SSUAC � if BUILDING IMPORTANT: PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION!! 6 ISSUEDRY:_ APPLICANT'S POSTING COPY ............