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B 0135 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY - CITY OF CUPERTINO - - ' - BUILDING-ELECTRICAL PERMITrvG�013 5 BUILDING DIVISION ^^,�.—� PPPL ATIONITERMIT PLUMBING-MECHANICAL 50001 (iYilL/lJ �4/ 4'J... -j ' BUILDING PROJECT IDENTIFICATION } '," + - tlUILD SANI'I'ARYNO, APPLIC7NSUBMITf ATF TMP'ABrien Group 650-PPY-03 1�ieRaGTWr?en Group 6 9 InT B N/C ONTNOL# ARCHITEC /PNGINEER: LIC NO: 6OS7SS ) F. ❑ Pacit�ic Peninsula Architects6O5755 dak Grove Ave. , Menlo Park 9 025 111 gi� NTACf: PHONE: BUILDING PERMIT INFO- Gerry Ploof/Director of Purchasing ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH The O'Brien Group 650-377-0300 ©— B- LICENSEDCONTRACTORSDECLARATION QTY ," ELECTRIC PERMIT. FG6 1 herehy affirm ma 1 BaenaeA e p - f Chapter 9(wmm n g ,.,- , f• - JOB DESCRIPTION q Niz th Sttnoa]0 EO 3 oftheeusmess an fsa s ode anti my Bmas,ne - F n full force atiJ cO t. (i, PERMIT ISSUANCE • .DWL ❑KITCHEN RIiM0UF,1. �WF nr UU 1.¢eme Cl LIC.# APPLIANCES RESIDENTIAL ❑ADDITION OFLUMBING RE-PIPE tiQ W Date Coalmmor ARCHITECTS DECLAR ION [I MULTI-UNIT 0SI'RUCTURAL z q vU zz I understand my plans shall be used a.public records PANELS MODIFICATION 02-0 UP TO 200 AMPS [I INTERIOR OCHIMNEY REPAIR xempt from the Contractors License Law for the �r"4gjR IJceased Professional 201-1"AMPS IMPROVEMENT OSWIMMING POOLS •]] exempFROVER I(IINIAMPS __ ❑BATH REMODEUREPAIR El DEMOLITION UII�� 1 hereby affirm that I am OWNER-eDECLARATION 0. following rensore.(Section 9031.5,Rosiness and Professions Code:Any city or countySIGNS ELECTRICAL El OTHER which requires o permit to construct,alto,improve,demolish,or repair any amentia prior m its issuance,also requires the applicant for such permit to file a signed statement SPECIAL CIRCUIT/MISC. 0.' le C�Y mat he is licensed pursuant the provisions of the Contractor's License Law(Chapter 9 W Cao (rnmmencing with Section]00()of Division 3 of the Busitiowind Professions Code)or TFAR METER OR POLE INS'T. COMMERCIAL: 0.0.o CG that he is exempt(hereGom and the basis for the alleged exemption Any violation of ONE]NEW BLDG/AUDITION ❑DEMOLITION 'k 0. Section 1011,1 by any applicant for a permit subjects the applicant a civil Penalty of POWER DEVICES W^m ANT ❑FLOOD SERVICE not mare tuna five htindmd dollars y employees [-+2 i' IMPROVEMENT (,�y(aj < Dl,as owner(if the property,or myemployees with wages as meirsole compensation SWIMMING POOL ELECTRIC LSiO will do the work,and the sanction,is not intended or offered forsalo(Sec.9044,Business fftER 1 m and Professions Code:The Contractees License Law does not apply to an owner of OUTI-ET5-SW HES-FIXTURES .0, property who builds or improves thereon,and who does such work himself or through his we cmployms,provided that such improvements arc not Intended or offered for NEW R nNTTAL ELT. R SQ I safe.If,however,the building or improvement is sold within one year ofarmplelion,the - SQ.FT.FLOOR AREA S/SQ.Ff. ser-builder will base the burden of proving that he did not build or improve for pur- . Prov of sale.). t,� y �•9,0L] 1,as owner of the property,am exclusively commaaing with licensed contractors to TOT gnshum the project(See,7044 Business aid Professions Code)The Contnmo sL - - se Law does not apply to an owner ofp p rty who builds or improves thereon and QTY., i =I PLUMBI P T FEE !� f p ry.� who amvnua for mch projects with a contractems)licensed pursuant te the Contractors m License Law. PERMIT ISSUANCE ❑ Z6. ir I am exempt tinder Sec. ,BSiPCforthisreason Owner ALTER-DRAIN do VENT-WATER(EA) VALUATION Dow •wj O�' �^ , WORKERS COMPENSATION,DECLARATION declarations BACKFLOW PROTECT DEVICE 5 ./ 1 hereby affirm under penalty of perjury ane of the following Weder, e I have and will for etion3700 of the abor ode,sure forerformace of the DRAINS-Ff.00R,ROOF,AREA,CONK STORIES TYPE CONSTRUCTION tion,as provided for by Section 3]00 of the Labor Coda for the porlbrmeum of the - i1fnrkfar whichthispermitisissued. NIXTURF.S-PF.R TRAP _ • ❑I have and will maintain Worker's Computation Insurance,as required by Section .4]t�o'the LuM1nr PenrJe`f^rt ce oftheP odWritten daupermit is iswed GAS-'EA. INC.40l1TLGT5 DEC.GROUP APN Came, l"�� 1FyQy�jn�nOQhLgS GAS-EA.SYSTEM-OVER 4(EA) CERTIFICATE co . . E INS A1CR N�f UL GREAS&INDUSTRL WASTE INTERCEPTOR (Th". do tic d [1yT V� ft Of fey/m�� fo/rI n/dr/�jd dnllacs(S 1u0) 4y°x g° x AUIL[}ING DIVtS�ISN FEES" flnO �JrM1mhnlliai GREASE TRAP �rj �O or less) PLANCHECK FEE J� (certify that mthe pe roan', le rkf w this pe ...w1lshall -SEWER-SANITARY-STORM EA.200 PP. oat employ say person to any mnhnersn as to became e.bjcr,to the Workers'Compere- ENERGY FEE • P1 cation Lawn of California.Date WATER HEATER W/VENT/ELECTR 4/ ,�7O Applicant 1 GRADING PEE Fly NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you should WATER SYSTEMCKEA1 ING a '�^ Secure,subject to the Worker's Compensation provisions of the Labor Code,you must SOILS GEE W {! forthwith cunply with such pmvi me,or this permit shall bo doomed revoked. WATERSERVICE � z CONSTRUCTION LENDING AGENCY - NEW NGSIUEN'f1AL PLMB. PAIU O L) I hereby spurn That there isaconstmetion lending agency lot the performance of Dvl Neeeipt the work to,which this permit is issued(Sce.3097,Co.C.) Lender's Name 'TOTAL: O U LendoO,Address aI certify that I have mad this application and Auto that the above Information is -- - . .• BGILDIN F�E h correct (agree mrmmPly 'Ih Il city and ty Inancesa d-wto l� olatiogw QTY. ,iMECHANICAL PER MIT - ' -FHA SETS FEE U � bmildingconswcton, dh by ulhnry rPrc: ttvesofth:etywentcrupanme I'�" abmve-mcationed property for inspection purposes. PERMIT ISSUANCE + ,�Q tOf7 (We)ague to save,indmaeky and keep harmless the City at'Cupertino against EL R BE Ilahilities,judgments ants and expenses which may in any way accrue against said City ALTERORADDTOMECL t/ nseq a of the grSTAN of this perW I PL G FF.F. (,�9• T nAPPLIC N c'UNDERSTANDS DWILL COMPLY WITH AT N -POINT AIR HANDLING UNIT(TO IO,OINICNM) Q SOU :R[ Uh TIO ' MEC NICAL ITE 41• AIR HANDLING UNIT(OVER 10,00)CFM) CONS'RUCTION TAX Q Sign o ApplicaaV or- ow EXHAUST iIOOD(W/DUCT) HAZARDOUS MATERIALS DISCLOSU E HOUSI r MITIGATION FEE Will the applicant or future building occupantstere or handle hazardous material HEATING UNIT Cl 0104000 BTU) as defined by the Cupertino Municipal Cale,Chapter 9.12,and the Health and Safely Cade,Section 25532m)'! /r HEATING UNIT(OVER 100.000 BTU) v - El Yea di-/v_„ VENTILATION PAN(SINGLE RHSID) PAID Date Rcccipt# ' Will the applicant of future building oeeupam use equipment or devices which BOILER-COMP(3HP OR 100,000 BTU) emit hazardous air contaminaInt/s§s de0ned by the Bay Area Air Quality Management [ Districfl l ❑Vas a BOILER-COME(OVER 100,000 BT�' U) I have rend the hazzonux terminal,regolwmcnta under Chapter 695 of the Culr' - AIR CONDITIONER ' ISSU NCE A E fnmia H Ith k Safety Code,Sections 25505,25533 and 25534,1 understand that if the NEW RESIDENTIAL MECIL SQ. 7 Sul not currently haveatenunt,that it is my,esponsibn tyro tify the occupant /r- NV h be and priarmissvanee uParty, l / IN-aWWW olfloriuda ' � Date • TOTAL: ISSUED BY: x /� , ' OFFICE 4 Engineers . Survovcrs 9 Planners March 19, 1999 ti6006L,50 Chuck Schoenberger O'Brien Group 1001 Miward Way, Sulm 200 • San Ma=.CA 94.04 Sobjertl Oak Valloy—P;vsr.ttarinv.Verification peer C'rvek, Un March I S. 1999 we perromind n riaid survey of the l000tion oft!-c fnt%-�at!Nn"n:rrs f^r the building L:!rg oonctrueted on Lbt d-01�f tlx Otk Val:ey project in Cupenino. Tor ras:a4,of that surve:-:1-14 04ovv tha:the location of the foundatk.n Iurnts c,o.xm litant and in eonformarcu vrth:he des{tr lo-, nrihe buil&ngs,as said locations are shown w,tr,a plans orepared by our Prm. h.c itz,a. is intended tv prov tae Vt with the verification of those units per our survey, ll there arc ary other queclons ccnee,ning :Itat iocar,on,please do not hasttue tv cad, Sincerely, OS(Z �W \fin �gPv r(E.SII,ac BRIAR KA VOAS FOULK a VP 3/01/02 � Bradley A. Bilbo P.L.S.6141 0 No.613 SuManager rvey Department • • P E40 Prii!e Avswa gidmx.City.CA 54053 . 1660)4846300 s FAM501462-M ENGINEERING WEST INC. • OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPIERTINO,CA. 8-28-99 PAGE 2 OF 3 UNIT Lot Plan OPTION Fdn. A ' lat floor Roof c y dl/99 07t27M —0713F- 55 2 BMR 5 3 B R 5 4 4C 2 04 29 99 OHJ04/99 07/01/99 5 5 6A 2/BONUS 04-29.99 06/04/99 05/17/98 5 6 2A 3 104 99 06/04199 06/14M 5 7 SC 2/SONUS 04-29-99 06104/99 08/11/99 5 8 28 3 04/19/98 1 08/11/99 06/11/99 Q+ CO- 5 9 3D 2 04/19/99 106104M, 06107/99 r 5 10 6B 2BONUS 04/19/99 0528/9a • 01 ' ' DL 5W 5 11 4C 3 04-20-99 0527/99 0829/99 0829/9a e.- S 12 6D 3/80NUS 04/01/99 050199 0823/99 0823199 5 13 3C 31BONUS 04/01/99 0527199 06/18/99 08/13/99 Ott 5 14 6E 21DONUS 04/01/99 07102199 08/18/99 08/18/99 0829/69 5 15 3A 3A30NUS 04/01/99 05117/99 08/10199 06/12/99 08/23199 5 18 5 17 5 16 5 19 5 20 5 21 5B 08/18/a9 S 22 C 08118/99 5 23 1 C 08/18/99 5 24 7A 2 0723199 S 25 • 5 28 27 1B 2 06107r99 08n1/e9 0829.98 5 28 7B 2 05107/99 06111199 0629199 5 29 1 D 2 05-10-99 08/18/99 07/0999 5 30 BMR 5 31 BMR 5 32 4A 3 0526/99 07/14/99 072899 5 33 2A 3 D5107/99 07/02/99 1 07/1 Z99 5 34 38 1 2 05-07199 07/07/99 0723199 5 35 58 1 3/BONUS 0526199 07/07/99 0726199 5 J40 5 2C 2 0823/99 07/18/99 0728199 5 3E 2 0623/99 07/09/99 08/12/99 5 6A 3 0823/99 08/18/99 08/18/99 S 6C 2BONUS 07108199 0720/99 08/12/99 3A 07/08/x9 0720/99 0823/99 •(1)LOT 6 PLAN 2A 8 LOT 7 PLAN 5C •DID NOT OBSERVE PIERS. '(2)DBL SIDED SHEAR WALLS ZO'd OLST 56Z 80b 1S3M SNIN33141DN3 dLE=60 66-0£-BBV • i JOB onsu/ting'Engineers and Scientists ' DATE NO.3 425 ROLAND WAY PROJECT OAKLAND, CA 94621 nr V (510) 568-4001 LOCATION . t r �- I CONT OWNER cl �) -ra- ,' /1 -� U /J,'/ [t7 le 01,, -r'll 02;2 /lCjC lV2,, 1c1c,� _ WEATHER TEMP. 36 =at _. AM Clocl� o °at PM urs Charged To Project Nuclear Density Teats PRESENT AT sFl, Id Task Number Trl 17 Concrete Cylinders ' IE FOLLOWING WAS NOTED: JC I-7t 7r' �l' �' l' n.Vh I F ni- Tf•�e Trio-, k*j - 1-nr � /( �1r/tir �z< I ,Irr ( he-Irl nr . ,rl L, a I- f��r l / t r ., I- I c l ro r-d , r nr r- , i i in r't Q;r r .n�Ca. l r' P !c I /"l l l'7 l -s'!/-C( I, I na Z ,-C t° r i r i n 7 c r^lr, At-q-7 IIES� z �I � W� SIGNED CLIENT _ 1 • O'BRIEN GROUP Patrick Burke From: Jim Ripley(SMTP:ripleydg@pacbell.nalI 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 Ripley Design Group, Inc. • lNG SIGN OFF F��pl. p1.ANN 'Alf- - � SOON,, • WINWARD WAY,SUITE 200,SAN MATEO,CALIFORNIA 94404.2473 TF.LEPFIONF.(650)377.0300 FACSIMILE(650)3493442 A�vi��r1 MorrY� I. 1990 • N e. N ko l0 O CZAAST r,Euk-3uon cor,tr,.-accor,s� h­� INSULATION CERTIFICATION 1006 N. 11th St • San Jese� CA 951t2 This is to certify that insulation has been installed in conformance with the current energy regulations, Calilfornia Adminis[�ratthm Code, Title 24, State of Ca6fomra,the b uilding located at SITE ADDRESS: Lot*s-o rC—b_t Nkkxw, 1JI12_ `Z FLOORS: Mamdaduter OWENS CORNING ThickuessfTypeAdLI,OLk R-Value_lq,I o. EXiERfOR WALLS: Manufacturer OWENS CORNINr1 Thirknoc JT. I7 p_VaLw CEILINGS: BATTS: Wnufactwer OWENS CORNING Thldvtess/Type .-} R-Value BLOWN: Manuladwer CBMS CORlBNG ThkJv ess]Type } — R Value_ a welgttt/Bag 33 Sq. FL Covered Bags Used 3U ti AIR INFILTRATION SEALANT INSTALLED: YES[h NO 0 /L� GENERAL CONTRACTOR Qr66 CijA LICENSE m RY: TITLE: DATE: ti m Ld COAST INSULATION CONTRACTORS, INC. LICENSE � 465440 C-2 BY: TITLE: DATE: $ 2!e �$� .INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R e Address -Permit Number 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). HVAHVA Heating Equipment Equip. 0 of Efficiency Duct Duct or Heating Heating Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity eat um and Model Number Systems 2CF-IRvalue attic etc. R-value tuthr (Btu/hr) r� Ia ?Nb . X&R4116YO-/;L T_ Ift 712 4 LtG l -7 2 Gi yen Cooling Equipment Equip. CEC Certified Compressor 0 of Efficiency Duct Cooling Cooling Type(pkg. Unit Mfr Name and Identical (SEER cta)t . Location Duct Load Capacity heat um Model Number system CF-IRvalue attl etc. R-value (Btu/hr) tuthr rST I 1LN1dE& 2ND ,gT .39G e30 _� i0 S!4?r2 A7TtC .L� i 9.i� �1.00 .. 1—>_reads greater than or equal to. 1,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 manufactured devices(from the Appliance Efficiency Regulations or Part.6),where applicable. Signature,Date Installing Subcontractor((;o.Name) OR General Contractor(Co.Name)OR Owner WATER HEATING SYSTEMS• Distribution If Recir- N of Rated' Tank EfB- External Heater CEC Certified Mfr Type(Sid, culation, Identical Input(kW Volume eiency' Standby' Insulation Type Name&Model Number Point-of--Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss(Ye) R-value 2 For small gas storage(rated input of less than or equal to 75,000 Btuthr),electric resistance and heat pump water heaters,list Energy Factor. For large gas storage water heaters(rated input of greater than 75,000 BoAr),list Recovery Efficiency,Standby lass and Rated Input For instantaneous 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 Ill. 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 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 Anatawl March 1. 1996 - - • Aug 20 99 05: 11p KELLER LHR SALES 530-246-0796 P. 6 6487 \Olt Of TIMBr_ V , aT� CERTIFICATE OF CONFORMANCE HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the products Identified below and on attached sheets Nos. -- -are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTIO (AITC)and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1992, Structurral Glued Laminated Timber,and that such manufacture has been at our plant In Urain, OR which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and Inspected periodically by such Bureau. r Gor 5�l J09 NAME: Keller Lumber Sales, Inc. for Stock JOB LOCATION: Redding, CA PO# 6487 Ell-05-98 4017-D CUSTOMERS ORDER NO. DAT4l-05-98 ORDER N0. SUNNYVALE PO# 38742 6-3/4 x 19-1/2 x 23' SIGNATURE COMPANY Duco-Lam TITLE Quality Control ADDRESS Boy 297, Drain, OR DATE 1 20 98 AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the qual- ity control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgement of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. ::0 AITC Certificate NO, 92- 0 4 7 7 5 2 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION RECEIVED • NOV 2 41998 KELLER L®R. SALES ®1992 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AITC FORM IBC