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S 3399 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY(IF CUPERTINO BUILD;NG Plipfl,O. . BUILDPNG DIVISION APPLICATION/PERMIT PIL NG-MECHANICAL. 3399 r l BUILDING PROJECT IDENTIFICATION. BUILIVNGADDRE�S:����� � ��� / 'T— MJ A N0. A VJ PPLICATIONSUBMITT/TAAALDATF 04 OWNER'S NAME: o PHONE: CO TRACTOR'S NAME: LIC NO: /NIC — 2—-It I C CONTROLk AR '/ENGINEER: LIC NO. ADDRESS: I Y ^ N ACT 'PHONE: _ BUILDING P RMIT INFO ❑ Consultant Fees Paid by Applicant(Initial 1) BLDG /ELECT PLUMB MF.CI li LICENSED CONTRACTOR S DFCI ARAI ION QTY ELECTRIC PERMIT EEE ; e/ I heteby.lffrm thin l and :e4under Gzy wmse<t on 7ono)m 3 run Il txt provisions(fClrpt 9( ons - : ... . _* «- - ' LOB DESCRIPTION nn: le ltd Ely liormeE F�� mfuI tome.d ellce PERMIT ISSUANCE R I I' �UU Lcen •' DWI, El KITCHEN REMODEL rF W Date Contactor APPLIANCES-RESIDENTIAL ❑ADDITION ❑PLUMBING RE-PIPE WW ARCHI rLCTS DECLARATI N - PANELS ❑MULTI-UNIT ❑STRUC DURAL O Z y z I understand my plans shall be used as public records MODIFICATION _ UP TO 200 AMPS F,yr W Licensed Pmfessinnal ❑INTERIOR F1 CHIMNEY REPAIR 201-1000AMPS IMPROVEMENT C]SWIMMING POOLS �+ CdC..1 "OWNER-BUILDER DECLARATION. 6 I hereby.1TImr that I am exempt from the Contractor's License Law far ibe OVER IOOOAMPS ' ❑BATH REMOIIEUREPAIR ❑DEMOLITION aN F following remon.(Searle.7031.5,Business.,ad Pm!sions Cole:Any city or aaunty SIGNS ELECTRICAL ❑OTHER y 'Than rallnew a permll to cons0uat,alter improve,electoral:or re,air any structure prior to its issuance,Elise marine,the applicant foroch pemOt ml ile a signedsWtement SPECIAL CIRCUIT/MISC. te �yyJJ that he s licensedpursuant tthe Envisions of the Counduchoril -Ujw(Chapter9 W G0 ftmonalbane, thSect 7000) f Division 3 of theB ss slidP f-.' n'Gde)or TP.MP.ME"CER OR I'OLP.IN5T. '� COMMERCIAL: W y e CC that 1 m,dworforn and the Louis far h II g d mehoplitut.A y 'dation of W N section 1031.5 by tray applicant for a permu whiclas the applicant to a civil penally of POWER DEVICES ONE BLDG/ADDITION ❑DE.MOLITION FZ r mom than Live hundred dollars($500), ❑TENANT ❑FOOD SERVICE d 01 asowneroflhepraperty,orrnyemployees with wages as lecir sole compensation, SWIMMING POOL ELECTRIC IMPROVEMENT % willde The work.nd'be scucture is not fnmndedoroffered forsale(See 7044,Business []OTHER do and Professions Cade:The Canuador's License Law does not apply to as ewnar rf OUTLETS-S WITCHES-FIXTURES property who builds or Improves Iherenn,and who does such work himself or Imough his own employees,provided that such improvements are not intended or offered for NEW RESIDENTIAL.HLEC1'R SQ FI'. sale.If,however the building er improvement is sold whlunoncyear oftempledon,In, SO.]-] FLOOR AREA SNQ.BE was er-builder will have the burden of proving that he did not build or improve far pur- oafxal�) 3237 v.g� vuc�' r of Ile property,am exclusively contracting with licensed contractors u, TOTAL 7. tea pmjea(sec 70TU Bnsi.exa and prel'easinns Come)*1 he Convenors Li- i renew Law does not apply to an owner of property who builds or improves thereon,and QTY. PLUtMBINGPERM 'IT ' ,FEE /" w ��.� who contracts for such projects with u conlractous)licensed pursuant m the Collimators - (O/ LICw16C Lu PERM I'TISSUANCE ❑ 1 rot nt(unde'esee B&P C fo ter ieaxoa ER-DRAIN&VENT-WNUER(EA) Dime ���fffVALUATION w r ALT ORKF. Cf?N Ni9fiC-LARATION HACK FLOW PROTECT.DEVICE J /• ' Q O Ihe¢by allirm under per pepury one of the Hillowurnatch...nos (hand will mai main aCenifiramof Coated.self-timmucl rWoraces Camper- DRAINS-FLOOR,RODE,AREA,COND. a0o.,ov.e provided for by Section 3700 of the Labor Code,for the performance of the S 'RUCTION ork for wheel this about is issued. FIXTURES-PER TRAP 1 have and will maintain Worker's Compensotio.Insurance,as frothed by Sea, i 3700ofthe LnMu Code,far thcperl'moureeof tha work Tor which this pen it is isxued. GAS-F,A.SYSTEM-IINC40UTLETS OCC.GROl1P O APN My Work ompcnsmion ca Brand P.lic, 5m: Carrier: S-EA.SYSTEM-OVER 4(EA) 1i wt 1 A F RO W0 ER,' COMI'ENSA'T1 INSURANCE GRGSE/IND_US'I'RL W'ASTF.INTIiRCEPTOR {� • hNG DIVI.1 fEE.S'k * S (fhissrculort the�[[ppp t s[or ane y,9Mlgj�(I(1) # aha of less) j�f / r y((`•C/ GREASE TRAP - . Icctti ml h t jo 4 herbot ro srssurd,InhWl PLANE E n / not enrpiny any pnaon rn any mnnnerso as to be me nubjed rmpen- SEWER-SANITARY-STORM 9A.200 FT. ENERG �E Z satin.Lawxof California.Data Z yy Applicant O AppWATER HEATER WNENT/F,LECTR \ OR INC PEE f�i V] NO]ICE TO APPLICANT:rntpuli ,otter making this wis...Cam of 8xcnt don,you should a heenme subject m the Worknds Coenson provisions of the Labor Code,you mustWAFER 9YSTEM/TRF.ATI SOLI FEE w forthwith comply with than pmvrsionx or this .,it shall bedeemed revoked. )VAT as n rte. z CONSTRUCTION LENDING AGENCY NI DENTI PLMB. SQ. • PAN Ihereby affirm thanhere is a convection lending agency for the performance Or Receipt OO the work rorwhich Nis permit is issued(Sec 3097,Civ.C.I Lenders Name LkI Lender's Address TIYf s 'TOTAL: (~ a I Certify that 1 hove read This application and stare thin the have information isBUILDI G It /A G J h correct.i agree to comply with all cityand county calculations and state laws relating to TY. - MECHANICAL PERIVII 'PE8 - U z building construction dh by threpresentativesfthi city to t p The SETStbove tindproperty f :pet' purposes. PERMI'1'ISSU (W)ag t beautify ndk pharmless th City of Cupertino against ELE C EF. liabilitics,judgraccus,costs and expenses which may in any way cwe against said City ADDTOMECH. - nK;:z of the gratnl g I the'perm t PLUMBI ,EEE s`•�]:L.� T UNDERSTANDS D WILL COMPLY WITH AL'N0 POINT AIk IIANDLING UNIT fI0 lo,OW CFM)ECULATIONS. � .�� MECH ICAL FEE AIR HANDLING UNIT(OVER IO,000CFM) CONSUL TON TAX 3 nalowcafthtkfh,ao me EXHAUST HOOD(W/DUCT) ' HAZARDOUS MATERIALS DISCLOSURE HOUSING MITIGATION FEE, Will the apoli.solor future buildir,hee.pion,ameor handle hacedous material HHA'TING UNIT(TO 100,000 BTU) as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety - Cwlc,Section 25532(x)? HEATING TIN]'I(OVER 100,000 B'I'U) - �Yes VENTILATION FANS INGLE RES]D) PAID Will the applieam or Tatum building occupant use a ui Date Receipt# pan a pmeatordeviceswhich BOILER AHPOR IOO,INIO RTU emit hawrdous air wmenJnants as daKned by the Bay Area Air Qnaity Mamtgemem ( ) „ DisfricC TOTAL ❑Ves Nn BOILER-COME(OVER 100.000 BTI)) , AIR CONDITIONER L NEW ISSUANCE27E 1 hove read uhc humrdous rwmrnls requirementx under Chapter G95 0[the Gli- V �C farnm ealih&Sar ty Ede,Secti s 25505.25533 anA 25534.I uncle nand Ihel it the RESIDENTIAL MBCHSQ. doer nm currenti h' a enh lhnt it is my responsililiy ton ify lM1cocaupnnt of the hi t t oro i.xmrarmc c panty. c Ownerunmthorired ab ate ' TOTAL 1)BY L �Q OFFICE r�rK. tb, 17T. awNl 9r::r;l k,HllSny r••41.t.F IYJ.b63 F'. Brian Kangas Faulk Engineers Surveyere • Planners i Mareh 18, 1999 960069.50 Chuck Schoenberger O'Brien Group 2001 Winwvd way,Suite 200 • San Mateo,CA 94404 Subject: Onu Valley_Foundation Verification Deer Chuck, On March 16. 1999 we perfonred a field survey of the location of file foundation forms for the building being constructed on lot 4.71 and Lot 4.22 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 cmifonnance wi:h t'ie design locaden of rhe buildings,as saki locations are shown on the pians prepared by zar firm, this letter is Intended to rwovide you with die verification of those units per oursurvey. If there are any other questions Con eeminS that location,please do not hesitate io call. Sincerely, '�— t?°� SG'oa b IAN KANGAS FOI,'GK C: 3=1:q A. 6llbo P,L.J,of 41 9FAMY A MI A0 j0 Project Manager *t W.3131/02 � Survey Department N, No. 6L41 K�v Osff O • i i 'C'45 0,1;0 Avv.'i • 910wood C:tg CA 9483 • (650i+02-aQ • fiU I.Mi 40.'-E.99 • ENGINEERING WEST INC. OBSERVATION CHART OAK VA DEVELOPMENT CUPERTINO, CA. PAT BURKE STRAUSS BROS. PAGE 1 OF 3 660 237.0078 408 267.1913 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 DRAWINGS. LEGEND N.O. • CONSTRUCTION NOT COMPLETELY OBSERVED • CORRECTIONS REQ'D. LIST GIVEN TO CONTRACTOR. FDN. . STEEL REINFORCING,HOLDOWN ANCHOR BOLT OBSERVATION 1ST FLOOR . UNDERFLOOR FRAMING OBSERVATIO14 ROOF PLY. . PLYWOOD NAILING OBSERVATION EXTERIOR PLY. . PLYWOOD NAIUNG,HARDWARE OBSERVATION BASIC FRMG. . GENERAL FRAMING D HARDWARE OBSERVATION UNIT I Lot an OPTION I Fdn. lsttloor I Roof ply 4 /12188 o 2/89 1 0&24199 OB 4/99 4 8 1 7C 03/10/98 04/1488 082499 0824198 07/01199 4 9 5C 31BONUS 03/10/99 04/14199 07/09/+9 07/09/99 0729199 4 10 20 3 03/01/99 04/0299 0720/99 07/14/99 0729/99 4 11 1 313 03/01/99 04/0299 07/01/99 06/30/99 07/16/99 4 12 1 48 3 11113/98 12/10,98 0121/99 0121199 0125199 4 13 1 8C 2 0928/98 10/0998 11/00/98 11/13/98 /2/111/98 4 13 1 8C ADDITION 0 fl) 02/09.99 02/09/99 02/09/99 02/09/89 4 14 1 2A 2 02/02/99 03/01.99 05/19/99 0521/99 06104/99 4 15 1 5D 2 02102199 1 03/0899 05/27/99 06/09/99 08/09/99 4 17 1 2C 03/01/99 1 03/30,99 06/17/89 1 06/30/99 07/06/99 • 4 18 1 6E 2/BONUS 12/14196 1224198 03/08/99 03/06/99 04112/99 4 20 4B 3/BONUS 12/22/98 04/1/199 03/18/99 0322/99 04114/99 4 21 28 2 03/19/99 04/14199 0727/99 0727/99 08110/99 4 22 6A 2/80NUS 03/19199 04/14198 0720/99 0723/99 08/10/99 4 23 3A 3 01/12/99 02/18188 05113/99 05-07-99 06/01199 4 1 24 6D 3MONUS 1 01/12/99 02/17199 05-03-99 04-30-99 05/17/89 4 25 SC 3 1 12/23/98 02/18199 04/02/99 04/05/99 05/14/99 4 28 2D 2 1 01/08198 1 02/12/99 1 05/10/99 0426/99 05/11/99 4 27 4C 1 3 1 01/08/99 1 1 02/05/99 04/14/99 04/12/99 06-07-99 4 28 1 68 1 3/20NUS 1 12/14/98 01/04199 03/03/98 03/03/99 03/30/99 4 29 7A 2 11/13/88 12/10198 02/10!99 02/10/89 03/03/98 4 30 3C 3 /1/13/98 12/10/98 02/03/99 02/01/99 03/11/99 Al 31 55 3BONUS 02/12/99 03118/99 06/03/99 06/09/99 08/17/99 4 32 26 3 02/12/98 03110/99 06/11198 06117199 08/30/99 NOTES: (1)'LOT 13 PLAN BC FDN. (OFFICE OPTION); CORRECTIONS NOT 013SERVED. • LO 'd OLS/ 96Z 90V 1S3M EJNIN33NIDN3 dLC=60 66-OE-Bn`d • !-: JZ7.A DATE. JOB NO. Consulting Engineers and Scientists 3. 4 s No - 425 ROLAND WAY PROJECT OAKLAND, CA 94621 (510) 568.4001 LOCATION �-aEarh'n e (7 .� l.T � CONTRA OR OWNER TO ^ r _ .5 ,v Date s - /S 2 R1/ 7t'cWb y WEATHER TEMP. 35,.at AM — /� S Kowdrs -1cr'at PM Hours Charged To Project Nuclear Density Tests lU PRESENT AT SITE pin IL- 6 O '(3rrrv, Fi•ak Number 11� T y Concrete Cylinders .2hrs �2hrs 5 THE FOLLOWING WAS NOTED: On Sr'1-C a5 nn;W Siz-/ P&r Fc»h'h� i nsr�r h'an - -_.4'0/-5' 'V -2/ a- ,a/ �l 2z . I chef- �A1 f-h62^1 of ix k5 t- otna/ r'z"?a/o OP op 51-N'r� L3rrHit.1.►^5 &)all !- 1-,t ' r pm; rch - ola ns_ 6CCas kd fir- al GGIII dCL'A)'»dS aeod rGtaL ILe'Si f-enm 5 n1u 'J-ed 7ketl- a// Qrm `- npeL r I I- rYlal'C I't'a/ Arte. of d4"Grl' . C tme-C,/o c5n�cd R(A vat of ('"X rte 6"11,32 Lco/ f - r^.,•,�n*1•t DLL M�_w J�� f' T r 'n I -nook anz 5x.vn.Al e ebr i r A-t�-e_ lo/+ljr✓1 e l� q✓rAw Czh dvt d 5e,lr e Th rec 5h^rivtc,k, 'Y " rid :Mm'pe rT kl rc_ 60'. f >Pr.��ln: nn ty- in G%-"4Q rt� rnce' cA)iF-Us 11J4-Y-1e64--J- JA /41 nsr k42 P11'reJ rYr avh rwC al-111'ON'l _ make &J;J: r' COPIES TO SIGNED �Lf�u O'BRIEN JPGROUP Patrick Burke From: Jim Ripley(SMTP:ripleydg(opacbell.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 R Design Group, Inc. FINAL PLANNING SIGN OFF DATE 2 /1-q)--"J SIGNATURE • OVINWARD WAY,SUITE 200,SAN MATEO,CALIFORNIA 94404.2473 TELEPHONE:(650)377.0300 FACSIMILE(650)349.2442 G wind A?"rb I, 1990 • n v n n L D T ct�nsr Irisulation Cmtrac cars Vic. INSULATION CERTIFICATION 1000 N, 11th SL • San Jm , CA 55112 This is to certify that insulation has been installed in conformance with the current energy regulations, California Administrative Code,Title 24,,,!State of California,the building located at SITE ADDRESS: Lc F *A L}-22 r 03-,V- FLOORS- Manufacturer 3-j.0FLOORS_Manufacturer OWENS CORNKG Pdckulesarrype 60,f t __R-Value q __ EXTERIOR INALLS: Manufacttrar OWENS CORNBtr; Thirkrn fry 'A\ 117 R-Vahro LCz' CEILINGS: _ BATTS: Manufacturer OWENS CORNING ThUness/Type dh IqT? R-Value BLOWN: Mamrfacttuer _OWENS CORNING ThicknwAfrype 2 R-Value 2Q WeiglVeag 35 Sq. R Covered $2{O #Bags Used 15 y AIR 6'+I ORATION SEA[AM INSTALLED: Y//ES NO E3 GENERAL CONTRACTOR Qr(bY tQ Yt rlf LICENSE# n BY: TrrLE DATE : i L COAST INS'UrEN LATION CONTRACTORS, INC. {��, LICENSE BY: �'1 TITLE: t.?2• DATE: 0 • • • ��-- INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R IS tee 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). HVAC CYST .MS: Hearing Equipment Equip. Hof Efficiency Duct Duct or Heating Heating Type(pkg. CEC Certified Mfr Name Identical (AFUE,ctc.)i Location Piping Load Capacity heal um and Model Number Systems 2CF-IR value attic etc. R-value (Btu/hr) Btu/hr ND Ef1L�1f1i'9 —� '-Ofib iyAN C Cooling Equipment Equip. CEC Certified Compressor H of Efficiency Duct Cooling Cooling Type(pkg. Unit Mfr Name and Identical (SEER ctc.)l Location Duct Load Capacity heal um Model Number Systems CF-IR value attic etc. R-value tu/hr luAu TFr 1. >_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 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(Co.Name) OR General Contractor(Co.Name)OR Owner WATER HEATING SYSTEMS* Distribution If Reeir- Hof Rated' Tank Em- External Heater CEC Certified Mfr Type(Std, culation, Identical Input(kW Volume cicncy' Standby' Insulation Type Name&Model Number Point-of-Use) Control Type System or Btu/hr) (gallons) (EF,RE) Loss(%) R-value - - 2 For small gas storage(rated input of less than or equal to 75,000 Btu/hr),electric rulstance and heat pump water heaters,list Energy Factor. - For large gas storage water heaters(rated input of greater than 75,000 Btu/hr),list Recovery Efficiency,Standby Loss 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 CFAR) 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 Ae..loo,t Mor•rh 1. 1996 • 4-20-1999 9:46AM FROM P. 2 � rr� rrwlws.awn PA t • Certificate of Conformance TMIS IS TO CERTIFY mat the glued laminated timber products WOMiflod with a Oolleottva mark of lin Wood 8 plheerrd yateMs (liWs)were martutaclurad an accordance wtm the applicable standaMa + and associated specifications indicated below. ANSI Standard A1901-199Z Far Wood Products—Structural Glued Laminatod Timber MER-400 Glued Lanttnated Timber Combinations And'GAP Computer Program For Dattmnlntng Design$tresses AITC 117-93—Manufadwnng—Standard Spocfllcatiotu For Structural Glued Ltiminated 11 moer 01 Softwood Spedu • IT IS 14EREBY CERTIFIED that the dA4lWStrademarkad alivolural gWad"118ted timber members were produced in a manufacturing facility subject to regular audits in accordance w1th the,h"Vnessw Wobd SYMMS (EWS) quality Assurance Program. Routine audits Include inspection of the manutacturing process and evaluation of the in-plant OA program with adequate sampling to vvIfy conformance to Industry standards for lumber grads and gluallne bond quality. G��yx ►L 32' C4. .J^A Sala To I41215"X b + �yx2t Ma �pi�uh�y/ W 0 pd ei, 0 Cis SEAL by WA."- Tnomes G.WINIAM"n Exept"Vkx President • t7'MM+CCnCe nt700,a1'arCAW n�rw+ro oappropr 0+�nl-+'r'CIMOWrCCr+CO NVODA890dMTNW .