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S 3300 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OFCUPERTINO BUILDING-ELECTRICAL IeEtflf NO, n BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL V 3300 O BUILDING PROJECT IDENTIFICATION BUILDING ADDRESS: Nye ,- SANITARY NO. APPLICATION SUBMI PEAL DATE 1 o fl 2�j �;y e+m Z� ICDA OWN- '9 SME: PHONE: �Zsr � S(TRACTOR'S NAMP_' LIC 032 _ 1 i v NIC CONTROL# ARCHITG I +R: LIC NO: ADDRESS: �� ❑ ��q N'1'ACE PHONE: - - BUILDING PERMIT INFO : 60_ 7� ❑ Consultant Facts Paid by Applicant(Initial) B1_DG ELECT PLUS MECO.. + L ENSLD CONTRACTOR S DECLARATION . it + ° 1 1LJ L'J LTJ i h n arm rh t I e r n:d d +ng QTY'" ELECTRIC PBRMIT - - FEE', - LOB DESCRIPTION y a p f Chupw 9(aommc A�'Z 'dIS i )(100)o1D I 3 fib Bora sn f x' 'Cede,and mylce m F O in full f tad Ifed 1e PERMIT ISSUANCE R D I 1pp�5�p t! SF"' ❑KITCHEN REMODEL pppp���� APPLIANCES-RESIOUNTIM. 7a-'¢U1 Divm Gm# tor _ ❑ADDITION El PLUMBING R&PIPE i„�pr' ARCHITECf:S DECLA AT - PANELS ❑MULTFUNfF ❑STRUCURAL Z O m 1 understood my plana shall be useJ.s Public records MODIFICATION Q Zi- UP TO 200 AMPS p, ❑IMRO ❑CHIMNT:YREPAIR m F�qqW hieed Pmfeucionul 2(11-I(NNIAMPS IMPROVEMENT SWIMMING POOLS OWNER-BUILDER DECLARATION OVER 1000 AMPS ❑BATH RHMODEIJkEI'Alk El DEMOLITION C'K 1 hereby affirm the,I an, xempt from He Covmaemr'e License Law 1,the fellowing rceam,(Section 9031$eBasic,,,and Profesai.ns Cod.'.Any city e,e.unly SIGNS HLLCTRICAL ,: OTHER a IL which requires v permit I.emlrucl,alta,improve,de n illo or repair any sl...on, _ yr prior to its issuance,at,.requires the uppliwnl fiv,mah par...I m filo aalgnedaamm m. SPECIAL CIRCUI UMISC. cadaft,is l lensed pursuant m the pnwisions ofthe Contractors License Law(Chapter 9 WaA0 (eommaoingwith Section 9000)of Division 3ofthe Businessand Pr.fessmns Codc)or 'TEMP.METER OR POLE INST.. QQMMEROIAL- _d q o y that he is exempt therefrom and the basis for the alleged exemption.Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION m Section 9031.5 by any applicant for a permit subjects the applicant to a civil penalty of POWER DEVICES [I TENANT El FOOD SERVICE all are than five hundred dollars($500). F56 .sown IMPROVEMENT O widao aofinddiepend,ern,net inayeawilhwaga aslbeirsol.camp.nsicess SWIMMINGP LHCTRIC h. willDeborah,and theatmmureiatur,License osedre,ied sI p,ly heanoerines ❑OTHER and Deborah,Gds:The Co sthere'e License Low does mol apply 1.nn'aw r of OUTLETS-S HES-FIXTURES R' prdpony who builds or improves there. and who un ' y8.w.e---k1111R nrl .ugh _ his own employes.If 'in an d r o ore mol i tied m for NEW RESIDENTI . .LH SQ Fr.. sale.If,haweva,the building or hent iv7't e' bin one .f enm ,dm SQ.FI'.FLOOR AREA VSQ.ET. ncti If will have II bb I nolh o ' p pm Pow f wile). ❑ - fib p p IY a , IY I �n6 with J' emam,I a m _ TOTAL: nitredBP j t(See 9044 a . ,it��:qT.eai' Gine ,JrThuG I�� . I. - , cent I wm,es not applyrot + r01`PRA flySvhnhhid.s rampmvesm and QT`E : PLUMBING PERMIT' '.FEE whocanmets forsuchprjects wfconnotations)licensed pnrsmmno the Contract A License Law. /11 2V4 7 ❑ 1 am exempt wader Scc. ,B&P C far PERMIT ISSUANCE ATER-DRAIN&VENT-WATRTEA Owear VALUATION WORKER'S COMPENSATION DECLARATION BACK FLOW PRCEC.DEVICE O O I hereby affirm under penalty of perjury one of rhe following decleadmo: IaIhava andwill maintain a CedlGcare of Consent to self-inmre for Workers Compen- DRAINS-FLOOR,ROOF,AREA,COND. STORIES TYPE CONSTRUCTION fi.n, pmvlded for by Satin 3900.1'the Labor Cede,for the performance of the ask far which this permit Is issued. FIXTURES—PER TRAP ❑I have and will maintain Worker's Compensation Inaurance,ua oh,mol by Section - 3900ofUeLuberC.de,forNe etonnanee.f the work fir which dtis amitisiaauel. GAS—EA.SYSTEM-I INC.4 OUTLETS OCC.NROUP APN My Werk mpensafon Ins r n vnier+md Policy chore; '-jV// Caramr: GAS—EA.SYSTEM-OVER 4(EA) I ATF.OPR O KERS' _ COMPENSATIO. INSURANCE GREASFJINDUS'I'RL WASTE INTERCEP'MR (This, t� pp�/p I dl� t sf.rr.t h d dd Ilam($IM) y x gBDILD PIVTMON or le ) yV�y � / �1KcN l�:p 'r slmA,lshall GREASETRAP NC ECK PHE 1 Ily h Iml epc ��� 66 fthtrw RI' not entpl Y yPersian+ y so as to become subectt the W k s'C.m SEWER—SANITARY—STORM F.A.200 Ff. ,Z sola I fC I'faro Data l pee' EN GV FEE 8 C) Applicant WATER HEATER WNENT/ELECTR ACING FEE u NOTLCH I0 APPLICANT:if,Wo,making this Can hears of Exemption,you should WATER SYSTHM/I'RHA'lING a become subject y the Worker's Campeno IM, eomiaians.f tla Lnbar Code,you meet - SOILS PEE � [ovhwi0 comply wish auih'przovisiona onhis permit shall be deemed revokuL WATER SERVICE Q Uz CONSTRUCTION LENDING.AGENCY NEW RESIDENT]JAL PLMB. SQ.ET. PAID - Iherebyaflirmthalhesisacnnawdianlendingeguayfar the Perfomwnce of Dore Reeipt# P theworkfor which this permit is (Sec.30D,Civ.C.) O U Lender',.Name - - to Q-p L. Litanies Address TOTAL: I 2-10 1 certifythat Ihave read this ppl' i and late that the above nlovnat.t-s .I BUILD PEE .�� U7rFn7 bbaunldsg I<gvt and hn u tlson'dc representatives psenadves ofthe,cityI,) enter nPar nmruxmngthe . QTMECHANICAL PRRMFP -FEE, t abovemcmi.ned properly for inspection purposes SFISML tl L - PERMIT ISSUANCE � (Wa).gre:mauvu,indemnify and keep hvnnles the City of Cupenlno hgalnst EL H RI H AAPPIC d6�nena,mala and expenses which nayln any way accrue against said ChY ALTER OR ADD 10 MECH. ncc of the graming.f this permit. PL MR EE '1'UNDION.S. USAN WILL COMPLY WITH AEI. N-P INTAI R HANDLING UNIT(TO 10,000 CPM)EGUDERS S. MECXN I AL FEE AIR HANDLING UNIT(OVER 10,000 CFM) CONSTR 1fION TAX Sign p5all EXHAUST HOOT)(W/DUC'IJ HOUSING MI CATION PEP. HAZARDOUS MATERIALS DISCLOSURE Will the apPliaal.r Porurehi ildingaecupvni xthrem handaliestNouamacurl HEATING UNIT 90100,000 B'I'U) as defined by Ne Cupenf nn Municipal Code,Chapter 9,12,and the Heal h and Safely Code,Seelam 25532(.)1 I(EATING UNIT(OVER 100,000 B'fU) ❑Yes VUN'I'I LA9'ION PAN(SINGLE REST D) PAID Will the applicant orithDam R¢capl# ailding occupant me Wmrocam or devices which BOILER—COMP(311P OR IOI1,fN10 RTU emit h cenclUus if,l mwminants as defined by the Bay Area Air Quantity Management ) )istriaP TOTAL: ❑Yes o - BOILER—COME(OVER 100,000 BTU) I havcread the have .talerialsm AIR CONDITIONER qulremenk under Chnta 695 of the Calf- - ISSRJANACEDATE forma allh ffi Safely Coal S r ns 255115 25531 d 5533 1 d I d OF f the NEW RESIDF:N'1'IAL MLCH. SQ.I°I'. bel Iu h11y (,(halt y p sibil'ty to mall .1 c4.1pant, of rt ere f Cen T /I' OaYu Owne Ib / TOTAL: ISSUED BY: OFFICE -Jpw* Kangas Faulk Engineers Sutvoyors . Flannois April 28. 1999 960069 a 0 Chuck Schoenberger O'Bren Group 2001 Winward Way,Suite 200 San Mateo,CA 94404 Subject; Oak Vallcy—foundation Verification Dear Chuck, On April 15 and April 28, 1999 we performed a field survey of the location of the foundation forms for tic building, being constructed on Lot S-04., Lot 5.05. Lot 5.06, Lot 5.07, Lot 5-08, Lot 5.09, Lot 5.10 and Lot 5.11 of the Oak va:icy prQl= in Cupertino. _ The results of d'.ct survey:Icnrly show that the location of tho foundrion forms are coosistert and 1, confomiance wl::i the dasi;n locnmm o!rhe bui'dirys,as said Inwtions are s'nuwn on the plans prepared by our firm This !tact is intended to prov:dc yeu with the verification of those units per our survey. If;hero are any Other questions concerning shot I=Lriun,please do not hesitate to call. Sincerely. `r0 LM1170 S' G'ps fiF60L:f A BIL80 BRIAN KAF+VAS I'OULK 4 UR 3.01/02 k' Bradley A. Bil'oo +.L.S. 6!4I J, iie. 6141 ���' Project Manager /E U� Survey Department - OF 0�t\4 540 Ftice Avanue . ; :cad City,CA 94063 • (650)482.6330 . FAX 10501462.6055 • Brian Kangas Faulk Engineers e Surveyors • Planners • April 28, 1999 960069-50 Chuck Schoenberger O'Brien Group 2001 Winward Way, Suite 200 San Mateo,CA 94404 Subject: Oak Valley—Foundation Verification Dear Chuck, On April 15 and April 28, 1999 we performed a field survey of the location of the foundation forms for the buildings being constructed on Lot 5.04, Lot 5.05, Lot 5-06, Lot 5-07, Lot 5=08,'Lot 5-09, Lot 5-10 and Lot 5-11 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 conformance with the design location of the buildings,as said locations are shown on the plans prepared by our firm. This letter is intended to provide you with the verification of those units per our survey. If there are any • other questions conceming that location, please,do not hesitate to call. Sincerely, 25�o t pttD sG� BRADLEY A BILBO BRIAN KA AS FOULK IXC 3/31/02 Bradley A. Bilbo P.L.S. 6141 n� No. 6141 Project Manager 9T, I Survey Department c OF CAr vJ • 540 Price Avenue . Redwood City,CA 94063 . (650)482.6300 . FAX(650)482.6399 • ENGINEERING WEST INC. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO,CA. 1Dl1858 PAGE 2 OF 3 UNIT Lot Plan OPTION Fdn. AB'S 1st8o3r Roololy Ext Ely Basic 1 3E 3 3/25/99 / 07/27/99 59 5 2 BMR 0921/99 N/A 5 3 _BMR 0921/99 N/A 5 4 4C 2 04-29-99 06/04/99 07 99 10/01/99 1UA)11JJ 5 5 6A 21BONUS O4-29-99 06/04/99 06/17/99 0922/99 0922199 /11/99 5 6 2A 3 1 04.29 99 06/04/99 06/14/99 0920/99 0920/99 *(3) 5 7 5C 2/BONUS 2 04-29-99 08/04/99 06/11199 09/15/99 09/15/99 10/01/99 5 8 2B 3 04/19/99 06/11/99 06/11/99 09/09/99 09/09/99 0924/99 5 9 3D 2 04/19/99 06/04/99 06107/99 09/03199 09/03199 0921199 5 10 6B 2/BONUS 04/19/99 0528/99 09/03199 09/03/99 0920199 5 11 4C 3 04-20.99 0527/99 0829199 0829/99 0928199 5 12 6D 3/BONUS 04/01/99 0521199 0823/99 0823/99 09115/99 5 13 3C 3/BONUS 04/01/99 0527/99 08118/99 08/13/99 09/03/99 5 14 6E 2/BONUS 04/01/99 07102199 08/18/99 08/18/99 0829199 5 15 3A 3/13ONUS 04/01/99 05/17/99 08/10/99 08/12/99 0823199 5 16 5 17 5r 18 S 19 5 20 5 21 5B 08/18199 10/14199 5 22 7C 06/18/99 0927/99 5 23. 1C 08/18/99 09/17/99 • 5 24 7A 2 0723/99 0927/99 10-4-09 _ 5 25 5 26 5 27 1B 2 05/07/99 06/11/99 0629/99 10/04/99 10/04/99 10/11/99 5 28 7B 2 05/07/99 08/11/99 0629/99 10/07/99 10/14/99 10/14/99 5 29 10 2 05-10-99 06/16/99 07/09/99 10/18/99 10/18/99 10/18/99 5 30 BMR 5 31 BMR 5 32 4A 1 3 0526/99 07/14/99 0728199 5 33 2A 1 3 05/07/99 07/02/99 07/1299 5 34 3B 2 05107/99 07/07/99 0723199 5 35 5B 3/BONUS 0526199 07/07/99 1 0726199 5. 38 5 37 2G 2 0623/99 y 07/18/99 072659 5 38 3E 1 — - O6r231y9 �i'O�/dg r CDi12�a ' _......_., 5 39 6A --..3 CG3196 01101W . :1d/16.99 5 4c. HC 2.,GCNUS +)7,titrtI '99 i `— 5 41 3A 07/0859 0720199 OB/23199 (1) LOT 6 PLAN 2A 6 LOT 7 PLAN SC 'OID NOT OBSERVE PIERS. '(2)DBL SIDED SHEAR WALLS '(3) FLR.NAIUNG • �n • a nrrT r,R,7 Aft 1+ 1C-AM F1A11')4771JTF7N7 .1/T : Tn FR-54T-a Or) DATE JOB NO Consulting Engineers and Scientists 2v/9'7 9 425 ROLAND WAY PROJECT OAKLAND, CA 94621 04 k a 1(1 4 - O ',j • . (510) 568-4001 LOCATION / /��I I •'• CUOf TO .� ( i, f A/ l.).n U F• Y 1�1 C� l C < }� CONTRACTOR OWNER 13 Data Yf'r> /(tel 7tJP •et Hours Charged To Project =/.L� Nuclear Density Teats PRESENTATSIflf/ .. / CI0AJ Flea Task Number 7-4( / Concrete cylinders . THE FOLLOWING WAS NOTED: / r'r-e "A) ( rn r k I-e 5r ?r) O-p •e mow•-+ _S.rA-v �0 . !n..JC-14- _ F fao7'1 n. 0 r 107 <. Ste. r 5- J .S- c,,...,�A :U"e, r�i c ✓ i'ocir.`rl ti aI J �JT S' 7 . • (.<�AJ r.�ti.J' u1 GN CR r� Ll.�/n„I 1' VIICIC Y�-D ur�.,•�f%I J�<"�/'^�:1' /Z )rJ/� i/vw-r� v"r m, C+..,j,, rl.�)4)'j U'v r.l 1'Jnf n. Irl✓w) 5 Ll rIt i? VC . /.. :'n.J;.,.y,: ; .J r.1lr✓ A I �- (cAJc-4e rL6AI04/1 ,.1AJe5 ✓ -- 5/1C �G r #5 cin 5rt6 11 o c_ ttti c+4C TA t14-J ra! e.0rf55 • �,•.7 1`� 5 (�.,.a ( "J�� 4'.lri'' iC+.tD °l� A / fCw.O (�f) 7✓u<{(. T , -It 6A r, Jl Tl u'f 9.+wF1 V. ri.r lD 3, Z�J 'I �DIO 'Lop, w5)4313 8;33Aw 9;311 9 3 , c 73 73 6 s I lPosl9,q iC;d2Ati Iz:rsP,,, /Geri r, te S7,fv—r6k Z_5 �Jj — �T ' rrl l f.✓6,r r .a -AS D �A (.e — 2Z 0 r w . COPIES TO ) -;+ / 'li ✓kAgr - (I toe (Sal l! �hL� W 1 �� SIGNED t ((( dBRIEN GROUP trick Burke From: Jim Ripley(SMTP:ripleydg@pacbell.net) Sant: Monday, March 08, 1999 2:26 AM To: PAT BURKE Subject: OAK VALLEY Pat Burke Oak Valley Cupertino, CA. Reference: Linear parkway planting, Pal, All planlings within the linear park are consistent with the landscape construction documents prepared by this office andreviewed by the city on March 1998 and conform with the preliminary approval doumenls, James A. Ripley Ripley Design Group, Inc. FINAL PLANNING SIGN OFF DATE �� s SIGNATURE � e-{o --r N5O WAY,SHITE 200,SAN MATEO,CALIFORNIA 94404-2473 TELEPHONE(650)377.0300 FACSIMILE(650)349.2442 G wvl�wrl Myrrh I. 1998 .INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R • Site 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 SYSTEMS: Heating Equipment Equip. N of Efficiency Duct Duct or Heating Heating Type(pkg. CEC Certified Mfr Name Identical (AFUE,ete.)l Location Piping Load Capacity heal um and Model Number Systems 2CF-IR value attic etc. R-value (Btu/hr) Btuthr OA16L IQ D JAMJ a�9Rayeye-/� 1# ZL_ Cooling Equipment Equip. CEC Certified Compressor N of Efficiency Duct Cooling Cooling Type(pkg. Unit Mfr Name and Identical (SEER etc.), Location Duct Load Capacity heat um Model Number Systems 2CF-IR value attic etc. R-value tuyhr tides fs?• , VAIW00 T 38CKG0?o /Os39/L r7ooL 2Nb yf"` JPCI&r o 3o _1 /o..O>A AT/,C q. Z 1. >reads greater than or equal to. I,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 EiTictency 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 Recir- 0 o Rated' Tank Effi- External Heater CEC Certified Mfr Type(Std, culation, Identical Input(kw Volume clency' Standby' Insulation Type Name&Model Number Point-of-Use) Control Type Systems or Btufhr) (gallons) (EF,RE) Loss(%) R-value ... 2 For small gas storage(rated input of less than or equal to 75,000 BtAr),electric resistance 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 111. 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-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 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 GOASE Y�.Jarrja� Ccrctr^actcn•s, tr,e. INSULATION CERTIFICATION xns Pa&o=Blvd. • MwtnQz.CA 54558 • Th s is to certify that insulation has been installed in conformance with the current energy regulations: California Admini alive Code, Title 2;, State of California, the building located at: SITE ADDRESS: J 4 { µ vhj i � 1– -- FLOORS: d Manufacturer OWENS CORNING Thlckness(Type k) 1 ; R-Value ?~TERMOR WALLS: (✓' R•Value_ Manuiamurer OWENS CORNING Thickness/Typeo CEILINGS: BATTS: Mamftcturer OWENS CORyING._ Thickness/Type fI .6 _R-Value SL.OWN: Manufacturer dW/EN�1 CORNING— ThicknesslType R-Value ��7( 1VQigMJF38g 35 -_-- Sq. Ft. Covered i(;�"• —F Bags used J6 _ AMP. INFILTRATION SEALANT INSTALLED: YES NO ❑ �L. n, ^�1^AACTOR �lI i k •V { T -� UCENSE #� DATF_ : COAST iWMk X AT" COafTIRACTCRS, INC. LICENSE # 4&5440 CC2 7iTLE- r�i' it DATEi�— Aug 20 99 05: 10p KELLER LBR SALES 530-246-0796 p. 5 6487 OF T10% \� �. IALCI 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 CONSTRUCTION (RITC)and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC At 90.1-1992, Structural Glued Laminated Timber,and that such manufacture has been at our plant In Drain, 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 Z07- 5 JOB NAME: Keller Lumber SalesF Inc. for Stock JOB LOCATION: Redding r CA PO# 6487 E-05-98 4017-D CUSTOMERS ORDER NO. DAT MFGR'9 ORDER N0. SUNNYVALE POfi 39264 6-3/4 x 19-1/2 x 23' -7a E_ 1110F 1111 111F 4 SIGNATURE COMPANY ��-La<B TITLE �ality Control ADDRESS PO Box 2970 brain, OR DATE 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. AITC Certificate NO. 92- 047752 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION RECEIVE • NOV 2 41998 KELLER LBR. SALES ®1992 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AITC FORM IBC