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S 2403 JAPPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMII'NO,
BUILDING DIVISION APPLICATIONIPERMIT PLIPHI NG-MECHANICAL S 2403
IIUII,DING I'ROJECT IDIiN'DFICAT'ION
JARII'i)l
ADD�� ) �J / � 0I i ' / SANI�1-N0. AI'1'LICATION SUNMITTAL DA'1'I?
OWNN E: P NE: �•w CONTRACTOR'S NAME: LIC NO.
NIC CONTROL 0
,INIiER: J�V /N ADDRESS: ❑ `� /
ONTACI: PHONE: IV BUILDING PERMIT[NFO
/7/�_O ❑ Consultant Fees Paid by Applicant(Initial) BLOC BLEU" PLUMB MECH
ENSED CONTRACTOR'S DECLARATION QTY ELECTRIC PERMIT' FEE
I hereby afforded I am licensed under provision.of Chapter 9(commencing JOB DESCRIPTION
W"WZ with Semion]IX)(Bof Divi:- Sonne Busl"CvsaIP f t yrcenscisTIAL
F00 full furca Wet[c d. PERMIT'ISSUANCE O
�UU Liceve Lisa APPLIANCES-RISIDIiNT1AL []ADDITION ❑1'LUMRING RE-PIPIT
—7 -- y pm� El KITCHEN REMODEL
—
E I. Dae T'SDEllir
ARCHITGCI'S DEC OMULTI-UNIT ❑STRUCTURAL
H�rn PANELS
Z lundercund my plans shallhusnl as pantie rcnnds h10D[PICA'I'ION
OZ—
Z^ UP'I0 200 AMPS
m Liecas"dl Prob-oonW El INTERIOR El CHIMNEY REPAIR
EQ"�+ 2(11-11X)0 AMPS IMPROVEMENT E]SWIMMING POOLS
OWNER-BUILDER DECLARATION
CY J I
OVER IIXI(IAMPS ❑BATH REMOOEI/REPAIR ❑DEMQLITIQN
S C a U , I hereby a(Bnn that 1 1. exempt from the Commuter'sCoe Licence law for the
Ot1.U 'which ingreresa peection]WLABuaiter,and improve.
deiom Co de:Any city or roture SIGNS ELECTRICAL ❑OTHER
II �3lL E"
'which requires a permit to ameWCL aper.Improve.AenuJiah,or repair any structure
F�O(�1rrJ(poor to lis issuance,also rcyuirev me apPlteam for such permit to file a signed statement SPECIAL CIRCUIT'/M
that he is licensed purman to(he poo,konsof the Cantracuo a License law(Chapter 9
aC (commencing with Section 90M)"n>i"idor3othe nosiness and Profesx4,na Collator TEMP.METER OR KCOMMERCIAL:J Pic
a%o dna,he is exempt therefrom and he basin for the alleged exemption.Any violation of 0 NEW BLDG/ADDITION ❑DEMOLITION
�,�y
Seen,,.703 LS by any,,heam for a permit mbjact,the,plier tma civil parody of POWIiR DEVICES
not mere than five hualmddallan($SEX)). ❑TENANT/ El TOO[)SERVICE
N�Q ❑ 1,us owner of the prnpvny,nr my anpinyc"s with wage ns theirxnlu compcnsminn, SWIMMING POOL ELECTRIC OUHE F/MIiNT
will do t heworkandthe frmom,isnot intendedmolgned❑Haste(Sec.]1144,Bushes, ❑0'THIiRj
W^m and Professions Code'I he Contractors License Law does aot apply to na:weer of OUTLETS-SWI ICHES-FIXTURE
. ( j
6 3 property who builds or improves thereon,and who dms such work himml`"r through
his own employees,provided that such improvements arc our intended or offered fur NEW RIS�IAL ELEC1Z
vale.11.howevee the holding or improvement is sold within one year of completion,life SQ.FT FLOOR AREA $/SQ.FI.
er-huilder will have the burden of proving the he did not huild or imp rove far par-
t poseafsar.)
❑1,as owner of the propeny,am exclusively contracting with luctued commebari to
constructthe project(Sec.7014.Business and Professions Code:)The Contractors w� Li-
c Law does not apply to an owner of property ban
y who ds or improves thereon,and QT BUNG PERMIT FEE
whocomnmb rrnaueh Pb,ac"s with aenntacb P)hcunvadpm-an n'he C"nlmanr'a ��
License Lnw. � PER 'ISSUANC
❑ I am exempt under Sec. ,B&P C for this reason
Owner Date AI]ER- IN&VENT-WATER(EA) VALUATION
-2-
WORKER'S COMPENSATION DECLARATION BACK PLOW PROTECT.DEVICE 17
herehy ifGrr under penAty of perjury one of me Iidlowing dIM,a ons: ( C/
. ❑ I have and will maintain a Cenificam of Consent sch-inure for WaZc aCompen- )PAINS-F1, OOF,AR rS'IORI' TYPE CUN.1'RUCI'ION
satire,as provided for by Stttiun 3901 of the Lmam Calc,for the performance of the
ork far which this pe-,it is issued. RHS- RT RT •/v U
I have and will mainmin Walker's Compensation lammnc",a rcyuired by Section
U W1
7700 of the Labor Gide,lin the per(ornunc'eo`the work in which this permit is issued A�/-E EMI C.40GII,li'C OCC,GROUP APN
S-EA.. . .M-OVER 414-0F 7NN
RKERS'S ON E GRIiASP/INDUSIRI.WASTEINTERC B LDINO DIVISIONIliBS
d'fhis Secy nyv I n �ns rcsWnlluts($IUBles.l �d/,A/aQ�. .e I'UtJwhtnispermit isiswcJ,lshull R� I'hANCHI pili LL 2
Ice mII)C:pN'
kemploy any person in any manner so as to become subject m the Workers'Compen- SEWliR-SANITARY-S'IURM ITA.21X1 ENF YI':
Z who9 laws of California.Dam
WATER IIIiA'1'Ek W/VENT/[LECI'R
z 2 Applicant OR 1 'EE
ti % NOfICIi TO APPLICANT:IL total nuking this Cenificntc of Exemption,you should Wq'fHIt SYS"fBMfl'RIiATING
ar^ b<cnine yuhjat to the Worker's Compco,afon pmvisionsol he Labor Code.gnu must S- ?Ii
i� fonhwidh comply with such Provisionsnr,hi,permit shall he deemed revoked. WATER SERVICE
0
U O CONSTRUCTION LENDING
ending NCY NEW RESIDENTIAL I'LMR. PA
I lmmM1yacMnthuuhaeis.cnnmme.30 lending agency fee perhmnunceof U.am Revolt al
w me work for which otic pn'md is ianuul(See.3097,Civ.CJ
Q
Lender Name TOT e
Lenders AJdrcss
t1 I certify the 1 have read this application and sum that the above information is - - - BUILDIN( / O
Fry building agreeuco,and wim all cithari enuntyntaiives ofnistry t enter
ingm QTY. MECHANICAL PERMIT FEE
U� building construction, ,I hereby im,fiori>crc...a,.representatives nnhis cirymenmr upon the SETS '
annve (Weuncid)agremade
G"rounftinn keep ca.
(We)agree m save,inJemnif, d A-ec M1srmless the Ch f Cu g PERMIT ISSUANCE
td(�
yen p City P:ainua stent
Iiabilities,judgmenu,cr.as and expenses which may in anyway aremeagainsdsaid City ALTER OR ADD TO MECIL hIU ,(,
nscy sof thegmntia""`"is permit. 07
r APT, f UNDEHS'TANDS A WILL COMPLY WITH LL N(N-POINT AIR HANDLING ON]](TO 10,00 CPM) 1201
SOU '1 I dFda 10 MEC N ALVEE .1014
AIR HANDLING UNIT()VER 10(an 1 CPM) CONST CDON'IAX Y
Signammol'Applicam/Co lam EXHAUST HOOD IWIDGCq HOUSING MITIGATION FIA:
HAZARDOUS MATERIALS DISCLOSII E
Will the applicant or future bonding:mcupant store or handle hamralnuv maderinl HEATING UNIT(TO 110.000 BTU)
/ as defined by the Cupertino Municipal Code,Chapter 9.12,and the Ilcnlm and Safety
Cock,Section 25532(x)'! HEATING UNIT(OVER 110.000 BTU)
C3 yes VENTILATION FA IN INGLE RES ID) PAID
Um e c pt w
Will me applicant or furore building seaport use eyuipmem or devices which
t emR hvardous air coon inants defined by the Bay Area Air Quality Management BOIhEIt-COMP(341P OR IIXI,UNI I1T11)
District? -
❑Ycx No ROIhF:k-COMP(UVER II10,W0 BTI11
I hove read the haevdous maudals rcyuiremcnts under Chapter b95 of the Cali- AIR CONDITIONER I DATE Q
f" u 11'Rh&Safny Cmde, tiom 25505,25533 un<I 25534.I u demtnnJ dlnm it the NEW RESIDENTIAL MI?Cfl. .Q. '1'. ./
n�n J Jurs.aut.u 'ntI§Ir van at.ma it Tent lid nunlfy mciwcuptmt - / Z'3 —'F-
'e,
� /
..YYrrse' t l e_-i y
h�.t net pd"r m�asd.ary. fi't. r cnpancy. [
authorize agent o� Dam T ISSUED BY.
OFFICE
1
Brian Kangas Wit
lin01n2=rs • 8j,wAyors • Plannprs
March it, 1999
960069-50
Chuck Schocnberger
O'Brien Group
2001 Winward Way,Suite 200
San Maloo.CA 94404
Subject: Oak Valley—Foundation Verification
Drar Chuck,
Or.March 30. 3999 we perforned a field 5x.,.y oftSe location of the fOundation forntS For the bu%ings
being constructed on Lot 5-12.Lot 5.13.Lot 5.14 and Lot 5-15 of rhe Otk Valley project in Cuportinn,
The results orthat survey dearly show that the location of the foundaticn forms are coasisura and in
conformance with the design location of tie buildin;s.as said locations are stown on the plans prepared by
our firm..
This letter s intended to provide,you with the Neriflcation of those units per our survey. If tharu are any
MR]F QUIR 01141'111 NI11111;,8:9t !CM(111111,plUAyp W iIUt IlMRIE lU t.All.
. Sincerely,
,
BRIAN KANGAS FOUIX * :X?3/31/02
Bradley A.Bilbo P.L.S. 6P n kc.C:41 fti
Proiect Manager A
Survey Dopattncnt — .. Tf pc-
5140 Rea Avenue Redwoo9 Glen,CA 94063 • ;650)462.6306 r `ASC 1550)46Z•5399
NlaO 'd 1�tt?Ct£ ON d1108J N31H,0 _Hi CM0 NOW 66-0I-A:yb,
IO;J_,-111 3N_:yll KHhlbm1 FVULlC H0.301 F'.2:2
Brian Kangas Faulk
Engineers a Surveyors a Planners 1
l�
March 31, 1999
960069-50
Chuck Schoenberger
O'Brien Group
20DI Winward Way,Suite 200
San Mateo,CA 94404
Subject: Oak Valley—Foundation Verification
Dear Chuck,
On March 30, 1999 we p ed a field survey of the location of the foundatlon forts for the buildings
being construct 341A tII,Lot 5.14 and Lot 5.15 of the Oak Valley project in Cupertino,
The results of that survoy clearly show that the location of the foundation forms aro 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 diose units per our survey. If there are any
other questions concerning that locadon,please do not hosiuste to call.
Sincerely, IiI! LAND SGS`
• O BRADLEY P.6100
BRIAN KANGAS FOULK +�' EXP.3/91/02
'-adley A. Blibo P.L.S.6141 d, No.6141
�i eject Manager
SurveyD parument OF CAL\F��a
640 Price Av;nun s gndwlxld Clr1..CA 64063 a 16501412.6300 . KX(05D14B2-M
•
• ENGINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO,CA.
10/18/99 PAGE 2 OF 3
UNIT I Lot I Plan I OPTION dn: I AB'S I lstiloor I Roof olyxi DIV l 'Basicfrrmym.
1 1 3E 1 3 1 03125/9907127/99 199
5 1 2—T BMR I 0921/99 N/A
53 R 0921/99 N/A
5 4 _BM4C 2 04-29-99 06/04/99 07 9 10/01/99 10/01199
5 5 6A 2/BONUS O4.29-99 06/04/99 06/17f99 I 0922/99 1 0922/99 /11/99
5 8 2A 3 1 04.29-99 06/04/99 06/14/99 1 09/20199 1 0820/99 1 • 3
5 1 7 1 SC I2/BONUS 2 04-29-99 06/04/99 06/11/99 1 09/15/99 1 08/15/99 1 10/01/99
5 82B 3 04/19/99 06/11/99 08!11199 09!09/99 09,09/99 0924/99
5 9 3D 2 04/19/99 06/04/99 06/07/99 1 09/03/99 09/03/99 0921/99
5 10 6B 2/BONUS 04/19/99 1 1 0528/99 1 09/03/99 1 09/03/99 1 0920/99
5 4C M-20.99 1 1 0527/99 1 0829/99 0829/99 1 0928/99
13 3 O 4/07 9 " -'05127/ 1 08/18199} 1 08113/92' 1"`;09/03/99
5 14 6E 21BONUS 1 04/01/99 07/02/99 08/18/99 08/18/99 0829199
5 15 3A 3/BONUS 04/01/99 1 1 05/17/99 1 08/10/99 08/12/98 1 0823199
5 16
5 17
5 18
5 19
5 20
5 21 58 08/18)99 1 1 10/14/98
5 22 7C 08/18/99 1 0927199
• 5 23 1C 08/18/99 1 09/17199
5 24 7A 2 f 0723/990927199 10-4-99
5 25
5 26
5 27 18 2 1 05/07/99 08/11/99 0629199 1 10/04/99 1 10/04198 1 10/11/99
5 28 782 1 05/07/99 06/11/99 1 0829199 1 10/07/99 1 10/14199 1 10/14/98
5 29 10 2 1 05-10.99 06/16/99 07/09199 1 10/18/98 1 10/18/99 1 10/18!99
5 30BMR
5 311 BMR
5 32 4A 3 0528199 07/14/99 0728199
1 1-
5 33 2A 3 05/07199 1 07/02/99 1 07/1299
5 34 3B 2 05/07/99 07/07/99 1 07/2199
5 35 5B 3/80NUS 0528/99 07/07199 0726199
5 38
5 ��37 2C 2. 0623199 07/18/99 0726,99
5 38 —3i7-' 2 OC/23/x9 ' 0%109/99- COi1Z�9 '_
S 39 6A 3...-.- tC23119 03/10/90 . {dl58:90
5 QG GG Zc--c9%LJJuS—L 07AJ111,9 1 (17,204)91-
5 41 1 3A I 07/08/99 0720/99 08/23'89 W
' (1) LOT 6 PLAN 2A 3 LOT 7 PLAN 5C
•019 NOT OBSERVE PIERS.
0(2)DOL SIDED SHEAR WALLS
'(3) FLR.NAILING
•
I� R 7®
DATE
Jonsulting Engineers and Scientists . 3. 3i • 99 ,coda •�aa `'
PROJECT
425 ROLAND WAY
• OAKLAND, CA 94621 nok . e72r 5 c�N
(510) 568-4001 LOCATION
OWNER
`Mr 3ras o
,to (11n ..nh 31 r4G9 LL'� + Vday .. WEAT,IER TEAY+. ,. 3o'at AM
f a r F l l :y/S at PM
burs Charged To Project Nuclear Density Tests PRESENT AT TE
/ rNl'1!M rr
field Task NumberT"I I�' Concrete Cylinders
O, rF eTt 3 r,
'HE FOLLOWING WAS NOTED:
/ ✓� 1-( C fr¢1 ( I-rLT r,'/r � r li �� rr�
r✓Ie1- uJ, ><M
r �
rIr of sl-ro ,- 13r orS LA-r-A I- ot)e�?ICk 1-1s.. A-il 1-c "k' S•L2
h C
le 1--c I . 't-oal;r e" ice ✓r �^ �
'.l•vurl-n. I -ePl = vie t1' Y4, re'c.,�;.L �cl S`•(3 ro S. iS enr ,l If
tr nil 5 ''l.ce � { cI[� .�(l,,:)0 n I ",� -5
r llr,c( . lbti /r AC Id
lrf �A i- i� l'rr '°c (r� � l ><or' �o�t`_+ (n.�. .. /,(/ �►'S./3 . . T'
J
I , : f''S
rr('i, n ,iq i 1 1-0 J ✓l r'r:,, 1�p I•e. I- [t'" G in t,,e f^ec.._"i `,6 it
G 0(r, y..Gr Yr ',� i e- -7,-n tIIP t'C t,i"lO ..G1.JP F-e_ .r ter• �� ^r
{e • i. ^I\ �)(\r Id �,F r- 1 fY.A , r .a, /n)rf S C i Gu /r, n/• r l:0 --_--
(•,rir�, rn �7r l� ItaGl �-<. �,�r � r5 � � .•r� C.� C� PG�:�
I (J
�J r.r
/r /�rj
I K1
Olt I-e' t I•' `fir' < � P C` I� /J 111,},�J� Ci, rl uj , �l-'(1 Ore r" Cy{'C I Le el r.
CC Cv J'l( f r� Ghn� ��t l' II C( Lill 'r1jr,I C 11 hrtn�U t-la `e bV-e 1
J" e'`(-P(1 JL4.., -7r) •,,,C C 0 6'r" t ,Ir Ic rlC ) sc.', c-p
IrP 1 , (rjr•r �- 'Yr+ Z er^lr //t,/`(� ��`[;'� �(TPG � _
ONES TO IR �'_�� I D O D/
SIGNED
cl IPMT
COAST Insulation Contractors, Inc. INSULATION CERTIFICATION
1086 N. 11th St. • San Jose, CA 95112
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 ADDRESSi :. b
y e•�,
FLOORS: 2I
Manufacturer OWENS CORNING Thickness/Type J R-Value O C Xc
EXTERIOR WALLS:
Manufacturer OWENS CORNING Thickness/Type 4JA1 R-Value ff�-)
CEILINGS: I1,
BATTS: Manufacturer OWENS CORNING Thickness/Type pfC9/q ,qf/� R-Value �I �O
BLOWN: Manufacturer _ OWENS CORNING Thickness/Type OR 1q— / - R-Value �W
Weight/Bag 35 Sq. Ft. Covered _n 2S # Bags Used 13
• AIR INFILTRATION SEALANT INSTALLED: YES NO [:1
GENERAL CONTRACTOR �h�L OfPulrQ�n I�JLAWJ LICENSE #
-'rte_
BY: TITLE: DATE
COAST INSULATION CONTRACTORS, INC. 2 LICENSE # J65A40 C-2
BY: � l�l V(1't TITLE: P)S DATE: rJ
•
n
1� O'BRI EN
JVGROUP
rick Burke
II: Jim Ripley(SMTP:rIPleydg@pacbell,not)
Monday, March 08, 1999 2:28 AM
PAT BURKE
let: OAK VALLEY
irks
alley
Ino, CA.
ice: Linear parkway planting,
:Ings within the linear park are consistent with the landscape '
lion documents prepared by this office and reviewed by the city.
h 1998 and conform with the preliminary approval doumen13,
1. Ripley
esign Group, Inc,
•
FINAL PLANNING SIGN OFF
DATE '
SIGNATURE
•
SUITE 200,SAN MATEO.CALIFORNIA 94 04.2473 TELEPHONE.((S0) 17-y•nann r,��..... .. ..
. . D•�r� //,�-//e�. G /�/r�iu wr�Gi r�� cv,tiFtiauT ,('��Nl,cc
G©T
.INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
tte 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).
$VAC SYSTEMS:
Heating Equipment
Equip. p of Efficiency Duct Duct or Heating Heating
Type(pkg. CEC Certified Mfr Name Identical (AFUE,eto.), Location Piping . Load Capacity
heal um and Model Numbcr Systems --CF-IRvalue attic etc. R-value (Btu/hr) Btu/hr
r� �d,P/JAri. Z C-tz .
Cooling Equipment
Equip. CEC Certlfied Compressor q of Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and identical (SEER,etc.)' Location Duct Load Capacity
heat um Model Number Systems CF-IRvalue attic etc. R-value Btulhr (tou
/�T r
?Nib 1— /q
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.
• ����Lll�,�' L!/Xi',.9'Z)'-5�� S�fE,rKEfO/U/' �Olf�'t�yt!�' 9� IDL'*✓
Signature, Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
W ATFR H .ATIN . SYSTEMS:
Distribution If Recir. 0 o Raleds Tank Etfi- External
Heater CEC Certified Mfr Type(Std, eulatlon, Identical Input(kW Volume cieneys Standbys Insulation
Type Name do Model Number Point-of--Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss(Y.) R-value -
2 For small gas storage(rated input of less than or equal to 75,000 Btulhr),electric reslstance and heat pump water beaten,list Energy Factor.
For large gas storage water healers(rated input of greater than 75,000 BtuAr),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
III.
I, 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
MRR.31.1999 10:31RN BRIRN KANGRS FOULK NO.301 P.2/2
Brian Kangas Faulk
2aableers a Surveyors a Planners
March 31, 1999
960069-50
Chuck Schoenberger
O'Brien Group
20D1 Winward Way,Suite 200
San Mateo,CA 94,404
Subject: Oak Valley—Foundation Verification
Dear Chuck,
On March 30, 1999 we perfbnnpd a field survey of the location of the foundation forms for the buildings
being constricted on Lot'S`12,Lol5-13,Lot 5-14 and Lot 5-15 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 tre verification of those units per our survey. If there are any
other questions concealing that location,please do not hesitate to call.
Sincerely. ig�o LAND SG9`
� BRADLEY A.OILBO �
BRIAN KANGAS FOULK # EXP.3/91/02
D-adley A.BIIbo F.L.S.6141 tp No.8141
'-,cjectManager q ��
Survey Deparbnent or ChUF�
8t0 Price Aucnms a R.!dwnvd Cluf.CA Sa083 . (850);82.o3oo . F,1x 155DI 452.6389
`l�
