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S 2404pool ICAMTTO FILL IN INFORMATION WITHIN RFn LINES - USE BALL POINT PEN ONLY BUILDING CITY OF CUPERTINO PLUMBING IV BUILDING DIVISIONAPPLICATION/PERMIT ^ I/,DING PERMIT NO. "-OITryT'eA(-//LT1� BUILUINGAWRESS: SANITARY NOPPLICAI'IO�N.S:.UATBMl.DATE oo WNER'S S LEND RNAME:NIC CONTROL#ON E:1 / `7 �OARENG EE V DURESS PH : - BUILDING PERMIT INFO— IT87 PLUMB _ MECH, Bc✓LUG�J/ rLfJi ' ❑ Consultant Fees Paid by Applicant (Initial) . LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm mal I am licensed under provisions of Chapmx 9 (coact Bing with Seinien9000of Divis' Sof the Busthessa d Prof 'o �dc,a my licenee ie In full fit" nd once QTY ;.L `ELECTRIC PERMIT FEE t .. JOB DESCRIPTION RE EN IAL: DWI, ❑ KITCHEN REMODEL. PERMIT ISSUANCE APPLIANCES -RESIDENTIAL License Ci Lic.N Dam Contmctnr El ADDITION El PLUMBING REPIPE ❑MUL'I'1-UNIT MODIFICATION [I INTERIOR L1 CHIMNEY REPAIR IMPROVEMENT ❑SWIMMING POOLS ARCIII'1'ECT'S DF.CL lundersmm ry ensxhnll be need us publle Beards pgNE1,S UP'10200 AMPS I Kersul Pnefwsional 201-1000AMPS OWNEUBUILDER DECLARATION I hmreby air.—that 1 oro exempt from IM1e Contractors Llcema Law far aha following rweon. (Section 903L5, Business and Professions Cede. Any city or tummy El BATH REMODEURIFAIR (]DEMOLITION ❑ OTHER _ OVER IUUt1AMPS SIGNS ELECTRICAL 'which nyutres a permit to construct, aRu, ingrzovc, demolish, or repair any nmcmre ,to, b; its issuance, also reymreuheappliaz t buttoM1 pvmit to file ndgned statement SPECIAL CIRCUI C/MISC. tl,.r he i, licenseda tt he lootionns ofth Contractor s License L ICEpter9 ondurnmeraing W1hSection 9000 of Division 3 ofth Rosiness ad Protestants Code) (it that he's exempt therefrom and IM1e has,z lot the alleged excitation Any violation of Sermon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of TEMP ME' IHR OR POLE INS' I� COMMERCIAL NEW BLDG/ADDITION ❑ DEMOLITION ❑TENANT ❑ FOOD SERVICE POWER DEVICES not hon, than Eve hundred dollars ($500 L94as owner of the property, or my employees with wages as their solo campcnsation. will dome work, and the limtnreIsad, intended or Witted Battle (So,. 7044, But nes, and Profesdons Code: The Contractor's License Law does not apply to an owner of Lia own employees, provided that such improvements em not intended ar offered for hispoicirtyown who builds or improves thsuch o and who docs such tints dedm, of (red For none ycaroftvrovetinnhe sn1e.11;hower will haveofpemenl thatheaur- r -builder will have Ilam burden u1 proving that he did not built[ or improve for cover IMPROVEMENT ❑OTHER SWIM M ING POOL ELE' IC OUTLETS - SWI �S- FIXTURES NEW RESIDENT EL � SQ FT, SQ. IT. FLUOR AREA $ISp. PC. -7- 3 '1 DOTAL re acosale.). 1, as ownund the property, am exclusively P museum, with ,)oohed contractors to draw a Nap not (See, o an Business and rly Wh Mui Cade) TM1c Comrador, Li- Lawdoeunatapply man Withacafpmperty whosedporinnprothe Corton,and who wntradx for such projects with uean¢eaor(s)liunsrd pnnuunlm the Gmmcem's who 3 � � • y �% �{.)f.S L/' � QTY. �., .PLUMBING PERMIT FEE - License law. PERMIT ISSUANCE W - ❑IamexemptunderSeo, , B A, P C for this reason ALTER -DRAIN S, VENT- WATER (EA) VALUATION w 3o'1 6 ,oI/ Dam Owner ' WORKER'S COMPENSATION DECLARATION I M1cmby affirm under pcnaltynrp jury one or tho following dwlwauans: I bastard willmanti i. o Ccdifrte of Cnnscmmself-insure for Workers Camped- BACK FLOW PROTECT. DEVICE DRAINS- FLOOR ROOF, AREA. CONU STORIES YYPECONSTRUCGON sion, as provided f bySection 3900 of the Labor Code. for the Irl 'e of the ..,k for Whichtti p t d. FIXTURES PER TRAP ❑1have J Will morimain Workers Conipat' Insurance as pointed bySection 3700ol the Labor Code,f the ps, formianosol he workfor ecti hth p rrcft isisst cd. GAS EA. SYSTEM -1 INC. 4 OU'I LETS OCC. GROUP APN GAS- EA. SYS'I EM -OVER 4(EA) My Workers n{tatmtton Ran nc d Policy numher car Carrier: - 'EXE ) 1' COM PENSA'1'IONINSUR CE OREASEIINUUSTRI. WAS'1'EINTF.RCEPI'OR o- e i RUBINGOIVISIODf m GREASETRAP ,WEB- RY-S MEA. 11'. 1. PI.ANCHEC P L I � © (Thissecnan y�a{�y�t(yJa py}y},t/�I t y c hundred dollar, ($100) of less.) �[M1 P 0,6WT 1A IecnifY thntm pc 11111115555 [ Iddd t spo,mit is Lreucd,lshnll Ton employ any person in any manner so is to become subject m the Workers Compen- ' sation Laws of California, Date Applicant IGRA ENERG F r t `' a TER {EATER WNM�'1'/ELF.CTR RJ ,E j NO'T'ICE TU APPLICANT: If, after nmhng this Certificate of itu mpuon, you sI Id t beeime subject m the Warker'n Compensation Provisions of the Labor Code you Bun s forthwith comply wont such ProvAlansor this permit shall bedeemW revoked. V,'AI'R Y9 Ea�Vf AT WATHR SERVICE SDI - NEW RE SI DENTIAL ELMB. Q. FII CONSTRUCTION LENDING AGENCY I hereby aRrmntat there is it construction lending agency lin the perromnanec of the work for which this pennhls issued (Sec 3097,Civ. C.) PAID Date Rupp " l TOTAL: Larder's Naim Leaders Address TOTAL . BUILDING PBB SEISMIC FEE I I certify that I factorize his application and sWm that the above informannn is j e rrect. I agree to comply with all city and county ardinanees and state laws relating to building construction, and hereby authonW, representahvcs of thin city to anter upfm the - ,QTY. MECHANICAL PERMIT FEE f above-mentioned property far inspection puppies. (We) agree m snva, Indemnify and keep harmless the City of Cupertino against habilities,judgancia redistrict expenseswhich may in any way name egninstsuid City PERMIT ISSUANCE 1 6i L'hF.CfRIC P' ALOES OR ADDTO MECH. PLUMBING't in consequence of "the graining of this period. APPLI ANT UNDERSTANDS AND WILL COMPLY WI' CI ALL N -POINT AIR HANDLING UNI 'I'(TO 10,000 CEM) MECHANICALF S( ]IREGULATI �" AIR HANDLING UNIT (OVF,R 10,000CFM) CONS'HRUCTIO :1'AX EXHAUST HOOD(W/UUCP) HOUSING MURt IONIII S lgmltareo Appllwnl ahmpol Dn HAZARDOUS MATERIALS DISCLOSURE Will the applicant or furore building ocou,nI.,a a or handle ficndomadmerial as defined by he Cupertino Municipal Codes Chapter 9. 12, and he Health and Safety Cuda. Section 255320)? ElYe, G/11 HDA'DNG UNI'I(TO 100,000 RTU) HEATING UNIT (OVER 100,000 BIU) PAID Date Receipt# VENTILATION I-AN(SINGLE RE SID) WIII the applicant or forum building ceeupent use equipment car devices which ren haznrdnm air contamlnanls uq dellaed by the Bay Area Air Quality Management BOILER (311P OR 100,000 BTU) L HOILER-COMP(OVER IW,UIp H' IT) is DislridP ❑vas LLL2 AIR CONDITIONER ISSUANCE DATE ^ i"1 �1 2- 7 - I have read the hazardous mamrials re9mrmnents undo, Chapter 6.95 of the Cult- martiuJIVIald, A, Safety Code Sopron, 25505 25533 d 25534 J emill that if the bmf Ld ncu��$$!G�I 1 ntthlt Y .pcasib'lyt ilYt coca pont o I .. ofa� v 'O Beman or, NEW RESIDENTIAL MECH. SQ. FT. TOTAL: . ISSUED BY: 17- Owns car nl ale ul-rlGt ADDITIONAL PERMIT FEES f i BUILDING PROJECT IDENTIFICATION 1 BUNILDI.. NP R1' A FEE SUMMARY BUILDING '3j6 CONiF Ac* as —� N{ I �+ PLAN CHECK FEE O o rONToNrnncroNs 1L1� { -0� 2 on i M� CY oNs SEISMIC FEE ^1 DTV. ELECTRIC PERMIT FEE EpeV ELECTRIC I� UTLETS- SWITCHES -RECEP LIGHTING FIXTURES PLUMBING APPLIANCES - RESIDENTIAL Z Z PANELS SIGNS F: O SIGNS TRANS. SPECIAL CIRCUIT METER OR POLE INS. PERMIT VALIDATIONEMP. ISSUANCE DATE LU > SERVICE CHANGE CL 0 CITY. PLUMBING PERMIT FEE 1 ELECT. ❑ I NECK U O BACK FLOW PROTECT. DEVICE �J o DRAINS -FLOOR, ROOF, AREA,COND. LL I- GAS-EA.SYSTEM-11NC.40UTLETS GAS - EA. SYSTEM - OVER 4(EA.) INDUSTRIAL WASTE INTER. 0 LAWN SPRINKLERS - OVER 5 (EA.) SEWER -SANITARY -STORM EA. 200f1/ WATER HEATER W/VENT a } WATER TREATING EQUIP. TOTAL z 'a APPLIANCE AIR HANDLING UNIT (TO 10=C.F.M.) AIR HANDLING UNIT (OVER 10CCO C.F.M.) i. I I HEATING UNIT (OVER 100,000 B.T.U.) , • j BCH LER COMP Io�+ too.000 Brul see ceE SCN. TOTAL f ADDITIONAL PERMIT FEES f i BUILDING PROJECT IDENTIFICATION VALUATION 2 0O0 BUNILDI.. NP R1' A FEE SUMMARY BUILDING '3j6 CONiF Ac* as —� N{ I �+ PLAN CHECK FEE O o rONToNrnncroNs 1L1� { -0� 2 on i M� CY oNs SEISMIC FEE ^1 DTV. ELECTRIC PERMIT FEE EpeV ELECTRIC I� UTLETS- SWITCHES -RECEP LIGHTING FIXTURES PLUMBING APPLIANCES - RESIDENTIAL MECHANICAL / PANELS SIGNS TOTAL JJ -/ 7Jt „O SIGNS TRANS. SPECIAL CIRCUIT METER OR POLE INS. PERMIT VALIDATIONEMP. ISSUANCE DATE MOTORS SEE FEE SCH. SERVICE CHANGE TOTAL CITY. PLUMBING PERMIT FEE BLDG. ❑ ELECT. ❑ vw. NECK ALTER -DRAIN & VENT -WATER IEA.1 BACK FLOW PROTECT. DEVICE �J o DRAINS -FLOOR, ROOF, AREA,COND. FIXTURES - PER TRAP GAS-EA.SYSTEM-11NC.40UTLETS GAS - EA. SYSTEM - OVER 4(EA.) INDUSTRIAL WASTE INTER. LAWN SPRINKLERS - 1 INC 5 V.B. LAWN SPRINKLERS - OVER 5 (EA.) SEWER -SANITARY -STORM EA. 200f1/ WATER HEATER W/VENT WATER SYSTEM WATER TREATING EQUIP. TOTAL GTY, MECHANICAL PERMIT FEE ALTER OR ADD TO MEER. APPLIANCE AIR HANDLING UNIT (TO 10=C.F.M.) AIR HANDLING UNIT (OVER 10CCO C.F.M.) EXHAUST HOOD (WITH DUCT) HEATING UNIT (TO 100,000 B.T.U.) HEATING UNIT (OVER 100,000 B.T.U.) VENTILATION FAN (SINGLE) BOILER -COMPO HAD, 100,000 B.T.U.) BCH LER COMP Io�+ too.000 Brul see ceE SCN. TOTAL v; fi ) Brian Kangas FmIk EnOfn??rs • Sorvpynrs • Plannprs March '1, 1999 960069-50 Chuck Schoenberger O'Brien Group 2001 Winward Way, S6iie 200 3dn lvfdwo, CA 94404 Subject: Oak Valley — Foundation Verification Dcdr Chuck, �- -iI-e--. Or. Mach 30, ;999 we performed a field sari ey of the location of the foundation forms for the bul!din s being constructed on Lot 5-12. Lot 5.13: Lot 5.14 and .Lot 5-I of the 7tk VaUzy project in Cupertino. The results of that surve} clearly show that the location of the fcundaticn fonu are consistent and in conformance with the design location of tic buildin:rs, as said locations are s`tcwn on the plans prepared by our fires. This letter is intended to provide you with the verification of those units oer ou. survey. It there arc any UMLIF LILMINN L'UlIN1111%) 11191 !MAUI. pIUJ�L UU IIL1L lZiLAII LU Ldll. Sincerely, ,6 SKIAN KANGAS FOU --.K Bradley A. Biibo P.L.S. 61,11 Project Stanger survey Depatvncnt BRADLEY A. B'LBO'" EP 3i3IM N.c. 0:41 540 Pr:ce Avenue • Radwood Circ, CA 94063 . ;65014E253Ou =AA (550) 4OZ•5399 zoizo'd zttzcte ON, :{F a ROD NEiK,0 _L GM0 NOW 66-Oi-�y1 • • zK.HII b:HIAnM� FVU.X Brian Kangas Faulk Engineers . Surveyors . Planners March 31, 1999 960069.50 Chuck Schoenberger O'Brien Croup 2001 Winward Way, Suite 200 San Mateo, CA 94404 Subject: Oak Valley — Foundation Verification Doer Chuck, t PD. 3U1 F' G, ,` On March 30, 1999 we performe of the location of the foundation forms for the buildings being constructed on Lot S• 14 and Lot 5.1 S of the Oak Valley project in Cupertino. Tire results of that survey clearly show that the location of the foundation forms aro consistent and in conformance with the design locaricn of the buildings, as said locations aro 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 aro any other questions concerning dint location, please do not hesimm to call. Sincerely, BRIAN KANGAS FOULK '-adley A. Bilbo P.L,S, 6141 Fi oject Manager Survey Doporument BIVI)LEY P. 61 00 1 " EXP. 3/91/02 J ♦ No. 6141 tee% 940 Price Avenuo a A+!dar41d Cin(. CA 64063 . I85014U.6300 a PAC 10501 Q2.VM ENGINEERING WEST INC. OBSERVATION CHART 10/18/99 OAK VALLEY DEVELOPMENT CUPERTINO, CA, ' (1) LOT 6 PLAN 216 LOT 7 PLAN 5C DID NOT OBSERVE PIERS, *(2)DBL SIDED SHEAR WALLS •(3) FLR. NAIUNG 11 _y Joe t4 LATE ?onsu/ting Engineers and Scientists . 3� 3t -'F 9 caro •Ana r PROJECT 425 ROLAND WAYoK a /�r, cid KL 42 ba4� OAAND, CA 94621 L CA,*a (510) 568.4001 ! n /+ CON TOR OWNER 0 nr ryy_yNS2 `hr 3r 0-1 'cI,1 P I WEATHER ,EYP. .:. iQ�at AM late Ir'1 1 -r 11 3119G9 l�;Z-���e 4 fa rf1.... /' .ylj'&t - PM PREBEM AT TE burs Charged To PrOiect Nuclear Derteity Teets r u /•l -u /' ` ied Task Number TAl 1 Concrete Cylinders' t' 'HE FOLLOWING WAS NOTED: lscr �h` tiofsS/i 1n � Fr r r . PLC EZ 4,,1r . ti9eI- 5 4/le1t SFII Cie yl 1 1r 't -M InG�T+��- 4 e,e- G ✓'G �u r � t r• � �n 't 'T�'tP f� I COPIES TO 7'1ci` r .'CH /---' lr FO[[�D SIGNED r' y O'BRIEN �q Le GROUP 'm Jim Ripley(SMTp:rlpleydg(�pacbell.netJ It: ; Monday, March 08, 1999 2:26 AM ject: PAT BURKE OAK VALLEY Burke Valley rano, CA �'L�t FINAL PLANNING SIGN OFF 'encs: Linear parkway planting. DATE << 169 ;. ntings within the linear park are consistent with the landscape + Com/ uction documents prepared by this office and reviewed by the city. SIGNATURE rch 1998 and conform with the preliminary approval doumenls. A. Ripley Design Group, Inc. • SIIITF. 200, SAN MATEO, CALIFORNIA 94404.2473 TRLEPHONE (650) 377.0300 • COAST Insulation Contractors, Inc. 1086 N. 11th St. • San Jose, CA 95112 l J U INSULATION CERTIFICATION 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 ADDRES$'k;., FLOORS: Manufacturer OWENS CORNING Thickness/Type tf� W1�y R -Value Wa , P EXTERIOR WALLS: Manufacturer OWENS CORNING Thickness/Type 312 R -Value CEILINGS: BATTS: Manufacturer OWENS CORNING Thickness/TypeJ2- AD'/ R -Value 3g I P BLOWN: Manufacturer OWENS CORNING Thickness/type 15tL R -Value Weight/Bag 35 Sq. Ft. Covered -Rq2 # Bags Used O AIR INFILTRATION SEALANT��� INSTALLED: YES Ex NO F7 GENERAL CONTRACTOR CJrfjk. .f7 6A§4 LICENSE # BY: TITLE: DATE COAST INSULAT ON CONTRACTORS, INC. (�c LICENSE # ,-2 _ BY: TITLE: fes? DATE: J?041 a to/�3oNus DoT 5-13 INSTALLATION CERTIFICATE (page 1 of 4) — CF -6R Site Address Permit Number astallation 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 SYST .MS: Heating Equipment Equip. qof Etncieney Duct Duct or Heating Heating Type (pkg. CEC Certified Mfr Name Identical (AFUE, ete.)t Location Piping Load Capacity .7f?G1eeloy"L /DS&aK /7m/2. 2 3AMI-cGI tio3o _' /o l a&Ah"/G M zg, 1,3 V 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. W`�' Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Distribution If Recir- At of Rated' Tank EM- External Heater CEC Certified Mfr Type (Sid, culalion, Identical Input (kW Volume ciencys Standbys Insulation Type Name R Model Number Point-nf-Use) Control Type Systems or Btu/hr) (gallons) (EF, RE) Lou (%) R -value 2 For small gas storage (rated input or less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water beaten (rated input of greater than 75,000 BtWhr), list Recovery Efficiency, Standby Lou 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 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 Ejiciency 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 �OPY TO: Building Department Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Z6?Zl o Cooling Equipment Equip. CEC Certified Compressor g of Efficiency Duct Cooling Cooling Type (pkg. Unit Mfr Name and Identical (SEEM etc.)' Location Duct Load Capacity .7f?G1eeloy"L /DS&aK /7m/2. 2 3AMI-cGI tio3o _' /o l a&Ah"/G M zg, 1,3 V 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. W`�' Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Distribution If Recir- At of Rated' Tank EM- External Heater CEC Certified Mfr Type (Sid, culalion, Identical Input (kW Volume ciencys Standbys Insulation Type Name R Model Number Point-nf-Use) Control Type Systems or Btu/hr) (gallons) (EF, RE) Lou (%) R -value 2 For small gas storage (rated input or less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water beaten (rated input of greater than 75,000 BtWhr), list Recovery Efficiency, Standby Lou 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 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 Ejiciency 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 �OPY TO: Building Department Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner r1f;K. 3_..1 7y1Z 10 L':171'I :3R_=11i I HI i!G ,z FOULK Brian Kangas fouik 6n01aeers . Surveyors • Planners March $1, 1999 960069-50 Chuck Schoenberger O'Brien Group 20DI Wlnward Way, Suite 200 San Mateo, CA 94404 Subject: Oak Valley — Foundation Verification Dear Chuck, HID. 301 F.2•'2 On March 30, 1999 we performed a field survey of this location of the foundation forms for the buildings being cottsiructed on Lot 5.12, Lolt. -l31 Lot 5.14 and Lot 5-15 of the Oak Velloy project in Cupertino, The results of that survey clearly scow that the location of the foundation forms are consistent and in confonrance with the design location of the buildings, as said locations arc 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 location, please do not hesitate to call. Sincerely, 1hND Sego • r ' u �p =' eluDLer A. caao � BRIAN KANGAS FOULK * EXP. 3/91/02 0-adley A. Blibo P.L.S. 6141 if, No. 6141 ; i eject Manager qrf FO�� Survey Department SOF ChO 940 Price Avenmt a R, dvauid Cin(. CA 64063 . (650)482.6300 . FAX B5Di 462 -TM