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S 3296 APPCtiCANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY ' CITY OF CUPERTINO BUILDING-ELECTRICAL PH ITN° BUILDING DIVISION APPLICATION/PERMIT rl.umnmc MECHANICAL 3296 BUILDING PROJF.QTIDENTIFICATION s s BUILDING ADDRESS: ti SANI'IARV NO. AP CACI UI1{N I'I'1'AL DATE 10869 SYCAMORE DRIVE UNIT 5, LOT 5 +//// //11�y OWNER'S NAME: PHONE: CONTRACTOR'S NAME: LIC NO: NIC CONNTRROL# I� CHITEC(ENGINEER: LIC NO: ADDRESS: ❑ / / 7,w CONTACT: PHONE: BUILDING'PERMIT INFO! ❑ Consultant Feu Paid by Applicant(Initial) B,LLDD,G/_ ELECT PLUMB MECH _ / L LICENSED CO TRAC I'OR S DEC(ARATQ ION ! TY is ELEC,TRIG PERMIT FEE' 1 hereby afford that I licensed d p r Chupten 9(elan g ]OB DESCRIPTION Q%Z with Sec tion 7000)uf D'v'sion3afthellsamosad .. e.' nsC mdmyl'ce.seer r RP NT A W p PERMIT ISSUANCE 'J 1D Fa full fnrse and eB'ect SFDWL - ❑KITCHP.N REMODEL In 6VU Liwnm Ise Cmini APPLIANCES-RESIDENTIAL ❑ADDITION ❑PLUMBINGRE-PIPE F Z Dam Conooctor .nGG ❑MULTI-UNIT Ll STRUCTURAL ARCHITECTS DECLA Pe\N13L5 oyz I undi d my plans shall be lauds,publlereaadv MODIFICATION OzrtinQ UP T02UtIAMPS ❑INTERIOR El CHIMNEY REPAIR Licensed Professional 201-1000AMPS IMPROVEMENT (]SWIMMING POOLS Y OWNER-BUILDERDECLARAI'ION OVER IOW AMPS- ❑BATH REMODEUREPAIR ❑DEMOL.ITION CL Q I hereby alri.m that i ,it exempt from the Canmacmr's License Low far the d U following reason.(Seared 7031.5,Business and pn,fe..ons Code:Any city or county SIGNS ELECTRICAL ❑OTHER W 3 0.yFy which requires a permit m"amarum,alter,improve,datnoliel4 w repair any stmclurc prior to its issuance,also requires the applicant for such permiuo file a signed statement SPECIAL CIRCUI'I'IMISC. '. p�p�ly"4 that he is licensed proman tothe provisions of the Contractor's License Law(Chapter 9 WgrpO (emmencing with Section 71100)of Division 3 ofthc Business and Pmfee'sims Code)or TEMP.METER OR POLE INST. MME L: d c a the he i.exempt therefrom wd the basis far the aIICS�exemption.Any violation of EW DG/ADDITION ❑DEMOLITION uJ m'm Section 7031.5 by any applicant lot a permit.subjects the applicant a civil penalty of POWER DEVICES N ❑FOODSERVICE. 'Z^Qsat mare than five hundred dollars(ESOIp. O IM VEMENT Ql,as awnerofthe prnpeny,nnnyempinyceswithwages ns theirsnlc compensminn, SWIMMING POOL ELECTRIC H2H� will Jo thowork,rola thes0ucmrc is norimendW nropered for mtle(Se.704LBi mess OTHER and Profession,Cade:The Contractor',License Law does not apply m sa owner of OUTLETS-SWI'TCHF,S-FIXTURES p,.,by who builds.........a,thereon,and who does,such work himself...through his own employees,provided that such improvements are not intended or Ancient fur NEW RESIDENTIAL ELECTR SQ F 1p sale.If,however,thebuildie,or improvement is sold within one yearofcompldion,the - SQ Irl'.FLOOR AREA SAO.FT mvarvh-0uihcr will have the huMmn of proving probe did not build or improve for pur- i se of rale.). 'I'OTAI' ❑1,m owner of fle property,am exclusively contracting with licensed emtm.mr,m aast...I the prq{wt(Sea.7044.Business and Professitm,Coln:)The Contractors Li- 3473 9 4. 10 tin Law does not apply taan with ur pro,anyabouts who sed pursuant ant a hethereto.and QTY tt PLUMBING PERMIT ,', _ FEB who cummcu for such projecrs with o cmnmcmr(s)licensed punuam m the Charter T's ' c s Gwnm Low. PERMIT m ISS CB .+ 534 24. 97 I aexempt under Sea ,B&P C far thisrwson JBACK N - ITER(EA) VALUATION Owner Date WORKF.R:S COMPENSATION DECLARATION W PROTECT. I M1einby nlfirm under pemlty of pe jury one of the rdure for declaratimns'. have aid will to,by Stton 3700 of Codmmm elf-Insoinre Workers Gtmpen- LOOR,RO 'I'YPP.CONSTRUCTION ction,as provided Ipl by Section 37IX1 of thn Labor Qde,fnnhe pedormence of the Ll I for which this permit is issued. RAP 1 have a twill al i.fir Worker's Compensation Insurance,s inquired by Section3"100 of the Lahor Codc,for the pulormmca ofihe workf whichthis petnmtm Las d. STEM-I INCA WTLE � OCC.GROUP APN My War�p'!C�om eq liInsure tin ca RcY th 'y' Y E -O B 1Carrier:! "" +CERTLFIC IE EXEMPTION FROM WORKERS' COMPENSATION INSURANCE DUS rRL WASTE IISTEBE & p, NQ IlIVI51 N1 s ti (Tae torn I�nyyyth 1 1 Tthepermtli fore hundrediddlen $too) V. or IssJ �1/ r�/9 I /1t BASE TRAP PLANC K a / Iwnff e RAttrrF/t4o(ficcee66 tye work fa/�7tBl§•(�ennifi�lsS At]nt notemployady person in anymande,soaxm becomes.h at m the Worker, pen- ENERr E '� ,7., ,.tion Laws of California Dote WAFER HEATER WIVEN'F ELECTR ZAffluent - OR EE /1.- NOTICE TO APPLICANT:IF,after mnkln6 tnia Cenifwle of Exemption,gnu should S YSTENITREATINO F beaatne"object to the Worker's Compensation prov,iom al'the Labor Cade,gnu mustSOILS ;P. forthwith comply with such provisions or this permit shall be dented revoked. WATER ftAilLE Q 0.t CONSTRUCTION LENDING AGENCY TIAL PLMR. SQ.FT. PAID I man,offnthatmem iso eonalractiou lending agency for the pert rmanee of Dem Rec LLO m the walk Much this Permit is issued(Sea3097,Civ.C.) TOTAL: ULender's Name Lenders Address TOTAL' y1 cenity the 1 have mad this nppliwtimi and slate that the above information is - -s I BUILDING FEEOJ . am 0 Corre .I agree comply with all city and county n thoraces and state I...rad ing m QTY._ MECHANICAL PERMIT- . . EPEE p (� 4 building amswmion,and hereby authorize representatives orchis city to eller Upon the I SEISM -.R JG n ewe-menhoned pntpeary for lspetion purposes. PERMIT ISSUANCE DP.LE (We)agree to save,Indemnify and keep harmless the City of Caper itto against Cf I liebilitie.,judgments,costs tad esp...a,which may in any way awmoagainal aid City ALTER OR ADD'IG MECH. MEL his Perotil. PLUMB FEL. 9. ' AND WILL COMPLY WITH LL N-POINT AIR HANDLING UNIT(TO 10,000 CPM) /7 q{[���// MECH (CAL PGG (� ��A17 AIR HANDLING UNIT(OVER 10E00CFMj CONS 'RUCfION TAX 3�� ear' L6• 1•Dot, EXHAUST HOOD(W/DUCT) HOUM MITIGATION FEE HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future buildingoccupent store or handle hacrokus tnaeridl HEATING UNI'r(TO 100,(100 BTU) - as dermad by the Cupertino Municipal Code,Chapter 9,12,and the Iheal tIn and Safety - Code,Scedon 25532(x)1 HEATING UNIT'(OVER 100,000 BTU) ❑Yes PAID VENTIhATION FAN(SINGLE IZHSID) Dom ReceiptA Will the applicant furore building occupant use equipmem or devices which .-' BOILER-COMP,OHP OR 1 W,OW BTU) - tit hazardous air conmminanb as Jef led by the Bay Arca Air Quality Munugenem IOTA )i.McIP . BOILER-COME(OVER 1(111,00013111) El 42 �j Nn - - - AIN CONDITIONER I have read the b � 1 � �t 'al reformations t. d Chapter 695 of theCall- � � ISSUANCE DATE to Health&Safety Cad S t 25505 25533 d 25534.I .and that if the NEW RESIDEN LIAL MECH, SQ,Ff. bud gdoe,ambarm dyh qtl t t Y .. 'M1II t f thew of hich us sat pr ormtsunnc ofaC Icy. re Y/ O rorauth ate TOTAWgFin ISSUED BY: OFFICE ,8rian Kangas Faulk EnGineers . Sutvoyore . F13nnar, y , April 28. 1999 960069..'0 Chuck Sehoenbergor O'Brien Oroup 2001 Winward Way,Suite 200 San Mateo,CA 94404 Subject; Okk Volley—Puondation Verification Dear Chuck, On April I! and April 28, 1999 we performed a field survey of tl'e location of the foundation forms for iiie buildings being constructed on Lot 5-C4, Lot 5.05. Lot 5.06, Lot 5.07, Lot 5-D8, Lot 5.09, Lot S.10 and Lm 5.11 of the Oak Wicy project in Cupertino. The result; of(hct survey ci:nrlp show that the location of tha foundation fo:ms are consister t and :n conformance a l;') q:e design location of du buiAings,as snid lotatio is are shuwn on the plans prepared by our firth. This !otter is intcaded to provldc ycu with the verification ordtose unh3 per our survey. If utero arc any other questions concerning',na:Iautiun,please do not hesita is to call, Sincerely, -,O ..... S �� Y / o 6Fh0,_f A BIL60 m BRIAN KA., .45 I'OULK * ap 3.,31/02 {v Bradley A. Bil'ao P.L.S. C it. CJ41 ��' Project Mimag:r �" ,F U� Survey Derartrnent OF C'N 5;8 Frice Avanue . ':;r.caG City,CA 04063 . (950)482.6300 a FAX 10511 482-6590 Brian Kangas fmulk Engineers • Surveyors e 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 ofte foundation forms for die buildings being constructed on Lot 5-04, Lot 5-05, Lot 5.06, Lot 5-07, Lot 5 Lot 5-09, Lot 5-10 and Lot 5-11 of the Oak Valley project in Cupertino. 'lie 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 concerning that location, please do not hesitate to call. Sincerely, IAMU S..t o , BRADLEY A. BILSO t BRIAN KA4e- AS FOULK * UR 3/91/02 "} Bradley A. Bilbo P.L.S. 6141 N� No. 6141 Project Manager Survey Department OF OA0F0. • 540 Price Avenue . Redwood City,CA 94063 . 16501482-6300 . FAX 16501482-6399 • ENGINEERING WEST ING. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO,CA. 10118/99 PAGE 2 OF 3 NIT Lot I Plen OPTION tln, AB'S 1st00or Roo I xt e r 1 3E /98 / 0 2 /9 /99 5 2 BMR 0921199 N/A 5 3 _BMR 0921/99 N/A 5 4 40 2 04-29-99 06/04/99 07 9 10/01/99 10MM 5 5 6A 2/80NUS 04.29.99 06/04MS 06/17/99 0922199 0922/99 /11/99 5 8 2A 3 1 04.29-99 06/04/99 06/14199 0920199 0920/99 3 5 7 5C 2/80NUS 2 04-29-99 06/04/99 06111/99 09115/99 09/15/99 10/01/99 5 6 28 3 04/19/99 08/11/99 06/11/99 09/09/99 09109/99 0924199 5 9 3D 2 04/19/99 06(04/99 06/07/99 09/03/99 09/03/99 0921/99 5 10 1 6B 2/BONUS 04/19/99 0528199 09/03/99 09/03/99 0920/99 5 11 4C 3 04-20-99 0527199 0829/99 0629/99 0928/99 5 12 BD 3/BONUS 04/01/99 0521/99 0823/99 0823/99 09/15/99 5 13 3C 3/90NUS 04/01199 0527/99 08/18/99 08/13/99 09/03/99 5 14 6E 2/BONUS 04/01/99 07/02199 08118/99 06/18/99 0829/99 5 15 3A 3/BONUS 04/01/99 05/17/99 08/10/99 08/12/99 0823/99 5 16 5 17 5 1B 5 19 5 20 5 21 58 08/18199 10/14/99 5 22 7C 08/18/99 0927/99 • 5 23 10 08/18/99 09/17199 5 24 7A 2 0723/99 0927/99 104x)8 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 06/11/99 0629199 10/07/99 10/14/99 10/14/99 5 29 1D 2 OS-10.99 06/16/99 1 07/09/99 10/18/99 10/18/99 10/18/99 5 30 BMR 5 31 BMR 5 32 4A 3 0528199 07/14/99 1 0728/89 5 33 2A 3 05/07/99 07/02/99 1 07/12199 5 343B 2 05/07/99 07/07/99 0723 59 5 35 5B 3/80NUS 0528199 07/07/99 0726 59 5 38 5 +_ 37 20 2. -.06/23199-1_07/16199 0726199___,_ ...-„ ._.____..r• CDi12'96 5 38 3E — 09i231y9 10%d9/d9 5 39 0,! I — 3 CC31'J9 00/10/S9 idli8,00 5 4G 'I),C. 2CCNU5 OT08i�VI 072:1,r50 I 09.112x9 5 41 3A 07/08 990720199 0923199 (1) LOT 6 PLAN 2A&LOT 7 PLAN 5C DID NOT OBSERVE PIERS. '(2)DBL SIDED SHEAR WALLS (3) FLR. NAILING �.. � n ,n+ rem nn+. . e•�u nenv�-i�ir nr.i-. � irern a<_or_�nn dBRIEN GROUP Pick Burke From: Jim Rlpley(SMTP:riptaydg@pocbell.nelj Sent: Monday, March 06, 1999 2:26 AM To: PAT BURKE Subject: OAK VALLEY Pal Burke Oak Valley Cuperllno, CA Reference: Linear parkway planting. Pal, All plantings within the linear park are consistent with the landscape construction documents prepared by (his office and reviewed by the city on March 1998 and conform with the preliminary approval douments. James A. Ripley Ripley Design Group, Inc, FINAL PLANNING SIGN OFF DATAn E VIII© 0 SIGNATURE �� eeR NOD WAY,SHITE 206,SAN MATEO,CALIPOHNIA 94404.2473 TREPIIONF(650)377.0300 FACSIMILE(650)349.2442 A.vl.�� Mgrrh I, 199(1 . .. wA l ROOM= f �/ �� /moi �% � ���/L�' � i.✓ �� J ��� �� � � AMNINS �i� FIELD j. SPEOR �q,�/ /�f'!-//may 6 /�/✓��u cu�lr r'R cv,`r�lrouT ,('�rN!,!.C' LoT 5 - 5 INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R e Address ermrt um er 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(6). I`IVAC SYST ,WS, Heating Equipment Equip. N of Efficiency Duct Duct or Healing Healing •Type(pkg. CEC Certified Mfr Name Identical (AFUE,tic,)' Location Piping Load Capacity heal um and Model Number Systems iCF•IR volue (attic,etc.)etc, R•value Btu/hr Blu/hr Cooling Equipment Equip, CEC Certified compressor 4 of Efficiency Duct Cooling Cooling Type(pkg. Unit Mfr Name and Identical (SEEP,eteJ Location Duct Load Capacity heal um Modd Number S stems 2CF•IR value attic eta R•value �(Btu/hr) Ruhr 1. >_reads greater than or equal to. (, 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-lR) 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 able. Appliance Efficiency Regutatlons or Part 6), where applic ��t�rxr/rrt�i 7�7-5'F K T��;EID�U✓ Naam Signature, Date Installing Subcontractor(Co.Name) OR General Contractor(Co.Name) OR Owner WATER HEATING SYSTEMS: Distribution If Recir- Not Rated' Tank Etn• External Heater CEC Certified Mrr Type(Std, culalion, Identical Input(kW Volume ciencya Stondby' Insulation Type Name&Model Number Point•o(-Use) Control Type Systems or Bta/hr) (gallons) (EF,RE) Loss('/.) R•value 2 For small gas stare ge(rated input of less than or equal to 75,000 Btu/hr), 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 hea ten,list Recovery Emcieney and Rated Input. Fnucets &Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6,Subchapter 2, Section 111. 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-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 TOt Building Department Building Owner at Occupancy .. - - -- -- .. INSULATION CERTIFICATION =5 Pacheco Btva'. . Martinez,CA 94553 • This Is to certify that Insulation has been installed In conformance with the current energy regulations Cai'rforrila Adminis native Code, TNe 24, State of California, the building located at: SITE ADDRESS: -- GLOORS: Manufacturer OW ,NNS_Q_ORNINiT Thk;knoss/Typo I (i R•Value IqC qG cYERIOR WALLS: Manufacturer QWENS CORNINi? Thlcknoss/TyN_,ZL___R-Va ue CBLLNGS: i BA S: Mamdactwer OWENS CORNIN a ThlcknessJType f R•VNue BLOWN: Manufa=rer OWENS CORNINn Thickness/Type R•Value 50 ___ WelghtSag 35 SG. Ft. Covered i• _ # Bags used ' AIR INFILTRATION SEALANT INSTALLED: YES !. NO O q+ �JYTRAOTOR �kl ` �rL111 VS .i rL {O LICENSE # —TITLE: DATE COAST*MULATION CONTRACTORS, INC. \ ' LJCENSE # L t ^TITLE I r7.Y DATE: I