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S 2406 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING-ELECTRICAL PERMIT NO, BUILDING DIVISION APPLICATION/PF.RMI'I - PLUMBING-MECHANICAL S 2406 e BUILDING PROJECIADE.N'I'IFICA'TION NUILDWG ADDRESS: ♦ SANITARY NO, AI'I'LICATION SUB I'ITAIAATE ! +� $7 � S'7 '�U� fr��, 4N.:� rill"' �.� hL��' Z-/G g `� ON'NEIy[ E: � PHONE: CON'TRACTOR'S NAME: LICNG: U NIC CONTROL# ANCIIITIiCf/IiNGIN[E LIC NO: ADDRESS: ❑ INTACT. TONG: 7 3 �/ BUILDING PliRhflT INFO ❑ COBs-Han!Fees Paid by Applicant(Initial) [it ELECT PLUMB MUCH L� 0- � C� LICENSED COW]'RACTORS DECLARATION QTY ELECTRIC PERMIT FEE I march,.)E m,mm 1 atm gernxed trader ,pro.;:ions or Chapter a¢nmmenmmg JOB DESCRIPTION OCz 'm Sec dolt 7000)oED 3nfllro Bueinme%unl'nfe'siuns Codc, my Lanni ie F•�O ufull force aadeRe,, - I'IiRMI'1'ISSUANCE RF3t TIAL, CL),— i vDWI. ❑KITCHEN REMODEL al V V License Claus Lic.p ,40. e 04 U:nm Conauctor APPLIANCPS—RESIUENTIAI- ❑ADDITION 71 PLUMBING RE-PIPE RCHITIiC'rS DECLA XTI( PANELS ❑MIXT-I-UNIT ❑STRUCTURAL z OyZ I understand my plans shall he used as public records MODIFICATION Oy�D UP T021XInMPS El INTERIOR El CHIMNEY REPAIR F�..,W Licensed Prnfesvonal 301-1ID0AMPS IMPROVFMIdxT El SWIMMING POOLS `meqq.] OWNER-BUILDERDECLARATIONthe allow,N OVER I000AMPS ❑BATH REMOUELMUTAIlt El DEMOLITION 4'C Q I hereby aldrin that 1 R-GUILD from the RATIONrF License Law for the K 3 6 F following reason.(Section 7031.5, El,Businesu and professions Cade:Any city or county SIGNS ELECTRICAL OTHIiR YI LL tt y which requires a permit m construct,she,,improve,demoLsh,or repair any,struc car, e priornia, senunce,alxnrcquiros Wenppliwnt liirsuch it In Heirxi d,mtemm�t m..l pent gnc SPECIALCIRCUITIMISC. �ps phut he is licensed pursuant In the provisions of the Cnnwctnrs License how(Chapter9 IyCpp Irommencing with Section]000)0(Divi%inn3 ofthe Business and ...ians Codd of TEMP.MITI?R OR P(1LEINST. COMMERCIAL: 6kxy q that he is exempt therefrom and the basis for the alleged exemption.Any violation of ❑NI3W BhDG/AUDITION W^,w Section 91315 by any uppliwnt for it marit%ahjects the applicant a civil penalty nt POWER DEVICES El DEMOLITION ern more than live hundred&Ilars(85010. ❑T13NANT ❑FOOD SERVICE. ~Sp ❑ I.as ownerofthe prxrt,or employees with wages penia IMPROVEMENT pe Y YC P ) gas as their znle cam tion. SWIMMINGPWLIi1.liCTRIC .F. will dotbewon,Cies,'stmmumfsnot; Liveruonsw does n a,pec.]t..,ownBuser if OTIIF:R . 3m andprofession,who builds or Ibm ve, helrva Liceme Law tinesnotapplyllt.ownerof OUTLF.'IS—SWITCIIIiS—FIX'IORES progeny who builds En Improver t such improvements who ths a such work himself of Ihmugh his own however, the Entwined that such impms laid is am not intended or offered for NEW HP_tiIDENT1A1,ELECT It SQ 19'. owneLuddeveathe handling buren improvement is he ithinonc year rupowetfonthe SQ,Ff.PLIX)ft AREA E/SQ.IT. Cof'.1der will have ilio harden of paving thin he did not M1uIIJ or inrpmvn for par. ryrvv of mlc.). ❑ I.as owner of The property,am exclusively contracting with licensed contractors it, TOTAL: instruct the project(Sec,]UW,Business and Pmfesslom Code:)The Cornmeal Li- wx mtestator L 1 c e Law due,not apply an property who bu;Wsor improve,mermen,and QTY. PLUMB •J PLUMBING T FEE � `)J C7J who Contracts I'or such projcaN with a candvcmdvl imensed pursuant m did Condactor'e License have PERMIT E)I am exempt under Sec. ,l{&P C for this reason ISSUANCE Owner ALTER—DRAIN&VI',NT—WA'f1i11(E VALHAN WORK'rmillm'S COMI'I prdprIIONyar DECLARATION BACK PLOW PROI'IiCT.DEVICI3 'yV1 1 hemby aRrm under penalty eI perjury are of the following""Worker ions: I have undwlll mai main chouCanicmmdQmwmer set add ivurefor Wnrkcr'x Compmn- pkA1N5—FLOOR,ROOF,ARIA,GOND. STORIES, TYPE CONST RACOON don,as prod,"i for Section 3]OU of the Lubar Code,far the perlimmm�ce nllbc ark for which this permit is issued. FIXTURES—PER'1'RAI' ❑ 1 have and will maintain Workers anceo the w Instance,a his part t i Section 7]1X1 of the LnhorCwle,for the parfnrmunceoano ou,fmwhich aon., permit is iavunl, GAS—LA.SYSTEM-1 INC.4011TLE'fS OCC.GROU APN My Wade' pensminn lm :mac an anA la lie,nunth are Carrier. r .y���n� ter c•/Ei_- r{ . GAS—i?A.SYSTEM-OVER 4(13A) GERITI IC IL• M11:XINSURANCE - S' GRFASF/INDUS"1'RL WASTE.IWUERCEPTON WMPP,NSA'1'ION INSI]RANCI? (TLix sccriot`t heconllllr��rtc}� IJI�J]I{ ttv fommhundrcddullao(EIW) _ 11 DING DIVISION FEES or lass) \A/� f+IC..Ii ��r GRGASE'I'ItAV N ?L 2 2- PLA O Ice hti to f eM{ha,x(nrN���WF�i r spemritisit"much(doll SEWER—SANITARY—S'IORM FA.200FI'. not emrs ploy any peon in any manner xo as to hecnme subject to the Workers'Comilla- EN Y F O2 ni a Ls,ol California.Dam WATEI21113A'r: W/0, Z Applicant -" CRAN'G FF.F.NOTICE TO APPLICAN%If,after making mE Cenificam of Exemption,you should WATER SYSI iATIN hacnmc uhjatm the Wnrkcr'v Compcnsmian provisions nl the Labor Codo,you amt SE !� forthwith comply with each howkionsor this permit shall be dcemcd revoked. WATER M312V1 4 � TRU NSCTION LENDING AGENCY .'7. z CONEW k1iSIDF, AL PJIIE B 4 3 Sl. PAID V ( Ihcrsthy aflinn that here isacmmmmion lending agency for perfnrmanm of Data Receiptp Dd Ila work ba 111111,this permit Ix in,red(Sac.309],Cie C.) 0� Lenders Name 'IY)TAI lTa handers Address TOTAL C• Fy I certify that 1 have read this application and state that the above information is BUILDING FEE r V1 corrmtJ age m comply with all city tad comnyordiamtmae and state law,miming to QTY. MECHANICAL PERMIT F: U7� ImIdiagcoducfila,and mmbyauthorizercpmsonmlivuofthixcirymonmruponthe SEISMIC PER alawe-mentioned pmpeny for inspection puyxrscu. I We)agree tosave.indemnify and keep limitless the City of Cupertino against PERM IT ISSUANCE ELECTRIC FEF. Iiabilitie,jud,onnla.... male.,ily whichou,inany way awmeagainstsoid City ANTER(1R AUD'TO MI7CH. an conrue flheg ting of this perim, PLUMI{ING FFai AI'1'LI *Ap ERSTANUS AND/y�ICI.COM1IPLY WITH. .L NON POINT AIR HANDLING UNIT(TO 10.001 CFM) ti0U 'B )AL).NZL/ / !� � �� MF.CIIANICAL IHiIiAIR HANDIJNC UNIT(OVBIt I11,IlIXICFM) CONS'T'RUCTION' X0 O anf'nntn.nr lam EXHAUST HOOD(W/DUCT) HOUSING MITIGATE FIA: HA"LARDOUS MA'IERIAIS DISCLOSURE Will the applicant or future hnlldiag eccapum%into or handle haeanlom mumrial HEATING UNIT 00 I0L000 B I'IT) is default by the Cupenino Mumnpal Core,Chapter 9,12,and the Health and safety Code.Section 25532nd? �[, BEATING UNIT(OVER IDE000 RTU) ❑Yes ANT) PAID _ sT VENTILATION FAN(SINGLE kRSN) Uum Ecccipt# Will in,applicant err future huilding occupant use equipment nr devices which BOILER—COMP(THP OR 100,000 BTU mit hazadous air communicant,as definall by the Bay Area Air Quality Management ) Out[ ignm? TOTAL: 0 Ye% BOILER—COME(OVER I W,Mh1 BT11) I have read the harnrilous mvmnd, AIR CONDITIONER ISSUANCE DATE requimmcna under Chapter 0J5 of me Cnli- f far 4,iH1, Safety Cade.Sections 25505.25533 and 25534,1 understand that if theNEW RESIUEM'IAI.A1F,CH. SQ.FT. ^hnildcurrently hvvevtcn.m{�.l!an Allatyrespornihill, I if thetecr um L^ Ynl"thms WARh must q Tr' r uutp.e„r.,ceniM Uwn m ori a at TOTAL SSUI3D By. OFFICE �- ADDITIONAL PERMIT FEES _ J VALUATIONy _1 p POOR BUILDING PROJECT IDENTIFICATION, )o � 1 pmLDlxc Ess Ao I I, t s FEE SUMMARY .1�. N ME 1 n (((/( exvxE BUILDING NOMTncc*ons PLAN CHECK d O 1 FEE r,DNT Ac*ons ADDPEss euvue FEE 0'/vo SEISMIIC/1F EE OTY• ELECTRIC PERMIT ' ELECTRIC UTLETS-SWITCHES-RECEP PLUMBING 1 LIGHTING FIXTURES PPLIANCES-RESIDENTIAL MECHANICAL / V ' PANELS SIGNS TOTAL O SIGNS TRANS. l SPECIAL CIRCUIT PERMIT VALIDATION s y EMP.METER OR POLE INS,SEE FEE SCH. MOTORS _. • SERVICE CHANGE 17 Z z TOTA ISSUANCE GATE F FEE SLOG, ELECT. PLO❑ MECH.❑ 4_-,q ,,,,i,`�I '•� CC CL T GTV, PLUMBING PERMIT ❑ ❑ t O Z ALTER-DRAIN&VENT-WATER(EA.) U O BACK FLOW PROTECT.DEVICE LL U DRAIfJS-FLGOR.ROOF,AREA.COND. O y FIXTURES-PER TRAP _ } GAS-EA.SV BTEM-11NC.40UTLETS „ •. Z I U GAS-EA.SYSTEM'OVER 4lEA.1 - INDUSTRIALWASTEINTER. LAWN SPRINKLERS-I INC 5 V.6. LAWN SPRINKLERS-OVER 5(EA.) I- ' SEWER-SANITARY-STORM EA.2001t1 ,1 WATER HEATER WIVENT WATER SYSTEM WATER TREATING EOUIP. I OTV. MECHANICAL PERMIT FEE (. ,Y ALTER OR ADD TO MECH. I 1` . APPLIANCE ' s AIR HANDLING UNIT(TO 1010 C. . M.1 ' AIR HANDLING UNIT(OVER 10pt10 .F EXHAUST HOOD(WITH DUCT) HEATING UNIT(TO 100,000 B.T.U.1 HEATING UNIT(OVER 100,000 B.T.U.1 VENTILATION FAN(SINGLE) I BOILER-COMPO H.P.or 100,0006.T.U.1 l BOILER COMPIOw:IDooOO Bn115EE FEE SCN_ TOTAL fPC; S 2 1 F.�•,� Brian Kangas Faulk En9lneers s Surveyors a Planners \ • March 31, 1999 960069-50 Chuck Schoenberger O'Brien Group 2001 Winward Way, Suite 200 San Mateo,CA 94404 Subject: Oak Valley—Foundation Verification Doer Chuck, On March 30, 1999 we performed afield survey of Cha loce '911 ,ftlap f undation forms for the buildings being constructed on Lot 5.12, Lot:1.13, Lot 5-14 an� 1 "i(�4ek valley project in Cupertino. Tile results of that survey clearly siww that the location of the foundation forms are consistent and in confo•Cnance with the design location of the buildings,as said locations aro shown on the plans prepared by our firm, This letter is intended to provide you wlth the verification of diose units per our survey, If there aro any other questions concerning dint location,please do nor hesitate to call. Sincerely, goo LAND SG4` • v ' o (11 BRADLEY P,BILDOBRIAN KANGAS POOLK ERP.3/91/02'-adley A.Bllbo P,L.S,6141 ^ No.6141 .� Survey D perunont IF or CALM�a 5VJ Pr!ce A�anmC s A dw u d CIDr.LA 6x063 . 16501482.6300 s FAX(65Di 452-TM • • ENGINEERING WEST INC. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO,CA. 10/18198 PAGE 2 OF 3 NI Lol Plan OP I dn. B'S 1St0ODI Roo Ir Ext I e r 1 3E / 0 199 5 2 BMR OB21/BD N/A 5 3 _BMR 0921199 N/A 5 4 40 2 04.29-99 00/04/99 07 9 10/01/99 1U/Utly9 5 5 6A 2/BONUS O4-29-99 06/04/99 06117199 0922/98 09/22/9 / 1/99 5 8 2A 3 1 D4-29-99106104 06114/99 0920/99 0920/99 • 3 5 7 SC 2/BONUS 2 04-29-99 06/04/89 06!11/38 09!15/98 09/15/99 10/01199 5 8 2B 3 04/19/99 06/11/99 08/11/99 09/09/99 09/09/99 0924/99 04/19/99 06/04/99 1 06/07/99 1 08/03/99 09/03/99 0921199 5 1 101 68 2/80NUS 1 04/19/99 _L 1 0528/98 1 09/03/89 1 09/03/99 1 0920199 5 11 4C 1 3 04-20.99 0527/99 0829/99 0829/99 0928/99 5 12 BD 3/BONU3 1 04/01/98 1 1 0521/99 0823199 1 0823/90 1 09/15/99 5 131 30 3/BONUS 1 04101198 1 105127199 1 08/18/99 1 08/13/98 I 09/03/99 5 14 6E 2/BONUS 04/D1/99 07/02/99 1 08/18/99 1 08/18/99 /9g M. XT+ 5B 08/18/99 10/14/99 7C 0927199 1C 08/18/99 09/17/997A 2 0723/99 0927/99 10-4-092 5 26 5 27 18 2 1 05/07/89 1 06/11/98 I 0629)99 I 10/04/99 1 10/04/99 1 10/11/98 5 28 7B 8299 10/07/99 10/14/99 10/14/98 9 5 29 1D1 2----F-05-10-99 00/16/99 1 07/09)99 10/18/99 1 10/18/99 1 10/18199 5 30 BMR 5 31 8MR 5 32 4 1 0526199 07/14/99 I 0728)99 5 33 2A 3 1 05)07199 07/02)99 07/1299 5 1 34 3B 2 05/07199 07/07)99 1 0723199 5f 35 58 3/80NUS I 0526/99 07/07/99 1 07/26189 5 36 5 0623/99 07/16/99 07/28,99 08/23/'x9 0%/0yly9 r COl12�a��•- 5 39 0,k. -- 3 �_ L'OG3110 OL'/1C/5'J . .id/^,8,9U -- Jill 5 L4v GG 2�C>IUS O�,rJ9;1� Di2:1,^)0 0!L/1T^S 5 41 3A 07/08/99 0720/99 0823199 ' (1) LOT 6 PLAN 2A 6 LOT 7 PLAN 5C r ._ - • •4 'DID NOT OBSERVE PIERS. '(2)DSL SIDED SHEAR WALLS '(3) FLR.NAILING • rI1.�/J��• �//1 I VIM i UNWAIR i rjf E�5 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 ADDRESS. ;Jtr 5 P t FLOORS: &1 r � r n Manufacturer OWENS CORNING . Thickness/Type R-Value `1 EXTERIOR WALLS: �61 1� 113 Manufacturer OWENS CORNING Thickness/Type _ R-Value CEILINGS: BATTS: Manufacturer OWENS CORNING Thickness/Type �2 �9t R-Value 3' X19 BLOWN: Manufacturer OWENS CORNING Thickness/Type GJt��� R-Value Weight/Bag 35 Sq. Ft. Covered Q12LIL # Bags Used AIR INFILTRATION SEALANT INSTALLED: YESG NO ❑ NERAL CONTRACTO^n .1k ,, f(`�_l�,l1,O1.t D LICENSE # BY: TITLE— DATE COAST INSULATION CONTRACTORS, INC. LICENSE # - BY: _6U�f &J2� TITLE: �S DATE: _ • 191)ru r-Iv GROUP Patrick Burke Prom: Jim Rlpley(SMTP:ripleydg@pacbell.nett Sent: Monday, March 08, 1999 2,28 AM To: PAT BURKE SLbjoct: OAK VALLEY Pat Burke FINAL PLANNING SIGN OFF Oak Valley Cupertino, Q& DATE Reference: Linear parkway planting. SIGNATURE Ste ave 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 Ripley Design Group, Inc. • • 'ARD WAY,SUITE 200,SAN MATEO,CALIFORNIA 94404.2473 TELEPHONE(6S0)377-0300 FACSIMII.F 16" 140"f 4, �,4104,u 4UiL3nNus LaT 5 . i .INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R *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). lHVAC SYSTEMS: 'Heating Equipment Equip, 0 of EfficiencyDuct Duct or Heating Heating Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity heal um and Model Number System [;!CF-IR value attic etc. R-value tuthe Bluthr t/ I'OWAde JD tJAsldt'A - •2 �_ T//G � JL6� '� Cooling Equipment Equip. CEC Certified Compressor g of Efficiency Duct Cooling Cooling Type(pkg. Unit Mfr Name and Identical (SEER,etc.)' Location Duct Load Capacity heal um Model Number Systems CF•IR valucl fettle.etc. R-value Blumr luthr 7- rp Lizr u JC /O 5 CEoL� /27W& c� JD tT .'Qi'L-ic-03e 1_ iosega. ArrlG 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-1R) submitted for compliance with the Energy Effcieney Standards for residential buildings,and 3)equipment that meets or exceeds the appropriate requirements for •�ma�n/u�factured devices (from the Appliance Efficiency Regulations or Part.6),where applicable. Signature,Date Installing Subcontractor(Co.Name) OR Genera)Contractor(Co.Name) OR Owner WATER HEATING SYSTEMS: Distribution ICRecir- Pof Rateda Tank Em- Eatcrosl Heater CEC Certified Mfr Type(Std, culatlon, Identical Input(kW Volume eieneya Standbys Insulation Type Name&Model Number Point-o-Use) Control Type Systems 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 resistance and heat pump water beaten,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 showerheacis installed are certified to the Commission,pursuant to Title 24,Part 6, Subchapter 2, Section Ill. 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 TO: Building Department Building Owner at Occupancy ., . .. .,. � .,.,_..�. t 1nns .. r A" flffm Kangas Faulk Ena;i"rs . Sorvaynre . Plannarc March il, 1999 960069-SO Chuck Schoenberger O'Brien Group 2001 Winward Way, Suije 200 Sdn Mdteo.CA 94104 Subject: Oak Valley—Foundation Verification Drar Chuck, Or. :Marh 3J. ;999 we perforned a field sur,.-y of the location orthe fomdarion forms for the buildings being constmeted nn Lot 5-12.Lot 5.13.Lor 5.14 and To,. 5-1j of the 7tk Valley project in Cupertino, The results of that surve; clearly show that the location of the foundation forms are consistent and in conformance with the desiv location of tip buildinss,as said locations are shown on the plans prepared by our fiat,. This letter is Intended to pl-cviCe you with the Verification Ot Sh OSe U:IitS per OU.SUN CV, If then•arC ar;' . 1I111UP LIMLIUM L'U!IL'01!llll;,UMA1ilk'dl1M.f lUke UIl Hill liRifd.0 ILI L.dll, Sincerely, LP,NO r —' BRACLEy t.B:L"e0 �� SKIAN KANGAS FOU:.K 1 :X?3131/92 J BradlayA. BiiboP.L.S. 61,11 LA�ql kc.9:4I Protect Manager Survey Dryalvncnt f O ;1\E • 540 Prce avenue . Pedwoes Cq,CA 94063 • :550)482.5300 . `A((550)462.5399 N/ZO 'd jllOH1 P13T'3'0 °Hi CM0 NOW 66-OI-79;4 r'siR.3'' . 1'39' !0;�.�-V 1 3R:..1.i kPo 6r FOUL: NO.301 Fl.L:•G Brian Kangas Faulk Enillneers a Surveyors • Planners • March 9!, 1999 960069.30 Chuck Schoenberger O'Brien Group 2001 Winward Wity,Suite 200 San Mateo,CA 94404 Subject: Oak Valley—Foundation Verification Dear Chuck, On March 30, 1999 we performed a field survey of the location-of the foundation forma for the buildings being constructed on Lot 5.12, Lot 5.13,Lot 5-14 and Lot 5-15 of the Oak Valley project in Cupertino. Tho results of thea survey clearly sirosw 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 this plans prepared by our firm. This letter is intended to provide you with the verification of those units per our survey. If there aro any other questions concerning that location,please do nor 11esitate to Call, Sinccraly, 2g�o LAND I&, � aluDLar A.eaaD BRIAN KANGAS POULK DfP.3/31/02 5-adley A.Bilbo P.L.S.6141 sr No.6141 i-i eject Manager Survey Department If OF CAL�FO 3Jd Prce Avanmt + Ararvu d Cin(.LA 6a083 • (650)Q2-6300 a PAX(650)162.6309 M,Ar-08-99 09:45A ENGINEERING WEST 40B 295 1570 P.01 ^ 3 ENGINEERING WEST -Consulting Engineers, Inc. °ATO °O NO 555 Meridian Ave. Suite A � SAN JOSE, CALIFORNIA 95126 LOCATIP4 (408) 295.9700 FAX (408) 295.1570 u� TO _- CONfRAL^VR OWN" WIATNCR TfMY, � °et F':Q,AM °at PM MgCMT IT iiC THE FOLLOWING WAS NOTED: 41 ,� ..._._ ni �I COPIES TO 1E0 r%1 M SIGNED T C r