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S 2844A Dial ICAIaTTn FB I "IN INP(1RMAnCIN WITHIN REO LINES- USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING -ELECTRICAL BUILDING DIVISION APPLICATION/PERMIT PLUMBING - MECHANIC B ILDINGPRWEC'f IIIE:NrIF' 'ATION PHRMITNO. BUILDING ADDRESS ; �,' `_ / ^ V ` L � �� SANITARY NO. APPh ON S TIUBMI TA UA1'E OWNER'SyjE: PIf(1NE:, ._ J CONTRACTOR'S NAME: IIJC N(l: N/C CONTROL# U r ❑ [� 2 7 RC 'IH .ER: ;1. I NO. ADDRESS: COPPACT PHONE: BU ILDING PERMIT INFO&aQ'11 M MP.CH PLDG EhY'C'I' ,PLUd- I - v ❑ Consultant Pees Paid by Applicant (Initial) Kz RIIAL- Jp .. V �m 67 30 ply L s4 ❑ Q Y U J� Q 7O(cenne,ng C ICENS D RA TORS DECLARATION I hereby union t bar I ann live ... d d p ns of Chapter 9 ( onto n ng wens ( )am) ID 3 nne sax .. eP to, ny rc ,ate _ inf IIf J ❑ t. Lic se Class Lie# Dvm CSDF n QTY ELECTRIC PERMIT - _ FP. JOB DESCRIPTION R PN ,FOWL ❑ KITCHEN REMODEL. AIDDITION ❑ PLUMBING REdrPE ❑MULTI -UNIT ❑STRUCTURAL MODIFICATION ❑INTERIOR ❑ CHIMNEY REPAIR' IMPROVEMENT (]SWIMMING POOLS ❑ BATH REMODEUREPAIR El DEMOLITION ❑ OTHER PERMIT ISSUANCE APPLIANCES -RESIDENTIAL ARCHITECT'S DE 1 I undcawnd my pI.m mall be used as public retorts - PANELS UP'f020 I AMPS Licensed Profevsionnl - - - . OWNER -BUILDER DECLARATION I hereby vm ffrzthat i am exempt from the Contractor's Lircme Law for the following reason. (Section 903L5, Bu.inasx and Professions Code. Any City orcnunlY whichrectumsp tt c u t tt p I I,h rreP; Y t cture Prio to it,: I. q the ppli , fier,rel, permit file g d Inalconfor 'hat lie I dpursuant t thep m: of [lie Contractor License 1 (Chapter9 with Section 7000)efDivision 3nrlhvBu.cness and Profession, Code) (a that he Is exempt therefrom and the basis for the alleged exemption. Any violation of 2BI-IIIp0AMP5 OVER 1000 AMPS - SIGNS ELECTRICAL SPECIAL CIRCUI'rIMISC. TEMP. METER OR POLE INS - COMMERCIAL: ❑ NEW BLDG/ADDITION ❑ DEMOLITION n } d C p ea Section 7T315 by any applicant turn plamilabjectethcappllcnnua d,,,d perayof not more than rise hunded'dcllaml$500). ❑Lethe owns, ofihepicaracmmyemplayeuwithwrvid asale(Ssole compensation, of will do the work vnd thesmcwre is not inLicens nrofw doers a,,( apply ,, am owner and Professions Code: The Commemr's License Law does not apply m an ownergh property who builds or improves thereon, and who do�ea-such work himself or Ihmugh his own employees, provided that such ... mo amern, are not intended or offered for sale. If, however. the building (it mpmvemem is sold within one yea dcoarplefon.the POWER DEVICES ❑'I'13NANT ❑FOOD SERVICE^� - OTHERIMPROVEMENT ❑OTHER SWIMMING POOL ELECTRIC OUTLETS -SWITCHES -FIXTURES NEW RESIDENTIAL ELECIR SQ FT. ' SQ. FL FLOOR AREA $/SQ. FT will have the burden of proving that be did net build or improve for pur- owner-builder rf sale). 1, us owner of am cxdu,ivad noninmttng with licensed to 3�� 3 J TOT . (See. 704 Compacta IrseLawdoenstruct he andrtywh buidsorimproGmhamnr',Li- nemeLawdnexnotapplytoonownerofpropertywhonuBdxor improves hat nglytoan owB.ner rof QTY. PLUMBING PERMIT ' - FEE f J ' Contractors who commas Grnuebp Jwis wlthewnvanor(s)liceneed purnuanl cannot trip Cenlmnmr'a ^] PERMIT ISSUANCE 6. q License law. ❑ I am exempt under Scc. .B&P C for wisremmal Owner Data ALTER (EA) VALUATION - 3 q g 2 WORKERS COMPENSATION DECLARATION BACK PLOW PROTECT. DEVICE - 1hereby penally ne penuryone nr Omfollowing declarations nderp 17 ndwaffirmunder ]Ihwe onewillforbynection300 of the"b, Cod.for the Workers..c if he Section 3p00 of Labor Coma for the performance of he work f as provided for permit which this permit is trued. IIRAINS-FLOOR. ROOF, AREA, COND. 51 TYI ION FIXTURES - PER TRAP E3 I have Workers once ofthe wrkpar ohias requiredu, Section ❑I haveand will ode, for theperformanceraneeofthewll par pemnit is issued. theLaborCompensation 3700 ofMY C/ GAS - FA. SYSTEM- I INC. 40U'fLETS OCC. CROUP APN anc: My Worker's Compen,wtinn Insumncc carrier and Policy numbs arc: Carries Policy No.: 3 CAS- NA. SYSTEM OVER 4 (EA). CERI'H ICATF. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (I hie.wasur need not be Annul ed ifthc permit is forone hundred for.,IS100) iew) GREASEIINDUSTRL WASTE IN'ILRCEPTOk € k x L x p BUILDING DIVISION FESi » a CREASE'rRAP PLANCHf:CK PEP. z -� I cerlify that in they oprmnnec of the work for which this Permil is issued, IdealSEWER not employ any pemon d ar, run ter so as to become ,object to the Workers' Compcn .vtina laws, of California. Dam Applicant \ - SANITARY - STORM EA. 200 FT. - WATER HEATER WIVENT/ELECfR GRADING FEE NOTICE TO APPLICANT: If. aftermakingthis Certirentear Escia,tinn, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shill be deemed revoked. WATER SYSTGMOREATING WATER SERVICE SOILS PEE y �^ - a % (~ U Lr-1 Z CONSTRUCTION LENDING AGENCY Ihcreby affirm that them laawnxwdion lending agency for the performance of the work for 40,li Ibis permit is issued (See.3097, Civ. C) Lender's Name PAID _ NEW RESIUENTIAL PhMB. SQ, FT. Dme Receipt _ TOTAL: Landed,Addrew - TOT f BUILDINGPE 7 ---- - Icamelthat I cmp read this application mattwtm b f iatim s correct. Iagreemeomply 'ran 'ty e county re' d i t I'risingtt building eostrmtiot, and hereby authorize c1 nmtives ofw',eity to enterepon the QTI'MP�CFiANICAL PERMIT I t FEE I SEISMICF lz�.QQ PERMIT ISSUANCE D ELECTRIC P. y R above -mentioned property for inspection purpose.. (We) agree to save, indemnify and keep hvrndexs the City of Cupertino against ALTER ORADD TO MECH. PLUMHIN 1 III Iiabllldenjudgmems, cops and expenses which may in any way acemeogalnst said City in nsequume of the granting or this permit AIR HANDLING UNIT (TO III,UW CPM) MPLHANIC LPEH APPLIC SOU RCAN3'U''�UHRSTANUS ANU PLY WITH IrION=POINT SPURGE RP A'IfONN. AIR HANDLING UNIT (OVER 10.000 CPM) CONSTRUC '6 NTAX -741 �J•�/L//��J Signmureof pleanucrnna r -Dam HAZARDOUS MATERIALS DISCLOSURE EXHAUSTHOOD HOUSING MUTUAL ION FEB Is - Wilms al,livin .... future building—,.pamam'e or handle hamNoux mnterial HEATING UNIT (TO ri BTU) as defined by the Cupertino Municipal Code, Chapter 9.12, and the Ilculth and Safety Code, Section 25532ro? HEATING UNIT (OVER 100,000 BTU) ❑Yea a PAID '- VENTILATION FAN (SINGLE RESID) Uate R,cciplis � BOILER -COMP CHP OR 100,00O BTLE Will the vpplicnm or fawn building occupant use equipment m tlMana whim emit hauNous air eonmminvnts as defined by the Bay Arev Air Quality Management Di,biefl ❑Yee Na TOTAL: � BOILER -COMP (OVER 100,000 BTU) AIR CONUI'I'IONC R - pis 1 have revs me hanvmis mcrials requirements sneer Chapter 695 of m on" e Cali- ISSUANCE DATE NEW RESIDENTIAL MECH. SQ. PL forms lbah Safety Cale, Sections 25505, 25533 and 25534. 1 understand that fire buildin t currently move a tcmt, that it is my reaporeihllitym f he occupant oU �,' 9 �� e / - nliho r/g/o�'' �y�(y/�Ipp� �t yy.A ,(trJ�� to a�xuance of a Cetl /y/fyncy. 1 Y YYY!!! �1f1 ISSUED BY'. TOTAL: Owver r�ioni d a 1 ] fie OFFICE L, fNV. G. 1555 6;3k1H`i ' bklki Yv HGM5 FGLLK flu,J(5 Brian Kanow Wk Eepinasrs . Su}nvon • Planners i � t Novemoor F, 1999 960069.50 Chuck Sahomtborgor O'Brien Croup 2001 Windward Way, Suha 200 San Maue, CA 94404 Subjecil OnkValley- Foundaton Varlfiaation Dear Chuck On gcmber 21 uhd 23, 1999 and November I, 1999 we performed a field y of the locajlQ9 of the foundation forma for the buildings biting constructod on Lou 5.16, 5.17 •1 S 5M, and S•apftho Oek Valley project In Cuportino, The results of that survey clearly show that the locadon of the foundation, forma are consistent and In conformance with the deal{;t1 looatiai of the buildings, as,said locations are shown on the pleas prepared by our firm.' This letter Is Intended to provide you with the verification of those units per our survey, if there we any other questions conce=4 that locailon, please do not hesitate to call. Sineanly,, s MAN KANOASPOULK Bradley A. Bubo P.L.S. 6141 Project Manager Survey Department ra DO 11. ollbo I= ►s,� HaG141 ..'h'd $40I'd" Artnue 1 %6`0011 CXr, CA SM a 1660146Y4 W a FAX 165014U.6389 Ii ':G l e.... I n ENGINEERING WEST INC. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO, CA. 8.1.2000 NI Lot Plan I OPTION Fdn. 1st floor Roof DIV E» ply I Sao fir, nig, I Basic fi 1 3 It 07127199 1 1 07129NO_ 5 2 1 AMR 1 0921mg NIA 2•&2000 2.78. 000 5 3 1 RMR 0 2199 N/A 2.8.2000 2.18.2D00 I 1 3.7.2000 01 1 1/9 10 9 5 5 1 8A 2/BONUS - 9.99 06/17/99 0922/99 0922199 figs 3 it)04• -9 D6114M O9 9 10198 02199 5 7 I U /11/ 0 /1 9 0 161120 5 8 1 28 3 04119M D6111/99 09I0999 09/0999 0 24 B 5 9 1 30 2 0411 99 06107/99 OW03199 09/03/99 0921I99 S 10 6B 2/80NUS O411999 0528/99 09/03199 I /99 9 5 11 4C 3 04.2 •9B 0627/99 08 999 08/2 /99 09128199 5, 1 I 1 52 99 0 I99— 09115199 5 13 1 3C I 3/BONUS O46199 0527/99 08118199 08/13t99 09103/99 5 5 11 1 6E 2IBQNUS 1 O44199 O N 9 07/02/BB O 1 08118/99 8/16199 0 /18199 08112199 08129109 5 181 2C 1 12.23.99 1 3.24.2000 3-24 0 0 6.10.2000 4.27.200 5' 17 1 1 •2 •2 •1 • ' 4 8 5 5 1 8 19 0 eC 3C 1142A9 11111140 1111 I 12.184 1 12.13-99 1 102 -2 0 1 1.23,2000 •1 •2000 3-tD.2000 00 1 2-18-2000 1 5.1 1 1.21.2 1 1.20-2000•24.2 A-1 2.2000 4.8. 0 0 5 21 T G 0811E 9 1 114/99 2.14.20 .1-4-2000 1 fi-i0-20003.8. 000 5 5 5 23 24 5 7 1C 7A 2 081 9 08/1899 0--- -' 7 09/1799 10.4.99 1.20.2000 1 1.18.20D0 1-21-2000 1 1.21.2000 1 1.7.2000 d... d.n.2. 1 d.n,a. 1.26.2000 1.21.2000 1.21.2D00 5 26 5 5 5 5 27 28 29 30 1,8 78 10 1 BMR 2 2 9 0510 199 06•1 -09 1 2 082999 07N999 1 InInA40 10 OT/99 1 1011 99 1 1010099 1011099 10/18/99 f I 1 OilI/99 10114tgg 10/18198 5 31 BMR 5 5 5 5 3 33 34 4A 1 2A I 3B 3 1 I 2 1 /QM9 QSQ8199 I 05I0798 0547J99 1 I 07t28M1 07/1299 1 072399 1 07Q61991.1 •22.8 11/0299 1 11/0899 - 0• •B 10.29.99 1 .1 •1- 9 1 •1 - 10. 7.99 11.8.99 12-1.99 12-6-99 5 36 5 5 51 5 37 381 30 4U 1 41 C 3E 1 BA 60 1 " 3A 2 1 3 2/R1jNij.9 08 9 OB 3/99 E239B 07tlB99 0748/09 8 08/ 2M OB/1899 0811 99 0823M 1• 11. 2.99 12$ B •1 99 1.3.2000 1• 12.2.99 124i• B 2• 99 1.3.2000 12.9.99 12.14. 9 12.7E-89 12.21.99 2.18.2000 '(1) LOT 6 PLAN 2A E LOT 7 PLAN 5C *DID NOT OBSERVE PIERS. '(2)OSL SIDED SHEAR WALLS '(3) FaNAILING (4) A.B.'s at porch front (5) chimneys ZO'd OLSL 962 80v 1S3M 9N):1d33NI0N3 VL9=L0 00-ZO-uli U'3RZEN GROUP IMP ka_ IMF Jim Rlploy'SMTP;rlployd0®pacbell,noll Monday, March 08, 1090 2t20 AM PAY OUAXE OAK VALLEY y , CA :Lino At parkway ptanlln0, s within Ihs Moat pork ore conslslonl with the londscape ' n document3 prepared by this olnce and roylowed by the city 098 and.00nlorm with the prollminory approyal doumOnla, ipley 211Group,.Inc. FINAL, PLANNING SIGN OFF DATE '�//o D SIGNATURE lIIIT OA, SAN MATpn�(!A�INOkNIA U11nL7q�] TIILIIPIIONk (p!n)p)�.p�pp PA CSIAIILR (G 10)!19•�{,� p.vl�.r( March li 1996 NGEO . I N C 0 R'P O R A T E D L J GEOTECHNICAL AND ENVIRONMENTAL CONSULTANTS MATERIALS TESTING Project No. 4136.4.050.01 May 22, 2000 Mr. Pat Burke The O'Brien Group 2001 Winward Way, Suite 206 San Mateo, CA • 94404-2473 Subject: Tract - Oak Valley Lot 5-18, Permit Number S2844 10908 Sycamore Drive Lot 5-21, Permit Number S2847 23645 Oak Valley Road Lot4-33, Permit Number S2840 23515 Oak Valley Road Cupertino, California SEISMIC FRAME INSPECTIONS Dear Mr. Burke: With your authorization, ENGEO Incorporated performed special inspections and ultra -sonic testing related to the seismic frame installation at the subject properties located in the Oak Valley subdivision in Cupertino, California. This report is submitted in accordance with Chapter 17 of the Uniform Building Code. Observation and testing' services were provided using the approved plans for the following: Field welding of the seismic frame moment connections. Field welding of the framing straps. • Ultra -sonic testing. To the best of our knowledge and based on our observations, the work requiring special inspection and testing is in conformance with the approved plans, field recommendations of the Structural Engineer, and the applicable workmanship provisions of the Uniform Building Code. 2401 Crow Canyon Road -Suite 200 -San Ramon, CA 94583-1545 • (925) 838-1600 • Fax (925) 838.7425 www.engeo.com . E-mail: engstaff mengeo.com The O'Brien Group Tract - Oak Valley SEISMIC FRAME INSPECTIONS 4136.4.050.01 May 22, 2000 Page 2 We make no representation as to the accuracy of dimensions, calculations or any portion of the design for this project. If you have any question or comment, please do not hesitate to contact our office. Verytruly yours, rxj/ce:seismic cc: 1 — City of Cupertino 1 — The O'Brien Group, Mr. Gerry Ploof L • Reviewed by: 4W4/ Dan Haynosc Ev.oy:,. C COAST Insulation Contractors, Inc. 1086 N. 11th St. • San Jose, CA 85112 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 ADDRESS: J" IV CU PriL It La'-M&r-�., r4 a FLOORS: Manufacturer OWENS CORNING/MV Thickness/Type R-Value EXTERIOR WALLS: Manufacturer OWENS CORNING/MV Thicknessfrype PP 46,, R•Value CEILINGS: BATTS: Manufacturer _OWENS CORNING/MV Thickness/fype_L2�/a R-Value. t BLOWN: Manufacturer OWEN �'QZORNIN . Thickness/Type R-Value '�— Weight/Bag 35 Sq. Ft. Covered I# Bags Used AIR INFILTRAT.,ION SEALANNT''IIN�y� N��ST�� ❑ ALLED: YES NO GENERAL CONTRACTOR`�i1�C l )'Cl (J� LICENSE # _ BY: TITLE: DATE COASt INSULATION O RACTORS, INC. BY: E: LICENSE # DATE: POSTTHIS CARD NEAR FRONT OF BUILDING M CITY OF CUPERTINO BUILDING DIVISION �' �'^ - .BUILDING PROJECT IDENx E CATIL' PERMITNO. C _ ING ADD ES ;,` / y 1 /�'�T SANITARY NO. APPLICATION SU MITIAL DAT PHONE: CONTRACTOR'S NAM@ LIC NO: NIC ❑ CONTROL# ;A111NGINELR: IC NO: i ADDRESS: . ' INSPECTIONS . -. DATE INSPEC. - ❑ Consultant Fees Paid by Applicant (Initial) =': BUILDING PERMIT INFO- BLDG ELECT PLUMB MUCH ❑ ❑ ❑ ❑ FOUNDATION/PIERS/H.D.S. INSPECTION RECORD NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. JOB DESCRIPTION S FDWL ❑ KITCHEN REMODEL ❑ADDITION ❑PLUMBING RE -PIPE ❑Much -UNIT ❑STRUCTURAL MODIFICATION D INTERIOR ❑ CHIMNEY REPAIR ❑ IMPROVEMENT ❑DEMOLINGPOOLs BATH REMODEL/REPAIR El DEMOLITION [I OTHER UFER GROUND PAD/SETBACK-CERT GARAGESLABS/PREGUNITE POUR NO CONCRETE UNTH A136W HAS,BEEN'SIGNED TO ARRANGE INSPECTION CALL AFTERNOONS (1:00 PM - 4:30 PM) 777- 3228 MON DAY TO FIR I DAY 24 HOURS B E- FORE REQUIRED INSPECTION. JOB ADDRESS AND PERMIT # ARE NEEDED WHEN PHONING. ATTENTION CONTRACTORS: NO PERSON(S) SHALL PERFORM WORK ON THIS JOB SITE WITHOUT BEING IN COM- PLIANCE WITH WORKERS' COMPENSATION INSURANCE REQUIREMENTS. UNDERGROUND/SLAB PLUMBING ELECTRICAL DO NOT POUR FLOOR UNTIL ABOVE HAS BEENSIGNF.D COMMERCIAL ❑ NEW BLDGIADDITION ❑DEMOLITION ❑TENANT ❑FOOO SERVICE IMPROVEMENT OTHER PLUMBING MECHANICAL ELECTRICAL FRAMING VENTS V,CO INSULATION INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP. PLACE NO SUBFLOOR UNTIL A3109 HAS BEEN SIGNED' ROOF SHEATH/DIAPHRAM PLUMBING & HOWE PA HA L IIA TRICAUPOOL BOND iER MING/STAIRS/EEGRESS LATIONNENTILATION NO WORK UNTIL ABOVE HAS BEEN SIGNED""; EXTERIAL SHEARMOLD DOW INTERIOR SHEAR/HOLD DOWN SHEETWROCK/SHEETROCK SHEAr,�EXTERIOR LATWW-SCREEDSHOWER LATH NO TAPE OR PLASTER UNTILA➢OVE HAS, BEENNSIGNED' -SCRATCH COAT - SEWER/WATER (� .- . .. TEMPORARY APPROVALS OCCUPANCY ELECTRICAL 1-7 GAS GAS TEST GRADE 3 FIRE HANDICAP ELECTRICAL . PLUMBING MECHANICAL ENERGY CERTIFICATE OF OCCUPANCY AL FINAL ONLY LD W G IMPORTANT: OCCUPANOY,;OF!)ILp[Nf3,ISNOT+--- PLEASE READ REVERSE SIDE BEFORE UNTIL BUILDING FINAL ISSIGNE CALLING FOR FINAL INSPECTION!! r INSP,BCTDAI , A' r ' "? ISSUANCEPATE, �� t �^ ISSUEDBY: I (art Ll'r�n f)r1 n'rinv nnn�i FROM : CRMSJI M)01/1954 e2,2G FP9h NO. : 8313356329 1; a t33e4070'.t May, 26 2000 00:39AII P4 acre. y9 I V a 0 Commercial Roof Management Sea .1lom Inc. Residenrlal RoofSMem Inspennan Acport Project: ,,._ Inspection Cate: Zr fotv�om 18 � Addressi ikA&g4wW cam, City:Cupertino- State: �g Client: Ths d' rign grove Centaot: PgJ surwasn Roofing Contractor: ft t2p!=� CRtMM Inspector jyM64 rL Lot Number 5-1 Type of Inspsellon: Type of Roof: . underteyment: jL Skylights: ji. Valleys: --- LIL Felt Rp, Pinel K Shingie �W Tile 10 Sht Mob] Flashing: — Attachments: +� Ridges: s Commentslbltservations: Cther!&�T Sr++"' PCs m Vents & Pipes: ?+ H Eaves: A FLA14ta46 TILaS=pF+C" t tofLt2�itx-�7r.ss.93 dh .xrtlgtr.g * D xg w IQP co sV5 I.+ A -pap VW-rd'ts a rCC+ W t*th- Twe- f1CA.t Nbn likaLAw/ , d- cc r `~►/t D Peary l •^ t` • e �a,sr a.4tu�, w1Y!+ e,aUT Cb%ACAww pr oa-ftz eo Md-Out Reaft Date 44//Ay Prr+•u wleotvur INSTALLATION CERTIFICATE ress 1 of 4) — CF-6R 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. 11 of Efficiency Duct Duct or Heating Type (pkg. CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping Load ?ND t.AadQE -t BRdye7o-t1 2 Cooling Equipment Equip. CEC Certified Compressor g of Typc (pkg. Unit Mfr Name and Identical Efficiency Duct (SEER cto.), Location Duct Cooling Cooling Load Capacity, ,s7, ?N ) wi�— Z D �locr/00a 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 (Forth CF-IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufacturcd devices (from the Appliance EJJlciency Regulations or Pw t.6), where applicable. ignature, Date 1154 Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Distribution If Recir- g of Rated' Tank Effi- External Heuer CEC Certified Mfr Type (Sid, eulation, Identical Input (kW Volume clone? Standby' Insulation Type Name & Model Number Point -of -Use) Control Type Systems or Btuthr) (gallons) (EF, RE) Loss (Y.) R-value 2 For small gas storage (rated input of less than or equal to 75,000 Btuthr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btuthr), list Recovery Efficiency, Standby tau and Rated InpuL 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 lit. 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 COPY TO: Building Department Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner ,1 O'B RI E N 7 GROUP _ Patrick Burke From: Jim Ripkiy(SMTP:r le p ydOOPaebell.nat Sant. Monday, March 08, 1888 2:26 AM l To: PAT BURKE OAK VALLEY Pat Burka Oak V11110 Cupergno, ,,Reference: Unear parkway planting, `. Pat, All Wantinpi cowithin the linear park are consistent with the landscape + nstrumon documents prepared by this omce and reviewed on March 1888 and conform with the by the city. Preliminary approval douments. James A Ripley Ripley Design Group, Ina c'�u-e e co 6�123/0/ t VARG,WAY. SIIITE 200, SAN MATEO, CALIFORNIA 94404.2473 TF.I.FPNONF. IGSnI 177-neon FROM : CRMSJI FAX NO. : 6313356329 May. 26 2000 00:39RM P4 - �SI21l19?4 a2;.tia aue3aea o1 PdGz av Cou m mirl hoot Management Ben fie, Inc. Rsridendal Roof Suttem lnepeenon Repot h V^"WY `Trhi ft VA--? Project: � � — Inspection Date: = Fart I ow" FOR t� Addmat$yAho,*+vW t1P, City: cummma State: Client: The O'Brien Group CcntaotL Pat9urs&1QQm Rooling Contmutor: CRM Inspector. _-,,,yftmd4._ Lot Number-t Type of Inspection: AIR 9 Pinsl ►a Type of Roof; 8hingie jt- Tileor UnderlsymFnt: ,L Sht Metal Flashing: l- Skylights: Attachments: 24 valleys: --Jt Ridges: t N�N♦o�r�NNm CommenuMbservatlons: 3Lttters: ,,, �rgB V0111A Pipes: ?r t�� Eaves: ,,& tS FLk14►,-b4o �DAmmgm.+T" t tk1tc+rta.�xr+.y srasr:a.�.�p arra & :L. a'a- 700..iva 100 A-P-W V-rldts 0-wo w LT"- -ro'qw OL40 MC163 oiwv p 8ff60A/ , r►- GLAo= ,, Q4.0PIar" L0.4%-. S-w�3�7�n.�.4irs�"y.1 wl1'T+ mwt�'t' C.i7VC+m'�[N 1..1pT�p OtS..+ot�7 DO►tiAJd"P.w tiJii,.J�.SF Ar (EW)=QP.A,-.V6. ex Rid -Out Roofing • OaaK "//Ay a f'/,tP(/ w/ v oivrxs INSTALLATION CERTIFICATE 1 of 4) - CF-6R -- rermnr�umuer e Address 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). $VACSYCTFh Heating Equipment Equip. gor Efficiency Duct Duct or Hearing Heating Type (pkg. CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping Load Capacity _ .... .. �..�,e....... , r.nt..,." R.value flItuft) _ (BIWhr) rs�,QavDg+'' p/� � ARdr/o7D-r1.' Cooling Equipment Equip. CEC Certified Compreuor I or Efficiency Type (pkg. Unit Mir Name and Identical (SEER, cic.)' -<-r Nil) Duct Cooling Cooling Location Duct Load .capacity Meads 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. �i�9 ignature, Date installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATIRR HEATING SYSTEMS_ Distribution If Recir- of Rated"' Tank EM- External Heater CEC Certified Mir Type (Sid, culation, Identical Input (kW Volume eieney" Standby' Insulation Type Name & Model Number Pointof-Use) Control Type Systems or Btulhr) (gallons) (EF, RE) Lou (Y.) Ft -value 2 For small gas storage (rated input of less than or equal to. 75,000 Btuihr), electric resistance and heat pump eater heaters, list Energy Factor. For Isrge gas storage water heaters (rated input of greater than 75,000 Blu/hr), list Recovery Efficiency, Standby Lou and Rated Input. For Iastanuncous gas water heaters, list Recovery Efficiency and Rated Input. Faucets & Shower Heeds: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Subchapter 2, Section III. 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, Wle Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department Building Owner at Occupancy ' POSTTHIS CARD NEAR FRONT OF BUILu rvtu CITY OF CUPERTINO � � .p III)ILDINC DIVISION BUILDING PROJECT IDEA FGI At P, NUILUWf ADD I1ti5y\�.. 1 `..- L-, V PF:xmn ND. (� 8 v SANITARY NO. APPLICATION SUBMITTAL DAI UWNEy.(IRM/ `�^ PHONE. / C'ONTRACIOR'S NAME: LIC NO: NIC CUNTRULM Aq 1'1' I NGINEER: ICNO: ADDRESS: INSPECTIONS DA9 E ' Z. INSPEC. ❑ Consultant Foes Paid by Applicant (Initial) ILDINO PERMIT INFO BL❑DG eLO PLUMB NIL", INSPECTION RECORD NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS, FOUNDATION/PIERS/H.D.S. V'C. JOB DESCRIPTION BESIDENIIAL SFDWL ❑ KITCHEN REAIODEI ❑ADDITION ❑ PLUMBING RE.1'IPL ❑MULTI -UNIT ❑STRUCTURAL. MODIFICATION ❑ INTERIOR ❑CHIMNEY REPAIR IMPROVEMENT 0 SWIMMING POOLS ❑ IIATH REKIODEVREPAIR ODEMOLITION ❑OTHER UFER GROUND PAD/SET BACK-CERT GARAGE SLABS/PREGUNI.1'E POUR NO CONCRETE UN 114 AB VE aAS BEEN SIGNED TO ARRANGE INSPECTION CALL AFTERNOONS (1:00 PM - 4:30 PhD 777-3228 MONDAY TO FRIDAY 24 HOURS BE- FORE REQUIRED INSPECTION. JOB ADDRESS AND PERMIT # ARE NEEDED WHEN PHONING. ATTENTION CONTRACTORS: NO PERSON(S) SHALL PERFORM WORK ON THIS JOB SITE WITHOUT BEING IN COM- PLIANCE WITH WORKERS' COMPENSATION INSURANCE REQUIREMENTS. UNDERGROUND/SLAB PLUMBING ELECTRICAL DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED COMMERCIAL ❑NEWBLDO/ADDmON ODEMOLITION 0 ITENANT MPROVEMENT OFOOD SERVICE ❑OTHER PLUMBING MECHANICAL ELECTRICAL FRAMING VENTS tV INSULATION INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP PLACE NO SUBFLOOR UNTIL AB VE HAS BEENSIGNED ROOF SHEATH/DIAPHRAM PLUMBING Q TUBS&:I10WE PA MECHA L ELECTRICALIPOOL BOND FRAMING/STAIRS/E. EGRESS • INSULATION/VENTILATION COVER NO WORK UNTIL ABOVE 13AS BEEN SIGNED:,' ,t EXTERIAL SHEARMCILD DOW INTERIOR SHEAR/HOLD DOWN 1041 SHEETWROCK/SHEETROCK SHEA V 01 EXTERIOR LATH/W-SCREED SHOWER LATH NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED.,. SCRATCH COAT SEWER/WATER ClL TEMPORARY APPROVALS`.�'" OCCUPANCY ELECTRICAL GAS Q/ F[NALS C,�d4JPin�3?�'k+n"i ridgy' GAS TEST GRADE FIRE, HANDICAP ELECTRICAL PLUMBING MECHANICAL .ENERGY CERTIFICATE OF OCCUPANCY i.. VISUAL FINAL ONLY BUILDING IMPORTANT: - """ PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION!! ,. Issu�NCE DATE - e-. / ISSUED BY: OCCUPANG 9VB UILDING1§NOT.) UNTIL"8�111.1 ING,FIN'AL,1S;gQNE r►NSPUCTOR S� J I// �PLICANT'S POSTING COPY Noy. 2.1999 8; 30ril't BR,14i K�iN-'rlS FOOLK " Brian Kangas Wlk Enpinesrs • Surrsrora • Plennen November I, 1999 960069-50 Chuck Schoenberger O'Brien Group 20D1 Windward Way, Suite200 San Mete*, CA %404 Subjeott OakValley— Foundation Verification Door Chuck. On October 25and 29, 1999 and No amber I, 1999 we psrformad a field survey of the location of the foundotian forma for the buildings biting constructed on Lots S-t 6, 5.17, S-18,3.19, and 5-,jqfipf the Oak Valley project In Cttpattlaa. The results of that survey clearly show that the location of the foundarloo forms are consistent and In conforasnm with the design locatio t of the buildings, ss_said locations ere shown on the plans prepared by our firm. 'This letter is Intended to provide yoc with the verification orthose units per our survey. If there are any other questions concerning that location, please do not hesitate to call. Sincerely, .. F yANO • J� 9 mA �rRADWY A. DILBO a 413RLAN!A!Nf0AStFULK ¢1 EN 3/31/02 J Bradley A. Bllbo P.L.S. 6141 0 Ha 61411 project Manager ;r� ova Survey Department yOp CAthf $40 Pdce Avenue s Redwood CO, CA SW • 10501482433m a FAX (05014824399 Cl • • ENGINEERING WEST INC. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO, CA, DAME 2 OP 4 8.1.2000 UN of Plan OPTION Fdn. 1st floor Roof °0 flr. n ask 5 1 3 2 /B9 / 0712' 18fl 5 2 B R C921IB9 NIA 2-8-2000 22-1B-2D00 __ , - 5 3 BMR 0921/90 NIA 2.8-2000 2-/B-2000 3-7-2000 t0101f89 5 q 5 BA 21BONUS 4- - O4-29.99 07/01/99 06/17199 a 1oro1r9 0922199 09122199 1Oil 1199 5 6 2A 3 1 04.29-99 06/14/99 09/20199 09I20/98 09t22199 5 7 C fB U3 I11/ 0 /t 59 0 9 5 8 26 3 04119f99 06/11/99 09109/99 091091M9 0921199 5 9 3D 2 04/11' 06107/99 09103/99 09/03190 0921/99 5 10 BB 1 =2 NUS 04/19/99 05/28/99 09/03199 09/03199 5 11 4C 3 04-20.98 0527/99 OB29/99 08129199 0928199 5 12 D IB N 1 52119E 0823 3/9 91151 9 5 13 3C 3180NUS O4I01FJ9 0527/99 OB718199 OBI13/99 09/03199 5 14 BE 21BONUS O441/09 07/02M 0a116/99 08118/99 0829198 5 15 3A 3160NUS OWOV99 0 117 08/10/99 08/1 I 5 16 2C 11/02/99 12-23.99 3.24.2000 3-24-2000 5.10.2000 4.27.2000 5 17 4 11l 1 -2 - •22.20 - 0 -1 -2 4 5 18 SD 1110219E 12-15-99 3 -2000 3-10-2000 5.10-2000 4.12.2000 5 6C 11/02)99 12.13-99 2.23.200D 1.20.2000 5 3C 11102/99 1210219E 2.18.2000 T12 72000 2-18 2000 1. 0• -24-2D0 3.24.2000 5 58 DET. GAR. 08118198 1011419E 2-14.2000 2.14-2000 5.10.20DO 3$-2000 5 7C 0811 f99 0SJ27/99 1• 1- 1- 0 d.n.a. 1.26.2000 5 1C o8/18l99 09117/99 1-20.20DO 1-21.2000 d.n.a. 1-21.2000 5 7A 2�- 07f23/98 -- 10.1_99 1-18.20D0 1-T-2000 d.n.a. 1-21.2000 . 5 5 134 16 2 5 7 9 2 /9 t0/ 1D/04199 10/1199 5 76 2 05/07199 0629199 10/07/99 10114199 1011419E 5 10 2 05-10-99 07MG/K 10/18199 10/18IB9 10118/99 5 BMR 5 5 BMR 4A 3 0T2 1 -22.99 10.22.9E 10.27.99 5 2A 3 05I07M9 07I12/99 1110219E 10.29.99 11.8-99 5 3B 1 2 0547199 07/23/99 11/08/99 12-1-99 12-1-99 5 35 5B 31SONUS 05/26199 072199 71.0 11.10.99 12-6-99 5 5 38 37 2C 2 082319E 0726199 11.1 -99 11.22-99 12 8.98 5 38 3E 2 0623199 08/12 11.22-99 12.2.99 12.14.99 5 39 SA 3 062318E 0 I18199 12$98 12$- 9 12-18-99 5 / ONUS 071089E 0811219E 1 •1399 12.1 9 12.21.9E 5 .4 41 3A 074M9 082319E 1.3-2000 1-3-2000 2.18.2000 (1) LOT 6 PLAN 2A & LOT 7 PLAN 5C (4) A.B.'a at porch front • DID NOT OBSERVE PIERS. (5) chimneys '(2)DBL SIDED SHEAR WALLS '(3) FLR. NAILING ZO•d . OLST 962 GOV 1S3M ONYH33NION3 `dL9°40 00-ZO-unC C :Ll I U0 llt; 11: Jr fd.i WARZA _.. ;w*ul ing &Vit?wm and Scwntis'ts 426 AOLAND WAY O, (A 6� 10 D, ok "M yr 01 A)n % r gIyir9'r1wr:,day oun Chwold To Pmod N uolm DW41ty Taste "TWt%wrbor loll- Lti`i Gano�ee•GYtmdma G ,,': ( I'; Pnoasm gun!! AA Xp`r•yr1(". cawrwt.M.. 7 1C!Llr awMen wmmra r 1 fC+ r mr, alp at AM slat tM PNtlCa1,t A tlltH L'„ L I C GY ' JiTCca.R l _I't HnGy's tk, f A-) NE FOL LOWINS WAS NOTED: .ri Twig vi'1 i/, �. 1/. YL.w��"A_ 4_'/J r. ..ti /'rind! 'f. +',''LPi" G�l'�'1 r.'e-'I do o T rc t'' PC�i.C4` 1`C �' Gflt:�G.rw f,()C v'G ^. �'+I-c.� �••l f'r,�. i}P I•i.t 'J Ir J.5,- I'? Yt^c.l ,'Cn �',L'•oC�_--'TAN,L'' I. • e_ rouh^•rS � 1c(-� 5- • oil rG!'�ate..iIlr r� r• CL GY l.,(l',�':)-�t..:e... n" i.'CC CLa L�'r•, t,Yl •�k.,O.iC7. GII i) )C,Icv' G ">~ �.;1 ��.?ery CIP�•t�. LJ,r,. ve.�' , c{^ E, .,,,:r,.v vJP5I 11Cr u,,l c,� fnt' n11 51ru,rlat., i �: �.. 'T�.i7�G Cx "f 4I-4 Ct� Y.�,G :4.:..., (.�p :J ur,i i•L r CGC ln. .Grt!„ CaC^ _ i i6',(~ C+t 'M% f. ♦r 'J `�r�� [v,i lh �✓�IJG ��^rc.;Grl'1^, C�I•iJ o�.t v'S u ...,� oa n �i c�,,. c�.._..� ! Y,^��}> �� c �� t 1•C L!J G�,r, y- =,xY_ r ,_J. i-1 \ (.f 07-0ML. � SIONFO TF�' ` ZNGEO 1 N C O R P O R A T E C • • • GEOTECHNICAL AND ENVIRONMENTAL CONSULTANTS MATERIALS TESTING Project No. 4136.4.050.01 May 22, 2000 Mr. Pat Burke The O'Brien Group 2001 Winward Way; Suite 206 San Mateo, CA 94404-2473 Subject: Tract - Oak Valley Lot 5-18, Permit Number S2844 10908 Sycamore Drive Lot 5-21, Permit Number S2847 23645 Oak Valley Road Lot 4-33, Permit Number S2840 23515 Oak Valley Road Cupertino, California SEISMIC FRAME INSPECTIONS Dear Mr. Burke: With your authorization, ENGEO Incorporated performed special inspections and ultra -sonic testing related to the seismic frame installation at the subject properties located in the Oak Valley subdivision in Cupertino, California. This report is submitted in accordance with Chapter 17 of the Uniform Building Code. Observation and testing services were provided using the approved plans for the following: Field welding of the seismic frame moment connections. Field welding of the framing straps. • Ultra -sonic testing. To the best of our knowledge and based on our observations, the work requiring special inspection and testing is in conformance with the approved plans, field recommendations of the Structural Engineer, and the applicable workmanship provisions of the Uniform Building Code. 2401 Crow Canyon Road • Suite 200 a San Ramon, CA 94583-1545 • (925) 838-1600 • Fax (925) 838-7425 www.engeo.com • E-mail:,engstaff@engeo.com The O'Brien Group 4136.4.050.01 Tract - Oak Valley May 22, 2000 SEISMIC FRAME INSPECTIONS Page 2 • We make no representation as to the accuracy of dimensions, calculations or any portion of the design for this project. If you have any question or comment, please do not hesitate to contact our office. Very truly yours, i rxj/ce:seismic cc: 1 — City of Cupertino 1 — The O'Brien Group, Mr. Gerry Ploof • 0 Reviewed by: 4W4.1 Dan Haynosc' �4 POST TH!S CARL NEAR FRONT OF A' I" n"aP CITY OF CUPERTINO IMILDING DIVISION PERMITNO. 2844 D, G. I A je, q .0 -77 SANITARY NO. APPLICATION SUBMIMAL DK UWNEit NFI: CONTRACTOR'S S NAME LIC NO: N)c CONGROLN rR II'; NO D"_ A�V�PIT NGINEr.R: LAC NO: ADDRESS:❑ • • INSPECTIONS DATE. INSPECT' El consultant Fees Paid by Applicant (Initial) BUILDING PrRMITINFO BLDG E= PLUMB MECH FOUNDATION/PIERS/H.D.S. INSPECTION RECORD NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. JOB DESCRIPTION RESIDENTIAL �OSFDWL El KI TCHEN REMODEL 11 ADDITION El PLUNIBING R&PIPIE OMULTI-UNIT EISTRUM'URAL MODIFICATION 0 INTERIOR 0 CHIMNEY REPAIR EOP�OVEMENT 0 SWINIMING POOLS 0 HATH RENIODEUREPAIR 0 DEMOLITION 0 OTHER UFER GROUND PAD/SET BACK-CERT GARAGE SLABS/PREGUNITE fl POUR NO CONCRETE UNTIL Alb) r[Zo1ASqB(tEEN SIGNED TO ARRANGE INSPECTION CALL AFTERNOONS (1;00 PM - 4:30 PM) 777- 3228 MONDAY TO FRIDAY 24 HOURS BE- FORE REQUIRED INSPECTION. JOB ADDRESS AND PERMIT HARE NEEDED WHEN PHONING. UNDERGROUND/SLAB PLUMBING ELECTRICAL DO NOT POUR FLOOR UNTIL ABOVE HAS . BEENSIGNED COMMERCIAL 0 NEW BLDO)ADDITION CDLMOLINO� 0 TENANT 0 FOOD SERVICE IMPROVEMENT OOTHER ATTENTION CONTRACTORS: NO PERSON(S) SHALL PERFORM WORK ON THIS JOB SITE WITHOUT BEING IN COM- PLIANCE WITH WORKERS' COMPENSATION INSURANCE REQUIREMENTS. PLUMBING MECHANICAL !2 bn ELECTRICAL FRAMING VENTS INSULATION INSPECTION SPECIAL INSPECTION REQUIRED El DATE INSP. PLACE NOSUBFILOOR UNTIL A1109 HAS BEEN SIGNED' ROOF SHEATWDIAPHRAM., PLUMBING0;7 V' TUBS &(HOW2 PA6V MFCHANIML %A ELECIRICALIPOOL BOND %A- FRAMING/STAIRS/E. EGRESS INS ULATIONNENTILATION RK UNTIL ABOVE, HASBEENSIGNED6 COVER NO WORK i EXTERIAI-SliEAR/HDLDDOW*-I;;Q.UW low) INTERIOR SHEARMOLD DOWN SHEETWROCK/SHEETROCK SHEAF. EXTERIOR LATHAV-SCREED SHOWER LATH C-s U:W_ 14? • NO TAPE OR PLASTERUNTIL ABOVE HAS BEEN SIGNED,, SCRATCH COAT I SEWER/WATER TEMPORARY APPROVALS OCCUPANCY ELECTRICAL <)1-7 GAS 07-1 CC/ "r N, ve GAS TEST GRADE FIRE HANDICAP ELECTRICAL PLUMBING MECHANICAL ENERGY CERTIFICATE OF OCCUPANCY VISUAL FINAL ONLY BUILDING co -11 IMPORTANT: PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTIONH ISSIJsNCE UATE-- ISSUED BY: OqqUPAN.. 18 . Ji� , NG;IS NOT' :UNTIL BUILOIN6 FInNgA(L('ISI PLICANT'S POSTING COPY COAST Insulation Contractors, Inc. • 1086 N. 11th St..• San Jose, CA 85112 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 ADDRESS: 1(9p IL. U61W/ /I c FLOOR Manufacturer, OWENS CORNING/MV Thickness/Type V f f R-Value EXTERIOR WALLS: Manufacturer OWENS CORNING/MV Thickness/Type R-Value 3 CEILINGS BATTS: Manufacturer OWENS CORNING/MV Thickness/Type tD( 1f-**1R-Value �7 3 J BLOWN: Manufacturer OWENS CORNING Thickness/Type 9;� R-Value (d Y44 Weight/Bag 35 Sq. Ft, Covered 1 lil q # Bags Used 2 AIR INFILTRATION SEALANT INSTALLED: YES 14 NO ❑ GENERAL CONTRACTOR e 15� RYtt & (401L1� LICENSE # BY: TITLE: DATE •COAS INSULAytq CONTRACTORS, INC. LICENSE # 440 C-2 DATE: / A 4Q-- BY: � TITLE: