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S 2849 - ---APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO - BUH,DIIS -ELEcfRICAL PHRMITNO. BUILDING DIVISION APPLICATION/PERMIT _PLUMBNG-MECUANICAL BUILDING PR0JFc1r IDENTIFICATION BUILDING ADDRESS� �� / �/ , / 7 SANII'A RY NO. APPLICATION SUIiMI AL DATE OWNER'S NAMP_ _ PHONE: CONTRACTOR'S NAME: -�x/ G,IIACCNNO: f N/C CONTROL# IIITEC LI O: ADDRESS: - ❑ CONTACT: PHONE: - BUILDING PERMITINFO /� ��.�Q Consultant Fees Paid by Applicant(Initial) BLD ELEC'li PIZ 7.ICFNSED CO ACTOR S DE/ECCLARAI'ION f(/ QTY.' ELECTRIC PERMIT =PEE rJ/ 1 nereby dram m t 1 f xea d P renapmr 9[comm g - JOB DESCRIPTION DaZ to Seci nn70W)o Bu essavitIs myl'wnsc is TIAL 1+10 Ie PERMIT ISSUANCE F�� in full fmwanA ffe 5;G�HITE / ❑SPDWL ❑KITCHEN REMODEL aUV License Clas Lic.# _ APPLIANCES-RESIUEN'1'IAi. ❑ADDITION El PLUMBING RE-PIPE i 41 Data Conirncmu y 0. ❑MULTFUNIT ❑STRUCTURAL CT'9 DECL z p m I understood Iny turns [Fill he used as public reeoN.i PANELS MODIFICATION UP TO 200 AMPS O'z I] ❑IMPROVE ❑CHIMNEYREPAIR ggn1 Licensed Professional 201-1000AMPS IMPROVEMENT ❑DEMou SWIMMING POOL9 �+� •e! Oat 1 it. oorpst F DECLARATION OVER IOW AMPS ❑BATH RP.MODF:UkLPA1R ❑DEMGLfifIGN CL Q I hemby aRrn than I am exempt from too Cessions o License Law for the 7pC�. y U Following huires a (Section 911b1.5.Business and Pe,dea ons Code:Any can or county SIGNS ELECTRICAL ❑OTHER -Ia+W ltr�c el which requires a permll m consbua,alcor,impnrvq Uemolixh,or mpoh any structure - _'�� end,to it,'atworeada,oul ' th .ppl'part f -1 parrail tofile a signed staterent SPECIAL CHICUIT/MISC. $rte that he licensed pntt [lie previsions oftheContractor s License Law(Chapter9 (a nnemngwill,Seat'na7(M)nfDiviamn3 of,hc Buttress and Profession,Code)... TEMP.METER OR POLE INST. COMMERCIAL: y y o a that he is exempt therefran ad the basis far the alleged exemptlon.Any violation of ❑NEW BLDG/ADDITION ElDEMOLITION IyXI W Sceeon 7031.5 byany applicant Fora,emntsnbjeets the applkanl In a civil penaltyof POWER DEVICES ❑TENANT ❑FOOD SERVICE fy not mote than five hundred dollar,($500f MPROVEMENT � Q 1,uv ownero[the properly,or my employees with wages as their ante comlwvsation, SWIMMING POOL ELECTRIC will dothe work,andthenruemre lootintendednrnRerod bestir(See.J044,Business L1 OTHER C^m and Professions Cult:The Contractor's License Law does not apply to an owner nI OUTLETS-SWITCHES-FIXTURES 3.. property who builds orimproves thereon,and who does such work himself or Ihmugh his we employees,powder]that such iniprovemems are not intended or offered for NEW RES 11)FrI IAL BLECTR SQ FT. - sale.If,however.the buddingorlmpmve.coniaaud within one yawnfaimplcuon,(he - SQ,FT.FLOOR AREA $ISQ.FP. oubudder will have the burden of proving that hcdid nal build or Improve forpar- 3 2q pneataaleJ. - ❑ I,as orvner of the pngicny,to.exclusively contracting with licensed contractors. to TOTA 1&4e . construct the project(S 7044 Business d Professions Carat)Th Corloscawas Li- cense e n Li does notapply l f property who builds 'rapawasm on and QTY PLUMBING PERMIT FEE- who facts for such projects with a rearriclechnlicensedP tr t ano the Commerors i,icense L'uw. PERMIT ISSUANCE ❑ amesemptunder .Sec ,B&PCfor,hi,reason AFTER-DRAIN&VENT-WAfER(EA) VALUATION . Owner Deep WORKER'S COMPENSATION DECLARATION BACK PLOW PROI'FCh 13EVICE I bereby affirrn under penally of perjury ane or the following declarations: f.P Howe and will mrtutatn aCetlificateof Gmaenuoacl(-lnmrc for Worker's Compen- DRAINS-FLOOR,ROOF,AREA,COND.iSTORIES TYPP.CONSTRUCTION tion.its proth vided for by Section 37M of the LaborCode,for e performceanof the laser_ y work for which this permit,,Partial. FIXTURES-PER I'HAP v N I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the petfornnnce ofthe work for which this permit ix issued. GAS-EA.SYSTEM-IINCAOUTLETS OF ROUT APN MyWorker,Gnapit,wudon Insurance carrierand Policy number vm. Cerner: Policy No: GAS-EA.SYSTEM-OVER 4(P.A) L.3 CERTIFICATE OF EXEMPTION FROM WORKERS' - COMPENSATION INSURANCE GREASFJINDUSTRL WASTE INTERCEPI'Ok 'BDIL1DIN6 DIVISION Flft83+ x fl'hisneaien need nmbccompleted ifthe permit is fnnmehundred,altars($100) OREASETRAP 2RG'Y or leas.) II1 untytbtiml p f oflh kf h nth p t'. dlshaB SEWER SANITARY-STORM EA.200 Ff. '20 isnot ply nyprsa y o t h e; o lh W k Compen FE 2 z sat L fCffo ,Dam WAFER HEATER W/VENT/ELECPR Applicant G ADING PEE ' NOTICE f0 APPLICANT,11;otter nakmg this Cerl malt of Excmplaw,you 1101 111 WAFER SYSTENUTRRATING become subject0 the Workers Compensation provisions of the Labor Code,you most S ILS FEE Wforhwith comply with each provisions or this pemtil,hall be deemed revoked. WATER SERVICE P G CUNS're isacRUCTION LENDINGAGENCY NEW kF.SIDF.NTIAI.PLACE. SQ.F'I'. PAID U Ifar,InhIhithat ,,.il i iaucomweti30lending agency lonhe performance of Rceeipl# the work far which Ihia Permit is Inauvd(Sec.3119],Clv.CJ Lender's Node TOTAL: LendciI ArtifyI - - 'f0'rAL: I cerlify.ta1have read this application awaandante that the a late information is tlUI1DIN P . E+ rn errent,agree ld wn,ply whh on oily and county oreinannes trod orate law-o mlafvgm QTY. . MECHANICAL PERMIT FEE . L) ,7.. huilding conatmction,and hereby awhuriae rcpresenmtives o[thiscitymenlerupnn tire SEISMICP- above-mentioned properly for inspection purposes. - (We)coca,course,indemnify and keep haradro,the City of Cupenimo egoin,t PERMIT ISSUANCE ELECTRIC GE liebilities,judgments,ensu and expenses which mayin any waywerve agrirwsaid City ALTER OR ADD TO MECH, in coax, cro /143 f the granting of this permit. GLHMB GP N APPI N;P UNDERSTANDS AN� ILL COMPLY WITH A.1.NO -POINT AIR HANDLING UNIT(TO IQfgO CFM) E� NI AL , SO C!A�AViItON AIR HANDLING UNIT(OVER IB,BBOCFM) CONSTRUgor Date EXHAUST HOOD(WIWCT) i� IN' M IG TION FEE HAZARDOUS MATERIALS DISCLOSURE Will the applicant or Front building occupant store orhandle hevallous material HEATING UNI'I'UO FOL(W HTU) m define by the CcOfdo 0 Mu Pat Cade,Chapter 9.12,and the Health mid Safety I S Code,Section 25532 pe) HEATING UNIT(OVER OO,WO HI'l]) Yes - qui VENTILATION PAN(SINGLE RESID) `-ta'� Dale keccipt# Will the,,,Tesco or future nilUing accupanl use Wuipmenl or deviecs which nit hciardnas air conmminanu as related by the Bay Area Air Quality Managemean BOILER-COMP(31 IP OR 100,000 BTU) -❑Yes No - ,singP BOILER-COMP(OVER 100,000 BTU) /I1��` I11"'lled the haznNouw�eriila requiremenlx under Chapter 6,95 of the Call- AIR CONDITIONER ISSUANCE DATE fonLa He Safety Cade,Sections 25505,25533 and 25534.1 understand at if the NEW RESIDENTIAL MECH. SQ.FT. buildinn tmirtendy have loot,Nethls my respansiniliryv votifyN upnnt ��yysSC . olthe yui hie 1 IprionoiasumienofaC two, r 0, r ulhoriznda Date TOTAL: ISSUED OFFICE DEC. 1. 1999 3:39PM BRIAN KRNGAS FOULK NO. 189 P.2i2 Crian Kangas Faulk Enpineefs Surveyors . Plannofs r December I, 1999 960069.50 Chuck Schoenberger O'Brien Oroup 2001 Windward Way,Suitt 200 San Mateo, CA 94404 Subject: Oak Valley—Foundation Verification Dear Chuck, On November 30, 1999 we performed a field survey of the location of the foundation forms for the buildings being constructed on Lots 5.48,5-49,and 5-50 of the Oak Valley project in Cupertino. no 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. 71his 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, A*" 1.ANA • BRIAN KANOAS FOIjLEC 1�OROOLFY,L BIL00 Bradley A. Bllbo P.L.S.6141 Exr, 3/31/n: I't q Projea Manager �� Na. PAI Survey Department • 540 Price Avenue • Redwood City,CA 94069 • 1650)4b2.6300 • FAX 16501482-6399 unra�v.,. DATE JOB N0. Consulting Engineers and Scientists I z- 2 -CM 425 ROLAND WAV PNo ECT 1 I OAKLAND, CA 94621 • (510) 568.4001 LOCATION o coNrRAOT R OWNKQ . Gros U"f'Sr� Gn Data n!`GIlggt; 'I'"r--�rjoy WEATHER TEMP. 04goatAM if,I<Gf GClat PM Hours Charged To Project 67 Nuclear Density Tests PRESENT AT SITE - Field Task Number os4 ,Concrete Cylinders C r� ' ' CTU+n2.G IU OI- (�'(U1-1'� Y^5 THE FOLLOWING WAS NOTED: U� `�' �� Cts Cegc eskc� Ftx rcntiCre4e �(aCevYv� ��' 1� 2Chcw� 6.� .7- c>I-SSy3v 5-4q 0,A14 5-50 QreCt 1 T �t41 L_) k-� Gn-\2C ( of SI✓ccL.c 5 V�t"UI .rte c C� 1-i-'2 v 0 'Cl 0 P �'o C v'e I-C iZ1 VY'1 C � 01C 14-V C' I i'0 '4 58 Y1na l- C M--L' ` v"e k' ckl II CYr YLl0"%1 C, � 'S1 �iu.oev, ue: �E-. T . Tz.�y- Truk' ti1�1e awifiem GAa F().'- ezG" L1 ' I `,T1' cl5 CIaCe.Cl dY �^rtic.F, cti� Cc, I- C-IvV mel- GI- 'f'lnor C yLL CnI +a'(- 51 'e t)4-v �F...•.+�--�1�� v� c�Lti' Sl c.�.�.1. 1.� I I1C A,, `-J 0 - T(jl l� C��L I-J YL(ILt 1l£. t.�':, Col• V 'Z �. l r C.Cn�t Y'ek G 1 f'1 f Y-t d '70 �x ,0I a.0 c.actiN� 'C 5 f7o ke. C.J Kn - �a1' �N c Y COPIES TO D ^O�-/ SIGNED • ENGINEERING WEST INC. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO.GA. PAGE 1 OF 4 rSAMPETERS ST10 U S—BROS. 1!660}237 007E (408)267.1928 DATE: 7.12.2000 THIS CHART INDICATES THE DATES AT WHICH EACH COMPONENT OF EACH BJILDING WAS ' OBSERVED AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE DRAWINGS. LEGEND NO. = CONSTRUCTION NOT COMPLETELY OBSERVED = CORRECTIONS REO'D. LIST GIVEN TO CONTRACTOR. FDN. • STEEL REINFORCING,HOLDOWN ANCHOR BOLT OBSERVATION 1ST FLOOR = UNDERFLOOR FRAMING OBSERVATION ROOF PLY. = PLYWOOD NAILING OBSERVATION EXTERIOR PLY. a PLYWOOD NAILING,HARDWARE OBSERVATION BASIC FRMG. = GENERAL FRAMING NO HARDWARE OBSERVATION UNIT Lot I Pan QPTiQN I Fdn. 1slAoor Roo( I � I -see,ft n esTrn . 4 4 2 4 3 1 ID 12-21-99 • -2000 5-21-2000 5�t 2000 d.n.a. 5.21.2 00 4 a NIA - 4 /8 12.21.99 3-2.2000 616.2000 5.21.200 d.n. . 5.21- 00 4 9 7B 03110/99 0411 !2 0 9 0824189 4 8 i C 03/10186 04114199 06/2 9 06,'2459 _ --80-4M 4 9 SC i N IS 311 4114199 07/09199 07109/99 07129199 4 10 20 • J 03101199 04102199 07 0/99 7114/99 07=0 4 11 38 03101199 04102199 07101199 0813059 07118199 4 12 4B 3 11/1 12/10/9 ' 01/21/99 01121,'99 01!1596 4 13 6C 2 09/28/98 70!09/98 11/0058 1111358 121 15196 4 1 6C ADDITION1 02109/99 02109199 0210999 02109199 4 14 2A 2 02/02/99 0310159 05119199 061211199- 4 121,5, 0� 4199 4 15 5D 2 02/02199 03108199 0547199 0610959 0610959 4 17 2 O 1159 I !9 1 /99 06/3059 07L859TJ 4 18 6E 2;BONUS 12/1458 12/24198 0310E99 03108199 04/1 99 .4 2 4B 3/ 12/2258 04/1459 03118180 032259 0411459 4 21 2B 2 03/19/99 04/14/99 074 07 7 0811 1019 4 22 5A 2/BONUS 03119199 04/14/99 07/2099 07/23!99 0811059 4 23 319 1/12/99 /1 9 /1 AS 05-07.99 06/0/199 4 24 6D 31SONUS 01112/99 02/1759 05-03.99 04.30.99 117 4 25 5 3 12/23196 02/18/99 04/02199 04/05/89 05!1459 4 2d 2D 2 0110859 02112/99 05/10 04, 05/1159 4 27 4C 3 01/08/99 0210599 04/14/99 0411259 05-07.99 4 6 86 3!B 12/149 1/04 0310359 03/03199 03Q0519 4 29 7A 2 11/1398 12110198 0211059 02110199 3/ 4 7 3C 3 11113166 1211098 02103/99 0210159 03!1159 4 31 58 3BONUS 02/12199 0311 06/0 'I 0817759 4 32 2B 0211299 03!1059 0611159 08/1759 0 4 33 57 t• 5.21-2000 5-21-2000 8-21.2000 4 34 7C 12.21.99 3-7.2000 8.8-2000 - 0 n/ -8-8. 000 NOTES:(PENDING ISSUES) (1)'LOT 13 PLAN SC FDN. (OFFICE OPTION); CORRECTIONS NOT OBSERVED. • 1111116i. • v . w •. 1.1 ©��_•�i�'��•1'Tr� 111 11� -`�:�i•IYI' ®�m�} �� •' 1 • 11 1.1 � 111 ®�MOMI�y 1 y I' I 111 111 •11 ®mm -l�IVLll1� 1: • �• I I I I 111 m��i : •� 1.1 1 I 1 1 11. ,.1 .11 �mm .. 111 1 "111 .11 I 11. �m�� .. 1•. I 111 111 111 111 ©m��••{•\�� 1 Iy1 I I 1 • 111OFM 111 r=►fl •nIT17 ®_®_� •{'y1I\1C•a� 11 I 111 11• 1• • 111 ��■ter■ ��r _. / ) B4 l LN �� GROUP Ourke Jim Rlplay(SMTP;riplaydg(�pecbelhnol( Monday, Mereh 08, 1880 2:29 AM PAT OURKE OAK VALLEY y , CA. Linoar parkway planting, I within the Ilnoer puk are con$lalonl whn Iho IOndecap0 n documaM13,prepared by this ornce and rovlowed by the city BB9 and,eonform wllh the prollminary approval doumante, ipley 3n Group, Inc. PlAf 1• LgNNINO BION.. • OAS �� OFF 10 - 4NAr�pF , ! 2001, SAN MA Ton, reuPOHNIA y((a( t'173 TIILOPIIONH 0101)770)00 FA CSIAIILC(6I0)349.744 3 ' p.vlur( Mernh I, 199 R FR.i7h1 CRI'98,71 FPi}t N0. : 63173963329 Jul. it 2:L^O 09:20RI P4' o fUl.-riA•.WU W,..:•. L'C`'.jI 1 Cn ,mvrelal Ft.uoi mAnquiner t Sna JnFn, dun, kCS!!�mrt(id'.RCt7.��.1'yteuifnFpeCl;u>rNr�'rt _ prnJoet; JA_ ��II�F� i4A CF Impocilon tate- . 4'-(C-UO Address! w_Vw"1rm7a `E 71i cliY; .Owp' rk State, QA Client: IJ21 Q"%jk�n_ r P� COntoat, ' u(k .sniff Rutin Contractor: 'RlLi_bu'r �(hJ�rlhi v n C IRMi 1115POC,tOr: Lot Nurnborr ;,, as+aaaataaayaa• Typo of Iropwlcm: melt Final "� Typo of RoofShingIO .r . Tilts Undorlalymem; _ th# Metal Plashing: .__ Gutters: SKyliyhta: A,ttachmon4o4 Vonts & Plpe�u Vatioyc; _ _ tiidpas: _ paves; •aaaaav+sat,♦sea. • Cori mcnts/Ctbs:yrvutions: Cr: Rid 0A koOieltd • • 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, Statue of California, the building located at: SITE ADDRESS: LOY 5-99 CJa� �� ('. { FLOORS: Manufacturer OWENS CORNING/MV Thickness/Type33�4 R-Value 13 �. EXTERIOR WALLS: Manufacturer OWENS CORNING/MV Thickness/Type /2 �� R-Value CEILINGS: • BATTS: Manufacturer OWENS CORNING/MV Thickness/Type_ R-Value 1I BLOWN: Manufacturer OWENS CORNING Thlckness/Type R-Value j, , Weight/Bag 35 Seq. Ft. Covered c�rG # Bags Used AIR INFILTRATION SEALANT INSTALLED: YES NO ❑ GENERAL CONTRACTOR 96WLICENSE # BY: TITLE: DATE • COAST INSULATION ONT ACTORS, INC. L ENSE # 465440 C-2 BY: 0�--- TITLE: DATE: �^—/� 4r€ pt rrN p, • 1 P w t ;I ` .INSTALLATION CERTIFICATE (page 1 of 4) CF-6R Ite Address Permit Number An installation certificate is required to be pasted 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. N of Efficiency Duct Duct or Healing Healing Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.), Location Piping Load Capacity heal um and Model Number Systems 2CF-IR value attic etc. R-value (Btu/hr) Btu/hr tsr r 1A�N ,�- 2NiJ &09n— —A71L 4t.ZJ3 ' i Cooling Equipment Equip. CEC Certified Compressor N of Efficiency Duct Cooling Cooling 1 Type(pkg. Unit Mfr Name and Identical (SEER etc.)' Location Duct Load Capacity 1 heal um Model Number Systems J2Clt.11tvaluel (attic,etc. R-value Btu/hr luthr ZN� 38G�Go3o �_ is Rh"tG �G a 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 specifiied in the certificate of compliance (Form CF-IR) submitted for.eompliance with the Energy Efficiency Standards for residential buildings,and 3)equipment that meets or exceeds the appropriate requirements for • manufactured devices(from the Appliance EE)ficiency Regulations or Part.6),where applicable. f�1� use c�h✓�. �� ?-y� �/eS a .�r/e�.4U6 '0� Signature,Date Installing Subcontractor(Co.Name) OR General Contractor(Co.Name) OR Owner WATER HEATING SYSTEMS• Distribution If Recir- 0o Rated Tank Efii- External i!I Heater CEC Certified Mfr Type(Sid, culation, Identical Input(kW Volume cieneyl Standbys Insulation Type Name&Model Number Pointof-Usc) 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 heaten,list Energy Factor. For large gas storage water heaters(rated input of greater than 75,000 Btuthr),list Recovery Efficiency,Standby Loss and Rated Input. ' For instantaneous gas water heaters,list Recovery Efficiency and Rated Input Faucets &Shower Heads: 'I All faucets and showerheads installed are certified to the Commission,pursuant to Title 24,Part 6, Subchapter 2, Section Ill. 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 Ejiciency 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 D,,.4...,.1 M......1, 1 1004 �