S 2742 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-EI.ECTRI CAL PERMIT NO.
BUILDING DIVISION APPLICATION/PERMIT PLUhIRINGMI?CILANICAI. /�
IIUIIAING 1'RfUF.CT 111ENTIFIL`Al'II N L�
BUILDING ADDRESS'. ` I SANITARY NO. APPLICATION SUBM/TIAL DATE
OWNER:` 11i� PHONE V'^ CONiR^�OR'S NAME: LIC NO: • �4
N/C CON'fROLp
ARMINCER: NO: ADDRESS:
JV
CON'A-T: PHONE BUILDING PERMITINFO -
ft.A ® ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB3 MECH-
LICENSED COKTRACTORS DP.CLARAI[ON QTY. F:LIECIRICPERMIT FEE Lad
1 hereby anirnt atm 1 ant Errnuea andrr provkdo..of Ch qac,9(rmnoureng _ JOB DESCRIPTION
�0Z with Section]fXNpo1D nn Sof the Onsiness undP Tena e,and my llcen.c is '
I00 nsCyJ PERMIT ISSUANCE (r
Be P: infullfn" and eta a SPDWh ❑KITCHCN RI3MODEI.
�UU Lie"cle Clas Is Liv. APPLIANCES-RESIUENI'IAL
4i Dom Conuecm ❑AI]DITION PLUMBING K6PIPIi
RCHITECTS UISCh ❑.MULTI-UNIT' ❑STRUCTURAL
PANELS
zpNZ Iundoratmuln,don,shall bcust,despublich,cood, MODIFICATION
oz-A' UP T02(XIAMPS
4F'Q ❑INTERIOR ❑CHIMNF,YREPAIR
Licensed l'mfesional 201-1000AMPS IMPROVCMI;NT E]SWIMMING POOLS
y'e�� OWNER-BUILDER DECLARATION OVER IfI(NIAMRS [I BATH RP.MODEIJREI'AIR [I DEMOLITION
4 C W 6 1 hereby affmt Ihn 1 ain event from the Contractor-,License Law for the
k 30.U following mason.(Stenon 7031.5,Bulinus and Professinns Code:Any city or countySIGN51?LECTRICAI. ❑OTHER
ati O yQ which acquires a perno, it c,houom alma impmvc,dcmolleb,of mpalr any structure
y.] priorm its issuance.also requires the applicant for stab penniuo rile a s'ignedxlatement SPECIAL CIRCUIT/MISC.
E;!ly that he is licensedpurchat mtheprovisionsofthe Commnnr's License law(Chipter9
Iy'r 0 (convnaming with Section]lNM)lof Division3ofnc�ltusinc.xntW Pmfcssinm CMe)or TEMP.METEROR POLE INST. COMMERCIAL:
a a e2 that be is exempl therefrom and the basis for the alleged exemption.Any cardinal of ❑NEW BLDG/ADDITION ❑DEMOLITION
y—
Wo, Srctian 70315 by any appbcatn fora pennh.stilErGx thenpplicant w a civil penally of POWER DEVICES
W-' ❑ M [I FOOD SF.RVICF.
IMPROVEMENT I„ y nl more Nun five hundrul dnllnrs(55(X)), MPROVEMP.NT
[]Lss owner of Ne property,or my employees with wngen as their sole campensmion, SWIMMING IK)OL ELECTRIC
py�b5.,� will Jnlhe work.ondthexwcn,rci.run inondcJ oroRercdf carte(Sec.7(119.Buslnoss ❑O'fIIL'R
41 a and Prnfexsinn.Gide The Contractor's Licence Wit dims not apply ,,an owner of OUTLIi9'S-SWI TCHES-FIXTURES
F profmny who builds of improves thereon,and who dw.rs such work him etrbr through
his own rmpinyecs,provided Ihvt such Impmvemena are not amended x of .it lin NEW RESIDENTIAL ELECTR SQ FT.
sale.If,however,the huildingorimpmvemcnl is,nld wi@in nuc year of aomplaian,the SQ.FE FLOOR AREA ESQ.19'.
owncnhuilde,will havethe built.of proving lhat he did not build nr intpfove for pur-
povc of sale.). - �f•'�
1,as owner of the property,mit exclusively contracting with licensed hottmetmc m 7OTAI 3 .Q$'V
mnmuct the phocer(See.70,W.looincs.and Phot,"imts Cove., av Conlrador',Li- -
repace Law does not apply to au owner of property who build,or Improves mefenn,and QTY. . PLUMBING PERMIT t FEE
who contracts for such projects with a cnmracmgs)licensed pursuant to the Contractors A /Z
License Low. PIRMITISSIIANCE 6 L.7
I am exernpl under Sm. .B X P C for Ihisw
rsnn
ALTER-DRAI ATHR HDO VALUATION
Owner Date
WORKER'S COMPENSN'ION DECLARATION RACK FLOW PROTECT.DEV 'F. O Z
I hereby anind that,penalty of perjuryone of fv follawinF Jwlarutipns: Pe
l hocand will ntainmin aCenifcae of Consent to,elf-mourc for Workrr's Contpen- DRAINS-FLOOR,ROOF,AREA, Sq'ORIIiS TYPIi C(1NSTRUCTION
sution,a provided for by Section 37(X1 of Ion Labor Code,for the performance of the
"or
k(a,which do,permit is i.sued. FIXTURES-PER TRAP 2 /,
1 have and will mainaln Worker's Cnmltunsmion Ineurnece,as required by Sectio V
3700ofrhe labor Coda,foz Ore perI ..ran eoRhework lax wM1ich Ihis permit is issued. GAS-EA.SYSIEM-1 INC.4OUTLETS (ICC.GROUP APN
My Woken,Carensmionhnumncea yy��'Policyoumherare: GAS-' /J
Caniee eljrtliT,lf ' LA.SYS1EM0IVER4(EA) ,y
IL T b (I�
COM10 CE GREASUINDUS'fRL WASTE INTERCEPTOR ., UILUINC DIV I) 'IRS
t (Utissectiont rdnotb, ,n - It, IaYaa ff MdBl GREASIi TRAP
alt
or less.) PI N F.
t Iccnify lhalinlhc perfprm:m¢.ofnc�work Gn'whicb this pcmtitisissdcd,Inhall SEWER-SANITARY-STORM EA.200 FL , (T
not emm ployany perin any nmnner.so as to becomesubiver lo he Workers'Contpen- EN RG P'_ 1,0
z7., suion Luw.r of Califoram Dam WATER HEATER WNEN9'/IiLEC'fR
Applicant GRA NG I7171i
NOTICE TO APPLICANT:If,are,ranking this Crnlfcute cf Exemption,you should WATER SYSTEMC REATING
q
4 becomesuhj., itthe W..Gies Coullonoton provisiu,of the labor Code,you thus, ROILS FE
W funhwith comply with such pmriatur,or this pe rout shat l bcdrenud revoked. WATER SERVICE
Q
a
CUNST'RUC'I'ION LIiNUINC,AGENCY NEW RESIDENTIAL PLMIt. SQ,Flt IU
U 0 IherebY alf nn char there i.ncu,ssvudion leading.gencyfor the pedrnnanco n( Ume keceE,n
P the work for whiduhis permit is issued(Scc.30)7,Cie C.)
Q Lender's None TOTAL:
r µlLender's Addrevv TOTAL:
I cedify Ihnt I have read this application and sate that the above of pori is RUILDING P
14p .mat.I agrecm complywith all city and couidy ordinances crumble laws midnight QTY, MECHANICAL PERMIT FEE
Z M1uildin6 congrvnimt and hereby:wthnrize repreunwlivex Nlhi.city menmr upon rbc SEISMIC •E O-
ahoce-mentioned proprdy for impohirn ioupsoe.-
(We)agree ill save,indeonily and keep harmPEkMIT ISSUANCE,less the City of Cupertino against 'e ELECTRIC F-
Iiabilitics,judgmcm,e-shod will whirdnnny in any way sec-heagamd,dd City ALTERORADDTOMECII. PLUMBING 3E (,
in consequence ofthe granting of thus person,
APPLICANT DERSTA.NUS ANDWILL COMPLY WITH ANON-POINT
T AIR HANDLING UNIT( CI-M)
SOURCERU \- � MECHANIC
FIRE
AIR HANDLING UNIT(OVER 10.I000 CFM) CONSRUCTIG TA
X
Stgnmre ptcunVCouil nr Opole EXHAUST HODD(WIDUCT) HOUSING MITIGATION FEB.
HAZARDOUS MATERIA S DISCLOSURE
Will the applicant or future building occupant sort,or handle haaadlous intend BEATING UNIT('1'O 100,I0ill B'Ol)
as defncd by the Cupenina Municipal Code,Chapter 9.12,and the Hevlat and Safety
Code,Section 25532(a)? HEATING UNIT(OVER IWAX)it 111)
[:I yr, PAID
VENTILATION PAN(SINGLE REST D)
• e Will then licanl nr forum building tecu t use e r or Acvices which _ Date RceeTP1 M
PP b he
.AllQn BOILER-COMPQHPORI (gnBTU)
mil hunminus air cnnlarnn,mrx os def red by rhe tlny Arca Air Quality Maoagemenl �
AI'
District pOILER-COMP(OVER I00,I100 R'Tll)
Vas
I have real the ha'runloas Materials m is under Chapter 6.95 o1 the Cal l- AIR CONDITIONER
gniremcn p " ISSUANCE DATE
Ervin Henl0&_ hty Cade,Sections 25505,^_5533 and 25534.1 undersand that if the NEW RESIDENTIAL MECH. SQ.FE. �1
nodding hoes ndybave a tenantejE ,Thal ir's .pm:.ibilaYmnmlf eoem ant Z O q /
of We require e r n,n no fa Cenifem r Au
(/
Owner or authorize agent DatF I TOTAL: ISSUED BY.
OFFICE
5.1399 b:52k'I BRIT" KANGAS FOL.LK NO.3cri P.2/2
Brian flanges Iwk
Engineers • 9urvaYero • Plannefs '
August 9, 1999 v
960069.30
Chuck Schoenberger
O'Brien Group
2001 W!ndwed Way,Suite 200
Sea Mateo,CA 94404
Subject: Oak Vs11ey-Foundation Verification
Deer Chuck,
On Au9u6:5, 1999 the performed s.fleld survey_oftbq IogUimi of the foundation tbrms far the buildings
being constructed on Lots 5.2 1.5-2 1 gsrage�,515422"anQ'S•g7 0l he Oak Valley project in Cupertino,
The results of that aurvoy Clearly dhow that the location of the foundation forms aro consistent end in
conformance wllh the dssfp location of the buildings,as said locations are shown on tha plans prepared by
our firm.
This lermr is intended to provide you with the verification of those units per our survey. If there era any
other questions Coneeming that location,ploese do not hesitate to call.
Sincerely. I� 4AN0 SUR
i `
• c7bBRADLEYA BILRD
BRIAN KANOAS FOULK * W.M/02 �
Bmd;ey A. Bllbo P.L.S.6141 took No.6141 err
project
Manager
Survey Department Or CAUFBQ�
•
849 fto Avanuo • Iledwood City,CA 84063 • 16501482.6300 • FAX(8531492.8399
•
ENOINEERINO WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO.CA. PAGE 2 OF 4
4.214000xt dC. . n 8610
of b N dn. tat o/ 0
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5 7 BM 0911199 N/A 2.8.2000 2.18.2000
5 3 M 0911199 N/A 2 2 2'1 -
10101/99
5 a 4C 2 04.2 -99 07101199 914199 10101199 1011159
5 5 8A 2/BONUS O4-29.99 08111199 091259 0912189 o/W . 09/2
—
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5 12 BD 3180NUS 04101/99 0511!99 0813199 0813199 810359
5 13 3C 3IBONUS 04101190 005/07 O�1BlB9 X118/" IBM
14 218 N 4OB/t /99
• 5 15 3A 31BONUS 04/01199 05117199 08110199 08112/99 , 2
5 16 2C 11 1 •23.99 3 24.20 0 3.24.20 , 2
17 4A 11102199 12.23.99 322-2000 3.22.2000 4.12.2000
5 18 5D 11102199 12.15-99 3.8.2000 3.10.2000
5 gC 1102199 1 •1 •99 •23 000 2.25.2000 1-21.2000 4.8•2000
5 2D 3C 11/12199 1210219 2.18-2000 2.18.2000 1.20-20 0 3.24.20000
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5 25 78 2 05/07199 08129199 10107/99 10/14199 101 Bl9
5 p9 1D 2 05.10.99 07/08/98 1018199 10/1&99
530 BM
5 31 BM 0518198 071889 10.22.99 10-22.99 10.27.99
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5 40 SC 21BONUS 07108199 0811259 12.13.99 12-13-991
5 41 3A 07/08199 081 189 1• -
•(1)LOT 6 PLAN 2A 6 LOT 7 PLAN 5C (4)A.B.'s at 130Mn front
•DID NOT OBSERVE PIERS. (5)chmnsys
• •(2)DBL SIDED SMEAR WALLS
(3)FLR.NAILING
! LAIZZA
E" ! I DATE -T 0e N0
Consulting Engineers and Scientists
PROJECT
425 ROLAND WAY }', ? v . '• t'OAKLAND, CA 94621 OCATION
(510) 568.4001
/ CONTRACT R OWNER
t )
,. ,WEATHER TEMP. A, at AM
Date ar ;ir �.. '1( '' ICrC,C1 1%L % i ':f.�G�` r /(°r •„ I „ cat PM
PRESENT AT SITE
Hours Charged To Project Nuclear Density Tests �.-- ^
1 ' . ..
Field Task Number Concrete Cylinders ---
r,(.
THE FOLLOWING WAS NOTED:
If
C.-i(l 1' t-
!I h I
ir fenr
1 �I �r II r l /•' 1 / � 'r (.,,( l l �r'(`l i-/ r 11 =,.. . r.< I � I ,I-C/' � i' (�
to T' 0% •7—/,�- Lf I
II r
I I(-( lel l '( IL.('`,
i 1 I \ 1 1 l
H6, I r I I-r �r r �i.� 1_Lyr 1'C—
ri
PIES TO
SIGNEDZe2
AGENCY
POST THIS CARD NEAR FRONT OF BUILDING"'
CITY OFCqPERTINO KWTNO.
BUILDING DIVISION F,-) 2742
BUILDING PRALI
BUILDINGADDRESS:/ " M SANITARY NO APPLICATION SUBMITTAL DATE
'CM VIEW" 1.1 I '
R'5 LIC NO:
ro—w NAME: PHONE: CONTRACTOR'S NAME:
w CONTROL 0
Ak'Ill=r&NUIN111PIL AOIAINS; tv .-I
BUILDING PERMIT INFO .
INSPECTIONS DATE INSPEC'.' El Consultant Fees Paid by Appilunt(initial) BLDG ELECT PLUMB MECH
.1
EEI in n
Fc UNDATION/PIERSIH.D.S. 9)CLQ INSPECTION RECORD JOB DESCRIPTION
uFER GROUND NOTE ALL GRADING AND DRAINAGE pisipENTIA
i SHALL BE INSTALLED TO COMPLY WITH '0 SFDWL [I KITCHEN REMODEL
PAD/SETBACK-CERT 1k THE APPROVED PLANS AND CITY OF OADDITION EI PLUMBING RE-PIPE
GARAGE SLABSIPREGUNITE CUPERTINO STANDARDS, 0 MULTI.UNIT OSTRUCTURAL
MODIFICATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN S D TO ARRANGE INSPECTION 0 INTERIOR 0 CHIMNEY REPAIR
IMPROVEMENT OSWIMMINOPOOIS
.UNDERGROUND/SLAB CALL AFTERNOONS (1:00 PM - 4:30 PM) 0 BATH REMODEL/REPAIR 0 DEMOLITION
PLUMBING 777-3228 MONDAY TO FRIDAY 24 HOURS BE- 0 OTHER
ELECTRICAL FORE REQUIRED INSPECTION. JOB ADDRESS
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED AND PERMIT#ARE NEEDED WHEN PHONING. COMMERCIAL,
ATTENTION CONTRACTORS: EINEWBLDO/ADDITION ODEMOUTION
PLUMBING NO PERSON(S)SHALL PERFORM WORK ON 0 TENANT El FOODSERVICE
MECHANICAL THIS JOB SITE WITHOUT BEING IN COM. IMPROVEMENT
ELECTRICAL R. PLIA CE WITH WORKERS'COMPENSATION
DOTHER
FRAMING VENTS llve)LfL INSURANCE REQUIREMENTS.
INSULATION vj INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP.
PLACE NO SURFLOOR UNTIL"ABOVE HAS BEEN SIGNED
ROOF SHFATH/DIAPHRAIVI
PLUMBING
TUBS&SHOWER PAN
MECHANICAL rvp-lcicw
ELECTRICAL/POOL BOND CEO,
COVER
INTERIOR
MING/STAIRS/E.EGRESS rV@&LJI(CV
L SULATIONNENTILATION
S'
C COIVERNOWOPKUNTTL'ABOVE A BEEN SIGNED;
OV
E,XTERJAL SHEARMOLD DOW (71
:M
INTERIOR SHEARMOLD DOWN
SHEE7WROCK/SHEETROCK SHEAR 'J.00
EXTERIOR LATH/W-SCREED OLIs OU
SHOWER LATH fh cv
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED-
SCRATCH
SCPATCH COAT 31��OU (7
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
ELECTRICAL
GAS I-,"..e2,4Cjp rZ
. .. ........
GAS TEST
GRADE
FIRE
HANDICAP
ELECTRICAL
PLUMBING
M
MECHANICAL
ERGY
1S,UAL FINAL ONLY CERTIFICATE OF OCCUPANCV442l�
BU
BUILDING IMPORTANT ISSUANCE DATE
YOCCUPANCY(OF BUILDLNG4S NOI'TERMITTED'M' PLEASE READ REVERSE SIDE BEFORE
VVBIJIL6114' CALLING FOR FINAL INSPECTION!!
iINSPI26TdIc"'m
,fN N"'e'w Is, 111ILD ly:
03PU EN
GROUP
'
Bee
Jim RlplOy(SMTP,rlploydg®pacbell,nol(
Monday, March 09, 1990 226 AM
PAT BIJRKE
OAK VALLEY
iy
CA
Linear parkway planllnp,
a wllhln the Meer perk are conalslonl wllh Iho londsoapo '
n documenis prepared by Ihls office and rovlowed by the clly
999 end.conform wllh the prollminary approval doumoms,
ipley
;n Group, Inc,
FINAL PLANNING SIGN OFF
DATE ---5-1.2..Ylv�
SIGNATURE ,
-------------
SII IS n,SAN MAT 00, C A L I HORN I A 41104.2,113 TIMP I ION H(630)371,0300 FACSIAIILO(640)314.2112
pwlu ( Mernh 1, 1996
.INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
rte Address PerMIENUMDer
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. 0 of Efficiency Duct Dud or Heating Heating
Type(pkg. CEC Certified Mfr Name Identical (AFUE,ate.), location Piping - Load Capacity
heal m and Model Number Systems F-IRvalue atti etc. R-value tuthr (Btu/hr)
Cooling Equipment
Equip. CEC Certified Compressor 0 of Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER,etc.), Location Dud Load Capacity
heat um Model Number Systems CF-IRvalue atti etc. R-value tuthr tutor
1
_ o0
1. >_reads greater than or equal to.
I, 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 Ejiciency Regulations or Part.6),where applicable.
• ;;������sae .�.-.,�;z7-�9 � Ses�/'oat/' ,r1.� 9� �i'i
Signature,Date installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER HEATING YST .M&
Distribution If Reeir g of Rated' Tank Em- External
Heater CEC Certified Mrr Type(Std, crilation, Identical Input(kw Volume cieney' Standby' insulation
Type Name&Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss(Y.) R-value -
a
2 For small gas storage(rated input of less than or equal to.75,000 Bluthr),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:
All faucets and showerheads installed are certified to the Commission,pursuant to Title 24,Part 6,Subchapter 2,Section
111.
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 Effrciency 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
• COAST Insulation Contractors, Inc. INSULATION CERTIFICATION
1066 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, StateofCalifornia, the building located at: 11
SITE ADDRESS: 5' � 1 IL- ��I'll - -1 Cwt Ott of a
FLOORS:
Manufacturer OWENS CORNING/MV Thickness/Type R-Value
EXTERIOR WALLS:
Manufacturer OWENS CORNING/MV Thickness/Type � R-Value R ,
CEILINGS:
BATTS: Manufacturer OWENS CORNING/MV Thickness/TypeFI-Value. `
BLOWN: Manufacturer OW NORNIN • Thlckness/Type —� R-Value
Weight/Bag 35 Sq. Ft. Covered # Bags Used
AIR INFILTRATION SEALANT INSTALLED:p�YES 0,_ NO ❑
GENERAL CONTRACTOR`�,1� - l )�Cl f l� dfA� LICENSE #
• BY: TITLE: DATE
COASt INSULATION O RACTORS, INC. LICENSE # J65440 C-2
BY: Y-d DATE:
i