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S 2848i* z Fy Q Ub O U JJ z �z &DOI ICANTTn FII I IN INFnRMATICIN WITHIN RED LINES - USE BALL POINT PEN ONLY CITY OF CUPERTINO - BUILDING - ELECTRICAL BUILDING DIVISION APPLICATION/PERMIT PLUMBING -MECHANICAL '. BUILDING-PRO,IELT IDENTIFICATION'L PERMIT NO. 2849 BUILDING ADDRESS: _ �� / x r� I/ /Y�� / % /V/1(5df•-'f-w,irvV/I CL V Ly[/ 1 4`[, ,SANITARY NO. APPI.IC�ON SUB TAI. 3 , A OWNER'SPHONE: CONTRACTOR'S NAME: LIC NO'. NIC ❑ /CONTROLN ( Q CHIT BER: LIC NO: ADDRESS: CONTAM: PHONE: - ' 6UILDING PERMIT INFO ❑ Consultant Fees Paid by Applicant (initial) BLDG FLECf PLUMB ECH PL� M G %oF 6�� �Q� .�- . d � D- LI NSB CONTRACTOR'S DECLARATIONQTY_ I hereby rc that 1 licensed and provisions of Chapter9 Boommict., ELECTRIC PERMIT : ` FEE `"a. - JOB DESCRIPTION evithS i 90300) fDi i ftheBasin, Igsi 4 and liven sets in roll foe anJc atm. - E ENTIAI' FDWL ❑ KITCHEN REMODEL PERMIT ISSUANCE APPLIANCES - RESIDENTIAL ANFLS UP'10200 AMPS License CWss Lick Date Conlmclur R 11'TEC'1"S DECD. 1 I undwstand my also s all be ounces public recd ❑ADDI'TGN ❑PLUMBING RE -PIPE N7 Tl l.unnm L MODI' 'ION RIOR HCH IM EPAIR gI.VI 'NT I POOLS Formal Professional 201-IOOOAMPS OWNER -BUILDER DECLARATION 1 hereby offinn that 1 am exempt from the Canonic n's License Law for thefollowing,mznn. (Section 9031.5. Business and Professions Cole: Anycity roemr unly REMODEL FT Ik 'MO I N R OVER 1000 AMPS - SIGNS ELECTRICAL which marinas a pennir m commit alae, improve, demolish, or repair any structure CIRCUIT/MIS prior to its1.so leq' the pPl ..t for suchp 'n file if signed statementUSPECIAL the? he licensed p tr the Is s f the Contractor s License L (Chapter9 (commencing with Sector 7000) of Division 3 of the Business and Professions Code)or TEMP. METER OR I.EIN.OU, ER IAL• that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section ?031.5 by any applicant for is panni, subjects the appllalnnn aeon penalty of POWHRDEVICFS El TENANT ❑FOODSERVICE oat more than five hundred dollars ($500f I, vs owner of the propenyl. or my cinpinyces wllh wags ax their solewmpensntian, will do the work, and aha nneture lu not intendal oroffamd ror sole (San 7040. Business IMPROVEMENT, OTHER SWIMMING POOL ELECTRI and professor, Gde: The Cmmuaeror'u Lice if Law does nal apply to vn owner of property who builds or improves chances, and who does such work himeelr or through his own employees provided that such improvements are mat intendeJ nr doe ed for ,life f. hnweveq,he builJing orlmprovemcm is xnld within one year ofeomplmiao,the OUTLETS -SWITCHES -FIXTURES NEW RESIDENTIAL ELECTR SQ PC. - SQ FE FLOOR AREA $ISQ. PT. -builder will have thebnrden of proving that be did not build or improve fm par- „' ecreate.). p�m E] Tas owner of the property, em exclusively oontmetiug with h aped mmmrnms ro TOTAL' construct the pj t (.Sec. 70,14,Business and Pf..' rsCad ) t an Cuouncenali s - cause L d t apply to _anon of property h builds o p d creme and who t mfr. such projects with connatt OI' licensed pursuant C nhacara QTY , PLUMBING PERMIT .. - FEE ) ----7 IVV/ I PERMIT ISSUANCE License Law. l am exempt under Sm. , B A, P C for this reason f ALTER - DRAIN ad VENT-WATER(EA) Owner Data VALUATION 3�(', "'10. WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT. DEVICE I hereby .form under penally offers, one of the following crematories: I have land will maintain a Cerificate of Consent l If f W k :C open- sotto provided f by Section 3700of th Lab Code, beside, ,, pert of the DRAINS- FLOOR, ROOF, AREA, COND. 59SiN1E5 l'YPH CONST ICfION work for which this p ,'issued.' FIXTURES TRAP /rV/// ❑ 1 have and as maintain Workera Compensation Insurance, as required by Section 37W ofthe .,,Labor Code, for thej dorm fill workfor whir t fic,cormlisi,mad, Carrierm_ _ - _py�f' nw 1' r yI' GAS- PLA. SYSTEM. I INC. 4 OUTLETS OC .. GROUP - APN GAS- P.A. SYSTEM -OVER 4(EA) CERTIFICATE OF EXEMPT�M WORKERS' COMPENSATION INSURANCE (This scny Inst f (collars f$ItlO) or lesx) e6 y/ CTJ�ic'fi1 c CRFASEIINUUS'I'RL WASTE, INTERCEPTOR 40UII,(UW6 DI VISION FEES4 GREASE TRAP ' �7Q PLA CI PEE G SEWER - SAN I'PABY- S' I' ORM EA. 200 FT. FNB i PEE �90 r(J[J t �Qlit(, is xI/� Imm[y t pert [moot fie rk ,M1s issued Idiml and employ any person to any manna, a become subject wlhe Worker, Compen- WATER HEATER W/VENT/ELECTR GRA ING FEE cation Laws of Cvlifernia, Daae - Applicant NOTICE TO APPLICANT: If, after -making this Certificate of Exemption, you should hmame sahpel m the Wmkef's Compensation pboisiom of the LauraCode, earned WATER SYSTEM/TREATING SOIL, PF.E fnnhwi,hcomplywithsuchp... mnnsor this permit shall be deemed revoked. WATER SERVICE CONST RUCTION LENDING AGENCY Ifier,bynlfirtnthe, there isaa,nxwadmn lmndlngagenay for the pe,fmmaacecf NEW RESIDENTIAL PLATT SQ. bf.. PAID Datatlr, Rwcelpt# the work for which this permit is issued (Sec.3097, Civ. C) TOTAL „ BUILDING F4, •� Lender's Name Lenders Addr,s TOTAI I certify ,bat 1 have read this application trod state that the above rifco aian is 5FEF, QTY. s MECHANICAL PERMITbuilding SEISMatu reel. 1 agree to comply wish an city and county ordinances and state lava relating m construction, and hereby aamorfw representatives ofthis city to enter upon the PERMIT ISSUANCE ELECTRIC N;soliabilities,judgmeme, ve-mentioned properly lar inspection pulp....... (We) agreeto save, indemnify and keep harml.as the City orCupertino against ACIHRORADDTOMECH. PLUMBIN' SBL'APPLIn costs and expenses which nmy in any way ammo against said City in onsequenceoflhegmnliegmfdiis permit. - AIR HANDLING UNIT(TO 10,100 CPM)SO/UR'(Lj' MECHANICAL SCE ANT.UNDBRSTANDS ANDWILL COMPLY WITHALL N IN -POINT REGULATIO�{qNS �7///I�) //! AIR HANDLING UNIT (OVER Hl'000 CFM) CONSTRUCTION 1X y0 ^ ! AUl(Dx// / //J1 (�f/ {�-] Yr���-' �/ l S n'anrreoofA��p�pliiccrr Dal,/ HAZARDOUS MATERIALS DISCLOSURE EXHAUST HOOD(W/DUCT) HOUSING MITIGATION FEE II EAT ING UNIT (TO 100,000 BTI!) WAIden appliwaarnr future building accuprri mrc or handl, hazardous material as defined by the Cupertino Municipal Code, Chapter 212; and the Health and Safety Code, Section 25532(a)l HEATING UN IT (OVER 100.000 B'IV) VENTILATION FAN (SINGLE RESID) [I Yes No PAID _ Data Rmcipt# BOILER -COMP CHIP OR Eofiro BTU) kWill the applicant far i, olding occupant use equipment or devices which (( Ii, hazardous air contaminants as dehnnd by the Bay Area Air Quality Management stdgp El Ycs - E BOILER -COMP (OVER 100,000 BTU) AIR CONDITIONER /p Ihuvet dl re hawrJArSmutefCats requirements under Chu'pter 6.95 of the Cvli- forma Henhh ufety Cole, $cetiva' 25505, 25533 and 25534. 1 understand that if the building m curecntly eveatenan,,,hat' myrcspnnsihililymnrnify e c pan ml the, a 1 1, which mus[ btu t prl ace of a Certiorari ISSUANCE DATE / -2 7 NEW RESIDENTIAL MECH. SQ. PI'. 'C .1 TOTAL: 154'ISSUED Owns m, col uta BY: OFFICE i1.. �.av n cr.in, t,n,,.no rluu rV.O Q 7.� c Brian Kangas Foulk Engineers � Survapors Plennera 7 • December 8, 1999 96006940 Chuck Sclimriberger O'Brien Group 2001 Windward Way, Suite 200 . San Mateo, CA 94404 Subject; Oak VAIICY—Foundation VeriPicntion Dear Chuck, On December 7, 1999 we pe,(f0 a field survey of the location of the foundation forms for the buildings being constructed on LOt 9;'„, ;nd !i -S 1 of the Oak Valley project in Cupertino. The results orthat survey clearly show that the location orthe 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 tvilh the verification of those units per our survey If ihere are any other questions concerning that location, please do uoi hesitate to call. Sincerely, un ,I)'r•..V00',"'� BRIAN KANGAS FOIILK q:j� D." Bradliry A. Bilbo P.LS, 6141 �. la; cilr i.•^"+ Pr0'ect Manager Survey DCparlment 640 rrico Avenue , Redwood CIN, CA 84063 • (6501482-6300 •, FAX 155014826398 0 Consulting Engineers and Scientists 425 ROLAND WAY j OAKLAND, CA 94621 is (510) 568-4001 TO ( Y I PAS, �n-C (. Date f'p-pprnhPrr 9rt,19G9 T"V-SO(aY Hours Charged To Project Z Nucleai Density Tests Field Task Number • Ol v Cnncrete Cylinders THE FOLLOWING WAS NOTED: DATE JOB NO. Iz-a-,9 ,C84o•T PROJECT e� dei I LOCATION CONTRACTOR IOWNEk WEATHER TEMP. at AM Y- *at PM PRESENT AT SITE 7 r( 14V V I pair r v�' G5 t"�.rf�- 5-'-Lio n r"t✓ Pn � I � Z v1'1PF �I µ� C°<ta�17r Ire r-,�-� ^i(-me�C �(OvnM.�n r.c _lb..� -'��- r•k)Pr il(Q vc� � C( `'�7rC"� fir l-�v. I-cI-S �)e,f-P 0. �Icv�i 31u •(r'( c-LoyI^z' rt' rj -111n( i'( L: ' F r l- l I`� /,r ), l�l� l>uv' <.4' c>I-e' (`.1.� t'l � C . � r�P r' ryr� tart t! � 1 n�(r•� �, r r � _' a'bK � I,J� H.� COPIES TO SIGNED -41/I • ENGINEERINQ WEST INC. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO. CA. SAM PETERS STRA OR PAGE 7 OF 4 tasot23T•oota 140814@7.7929 DATE: 7.11-2000 • 0 'HIS CHART INDICATES THE DATES AT WHICH EACH COMPONENT OF EACH B JILDIKG WAS OBSERVED AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE DRAWINGS. LEGEND i ..-.,...... .... n. N.O. • CONSTRUCTION NOT COMPLETELY OBSERVED ' • CORRECTIONS REO'D. LIST GIVEN TO CONTRACTOR. FON. STEEL REINFORCING, HOLDOWN ANCHOR BOLT OBSERVATION 1ST FLOOR • UNDERFLOOR FRAMING OBSERVATION ROOD PLY, PLYWOOD NAILING OBSERVATION EXTERIOR PLY. PLYWOOD NAILING, HARDWARE OBSERVATION un uACn6v ADC nGCr uv a Tlnu un.n- rnnro. UN L t Pan - vim.......... i i ..-.,...... .... n. •. ..............� istfloor I ..-___.. _... ROWDIN _.. Exl ON, —To—c.-N r. ask m 4 1 4 2 4 3 ID 3-2-2000 1 5-21,•20 6-21-2000 d.n.a. 6-21-2000 4 4 N/A 4 51B 12-21.99 3-2_2000 5-16.2000 5.21.2000 d.n.. 5.21• 00 4 6 7B OSI10/99 4/ I /2 0 0 24/99 4 6 7C 03/1(1196 04114199 0624/99 06174,%8 ' SC I N S 3/1 4/14109 0 /09/99 07/0818 072919 4 10 20 3 03101/99 04102/99 0720/99 7/1419 0720/99 4 11 3B 03/01/99 04102/99 07101199 0813019. 07/1819 4 12 4B 3 11/13/98 1211019 01 2119 0112119 012519 4 13 6C 2 09/2818 10/0918 11/00198 1111318 4 1 6C AGORI N 1 02/09/09 02/09!98 02!0818 0210919 4 14 2A 2 02/0210 03/01199 0 11919 04121,'99 0644/09 4 15 SD 2 02/ 02/99 03/08/99 0527199 06/09/99 OaFJ919 4 4 4 17 18 20 2C BE 4S 2;BONUS WBONUS 12/1418 12122igB 12/24198 04/1419 03/05/99_ 1038219 06/30/99 03108/99 07x619 4l1 9 0411419 4 21 1 2B 2 03/19/99 04114/99 07127tgg ? 7 0811010 4 22 5A 218 N 'S 03119/99 04/14/99 0720199 0723199 06/1019 4 23 3A 3 01/12/w D2/10/99 / O 0811 9 4 24 SO 31BON S 0111219 02/1719 05-03.99 05)171994 25 3. 1223/96 02/16/99 04/0218 0511419 4 26 2D 2 01,08/99 02112/99 .0511 M04-30-99 06111194 27 4C 3 01/0819 021519 04114/99 05-07.99 4 6 BE 318 12114/99 1/04 03 0319 0313019 4 2B IA 2 tV131d 12/10198 313 3 11/1318 1 /1018 0311119 _7611110 4 31 5B 3/BONUS 02/1 55 03/1 NO2)10r�9 4 32 2B 3 0211218 03/10/89 06/17/98 06130/994 33 5A 1• 5-21-2000 6.21-2000 34 7C 12.21.98 3.7-2000 "-2000/ 0 NOTES: (PENDING ISSUES( (1)' LOT 13 PLAN SC FON. (OFFICE CPTION): CORRECTIONS NOT OBSERVED. j • ENGINEERING WEST INC. 0"ERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO.CA, PAM 5 of a u a • • - • • ET -T -M 7mffl 7! ©i!!m�1JLLL����//I•�L�}}IS��I[+.}}C��a�IxrITIrFT'1�y� 1953n, 1 ©�m�����•I((Sll'1.� 1 • 1 � � 111 � : , 11 ©�!I M• •' 1 1! I 1}' 111 111 111 ®®m 1� •�•' I 1 I • • 1 1 11 : 111 WMMITM \ •111 , ®� m��� 1 111 111 �ml�� 111 1 111 111 111 111 ©�m 1 yl 111 . 111 111 1 111 a®m� 111 111 111MEMB011111111 111 yDBRIEN Ourke Jim Rlpl0y(SMTP!dpl0yd00pacWll,n0lj Monday, March 00, 1980 2:28 AM PAT©URKE OAK VALLEY Linoa( parkwayplanllnq, s wllhln the Ilnosr Pirk ere conUslonl will) Iho londsoapa n m docuenil prepared by Ihls otnca and lovlowed by the clly 998 and.conlorm wllh Iho proliminary approval doumon!e, ipley 2n Group, Inc, u 1 AN DATE y , NO SIGN OFF r 3/ b Iwo I! 2K SAN MATon, nAI,INORN(A 94104,147) TIunP!IONN (6stl) J)7,o)ao FACSIAIILa (G10J 114 ��11 p.vli.�1 Ma.rh I. 1996 n FroM ; c:rrisrz FH:=: rin. : a i M e.^9 r,.,., _t ?cnan IOa:arari F3 lUL—!U—U❑ 493::".I Ph ftMM c. r', r+. NE. • t:oenmmial kual',LCanagetneht Spa Jove, lue. Rvsdegalul Rn'j,�vve„ t htsNeNion ReRnrr ProjectY4�!lM Inspax"Honb4to: 0•Dp Address, i .�]a0 b City; S. State: P9 Ciientt I.WQA'r gn..QaLkP Contact; r"k&AIPAL R001112 Contractor: CRM Inapactort �s_.��i?FF'�k'____ Lot Ntumbert ,5-q i- +r♦d�oa�+��rs�a TYPO of Infapectlon; Nolt Final C-' Typo of Roof: AsthtisgnGohslaUnderlaymant; r`na—nTile llestsSht otai Flaviting; Gutters, Vay _pi p DC: , Eaves: • CeSrr,rvicntslpb�ervtttlCnt3; ,,O'C gPPtiPs ro hOE 0 ac: Xdalut AooflYp E • COAST Insulation Contractors, Inc. 1086 N. 11th St.- • San Jose, CA 95112 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: Lc--4� FLOORS: Manufacturer OWENS CORNING/MV EXTERIOR WALLS: Manufacturer OWENS CORNING/MV W11111=1111111 Thickness(iype _��i�,r� R-Value_I 1� / Thickness/Type 3/�3 R -Value CEILINGS: // __ (� BATTS: Manufacturer OWENS CORNING/MV Thickness/Type WR-Value I /i 3C YJ O BLOWN: Manufacturer OWENS CORNING Thickness/Type 17 � R -Value � U Weight/Bag 35 Sq. Ft. Co\kred # Bags Used AIR INFILTRATION SEALANT INSTALLED: YE§_Q(r NO ❑ GENERAL CONTRACTOR C1f 5V'tcery LICENSE # BY: TITLE: DATE • COA T INSULATI N C 1NTRACTORS, INC. LICENSE # 0 C•2 BY: TITLE: C DATE z U— • ;kn .? 101,i-Alo Got s-4.� INSTALLATION CERTIFICATE (page 1 of 4) - CF -6R Site Address Permit 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(b). HVAC SYSTIEMS: Heating Equipment Equip, d or Type (pkg. CEC Certified Mfr Name Identical Efficiency Duct Duct or Heating Heating (AFUE, etc.)' Location Piping Load Capacitf w / rs/ISW It? 6 V0 70 _ ?!VD 70AAE rMol/d2a-/;z 14L 2-A-290 Cooling Equipment Equip. CEC Certified Compressor kof Efficiency Duct Cooling Cooling _ Type (pkg. Unit Mfr Name and Identical (SEER, etc.)' Location Duct Load Capacity 1.57 ! f/W&-jQ fFG cl Jr o 1 io s�2 s=/oaa �z g 2 NA 1i�i r A . o o _� �,2 /o s' ATTtC 1. ?:reads greater than or equal to - 1, 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. Signature, Date Installing Subcontractor (Co.Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Distribution If Recir- gof Rated' Tank Effi- External Heater CEC Certified Mfr Type (Std, eulation, Identical Input (kW Volume eieney' Standby' Insulation Typo- Name & Model Number Point -of -Use) Control Type Systems or Btulhr) (gallons) (EF, RE) Loss (%) 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 Btu hr), list Recovery Efficiency, Standby Loss and Rated Input. For lestanuneous 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 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 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 n--.e-_a ww_.._r. r snne