S 2599-APPLICANTTO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING - ELECT RACAL
BUILDING DIVISION APPLICATIONIPERMIT PLUMBING - MECHANICAL
!- RUII.IIING PROJECT IIIF.NTIFIC 110
PHRMIT NO.
S 2599
BUILDING ADDRESS:
/0/9 A- �2� I�N�T :,q
SANITARY N(1.
APPLICA'T'ION SUBMl'ITAL PATH
OWNFR'S y�SIF � PHONE:
U f
CONTRACTOR'S NAME: LIC NO:
NIC
❑
CONTROL 9
ARCHITECT ' 1 EER: LIC NO,
ADDRESS:
CONTACT: PHONE:
BU ILDINGPERMIT'INFO
G❑Consultant
%
Fees Paid by Applicanl (Initial)
RhD - ELECT PLUMB - MECFI ,
IL -71/ I -J CEJ(
LICENSED CONTRACTOR'S DECLARATION
ir 9 (ennnnaing
I hereby affirm thin Imo devilled under prnvisiona of Chapmne
QTY. FLECTRIC PERMIT FEE
- -
JOB DESCRIPTION
with Section Min of D',dnn 3nfine Business and Prof I Inydcereeix
Section Min
'n fUR once ad effle Jj
^
PERMIT ISSIJANC17 7 tied
18TIAL
FDWL ❑PLUM
'S-RF_SIDENTIAI.
Licemd Cl Lica I
❑ace Commaor �
DECLARA' �
1 undemmid my plans shill W used as pnhlid records
PLUMBING
❑pUUIT10N ❑PLUMBING RE-PIPIT
❑MULTI-UNff [DSTRUCTURAL
MODIFICATION
PANELS
UPTO 200AMI'S
C1 INTERIOR [D CHIMNEY REPAIR
IMPROVEMENT E] SWIMMING POOLS
Licensed l'n,Icssional -
201-IM)AMPS
OWNER-BUILDER.,Iit, fromDECL'he CoATION
I he¢by affirm mat 1 am exempt from the Cbmmcmis License law for my
following Tama 7031.5. Professions Code:Any city orcouure
❑ BATH REMODEUREPAIR ❑ DEMOLITION
(]OTHER
OVER IMatAMPS
SIGNS ELFCTRICAL
emits
which requires a permit m emwnam, alae improve. demolish, nr rcpnir any stricture
prionnits lasnan¢e, also requires the vpPlicunt li,r xuch penninm Gtr., signed F,a¢mdnl
SPECIAL C I RC.....M ISC.
That he is Iicansed pursuant In Iho pmv'miuns of the Cunlmaur's License Law, (Chapter9
TEMP. MET KIR OR POLH INS'It
COMMERCIAL:
(camcnsingwiah Section 70(10)of Division Sof the Businee,mid Pm,fe,i..... Code) or
that he is exempt therefrom and The basis for the alleged exemption. Any violation of
❑ NEW_BLDG/ADDITION ❑ DHMOITRON
POWER DEVICES
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not mom plan five hundred dollen (5500).
❑ L m owner of The progeny, or my employees with wages as their sold compeTnation.
will it,, the wuk.Imd the structure is not intended mottemd tor sole (Sec. 7194, Business
EI TENANT 11 FOOD SERVICE
IMPROVEMENT
❑ OTHER
SWIMM INC, IH 101. ELECTRIC
OUTLIUS-SWI'I'CIES-FIVI'URFS
and Pro@ssions Code: The Cn ate,dr'a Liveree Law dues na apply It, an owner of
Napery who builds or improves thereon, and who tlrca such work hhnself or,hmugh
his own employees, provided That such improvement, are nm intended metered for
sale. If, haeeveq The Nildingor impmvement itself within one yearofroniplction,the/�
owner -builder will have the burden of proving that he did not build or improve for par-
pose ofsaled.
aing with licensed coronoto
❑ 1, as owner of the property, um exclusively corlmin
NEW RESIDEN'11AL ELECIT
'!'R SQ . Q
SQ. FT. MOOR AREA
WSQ. FI,.
-
y
27-1 • � -4 01 A
Tp'1'AL
Idan,trum, the p opus (Seo. 9010. B uiness and Proficssions Code.) The Contractor's Li-
censeLaw does not apply toanowner ofproperty wI builds or imp rove,the re...,add
�
qw
QTY. ' PLUMBING PERMIT FEE'
Who contracts for such projects with a c mmuc ous) licensed punu er in the Contractor's
Liverew Law.
❑ I am exempt under Sec. B& P C for this mason
i
I
/�
/I
P T 2s, S e, •J
ALTER-1 k .NT-WNFHRUA)
Owner Un
O
WORKL'Ii ;S COMPENSATION DECLARATIONBACK
V LUATION
a u �, ^,
(-J
FL( PIs( CT. DEVICE
I hereby affirm under penally or perjury one of the following declamations:
DRAINS- FLOOR. RODE. AREA. COND.STOkIfS
C) I have and will maintain a Certificate of Connie self -insure for Wtmker.v Coanpen-
motion, as provided for by Section 371X1 of the Labor Cache. for The Performance of the
'TY PE CONSTRUCT ION
vork for which this permit is issued.
FIXTURES - PER TRAP
r'�1
I ' /.r
) I have and will maintain Worker's Compensation Insurance, as required by Section
e l (,J
.JM)nfthc Lahnr Q,de, for lho part nrmunce Dobe work icor whicM1 This per nil is issued
OAS - EA.SYSTI?M-I INC. 40UTI'CTS
OCC. OkoI1P
APN
My Woke m crest( lame and l'n'yn ir=
Camiu: .
AS - f?A. SYS'I'I?M-OVER 4 (ITA)
CERDFICATH D : EXES TION FROM WORKERS'
COMPENSATION INSURANCE
OTix sd 5' I�I`1LM ij5h�1njyskorm hmam doll ars ($IW)
nr less) W (Tl [[�Lff..��
IIID``//
GREASUINDIISTRL WASTE: INTERCEPTOR
IfU11.DINC. DIVISION ISIS _
GREASETRAI'
PLANCHECK PP .
SEWER -SANITARY -STORM I?A. 200 H..
'g (�
l artily Ihm in the pu nrm:u en Ih w rk In wLch has getout,, issued, I Shull
R i
not employ any person in any manner so as To become euhjcdT Io the Worker* Cc.p a _
EN HItGY FEE leez., it
WATER HEAT HR WNENI'/ELLCI'R
sati m Laws nl California. Data
Applicant
GRADING FEE
NOTICE TU APPLICANT. IL after making this Certificate of Exemption, you should
became subfat to the Worker's Compensation provisions of The Labor Code, you must
WATER SYSTEMOREATING
SOILS FEE
forthwith comply with such provisions or permit shall d deemed revoked.
CONSI'RUCI'[ON LENDING AGENCY
I hereby affirm that i ,namction lending agency for the performance of
WATER SERVICE
PAIDC f
use Recciptp
NEW RESIDI?N'I[At. PLMB, SQ, EI',
the wml, for which this permit is issued (Sec. 3097, Ci, C)
Lenders,Name
01
TOTAL:
Lender's Address
TOTAI
Il UILII :E �
I certify IhnT 1 have read This application t I scale The, the above ial'enmtmo is
-
rredl. I agree m comply with all city and county ordim necs and same laws relating to
building don iruclion, and hereby authorize reprecenmfrvds onhis city In enter upon the
QTY. MECHANICAL PERMIT FEE
x' ^
SEI: IC -HP V
aln,ve-memloned property for inspection purposes.
(Wel agree To save, iodmanify and keep heanlcas the City of Cupertino against
PERMIT ISSUANCED,it;0.n
ELIICI'RI GF 24eId0
ALTER OR ADD TO MECH.
a'7
PLU NG FEF. is 4t4oAPPLDERSTANDS
liabilities,jul,arams, seam and expeme, whichmay in any way accue against said City
in conLqrthe gmnlin6 of this permit.
AIR HANDLINGUNIT (TO III,II(NICFM)MECIIA
CAI.FEI3
AND W[FL COMIILY WITH ALL 10 POINT
ATI0
AIR HANDLING UNIT (OVER Iq(CF10) )
CONSTRU ION FAX O
Slgnawe ofApplicanl am
HAZARDOUS MATERIAIS DISCLOSURE
EXHAUST HOOD DODUCD
I[POSING MITIGATION FEE
HEATING UNIT(TO I W,(NN) 11' PUT
Will The applicant or future building occupant dome or handle hazardous material
'
as defined by the Concerned Maine Code, Chapter 9.11, and The Ileallh and Safely
Coda, Scmlon 25532(x)7
HEATING UNI 'P (OVER 1(m,000131 U)
Yes
Will the applicant ear Timm building ocapam us equipmem ordevices which
emir hamrdoas air comaminu t de find by the Ray Area Air Quality Management
District 7
�Ycx INu
1 have real the hererdous mmcrials rcqulrcmm�ls under Chapter GJ5 of the Calr
Comm h h Safely Cache Sminm 25505, 2557] and 25534 1 un mod mm if the
builsme sum currently s mnanT, IhaT it is mYresry,nsibiht�at9'){etifyl compant
PAID
Uvea Re<eiPlp
VENTILATION PAN (SINCE.]: RESID)
BOILER- COMP IMP OR I00,IX10 RTU)
TIDAL:
BOILER - COMP(OVER 100,000 B-1
- D
5
AIR CONDN TONER
ISSUANCE DATE
�Q Q
NEW RESIDENTIAL MECH. SQ. pE
e[ rcuYat�w s a and prior to issuance of a Ccdi6�jfc may
{{{III
ISSUED BY: �{rE
Owner or uulhnrval agent Dino
T(1'fA4
OFFICE
IIn.. i.1�:- 1J••.:rvi =-.:. nil '•,nl r_n: I"•.'ULI.
f 11j
Brian Kangas Faulk
En0lneers a Surveyors a Planners
Mev 7, 1900
9�hne9-So
Chuck Schoenlxrper
O'Brien Oroitp
2001 Winward Wnv, Suite 2vu
Sen Matto. VA 94404
Subject: Oah Wiley — Fnundalion %'crlficaline
I1clu,Chuck,
On Mny 6, 1909 we put ronned n Iirld mirvey of ilia Inca tion of the fuundnI ion Annus for the buildings bchig
constructed nn LM 1.02 Ili!. I.nt t.? 7. Lor 1.28. I.ot 5.29, Lot !t03. cold Let 3.34 oftlic Oak Valley
project In t'vperllnn. '
Ilia reao Its or dint survey clearly chow ihnt the location of die foundation forma ire comhtcni and iu
conformance with the derign location of llie hidldinga, ns said locations ora shown nn the plans prepared by
our nnii.
I'his Iutler is in l ended in provide yrn wfili Ilio verlficat inn nrthnee on its per aur survey. irthere nre nay
other quctlo is concerning dint e-itlion, picnic da not hcsitnte to call.
Slnccreiv,
hSILGOI�'
}
�`i.. -•C7S1 i..r1
IIRIAN KANOAS FOULK C:1l.is"
Brndlcy A. Rllhn
Proicel Mmmµer _ r
4rvey Ilepnrvren!
590 Price Arance a Redwood Chy, CA 94063 a 16501462.5300 a FAX 16501482-63S!
0
•
®rias Kangas folk
Fnaineers . Surveyors . Planners
may 7. 14,14
96D069-50
Chuch SchncnIxillcr
O•Iirten ()rnup
2001 Winward Way, Snits 200
San Mnleo, CA O4404
M
Subject. Onk Valley — Foundation Ve011catl00
1)cor Chuck.
cm May d. lo0q we performed n flcld survey or the Irrcatlon of the foundulion forms for the buildings botng
constructed on Lot 5-02103. I.nt 5.27. Lit 5.28. Lot 5.29, Lm 5.33. and Lot 5.34 of the Oik Valley
project in Copw4ino. ®!
'I he results orlhnt .hirvey clenrly Show that the location of the foundobor. terms are consistent and to
conrannance with the design 4wation of the buildings, as saiel location%rte shown on the plans prepared by
our firm.
hits lector Is Intended lo provide ,you with the vori0eatlon or those units per aur survey. I f there are any
other cItmoionn concerning that localion, pjrnse do not hesitate to call.
Sincerely.
0 z; -
""I, 24';1'�f! 6;L001z
s e:aarty6z %•a
BRIAN KANIIAS I'OLJI.K
ffridley A. 131Ihm r t. s, 6141
Pnticcl Manager
Survey Uepnrtmcnl
540 Price Avenue . Redwood City, CA 94DM . 16501402.0300 . FAX ICU) 492.03ee
0 10/10 'd dbb M 'ON X8d AD N31ESiO 3HI W91 M 66 -hi- vw
• ENGINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO, CA
4AHDMO PAGE 2OF3
' (1) LOT 6 PLAN 2A 3 LOT 7 PLAN 5C
010 NOT OBSERVE PIERS,
'(2)DBL SIDED SHEAR WALLS
(3) FLR. NAILING
•
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Plan
OPTION
Pon,
AS'S
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Roof ply
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Basic fung.
1
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3
32 /99
07/27/99
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5
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0921/08
N/A
5
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3
4
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09/21/99
04.29-99
06/04/99
N/A
07
9
10/01/99
10M111199
5
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2/80NUS
04.29.99
05/04/99
06/17/99
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06/11/99
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04/19/99
06/11/99
06/11/99
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06/04/99
06/07/99
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04/19/99
0528/99
09/03/99
09/03/99
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5
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04-20.99
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08/29/99
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0928199
5
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04/01/99
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04/01/99
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08118/99
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04/01/99
07/02199
08!10/99
08/18/99
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5
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04/01/99
05/17/99
08110/99
08/12199
0823/99
5
16
5
17
5
18
5
19
5
20
5
21
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06118/99
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5
22
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08/18/99
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5
23
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08/18/99
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5
24
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0723/99
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5
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1 1B
1 2
05/07/99
1 06/11/99
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10/04/99
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2
05/07/99
06/11/99
0529/99
10/07/99
10/14/99
10/14/99
5
29
1D
2
05-10.99
06/16!99
07/09/99
10/16/99
10/18/99
10118/99
5
30
BMR
5
31
BMR
5
32
4A
3
0526199
07/14/99
0726189
5
33
2A
3
05/07/99
07/02/99
07/12199
5
34
3B
2
05/07/99
07/07/99
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5
35
5B
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0525199
07/07/99 1
0726198
5
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07/08/99
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0623199
' (1) LOT 6 PLAN 2A 3 LOT 7 PLAN 5C
010 NOT OBSERVE PIERS,
'(2)DBL SIDED SHEAR WALLS
(3) FLR. NAILING
•
/ T - Th g=T.1'1('1
Consulting Engineers and Scientists
425 ROLAND WAY
OAKLAND, CA 94621
(510) 568-4001
Hours Charged To Project Z Nuclear Density Tests If;"-
Field Task Number T�/.� // Concrete Cylinders 62
THE FOLLOWING WAS
J�'
NZ47
GATE S 97
JJOB
L
PROJECT
n xc
LOCATION
CONTRACTOR pp'
OWNER
WEATH/¢�R
C C1 AQ !/ �✓I / /
TEMP. �8t AhL
CP fJ °at l Z
PRESENT AT 91 E
(.pro �z,glo - STS-ov5.5✓�5
Gn.-e.l-G /G,nrs�,.e.r...y- Fo✓ 4617 :5 d A) IS J'--.Z�%.:'S-?6, S-Z°J S-
C..
0
Cgs TO (J;6, /'e>N 1 >2e,,t Q
SIGNED.r G/�2
Z
�O'BR1EN
,.�` G RO U P
ck Burk
From: Jim Ripley(SMTP;rlpleydg(�pacbell,netj
Sent: Monday, March O8, 1999 2:28 AM
To: PAT BURKE
Subject: OAK VALLEY
Pal Burke
Oak Valley
Cupertino, CA
Reference: Linear parkway planting,
Pat,
All plantings within the linear park are consistent with the landscape
-onstruclion documents prepared by this office and reviewed by the cily
)n March 1998 and conform with the preliminary approval douments,
)ames A. Ripley
tipiey Design Group, Inc,
0
•
FINAL PLANNING SIGN OFF
DATE
SIGNATURE. ,
WAY, SHITE 200, SAN MATEO, CALIFORNIA 944042473 TREPIIONE (650) 3770300 FACSIMILE (650) 349.2442
A"vl4prl Mnrrh t, t
® INSULATION CERTIFICATION
• COAST Insulation Contractors, Inc.
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: LOT #5729, OAK VALLEY
FLOORS
Manufacturer OWENS CORNING/MV
Thickness/Type 61
R -Value
19
EXTERIOR WALLS:
Manufacturer OWENS CORNING/MV
Thickness/Type 3J
R -Value
13
CEILINGS:
BATTS: Manufacturer OWENS CORNING/MV
Thickness/Type 61.94�
R -Value
19.30
BLOWN: Manufacturer OWENS CORNING
Thickness/Type 12
R -Value
30
Weight/Bag 35
Sq. Ft. Covered 1456
# Bags Used 26
AIR INFILTRATION SEALANT INSTALLED: YES En NO ❑
GENERAL CONTRACTOR THE O'BRIAN
GROUP LICENSE #
BY
TITLE: DATE:
• COAST INSULATION CONTRACTORS, INC.
BY: tdn ti✓w✓t TITLE
BYRUM
n
LZ
LICENSE # 465440 C-2
DATE: 12/13/99
INSTALLATION CERTIFICATE
Q,41� v,�/ley
�'qT s -
/ PA49 N
29
age 1 of 4) — CF -6R
Site Address
ermd 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).
HVA SYSTEMS•
Heating Equipment
Equip. g of Efficiency Duct Duct or Healing Heating
'Type (pkg. CEC Certified Mfr Name Identical (AFUE, tic.)' Location Piping Load Capacity
heat um and Model umber S slamsaCF-IRvolue attic etc. R•value lu/hr Btu/hr)
Cooling Equipment Cooling Cooling
Equip, CEC Certified Compressor N of Efficiency Duct B
Type (pkg. unit Mfr Name and Identical (SEER, etc.)' Location Duct Load Capacity
heatpump) C/1 M�_odel Number Systems RCF IR valuel (aqt R -value (Btulhr) (Btuthr)
LAmpp
3 i . RcK� coLt7 _ [— 7-6 seems 4(m&_
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 Efficiency Regulations or Part.6), where applicable.
• ;�(,SignatA� ure, Date isirL�dt�i .9'e 7-QQ '/fEr�!-,.Iyj ' WO—A 1Nl � ��e! _
installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
WATER HEATING SYSTEMS:
Distribution IfRecir- Nof Rated' Tank EfB- External
Heater CECCertified Mfr Type (Sid, culation, Identical Inpul (kW Voluma cleney' Standby' Insulation
Type Name & Model Number Point -of -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 Buillu), electric resistance and heat pump water beaten, 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
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.
ignature, ate Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
• COPY TO: Building Department
Building Owner at Occupancy
R,•. i�nrl MPrrb 1, 1996