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S 2608 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING.-ELECTRICAL PHRMf T N0. BUILDING DIVISION' APPLICATIONIPERb1IT PLUMBING-MECHANICAL Q IIUII,DIYGd9tO.IISC'I'IDENTIPCOO'ICATION \J v v BUILDING A I)RI t�N-,�S ill ���T�nR`O.�APPLICATION SUli�'1/AL I)/yfi OWNER'S jkii. _ PIONS: CONTRACTOR'S NAMII EJC NO VV 3 L ,(n/7•' NIC CON'MOL 0 CH /ENGINflHR; IT. - 1 DRESS: ❑ co nCc PI IONS: EUILDING FRMIT INFO ` ❑ Consultant Fees Paid by Applicant(Initial) RLDG ELECT PLUMB MECH LICENSED CON I ICAC I OR S DICIARAI ION QTY !' LLI?CTRICPBRMhP "'P.EE 1heresy wI rn I tI r, Id de p fClumer 9 teanae 'og JOB DESCRIPTION ID in ran frcural iof on lo(hhe Bus nmsun0,ro, Tots any l'cen' 's PERMITISSUANCH ! .TIAL. ' F lye in lull4,rcc and ifc<h FOWPUD L ❑KITCHEN REMODEL TUU Liccnw Lia# APPLIANCES-RFSID17NTIAL ❑ADDITION [I PLUMBING RII-PIPIT y til Dme Commcon 1 '1111'1'CI"S DEC ARA'1 _ ❑MUTALON1'1' ❑STRUCTURAL. ypy� IutWnstanJ shy plan mull he oral us pn MODIFICATION Oz-- UP10200AMPS El INTERIOR ❑CHIMNEY REPAIR H�.F.¢: Licensepred—inial 201-1000AMPS IMPROVEMF,NT EjSWIMMING POOLS d Y1.,4 OWNER-IIUIhDFai DECLARATION (AT17a 1000AMPS ElBATE I REMODEUREPA1R (]DEMOLITION C C 6 I harehy a0ima dca Earn exempt from the Contractor',License law for the e.O fellow ing reason.(Section 9031.5.Bo.inus and Profession,Code Any city ur,ormy SIGNS ELECTRICAL ❑OTHER a W y which inquires a Icxmit m construct,ahvba improve,demolish,of repair any anarchic 0 prior to as issuance,also requires,ncapplicxnt forsuch pemtit to Gleasigmed statement SPECIAL CIRCUIT/MISC. fyty}� 0.athe is licensed pursnam in the pros;sionsnfme Comrecmrs license Law(CluTu,9 _ (mmmandngwiN Section 90010 of Dlv'nimh 30 the Be,ov,samd Prsmsnimhs Cwlr)or 'TEMP.MFU ER OR POLE:INST. COMMERCIAL: jei o C that be is even:pl Ihembom asci the hods far the allege exemption.Any violation"f ❑NEW BLDG/ADDITION ❑DEMOLITION 4• Sedinn9113L5 by any applicum fora pemtil suhjecls the applicant inacivil Penalty of POWER DliVICE .,y not more than live hundred dollars(5500). ❑'TENANT ❑IUOD SERVICEFZY OTHERIMPROVEMENT' d I]Lo the work,the the shiy.ot myetnployees with wages rsalej cc.compeawunn, SWIMMING POOL,ELECT co will dothewnne,and theI he Coneana ,Licenso 1,w ddE'or saleJSec.90 W. owner if ❑OTIIIiR L 3.. and Professions Code:'Ihc Ce,Ilhenr'n Lieenaelawdocsnalapply I,anowner if OUTLETS-SWITCI{ES-I1%1'UHES progeny who swiss m nmproecx shorans,tate wan tae.ar,n wok nnonelrnr mmagn his own employees,provided nonsuch improvements am nob intended or offacd for NEW RESIUEN'I IAL IiLEC'I'R S late.11,bawevem the huilding oa imtpmvcmenl is sold wi,hinnne year of cnmplminI,.the SQ.IT.FLOOR AREA $/SQ.FI: oter,halldi,will have the boNcn of proving Inas hu dill not build ar improve for Fur- l' s pose of sde.). 'I 3 L/V O 1,as ow'nar of prolwny,ano exclusively communing with licensed contractors,to e,n,-nath,P j (SI 7044,I3 . dI',,)[... Cost,)ThCann'.... a J- Iscusa,Law doxas noinTplyt fp perry who hu1 i ornoproves doemon,and QTY. ' PLUMBING PERMIT' tFEF r� who laclsfor sump .h projects with aconli Ecetued motto t tleContractors License[mw. I'UIRMJLI ISSUANCE I tun exempt under Sec. ,B&P C far this mason Owner Data ACfER-DRAIN&VENT-WATlRUfA) VALUATION WORKER'S CIMI'RNSATION DECLARATION BACK FLOW PROTECT.DEVICE `/ I hereby afhnm under penally of pc jury m one of the Indenting declatione O'V (nave and will maintain u Cenificme at Consent oseb-insom for Worker's Conrpao- DRAINS-FLOOR.ROOF,AREA,GOND STORIES TYPECONSTRUC110N -alias,as pentitled for by Stan 3900 of the I,ahorCode.for Tho performance of the work for which this pemhil is issued. FIXTURES-PI7R'I'RAI' ❑ I have and will mvimein Workers Cnmpensminn avanstmcc,-required by Section 3901101 are Lobar Coda ll,r the perfomarele a the work fill which this penin is is sue. GAS-PA.SYSTEM-I INC.4 U[TTLR.IS (ICO.GROUP APN My Worker'%Conhpen.satinn Insurance carrier and Policy number ala Carrie, Policy Nu: GAS-EA.SYSTFM-GVHR 4 U!A) CIROVICA'I'L OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE GREASOINUUS'I'RL WASTE IN'I'ERCI IV I OR BUILDING DIVISION FIiL'S (Thirsmtion neninm becnmplc¢A iftheMmdl is far nnchundre enllan($Ilp) GREASE TRA(' nr Iess.O I'LANCHECK IEE I everylhm nlMpnl'onnum,cifthe work Por which this permit is issuaL[,hall SEWER-SANITARY-STORM EA.200 PL not c.,I.y any person in any manner o its o become subject to the Workers'Comfit ENERGY FEE Zz ammm laws of Cubism...Date WATER IIIiAIUR W/VEN'1/ELEC[it APPlic,on GRADING FPAE NOTICE TO APPLICANT If,after making thin Cerificite of Exemption,you should WATER SYS'I"EM/fREAI'ING F, hocame object ho the Worker's C'ompcnnation provini ce,of fie Labor Coda,you nos SOILS FEE foNhwith comply wish sachprovisioone,hw pennilshall bodcumcalm,twed. WATER SERVICE a Q CONSTRUCT re isalIN LENDING Und AGENCY NEW ItESIUIiN('IAL('LMB. SQ.I'I', ID Z' (hereby alErm that lbem isacnmeudinn lrnJing agency for the perlormmecc of Dae Heccipl 11 the work I..which his perms is issued(Sec.300,Civ.C.) E't Lenders None 'TOTAL: L) Lender's Address TOT — �' y I I ecnlfy aha,I have mud this applicotnn and.tam dna the above infnnnatinn is HUILDI I F 13 V) correct.I agree to comply with all city and county ominaneel and sum law's miming to QTY. MECIIANICALPERMI'F FEE L)z building construction,and tachy authorize mliceemmlves of this city In enter licit the S13 'IH3 ajiovc-memiomal prnpcuy he in'so'iom purposes. PERMIT ISSUANCE r Elf- (We)agree m save,indemmfy and keep hamdess the City ul Cupci imo against ELECTRIC iiF. liahilities.judgnhenls.cons and expenses which may in any way aremntguiahrl.vuid Ciry ArrERORADD'I'OMECH.s areonvquah of Nc gnmling nfill ia Penni,. PLUMiti Il?E APPLICAN" INDERSTANDS AND WILL COMPLY WITH AL1, ON- TINT AIR HANDLING UNIT(TO 10,000 CFy`U SOURC ( LA IIONA Al13CIlANICA FEE CAIR IIANOLINC UNIT LOVER 1140(10 CPM) CONSTRUCT IDN TAX Signature n(ApplauntConl c Dae IEXHAUS'1'11001)(WIDUCI) HOUSING MI'11GA'11UN121: ITA 74 RDOUS MATERIALS DISCLOSURE Will[he applicant or frbtrehuildlmg oecupam comorhandle Tractarians mtnedul BEAT ING UNIT(TO 100,1100 BTI) iidefined by the Cupertino Municipal Code,Chapter 9.12 and the III and Safety Code,SW'I PAID nn 25532(a)'! HEATING UNIT IOVIER 100,00)(ITU) ❑Yea VIiN'I'II.ATION PAN(SINGLE RESIOI Uta Receipt p I the p,ha....or future huilditg occupam use eyuipmena or devices which BOILER-CUM('(JIIP OR IOU,INM113TU) ail Ica aadea,air ecom nner,as do Geed by the Be,Area Air Qaah y Maagemem ) 40"Ciel? ❑Yes BOILER-COME'(OVER 100,000 BTU) AIR CONDE I'IONEIi shave re me h;nur,rnn aharend.rurviremenu amen Chapter bAs nflhe cab. ISSUANCE DATE, c forma I icallh& aley Cldc.SccIiI)ns 255 ",?5533 and 25534.I undenr J Ina 'f the NEN'RE.SIDEN'I[A].Ill I. SQ.F I'. /-4�-y / touch dl cmrenlly have a tenant, a it ix my as is thew tun, - ✓< G of the try r IF 'ham. m 1 t nee oft Covilio e -(7�e�1 Owner or amh,nz gem Da TOTAL ISSU13D BY: OFFICE rWr.c',.199" -- 4-ki r.,;ilas FOULK no.038 P. Brian Kangas Faulk Engineers . 6urveyms . Planners May 27, 1999 960069.50 Chuck Schoenberger O'Brien Group 2001 Winward Way,Suite 200 San Mateo,CA 94404 Subject; Oak Valley—Foundation Vorifieatlon Dear Chuck, On May 26, 1999 we performed a Grid survey of dielocation of the foundation forms for the buildings being:constructed on Lot 5-32, Lot 5-35 and Lot'3.39 of die Oak Valley proleer in Cupertino. r The results of that survey clearly she* that the location of:he foundation forms are consistent and in confonnanee with die design locatioi of die buildings,as said locations are shown on die plans prepared by our Firm. This lener is Intended to provide yoL with the verification of those units per our survey. If there are any other questions concerning chat location,piease do not hesitate to cell Sincerely, ,r ✓"�.p LANA) SG .P C = CHAR:ES R.CIAR01 T BRIAN I<ANGAS fOULK Charles R.Ciardi P.L.S.7321 EXP.9,13041 fi Project Manager 7321 Survey Department q�f fK' l;Ai tt yep 540 Price Avanaa . Reilwccd City.CA 94093 • (650)482.5300 FAX 1559;42.6399 kRZA DATE JOB NO. Consulting Engineers and Scientists S- -27 -17i9 cQAf� T 425 ROLAND WAY PROJECT ) OAKLAND, CA 94621 � _ 'k ("Jr- Ile (510) 568.4001 LOCATION (' c_� 'Jen'h ✓r0 TO Q I,JI-I C')1 r CONqTRA1�CT014 OWNER Date ,/G'-� - I C q'7 l 12,:.A i JG�C Y WEATHER TEMP. 7C, *at AM I q Clen r Ge, at PM Hours Charged To Project ^ Nuclear Density Tests ilJ PRESENT AT SITE rr t Field Task Number r`r 1' Concrete Cylinders /-' THE FOLLOWING WAS NOTED: L;l •5' I-C (I- if: (.IP'r:l?.41 �i-I— ✓;I.�/tev r)i7,?rJr::.l-Ic) I i s r- 35 (56') Cv d ,`. 39 ( u �) r U,iP,,- F Ooe_t C I-ZtA .i :�jI-ee .J, )Sf'Y'( ;'� '�Gi/;I'I +^.rT.. ` I_;r 1 I T Cr`F'1 :�� ]� ,•'�I"O N i f rvl C!l-r'�',:I )v_ I Gr'1 � '�i1-J`i:.�(' I'LIaJ I f I (Jlr'GL:.�✓"1 ��i 11 �� ��G ',/ `,lyl �)Cv✓1^( --�'/.,r C' nr C c. n- _` p . �I 7 if l r rr_ i�l' �+_V.I:J✓'I O'i� �C'USi. y')7G I'C ✓ IGi �lI .`./I-fCl .�n.'IC� I�,llrli I I C G 'r)-" �G7is i.r'P I,'r v-r C i C.f_. C 2-4.<i Pex1y l , !�C 1 Y P.,'.lTYI-1 ��"Cd' y'!C" ('I I-o i'1 1 ..I 11../.�� I Prg -IPJ COPIES TO FIELD -Pp�G3 u / SIGNED a:arIF.:Pfl FCULM; NJ,�3ti F. '•. � Min Wga:a Faulk Engineers . Surveyors . Planners • May 27, 1999 960069.30 Chuck Schoenberger O'Brien Group 2001 W Inwa^d Way,Suite 200 San Mateo,CA 94404 Subjeett OaltValley—Foundatino Variticatfon Dear Chuck, On May 26, 1999 we performed a field survey of use location of the foundation forms for the buildings being constructed on Lot 5-32, Lot 5.33 and Lot 549 of the Oak Valley prglecr in Cupertino. The results of that survey clearly show that the location of the foundation forms are consistent and in conformance with die design locat(o:i of die buildings,as said locations arc shown on tine plans prepared by our firm. This letter Is Intended to provide yoL with the verification of those units per our survey. Irthere are any other questions concerning that localon,please do not hesitate to cell. Sincerely, • � w� t.n++u S�Q ( ( CNkR!ES R.CIAA�I BRIAN ICANOAS t:OULK As Exp.9130/01 �` Charles R,Ciardi P.L.S. 7321 Project Manager No.7321 "" Survey Department Q7F Or 1:0 t`p�. , • 540 Prica Avanua . hadwood City.CA 903 • 165111462.5300 . FAX(6661462.63W ENGINEERING WEST INC. OBSERVATION CHART OAK VA-LEY DEVELOPMENT CUPER71N6, CA. 1.24.2000 PAGE 2 OF 3 Lot - ien OPTION din, st oor oF�o(—PIY—I Eat ul Sec Ar, nl Basic Irma 5 1 1 1 3E 1 3 1 6325199 1 04114/99 0727/99 07)27,119 1 07 D 2 BMR 6321199 N/A 5 3 MR '" (i9 1199 NIA 5 4 1 4C 2 1 C-4.29.99 07/01/99 0944/99 10/01/99 10/01/99 S 6A 2/ZONUS -4. 9• 06 IMI) 098.2199 09/:2/99 10111/m 5 'A 3 11104-09.99 00/14199 094 /99 09Q0199 0 5 7 5C 2/60NUS 2)04-29.99 06/11199 09/15/99 4 09/1569 1010189 0 = 3 04 1� 06111/ B %O�l 99' 09106/99 1 09a,1199 5 9 3D 2 64/19/93 00/07/99 09/03/99 09103/96 0941199 5 10 6B 2/BONUS 64/19199 0548199 09/03/99 09/03/99 _ 09/20/VP 5 11 4C 3 __i14-20-99 05 7199 /9908%919919 _ 5 12 6D 3/SONU5 64/01/99 0521!99 1 0543/99 0643/9909115/99 5 13 3C 3/90NUS 64/01/03 0627196 I 06/18/ 9 C-8/13(E9_„ 09/03/09 5 14 BE 2/SONUS (14/01199 07102199 08/16/99 08/58/99 08 /9 5 15 1 3A I 3 ON 'S 04/01/99 05/17199 09/10/99 08/12/99 0643199 5 16 1 2C I 1110 / A 1 •23. 9. 5 17 1 4A I 11/02199 12.23.99 _ 5 16 I ED 1 1 "1/02199 12.15.99 5 18 I 5C 1 11 .110199— 12.13.99 1-21-200-D 5 20 1 3C 1 1 1102199 12/02199 1-20.200 5 21 58 _ 08/18/96 10/14/99 5 22 1 7C I I 0811 /3 09789 141-2 00 '�—'•2t•2000 d.n.a. 5 23 1C I I 06118/99 09117/99 1.20.2000 1.2000,� d.n.s. 5 24 7A I 0 c3/D9 10-0.99 1.182000 1-7 2000 ' d.n.a. 5 25 • 5 — 5 27 1B 2 _ 1) 199 OC129199� 10/04/99 10104199 1001196 5 28 78 2 05107/99 0649199 10107/99 , 10114/98 10/14199 6 9 1D 2 US-1098 0100198 10/16/BB 10/16108 1011899 5 30 FIMR 5 31 BMR 5 J2 4A 3 9 .199 07r26.'99 _10.22.99 _` 10.22-99 10.27.99 5 33 2A 3 05/07/99 07112/99 11/02/99 f 10-29-99 11-0-99 5 34 38 2 95/07/99 0743199 11108/99 1 12.1-99 12.1.99 5 35 NU 50 31BO5 05 °/99 0 46199 11.10-99 1 11.10.99 12.6.09 5 36 5 37 2-�_ 2 )6/13199 0746/D9_ -12-;0 11.22.99 12.9-D9 S 1 36 3F 2 05/13/99 09111/99 1122.99 -_12.2.99 12-14-99 5 9 GA 3 9643199 09/18/99 :2.6.99 12.0.99 1 •1 9 5 40 BC 560/0'75 8!12199 12.13.99 12-13-99 12.2199 5 41 3A ? 108,'99 0843199 1-3.2QY •3.200 (1)LOT B PLAN 2A 6 L017 PLAN 5C DID NOT OBSERVE PIERS, :(21D8L SIDED SHEAR WALLS (3)FLR. NAILIN3 ENGINEERING WEST INC. Il_..Gt RZ �.; v PATE doe N0. Consulting Engineers and Scientists -99 • 425 ROLAND WAY PRaECT OAKLAND, CA 94621 w�TaR (510) 568-4001 n� TO n'r '.r r.r i r •rrr . r ) OMI ER ?',T n•19�i9 7li.ur'Sdp� WEATHER Tom• max, *at AM �J ClrC,r' at PM Hours Charged To Project Nuclear Densly Tests iz PRESENT AT 917E Field Task Number '�"��r F Concrete Cylinders III IiTHE FOLLOWING WAS NOTED: (J , �j i r �- rPo., P- I rrJt �L r �r l: ,r c 4 �.IL1iC� ! c� sr` •*S 32 � lf't, j r I � �• S '�`- (iy��ir..,17 �• 39 `�Lr4� 'r c lv �'I- n i ., �.. �, ..r , 4- ',In ,•�t S LIZ � � 1 ri� !'i 11 ' h ` Ir I hrrl I,rld rIr r1 t • 2• ,r4 I (. : I_ y rn -i ,) r . N I e , 1 (`f r r `r r,•, rr r w l n , rl )P, c (^ rr CIL r .- &e)5c t0elrrlel r ' rill z1« 1 L0d/rlr, Cr i�rl • !� I,T' Ir ( ! r f I-ic - I (1 .[<•v/'�/'t 1 `C-L' (,A) 1-11 (^ ev�✓- �7�'C C ' r` 1I-CC'�Trl �r• I I' . .,.� .9 �] lflr �lr^r /� !) ) IL I, -rG r COPIES TO [�OGC�D G�7 - SIGNED BRIE N / GROUP rick Burk© Jim Riploy(Sh1TP;riploydg(Opacbell,nol( Monday, March 00, 1999 2:20 Al,t PAT ©URKE Oct: OAK VALLEY urko LOT �s��� alloy rUno, CA. eneo; Linoar parkway planling, nlings wllhln Iho Moor park aro CanOsIO 1 wllh Ino landscape uetion documents prepared by This ofrica and reviewed by the clly rch 1990 and conform with Iha prollminary approval doumonls, A, Ripley Gosign Group, Inc, FINAL PLANNING SIGN OFF ®ATE SIGNATURE � WAY,SIIITP.200, SAN MATED, CALIPONNIA 94404,2'173 '1T.LIiPH0NV(650)377.0300 PACSIMILL (650)349.2442 52•vlurl hln rrh —17-9116 - -- -- -- -- ^-•• -��..- .•.0 ua.n.•v•v onry 'wyt tU=4Y]B 299 3796 PAGE 5/9 ram INSULATION CERTIFICATION -76e �. --• c Sa,Joe. G Sbl 2 `.v.`at`�s;iarion has been installed in conformance with the current energy regulations, Z atve Code:Tido 24, State of California, the building located at: G.t r �t/d R-value O'I>I .SCGRNING/MV Thickness(rype ` ;n. pWEN�COFINING,'MV ThicknesslType I I g+c"`S: VS'*Jla.xl[t 01METL^ ZQMJG V Thlckness/Type q rd R-Value OWENS =NIN(� Thickness,?YPB �����"� R-VeluQ 7y fig, Sq. Ft. Covered_ �r • ,# Bags Used DC7 :NS:ALLED: YESX NO LICENSE # :,.. TITLE: DATE • COAST INS TION CONTRACTORS, INC. LICENSE * BY: MYl TITLE Q„ DATE: • .]INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R Site Address erm—It 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 forth 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. g of Emciency Duel Duct or Heating Heating , Type(pkg. CEC Cenified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity ; heat um and Model Number S stems aCF-IRvalue ,aattttiiec,etc.) R-value ��.(Muullir Blulhr tv Cooling Equipment Equip. CEC Certified Compressor g of Efficiency Duct Cooling Cooling Type(pkg. Unit Mfr Name and Identical (SEER,'to.) Location Duct Load Capacity heal urh Model Numher S stems ZCF•I R value attic cle. R-valueBtuthr Btulhr �— ?ND S ,f � �wJct�.ao 1— J� soo..e. 4iTiC �.� 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-1R) 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 Install ng Subcontractor(Co. Name) OR General Contractor(Co.Name)OR Owner WAT R HEATING SYSTEMS• Distribution If Reeir• g of Rated' Tank Em• External Heater CEC Certified Mfr Type(Std, culalion, Identical Input(kW Volume ciencyStandbys Insulation type Name&Model Number Point-of-Use) Control Type Systems or Btuihr) (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 heatera,list Energy Factor. t For large gas storage water heaters(rated input of greater than 75,000 Btu/hr),list Recovery Efficiency,Standby toss and Rated Input. ' For Instantaneous gas water healers,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 Installing Subcontractor(Co.Name)OR General Contractor(Co.Name)OR Owner COPY TO: Building Department Building Owner at Occupancy