S 2893 (2) ---APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL TERM P1 NO.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECIANICAL
BUILDING PROJECT IDENTIFICATION
BUILDING ADDRESS: SANITARY NO, APPLICATION SUBMITTAL DATE
OW ER'SNAME: PIIONE: CONI'RACIOR'S NAME: LIC NO:
y..IwILI , C r (Lion
Lia ,y__ ._ T. .`. NIC- 67 9CONTHOI.p
CH Tall c El R.. L VLIC NII'. ADD,RJI LISSY.A/-` 1.� ❑ l D�
pl
CONTA : PHONE, ''BUILDING PERMIT INFO
.�` _ \,yl_\ \n (J IQVI�V�2 l "4 ❑ Consulmnt Fees['aid by Applicant(initial) p1.D0 IiL1( PLUMB MF�:CCH
1EJlAOxN� J '-CON C) "'l 1J r.J_7/ - Q� ;[ , P_ El
LICENSED CONTRACTOR under
U visions f Chap[ON QTY ELECFRIC PERMTF FEE
ih n; ft ,m 1 1hRie d provisions Code, ndentcene(commencing JOB DESCRIPTION
DRZ win S i ]INA) fD ' ItM1c❑Bost' tl f Irons C�We and my license e S N IA
WOO - PERMIT ISSUANCE F in full force Aral, vl(� :UWL ❑KITCIIF,N RF.MODIiI.
aUU Liccn,c `1 —s - ` Lic.p AI'I'LIANCIiS-RIiSIOIiNTLV, [I ADDITION ❑PLUMBING RIi-PIPIT
N Q 6 Ddlc Conlructmglow
ARCHITECTS DECLARATION [I MULTI-UNIT [:1 SI RUCTURAh
F•0 y PANEI S
2OyZ Iundeolardmy plum shall d:used us tubi lc at ortls MODIFICATION
02, Oil TO 21N1 AMPS
F4t® ❑INTERIOR ❑CIBMNEYRITAIR
Licensed Plofasalond 2111-IMI)AMPS IMPROVEMENT 0 SWIMMING POOLS
Q 2'-I OWNER BUILDER DECLARATION
K OVER IUKKIAMPS ❑BATH RI:MODE1JRI:PAIR DDEM(ILI'I']ON
K hcrehy.Sector I um enosinsoom Imm Ih,Cssionv o Llm:ne Law forth,
dO�U
3 W which ng remora.wnnutnt 7B3L5.nosiness and Profusions Code:Any city nlnmmy SIGNS EI CIRICAL ❑OTHER
yQ
which reyuires v permit to cnnntrutl,ahep improve,demnli,h,OF repair any elructur,
„E.,LLOJ pfirr,o iu issuance,also quiets the applinm,for such perminu,ilea aigneJ aatemin, sr
.CIRCUI'I'IMISC.
niwhe is lincoWd pu...no to thepro'kinnsof the Contmetnr x Liecnxc l.uw"E:,PRr9 -
[[r�11 (commencing with Section 71071)of Division 3olthe lluxinissued Pmfensionn Cndu)or R OR POLE INS'. COMMERCIAL:
6.a Qo K thin he is exempt therefrom i J the basis ter dw alleged excmplian.Any violation 1MP
of F1 NEW BLDG/AIJDI'I'ION ❑DBM01.1'1'ION
W Section 7031.5 by any applicant for a Flood subjects the applicant to u civil pennhy of 1' WER DI.
^m ❑TENANT FOODSERVICE
:almarcwloan v,hproIatlollnmy employees
IM PROVEMEN'r
^zQ ❑ I,ax owner of the pmpenY.or mY employees with wagon as their sole rompemation, S I 1. : IC
Q wl l l Jo the wurk,and dw I...utrc wan imm�deJ nrotlhmd lirsale lSm.]UWJ,Itusineas ❑OTHER
6 3 W and Prom siens Code Me Commea is License Law does not apply m an owner of OIU`l.H' 'I -FIX'IIIRES
prupprly who build,or ho mve,thereon and who doe.,such work IIitnoclfur through
his own employees,provided that such improvements art not intended m olfered for NEW RISIDENTIAIALECIIt SQ IT.
sale.IL however,the buildingor inipro....wnl isnsld wimm unc yea,of eentplaim,the �� SQ.FI.FLOOR AREA vSQ.IT..
Wild 111 1 nm fp proving did t build ormprove for par,
01 l le) s- r � y
I ' f thep p nY IYcontracting ,h licensed I I u- L r
[rat u ul Peace,p ]1144 B :: d l 1 I,, :Code:)ip. C t' t L
c n L' d t pplyt fp property b ra II: r rap Int d
theme,and QTY PLUMBING PERMIT I FEF,
t al' orsuchp tle[I w'Iba[t,tm[t rtH[[t.edp t,ll the eruuerx
Lie9
L ce . Law. PERMIT ISSUANCE 1//1
Iair,e%e ntpt de Scitft PCIn,this data"
'vl 1 ALTER-DRAIN&VENT-WATER(EA)
Date VALl1Al'If 1N
Owner
' OMPENSATION DECLARATION RACK FLOW I'RIYI'ECI'.DEVICE �(5
Them yaMrm an er perallyof pcjuryone of I he following deelaminns: ✓ r
I have and will ranging a Certificate of Consem toself-insutn for Workals Compact DRAINS-FLOOR,ROOF.AREA,COND. STORIES '1'YI'Ii CONSTRUCTION
a udon,m provided fnr by Section 3710 of the Labor Code,for the peHornmnee of the 1
Irk fur whim this permit is isxaef, FIXTURES-PER TRAP `�
E]I have and cavil mn umu Worker'.,Cnntpematlon lnsuramx,as dal by Saclion [�- /�,/
37110 of the Labor Code,fnr the perfmmunee of the work for whichlhi,tenni,i,i,wW. GAS-IA.SYSTHM-I INC.i OIG1l.F.'Lti OCC,GROUP APN
My Worker's Cemlwtnenon Imumuce carrier anti Policy claimer me.
Currier. Pull icy No.; GAS-EA.SYSTEM OVER 0(EA) r�
CERTIYICA'1'li Op EXEMPT]ON FROM WORKERS J
COMPENSATION INSURANCE GRFASFJINDUS,RL WASTE INTRRCRFrOR gllfl.DING DIVISION PEES
(Tlakor i readnamlwcompleted.1111,pursuit h lure.,hundred dollars($110) GREASHTRAY q
ne lossJ PIANCH[CK FEP. �' l� -M1!
loyany that to ntn ryrfmmancen thea s( bee for wMCM1lho pencil is i.sucdlehii- SIiWER-SANITARY-STORM I?0.210 FI'.
net employ any pe,xan in any manner sn an m hewn¢subject to the Wnrkeri Compcn- ENERGY 19J1
z ,Z talion laws of Cohiment Date WATER HEATER WNENTII iI.EC'I'R
0 Applicant GRADING FEE
h
NOTICE'IO APPLICANT.It,after making this Cundicao of Ilxantplian,you should WATER SYS'rEM/fREMIN(v
a ? hwnnm suhi,ed w the Worker',Cmnpemation provisions of the labor Cole,you mart SOILS PER
{fJ fonhwtlhcmnply with,uch notmonso,la,permit shall he decnned narked. WATER SERVICE
4_Ca
z, CONS'1'NUC'I'ION LENDING AGENCY N14W RESIDENT,Al.11I,MB. SQ.F1. PAID
>am
V O I herchy ofoftenthatthere is a construction lending agency for perGnmun[e of Recei,t#
the work faith ich h
m
edl itis eJ[S .3097 v.C.7
:,Nita'.Note 0 'PUPAL:
.ander',Address 7,L'�_1N.a_S0 t. 110 Ivrl. Toll,
It-•`+s I comity flat 1 have read this application and state that the above information is BUII. N FEE
cnrrca'.I agre,m comply with an[qty and county ordinane,x:utd state laws relating it QpY. MECI IANICAL PFRMI'L FEE'
U z building conslmmiun.wW heathy tmthoriec reprexemmivex of shin citymen¢r upmthe SE MIC TIE
nMwo-memioneJ 2-3, 60 1
property list ins set,li n pmpoles.
PERMIT ISSUANCri in
(We)agree(I,save,indemnify and keep hvoulaxs the City of Cupenino against E BLP.CI' IC FEE
Iiabildes,judgmenls,costs and expenses which may in any wayaccrue against said City ALTER OR ADD10 h ECIL
illneeynence efthe moungo(thispermi. PLUM UNG FEE
APPLICANT//I' 'I " ANDS AND WILL COA1PLY WI'I'I{pLh NON-POINT' AIR HANDLING UNI' f $LOIN CFM)
SOUR 1 1 �� II I e1vMECDA INJONCAL F,
7 �Q n AIR IIANULING IJNI' ) ITN I'M}) CONS'IRUC'ON'I'AX
'Signml plic ontmemr Jao 17XHAIJSI HOOLOVI')
'SARDOUS MATERIALS DISCLOSURE HOUSING MITKIATII IN FILE
Will the all or future huildie,waupum mmor handle hazallousnmariul 11IA'I'ING UNI'pTO IN 111'1'111
as defined byte Umatilla Mmusipa Code,Chapter 912,and the Health and Safety
C .Seed 125532(n)'! II EAIING I JNUT MVI: I,t H )
❑VCs VIlN'I'ILA'1'I ON FAN LSI NGLII R ESI D) PAID
Wthe unlmfntngaccepard useientnrdevices
Dole
nit huvrdnusBI,coraminunt,as defnW by heIts,,Art Air Quully Management ROII.EIt-COMP(311POR (10,000 B'RE
,,,,all? ,cek
h❑Yes BOILER-COMP(OVER 100,(NABTIII N
r
I have read the h:wnlcentennial, f t
is under Chapter 6.95 ohe Cal i- AI R CONDI'PIONHR ISSUANCE DATE
fnmia Health a Safety Code Sections 25505,25133 r.25533 a 25533.1 nndervmnil thus if the NIW RESIUf?NTIAI.MECI I. SQ.FI: q
huildmg partlywhich have obnanhlhatit ismy e.resp,m,ibilitymnrnilyyyyyy lhc,wcupant
of •r whish must he uamissuanec of CJ
Owmr V,,M,i,cd egant U TOTAL. ISSUED BV:
OFFICE
POPA ENGINEERS Inc.
STRUCTURAL ENGINEERING CONSULTANTS
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GOLDEN VALLEY OFFICE CENTER
• 2542 South Bascom Avenue • Suite 102 • Campbell, California 95008
Phone: (408) 559-4202 • FAX: (408) 559-3628
- DATE JOB N0.
Consulting:Engineers.and Scientists N • TT- q4
425 ROLAND WAY PROJECT
OAKLAND, CA 94621 0n V Jn l I 6l-v. ., r,.
(510) 568-4001 LOCATION
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Date WEATHER TEMP. atAM
'at PM
Hours Charged To Project 2 Nuclear Density Tests PRESENT AT SITE
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FField Task Number Concrete Cylinders
THE FOLLOWING WAS NOTED: -
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COPIES TO RIELDTOML�SIGNED
CLIENT
APR-14-99 WED 03 :21 PM P. 02
MARVIN D. KIRKEBY
2397 FOREST AVENUE
SAN JOSE, CA 95128
(408)9840331
April 14, 1999
Job No, 98064
Building Department
10')00 Tone Avenue
Cupertino, CA 95014
Re: 22219 Hammond Way
Lot 8,Tract No. 9054
Gentlemen;
Per Section 7014 of the Uniform Building Code, we have inspected the rough grading for
the subject lot and hereby stale that it is in substantial conformity with the approved
grading plan. Finished building pad was measured to be with 0.2 feet,plus or minus, of
the approved design grades.
If further information is required please contact the undersigned.
You ss�t�rju�ly;
Com,,, QpOFESS/O,t'q
fy
44
Marvin D. Kirkeby 7 tiwQ QJ�N 9� y
Registered Civil Engineer a No. 14001 {
,dr Exp, '/31/Ot
�`.`:,•.
CIS I\� PSP
`F OF S':. �
• J
V44JZZ HARZA ENGINEERING COMPANY
INFRASTRUCTURE
March 12, 1999
Mr. Brian Kelly,Jr.
Kelly Gordon Development Corporation
12241 Saratoga-Sunnyvale Road, Suite C
Saratoga, CA 95070
Re: Geotechnical Review of Structural Plans, Lot 8, Tract 9054, Unit 1
Oak Valley Residential Development, Cupertino, California
Harza's Project No.:M293-G
Dear Mr. Kelly:
In accordance with your request, we have reviewed the structural plans for Lot 8, Tract 9054, Unit I of
the Oak Valley residential development in Cupertino, California. The purpose of our review was to
confirm that our geotechnical engineering recommendations have been properly incorporated into these
documents. We previously performed a geologic and geotechnical investigation for the Oak Valley
residential development and the results were presented in our report dated December 31, 1997. We also
submitted a plan review letter for Lot 8, Unit 1 dated December 24, 1998.
We reviewed the geotechnical aspects of the revised structural plans prepared by Progressive Design,
Sheets 4 and D3, dated December 1998. 'In addition, we reviewed a FAX from Kelly Gordon
Development Corporation, dated March 11, 1999. This FAX contained a revision of Detail 14 to
indicate a minimum embedment depth of 34 inches for the northeast perimeter footing, as recommended
in our December 24, 1998 letter. Based on our review, it is our opinion that the reviewed plans and
revised Detail 14 were prepared in substantial conformance with our geotechnical recommendations.
Our services have been limited to the review of the documents listed above and have been provided in
accordance with generally accepted geotechnical engineering principles and practices. If you have any
questions, please do not hesitate to contact us.
Sincerely,
Hama Engineering Company
7 Q�pfcssloyq
t p �F2�
Corey T. Dare, P.E. G.E. ¢ INo.2013
Senior Project Manager :Exp.64H2 r}
C32948, GE2013 dJ Cf0r CHI+�O"`���
glFOF CAI\FAQ
Cpill
Copies:
: Addressee(2)
M293GLTR.009
425 Roland Way Oakland,California 94621 Tel:510.568.4001 Fax:510.568.2205 Web:w .harzaxom 03/12/99