S 2956 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING.ELEcrRICAL PERMrr NO
BUILDING DIVISION APPLICATION/1aF.RMIT PLUMPING MECHANICAL
BUILDING PROJECT IDEN'PIFIC [ON
RUILDING ADDRESS U♦ �� I /•(T� SANITARYNf APPLICATION SUBMITTAL DATE
2.2`Z2Q F-#4-m kJ G �J a f
0"" �. . PIi It CON'TRAC1ORS NAME: LIC NO:
' �, ) NIC CONT OLp
%JBL TECI' iNGINEER: LIC NO ADDRESS: ❑ Q
CONTACT: PHONE: BUILDING PERMITINFO
/l ❑ Consultant Fees Paid by Applicant(Initial) B � ELEr:� PI UMB M17CHi
UC/bd--. Z rLAI C �LJf
LICENS CONTRACTORS DECLARAioN QTY ELECTRIC PERMIT FEE
1 hereby alum that I Etre licensed ower prcvi��naaana b., r 9(,atmncacing . _ .r. .BOB DESCRIPTION.
O�z with SecllmnorMpol Divi m3nl',he Buxinmsnnd :- � c,EM liccnseis //''�I p)TIAL.
FO t I'CItMI'I'ISSUANCE •� �/
FSw i,full farrean< Iu,. SIPDWI. ❑KITCHEN RBMODEI.
O
aUwj Daroc Cl Colo APPLIANCES-RPSIDEN'I'IAL ❑AUDITION ❑PLUMBING RE-PIPE
yea )ale Cnntrarlur _
RCIBTE[TS DELI ❑MUT:fhUNl'I' El STRUCTURAL
z O in z I u demand ,y pare sh:Jl he uwd as p.hire records PANELS MODIFICATION
Oz,-q UPT02IXIAMPS El INTERIOR [I CHIMNEY REPAIR
rot, I-wenaed Pourenonnl - 201-1000AMPS IMPROVEMENT 0SWIMMING POOLS
OWNER-BUILDER DECLARATION OVIiH 1100AMPS ❑IlATII RIiMWEVREI'AIR ❑UIiM,1.1'1'ION
(�y H1y�l6 I hereby affirm that I am exempt from We Contractor's Lice...Law for the
W d O Iodine g rcnmr.(Sectio l]1131.5,Businessland Pmlexslons Cn]a^.Any city lir manly SIGNS FLIa ItI L ❑OTHER
W W y'shidl requires a perimt to naso-,
, ,rotor,improve,demolish,(it repair any spuaure
jprior o its Lsauance,also rit theupplicnmfor.suchpum,itm Ilea signeJatatcmcn, SPECIAL Cl ISC.
{yy{yyy that he is lice nse)puncoal,the p lwkiomol the Contractor',License Law(Chm,er9
CQoa (,aroreancing wi 11,Section 7000)of ovlsoon 3 nfthe Busi nets and ProfessionalCale)m 1`146 TEMP. OR ST. COMMERCIAL:
4 y e LL that he is excmp,therefrom and the basis for the alleged exemption.Any riolilio.of F1 NEW BLDG/ADDITION ❑DEMOLITION
X It Section 7031.5 by any.pplicam fora permit suhjects,he appli,nt to a civil penahy of POWFR 11 ..
..le no,mare Into live hundred dollar,($500). ❑'[MPROVHNANT ❑I'(IOD SERVICE
FS6 I,as-o-ofthe prq,my,army employ as with wages as thckiallecompensmion. SWIMMINGI' O. t1 'CR IMI'ROVfiMF.N'I'
W p.,O will do the wurk,nndshcslmcmre is not intended ondfercd lor.mIs Osr,.704,Business El OTHER
W"� and I'mfic,,mra Code:The Cou nation Liceuse Law does not apply It,an owner of OIfPL13TS-SWI'fCfIF.S I% T bS
4i 3 prapany who milds m improves thirteen,uud won docs such work himself o,duce gh
his own omployees,pounded that such improvamen,s Irenot intended or offered for NEW RESIDENT'IAI. ELIiG'f12 SQ FI.
sale.If.hosever me building orlmplaament is.sold within one yamof eompl.to u,the SQ.E4.FLOOR AREA LSQ.Pr.
eebullder will have the burden of posing the,ha drd no,build or imps...a for per-
,oxcofsnla.). , o a
1,as owner of ilia property,am exch¢ contracting isch contcting with licensed contractors to '1 OTA Ls
construct,be project(See.71114,Business and Professional Crude.)I he Connector's hI
-
usel.aw does urn epplyw an ow net of property who buimc lir improves Errant,and Q'rY. uMl .PEBMi'C FEE ��
who contracts for such projects with u cnntntareh)I icensed parsmm to the Conlmaors '- '
License Law. YERA11'I'ISSUANCEe'�
❑ lam excmpl under Sec. In k PC funhis moon
,ne
r Ha-e
ALTER-DRAIN&VENT-WATE (EA) � VALUATION
WORKERSCOMPENSATION DECLolONBACK FLOW PtOI'ECTDEVICE
II by Ym il"'t> ally p ry fl fllolgJ b ', ,s: 1 /
,
"
❑ Ih d II t Cnf , fC n lf' . f W ke.Cent DRAINS-FLOOR.R00F,AREA.COND.
sari presided' [ by Section TIM f the LvN Cart theI f e of the STORIE :1'YPI?CONS I' IICI'ION
work for whichthi craidi I. FIXTURES-PER TRAP
[J I have mind w'll oneentain Workers Compensation insurance,as regnned by Section v
.3710 of Inbar Cotte,for the performance of the work for a hich this permit is issued. GAS-EA.SYS]17M-1 INC.4 OUTLETS (ICC.GROU 1' APN
My Worker's Compensation Insurance carrier and Policy number arc /I
Carrier. Polley No,; GAS-EA.SYS'11EM.OVER 4 QiA) //`
C13RI'1 NCAI'17 OF Ill XE ION PROM WORKERS'
COMPENSATION INSURANCE GREASEIINOUS'I'Ill.WASTE INTERCEPTOR
BUILDING DIVISION ITIS
(Thiaeection neednnbecompinw if,h"wealE lslimmeall dradillun($10) GRP,ASHI'RAP
or less.) I'LANCHIECK IFIi •��
y Ioymythuso the say performance of the work for which cis eWrrion..lars reeploB SEWER-SANITARY-STORM EA.1110 FB
not employ any person in any mannenoasm Mame whjccnnthc Worken'C'on,pn,- ENERGY PF.E
snfon Laws of California.Date WAITER (EATER W/VIINT/ELECTR
Z Appliean,_ GRADING FEE
NOTICE'TO APPLICANT':IL after making,his Cendieme of Exemption,you should WAILER SYS'UEM/TRF,APING
a ; hecomfill co cno,he Workers,,Z ComMsmlon prrv.I fi l of he Lahur Cade•you nmsE SOILS FEE
I) fonhwllh comply wiW ouch prcvixiom orlhix pennh shall he deemed revnknl, WATER SERVICE
UOG Q CONSI'RUC IION LENDING AGENCY NEW RE91DEN'1'(At,PI.MB SQ,I. PAID
1haanyalfim,mtde,estra'namninn lemrngagcacy mnheparam,a„-lir m Reaip,x
0 F dm work Ga which cis pcnnn is issued(Sec.JIp].Civ.C.)
Lenders Name P 'i'O'rAl.:
V Lender's Address ,
F d 1'¢illy mot 1 hxwfl
um read cis ap,h,ar an it I ,a m Thu about inion lmion is BUILDI u
Vi o c,1,I agree to comply with all city and county tndinances and slam low.elating to QTY MECHANICAL PERMIT FE
L) ,Z buildiagconstmction.and hereby minimizereprenenmtivesoflhlscd,homaefupmlin, SEL 1 I• yo, ZO
immcmemioned foment for inspection purposes. PERMIT ISSUANCE
1 We)agree In nava,Indcmuify Emil keep harmless the City oC Co a nino agalnnt EhECEN ]I I? I V
liabilities,lin 1 men¢,ensu and expenses which may in any way act again,sad City
I ACI ER UR ADU TU MIECfI.
En ctinsryue � nflM gmming of this permit. PLUMB NGI 'li
APPLIC V ND13RS'I'ANDS ANTI VILL COMPLY WITH AI ,NON OINT AIR HANDLING UNIT(Tll 10,000CFM)
S011li ER •GLA'I'IONS. I MECEIA ICAL FEE
AIR HANDLING UNI'I'(OVER 10.000CFM) CONSTRU"IIONTAX � 8,
of
Signa arc ofAp anl/Cmm7me 13XI IAIIST HOOD TW/DUCT) HOUSING MITIGATION FEE
HAZARDOUS MAI RIALS DISCIASII E
Will the applicant or future building xcupanl store or handle hazardous national II EATING UNIT(10 1 k),000 I I'I'U),
as defined by,he Culsrlino Municipal Coda•Chapmr 9.12•uw the IRA 11 EoW Safety
Code,S,f 2553210.1 HEATING UNIT(OVER IIg),hil,IITU) -
�Yes PAID f �'
VENTIhAI'ION FAN(SINGLE Rr;SID) [)are Kit#
Will,hcuppllcnnt or four huild'mg ucaution use npiipmcm ordevias which BOILER-COMP THP OR 10i B'I'Ul
.mil fortuitous air contaminants as defined by the Buy Area Air Quality Management F
DislricC
❑Y BOILER-COM P(OVER 100,000 BTI)
AIR CONDITIONER
nJlar by ndrm non, h 5.2553cros under Cha per6a5o1 the Calle / ISSUANCE DATE
brifica ❑, SaimaCode,Sea,ios 05.25533 and 255]1 u ad' I if the NEW ItISIIJI3NTIAL MP.CI1. $Q,Pl'. C L ^- Y Y
or a.
bei EnK lit currcnllyhtrven n, le It isnryrespansilnli,y, unity the um
he aaaisoanw efa tc
age tom TOTAL: SSUED❑V:
OFFICE
MJOADPfPJ FAX NO. May. 24 1999 12:32PM P�
IH1I1d. lytj:i 14:Obmri' :"-41 KHNIjHS f JULY, r4J.bk1= r.e;e
BMW &MW Mulk
Englneets ■ Surveyors . '1>innen
C,-FL19990104-50
Chuck 9ehoenborgor
0,13rian Group
2001 Wtnwtud Way, Suite 200
Sao Mateo.CA 94444
Suhleott Oak Valley W Foundation Veri5cation
Dear Chuck
On Mey 11, 1494 we parfamted a field survay of the loearlon of the foundation forms for the building.
hying constructed on Lot 1-07 of&& Oak Valicy project in Cupertino.
The re'eults of that su mey ciaatly show dist tits location of the foundation forms ere consWant and to
• cor>i'onnanae w1th to design location of the Wilding, as said location is showlt W the plans prepared by
our flrm.
•
This fever is intended to provide yep:with the verification of that unit par our survey. If there are any other
questions eoeaertringditat location, please do not hoshm to cell,
Sincerely,
�a
'�' BZ1U� A 91:RG w
� :7.g. &31r'02 }
MAN KANCAS FOULIK
Maditsy A. 8i16o P.L.S. 6141
PsNect Mansgor
Survey CeMIMCM
•
•
• t,.
3880 Wmwk 4508
DenvinvilN,CA 04808
•
P925.046.080',
P;r8200F a1
A71One Market
�o Spear Tower.8N10 348
San Frand8e5,CA 94109
T 415,077.0410
�� ;=:479.977.Od71
June 23, 1999
The O'Brien Group
2001 Winward Way, Suite 200
San Mateo, California 94404
Attention: Gary Ables
Subject: Oak Valley Lot 1-07
Foundation Review
ATI Job 01107
Dear Gary,
• As requested, ATI performed structural observations for the above referenced project on
June 17 and 22, 1999, Our visits related to reviewing foundations of Lot 1-07 for general
• conformance with the structural plans. The foundation contractor was present during our
second review. Recommendations were made to the contractor on June 170 these
recommendations were installed and back-checked on June 22nd.
In summary, based on the observations made during our review, we find that the work is
In general conformance with the structural plans, calculations, the engineering design
intent, and generally accepted standards of practice,
Our efforts to review the work are not intended to relieve the contractor of his
responsibility to construct the project in accordance with the plans and generally
accepted standards of practice. Rather, our review Is intended to improve the probability
that his work is completed In this manner.
Please do not hesitate to call should you have any questions,
Sincerely,
�/�(�,
Wendy Allen
Project Engineer Jh99
ATI Project File +, �RUr.Tv°"
• rG�4u�:orror•corr•u,r.d� �� ',., -Gd�
• "Providing Vaiu9 through Quality, Service and W%avallon"
E00 ?Lb'OF: b£t'6b04059T6 f Ilh £T;ET 666Ti£Ei90
• DATE JOB NO.
Consulting Engineers and'Scientists.
��-`99 SS D '►13
.• PROJECT .:425 , C .
D WAY K. ��
OAKLAND, CA 84621. ," ' Pom s
(5.10) 568-4001 LOCATION
D' (3r;&Y,) Cx> e r v,o
CO R OWNER
DatO ll.�
'78 WEATHER TEMP. ��t AM
S r7 S`at PM
3.5 (J� PREBENf Ai 8RE
Hous Charged To Project �"'Nuclear Density Tests (�
QV"' Q O� (3ri
Field Task Number Concrete Cylinders `3
THE FOLLOWING WAS NOTED:
l)r Sire a5 re#i:�1-51-cd ac Rook V.Nc ObSer•Jctl-iovI (7- ,cl ` Ca,%IGrct-e
xnlG rP. y✓�o v�{- I rspec kyY1 )-o ;,1 C1 rca 2 = SQQwf- W •+-k
TrQ r./ OF\ O, (3ri[.h rro't��� I✓i sC�e� I C ����v G-S Gl/( Pot)hong 5
6.11 hG I i Iy L t rn t Mn .n (-t a J- f)k-LxJQ Ll,-LA,I P. I ( rv1a 1-c r,a
of S2", 6 (`(C[✓r^ Q-)1 I0-H PM6-1 :fern mo%sS u a_
►-+rr,*,Cl- aul �Irel Foryv) r CIec„re44.crS Can Cv-kk. r1r�4�red
�rrn Yyl: IpiFuS r1ja1-cria ks /)') ' x -letSb/ i j2 /"ed A Tfr/
op /-20 r •-tl r .-, uC
K Dir• Z Ca {—' Se I— a0
On rt C_ (`rnv> axess;� 5Lrew�C4�. � , I ,v, n S� 3 ��H
!LCt2ie� j-r t r r✓ u8° F)CY v l�t n,� rec� -ro 1", CwKP lt,cr nce
04A1\ 4-IV-Ce ^�- CJro t e Cf' (�(cw.S a , d � P' c a h cn
amcr-,-•d a.,.A
VIES TO FPIEU. �
SIGNED /a4
CLIENT 1C1w OKs2�1/- 8�,
14HYZA HARZA ENGINEERING COMPANY
• INFRASTRUCTURE
• April 30, 1999
Mr. Gary J. Ables
The O'Brien Group
2001 Winward Way, Suite 200
San Mateo, CA 94404-2473
• Re: Geotechnical Review of Structural Plans, Lots 1-05 and 1-07
Oak Valley Residential Development, Cupertino, California .,
Harza Project No.: L840-C
Dear Mr. Ables:
In accordance with your request, we have reviewed the structural plans for the custom homes on Lots
1-05 and 1-07 at the Oak Valley Residential Development, located in Cupertino, California. The
purpose of our review was to confirm that the geotechnical aspects of the plans were prepared in
• substantial accordance with the recommendations presented in our report. A geotechnical
investigation was performed by our firm for the development and the results were presented in our
report titled, "Geotechnical Investigation, Oak Valley Residential Development, Cupertino,
• California," dated December 31, 1997. We originally reviewed slope setbacks for the
aforementioned lots, as described in our supplemental engineering letter dated December 10, 1998.
We submitted a letter describing revised slope setbacks for the above lots dated March 23, 1999.
In addition, we submitted a letter summarizing our review of structural plans for the subject lots,
dated April 6, 1999.
We reviewed the following applicable portions of the project plans for conformance with our
geotechnical recommendations:
• Foundation Plan (Lots 1-05 and 1-07) by ATI; Sheet S1, dated 1/18/99.
• Structural Details (Lots 1-05 and 1-07) by ATI; Sheets SOI through SO4, dated 1/18/99.
L840CLTR.021
• 04/30/99
425 Roland Way Oakland,California 94621 Tel:510.568.4001 Fax:510.568.2205 Weh:wmv.hama.com
• Based on our review, it is our opinion that the project plans and specifications were prepared in
general conformance with the geotechnical recommendations presented in our report. We note that
the slope setback requirement for Lot 1-07 has been met by deepening the footing at the northeast
dining room wall to 30 inches, according to a note on the Foundation Plan, Sheet S 1. In addition,
we note that our comment stated in our letter dated April 6, 1999 regarding Sheet SOI of Lot 1-07
has been addressed on the project plans.
Our services were limited to the review of the geotechnical aspects of the documents listed above,
and have been provided in accordance with generally accepted geotechnical engineering principles
and practices. Should you have any questions or require additional information, please do not
hesitate to contact us.
Sincerely,
/Harza Engineering Company oQV�pfESSIONq�
O�2�
No.2013 m =
Corey T. Dare, P.E., G.E. * Exp.6r30-02 >�
• Senior Project ManagerS/ CF�TfCN1�GP �e
�
C32948/GE2013 .OF CAO..
SAB/CTD:II/ch
Copies: Addressee(1)
Mr. Richard Hiroshima(South Coast Architects— 1) ,
Mr. Doug Eikenban,(The O'Brien Group— 1)
Ms. Wendy Allen(ATI Engineering Services— 1)
• L840CLTR.021
04/30/99
2
OBRIGRO
A COROn, DATE IMMIDD VY)
ERTIFICA
06/30/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Northern California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Ro.wland Way, Suite 350 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ato, CA 94945 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
AFremont Compensation Insurance Comna
WED COMPANY
O' Brien Group B
266i Winward Way, #200
I�rt 11. COMPANY
,San Mateo, CA 94404 C
COMPANY
D
COVERAGES....
4THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
&0 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE(MMIDD/YY) DATE(MMIDD/YY) LIMITS
GENERAL LIABILITY GENERALAGGREGATE Is
7 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPAGG $
CLAIMS MADE DOCCUR PERSONAL&ADV INJURY $
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE"DAMAGE(Any one fire) $
P.m
MED EXP(Any one Person) S
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Perperson) $
HIRED AUTOS
BODILY INJURY
NON-OWNED AIMS" (Per B=Ident) $
Mel I PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE $
ab OTHER THAN UMBRELLA FORM
A WORKERS C MPENLSIT�TIAONAND I WN9846991912 07/01/99 07/01/00 X STATUTORY LIMITS
EMPLOYERS`
THE PROPRIETOR EACH ACCIDENT $1, 0 0 0 0 0 0
I X 1(NCL DISEASE-POLICY LIMIT $1 , 000 , 000
PARTNERS/EXECUTIVE
OFFICERS ARE DISEASE-EACH 000 000
OTHER
DESCRIPTION OF OPERATIONS/LOCAnONSNEHICLESISPECIAL ITEMS
Evidence of Workers, Comp
CERTIFICATE HOLDER_,...
CANCELLATION
• SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE THE
City of Cupertino EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
David Scannell Bldg Dept 3n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
• 10300 Torre Avenue BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Cupertino, CA 95014 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUIHORIZED REPRESENTATIVE
JACORD.25-S(3/93)i Ac6kD CORPORATION 1 993