S 1922 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPFRTINO BUILDING..ELECTRICAL
P3S
IT NO.
BUILDING DIPI ;MECHANICAL
IA ,CTENIFIGATION„
1922
BUILDING ADDRESV
- - SANITARY NO. APPLICATION SUBMITTAL HALF.
I /a/
OWNER'S NAME PITON CON'TR 'TORTS NAMIE: ' p LIC NO: -
AOL -60'el ri✓ GlZ.o U P o 571-0970 Kms/ NIC /)/CONTRRO�L4
AREe
�qITECT/ENGINEER. '^(,/ LIC O: ADDRESS: Com_ / � Q72g
H"O V
CONTACT I /_' PHONE: BUILDING PERMIT'INF'O '
(� - ❑ Consultant Ems Paid by Applicant(Initial) BLDG ELECT' PLUMB MECH
Gs246164tj 323--7`�0
LICINSCDCONTRACTORSDECLARATION
F - o
QI,YELECTRIC PERMIT FEE
I hereby frm II I ftd e p f Chapter 9( mmL sWZ Q-
JOB
DESCRIPTION
WOO itX6 FNTI L'
full force and M75FUW. El KITCHEN
GN RLMODNI." PERMIT ISSUANCE
. ❑S
APPLIANCES-RESIDENTIAL ADDITION EJ PLUMBING RE-PIPE UUDam C
F5y ARCHI'I ECLS DECLARATION ❑MULTI-UNIT El STRUCTURAL '
z I undemm�d my plana shall he used ae blicmcoNs PANELS
q Pu MODIFICATION
UP TO 200 AMPS
A - EJ INTERIOR El CHIMNEY REPAIR
201-1000AMPS _ IMPROVEMENT
W
1 ice d Pr f I OWNER BUILDER DECLARAl10N E]SWIMMING POOLS
d 1 hereby After thin I air wt,rope for.the Contractors L Law for the OVER 1060 AMPS ❑BATH REMODEL/REPAIR ❑DEMOLITION
O
following reason (Section 7031.5,Bd,fiaw,and Preassiurn,Code A y dilyorucial, SIGNS 17LELTRICAL ❑OTHER
W W y hick requires it hergait to construct. ,her ronove,derni or tapiry enoemrc
Lain,In file lounner,also rcquircs Omupids,ntIn....In Parrot to flea signed statement SPECIAL CIRCUIT/MISC.
90 that he is Interred p...coal India pmvivornorthe Conlmelor, Jceltae Law(Chiper9
GL�00 (asmmeneing with Section 7000)of Division 3ofihe Busincsvand Profesd.r,Codc)or 'TEMP.METER OR POLE INS'1'. COMMERCIAL:
F y CS that he is exempt Ihvmlirnt sad the has,,for the alleged exemption.xption.Any violation of - ❑ BLDG/ADDITION ❑DEMOLITION
iLLCI o, Section"1031.5 by any applicant for a pcmtit subjects IM1e applicant m a civil penalty of POWER DEVICES
not more loan Five hundred dollars($500). NANT ❑FOOD SERVICE
ad La,owneriddi.
IMPROVEMENT
O ❑ propeny.nr my employees wish wages vs their sole compensation, SWIMMING FOOL ELECTRIC
wJl ao the work,and Ihestommre is not imw0ed nndfereJ far slde(Src.7044,Businesc OTHER
and Professions Code:The Contractor's License I.nw does nor apply to an owner of OUTLETS-SWITCHES-NIX"LURES '
r propeny who builds or improves thereon,and who does such work himself or through
his on employees,provided that such intpmvenionts are not intended or offered for NEW RESIDENTIAL ELECTR SQ FT.
Bale.If however the buildingornopewchent is sold within one year ofcontpletion,the SQ.FE FLOOR AREA $ISQ.FT.
pnaer-builder will face the barren of r-proving tM1nl he did not child or improve for pa3�]� G 3
of ogle,,.
❑ L a,owner of IM1e propeny, exclusively rssBnwith licensed amtraaom i- 'i'O'I'A L: /�
D8' 1 IV
onatmet IM1r project(Sec.]044,.Rustiness and Profession,
Coda:)The Gsnlradrra Li- 9
C tae Law does net apply to an owner ofprriwny who hold.,or improves thereon,and QTY. 'PLUMBING PERMIT' .PEE
who contracts for such proaas with a contortions)licensed pur.uanno the Cnlmn.r.
License Law. , PERMIT ISSUANCE
❑Inn Iomptrntlas Sec. PCdnrlhie re"Or
lD 5�-- 'ALTER-DRNN&Vlit WATER(EA) /� VALUATION
BACK
EC It
IherebY V e"K B,du fh�A tN Y DRAINS
3Q�A
�❑ ihnve and will mnimelna Cenifle a s 'fJ I VO
said ,,,,pmviJwl❑or by Senior 3"1 the �C ,for eperfmmgnceri the STORIES TYPE CONSTRUCTION
work for which Dir permit is issued. FIXTURES-PER TRAP
❑ I have and will unusual.W Loa,Compenamion msaranee,as reyuirwl by Section -
3700oftheLater Code,for the ratiocination ofthc work for which this permit is issued, GAS-EA,SYSTEM-1 INC.4 OUserEMelijillLiOCC GROUP APN
My Worker s Compensation Insurance canner and Policy Immber are:
Carrier'. Policy No,: GAS-P.A.SYSTEM-OVER 4(EA) '
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE CRFASE/INDUSTRL WASTE IN'I'F:RCEI'rIY1R�. _
(Tli caret on need not he as nplerert'fihcpwni lis lnnmehund rn(dall.lrs($LINE "_ BOILDIN I11VI�ION PEB3 5
rr lean.) GREASE TRAP PLANCHLCK PEB
/
I certify that in the perfrrdeence ofthe work 0n which this permit is issued,l shall y,
SEWER-SANITARY-ST ORM EA.2fN)PI'. G"� ,� �:
not employ any person is any Da munner,n no m become,nbjen m the Workers Compen- ENERGY PEE
,Anonant of C.Ilforniu.Dote --� �! - -
� C Applicant I - WATE�(f BATP,k'W/VEAV f/ELECTR GRADING FEE
NOTICE TO APPLICANT If,afro,Broking this Cenificae rf Exemption,you e�J•
- construction iiS• I
M1emm h3 t t theWake, C ce n p ofth b C dcyg
RJ77NG
SOILS FEEs
lorthwah ply t1. p h p lsh llbed d dual � WA RSERVICE
W(ff Cy
CONSTRUCTION LENDING ACEN � Z" &
z V fMHSQ. ' PAID Data d
Receipt I hereby Bthat there.ad g genm 8;Z_
/0 .
tM1e wo' far wh eh thix pas tons lsued(Sac.909].Civ.CJ
0 U Landes',Name - TOTAL:
W
Larded,Add 1 J TOTALe i
F y tlth ppl t n4 J,i'I th til b f mr BUILDING FEE
rA omnlatoed t ply with all city diordained,andsure Ptim4tv „s,t„-.:;NII? HANICAL PERMI
Z aldra .ttdM1M1y T i 'FEF? ®• /a
tJ � N '-e p t t Fid c'lyttp H SEISMIC FEE
awor-ranotharad
re I property f inspection furrows,lPERMIT ISSUANCE
(W gnationality�and Ph 'ItheCly ICp f against ELECTRIC P?'
babillf:l g i',ccst dexpenses which ray to my way accrue against said City ALTERORADD TO MPCU
in color ice ofthe granting ofthismail. PLUMBING
A IUNDERSIA D. WILL COMPLYWTFH LLNON 'DINT AIR HANDLING UNIT(TO I0JXXICPM)
HE L '10 r/ MIiCHANICAI BE7 AIR HANDLING UNIT(OVER I0,000CPM) CONSTRUCI10 TAX I
Sign aof pelican tractor Dae EXHAUST'1 IOOD(W/DUCT)'• HOUSING MI-S
ION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will the applicau or future buildi ng occupant stare or handle huecolonv materiel HEATING ON IT(TO 10,(1,000 B1 U)
as defined by IM1e Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Scalion 25532(.)! HEATING UNIT(OVER 100,000 BTU)
❑Yes ❑Nn - _
VENTILATION PAN(SINGLE RF.SID) PAID
Will the applicant or rr[uwbuilding occupant use equipment(it Data BePIDevices which BOILER,_COMP(31IP Ok IIX1,f11N1 BTU
emit bLim�ats
dnus air conaminunt as defined by the Ray Area Air Quality Managcuem )
ea 7No. BOILER-COME(OVER 101,000 BTU)
e road the hazardous materials requirecones AIR CONDITIONER ISSUANCE DATE,
yuiremrms under Charter understand
of theif the
h&SafetyCrk,Sections 2551.5,25533 and 25534.1 undersmnd that if the NEW RESIDENTIAL MECH. SQ.
e ent currently kava o @nanl.lhm it is my uspnmihillty to notify arecadupont
emeats which IIIL141 her met prior m issuance of n CeniOoam ofOccupancy.thorized agent Date TIYTgL. ISSUED BY.
OFFICE
Brian Kangas Four
Engineers' o Survoyors • Planners
January 12, 1999
• 960069•50
Chuck Schoenberger
O'Brien Oroup
2001 Windward Way,.SUM200
San Mateo,CA 94404
Subject; Onk Vnllay—Foundation Verification
Dear Chuck,
On January 6, 1999 we performed a field survey of the location of the foundgdon forma for the bulld441
being constructed on Lot 4.23 and Lot 4.24 of the Oak Valley project in Cupertino.
The results of that survey cleorlp show tial Iia location of the feundarlon forms are consistent and m
canfonna:rcu ,cith the design location of rhe buildings, as said Incgrions are shown on the plans prepared by
our flmn.
This Its er is intended to provide you widi the verification of that unit per our survey, If there are nny other
questions contenting that location plaaae'do not hesitate to call,
Sincere'y, I.
,tee,,
IAN KANGAS FOULM. ; C', .c'!n,
Bradley A. Bllbo P.L,S,6141 1• '
Project Mmtager
• Stttvey Department
Wd Prices Avenue Redwood City.CA 94083 • 16501162.5390 r FAIL IB30i 482.6389
•
a
Jun-29-99 04:46P ENGINEERING WEST 408 2.95 1570 P.01
E14GINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO. CA. PAGE/ OF 2
PAT BUKKII STRAUBS BROS.
• 08129199 06129/99
8801237 0078 (408)287.1923
THIS CHART INDICATES THE DATES AT WHICH EACH COMPONENT OF EACH BUILDING WAS
OBSERVED AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE DRAWINGS.
LEGEND
N C 0 CONSTRUCTION NOT COMPLETELY OBSERVED
CORRECTIONS REO'D. LIST GIVEN TO CONTRACTOR.
FON. m STEEL REINFORCING,HOLDOWN ANCHOR BOLT OBSERVATION
1 ST FLOOR = UNDERFLOOR FRAMING OBSERVATION
ROOF PLY. = PLYWOOD NAILING OBSERVATION
EXTERIOR PLY. a PLYWOOD NAILING, HARDWARE OBSERVATION
G AND HARDWARE OBSERVATION
BASIC FRMG. = GENERAL FRAMINI Basic /TTI
NIT of an PTIO 3F d, ABS 14/111,99 06 22/99 06124/9 0 /24199
4 8 030 099 04114/99 06/2M99 08/24/99
4 8 7C
4 p 5C 3/BONUS 03110199 04/14199
I 04/02/99
4 10 20 3 03/0119904102/99
11
4 35 03101/98
4 11 4B 3 1013/98 12110198 01!21/99 01!21/99 01/25/98
4 13 8C 2 09128/98 10/09/98 11100/96 11/13/98 12/15/98
4 13 8C ADDITION ' 1 02/09199 02/09/99 02/09/99 02!09/98
4 14 2A 2 OZ02199 03/01/99 05119196 05121/99 06/04199
4 15 M., 2 02 02/99 03108/99 05127/99 06/09/99 08/09199
4 17 2C 03101/99 03/30/99 06/17/99
4 18 6E 2/80NU5 12'14/98 12124198 03108/99 03/08/99 04112/99
4 20 48 3/BONUS 12'22/98 04114/99 03/18/99 03122!99 04114/99
4 21 20 2 03119/99 04114/99
• 4 22 5A 2/BONUS 03/19/99 04!14/99
06/01/99
4 23 3A 3 01'12/99 02118/99 05113199 OS-07-99
4 24 BD 3/BONUS 01!12/99 02117/99 05.03-99 04.30.99 05/17/99
4 25 5C 02/16/99 04/02/99 04/05/99 05/14/99
4 28 2D 2 01,'08/99 02/12/99 05110/99 04/28/98 0589
4 27 4C 3 Ot!D8/99 02105!99 04/14!89 04112/99 03107.99
4 1.8 8B 3/BONUS 1214/98 01/04/99 03/03/99 03/03/99 03/30/99
4 29 7A 2 11/13/98 12/10/98 02110/99 02/10/99 03/03/99
11/99
4 30 3C 3 11'/13/98 03118/99 08/03/99 006/09/99 8317!99
4 31 5B 3/BONUS 0212/99 03/10/99 08/11/99 08/17/98
4 32 28 3 0212199
NOTES: (PENDIN ISSUES)
(1) LOT 13 PLAN SC FDN. (OFFICE OPTION); CORRECTIONS NOT OBSERVED.
•
•
I - DATE JOB N0.
Consu/ting Engineers and Scientists k " i 11 A SN U .T
425 ROLAND WAY PROJECT
OAKLAND, CA 94621 onk, i�h
(510) 568-4001 LOCATION
TQ ('1 j' ��' '" 1 '1 ('! . I J ____ CONTRACTOR OWNER,
J(L 1 li f CI( WEATHER TEMP. at AM
II11 (,U°at PM
Hours Charged To Project I Nuclear Density Tests PRESENT AT 91TE
i
Field Task Number T~r I .f Concrete Cylinders �.
THE FOLLOWING WAS NOTED:
(,r 1-cA.v'n o cl �-r, >� I•P �: �, , ('�' ,cl�,F�( .� � t �c, I c off- S hz�.�.l '. I �,rc 11 a t-
14' /r
C'��, I
I
-I
IC,Ct;(,I
COPIES TO
SIGNED
CLIENT
OBRIEN
GROUP
Patrick Burke
From: Jim Ripley(SMTP:ripleydg@pacbell.netJ
Sent: Monday, March 08, 1999 2:26 AM
To: PAT BURKE
Subject: OAK VALLEY
Pat Burke
Oak Valley
Cupertino, CA.
Reference: Linear parkway planting.
Pat,
All plantings within the linear park are consistent with the landscape
construction documents prepared by this office and reviewed by the city
on March 1998 and conform with the preliminary approval douments.
James A. Ripley
Ripley Design Group, Inc.
•
FINAL PLANNING SIGN OFF
DATE
SIGNATURE
•
2001 WINWARD WAY,SUITE 200,SAN MATEO,CALIFORNIA 94404-2473 TELEPIIONE(650)377-0300 FACSIMILE(650)349-2442
4
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INSULATION CERTIFICATION
x
. 00AT h13UBtlarl CA-J t rV C CXr E% VVC- z
1008 N. 11th SL • San Jose, CA 05112. n
0
This is to certify that Insulation has been installed in conformance with the current energy regulations, H
California Adnti 1 native Gode, Title 24, State of Califon-Aa. the building located at: _
z
SITE ADDRE `r
D
' H
FLOOR
Marwkoturer OWENS CORNING Thickn0w1Type61q1-(-1) ..R-Vsiue _,�_qG _ z
MERIOR WALLS: 1 t\ s�
Marwowturer GWE-NS CORNING Thlcknese/rype 3 a'Z R•Yalue 1'� _
CEILINGS: +�,
BATTS: Manulacdurer�tarFNCCOFiNINti TMckness/Type t� 11Y—R-Value _ 1�
OWENS CORNING Thlcknessfrype R-Value
BLOWN: Mawfacttrer 'hh,,,,�r.,-- o
Weighl�Beg 38 Sq. Ft. Covered_j�v_—*- Bags Used d% a
a
m
AIR INFILTRATION SEALANT INSTALLED: YES)$ NO D ro
ED
I3ENEAAL CONTRACTORS :::; --LICENSE d m
BY; TITLE: DATE :
m
m ,
COAST
ONTRACTORS, INC. CENSE V
BY: —
TM-F: DATE:
pu
m
.INSTALLATION CERTIFICATE (page 1 of 4) - CF-6R
Site Address Permit Number
• 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 SYSTEMS:
Heating Equipment
Equip. N of Efficiency Duct Duct or Heating Heating
` Type(pkg. CEC Certified Mfr Name Identical-
(AFUE,etc.)' Location Piping Load .Capacity
heal um and Model Number Systems 2CF-IR value attic etc. R-value Btuthr Btu/m
w / u
ZIVD y SARAt/eYe-/A � . _
Cooling Equipment -
Equip. CEC Certified Compressor N of Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER,etc.)' Location Duct Load Capacity
heat um Model Number Systems CF-IR value attic etc R-value Btu/hr (Btu/hr)
tsi SAL 7- t
.
2kA i — opckCo.30 _� ,aSLoQ ATTta IV, �zo0
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.
7 Y9 y ser4rd r�✓ /�ef i �c�. s� .�/ci
• Signature, Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER HEATING SYSTEMS:
Distribution If Recir- 0 o Rated' Tank Efts- External
Heater CEC Certified Mfr Type(Std, eulation, Identical Input(kW Volume ciency' Standby' - Insulation
Type Name&Model Number Point-of--Use) Control Type Systems or Btuihr) (gallons) (EF,RE) Loss(%) R-value
E
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 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
III.
1, the undersigned, verify that equipment listed above my signature: I) 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 Ejlciency 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