S 1596 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CIT-9,+1 F CUPERTINO BUILDING.-ELECTRICAL. 1'liB`�pIT NO.
BUILDING DIVISION APPLICATIONIPERMIT
PLUMBING MECHANICAL u 1596
BUILDING PRD,IRrr IDEM IFICAr1QN
BUII,UI r' ) RESS: SANI'I'AdY NO. APPLICATION SUnMffl'AL DAPI
NEWS NAME: I PHONE: C NTRACI(IR'S NAME: LIC NO'.
NIC / CONTROL#
CHIMC'PHNGINE a- LIC NO: ADDRESS: ❑ (if�1 r
9cA.t $
"NIT
PHONE: BUILDING PERMIT INFO
�s
El Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH
4400Y - 1,
uCHN SED CON'URACTOWS DECLARATION QTY. :,ELECTRIC PL JOB
FIEIE
I h.rony nntrm mm 1 ant Been,ee.rider provisions lir¢Bolt1 9(cam a Bing _ JOB DESCRIPTION
DwZhSuaon nxn)ornmision 3onnetlasiaew •.andm t g
O O PERMIT ISSUANCIi
I- in full fmrre.ndeffect. / SFI DKITCI II?N REMODEL
aVV 4icense Cl is 1.10.g APPLIANCES-RESIDENTIAL ADDITION ❑PLUM B[NO RE-PIPE
y G W Date Contract...
ARCHITECTS DECLARATION ❑MULTI-UNIT DSTRUCI'ORA[.
Fl,IZ - PANIiI.S
Z py Z I nndersmnd my plans shall he used un public records MODIFICATION
❑P'ITl2nD AMPS
OZ—p OIM'ROVE DCHIMNEY MINGPREPAIR
OL
F-�FLLI Licemsl'rofcssin^zl 2(11-IIMx1AMPS IMPROVEMENT C]SWIMMING POOLS
C C 6 I hereby affirm sal OWNER-BUILDER
�ante elmp Efirm,the C�ni a�or's License Law for the OVER Iqp AMPS ❑BKfH REMODEL/REPAIR El DEMOLITION
L 04 V following reason,(Section 71131,5,Business and Profession,Cse:Any city or county SIGNS ELEM RICA]. D OTHER
B w vr— which attaint..i permit m e r1h a,,III,,i�ttprnaa,damaR,h,m ue,aur nay,tmamm
�rLL-06 Priam it,ivviacce,da.retinues theopplicautl a,mbpermit to l ile a.signed statement SPECIA I.Cl RCUIT/MISC.
� ,N•.l that he is licensed pursuant to the provisions of the Contmemrs License Law(Chapter 9
MEMO (commencingwith of Division 3 of ate Business and Professions Code) COMMERCIAL:
wi TEMP METER OR POLE INST.
a e y thatSec he is exempt Zany rep li and the basis it the alleged¢pliant to Any vipenalty of - ❑TEN BLDG/ADDITION ❑DEMOLITION
4• Seth....ID31.5hyanyapplicuntfor apennitsunjects the applicant mvcivil penalty of POWER DEVICES
�m [_1 TENANT ❑FOOD SERVICE.
y2 Bat mare than live hundred Jnllurr fgSW). IMPROVEMENT
F6 DI,a...... nllhe pmpeny,ormycmployeaawithwagesmlheimnlecompm illm, SWIMMING POOLI?LIZOfItIC
'y' 0 will do lhewark.end theswcturc is notimenJeJ or nRereJ for wlelSce.]044,Businexs. DOTHER
YI and Professions Code:The Contractor's License law does not apply to an owner a( OUfLE'IS-SWITCHES-FIXTURES
property who builds or improves thernom and who does such work himself or through
his own employees,provided that such improvements are not intended or offered for NEW RESIDENTIAL HLECfR SQ E L
sula.l(,huwuver,the building armpmvemem is mlJ whhin one ycnr ufmtmpletinn,the SQ,FT.FLOOR AREA $/SQ.Fr.
-hander will has,We hurdan of proving that he diA not hudil or topmve far Pur. ^ e�
pos ulc.), L7
Ia. fin p p .ncicelmotel,contractingwahl nsel l l t
temn IO th p ,1 TM
l lSec ]144 Bmaw,ited I f.. s Csd ')to.C l m :i-i-
rense Lowdocanotapplytown owner of pro,iny who builds or iniprovesthercomand QTYPLUMBINQPERMIT FEE ��O �•�S
who contractsf h projects with a cosamIlicensed pursuant tthe Chairman's . I
IIJJJ /y1`,j1
Liercie L' PERMI I'ISSUANCE
❑I am c,untpt undo See B A,11 Cfor this m. n
Date ALTER-DRAIN&VENT-WATER(I?A) VALUATION
zer WORKER'. OMPENSAUON I)' ARATION
I here affirm user RACK FLOW PROTf:Cr.DEVICE
y penalty oe of Consent
for Worker
sun:
Ihave and will maintain uCcniticme of Cnnscnnn self-insure for Worker's Compete DRAINS-FLOOR,ROOF AREA,COND
s ' STORIES TYI'I?CONSTRUCTION
him,a,'provided far In,Saninn 3]00 of the Labor Cade,for the perf..is fume of The -
work far which this iv rmil is issued. FIXTURES-PER IRAI'
❑1 have and will maintain Worker's Compcnxation Insurance,at,required by Section
37M.fthe r Codufordirpertonn cent ewnrk for which this pen itis issued. GAS-EA.SYSTEM-I INCAOUTLErS OCC.GROUT' AIN
My Worke s tion has mor r it
Cartier. GAS-EA.SYSTEM.O ' 4(EA
IFIC THO-EXEMMO < ORKEIS GRI?ASI%INOUS'1'RI. '?INT h )
> N CE BUILDING DIVISION IsY.I?S
Ll
(Thin ,snAee/he h• tatt([ttl�tI��.L[r//r ehaCxi/fJdJ/t/�/Yam($llxl) GREASE'fkAY
lir lersJ M1FtThe formanceo � I� Ns fs 'PLANCIIECK F[E /w
Icenifytna O cssarklorwht aper ti suc0.1shu11 SEWER 'fORM'EAf NN)BII tt 1998
not employ any penton in any manner m as m become subjeeuothe Wickers'Compcm V ENERGY F[E
tz cation Lact,of California.Date WAI'Iilt HEATER WI : P/ELECPR
z O Applicant t � GRATING ITE
Y•N NOTICE TO APPLICANT.If,alter making this Certificate of Exemption,you should WAFER SYSTEM? i @
a ; become subject m the Wnrkern Compcnsalinn pnrvisi..ns of the Luru Cse,you must SOILS ITE
t-s forthwith comply with such provisions aphis permit shall be declined rcvaked. WATER SERVICE
0.•i CONST RUCTION LENDING AGENCY NEW RESIDENTIAL I'I.MB. SQ.IT. PAID
U O Ibemn rftrta atm dmreinaronatmcran lendn b'"I'c rbrn...c lir Hate k,ccipt0
y n g agency pc
L--i
Lenders
fa which(his permit hissued(Sec.91w],Civ.C.)
dLenJed Name N\z ) 'OFA g/
lti Lenders Address
I certify that 1 have read this application and state that the arose information is BUIL G FE
F. IaA correct.I agree m comply with city and county ordinances and none laws relining m qty.. MECHANICAL PERMIT FEE
U 4 building constitution,and hereby anthmrise reprasentxti ves of(his city cat enter upon lire SETS 'FE
ahove-mentioncd property l inti,ac um On faces. PERMIT'ISSUANCE
1 WO agree to save,indemnify and keep harmless the City of Cupminm against IiLE "RIC 'EE
/ liadilities,judgments,costs and expenses which may in anyway accent,against said City AITER OR ADD TO MECH.
in consequence of the granting of this Permit PW 1 GFF.F.
APPLICANT UNDERSTANDS AND WILL 4PLY WI HALL NONPOINTAIR HANDLING UNIT LTO 10.000 CFM) MECH NICAL FEE 2
' SOURCE ULATIONS
' � �� EXNAUtiAIR f 1100D1 WI/DU(OVER I(1Ix)f1CFM) CON S tl1CT10N TAX '
Signal of ApplicanUC niter I / HOUSINL ITIGATION PER
HAZARDOUS MATERIALS DI. OSURE
Will the applicant or future building occupant sorra or handle hazardous material HEATING UNIT I'M l 00,(0x)BTU)
us defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Set Ioit 25532(a)'i HEATING UNIT(OVER 100,000 BTU)
(]Yet, '.21<1 VENTILATION FAN(SINGLE RESID) PAID
7 Dote It e
/
Will the air comm or furore building by the B one ea Air Qu or devices which BOILER-COMP(3HP OR 100.000 BTU)
t hemNous air contaminants as Jefnal by the list Arca Air Quality Management TOTAL:
rare isrricR
❑Yes �/ BOILER-COMP(OVER I WAWO BTU)
.� gJNo
I have ad the Initiations materials mquiremems under Chapter 6.95 of the Cali AIR CONDITIONER
reISSUANCE DATE
Earn.Health A,Safe,,Cse,Sections 25505,25533 and 25534.1 understand that tithe NEW RESIDENTIAI.MECH. SQ.ET.
building does not currently have.tenant.Nat yens sibility to notify the occupant ^\
of Ne nentsw - the Ipsitece -a Certificate of Oce
Uwuyramhun,cd-., m • Da T ' ISSUIiD BY: �•!
OFFICE
Brian Kangas Foulk
Engineers SCrvevors • Pimners-
,lanr.rry ZI, IODU
U(�Opfin.cn
C'h nrk��tirhnCnhcry;t"' .
(1'llr ion tirnul�
.'.(!Ill tVind+vunllVnv. Sunr !:n)
. Sou A1nICn, ('� U IQ(Id '
Ruliiocl: U:i lc Vnller • Funndniln❑ Vt•r!fihtlinn
1 kat ('Iwck.
(Jn ,hunrn ry IQ IUrly .oC prrful mC�l a licld.Rann cr of nhc 'ucnlirn;of•Ihc Iinm:hulml forme lin 'hr bniLli•rgr.
'.t•inu ca•IN1111 C 1 on Lul•1.11 and 1.111 n.15 ill 1110 Oto Vnllc,v plu;cel in ('.operlinn.
I be iCc dla nrllun <ulvoy elrnrly<hin+ II.:v It'C Inenliou of 11'.c (h1 r<Intlnn I{,rorS o:c cnncis'cnl nrd In
nulunnn'n'c 'Mill OIC :Irtign ha'oli��n it: 'i'^6uildl:gs e,na :nod Incalioue m:•ehau'n on PIC.P11111% 1-d h cu h1
ruu Ilnu.
1111< ICl'er ie iq:Cn�Ld io 1+rnvhlt•you .ri1411'c vcrilicr0111)nl!lunr uPllr 1+i•r nor snn•ey. 11 Igerr it nn�
nl to gnrsliwl^concrminµIh:d Lq:'linn p:cnsv do no hcvilnlr It,Call
Ciut',1CIy�,
0
r ER,C!EY A, G46C v
IIItInN kr\nv inx Pc)I ILK I
arull:y' .4 hilbn l'.I..,ti IMI ••F!� ZVI. 9/1.ii02 Y.r
I'r�!iacl \I�nlnpcl '•,.� Nu, G141 1�c
• hl'
EaC+•ic3Atenl.e � Fecv:CC:L''1Y ;A94CES IG5C1192•E3fk7 F.oM'1E5C14A2.67S5
Fab-02-99 02 : 49P ENGINHERiNC WEST 408 295 1570 P . Oi
nT
ENGINEERING WEST INC. Faxed to PAT
OAK VALLEY DEVELOPMENT CUPERTINO. CA. 2.02.90 1 page
1(850) 237 - 0075
DATES AT WHICH EACH ELEMENT OF EACH BUILDING WAS OBSERVED
AND FOUND IN SUBSTANTIAL CONFORMANCE WITH THE DRAWINGS.
N.O. = CONSTRUCTION NOT COMPLETELY OBSERVED
N.A. a NO ASPECTS OF CONSTRUCTION CBSERVED.
• N.I.C. s NOT IN CONTRACT. NO ASPECTS OF CONSTRUCTION OBSERVED.
CORRECTIONS REO'D. LIST GIVEN TO CONTRACTOR.
Construcllon release #1
Pharr Lot ar, OPTION Fdn. 1st Floor oof I Ex Basic fr
12 4B l 11;1319 2110;98 01/21/99 07121/99 1 5;9
1 13 9C 2 10912091' 1 10/C9.98 1/00/S8 11;1398 12/15/98
1 14 2A 2 1 02/02/99
1 15 50 2 1 02!02/99
1 i 17 2C
1 18 EE 3 12'14198 12124/98
1 20 49 3/80NUS 121222Y98 _(21
1 23 3A _2 1112/99
1 24 61) 3/BONUS 1/12'99' 4 ^— —
1 25 5C 3 12/23i9S ' 3
1 26 20 2 01/08/99 _
1 27 40 3 01/08199
1 28 68 3'BONUS 12/14/98 01/04/99
I 1 29 7A 2 11/13/98 12/10/98
'i 30 3C 3 11113/98 12/10/98 02/C1i99
1 '1 50 3/B0NUS
1 32 28 3
(1)-LOT 13 PLAN 6C PARTIAL UNDERFLOOR. (OFFICE OPTION)
CORRECTIONS NOT OBSERVED.
(2) 'LOT 20 PLAN 4B; ALIGNMENT OF UNDERFLOOR POST W/ 3-ML REO'D.
(3) `LOT 25 PLAN 5C', 3 HD70'S NEED TO BE RE-INSTALLED.
(4) *LOT 24 PLAN 8D: BACK WALL OF GARAGE NEEDS HD BOLT MOVED AND RIM RE-INSTALLED
GONZALO WAS INFORMED 1/13/99.
T 12G— Se"N1 vcv-11"(i LX)(-r of wT 25 carts
nnrzl� (t/> oz/o1156
Lo
it 5N4� Lo hwo� B6csry r �o
JZZAO
DATE JOB NO.
Consulting Engineers and Scientists
425 ROLAND WAY PROJECT
OAKLAND, CA 94621 C r I: {// 1,I r,/ 1,� 1 f-f
(510) 566_4001 0CCATION
To rel )„ ) (; u
CONTRACTOR OWNER
Date t In r , J KIP C( ( WEATHER TEMP. /1'at AM
Hours Charged To Project 3 Nuclear Density Tests PRESENT AT SITE
4'1l,17( x ! (4` .v( j
Field Task Number T`�1�' T^/`r[ Concrete Cylinders
./. '.—
r1
THE FOLLOWING WAS NOTED:
7
cl_ r5 G -. ,-((, 1 Cti`f C. c' \- I-r~
, , ' . 1� I . r -. � T_' 171_ 1- r. .� f�♦ �-<t 1�C It- f
-:"t 1 /(^� �![ �)(1 , .r1 , }C (y l ' .(-1 - jv. rC )
U
rlJJ1O '. < 1
Lrt.11 !"{' . 1 •C. i .rP ' r r / "("..�- r ,l -,rf
J
-r ' -� , � ,.r�V'( i jy. rrr :�Y�� ( (, �f'1 ��[ .r' s �, N✓I� '-(_%�
'[£ :rt ((( e r 4^( �� fl1„ - i � r)�t' *:7611 / ((, ( t (1! , ��� t'• Ir �_
t I ) L CGY5! 7-7) 1
aIIN C 1 rl_tr ' �1 (rt , 1 ) 3 -7—r, , r . .[ 1 ( 7r •r � /,. t
)70611-C Y, 6e , r. ilL.r• e,,L;, . R-
r t \ 1 r r
.'J, [ ,-r , \- _ '))(I 1 , : C1 RC1 ii � 7 r< /'.c , t [• '/( t" C • lr '�-)
MID
1
COPIES TO IS ADD W' O� �7c/ /
SIGNED /` ._�f✓/`'��r.(
AGENCY .
u,aR -
DATE JOB N0.
Consulting Engineers and Scientists 2- a -9q csyo- r
425 ROLAND WAY PROJECT
OAKLAND, CA 94621 k 14 /
(510) 568-4001 LOCATION
r 'n
To— O1 1 Jr PNL / :••CTC.I.ry,r CONTRA TOR OWNER
Date.
_ �`•R 5 5 o d r b'�•t
-r e-yJl�y WEATHER TEMP. Avo.at AM
� (-�
/Ca r• Coo°at PM
Hours Charged TO Project Nuclear Density Tests PRESENT AT SITE
Don I s ✓Srr s
Field Task Number 'T•`I11 T'Aiy 1 Concrete Cylinders
/hr- 21+-s s4Lv1 OF �JG
THE FOLLOWING WAS NOTED:
PAI- op
On 5; H of
U.
1p a4n e/ry--A {�
I V%Soec Ii cn . = Me F- C-AD"Hn r h a/o a>c 13Y-6 *y-rS
h.2 kcal rjs. .�rnJtrJ Oat( 81 l I'VX eADOLI�f ' avltJ,4r-Ckd ✓>7a ler 4
G 4,%A -T'AA /}(AM o P 7'ti-1 a!l e k ej r.-Gt
r'r rY7a I firer i l .
ILY'A 5 CA, 51 t4 Lip-,,A !SiL-e 1 nL w . 516- Q I r ec,�
, j
5y yplaced Td/*/ aF
/l0 �U,rG7'J_ • - x •7'001< G✓\L' SQ n�n.0/e IX trr•� yY_li�p� rv✓U j
etn N JAJIJ Ct-t i Cash OAC Se h isF' Th rye [°��r�sSj J C
5H^e ,&Hn. C,. I r , Uri/ 51 wl,,,,,,0 3 Iq a,,d
�L°-V"V 1"tn�vt.m Li:rJ�JtG rGt � 7D
!r V-0 I i a vt 5 aytil131-BC6 c /so in �� } (�
COPIES TO lfJ IS L5D MAV
SIGNED _
ORIGINAL
Brian Kangas Foulk
Engiaeera . 5orvevan P4nnen
.Innnrry ?I, IUyq _
ri(IlOria.40
('hlnklRrhrwubveyv
(1,1111('11 i lm.y
?001 Wild m'd IVny,finuo 1v
Rnn M110 I,('A 014(),1
Gnhirn; (kill �nllry . Punudmllnn Vrl ri rJlinn
I Icor t'Inlck.
h11 ,Innaen Ifi, 10')u tvn por(arnnd n li�hl_4_;11.%q(If h il(iml 01146c rnom twori forma lily'lip
huildi Iq,
!kincrrwllucicd L
nn ol•1.1 i and I,m A� IS lIho Uak Valley pimiccl ill('.IlperliIt,
I Pe ^C III,4 a(IIII❑ clll l'e,v cicarls ^hna II P1 II'e ll1&'ll llnl al IIlC II,PrdA(inn r'C I'n IA II'e L'ulla lN't'nl nnll hl
c mlr r,Inmlec 'a ilh the lloipn Icy ali,,,l d''I!Ir hwldinl!a, na :ald Hom lilt,[ am inn4 me drown MI rite p.lnna I`rrrrren ht
Ihlc Irucr it h cmkd ii In pn,leido pall .villi IIle verllicaUon or plate Ilona por nnr survey. II Ihere rile ria}
nlhcl gnrsliun"rancn(llluk Ilan Irrcnlhnt picri.4v do nal heeonlc lu cilli
• C�� o
106AN hAN(Wlt P(111L1� �j D"'DLEY A,GIL6C v
'llndlac 5 1lillal l'.L. 61114` cv, val/u
I'lowd \I IIttlNcl i �Q
yW lcY I Iapnnrnvnl ,^E�-.,.. �4v� ,
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54;aricaAve%(l P.ecwoo:CIryCA94DE: t 16601492•E300 I:4Xi86C)SA1.E�gy
. __ .r._ ,.. >•r_ .Liu F Z -
RAN Kangas Faulk
•'_ Enyi�een . Burvevon . Pnnners
,Innurt> 31, IuVv
aruneo•m
t 1'I Ir Ion Omni,
1DOi Winch+urd Wit), Snne m
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I Ivan l•hnrk. -
nn Jnuunry I( ty)t)v
!+cine cnnvll nt'I.C_'ilIr_i.`I,�'wIF,"tnperfnntrmu:hhPmnl
iold 4ur+oofjjWthh ifnundnllnn frrn9 lin rho huihli•IgA
A.IS of IIIC Unk VnIICy pinjrCl irl t•UpCrI1n11
ICF 1119(if Ilnll till Vey Clcar ly ohr n+ 11'cd IPC Inl'nllPll nl 111C (i rnrdolinn Iitrr119 n.'C CPilel911111.nnfl PI
nnluhnnnt'v ,%III) IIIc ;ICviCn Irani...I n;1110 bni ldl!lpa,n aid 6rcnl inns sI:•ehn+vn nn PiC plane I`n•pr'rvu It)
uur Ilr:u.
I1114IClil•t it I'VC1111NI In pruvido)•nn •villi&C ocrllirnllon o(:hnm 1111111 por nnr9urvCy. II IhrrC are nnr
alba( olmllmin rnrtcCtnlnµIlud loollnn pICn9C Aa mf hC+ilnit lu Call
4;hIcvI,Iv,
HIOAN KANrns 1:(Il11 Jt OMUYit.BILBC r+
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, Y
. 642 aryC3 Aaeoon Ettvr00:CIN CA 9/9Ec • 16501491•E300 • F.C8166CI482.6399
•
Jul - 02-99 08:02A ENGINEER'[NG WEST 408 295 1570 P .01
ENGINEERING WEST INC.
• OBSERVATION CHART
OAK'JALLEY DEVELOPMENT CUPERTINO, CA.
PAT OURKE STRAUSS BROS. PAGE 1 OF 2
07101/99 07/01/99
860 237-0079 (4081267-1123
THIS CHART INDICATES THE DATES AT WHICH EACH COMPONENT OF EACH BUILDING WAS
OBSERVED AND FOUND IN SUBSTAN'rIAL CONFORMANCE WITH THE DRAWINGS.
LEGEND
N.O. ■ CONSTRUCTION NOT COMPLETELY OBSERVED
= CORRECTIONS REO'D. LIST GIVEN TO CONTRACTOR.
FDN. ■ STEEL RlINFORCING, HOLDOWN ANCHOR BOLT OBSERVATION
1 ST FLOOR UNUERFI.00R FRAMING OBSERVATION
ROOF PLY. ■ PLYWOOD NAILING OBSERVATION
EXTERIOR PLY. ■ PLYWOOD NAILING, HARDWARE OBSERVATION
BASIC FRMG. = GENERAi. FRAMING AND HARDWARE OBSERVATION
NIT Lot I Plan OPTION Tdn. AB'S I:a floor Roor ply Ext DIV Basic frmc.
6 75 1 7MT19-9 I Q
4 8 7C 1 03/10/99 04114/99 06124/89 06124/99 07/01/99
4 9 SC 1 3/BONUS 03/10/99 04/14/98
4 10 2D 1 3 03/01/99 04/02/99
4 11 3B 03!01/99 04002/99 07/01/99 06/30/99
4 12 4B 3 11/13/98 12/10/98 01!21199 01/21/99 01/25!99
4 13 6C 2 09/28/98 10/09/96 11/00/88 11/13/98 12/15/98
4 13 1 6C ADPIT,ON 1 02!09/99 02108/89 02/00/89 —02109/99-
-4IT' _1A--2__ 02/02/99"' -'03701/99" _'05118799; 05/21/99 " 08/04/99
` 4 1 15 1 5D 2 02/02/99 03108/99 - 05/27/99 06109/99 06/09/99
• 4 17 1 2C 03/01/99 0310/99 06/17/99 06/30/99
4 18 6E 2/BONUS 12/14/98 12/24/98 03/06!99 03108/99 04/12/99
4 20 48 1 3/BONUS 12/22/98 04114/99 03118/99 03122/99 04/14/99
4 21 1 28 2 03/19/99 04/14/99
4 22 5A 2JBONUS 03119/99 04/14/99
4 23 3A 3 01/12/99 02/18/99 05/13/99 05-07-99 08/01199
4 24 6D 3/BONUS 01/12/99 02/17/99 05.03-99 04.30 99 05/17/99
4 25 SC 3 12/23/98 0215/89 04/02/99 04/05/69 05/14;99
4 26 20 2 01/08/99 02112/99 05/10/99 04/26/99 05/11/99
4 27 4C 3 01/08/99 02/05/99 04/14/99 04112/99 05.07-99
4 28 68 3/80NUS 12/14/98 01/04/99 03/03/98 03/03/99 03/30/99
4 29 7A 2 11/13/98 12110/98 02/10/99 02/10/99 03/03/99
430 3C 3 11/13/98 12/10/98 02/03190 02/01/99 03/11/99
4 31 SB 3/BONUS I 02/12/99 03/18/99 06/03/99 06/09/88 06/17/99
4 1 32 1 213 1 3 1 02/12/99 03110/99 06/11/99 06!17189 OBl3C/99
NOTES: (PENDING ISSUES)
(1) •LOT 13 PLAN 6C FON. (OFFICE OPTION); CORRECTIONS NOT OBSERVED.
•
•
I
DATE ,ae No.
Consulting Engineers and Scientists
PRo.lEcr
425 ROLAND WAY
0-, OAKLAND, CA 94621 .
(510) 568-4001 LOCA,q,! P r h
TO �
pNNER
S \ (
I\
Date WEATHER - TEMP. SOat AM
/lX%�JP.\ �, hci I �
lclgYi. �� C�G./
/
Cleo , mat PM
Hours Charged To Project J Nuclear Density Testa -/- PRESENT AT 817E .<
Field Task Number Concrete Cylinders
THE FOLLOWING WAS NOTED:
n \ SIC lC, '"fit. P lrrCA For' -re' I r/ n Id Ohne✓
QC , \ , r'T 7-rers 'Yl P."i�r¢ tide/a :fe.\ ,C� 1 " /'j_ _ vt`Ie
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COPIES TO
SIGNED
CLIENT
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CCABT kV3L*1l0, LkX U,cl:cr8• ,x INSULATION CERTIFICATION
1086 N. 111h SL • Sen Josq CA DS112
x
This Is to Cwlily that insulation has been Installed in
CB@forrn Dont with I.he Curren,
a Adm rative Code Tile-24,_State-of Ca�plomia� tbuikling located at�9Y re9uiatlpns. v
SITE ADDRESS
.FLOORS: _ z
P
Man411actuFaf
lhid rlesyType 6+ b+� R-value 1 a j„ r�_ y
EXTERIOR WALLS: ---fr`�
Mawacturef_ CORNiN 1� / °
CEILINGS: TldGme.Wfype� z R-V.adue_L3 z
BATTS: Mantdadurer �]y�g CGRNtNG Thk:knessn q1 2. 1
YID_ 6 R-valW _ —
BLOWN' Manufacturer OwFuc rnn..,� Thkkness/i
r, R-Value
WelgtN/Ba0 - a6 ----
Sq-FL Covered _* Bags Used _ o
AIR INFILTRATION SEALANT INSTALLED: YES 06 Np
A
6
BENERALCONTRACTOR .Q� j C'1/ti1r��LICENSE n
TITLE: DATE : m
COAS I NTRACTORSINC. m
BY: ' LICENSE A m
TITLE: DATE
T
D
D
m
. �i
•1 O'BRI EN
&VGR.0UP
Patrick Burke
From: Jim Ripley(SMTP:riploydg@pacbell.nelJ
Sent: Monday, March 08, 1999 2:26 AM
To: PAT BURKE
Subject: OAK VALLEY
Pat Burke
Oak Valley
C,peNno, CA
Reference: Linear parkway planting,
Pal,
All plantings within the linear park are consistent with the landscape
construction documents prepared by this office and reviewed by the city
on W 1998 and conform with the preliminary approval douments.
James A. Ripley .
Ripley Design Group, Inc.
FINAL PLANNING SIGN OFF
• DATE ' s�
SIGNATURE
?INWARD WAY,SUITE 200,SAN MATEO,CALIFORNIA 94404.2473 TELEPHONE(610)377.0300 FACSIMILE(650)349.2442
A�vi��il IMorrh I. 1996
Y
J TALLATION CERTIFICATE (page 1 of 4) — CF-6R
Site Address ermit 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).
HVA Ste.
'Hearing Equipment
Equip. I of Erfieicney Duct Duct or Heating Heating
Type(pkg. CEC Certified Mfr Name Identical (AFUE,tic.)' location Piping Load Capacity
heat um and Model Number Systems 2CF-IR value attic etc. R-value tu/hr Btulhr
>7 v I/W.a
1OX22A 17—1
l'D u6� . �?.PA✓o9,;..ib �_ ,•rte �
Cooling Equipment
Equip. CEC Certificd Compressor g of EMcieney Duet Cooling Cooling
,Type(pkg. Unit Mfr Name and Identical (SEER,cw-)t Location Duct Load Capacity
heal um Model Number Systems CF-1R value attic ete. R-value Btu/hr tuthr
ep
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
�fficient than that specified in the certificate of compliance (Form CF-IR) submitted for compliance with the Energy
fciency 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 Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WAT .R HEATING SYSTEMS:
Distribution. IfRecir- 0 o Rated' Tank Efts- External
' Heater CEC Certified Mfr Type(Std, culation, Identical Input(kW Volume eienry' Standby' Insulation
Type Name k Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Lou(Ye) R-value
2 For small gas storage(rated input of less than or equal to 75,000 Stull r),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 lass 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
I11:
I, 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, Uate Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name)OR Owner
COPY TO: Building Department
Building Owner at Occupancy
Raviand Mnrrh 1. 1996
• I