S 2401 (2) APPLICANT-TO FILL IN INFORMATION WITHIN RED LINES-USE SALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMIT NO.
BUILDING DIVISION APPLICATION/PERMIT PLUMING-MECHANICAL ^ ^ Das
BUILDING PROIF,CJ LIADENFFICAT it
BUILDING ADDRESS: -- SANI'I'ARYNO. APPLICATION SUBMl'ITAL UATI
r to 82 S y��4mOG�� new , Lp! 1(o 4611-(d —� — q
OWNS 'S IJ li: � PHONE: CONICACTOIt;S NAME: LIC No
NIC CpON]ROL4
rARCIC iNCl Nlili LIC ND:� ADDRESS: / I
ON[ACT. PHONE: BUILDING PERMIT INFO
❑ Consultant Fees Paid by Applicant(Initial) U^LDG' ELLCF PLUMB MECH
LICENSED CON'TRACTOR:S DECLARATION I:;[
1 hoI affirm mid 1 am Licemed under pcsm is of Chapter 9(commencing QTY ELECTRIC PERMIT FEE
Caz 'tn sa,tair nnoo)m Di&L"77
n .xa rife site. cndannd.rry ur<narcia TOB DNSCRIF'TION
F-�O I m"force and ifthat PURNITT ISSUANCE I2FSIf>LNTIA}„
�Uv Licemc Clnse '1FV WI ❑KITCIILN RIiMODF.I.
ra Contractor APPLIANCES-ItH IDEMI']AL ❑ADDITION ❑PLUMBING RiiPIPE
CPS DELL, n ION ❑MUI:FI-UNIT ❑STRUCTURAL
Z O H 1 undvrumna my plans shat l he used a.puNic records Up TO ti
O Z"p Up TO 200 AMPS MODIFICATION
F�FW Lmensai Profeasrnnal ❑INTERIOR ❑CHIMNEY REPAIR
201-I(Xp AMPS IMPROVEMENT'
OWNER-BUILDER Ce ColloON EISWIMMING
TION LLS
y G - hemnY.Such'
hit 1 nm exempt(cool the Cnmrudnr's License haw for the OVER IOIID AMI'4 ❑BATA RBMODI:LIRHPAIR ❑DEMOLITION
3X3 FU lotto g .(S i ]0315 B JI fed ,C I A ) tY cumay
which requires a lociand to cullonot after.improve,demolish, p
SIGNS ELECTRICAL ❑OTHER
0V, l hIin file.m
i,acul,tanermun SPLCIALCIRCUff/MISE. 1
�Q}S
thus he I at
licensed Formula the prosrsinms ofthv License cense Law(Chapter 9
(commencing with Section 7000)of Division 3 afthe Businessland Professions Cloth) 'I'EMR METER OR POLE INST.
4 d ea doer he ix exenrpl Wercl}om mW the hnsis for the mltgcd exemption.Any viubnion of� NEW BLDG/ADDITION mN
Section by any applicant for a permapplicant it subjects the applicano a civil penalty of POWER DEVICES ❑DEMOLITION
F., not more than five hundred dallar,S503). TENANT ED FOOD SF,RVICE
�FdQ Dl.as owner of property,ormyelnployees with wage Itch,cleaompewution, SWIMMING POOL ELECTRIC IMPROVEMENT
will do the track,ani theswaam is nut intended or ofiead for sale(Sec.21W,Business C30TIER
3
co and Professions Code:'the Contramnr's License Law dues not apply It,an owner of OU'1'1-I I;S-SWI'PCHFS-FIXTURES
property who builds in improves thereon,and who does such work himself of through
his own employees,provided that such improvements am not intended or offered for NEW ISI : T'IAL ELECTR SQ P1'.
cafe.If,however,the huilding of impmsumem ix soli within one year ofcompletin like SQ.PP,FLOOR AREA $ISQ,PT.
pcaner builder will hive the burden of musing that he did not build or improve our pur.
ont of sl tth
[.;is owner of the prnpeny,am exclusively contracting will,licensed conmo'amem 'l
conswa thee
[-] project(Sec.2M4.Business and I'mfessions Coae:)'Ihe Cammnh Pit
L
c e law area not apply to an owner of Company who builds or improves themon,and QTY, PL NG PERMIT FEE
who contracts for such prnjecw whh a crmnammfx)licensed pmmntn ao Are Contractors
D IturLaw. 53 �yIf7-
❑ Lamexemptunier Scc ,13&PCfonhis rtasnn I'I:RMITISSUANCE
Owner Date ALDER-DRAIN X VENT-WRIER EPA) VALUATION
'1 WORKER'S COMPENSATION DECLARATION RACK FLOW PROTECT.DEVICE �/
I ntercny anirm Ander penalty of pefor,ore nr ran following didamtiour, y
I buveandwillmuinmina Certificate of Con,cm to sell'-insure l'nr Workers Cnmpen- DRAINS-FLOOR,ROOF,AREA,COND. /
mien,as provided fur by Section 3lW of the lahof Cada for the performance of the STORIES TYPE CONSTRU 1 N
ork for which this mermit is issued FIX
III I FF.
❑1 hove and wi11 maintain W�rker's Compensation Inshmnce,ns required by Section
J200nfthe'Labra Csde,honeperform;me nfthc work for which this permit is issued. GAS ' SYST' - 4OUT 'S
My Workers Chi 'damn lnxuranc a rrieru olicy number a'n: — C.GROUP APN
Cartier. P iGAS CA.SYS
,,,d
C,R I I PfI O 1 - rr [
COMPENSATION INSURANCE GItE SIAND"T S'I't: N'I� TORI
Thissee ion }}}���eee I if ti ndmddoEarsl$HI0) BUILDING DIVISION ETES
orlcss.) ry 1 a� GRE ETRAP --
IcenilytM1uti rte/Inc m the f albs tis lsuneQlehull PLANE if PEII
permi
not employ any Person in any manner so as to become subject to the Workeri Courpa. SE : NI'I'ARY-STORM G.2W Pf.
0 z stanch laws of Cal ifomii.Done INTO 'FEE
z O Applis'nnl WAI : :11 Wfv,
NOTICE TO APPLICANT:If,after making this Cenificaa of Ecemptinn,you should lr DI G FIFE O
FN become sobject toahe Workers Cnmpensamn anneJmaofthe Ladho,Cuda a WATER SYSTEM/1'REA'I'INC,
ai ❑o t III comply alt such you tens I Ilii?
4 Q I Ywi provisions onbis permit shall lx decnsJ rcvnked WATER SIPRVICIi
� z CONSTHUCI'ION LENDING NI7WRLS1UENl'IALPLMLS AID _
U I hereby infirm aha,there is a continental leading agency l or the performance of ¢ IkeeiptM
LL 2the work foe xhich this permit is issued(Sm.3W),Civ.C.)
Q U Lender's Name
Lenaur'n Addross
yI certify that I have read this application and state that the Above information is BUILD TE
UzN correct.l ugrce In comply with All city finalconmy ordinances and same lows rehning m QTY -MECI^IANICAL PERMIT FBg.
building consuunim,and hereby authorize mpm,urmd,cs of this royal enter upon he SETS FF. ` o
above cautioned property for inspection pugrases,
•(We)ngrcc to sive,indemnify and keep harmless the City of Cupenimo against PERMIT ISSUANCE ELI 1 TEF.
hibilines,judgmen¢,costs and expenses which may in any way aecme against said City
e of the griming of this permit. ALTER OR ADD TO MECH. PUT GFEE
AP o,�,aNT UNDERS'PAND,' ND WILL COMPLY WITH ALL NON-P)INT AIR HANDLING UNIT fIY)IO,DXI ChM)
I'=
N RiGL'1.pT a MGC ANICAI.FLIT
AIR HANDLING UNIT(OVER I qmn CPMJ
CO STRLIC'PION'PAN
n rcof Applica nm a EXHAUST HOOD(W/DUCD
HAZARDOUS MATERIALS DISCLOSURE HODS G MITIGATION PIPE
Wi)ythe Cupertino Municipal
ode,Career 9,12,handifh eaMommSafety HEA'T'ING UNIT('101W,OINI U'NI
as defined by the Cupertino Municipal Cada Chapter 9.1],and the Health unJ Safety
Cole.Section 8532(a)f / t1EATIN0l1NIT(OVER IIXI,fA01{TU)
E3 W, 'tsYrJnt/ D2(O
VIiNTILATION PAN(SINGLE RISID) PAID 2 L
Will theapplicant nr racehuilding necupma use equipment or devices which Uma Receipt p
rem it nodulous air
eonaminamtsas Dnai by life Bay Arca Air Quality Mary,comm BOILER-COMP(3HP Olt 1110,1X1)CITU)
t Uistre
❑Yes o BOILER-COMP(OVER I W.W)B'TO))
ve it the hazardous ma2enals"Ifirements ander Chapter 6.95of the Cali- AIR CONDITIONER
ionic le N&Safuy Cade,Svcm 255)5,25537 and 25534,I undc. and that d tho ISSUANCE DATE
11 1 snnmurcmlyhuve la ancilmila is Illy respnd,mid yunmi ythroclai , Cl RF )CNTIALMF,CIL SQ.UT. �' `�rk �k
of the a ea prior m issuance ofa a n Ary. r
or
el foothold, oto TOTAL:
ISSUED BY:
OFFICE
HMO Kangas Faulk
Ninsers . Surnme . Planners
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April 28, 1999
960069•:0
Chuck Schoenberger
O'Brien Group
2001 Winward Way,Suite 200
San Mateo,CA 94404
Subject; Oak Valley—foundation Verlficstion
Dear Chuck,
On April I! and April 28, 1999 we performed a rcld sm vey of th.e location of the foundation forms fen ;tic
buildings being constructed on Lot 5.04., Lot 5.05, Lot 5.06, Lot 5.07, Lot 5-08, Lot 5-09, Loi 5.10 and Lot
5.1 1 of the Oak Va114y project in Cupertino,
The resuis of that survey clearly show that the location of tho roundatlon forms aro consislert and in
confomtance with the design location of die buildings,as said locations are shuwn on the plans prepared by
our firm.
This Icucr is intended to provide you with the verification of those uniq per our survey. If titers are any
other que3tions concerning the[ Inc,diun,please do not hesttale to call,
Sincerely,
"I BAAOLEYA. RK
BRIAN KA 4.A5 I'OL LK * af! 3!31/02 4'
Bradley A, BASO P.L.S. 6141 ✓; ie. 0141 err
Project Msnager 9 C�
Survey Department IF OF CAO
540 Price Avenue . 9::9tieao City,CA°4063 . 18501402.6330 . FAX 05314a2-8598
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• ENGINEERING WEST INI;,
OBSERVATION CHART
10/18/99 OAK VALLEY DEVELOPMENT CUPERTINO.CA,
NI of Pian OP Ion, 2 OF 3
6 1 3E dn, AB'S tat floor Roo IExt I
_ eec r
5 3 BMR 082188 N/A / /p 2fl
5 4 4C 0921/89 N/A
5 5 6A 2 04.29.99 06/04/98 07
5 2/B 3 us 04.29-88 06/04/99 06/17/99 10/01/99 tUM1199
5 6 2A 3 104-29 99 06/04/99 09422/99 092 /11/99
7 SC 2/BONUS 2 04-28-99 08/04/89 OB/11/9B 0920 99 0920/90 • 3
5 09/15/98 09/15/99
10/01/99
8 2B 3 04/19/99 06/11/99 06/11/99 09/09/98 09/09/99 0924/99
5 9 3D 2
/ /98 09/03/89 08/03/99 Ofl2
5 i t' 4C 3 0628/90 .08 1/9fl3/80..
0527/89 - 09 3/9 =,..09 also
5 3/BONU3 04/01/98 0828199 08 9 928
13 3C 3/BONUS 04/01/88 0521/99 0823/99 0823/pD
5 14 6E 2/BONUS 04/01/99 0527/98 08/18/9908/13 09/15
08/18/99 08/18/99
5 15 3A 3/ ONUS 07/02/99 08/13/99 09/03/99
5 16 04/01/99 05/17/99 082898
5 08/10/88
17 08/12/09 0823/99
5 18
5 19
5 20
521 SB 08/18/99
5 22 7C 10/14/99
5 23 1 08/18/99 0927/99
5 24 7A 08H8/99 09/17/99
5 25 2 0723/99 0927/99 10 4-A8
5 26
S 27 iB 2
6 29 78 2 05/07/99 06/11/99 0628/09 10/04/99 10/04/88 10/11/99
6 26 1D 2 OSro7/99 06/11/98 0629199 10/07/99 10/14/99
5 10/14/02
30 BMR 0510-99 06/16/99 07/09,99 10/18/98 10/18/09 10/18/99
5 31 BMR
5
5 33 3 0528/99 07/14/99 0728/99
5 34 3B 3 05/07/99 07/02/99 07/1299
5 35 59 2 05/07/99 07/07/99 0723.98
5 3/BONUS 0528/99 07/07/09 0726:99
S
38 3E"' 1— 0623/09 07/18/09 0726,98
5 39 g,�" – OOr13199 t7%N9149-r COi1Z�Jy
5 4�' t'C _2CO�IU; ic 31 0 OSI10/SO . .idI18,30
5 41 3A -0 J0.;G Oi,2J^+0 0!L/I?.Y?, i
07/08/990720/99 01383,'99
(1)LOT 6 PLAN 2A S LOT 7 PLAN SC –• ••'
•DID NOT OBSERVE PIERS.
'(2)DSL SIDED SHEAR WALLS
'(3)FLR.NAILING
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ARZA
GATE - ,pe ,
:onsu/ting Engineers and Scientists ?v�� G rp
o
425 ROLAND WAY PROJECT ' //
gqo
OAKLAND, CA 94621 04 k V,e A4 ,4 b° - jv
(510) 568.4001 LOCATION
/i : (/J V /'. '(I / ` J!'� CONTRACTOR OWNER .
ate �� 'r) ACy � � - -
v,.. TEMP.
ours Charged TO PID,BCt Density Tests •at
Nuclear aa,,44
/ L
' - CIONZ/11A �7 Vu�a'.`J /JrnS.
Did Task Number T / Concrete Cylinders (e .
1E FOLLOWING WAS NOTED:
I /
S,�P K4 6r C'0n7' iACTn �1gLf T 7'n aU5.P e
�'r..l CL Q. . ,F 0 7'1 r.i On/ Jl `- S- .,.; ,•S, �...s^ nJ r•c i��
/ A
7-
r✓IJCK -
T
C-"N� ^ ,r lwlidnl ri rDar-r,.
CJIi e " nv�. e: r.rin✓
(c �c t {Q �u• �tC�A /< �n�l`/ V S- SACJC. 1. . [we) r75/�
cAC 7A ��C�.) rp/ Low. ri55r .STrc^- (, I
r' vcn0Or) Arlcwll ��f� Tru<(< ? a bnrrl, n+�P �aaN7N�
lD 3 Z �` ' LI C X05)U3 E•33A, ' 9'3v
3 0 73 73 bsl icPv5l9ny /� dzA , �r,sP �
�Lr
l ' l,q � L Irl raM-r7/5 D�lcel{ — ZZ4 r ,
:STO �,oT - / / '/irr•Pn/ �r , ' ,{J - ��LS� w LD0NC
SIGNED c
1� ' OBRIE
N
4,PGROUP
Patrick Burke
9From; Monday, March 09, 99
g Am
Jim Rlpey(SMTP;rI le d ® Inett
To: PAT BURKE
Subject: OAK VALLEY
Pat Burke
Oak valley
Cupertino, CA, FINAL PLANNING SIGN OFF
Reference: Linear parkway planting, DATE
Pat, i $
All plantings within the linear park are consistent with the landscape '
co Marchi/999 and conln documents rw prepared the thispreOffice
f fie and reviewed b SIGNATURE
IY approval doumentsc�ly
lames A. Ripley
tipley Design Group, Inc.
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W WAY,SUITE.200,SAN MATEO,r:A I,IFORNIA 94404.2473 TPUPHONE(ASO) 377.0300
i
COAST Insulation contractors, Inc. INSULATION CERTIFICATION
1086 N. 11th St. • San Jose, CA 95112
This is to certify that insulation has been installed in conformance with the current energy regulations,
California Administrative Code, Title 24, State of California, the building located at..
SITE ADDRESS:
FLOORS: U
2
Manufacturer OWEN ORNINr Thicknessffype �
Ja t)6R-Value
EXTERIOR WALLS:
Manufacturer OWENS CORNING Thickness/Type 31 R-Value (�
CEILINGS: .
BATTS: Manufacturer�WENC CORNINr ��"" �I�a
Thickness/T'ype (9 JLL R-Value
BLOWN: Manufacturer �WENC CORNINn f
Thicknessfrype R-Value
Weight/Bag 35 Sq. Ft. Covered PA U
# Bags Used
AIR INFILTRATION SEALANT INSTALLED: YES NO ❑
GENERAL CONTRACTOR y l 01_
• BY: 1`�- LICENSE #
TITLE: DATE
COAST INSULATION CONTRACTORS, INC, LICENSE #
BY: Al�. w1 TITLE:
u DATE: �7
y 6 /✓/¢iu u�r> d^!d u�. t/iaa% t'�GNt CC'
Ger 5 -/v
.INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
to• res' 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— S_ YS�STFMS.
Heating Equipment
Equip• q of Efficiency Duct Duct or Heating
Type(pkg. CEC Certified Mfr Name Identical Healing
(AFUE,etc.) anis.eon Piping Load Capacity
heal um and Model Number S stems 2CF•IR value attic etc. R•value Btu/hr Bluthr
Coaling Equipment
T Equip. CEC Certified Compressor q of Efficiency t Duct Coaling Cooling
yp (pkg. Unit Mfr Name and Identical (SEER etc.) Location Duct Load Capacity
heat um Model Number S stemsCF•IRvaiue attic cte. R•value Btu/hr twin
/ r
?Nb S= jecjeeoan
�— ��
1. >_reads greater than or equal to.
1, 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-IR) submitted for compliance with the Energy
Efficiency Standards for residential buildings, and 3)equipment that meets or exceeds the appropriate requirements for
manufactureddevices(from the Appliance Efficiency Regulations or Part.6),where applicable.
y
Signature,Date Installing Subcontractor(Co.Name)
WATER HATiN CYST MS• OR General Contractor(Co.Name)OR Owner
F.
Distribution If Recir• 0 o Rated' Tank EfB• External
Heater CEC Certified Mfr Type(Std, culalion, Identical Input(kW Volume eieney'. Standby' Insulation
Type Name&Model Number Point-of-Use) Control Type Systems or Blwhr) (gallons) (EF,RE) Lou(%) R•value
2 For small gas storage(rated input offers than or equal to 75,000 Btu/hr),electric resistance and heat pump water beaten,Ilsl Energy Factor,
For large gas storage water healers(rated input of greater than 75,000 Btu/hr),list Recovery Efficiency,Standby Loss end 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
111.
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-1 R)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.
,gnRIF e ate Installing Subcontractor(Co.Name) OR
COPY T0: Building Department General Contractor(Co.Name)OR Owner
Building Owner at Occupancy
,Hrian Kangas Faulk
Enyinaers Surveyors . Flannor
.April 29, 1999
960069-`0
Chuck Schoenberger
O'Brien Growl;
2001 Winward Way,Suite 200
San Mateo,CA 94404
Subject; Oak Vollcy—Pouadation veriliuriion
Dear Chuck,
On April 15 and April 28, 1999 we performed a Held survey of d7e location of the foundation forms for tine
buildings being constructed on Lot 5-04., Lot 5.05. Lot 5.06, Lot 5.07, Lot 5-08, Lot 5.09, Lo:5.1 Wand Lot
5.11 ofthe Oak Va;ley projec: in Cupertino. `
The resuls of tl•.st survay ciei ly show that the location ol'tho foundation forms are consistent and n
conforniance u lt.t tl%.e dasion locnuun ofdtc huiAirgs,as snit) lmtiwis are shuvwn on the plans prepared by
our firm.
This !cur. is intended to provide ycu with the verification of those units per our survey. If there are any
other questions concerning they Iocutiun,please do not hesitate to call.
Sincerely, D-
IiOLT;Y
!M1 nO DRIAN5 PCULK �`Bradley A. Bil''io P.L.S, C'41 �t M�tr.agnr
Survey Departmant OF Ch!l .
•.'d•FriceAvanue 5:;rceoCity,CA94063 . (6501492.6330 r FAX(0521492.6999
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