S 3297 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY '
CITY OF CUPERTINO BUILDING-ELECTRICAL PER`y1IT NO.
BUILDING DIVISION APPLICATION/PERMIT -PLUMBING-MECHANICAL. �J 3297
' -BUILDING PROJEC'P,IDENTIFICATION
BUILDING ADDRESS: Z, � ,, SANITARY NO APPLICATION SUBMITTAL DATE
pBSq SYG9 o�fi n� UNI; � / Z0
OWN 'F MH: PHONE CONTRAC'IOR:S NAME: LIC NO:
� NIC CONTROL#
ARC GINEER: LIC NO ADDRESS'. ❑ ) m Z,
"NYACT: PHONE: .. : BUILDINC'PERMIT INFO
❑ Consultant Pees Paid by Applicant(Initial) HLDO ' ELECT . PLUMB MECU
I RACTOR S DECLARATION QTY. ELECTRIC PERM IT <FEE I
1 hereby afftmt thin I licensed d P a ofChapter9(o.1..r g _ _ .-[ - JOB DESCRIPTION
mwz wide Scetion"l000)UfD' ioon30fineBu nes, d Imy license is �- TEAL
11�� PERMI I ISSUANCB
1+1� fullfarmatd flet ,POWL ❑K I'fCHEN REMODEL
vE, in
�U License Class Lic# p ANCES-RESIDP.NTIAL El ADDITION E]PLUMBING RE-PIPE
hDale code, or
E,Dm ARCHIfF,CT'$D C PANELS CMUTAFUNEF - ❑STRUCTURAL
z O n 7 1 un er wad my ans shall be used us Pub uc records MODIFICATION
Oz— UP To 200 AMPS ❑INTERIOR El CHIMNEY REPAIR
P+14 t:M I`aansed Professional 2111-1000AMPS IMPROVEMENT ❑SWIMMING POOLS
Se$� OWNER-BUILDER DECLARATION OVER IUW AMPS ❑BATH REMODELBEPAIR El DEMOLITION
W�i 1 hereby affirm Nal l am oxompl familiar,Cuntmom,'a License Law I'or Ihe
OW U following mason(Seems,70315,Business and Professions Code:Any wily ar county SIGNS ELECTRICAL El OTHER
�0y whirh mclaims.Permit 1menrut, Ile, un,owe.demolish, p y 'mueturn
prior to its9 :the applimmur 1 permit tfild a signed statement SPECIALCIRCUIT/MISC.
that Iwax licamadminduall h inveicumurflu,Contractors LiL (Chapter 9
Q' (mnnena ng with Su.linn]OIMq oCD vls'atJof lM1C Hus'nesv anJ Pm!ions Code)or 9EMR MHTER OR POLE INS'P. COMMERCIAL:
d y e
that he is exempt Iherelmm and the basis for the alleged corruption,Any violation of - El NEW BLDG/ADDITION El DEMOLITION
IiX]' Section 7031,5 by any applicant Rn a permit subjects the applicant in a civil prudty of POWER DEVICES ENANT ❑FOOD SERVICE
r. normae than Free hundred dollars($500).
} IMPROVEMENT
�< �I,as "a 'if Ne Pmpeny,or lay unpinyeeswim wages ve meirsolccompeneatinn, SWIMMING POOL ELECTRIC
E. will do mewoande.The emrelanols Lia...arostdoesn.,.,(Sac]oan owad,of OTHER
3 and property
whProfession,Code:imp oyes th nco Limnso Law does not apply to an owner uI OUTLETS-SWITCHES-PIXTUItP.S
4 .. propcny who builds or improves Wwcon,and who does such work himself ar through
his own employees,provided that such improvements are not intended nr nBared for NEW RESIDENTIAL ELECTR SQ FT.
sale.If,however the building or improvement issold wimin oneyea,Ofcounpletinn,the SQJrI'.FLOOR AREA 5/SQ.Pr.
erbuilder will have the burden of Proving that he did no build or improve foo pur-
po a of sale.). - lyi
TOTAL:
El L as owner of the property,am exclusively contracting with licensed mmmensam In - J
on.[ c,the protect(See 7844 Balmail adProfessions Caw)I re O t oto sl.
cause Law due,organdy to anovordefpnp nY an.b ild,or improve,m reon and QTY y , PLUMBING PERMIT } '' -FOP. ', ^ y G-y
wh ontrucu for ouch projatuxw dentode mlogs)I'censeJ puruusm come Canhucfmrs - i. 0 `7 7
License Law. PERMIT ISSUANCE ^ ��
Ism exempt ander Sec, .B&P C for this mason
ALTER-DRAIN&VEIN T'-WATER(EA) VALUATION
Owner - Do[c n 1I
'.
WORKER
under penalty
DECLARATION BACK FLOW PROTECT DF,VICF.
1 hereby al ma under penalty teperjury one of the following derfaratWorkers Gro
I have:mJ will mainmin aCeniticmc of Consent self-insure for Workcls Compere DRAINS-FLOOR,ROOF,AREA,GOND. STORIES TYPE CONSTRUCTION
as pmvidhi for mi is
issued
37011 Of too Lvbor Codq lar the performance of[he -
xk fur whim this paints is issued FIXTURES-PER TRAP
1 have and will maintain Workers Compensation Inwrnnm,os required by Section - -
37fq of m�Lunor Coda for[hc.erformanw corder work fnrwhich tiap�It is iesuad. OAS-HA.SYSTP.M-I IN0.40UTLETS OCG GROUP APN
My Wm 's G ntpenm[ion In ra and Policy number
Carrioc GAS-EA.SYSTEM-OVER4 UGO
TIFICAT.OIs 1 o h ERS' -
P1 •OI N ORF.ASB/INDUSTRL WASTE INTERCEPTOR " ' -A R DIN DI ISIONFEES}
(Thisscm a :f r n nodded did fors V10m - - IL��-�'� '-'�"---*- -if =I
nr CREASE TRAP
less.) htPLANCHECK FEE
}j{ Oil
I cemif i eP I ad, lit i kpermi:isiomar(shall SEWER-SANITARY-STORMFA.2WFT.-
nmI employ any person in any manner so as m become subject In the Worker.'Compel,- ENERGY FER
,5 smIm Lawsof Cahfomla.Dute WATER HEATER WYEN'1'/ELECTR
Applicant GRADING F
ID
F+
NOTICE TO APPLICANT If,after making this Cenirmwe of Exemption,you should WATER SYSTEM/TREA'I']NO SOILS FEE
a7 become subject m 0e Worker's Compensation pmvisum of the Labor Colt,you must -
L>a forthwith comply will,such provision.nr his permit shall he deemed revoked WATER SERVICE
Q
CONSTRUCTION i,ae al LENDINGAGENCY NEW RF.SIDF.NTIAI.PLA1B. SQ.FT. t1F;EE *
ID
Ihcroby affirm that lhereiasmmwetimn lending agency forthe perronnanw of D Rewipl#
the wort forwhlen this Permit is issued(See 3097,Clio C.)
W E'" Lender's Name TOTAL:
U Lender's Address - - 5'OTAL:
1 rt fy that 1 h e r ad da uppheau0n and xmm that theabove into.,......Is ILD[ FEE
.'�. h correct,Iagre I ply with all city and county ordnance and state I relating to QTY - MECHANICAL PERMIT
U � build' g t C and h by ll, zampardenuvives of the ty[ [,upon the - ISM .aM1 t dprsp Tyr hoP lipuroses PERMIT ISSUANCE(We)agree to save, ndemnify and keep harmlessmo City ofCapri w ago ts1 E2 C Ehailities,judgmcn[s,cons and expenses which may in any way accrue against said City ALTER OR ADD TO At immns a of the granting of this Paris UMB[ GFEE -
AP T UNDERSTANDS AND WILL COMPLY WIT AL NON-POINT AIR HANDLING UNIT(TO 10,00OCIM)
URC -GULATIONS. MOCHACALFEE
AIR[{ANDLING UNIT(OVER III,(IOfICFM) (ANSTRU ON TAX o3r (r8
S?MuTc Alin'
me EXHAUST HOOD(W/DUCT) HOUSING MITIGATION FEE
OUS MATERIALS DISCLOSURE _
Will lheappllcant or future building ocoupantartsreo,handle frontlius meeriol HEATING UNIT TO 100,000 B U)
as defined by the Cupertino At}y ipuI Code,Chapter 9:12,and the Health and Safety
Code,Section 25532(x)^ J��/� HEATING UNIT(OVER 100,000 BTU)
El Yea V 'o VENTILATION FAN(SINGLE RESID) PAID --
�J , [).,a Reccipt#
Will the appllevm ar fu building overpaid a,,egmp.nart or devices which
emir hmardou.air mnwmin sasdelinad by Ino Bay Area Air Quality Management BOILER-COMP(3HP OR IIq,01M1 B'fl7) IOIAL
islriU7 BOILER-COME(OVER 100,100 B'IU) Isef
❑Yc I
1 have read the wand oiaemama weirls re nundor ChuP tar 6.95 ef:he Cull- AIRCONDITIONER ISSUANCE DATE
(fodai leallh&Safety Cale,SeUinns 25505,25533 and25534.1 and....ad tits[irtho NEW RESIDENTIAL MECH. SQ.1-7
a due....wrrentlr nave ant,mal it i.der m.Pon'. .. lorodryI comnpam
of a 'h nor to iaauanm ate'Co Evil or Oacnpaney.
sedIV 1 1 TOTAL: _ ISSUED BY: `
OFFICE /
Brian Kangas Faulk
Engineers • Surveyors • Planners
•
April 28, 1999
960069-50
Chuck Schoenberger
O'Brien Group
2001 Winward Way, Suite 200
San Mateo, CA 94404
Subjects Oak Valley—Foundation Verification
Dear Chuck,
On April 15 and April 28, 1999 we performed a field survey of the location oMe foundation forms for the
buildings being constructed on Lot 5-04, Lot 5-05, Lot 5-06, Lot 5.07, Lot 5.08,'Lot 5-09, Lot 5-10 and Lot
5-11 of the Oak Valley project in Cupertino.
The results of that survey clearly show that the location of the foundation forms are consistent and in
conformance with the design location of the buildings, as said locations are shown on the plans prepared by
our firm.
This letter is intended to provide you with the verification of those units per our survey. If there are any
• other questions conceming that location,please do not hesitate to call.
Sincerely, ?510 LAPlO SGR
4BRIAN
BRADLEY A. BIL80 KA AS FOULK * EXP 3/31/02
Bradley A. Bilbo P.L.S. 6141 m� No. 6141
Project Manager
Survey Department OF
•
540 Price Avenue • Redwood City,CA 94063 • (650(482.6300 . FAX(650)482.6399
rt
• ENGINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO.CA
10!18199 PAGE 2 OF 3
UNIT Lol I Plan OPTION Fdn, AS'S I 1st floor Extplye r
1 3E -3 C4/141139 U7/27/13 ulutivw_ olf2wigg
5 2 BMR 0921/99 N/A
5 3 _BMR 0921/99 N/A
5 4 40 2 04-29-99 08/04/99 07 10/01/99 10N1/99
5 5 6A 2BONUS O4.29-99 06/04/99 06/17/99 0922/99 0922/99 /11/99
5 8 2A 3 1 04-29-99 06/04/99 08114/99 0920/99 0920/99 • 3
5 7 5C 2/BONUS 2 04-29-99 06/04/99 06111199 09/15199 09115/99 10/01!99
5 8 2B 3 04/19/99 06/11/99 06/11/99 09/09199 09/09199 0924199
5 9 3D 2 04/19/99 08/04/99 06/07/99 09103199 09/03/99 0921199
5 10 6B 2/B NUS 04/19/99 OSr8199 09/03/99 1 09/03/99 0920199
5 11 4C 3 04-20-99 0527199 0829!99 0829/99 0928199
5 12 60 3/BONUS 04/01/99 0521/99 0823199 0823199 09115/99
5 13 3C 31BONUS 04/01/99 0527/99 08/18/99 08/13/99 09/03/99
5 14 6E 2/BONUS 04/01/99 07!02/99 08/16/99 08/18/99 08/29/99
5 15 3A 3/BONUS 0410149 05/17/99 08/10/99 08/12/99 0823/99
5 16
5 17
5 18
5 19
5 20
5 21 5B 08/18199 10/14199
5 22 7C 08/18/99 0927/99
5 23 1C 08/18/99 09117/99
• 5 24 7A 2 0723/99 0927/99 104-09
5 25
5 26
5 27 1B 2 05/07/99 06/11/99 0629199 10/04/99 10/04/99 10/11/99
5 28 76 2 05/07/99 06/11/99 062959 10/07/99 10/14/9910/14/99
5 29 10 2 05-10.99 06/1659 07/09199 10/18/99 10/18/99 10/18/99
5 30 BMR
5 31 BMR
5 32 4A 3 0526199 07/1459 0728199
5 33 2A 3 05/0759 07/02/99 0711299
S 34 1 38 1 2 05/07199 07/07/99 1 072359
5 35 5B I 3/130NUS 052659 07/0759 1 072699
5 36
5 + 38 3E -•1---- (W23li9 �OiO ld� r COi1:59
5 31
............ ......
77 2C _ 2. _ _ 06299 07/18/99
2y9
5 3s a,�. L'Or31JG 031/1L/SJ 8/1611j9
5
= 3A '-'
G !;G 2B15h1U5
5 41 3A 07/08199 0720/99 06/2 '99
' (1) LOT 6 PLAN 2A&LOT 7 PLAN 5C
•DID NOT OBSERVE PIERS.
'(2)DBL SIDED SHEAR WALLS
•(3) FLR.NAILING
-.n • ,.� nrr♦ r,R7 RI7+. ICZgM FIAITN4ggMT FIAT-4 A/T : Tl1 AfR-QT-a nn
_
,r
r
�'i� FIELD ,P���o RT
dBRIEN
PGROUP
A.Ick-Burke
From: Jim RIPlay(SMTP:dpleydg@pacbell,net)
Sent: Monday, March 08, 1999 2:28 AM
To: PAT BURKE
Subject: OAK VALLEY
Pat Burke
Oak Valley �'
Cupertino, CA
Reference: Linear parkway planting,
Pal,
All plantings within (he 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 %2 �(o q
SIGNATURE C- J e , �
1V&WAY,SHITE 200,SAN MATEO.CALIFORNIA 94404.2473 TELfiPIIONfi(650)377.0300 FACSIMILE(610)349.2442
1996
Marrh I. ,;
y - Al
.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. Sof Efficiency Duct Duct or Heating Heating
Typc(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity
heat um and Model Number Systems xCF-0R value attic etc. R-value tuftBtuthr
ID v �� Flo, n *Z1'6 a
AID ,� y,�QA✓o9�;�/ 3 >To
Cooling Equipment
Equip. CEC Certified Compressor R of Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER,eta.), Location Duct Load Capacity
heal um Model Number Systems 2CF-IR value attic etc. R-value (Btu/hr) lulhr
N� <SP/ „z' Y /
,�N LrZ' -Y12 C 5 C Q d/7— �— _/a r �' r.9- �.e2, Gr /9
I. >_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
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
WATER HEATING: SYSTEMS:
Distribution If Recir- gof Rated' Tank EHI- External
Healer CEC Certified Mfr Type(Sid, culation, Identical Input(kW Volume eieney' Standby' ' Insulation
Type Name&Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss('%) R-value
2 For small gas storage(rated Input of less than or equal to 75,000 Btwhr),electric resistance and heat pump water heaten,list Energy Factor.
For large gas storage water heaters(rated input of greater than 75,000 Btu/hr),list Recovery Efficiency,Standby Lou 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
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, Date Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name)OR Owner
COPY T0: Building Department
Building Owner at Occupancy
DEC-07-88 13 : ES FROM:COABT INBIJLATION ID:408 288 3788 PACE 5/7
[AA$T r�,vlaclw, C`:cxltractors. he
INSULATION CERTIFICATION
3775 Psexico Blvd. I Martinez•CA 94553
• This Is to certify that Insulatlon has been installed in conformance with the current energy regulations,
California Admini ative Cade, Title ?4, Stat//e of California, the building located at:
SITE ADDRESS: 64 CEO- VC1
BOORS:
Manufacturer 0N CQBNIN+; Thickness/Type LJ�t-} i(i R-Value ' �{
EXTERIOR WALLS: --�—�
MarwtAglJrer OWEN$ ORNIW Thicknesslrype R-Value
C9.LiNGS:
BA:�S: Mamdachrer MENS OORNIN3 Thicknesc✓rypeL(LR-Value .f
BLOWN: Manttacturer OWENS CORNINi3 Thickness/Type �?_R-Value >(�
WeighVSag 35 Sq. Ft. Covered # Sags Used ,
XR INRLTRATION SEALANT INSTALLED: YES ` NO ❑
^ rc�vTpAcroR ' r11 fA,V�l�;tl lJ�_ LICENSE s
TITLE: DATE
COAST 1ll1SU -ATION CONTRACT DRS, INC. UGENSE #
F117 Lr-,t 7 ' •% TITLE r/T DATE I14�
•
__. _.
,Hrkn Kangas Faulk
E.npinesrs • Surveyors . Flannors
•
.April 28, 1999
960069-50
Chuck Sehocnberger
O'Brien Group
2001 Winward Way,Suite 200
San Mateo,CA 94404
Subject; Oak Vallcy—Foundation Verification
Dear Chuck,
On April 15 and April 28, 1999 we performed a field survey of the location of die foundation forms for tic
buildings being constructed on Lot 5-0<., Lot 5-05. Lot 5.06, Lot 5.07, Lot 5-08, Let 5.09, Lo'5.10 snd Lot
5.11 of the Oak Va;ley project in Cupertino.
The resuls of Wnt survey cicerlp show that the ICCa[lon Q tho foundation forms are consistert and n
conformance u1t.t aLe design Io m)on o!the bui'dirgs,as said Ircutio:u are shuwn on the plans prepared by
our firm.
This letter is intended to prov:dc you with the verification of those'units per our survey. If:hcre are any
other questions concaming ane. to-;nun,please do not hesitate to Call.
Sincerely,
r G,p
�- 6Ah D;:f A BILBD
BRIAN KA�M,7jfAS 1'OULK I EYP 3131/02 {t
Bradley A. Bil'oo P.L.S. 6!4 Ha 0141
Project Manager
Survey Deparumam OF of l4
540 Price Avanue *:dcccd City,CA 94063 • (650)402.6330 a FAX(0531 482-63S9
i
Rug 20 99 05: 12p KELLER LHR SALES 530-246-0796 p. 7
6326
OF TIM%
a"
•
A�T�
4HE
TIFICATE OFWifni
CONFORMANCE
UNDERSIGNED MANUFACTURER HEREBY CERTIFIES
that the products Identified below and on attached sheets Nos. are marked with
the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)and were
manufactured in conformance with applicable provisions of American National Standard ANSI/AITC
A190.1-1992, Structural Glued Laminated Timber,and that such manufacture has been at our plant
in Drain, OR which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and Inspected periodically by such Bureau.
"a- >�3
Lo 7- S—S
JOB NAME: Keller Lumber Sales, Inc. for Stock
JOB LOCATION; Redding, CA
P0# 6326 10-29-98 3971-D
CUSTOMER'S ORDER NO. DATE MFGR'S ORDER NO.
SUNNYVALE PO# 39267 5-1/8 x 18 x 18'
Duco-Lam
SIGNATURE COMPANY
TITLE
Quality Control ADDRESS lO Box 297, Drain, OR DATE 12-4-98
AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard,that the adequacy of the qual-
ity control system in effect at said plant is periodically inspected and verified by the Inspection
Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgement
of AITC, said company is capable of complying with applicable manufacturing and testing provisions
of said Standard in respect of products manufactured at said plant. Conformance with the Standard
• In respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's
guarantee hereunder being that the said company is qualified to produce a product meeting the said
Standard and that its plant Is periodically inspected and verified by the AITC Inspection Bureau.
AITC Certificate No. 92- 047728
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
DECEIVED
tub
DEC 0 71993
KELLER W, SALES
74WW ®1992 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
AITC FORM IBC