S 2405 (2) APFLICANTTO FILL IN INFORMATION WITHIN RED LINES•USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILD G";NG.ELECTRICAL PERMIT NO.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL. n A O
,BUILDING PROJECT IDENTIFICATION L 4
4*� �� 4j-07'/ / / O��.SANITARY N� APPLICATION SUBMITTAL DATE
BUILDING ADDRESS: ^, (r/_
8 8 S Y CAy
OWNER'S NA :t yPILO CONTRACTOR'S NAME: LIC NO:
,q N/C /+ CON ROL#
ARCLB rECI'/H GI E.R: LfiClsafi ADDRESS: ❑
.oN'Fn PHONE�'i "' BUILDING PERMIT INFO'
�yllJJI
' uj +I � ❑ Consultant Fees Pard by Applicant(Initial) BLDG ELECT PLUMB MECH��'' `f�
j
LICMNSE15 CONTRACI OR S DECLARATION r
QTY 'ELECTRIC PERMITFEE
I i nanny autrm P t 1 r . e I n rCh pt 9( t, - JOB DESCRIPTION .
WOO with Sreian Masora Di ', n9 of the Bus e, and n C and my lira ea i. RE NTIAL•
WOO PERMIT ISSUANCE
H U.. come muse and atiret.' r .� - FDWL ❑KIT CHEN RP.MODF.1.
U
�zLiwnxe CPn Iia#
APPLIANCES-RESIDENTIAL
y�h Dare Gmvcgnr []ADDITION ❑PLUMBING RP.-PIPE
ARCHITECT'S DECL ❑MIJUITUNIT ❑STRUCTURAL
z 0 n I understand my plans shall be used as public records PANELS
MODIFICATION
pZ�O
UP TO 200AMPS ❑INTERIOR L1 CHIMNEY REPAIR
u],Leveed Poth"innal 201-1000AMPS IMPROVEMENT E]SWIMMING POOLS
�yd S!p OWNHR-BUILDP,R DECLARATION - OVER 1000 AMPS ❑BATH REMODEIJREPAIR El DEMOLITION
I hereby afri.Ilial 1 am exempt fmm the Contractors Licence Law far the
N �O lay
d UF v miconstruct,w kolewing reason.(Section]0315,linsincision]Profession,Cade:Any any or county SIGNS ELECTRICAL.
OTHER
a W N Bich requires pert to constct,alter,improve,dentolidi,or repair any swerve
t�.
#(lst he islcensemumca,rBant to ma fa[lie e don of for Contrpermit
rs La filen seLaw(ned h:mnnn SPECIAL CIRCU IT/M ISC.
C) that he iecing c th Sec,pursuant to of Division
of the eBusintt"e License Loons Code)or
W O thammencingwith Sectact 90W)of Divisi fee ofthes,cd csempfine.Any Professions )or TEMP.METER OR POLE INET. COMMERCIAL
M e C Sat he is exempt Iany applicant
li and the basis for the alleged exemption.Any violation of - ❑NEW BLDG/ADDITION ❑DEMOLITION
WWy notion90T5by any hundred dollars
suhjeets the nppllcontm acivil penalty of POWER DEVICES []TENANT El FOOL)SERVICE
not morethan five ft h prop.property,
oars y employers
IMPROVEMENT
� O wiLas othe ,akF the pmpany,armyamplayatwithwages ed out lide(Sao.oomptnstinn, SWIMMING PO(IL ELECTRIC
I.
will Pooh.work,and the xtrutureisnats License La does not
to an
[]OTHER
'3 and Professions Calor i[henip Contractor's License Law does not apply to if owner of OUTLETS-SWITCHES-FIXTURES
properly who noels,or improves thrown,i and who docs such work himself or throughdfor
has own employees,the provided thatsuch improvements arc not iyearoftl or offered far NEW RESIDENTIAL EhP.CTIt SQ FC
sale,B,however,the have the bur en of proving
is did non build
or mmple for the SQ.FT.FLOOR AREA S/SQ.Cr
er-'al'.) will have the burden of proving Char rc did not build nr intprovc for par- I ry
ow,of
❑ I, owner of the property,am exclusively contracting with:)Tho,,C contractors i to TOTAL:
construct the protect(Sec 7044,Business and Professions Cade)The Contractor Li- ,
creeLowdoas not apply to an owner of property who hai ods or improves thereon,and QTY.• - PLUMBING PERMIT- ,.FEE 654
I sohe contracts for such projects with it evenaGar(s)licensed parsuent to the Contractor', ✓✓
License Law. PERMIT'ISSUANCE
❑ I um exempt under Sec. ,H&P C far this reason
v - -
Owner Date ALTER-DRAIN re VENT-WATER(EA) VALUATION
WORK HR'S COM of pot
o air
DECLARATION BACK PLOW PROTECT.DEVICE
Thereby el actunder penaltyte of CoyenoorihefaBowiag dow.afWorkers
I/ U
❑Ihuve and Chad or
Section 3700
of the Labont tor
sel Code,forth. Worker'snce of the DRAINS—FLOOR,ROOF,AREA,COND. STORIES TYPE CONSTRUCTION
ober,ae provided rpe by Ss issued.
d. , of the Lahor Cude,for the performance of the -
arkfaveand ill maintain orke. FIXTURES-PER TRAP -
❑ 1 have and will maintain Workers Compensation Insurance,as required o i Section
My
Labor Cnvoluma bo form ctfthe work[arwhich li/n/pepnitisissuuf GAn-EA.SYSTEM-I INC.4OU'rLEIS OCC.CROUP APN
My Work���fff unp) ancLcayG�1--
Caoiac IF 7/ („Q• A''� - GAS-EA.SYSTEM-0VER4(EA)
CEk'FIFICAOMPE COMPENSATION INSURANCE
PROM WORKERS'
COMPENSATION INSl1RANCE GREASFJINUUS'CRL WASTE INTERCEPTOR
(Thiswation nee p t f rnehundrcd Pentam($I W) e g a 4 P L Lli�l�D�VySIO//N''ffPBP.S'
nrlc,,,) l ° '��/'? I� GREASETRAP PLANCH K f2 ��
Icenify thein theperfamanceoftce work to h{a thisperacumioom Isball SEWER- (�
p not employ any person in any manner so ns to become subject to the Workers Gnnprol '- EN E '1 11
Z, codon Laws of Califtnia.Dam WATER H WIVF R /_0
.4 y O Applicant - G EE
Fr NONCE TO APPLICANT:If,after making this Certificase of Exemption,you should
became,ubact to IM1e Workers Compensation WATERS "I CREATING
p permit
Thal of IM1e Lobo c,,'ka you must SOILS .P.
W,Q
forthwith comply wish such pnrvininm or this permit nhall he deemeJ revoked WATERS E' 1999 -
CONSTRUCTIONLENDINGAGENCY NEW RESI JJNTIAL PI.MB. SQ.FC PAID
�U O IherebyalRmtlhuucow
hem is ansetion lending agency for the performoreof Dei. Receipt#
iia F the work for which lm,permit is issued(Sec.3099,Civ.C.)
.� Louder,Nand TOTAL:
w Leader,Address
I certify that 1 have d his pplaccourn ad ,are that thabove information a, - BUILDI FE
y cnrtect legmx to amply 'Ili Il ,rya Ic ty d' Ltt I oaf gto QTY, MECHANICAL PERMIT FEE
-
UG.M1 SEI, PE
building canewadan,v dl lottery mthar'ze prUsuuaivUs of this city In emerupon the
j~ abovam.nlianed property Por inspection purposes. PERMIT ISSUANCE
(We).,a re m save,Inddnnity.,to keep harmless the City of Cupertino against E.L. CRI 'EB
linbilities,jndgmana,costa and expenses whudany in any wayawrve agei est sued City AM ER OR ADD'TO MECH. p e CPEE
in, active of the granting of thin Permit 'L 40
AP LI'ANT UNDERST D WILT.COMPLY WITH ALL N POINT AIR HANDLING UNITOD 10,000 CFNE ANICAL FEE 2
IS EIWHHk N f1
AIR HANDLING UND(OVER I0,000 CPM) CONS'P CTION TAX
lure ofApplican try Dole EXHAUST HOOD E/DUCT) HOUSING MITIGATION FEE
H IARDOUS MATERIALS DISCLOSURE
Will the applicant or future,building emcupantsmm nr handle hmmdous material HEATING ON IT(TO 100,000 BTU)
as defined by the Cupertino Municipal Code,Chapter 9.12,and the Heallh and S ddy
Code Set 25532do? HEATING UNIT(OVER 104000 B'IU)
SIX
E]yes � PAID _
VENTILATION PANS INGLE RES III) Uam Receipt# r
Will the applicant or future readingcecupant use equipment ordevices which BOILER-COMP(3HP OR I00,W0 BTU)
mit hamNouc
are nmaminants as defined by the Bay Area Air Quality Management T
❑Yes �Qo BOILER-COME(OVER I x4000 BTU) -
r Ihave read the hnmrdats nnamriak requirem.ms nnticr Chapter fi.95 of the Gli- AIR CONDITIONER ISSUANCE DATE
11. 1 Illi&Srina Cade Seen i 25505.25533 ismy
25534.1 undolifyi inclIf the NEWRESIDENTIALMECH- SQ.1,U 2 ^J
bui nn rue❑y no 1.that it is my responsibllit to nnlifyl a txuWnt !+?
t Cher a hit It ,,,a cottoned of Ownerormrthorizedogdnt Tat TOTAL ISSUED BY:
OFFICE
i
BrianKan Faulk
Eng; pgvq . $mpyart Plgnnarc fir+
Uarch ?I, 1999
960069-50
i Chuck Schoenberger
O'Brien Group
2001 Winward Way, Suila 200
San tyfawo.CA 94404
Subject: Oak Valley—Foundation Verification
Dcdr Chuck,
Or. March 31 ;999 we performed a field,' sur.ey of the location of the forTndation iotms for the bu(!dins
being constructed on Lot 5-12. Lot 5.13.Lot 5-I4 ar,d Lot 5-I of the Dik Valley Project in Cupertino.
The results of that survey claar'p show that the location of the feunda:icat forms are consistent and in
conformance with the design location of tic buildings,as said locations are shcwn on the plans prepared by
our fiat;.
This letter:s intended to PrCvide you wttlh the verification of these units oer ou.sun'ey. if thury arc any
• UIIIUI L)LU4IMN L'U!ILVIIIIl1;,U:91 ;,UIIUII.PIUA5l UU IILIt 11eSild'.!tU(All.
Sincerely, LlND S
0
—' BRACLEY.I.B:LEO
13KA:v KANGAS FOu_.1C * EP a;31192 .
Bradley A.Bilb0 P.L.S. 61.1 N N,c 5.41 tic
Project Manager fqp L a
c1 Survey Dvpatuneut F OF
540 Price avenue . Heowood Circ,CA 94063 . ;E50)4E2-E30u . IM i650)402.5395
ZD/ZO 'd �tf?Ch ON 'l�? dIIOHJ N3T'N3.0 =Hi X0.20 10W 66-OI-ny
I'IHk.d_. 1777 10:L--4 i 3H-H [i `.HhP F V)ULV', fiU,'3vJ1 F' 'Lr"t
Brian Kangas Faulk `
Engineers . Surveyors a Planners
March 31, 1999
960069.50
Chuck Schoenberger
O'Brien Oroup
20DI Winward Way,Suite 200
San Mateo,CA 94404
Subjactt Oak Valley—Foundation Verification
Doer Chuck,
On March 30, 1999 we performed a fields 1 location of the foundation forms for the buildings
being constructed on Lot 5.12, Lot:I.13, " Lot 5-15 of the Oak Valley project in Cupertino,
i
The results of that survey clearly show that the location of the foundation forms aro consistent and In
conformance with the design location of the buildings,as said locations are shown on the plans prepared by
our f rn
This letter is intended to provide you with the vorificat'ion of those units per our survey, If there arc any
other questions concerning that location,plome do not hesitate to call.
Sincerely, u yF,O LAND SGP`c
O BUDLEY A.011.110
BRIAN KANGAS FOLK 4I EXP.3/91/02
'-adley A.BIIbo AL,S,6141 a, Mo.6141 �Cc
Survey D pertinent �tPOF CA t,
540 Pr!cs Avenma + R+dnvurd Clnl.6A 64063 . 16501462.6300 . FkX 10501482.6388
•
• ENGINEERING WEST ING.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO,CA.
10/UNI PAGE 2 OF 3
N Lot Plan OP I dn. B'S tst9oor Roo I1 M I este
1 3E 3 / 89 •
5 2 BMR 09/11/89 N/A�
5 3 _BMR09/2189 N/A
5 4 40 2 04-29 99 06/0489 0 1 OM241o) 10/0189 101111/98
5 56A 2/BONUS O4-28-88 06/04/99 06/17/99 09/22/99 082289 /1189
5 8 2A 3 1 04.29.99 06/0489 06/14/99 0920/99 0820880820885 • 3
7 SC 2/BONUS 2 04-29-99 06/04/99 06/11/98 09!15/98 09/1589 10/01/99
5 8 28 3 04/19/99 06/11/99 06/11/99 09/09/99 09/0989 0924/99
S 9 3D 2 04/19/99 06/04/99 08/07/99 09/0388 08/0388 09/11/99
5 10 6B 2BONUS 04/19/99 05/18/88 09/0389 09/03/99 1 0920199
5 11 4C3 04-20.98 0527/99 082989 0829/99 0928/98
5 12 BD 3/Me ONU3 04/0189 0521/98 082389 0823/Bp 09/15/98
5 13 3C p 1 /89
1 3A 3/BONUS 04/01/89
1
5 16 OSl17/B9 08/1 89 � 08l12/29 0823199,
5 17
5 18
5 18
5 20
5 21 5B 08/18/99 10/14199
5 22 7C 08/18/89 0927/99
5 23 Ic 08/18/99 1 09/17/99
• 5 24 7A 2 0723/99
5 25 092789 10 4-89
5 26
5 27 1B 2 05/07/89
5 06/11/98 0629/99 10/04/99 10/04/99 ID/11/999
28 7B 2 05/07/99 06/11/99 0829199 10/07/99 10/14/99 10/14/98
5 29 1D 2 0510.89 05/16/99 07/09199 10/16/98 10/18/88 1 10/18/99
5 30 BMR
5 31 8
5 32 4A 3 0526199 07/14/99 0728189
5 33 2A 3 05/0789 07/02/98 07/1289
5 34 3B 2 05/07/99 07/07/99 1 0723199
5 35 5B 3/BONUS 052889 07/07/99 0726199
5 38
5 �� �__. 2G _ ,•,__, 2,____96Q3,199 07/1889 0726,59
5 38 3E 1 OBr23%58 07N9/9i! r COi12a
5 39W -- _ tCr31JG CYNO/59 . .io/18,30
s 4G 11c 2C•ONUS 0?,108;5 (17:20^/9 0!1.112'^9
5 41 3A 07/0889 072089 0' 3.'89
' (1) LOT 6 PLAN 2A&LOT 7 PLAN SC �_..._... ...... _ •4
DID NOT OBSERVE PIERS.
'(2)DBL SIDED SHEAR WALLS
•(3)FLA.NAILING
•
OATS JO6
;onsulting Engineers and Sc/entists s s/ 59 Gaya •�e T
PROJECT .
425 ROLAND WAYo K u / �e �y
IQ
• OAAND, CA 94621 wocATpN
(510) 568-4001
h n
p CT' '1r r � Crrcn. D torr TaR :,,. omrEA
hrr 3r03
ate t1 Ir -l`.h 41r�l9ci�, L�'Z���f�ay WEATHER TEww. jo'at AM
�5'at PM
burs Charged To Project Nuclear Density Teats PRESENT AT WE
ieb Task Number T'�l 1 Concrete Cylinders-
'HE FOLLOWING WAS NOTED:
Se KL)ar-rn
n
r` SIl� �3C '3 �i , '`�V Ali ,':_ / S• IS �4A� '� r'v eJ- vi, �1
-r i rit dr Yr� a
I�r LI'('�.e r'S - wCL�
Irl hm)c v` I.�I it.l7 l-[ wt: S•%►
f C ) -t �h:ll L'lecni , a roe,II"( f� . „ .-O �
/ I
4( <
S•/ � J Lt'. IT ,l !r
l�`
it nil ` lvucl q / 'Ates hole( 4&L,:w -rhe Se 10Gco,)e. Care
'a S..!' Y12,;,'., 1,50.36
Ac/d -r
lir f "` `- /`l �r/"i' (Tr1 � � t �'r l �,,. hof� �o�l•:arn., /.tf '��'l> T"
U
^T is I G C��G ✓.G Yu^' r� T� -r rn. .l "i•(tO re Vie•. `. Gh ie .� �2 v- e r
—6
^I� �A�r Id � F- �v� �r �cr r n A (pL<r5 �. Gu /i, , l 11C
\7rlr
t
nhn r r-r I'C l� or r Jrr I reh vi.'nr. 1
CC cv + Tr
' f.c (-P et ')1 G r '7r „C r•r�I 4 + > 4 �� /-C'
/1 SCa yr cf=
Ie 7/t,( `, C/'J hC' IT- %riC1G 1�
o
)OPIES TO
SIGNED
CLIENT
1 OBRIEN
GROUP
'trick Burke
Ing Jim Rlpley(SMTP:ri le d
)t Monday, March 081 99®g cb ll.nelj
PAT BURKE 8
'Jact: OAK VALLEY
FINAL PLANNING SIGN OFF
Burke
Val(eyCA
DATE
'rUno,
y �"r
'encs: Linear parkway planting. SIGNATUA
ntings within the linear park are consistent with the landscape V 17 �_s
union documents prepared by this office and reviewed by the city.
rch 1998 and conform with the preliminary approval douments.
A. Ripley
Design Group, Inc,
•
•
V.SUITE.200,SAN MATEO,CALIFORNIA 94404.2473 TELEPHONE((,50)377-0100
wr,;� clR rei0,1440u% OrNL4'
CVS-
.INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
Ite 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).
EVA SYSTEMS
Heating Equipment
Equip. a 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 Btu/hr III lwhr
z .�
Cooling Equipment
Equip. CEC Certified Compressor 0 of Emciency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER etc.)' Location Duct Load Capacity
heal um Model Number Systems CF-IR value attic etc. R-value Bluthr tuft
l�7 I
?Nb 4111 L /� S'Q��'
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-lR) 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.
• ���tt!l..,'xt�'..ti-�y S'F �f.,(E.ar.�!oNJJ' '�i�tG' 9�' .q/tom
Signature, Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER HEATING SYSTEMS:
Distribution If Rack- Mof Rated' Tank Ef . External
Heater CEC Certified Mfr Type(Sid, eulation, Identical Input(kW Volume ciency2 Standbys Insulation
Type Name @.Model Number Point-o FUsc) Control Type Systems or Btulhr) (gallons) (EF,RE) Loss I%) R-value
2 For small gas storage(rated input of less than or equal to 75,000 Btulhr),electric resistance and heat pump water heaters,list Energy Factor.
For large gas storage water heaters(rated input of greater than 75,000 BftAr),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
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-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 TO: Building Department
Building Owner at Occupancy
r
COAST Insulation contractors, Inc. INSULATION CERTIFICATION
1086 N. 111h St. • San Jose, CA 95112 ,
This is to certify that insulation has been installed in conformance with the current energy regulations,
California Adminfa, Q + ' �,allfornla the building located at:
e.
�,
SITE ADDRESS. 45. at �.
FLOORS:
Manufacturer OWENS CORNING Thickness/Type �J` 7 R-Value
EXTERIOR WALLS:
Manufacturer OWENS CORNING Thickness/Type R-Value .7
CEILINGS:
BATTS: Manufacturer OWENS CORNING Thickness/rypevlt tl R-Value 30 �oI
BLOWN: Manufacturer OWENS CORNING Thickness/Type R-Value X1(7
Weight/Bag 35 Sq. Ft. Covered o _# Bags Used
AIR INFILTRATION SEALANT INSTALLED: ,',,YES- NO F-1•GENERAL CONTRACTOR INILLOU; > LICENSE #
BY: TITLE: DATE
COAST INSULA% N CONTRACTORS, INC. LICENSE # 465440
BY: M A 1XY� TITLE: DATE: R� d .
•
hlNh'.9 , 11� 101:j_;yfl 7P:HI b.:.HIOzR FUULK 1 F'.c�c
Brian Kangas Faulk
Enpinaars . Surveyors a Planners
•
March 31, 1999
960069-50
Chuck Schoenberger
O'Brien Group
2001 Winward Way,Suite 200
San Mateo,CA 94404
Subject! Oak Valley—FoundationVerlfreallon
Dear Chuck,
On March 30. 1999 we performed a field survey-ofthe location of the foundation forms for the buildings
being constructed on Lot 5.12,Lot 3-13,Lot 5^I4 Ad Lot 5-15 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 locWcn of the buildings,as said locations are shown on the plans prepared by
our firm,
This letter is intended to provide you with dte Verification of those units per our survey. If there are any
other queetlons coneemins that location,please do not hesitate to call.
Sincerely,
2S�o 4AND SG9G
• ..7 o
ee.4Dl.EY A.BaaD
BRIAN KANGAS POULK EXP.3/31/02
'-adley A.Bllbo P.L.S.6141 at No.6141
;-i oject Manager
Survey Departrttent lF or CAL1F�
540 Price Annum s P.odmicid City.CA 64063 . IS%462.6300 . FXX 10501462.6389