S 2407 (2) -APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL r PERMIT NO.
BUn.DING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICALC _ 2 /� O7
BUILDING PROJECT IDENTIFICATION J �}
' BUIhDINCD�S:� N, SANT fARV NO. APPLICATION SUBMITTAL DATE
OWNER'. PHONF: CONTRACTORS NAME: LIC NO:
P N/C CONTROL#
/ARCHITL F.ER: LICJNU. AUUkF.55: ❑ 3-31
CONTACT PHONE: - BUILDIING PERMIT INFO,
❑ Consultant Fecs Paid by Applicant(Initial) _ BLDG ELECT PLUMB MUCH
I ENSED CM fRACfOR S DECLARATION QTY. ' . ELECTRIC PERMIT- .FEC
I n by a fr (It.,I licensed 1 p 1 Chapter 9(commencing t - JOB DESCRIPTION
AaZ ms t' '7000) ID o,3atheons :adPnfes o,s ode and my rce,e, `. .. TIAL
X00 wt PERMIT ISSUANCE
, SEl KITCHEN REMODEL'
Fes.. fill fnaev detfwt
PVV fAconse Li o.N _ APPLIANCES-RESIDENTIAL [I ADDITION ❑PLUMBING RE-PIPE
Pda,Dme rr
{{nn ARCHITECT'SFS DE DECLAk PANELS El MULTI-UNIT ❑STRUCTURAL
zC).z Iand...medmy pIaa,,ball be used as Public records MODIFICATION
O z"C uPT0200 AMPS
LI INTERIOR El CHIMNEY REPAIR
(_f aa Licensed Professional 201-I000AMPS _ IMPROVEMENT E]SWIMMING POOLS
sit ,'..�I OWNER-BUILDER DECLARA'I']ON,
Iy 6 1 hereby nM.that 1 ant exam,,from the Conlrtcmrx License Law far the
OVER IUOB AMPS C BATH REMODP.LIRPRAIk El DEMOLITION
O p,,V rollover reason_(Saethn]031.5,Buxinexa vnd Pores+cions Cade Any elry or conntY SIGNS P.LP.CTRICAL ❑OTHER
W W"H wh h q . p a amp t chat, p d f h p y ubucwm _
i. Ic0 prix t t I. q mstheapplicantf hp L flsigned.t temem SPECIAL""",I'M", 4V
Jan han,licensed. to thepurokioa,ofh Coreaream,Licaria,L (Chapter 9
(c,nneneng with Section 7000)ofDivision 3 of the Busneward Proletarians Code)or TF.MPMETP.ROIi POLFINST COMMERCIAL:
4{y o rG that he is exempt Rawfmm and the h mal far the alleged exemption.Any vlolmlon of E:1 NEW BLDG/ADDITION El DEMOLITION
V"m Section 7031.5 by toy nppliunt for a permit subjects the applicant ma civil penalty of POWER DEVICES []TENANT ❑FOOD SERVICE
not more man five hundred dollars(5500E
F i IMPROVEMENT
q�dEjI,as owner f theampan,,or my employees with wages as their sole compensation, SWIMMING POOL BLEC'1'RIC
zFO will do hewnrk,and the v¢ucwmis notimended orofferedfornvle(Sec,90,14,11miness ❑OTHER
¢al m and Profession,Code:The Commmor's Licente Law dines not apply ,,an nwnu of OUTLETS-SWITCHES-FIXTURES
F prI who builds or improves Thereon,and who does such work himself nr through
I his own employees,provided that such'improvements ere not intended nr offered for NEW RESIDENTIAL E1,HC1k SQ FT.
sale.If.however,the buildingor improvement issold within one year of uompletion,the SQ.IT.FLOOR AREA $/SQ.FT.
cr-hander will have the harden refereeing that he did not build nr improve[nr par-
, pose of sale.). -
❑ 1,m ownerof the pmpany,am exclusively contracting with licensed conuvemrs m TOTAL I e
onstmct the project(Sec 7044,Business and Professions Cade:)The Contractors Lj- ,
c Law does not apply to an ownerofproperty who builds or'ntpmvec therm, and QTY PLUMBING PERMIT FL'E
who contractInpJcctswith uatmmctrO licensed pcmuant[.,he Contvuorx
License
Law PERMIT ISSUANCE
(].I air...amptunder Sac. ,B&PCforthi,wrma
towner ])am ' ALTER-DRAIN&VENT-WATER(EA) VALUATION
1WORKERS COMPENSAI ION DECIAI2AI ION BACK FLOW PROTECT.DEVICE
Ihereby afird underprialty of pajry one ofthefollowing ansta....
'[] Ihave d will maintain a Certificate ofConsto self-inion,for Worker sComper DRAINS FLOOR,Rini ARI'.ri`,t'BN{L..r, STORIESTYPG CO UC'DON
.veli p 'd I forIds., 3700 of m Lob., de
C ,f The p rtl ec of fine LA Z�
work for h hth':Peour'is hared, FIXTURES-PER TRA )
El I[lave and will maintain Workers Counteraction Insurance,as required by Section
„ 3700ofthe I.rhorCode.for the urfommnce of the work for which this permit is issued GAS-EA,SYSTEM-I .4 OUTLETS OCROUP APN
My Workers Compensation Ins.mnre carrier and Policy number are:
f Carrier. Policy No.: OAS-EA.SYSTEM Fk4(I�AY 1 13
CERTIFICATEOF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE GREASFJINDUSTRL S'CE IN'TEkCEP'IOR
(Thissmunnnced net be completed Hire permit Is fortune hundredW)
dollars DI _ A v` * a BU7LDIN0'UIVISI PI�lfS ., o x
or less) � GREASE TRAP B PLANCHBCKCK PEE
I ramify thatin theperCorana,ce,fthe work fnrwhich mispemcit is issued,l shall SEWER-SANITARY'STORNTLT.
nm employ nay person in any marear s,roe to hecome mbject m the Workers Compen- ENERGY FEE
z NOTICE TO APpl fnrnia Doe. WATHR HP.ATF.Ii WIVENTIELF.CTR
OO ofinar a sof@h GRADING FEE
`-I .)CANT.IL afar mnkln thisCenificnm of P.xnn tion,you should
V] 5 r WATER SYSTEMITRP,ATING SOILS FEE
a �
become subjecttothe Worker's u.Compensation previsions sho of da Labor Cods you must
W
forthwith comply with such pnrvisions or permit shall he Deemed levokai. WATER SERVICE ,
0. Q
CONSTRUCTION LENDING AGENCY NHW kHSiUF.NTIAI.PLMH. $Q.Ff. PAID
UC)z Thereby#[flan hm here i.ac,nstmdinn lending#gamy fm the perfnnunmnof D Receipt#
" . 'he work Far which his permit is issued(Sea 3097,Gtr.C)
0, F Lender.Name "TIONTAXe/
OTAL:
FU [,ad,,,Address 'TO'I'A L:
1 sanity that I have read this application and state that the udawe information is
y correct.'I agree to comply with all city and..unty ordinances and state lows relating to QTY. MECHANICAL PERMIT t FEE
V Z hadding.......crown,and hereby authorize representxtiveanftiiccdly m emir upon the l
aMwe-menlinned property far inepcaion puryosw. ALI
PERMIT ISSUANCE
(We)agree to save,indemnify and keep harmless the City ofCapemh,against e q
Habilities,judgments,tusks and expenses which may in any way amruevgacnst said City ALTERORADD TOMECII. -A conwa,anceoflhegurprngofthisprm, ZSOURC AH1 LATION ANDS AND WIL COMPLY WITH AL NO -POINT pIR HANDLING UNIT CI'O If),OfN)CFM) QSOURCE tl CATIONS. � - FEF. 2 � � C' � �� AIR HANDLING UNIT(OVERH eco CFM) -
[ N TAX
Sngnd p,1iamd/Cm1racmr �' 'Date EXHAUST[OOD(W/DUCT) - C
HAZARDOUS MATERIALS DISCLOSURE HOUSING AU I'IGA'f0:1N PEE
Will the applicant or Same building oecapant store(ir handle ha,ardous material HEATING UNIT(TO 100,000 BTU)
as defined by he Cupertino Mmampal Code.Chapter 9.12,Imal the Health and Safcry
Code,Senlon 25532(x)? �J/ I(EATING PUT((OVER 100,000 B Of
❑Yes }I]Nn - PAID
/� VEN'I'ILA'1']ON CAN(SINGLE kHS1U) Date Rmaipc#.
Will the applicant or future building occupant use equipment or devices which BOILERCOMP(3HP OR IIHI,OfN1I3TU)
nit hvardou,aI,ammminamt,as defined by the Ba -
Bit,Arco Air Management .AL I
Di,triq? BOILER-COMP(OVER 100,000 BTU)
❑Yes N,
I have read the hamrdou,materials requirencia under Chapter 6.95 of the Cali- AIR CONDITIONER ISSUANCE DATE
Am a calth&Safety Cade,Sections 25505,25533 and 25534.1 understand that him, NEW RESIDENTIAL.MECH. SQ.PT. �C1�
n dxotur
vncrentlymenant,thin it is my lexponsiMm
li.ynotif her sm
paT -
of qui A al prior la issuanoeoPo Ccnilic. -
O r su turLed - I bf, r TOTAL: ISSUED BY:
OFFICE
Wjy. 2.159:+ 5 1.30W BRIF'ri Kirixz rvwn
Brian Kangas Faulk
Engineers • Survivals • Planners
November 1, 1999
960069.50
Chuck Sehoeaborger
O'Brien Group
20D1 Windward Way,Suite 200
San Mateo,CA 94404
SubJecft Oak valley—Foundation Verification
Deur Chuck ,
of the
Ort October 25'and 28, 1999 and Nbo c eon1, 1999 we on Lots-!I.Performed 5-fll ld survey 1 of tend 5 pf the Oak
foundation forma for the buildings Bi'
Valley project in Cupertino,
The resulu of that survey clearly show that the locodon or the foundation forma are coosutent and In
conformance with the design locatict of the buildings,es.said locations are shown on the plans prepared by
our firm.
'This letter Is in to provide
loomloath the
eneari nothesitateOft to call,ose iu per our survey. If there am any
outer questions concerning P
Sincerely,e2�0�Ve
o LAND A,u
• `t�t gADLEY A DIL00
BRIAN KANOAS FOULK � CN 3/31/02
Bradley A,BUM P.L,S,6141 N� No SI41 a
�rySurvey �t CAUF�aa
540 Price Avenue r Rs(WoW 00,CA WM a 18501482$90D a FAX 16501482-0390
ENGINEERING WEST INC.
OBSERVATION CHART
•
8.1.2000 OAK VALLEY DEVELOPMENT CUPERTINO,CA.
PAGE 2 OF 4
UN
ITof Plan OPTION Fdn, 10 floor eof I Ext Sac. or. n aa�
1 325/99 / 07127100
2 BMR 0921/99 NIA 2.8-2000 2.18- 0
3 BMR 0921/99 NIA -8-2000 2.16.2000 3.7.2000
0 /01 / 1 119 06123199
5 BA 2BONUS O4-29.99 08/17/99 09122199 09/22199 10111199
6 2A 3 1 04-29-99 06/14/99 09120199 09120/99 09122/99
7 5C /B 4• 111 011 9 0 10101199B 28 3 04/19199 06111/99 09109199 09/09!99 0924199
9 3D 2 04/19/99 06107/9 0910319 09/0 199 0921199
10 '8B ! 2180NUS 04119199 05128/99 09/03/99 09/03/99 9
11 4C 3 04-2 -99 0627/99 08129199 0829/99 0928198
5 12 0 31BONUS 1 521199 082 319 1S1
5 13 3C 31BONUS 04/01199 0527/99 06118199 08113r99 09103/99
5 14 6E 2180__NUS 04101/99 07/02199 08118199 0 /18199 0829109
5 15 A 318 NUS Oa 199 05/17/99 08110199 081 219 _
r. - -' S 16 2C 11N299 12-23.99 3.24.2000 3.24-2400 510.2000 4.2_7.2000
5 17 4 11/ 1 •2 •2 3-22.20 -1 -2 0 4
5 18 SD 11/02/99 12.15-99 3.8-2000 3-10-2000 5.10-2000 4-12-2GOO
5 19 60 11102199 12.13-99 2.23-2000 2-25-2000 1.21.2000_ 4-8.2000
5 20 3C 11/02199 12!01/99 2.18.2000 2-18-2000 1.20.2 3.24-2000
5 21 5B DET.GAR. 08118199 10114199 2.14.2000 2.14.2000 5.10.2000 3.8.2000
22 7C 08118199 09 7 9 1• 1- 1. 0 d.n.a. 1.28.2000
5 23 1C 08/18199 09117199 1.20.2000 1-21-2000 d.n.2. 1.21.2000
5 24 7A 2_- 0712319L. 10.4.99 1.16.2000 1.7-2000 d.n.a. 1-21.2000
5 R32
-
5 16 206107199 2 9 101 4 10/04/99 10111199
8 78' 2 05107199 .OB 9199 10107/99 10/14199 10/14/99
5 10 . 2 05.10-99 07109199 10118199 10It8199 10118/99
• 5 BMR
5 BMR
5 4 3 5 9 72 10.22.99 10.2298 10.2788
5 2A 3 05,07199 07112/99 11/02199 10.29.995 3B 1 2 05107199 0723/99 11108!99 12.1-99 12-1-99
5 ONUS 1 0526/99 07/26/99 11-10-99 11-10-99 1 �-
5 36
5 37 2C 1 2 062399 0726/99 11.12.99 11. 2.99 12-9.99
S 38 3E 2 0823199 08112M 11.2 .9- 12.2.99 12.14.99
5 39 BA 3 062399 0811899 12•S•99 12b-99 12.18.99
5
40 ONUS 07/08199 OB 2 1 •13 88 2• - 12.21.99
S 41 3A 0710899 082399 1.3.2000 1.3.2000 2.18.2000
'(1)LOT 6 PLAN 2A B LOT 7 PLAN 5C (4).A.B.-8 at Porcn front -
'DID NOT OBSERVE PIERS. (5)arnneye
'(2)DBL SIDED SHEAR WALLS
(3)FLR.NAILING
•
ZO'd 0L9T 96Z GOV 1S3M ON):N33NION3 `dL9 :L0 00-ZO-unC
:Wwultblp &VIneem and Scientists t I 4.5 I r
425 POLAND WAY PAOACr
OAKLAND,CA 94821 �`k ✓e I! �•' i C�.e.•,•h a
(810)588.4001
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OPIES To �� ��.• _ ///
SIGNEp ._ _
COAST Insulation Contractors, Inc, INSULATION CERTIFICATION
• 1066 N. 11th St. .• San Jose, CA 95112
This is to certify that Insulatlon has been installed In conformance with the current energy regulations,
California Administrative Code, Title 24, State of California, the building located at:
SITEADDRESS: 1n 4' - 44� (Del,V, II4��1C� / /FLOORS:anufacturer OWNS CORNING/MV Thickness/Type f V41 R-Value I �GICC I
EXTERIOR WALLS: I
Manufacturer OWENS CORNING/MV' Thlckness/Type R-Value
CEILINGS:
BATTS: Manufacturer �WFNS CORNING/MV Thlckness/Type _ R-Value g) 3
BLOWN: Manufacturer OWENS CORNING Thicknessaype R-Value �C)
Weight/Bag 36 Sq. Ft, Covered I u # Bags Used Z�
AIR INFILTRATION SEALANT INSTALLED: YES (� NO EDGENERAL CONTRACTOR L Y.P Q &t P 1 (401&0 LICENSE #
BY: TITLE: " DATE
COAS INSULA'yi� CONTRACTORS, INC. LICENSE # -2
• BY: —(�-�`,� _TITLE: DATE: _
•
U' 3RZ EN
IG RO TJ P
Apurke
JIM Rlploy(SMTPlrlpioydp(Dpacball nol(
Monday, Maroh OB, 1999 2;20 AM
PATBURKE
OAK VALLEY
yCA.
Lincar parkway planllnp, �r
s wllhln the Ilnosr park aio eonslslonl wllh Iho londsoopa
n'documenls preparad by Ihls orrice and rovlowed by the clly
990 SAd conlorm wllh Iho prollminery approval doumanls,
ipleY
P Group, Inc,
Al
•. L � f
DATE N� ,fit OFF
SI��ATtJRF �
•
,
)lIfTl{2o0,SAN MATOO..N 6ANIA 91104.2,173 TI!
LOPIIONH(G 101)770)00 PA CSIAIILC(L10J !/42N1 .. '
pwl�.� Mannh I, 1998
INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
AdIL ermd um er
rte Address
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).
HYAC SYSTEMS:
Heating Equipment
Equip. Iof Emclency Duct Duet or Heating Heating
_ 7ypc(pkg. CEC Ccrtifred Mir Name Identical (AFUE,etc.)' Location Piping Lad Capacity 1
heat um and Model Number Systems xCle-IRvalI attic etc. R-value hslhr Btu/hr)
l<
Cooling Equipment Conlin Cooling
Equip. CEC Certified Compressor g of Emcieney Duct a
Type(pkg. Unit Mfr Name and Identical (SEER etc.), Location Duct Load Capacity
heat um Model Number systems 2CF-IRvalue attic etc. R-value Btu/hr tuPor .
2ND _ 1-
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
• manufactured devices(from the Appliance Efficiency Regulations or Part 6),where applicable.
`���� ��////1/ireC �%Zr� e! r�•,.nr.,mfr ,tletr�.(/B� �LJ
Signature,Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER HEATINf CYSTFMS•
Disiributlon If Recir- g of Rated" Tank ienc
External '`
Heater CEC Certified Mfr Type(Sid, culatlon, Identical Input(kW Volume eienrys Standbys Insulation
Type Name&Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss(Ys) R-value
2 For small gas storage(rated input of less than or equal to 75,000 Blu/hr),electric resistance and heat pump water heaters,list Energy Factor.
For large gas storage water heaters(rated input of greater than 75,000 DhAr),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
Ill.
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.
• Ignature, ate Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name) OR Owner
COPY T0: Building Department
Building Owner at Occupancy
FROM CRM57I FAX 110. : 0313350329 May. 26 2000 06:39RM P6
6'-A11199a u2:20 4OG.3520IT: - PAfGL d:'
i'
• Coalmorcial Roof Management Sea J6e,Inc.
Residendal RoojS)a am Inspection Report
project: Affaaw"! Inspection tate:
fo11S11
Addrue:dMeAmWK AI:City: CUperdna State: C�
Client: 1"hs o f3riefl Groua
Contact: Pet BWW AM
Roofing Contractor. Vt%'Gxsn-
CRM Inspector: TUb^µ'r!
Lot Number; I=b
•rNN�NeeNN
Type of Inspection: Felt L Pinel X
Type of.Roof: Shingle ,� Tile Ar other $a�� .Is'�
1lnderlayment; Sht Metal Fleshing: i Gutters:v
Skylights: Attachments: _jL Vents 3 pipes: t! '
Valleys: ,r: Ridges; j„• 6sves: .&_ ice•
NN��N�re•rN�
• CornmentUObservationa:
d'w.9tr'P1aF �i�s.w�s1'pQaJST 'i��•+T'+�+Cmst.n.a�.tcY..r�.saT'��.ca
,=w{�I1,QyYFua� wM•�S .4 C.a..�.,� pA.,o rma�wr_. $w.a fy.l.Ei"
ev�c.a-�-ro.� w� -t-►r--. ,�uC �na-.ti a+ar��y�cw ,
'�4"= a4w;.l +e►.,t �W) �> —ate e..es -- .s:
t� �►.r l.00ws tRlaeew
u; Rid*4 R*oMU