S 2845 (2) -APPLICANT-TO FILL IN INFORMATION WITHIN RED LINES-USE BALLPOINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL. PERMITNO.
CITY
DIVISION APPLICATION/Pli PLUMBING.MECHANICAL
BUILDING PROJECL,LDEN'PIFICAT'ION
BUILDING ADDRES`S;10 � ' 1 r` / SANITARY NO APL ID�S'6{iMl� UA'IL
41
OWNER'S[�,Q : ,, PHONE: COMI'RACTOWS NAME LIC NO: - O C//(^f/ -
_� (, NEC CONTROLM
ARCHITECT/ R: LIC ADDRESS: ❑
CONTACT: PHONE • 'BUILDING PERMIT INFO
— ❑ Consultant Fees Paid by Applicant(Initial) B,L-DAG/ ELECT PLUMB M,EECCHH
awe
LJ,
Qy CFNS D O I ACTGRSDECLARAHON QTY. EI.EGTRICPERMIT' - FEE I
I f by ff he'Int I n hardiest] d p fChome 9(comae 6 ti. .- ,LOB DHSCRIPTION
f z withScf 70(YJ) fD 3 fthc ens ss and •.vndmyl's rues RF
1 ° PERMIT ISSUANCP, p - O
'n fullf eandel m SFDWL L1 KITCHEN REMODEL
F License""", Lie H
VCan APPLIANCES-RESIDENTIAL ❑ADDITION El PLUMBING L PIPE
.<,5. Dat ARCHITECT'S r s ❑MUM I UNIT ❑STRUCTURAL
zC)yz Iedmsend my pbmsshull be used as public records PANELS MODIFICA'T'ION
Oz-+O UPT0200AMPS GINTERIOR ❑CHIMNEY R177PAIR
W Licensed Professional - - 201-1000AMPS IMPROVEMENT DSWIMMING POOLS
Q OWNER-BUILDER DECLARATION
C I hereby alBnn that 1 am exempt frnm ale Contractor's License Law Land OVER 1(100 AMPS [I BATH REMODEL/REPAIR ❑UI:MOLITION
O U follawing raven.(Se vlon 7031.5,Bteirh,o and Podfico ores Code:Any city or county SIGNS ELECTRICAL El� 'R
F O0 which requires a permil m construct,alter,improve,demolish,or repair any vlruaurc
m prior rI. q th ppl' If ll) 'u fl g dwtcnmdl SPECIAL CIRCUIT/MISC. i
y hath licensed l) II thepr fth C I cl ' LI L (Chapter 9
dC) (con r b 't15 I 9000) fD 3 rah B :" dP f:." ,Code)at ITMR METER OR POLP.I NST. CIAL•
y pt o a thus he ,exempt de efrom and the basis for the alleged exempt n A y violation of ❑NEW BLDG/ADIJITION ❑DEMOLITION
W 0 Scchor9031.5 by any applicant for a permit subjece the applicant 4l a civil penally of POW ER DEVICES_ THE T ❑FOOD SERVICE
y nm more than five hundred dollars(S500). - PR VEMENT
01,as nwner ofihe property,or my employees with wages as their sole compensation, SWIMMING POOL ELECTRIC
y� O w'11d Ih k db t s t" I Id 0 d[ sale(Sce7044.Business
❑O R
41 and profession,Code Th Contractors I e L d nut apply m an ow of OUTLH'IS SWITCHES-FIXTURES
propany h build, p Ih and h d ink park himself rIbreach
his pl y•es,provided that h p r" lot intended n offered for NEW RESIDENTIAL ELECT R SQ FC -Q
sale lL however the bald"tgor'nproveicatscoldwithin ad ea,of wmplclim,the SQ.Ff.FLOORAREA $/SQ.IT.
owner-builder will have the burden of proving that he did not build ar improve for par,
pose ofeile.) - /y (y
❑ 1,as owner of the property,am csdusively contracting with licensed contractors RI TOTAL: Y
construct the pr ad(See.7(94,Business and Professions Code:)The Contractor's Li- � I V O
causeLa a . ,ot apply I n..,at,of property he banes p mere.n,and QTY,- - PLUMBING PERMIT. FEF.
Who Contracts lot Inalk pj t.winafour.,or(,)liensed paphoutI di Contractors
.
License Law PERMIT ISSUANCE
Fj 1 am exempt under Sea .B&P C for this mason
Owner Date ALTER-DRAIN&VENT-WATER(EA) VALUATION
WORKER'S COMPENSATION N DECLARATION RACK FLOW PROTECT.DEVICE 1 ' )V
r- 1 '
Iherehy affirm under penalty ofp jury one nl'Ihe following declinations
�� Ibevc and will maintainaCertinato ofConaent to self-insure for,WOrkcr's Compen- DRAINS-FLOOR,ROOF,AREA,COND. STORIES TYPECONSIR CTION
sation,as provided for by Section 3100 of the Labor Code,for the perfnmence of the
work for which this permit is issued, FIXTURES-PER TRAP - U
1 have and will monwin Workers Compensation Insurance,as required by Section
37M ofthe Labor Code,forth,performance efthe work for which this perait is Issued. GAS-EA.SYSTEM-1 INC.4 OUTLETS OCC GROUP ADN
My Worker's Compensation Insurance carrier and Policy number are:: -
Carrier Policy No.: I GAS-EA,SYSTEM-OVER 4(EA) 12,3
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE GREASEIINUUSTRI,WASTE IN]L'RCEPfOR ,
BI)ILDINQ DLVISION FB&S
(This section deal nor be vompleted it the permit is for one hunhundreddollen IS l 110) �
nr less,) CRBASE TRAP PLANCHECK PE � G
I carify mal In rho parfonnnnce of the work for which tris permit is isxueA,IshaO SFWER-SANITARY-STORM P.A.20d FT.
not employ any person in any manner s0 as to became subject In the Workers'Couper- ENERGY C
,$ fiction Lows of Calimmund.Data WATER HEATER WNENVELECfR
1ZZ O Applicant 1 - GRADI ,F
Fr h NOTICE IO APPLICANT;IL after making this Canufiare of Bxcmptinn,you should WATER SYSTEMITRF.ATING
F become subject to the Worker's Compensation provisions ofrhe Labor Code,you must SOILS F
Wfonllwlrh comply with such provisions or this Permit,hall b,doamee revoked. ' WATER SERVICE
UO
CONSTRUCTION LENDINCAGENCY NEW RESIDENTIALPhMB. SQ.FT PAID Dam Receipt#
l n�v which
his
but mite is o summaries 7,Covg agger for the performance nr
ti the dark for which This permil is Issued(Su.3099,Civ,C) -
u' Lender's Name
U Lcndds Address TOTAL:
aI n'fy th t 1 h I Ih ppl' f d.t t that tl h Ilrmaf r is „ t, BUILDING :
F. v]
correct.I agree loomintaywith all city androarly indurthars and send laws relet g to QTY. MECHANICAL PERMITt "FEE '
U build b ant lin,and by rh tht ff !m:city to enter upon the - - SEISMIC P.E -3
above-mentioned p,,,Perry for inspection purpesas. PERMIT ISSUANCE 31
•SOO/J
(We)agree to save•indemnify and keep harmless the Cily of Cupertino agaELECT C
inst
Iiabilitles,judguienrs,costs and expenses which may In any way accrue against said City ALTER OR ADD TO MECH.
in consequence of the granting Ofthis permit. FLUME ,FEB
APPI 'A NT UNDERSTANDS ND WILL COMPLY WITH ALL NO NT AIR HANDLING UNIF(TO I0,000CFM) -
MECHAN AL FRE
SO C:REGULATI S� -
AIR HANDLING UNIT(OVERIfh000CFM) CONSTRU ON TAX
o Applica VC Dmi EXHAUST HOOD(W/DUCT)
HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will the a" an Or fume building overpantsmm or handle hazardous material HEATING ON]TITO 100,000 BTU)
as defined by the Cupertino Municipal Cade,Chapter 9 12.and the Health and Safety
Care,Section 25532(a)^. 1�p(��y HEATING UNIT(OVER 100,000 BTU)
❑Yes /I'1, - VEN"I[L.ATION FAN(SINGLE RESICH PAID --
Dec Reeeipr#
Will the appllanl or Ins building occupant y Are.
Air err or devices which
��ir hazvrdansat,cmmminu slufined by the Rey Area Air Quality Management BOILER-COMP(iHPOR 100,00OBTU)
T
c
Color,I ° BOILER-COME(OVER 100,001BTU)
❑Ya
quireaden p AIR COND ITIONER
1 have tend the hazardous Section,
ro r undo Chapter 495 nine Cali -ISSUANCE DATE
- famia 1 eallh&Safety Grc,Scdions 25505,25533 amd 25534.1 undemmnd mal if the NEW RESIDENTIAL.MECH. SQ.Fp. -� __��r
bui nomuwhat havoem t,that It is myrceyonsihility mnotif th ecopnnl - 7
dieaalrall,�ry W11i 11851 print as is dace eta CCllllie t�/5�
rzed,gem Due TOTAL'. ISSUED 6Y'. I
OFFICE
T
NGV. 2.159'? 8:3@R1 BRIPN KNNGAS FOULK N0.476 . P.22
Brian Kangas Faulk
Enelneers s Surveyors • Planners
November I, 1999
960069.50
Chuck Schoenberger
O'Brien Group
2001 windward way,Sufoe 200
San Mateo,CA 94404
Subjectt OakValley—Foundation Verification
Doan Chuck
On October 25 and 29, 1999 and November 1, 1999 we performed is field survey of the locatiplt of the
foundation forms for the buildings being constructed on Lots 5.16,5-17,S•19,5-19,and SS#f the Oak
Valley project in Cupertino.
The results of that survey clearly show that the location of the foundation forms aro coosistant and in
conformance with the design locatiah of the buildings,as•said locations are shown on the plans prepared by
our firm.
lids letter is Intended to provide yoe with the verification of those units per our survey, if there aro any
other questions concerning that loco ion,please de not hesitate to call.
Sinearsty, 1 AN0
a
rAADIEI'A 1111.80
CIRI4N KANOAS POULK 4. E ,3/31/02 f
Bradley A.eilbo P.L.S.8141 u�� Ma 8141 a�
Project Manager hr
Survey Department
�`` op 0AUF0�1
540 Price Avenue s Redwood City,CA 94053 . (8501482MM s FAX 16 501 482-839 9
•
1
ENGINEERING WEST INC.
• OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO,CA,
6.1.2000 4
N of tan OPTION Fdn. Ist floor Roof I Ela I Sae.fir.n Saab rm .
5 1 25 Ii /27/9y 0
5 2 1 BMR 09/21199 NIA 2.8-2000 _2.18.2000 3-7-2000
5 3 BMR 09121/99 N/A 2.8-2000 2-18.2000 3-7.2000
07/01/N 09124/991 1.5 10101/90
5 5 8A 2/130NUS 04. 9.99 08/17/99 0822199 09122/99 _ 10/111/99
6 6 2A 3 1 04.29-99 06/14/99 0920/99 09120199 09/22199
5 7 5C Z/QONUS 111 09115/99 O I / 101
5 8 26 3 04/19/99 08/11/99 09/0999 09/09199 0924199
5 9 30 1 2 04119/99 06/07/99 1 0943189 09103.50 0921199
5 10 88 2/BONUS 04119/99 0528/99 09/03/99 0103199 _ 9
5 11 4C 3 04.20.99 0627199 0829199 0829199 0928199
5 12 1 60 UBONUS 1 521/99 0812M9 0813ffl 09M5199
5 13 1 3C I 3I130NUS 04/01/99 0527/99 06/18199 0811359 09103199
5 d22
f6E21BONUS 04/01/99 07102/99 08/18198 08/18/990829/99
5 3/ US 0 10199 0 /17 9 8/10199 0811219908/23199 11/02/99 12-23-99 3.24-2000 3.24-2000 5.10.2000 4.27-2000
5 111 1 -2 45 11!0299 12-15-99 3.8-2000 }10.2000 5.10-2000 4-12.2000
5 11102/99 12.13-99 2.23-2000 5-2000 1-21.2000 4.6-2000
5 119299 12102/99 - 8.2000 2-18.2000 1.20• •24.2 0
5 DET.GAR. 08/16/99 10/14199 2.14.20DO 2-14.2000 5.10.2000 3.8.2000
S 0811 99 09/27199 1. 1• d.n.a. 1.26.2000
5 1C 1 08/18/99 09117/99 1-20.2000 1-21-2000 d.n.a. 1.21.2000
5 24 7A 2_ 07/23/88 10.4-99 1.18.2000 1-7.2000 d.n,a. 1-21.2000
5 - -- -
5 26
5 27 1B 2 OW07M 2 1014 10/04199 10111199
5 28 78 1 2 05107/99 0629/99 10107/99 10114/99 10/1499
• 5 29 10 1 2 05.10-99 07109/99 1011899 10/18199 10/18/99
5 30 BMR
5 31 BMR
5 32 410 i 3 9 72 10.22.99 10.22.99 10-27.99
5 33 210 1 3 05107/99 07/12/99 11/0299 10.29.99 11.8.99
5 34 38 1 2 0510799 0723199 11108199 12.1-99 12-1-99
5 35 58 318ONUS 052899 07/20/99 11-10-99 11.10.99 12-8-99
5 36
5 37 2C 2 08/2359 072699 11.12.99 11.22.99 12-9-99
5 38 3E 2 0623199 08/1259 11. 2.98 12.2.99 12.14.89
5 39 BA 3 082359 08/1859 1299 12411-99 12.16.99
5 4 I NUS 0710699 06/12199 12.13 99 12.13 99 12.21.99
5 41 3A 07/0859 082319 1.3.2000 1-1-2000 2.18.2000
(1)LOT 6 PLAN 2A 6 LOT 7 PLAN 5C (4)A.B's at poron front
'DID NOT OBSERVE PIERS. (5)chimneys
'12)DBL SIDED SHEAR WALLS
•(3)FLR. NAILING
•
ZO •d OLST 962 804 1S31A 0N1:LI33NIJN3 VL9 °LO 00-ZO-UnC
lit/2u/Uu TpE 11;37 F.i:i auti59•s tC:30 DOVE HILL fv�j 001
uA_ZZ . .
?onsumng&Vlr we and Scientists f I H 4 fr4c •T
426 ROLAND WAY
O' cA6Ki0 DD,CAio01 021 C? k ✓o(/, de.n, a
• L1 xy I r,C
r---- /7,�U' T
we A1nJrn,i�.iY' /171599 7bwrzidcy rmmHen Par. •yG•at ANI
1 60 5"at PM
ours Dhdpld To Reim ml DWI"TOM
L'1l LIG G`I' tJf•)'LLF�i f�L HnL�
l"Trek Wnibor •<�I�-. .C4 i`) G,o,,,,,y� y�mdB/s
eP
SAE FOLLOWNG WAS NOTED:
r- r. Cca,t,v elf. , pIcLP(.✓) eat• f �s�X.C.h C.\ G-vv A'CA-5
1(, YhrLZ)rw1;. .�c2C' Iry L"r T v�'1el' ♦'��
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arc r � n n,+, �'KC 5 C!a C1Ce rcdh•.
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'1) IC,{•61't Ct Ll l1'. 'l n 1` I
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r, 1-y c,ck ,: H._ ;c r„ cs,. Y%A4 C•i< +•n:F• l ,n ,•d •� clr c F
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•
oil -3C`.Cl'.;�i I'•�1�.1'..'1.x._ c(:, _I 1'cc G Y�'a�"aF ..C�d . GI j ! .'L, )e Y f \I PI•l 4�
tom.
J
—Cil r� r. CC !� 1J r•. . ^i I' JGO�{ I\)Lr I'Y/ � Cal •� 1�I1: �112.� F• T'In��..l . �i�♦
L.iF'•4 , I/.Cv .I, i F^v^F,n PC,y'� � WPsi� Gi,Cr'n.x.�• v I2c,l for O11 j1"il'rc�.<•L:A�I. .
slTrf C[ ''C1 I'1GIPCC.�1S. i,��CJ YI,Gh' 'T"ILlSN , ryb,l: I"Cf/G•�C'1-1 •/ l)�:lrl
�ac
?clj2 ctzvtd 'sL�to L/� yF CL,u:vrl.
'� ` ? '�YJIC fn �ko I [F Y ,o r..v. ,:�r GnT +G r C-a L,
/Z e.nl ' ' �O''Cr'cke, . -r-trr.,r GF ew err ," ea4L+ ICL,.L dile
Cc•r,(- C,v r,el� G✓^ iv'1rrP CC»'1171r�51JC ���rGv;
C,I I, a Lu.r•s
:7�u,.,,�� 'a +y �I c�,,. c�,.�Yom^alp Z, r l� , 1•t C!l Ly,,, •, X' ',:,rU r _
((\ s
`�'4^ (�V�IC ,� � J•.Q is 'I�)i r'^ r
t
OPFeTO
SIGNED
•
�I
f
4
POST THIS CARD NEAR FRONT OF BUILDING '
GITY OF CUPERTINO - PERMIT NO.
BUILDING DIVISION BUILDING PROJECT'IDENTIFICATI. S 845
BIUILDINGADDRISS_ ll J CI /Yry 4 / 11-/ j SANITARYNO. A'PU%TION�GHMI'ITALDAT
OWNFR':jV JJ PMONL: CONTRAM OR'8 NAME! i••. LIC O,
lJ NIC CONTROI,x
ARCNITEC/ TER: LIC NO: ADDRESS: ❑
•BUILDWG PERMIT INFO
INSPECTIONS- DATE'. INSPEC. ❑ Consultant Pecs Paid by Applicant Onitiai) RLDG ELECT P9H NIECII
❑ El
FOUNDATION/PIERS/H.D.S. U( INSPECTION RECORD
J06 DESCRIPTION
UFFR GROUND (X !� NOTE: ALL. GRADING AND DRAINAGERFgIpFNTLAL.
PAD/SET BACK-CERT �' O(7 SHALL BE INSTALLED TO COMPLY WITH 'OsFDwL ❑KITCHEN REMODEL
THE APPROVED PLANS AND CITY OF ❑ADDITION ❑PLUMBING RE-PIPU
GARAGE SLABS/PREGUNITE CUPERTINO STANDARDS. ❑MULTI-UNIT ❑STRUCTURAL
MODIFICATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED TO ARRANGE INSPECTION ❑INTERIOR ❑CHIMNEY REPAIR
UNDERGROUND/SLAB CALL AF1'E RNOONS (1:00 PM - 4:3U YM) IMPROVEMENT ❑SWIMMING POOLS
PLUMBING 777-3228 M ONDAY TO FR I DAY 24 HOU R S B E- ❑BATH REMoneultePAIR ❑DEMOLITION
� ❑OTHER
ELECTRICAL FORE REQUIRED INSPECTION. JOB ADDRESS
DO NOT POUR FLOOR UNTIL ABOVE HASBEEN SIGNED AND PERMIT N ARE NEEDED WHEN PHONING.
COMMFR IA ,
PLUMBING A'T'TENTION CONTRACTORS: ❑NEW BLDG/ADDITION ❑DEMOLITKIN
MECHANICAL NO PERSON(S)SHALL PERFORM WORK ON ❑TENANT ❑FOOD SERVICE
THIS JOB SITE WITHOUT BEING IN COM- IMPROVEMENT
ELECTRICAL PLIANCE WITH WORKERS'COMPENSATION ❑OTHER
FRAMING VENTS CV INSURANCE REQUIREMENTS.
INSULATIONINSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP,
U
PLACE NO SUBFLOORNTIL ABO 8 SED
HABEEN SIGN
ROOF SHEATH/DIAPHRAM
PLUMBING
TUBS&SHOWER PAN,
MECHANICAL (,'�'J
ELECTRICAUPOOL BOND �j
FRAMING/STAIRS/E.EGRESS C77
INSULATION/VENTILATION
COVER NO WORK UNTILABOVE HAS BEEN SIGNED
EXTERIAL SHEARMOLD DOW
INTERIOR SHEARMOLD DOWN
SHEETWROCK/SHEETROCKSHEA C)O - 7
EXTERIOR LATH/W-SCREED
SHOWER LATH 40 -j
NO TAPE OR PIASTER UNTIL ABOVE HAS BEEN SIGNED-
SCRATCH COAT
SEWERIWATER
TEMPORARY APPROVALS
OCCUPANCY
ELECTRICAL Q
GAS
FINALS
GAS TEST
GRADE 00
FIRE
HANDICAP
ELECTRICAL62,
PLUMBING
MECHANICAL
VISUAL FINAL ONLY CERTIFICATE OF OCCUPANCY
VISUAL
BUILDING IMPORTANT': ISSu,ANCE DAF ,...�
_OCQUPANCYOFBUILDING.ISINOT=PE MITTEDI4& PLEASE READ REVERSE SIDE BEF RE
<UNTIL EUIII)ING/F!N UILDING° CALLING FOR FINAL INSPECTION!! 7-
'INSPECTOR':` dis3` I SSUI:ONY: l
APPI If ANITIC Dl1CTINI!] nn DV -
ENEO GEOTECHNICAL AND ENVIRONMENTAL NVI ONMENTAL CONSULTANTS
I N C O R' P D R A T E D MATERIALS TESTING
•
Project No.
4136.4.050.01
May 22, 2000
Mr. Pat Burke
The O'Brien Group
2001 Winward Way, Suite 206
San Mateo, CA 94404-2473,
Subject: Tract-Oak Valley
Lot 5-18, Permit Number S2844
10908 Sycamore Drive
Lot 5-21, Permit Number S2847
23645 Oak Valley Road
Lot 4-33, Permit Number S2840
23515 Oak Valley Road
Cupertino, California
• SEISMIC FRAME INSPECTIONS
Dear Mr.Burke:
With your authorization, ENGEO Incorporated performed special inspections and ultra-sonic testing
related to the seismic frame installation at the subject properties located in the Oak Valley
subdivision in Cupertino, California. This report is submitted in accordance with Chapter 17 of the
Uniform Building Code.
Observation and testing services were provided using the approved plans for the following:
• Field welding of the seismic frame moment connections.
• Field welding of the framing straps.
• Ultra-sonic testing.
To the best of our knowledge and based on our observations, the work requiring special inspection
and testing is in conformance with the approved plans, field recommendations of the Structural
Engineer, and the applicable workmanship provisions of the Uniform Building Code.
•
2401 Crow Canyon Road • Suite 200 • San Ramon,CA 94583-1545 • (925)838-1600 • Fax(925)838-7425
www,engeo.com • E-mail:engstaff@engeo.com
The O'Brien Group 4136.4.050.01
Tract-Oak Valley May 22, 2000
• SEISMIC FRAME INSPECTIONS Page 2
We make no representation as to the accuracy of dimensions, calculations or any portion of the
design for this project.
If you have any question or comment, please do not hesitate to contact our office.
Very truly yours,
ENGEO INCORPORATED Reviewed by:
Robert X. Jo on Dan HaynosciVo
Q ()FESSl0,, N�y
rxjke:seismic a Nor
cc: 1 —City of Cupertino
1 —The O'Brien Group,Mr.Gerry Ploof Na C>103g/
. 0
'rld CM
SOFCAISi
•
•
C
Coerr 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: /1
SITE ADDRESS: I� I FL S yr'fa moy-e D q— Lfl+� Irl �j. [SGLk \tape 1, ( l M1/a
FLOORS: t 1
Manufacturer OWENS CORNING/MV Thickness/Type _(QA 3/2 R-Value , Q 6[ 1
EXTERIOR WALLS: 1 l 1
Manufacturer OWENS CORNING/MV' Thlckness/Type44 R-Value
CEILINGS: G
BATTS: Manufacturer OWENS CORNING/MV Thlckness/Type I I y1Z R-Value 3 0
BLOWN: Manufacturer OWENS CORNING Thickness/rype 1Zr R-Value d
Weight/Bag 35 Sq. Ft. Covered 1(j 6;P) # Bags Used 193
AIR INFILTRATION SEALANT INSTALLED: YES la -NO F7GENERAL CONTRACTOR e b/&1eA vain LICENSE #
BY: 1. . TITLE: DATE
• COAS INSULATI ONTRACTORS, INC, LICENSE # 465440 C-2 _
BY: JA TITLE: DATE: _ —
•
0BRZEN
/GROUP
'Or ke
Jim Rlploy,SMTP;rlployd0®pacbell,nol�
Monday, March 00, 1090 2)28 AM
•
PAT BURKE
OAK VALLEY
Linear parkwayplanting, \ �>
'
s Within
t
n l the HAW prepared n
red by this Once Rhd rot lowed by the he city `� w
998 and.conform with Iho prollmina a k
ry pproval doumanls, qp
ipley
9n Group, Inc,
' � I
FINAL PLANNING SIGN OFF
DATE
SIGNATUAVL�.
S700,SAN MATRO, NLIFOXNIA 71104-2473 TIILIIFIIONN(611)) 377.0300 FACSIMILa(610)319.7547
pwli.,( Marnh I, 1996
FROM CRMSJI FAX N0. 831335-8329 May. 26 2000 08:3841 P3
PgSE Lb
• Cammixcltl Root�IaaaQwnsnt Sea Jb�e, lec.
Rardenrial Roof Syman! amour Repan
Projoct: mMama+rr Inspection Cate:Z Wmam
WA tg
Addr%se:gy 22 City: uaertfna State: Q4
Chant:The Darien Group
Contact: Pat jwdggman
Roofing Contractor. _$jPA s*'
CRM Inspector:
Lot Number: -1
Type of Inaneetion: F-tlt F;nel ..?—d
Type of Roof: Shingie jr T71a-42P Other >9t4%vmr'
undettayment: ( Sht Metal Fleshing: -�L Gutters:i,
Skylights: -Y— Attachmenw..jL Vents A Pipes; '!
Valleys: —W. Ridges: 1 Baveas �r
Commentalobservatlons;
Vt0'1 o%w.
t"�.ItS t-�+�t�.Si I N ,e.wa� .x^t•rT .5�si�.a.�ae3b t
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INSTALLATI0I�1 CERTIFICATE (page 1 of 4) — CF-6R
He 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 forth 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. 0 of Efficiency Duct Duct or Heating Healing
Type(pkg. CEC Certined Mfr Name Identical (AFUE,etc,)' Location Piping Load Capacity
heal um and Model Number systems 2CF-IR value attic etc. R-value (Btu/hr) Blwhr
_ oQ�00
!Nth i
Cooling Equipment
Equip. CEC Cenlfied Compressor It of Efficiency 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 Btu/hr /Iu? Blu
f s
Ate k
�k�TiG
I. >_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
efficient than'thaCspecified 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.
Signature, Date Install g Subcontractor Co.Name)
OR General Contractor(Co.Name)OR Owner
}PATER HEATING SYSTEMS:
Distribution it Rcclr- 0 of Rated' Tank Em- External
Heater CEC Certified Mfr Type(Sid, eulatlon, Identical Input(kW Volume eicnty' Standby' Insulation
Type Name&Model Number Point-of-Use) Control Type Systems or Mu/hr) (gallons) (EF,RE) Lou I%) R-value
2 For small gas storage(rated Input of less than or equal to 75,000 Btu/hr),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 Loss and Rated Input.
For lestan(ancous gas water heaters,list Recovery Emciency 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: l) 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, Date Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name)OR Owner
COPY TO: Building Department
Building Owner at Occupancy