S 2740 (2) APP,LICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO , BUILDING.ELECTRICAL. PEItMI'INO.S - -2740
• `-BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL.
'BUILDING PROJECT IDEN'HFICA'OQN N
BUILDINGADDRF.SS: .i /�� SANI'1'ARYNO. APPLICAI]ON SUBMITTAL DATE
l 401 (,$ Syt4fyw" 4v If
31�� �49
I OWNE.R'SNAME' PHONE: CONTRAC'TOR'S NAME: LICNO:
' NIC CONTROL(/#1�
ARCHITEME .IC ADDRESS. ❑ L� `�/
CONTACT. PHONE: - BUILDING PERMIT INFO
a _ ❑ Covaultant Aces Paid by Applicant(Initial) BLDG ELECT PLUMB MUCH
.ICENSEDC l-RACTORSDECLARAf10N QTY. ELECTRIC PERMIT FEE'
1 hamby affirm that I licensed fo p f chapter 9(commencing JOB DESCRIPTION
"Z with SC lem.7000)nfD"''nn 3.1 he Bus tesnan Code undmyllevnsols PLRMITISSUANCE RESIDE TI
( Fly is full forma td affect DWL ❑KITCHEN REMODEL
I' �UU I nefiles Lie.# APPLIANCES-RESIDENTIAL, []ADDITION El PLUMBING RE-PIPE
p N Zj a D:1e Coalman,
l ¢ ARCHITECT'S DPto r ❑MULTI-UNIT ❑STRUCPURAL
i Fvai,2 Inndelsmnd y plans shall be used as public recorS PANELS - •MODIFlCA'fION
-_-_,H„Q UP I'D 200 AMPS ❑INTERIOR ❑CHIMNEYREPAIR
14�kw Liwaved Prnfes...unit 201-1000AMPS IMPROVEMENT []SWIMMING POOLS
9 -i ' OWNER-BUILDER DECLARATION OVER I000AM1'S []BATH REMODELIRCPAIR' �DEMOLI'fION
I hereby affirm that I am exempt front the Contractors License Law for the
,la'O W U fallowing mveon.(Section 70315.Business and Professinre Code:Any ally or county SIGNS ELECTRICAL ❑OTHER
W3[Ly whichrequires' permit 1 'I 'It p' d f hrepair- Y lmuare
B"��n pd t itrequires[Iapplicantt 'hpermit l 11signeds temenl SPECIAL CIRCGIT/MISE.
y hat lie I' Jp t IM1 p of the Contractor License' (Chapter9 -
WKd� (wmmena ng with Section 9axl)nTDivision3 of the Business and Professions Code)or TEMP.METER OR POLE INST. COMMERCIAL'
W p0.
W c then ha is exempt therefrom and fore avers for We subjects
the
exemption.
to Any violation oil NEW BLDG/ADDITION ❑DEMOLITION
.a�
Section N3L5 by any applicant mrvpermit mhjedethe opplirnmmvcivil penally of POWER DEVICES
"Po TENANT ❑FOODSERVICE.
r w ran mate than live hundred delhtrs($500).
L] 1,as swnerif the ptutpet,mnty employees with wa,r,xa,he,wdc compensation, SWIMMINGP(IOLL+LECI'RIC IMPROVEMENT
p. will dothework,and destructors,is not intaidedoroRered forsale Xce.7GPL Business [I OTHER
snit Free,...is Cade:The Contractor's License Law does not apply to an owner of OUTLETS-SW ITCHES-FIXTURES
property who builds or improves thereon,and who does such work himself or through
his.,it employees,provided that such improvements am nm intended or afferW for NEW RESIDENTIAL ELGLTR SQ FT.
salc.I[,bowevar,thehuildingorimpmvomenl resoldwithinnncyoar ra completion,the ^� 'SQ.PE FLOOR AREA 8/SQ.FT.
cr-hulldrs will Mrvethe burden of provingthat he dad nal haintaire,res spur- W� O O
peaale.
ef s ). �O�
I, owner of the properly,am oxelueively amlmding wilM1 licensed contractors to
construct the project(S 90c4 Bixtresc and Professions Conan I na c-ouvrector s L- n -as Law d rpplyt f property he hould,or improvesdercer,add QTY. PLUMBI •PERMIT, FEE
PERMIT ISSUANCE ' s
col contracts for such p 3 tswithacontractors)Iieeaved Pursuentm the Contractor s ���
License Law.
C]Iantexemptunder Sec. ,B&PCforthincvs,mi
I Owner ❑lite ALTER-DRAIN&VENT- (EA) '}VALUATION
WORKER'S COMPENSATION DECLARATION BACK FLOW PROI EC I OEVICB 3OZ
I hereby affilrat under pcoalyof perjury are of the following declamdone: �� w
I havenndwillmmatuie a Carni met,of Comenuosalr-mwm for Worker's Compen- DRAINS-FLOOR,ROOF,AREA,C D. S'rOR(ES TYPE CONSTRUCTION
nation,it,provided Per by Section 370b of Lha Lalxrt Calc,Ratio,plop nnonm or the
work for which this Permit is issued I FIXTURES-PER TRAP _'7 / w
A
[:] I have and will maintain Worker's Compensation Insurance as required by Section �/' v
3100aflhe Labor Coda.term parf'y' ce orthe Riot whiehill lis nsucd, GAS-HA.SYSTEM-I INC.4 OUTLETS OCG GROUP APN
My e k -f I atq M d Pohcy 1. re"}�
-f �jf(�•V CAS EA.SYSTEM SYSTEM-OVER
ca T xEM P
COMPENSATION[ IRA LH GREASEIINDUSTRL WAS'IL INTERCEPTOR
'BUILDING bIVIS[OIJ S '
(Th nxedinn neeJn IM. nmplmrA ifthe pernil sfnrnne hundmJ dollars($1110)
DISEASE TRAP r
nr leos) - PLANCHECK VEP. '
I certify Wan In the Picanolmceoflhe work far which filk,nniI in issued,[start SEWER-SAN]TARY-STORM EA.2001,L
not employ any personal any mannerso is,to became subject to the Workers'Canadian- ENERGY FEE
7.1 satins Laws of California.Dale WATER HEATER WNENT/ELECTR
�y Applicant t GRADING FEE
G NOTICE TO APPLICANT It,alter making this Culilicute of Exemption,you should WATER SYSTEMC REATINC
a become subject to the Worker's Compensation provisions of the Labor Code,you most
SOILS FEE
W forthwith comply with such provisions or this permit shall he deemed awaked. WATER SERVICE
P Q
CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL ELME. SQ,FT PAID
UQ work
hah,hi, ash,,isi I(Seeri30C.Cis.agency Wnhc performvnca of - D'e Rewipl#
the work rar which this pannit is issued(See 30C.Civ.CJ
lender's Name 'TOTAL:
i.eaJe drc.mm AJTOTAL
I : [p�''yn``
'a certify that mad this application state that thh f i 1' BUILDrryE
_i ZI correct. g to comply with all city 1 county ordd state Irelating to QTY. MECHANICAL PERMIT FEE
U � building I ion n]M1 by tl p pi e- rd'. nyt t rupen ,the SEI CF 3 0 Z O
tho,c-asemmucalproperty faspiration pmarsPERMITISSUANCE.
s (We)agave to save,indemnify Ind keep harmless the City of Ctapenf io tga'nsl E ELTR PEE
Iiabllities,judgmenls.costs and expenses which many in any way accrue agalnstsaid City ALTER OR ADD TO MICH.
it asca oflhe grunting or this parotin. PI. B OPP.P.
an
APPLA I UNDERSTANDS AND WILL COMPLY WITH ALLNN-POINT AIR HANDLING UNIT('1'01(,000 CFM)
SOU ,E t 3ULATIONS. MPA ANICAL PEE
AIR HANDLING UNIT(OVER 10,01ICIM) CONS UC']ION TAX
Si slur nntmc D.IV EXHAUST HOOD(W/DUCT) HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will the applicanlor forma,building asocial store or handle hazardous material HHA'1'ING UNIT(TO 100,000 It I U)
as defined by We Canaria.Municipal Code.Chapter 9.12,and the Health and Safety
Code,Section 25592(0)4 GRATING UNIT(OVER 100,000 BI'U)
❑Yes - PAID .-
a VENTILATION PAN(SINGLE RE,SID) Date Receipt#
1 Will the applicant or futu building in apart use equipment or devices which
at hazardous air contaminants as defined by the Bay Area Air Quality Manages art BOILER-COMP(3HP OR 100,000 BTU)
Dilect„ TOT
S
El BOILER-COMP(OVER 100,0008'fU)
I hnvemnJtha harrafmsnaduals mquirmards under Chapter 6.95 of the Coli- - AIR CONDITIONER ISSUANCE DATE
fomin Ilth &Safety Gtde,Sectinne 2550.5,25533 and 25534.1 understw that if he NEW RESIDENTIAL MECH. SQ.FT.
buildi d notwnaril yhaveraccus LO v my rescatstalitym notify eoccup nl
aft recta mea t art isuvncoofe Cenideu n u /
iQ
Owner or author agent Dae TOTAL:
ISSUED BY:
OFFICE
Brian Kangas Faulk
inplhaers • swita o i . Planners
July 19, 1999 i
960069.90
a ,
Chuck Schoenberger
O'Brien Group
2001 WL'idward Way, Suite 200
San Mateo,CA 94404
d'
Subject: Oak Valley—Foundation Verification
DearChuok,
On July, 16, 1999 we grffgrmad.s'figld survey of die location of the foundation forms for the buildings
being cotutruded oni' tJS-24,"•5=42,5.43,5.44 and Lot 5.45 of the Oak Valley project in Cupertino.
The results of that survey clearly show that the location of die foundation forms are consistent and in
conFoinnance with the design location of die buildings,as said locations are shown on the plans prepared by
our flmi.
This letter Is Intended to provide you wide die verification of those units per our survey. If there are any
odor questions concerning that location,please do not hesitate to call.
Sincerely,
w�gr[,0 VAND SU�`��
1.l d
BRIAN KA OLQ IC "? BRADLEY&811.00
Bradley A.Bilbo P.L.S.6141 s D.P.3/31/02
• Protect Manager Nr No.6141
Survey Department OFCA1F��
L
540?rice Avenut a F6awood CIN,OA 34063 . Id601482.030C • FAX(660)462.6369
•
ENGINEERING WEST INC.
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO,CA. PAGE 2 OF 4
4.21.2000 I A I ec. r.n Oslo
of lo dn. W or 0019 7/9 5 t 0 KJ9 414 9 3-7.2000
5 2 BM 09/11199 NIA 2.8.2000 2.18.2000 • -7-
09/21199 NIA 2 •2 2.1 ' 10101199
5 3 M p4.29-99 07101/99 09124199 10!01199 10/1188
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14 2IBON 4 07102199 08116199 08/18199 0623198
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34 B 2 7 0723199 11108 9 12 •99
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•(/)LOT 8 PLADID NOT OBSERVE PIERS. (5)chmne�°rth fivnl
•(2)DBL SIDED SHEAR WALLS
• (3)FLR.NAILING
• v o•
DATE JOB NO.
Consulting Engineers and Scientists -7 • i(-
PROJECT
425 ROLAND WAY
OAKLAND, CA 94621
(510) 568-4001 ocnrioN
TO �� l 1 / Cl+ ) CONTRACT R OWNER
lCI
D 1t •� .1 :x;15 ����<7 (_n �'i' �C,/.�l'v� WEATHER TEMP. L).°at AM
�--� S" I v_ ;°at DM
PRESENT AT SIT
r
Hours Charged To Project �� � Nuclear Density Tests �/- _
i
Field Task Number Concrete Cylinders Y
THE FOLLOWING WAS NOTED:
0, S CSI.i'_FI tk, 11 Cli
clIa � T ( l 'P\ V(C� �nr,llli tc P( CL, luE A.kFc 11,fE ltr
1,
" KI- • r� I r� YI��'i'l •A. Y^. 11 t[ ' T . • , ••X.0 re ir. I�r� \ 6r' ( � 1- 11 �,1ux 3 !�1r �.
Y'1 fir. .v V• t I rf ,._rC'' f ..c i s
.J�.I �-� � ( I' I � ryll rr 1� ,� , fl `r , , ,. Cr1 ,. peIL.
(—
r !-c ( rl aC ,.1 r -P.- �� c�lr i , r �rbr r7r /rt'-,
o__;',,1 , 1 rr1�'1 �,i'r('ex 1T„� � Prl n 6, i A,. : li burr} t ,
P^.(1f rz .0 e- -`r ,'r(.e rl C.(1, r't �•.,r ('-.f !'.�Y/` �� r . / �.
r4 ' ( i,
'f—
r. .v rp Tri "1 , +T r v r 14$,
C�ESTO [ �LLDD IJ'
. � �
SIGNED
AGENCY
r
i
'LAR EN
GROUP
'Ae
Jim Riploy(SMTP;rlploydgpacbell.nal(
Monday, March 08, 1999 A6 AM
PATOURKE
OAK VALLEY
r ,
CA
Linear parkway planting,
s within the Ilnoar perk are conslslont with Iho londsoapo
I documents prepared by Ihls office and reviewed by Iho city
)98 and.conform with Ina proliminary approval doumenls,
Ipley •
In Group, Inc.
FINAL PLANNING SIGN OFF
DATE
SIGNATURE
18,W SAN MATEO, CALIFORNIA V4404.2473 TItUlPIIONN(630)377.0300 PACSIAIILa(640)349.1441
p.vlurl Marrh I, 199f,
LnOAST Insulation Contractors, Inc.
INSULATION CERTIFICATION
86 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: S -24
FLOORS: I I
Manufacturer OWENS CORNING/MV Thickness/Type a R-Value 0
EXTERIOR WALLS:
Manufacturer OWENS CORNING/MV Thickness/Type 3 a R-Value IS
CEILINGS: c/
BATTS: Manufacturer OWENS CORNING/MV Thlckness/Type �Qtl�t- R-Value 33% �q
BLOWN: Manufacturer OWENS CORNING Thickness/Type 5� I4 _ R-Value 3P
Weight/Bag 35 Sq. Ft. Coverednpo # Bags Used 4-0 —
AIR INFILTRATION SEALANT INSTALLED: YES)k NO ❑
fit
GENERAL CONTRACTOR S bfaLA.W - C��lTp_ LICENSE #
BY: TITLE: DATE
*OAST INSU �7TION CONTRACTORS, INC. LICENSE # 465440 C-2 —
BY: �t� TITLE: DATE: U
•
r
Commercial Roof Management San Jose, Inc.
Residtntiul RoofSyslFm /n.apeclion Report
• Project: QaK Valley Homes Inspection Date: 4/6/00
Address: 11000 Sycamore Dr'tvg,City: fdUl2ertino State: CA
Client: The O'Brien Group
Contact: Pat Burke/Dan
Roofing Contractor: Rid-Out Roofing
CRM Inspector: Charles Thomas
Lot Number: 124
Type of Inspection: Felt_ Final X
Type of Roof: Shingle X Tile_ Other
Underlayment: 301b. Shit Metal Flashing: QK Gutters: QAC
Skylights: OK Attachments: OK Vents & Pipes: OK
Valleys: _Q" Ridges: OK Eaves: OK
• Comments/Observations:
All flashings are present and correctly installed. The gutters and downspouts are in and
appear acceptable. There aresome muddy footprints on the front roof area, however If It
rains these should wash off. Overall, this is a very dean, professional roof installation.
All work is acceptable.
cc: Rid-Out Roofing
•
.INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
rte rens
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. I of Efficiency Duct Duct or Heating Heating
Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity
heel um and Model Number Systems 2CF-IR value attic etc. R-value tuAu Btu/hr
Cooling Equipment
Equip. CEC Certified Compressor M of Efficiency Duct Cooling Cooling
Type(pkg. Unit Mfr Name and Identical (SEER etc.)' Location Duct Load Capacity
heat um Model Number systems CF-IR value and etc. R-value Btu/hr tumr
1. >reads greater than or equal to. .
installed 2 equivalent to or more
' d above is: 1 is the actual equipment ) q
I,the undersigned, verify that equipment listed )
efficient than that specified in the certificate of compliance (Form CF-IR)submitted for compliance with the Energy
Effcienay Standards for residential buildings,and 3) equipment that meets or exceeds the appropriate requirements for
manufactured devices(from the Appliance EfIctency Regulations or Part 6),where applicable.
Signature,Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WAT R HEATING SYSTEM
i
Distribution IfRecir- Mof Rated' Tank EHI- External
Heater CEC Certified Mfr Type(Std, culatlon, Identical Input(kW Volume cieney' Standby' Insulation
Type Name&Model Number Pointof-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Lou(Y.) 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 beaten,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
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, Date Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name) OR Owner
COPY TO: Building Department
Building Owner at Occupancy
. o-..;ood Mn�rh 1 ltrOq
C!'IY;OF CUPF.RTINO 5 Z74a
BUILDING DIVISION NUILDING PROJECT IDENTIF'ICATIO.
SANI'T'ARY ND, APPLICATION SUBMITTAL PA
If UILDING ADURGSS/ - FADDRESS �.0 HERS @ME: PHONE: II'S NAME. n LIC NO: CONI'ROLN
NICARCHITECT(E]IGINF:ER: LICAJO: ❑ 2. !O x'1.7
' BUILDING PERMIT INFO
INSPECTIONS - DATE INSPECT ❑ Consultant Fees Paid by Applicant(Initial) BLDGELECT' PLUMB MBCH
aof
FOUNDATION/PIERS/H.D.S. INSPECTION RECORD JOB DESCRIPTION
UFER GROUND NOTE: ALL GRADING AND DRAINAGE
SHALL BE INSTALLED TO COMPLY WITH sF'DwL El KITCHEN REMODEL.
PAD/SETBACK-CERT THE APPROVED PLANS AND CITY OF ❑ADDITION ❑PLUMBING RE-PIPE
GARAGE SLABS/PREGUNITE CUPERTINO STANDARDS. ❑MULTI-UNIT ❑STRUCTURAL
MODIFICA1 ON
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED TO ARRANGE INSPECTION ❑INTERIOR C3 CHIMNEY REPAIR
IMPROVEMENT []SWIMMINGPOOIS
UNDERGROUND/SLAB CALL AFTERNOONS (1:00 TNM - 4:30 PM) ❑BATH REMODEVRBPMR C3 DEMOLITION
PLUMBING 777-3228 MON DAY TO FRIDAY 24 HOURS BE- 0OTHER
ELECTRICAL FORE REQUIRED INSPECTION. JOB ADDRESS
AND PERMIT p ARE NEEDED WHEN PHONING.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED COMMERCIAL
PLUMBINGATTRNTION CONTRACTORS: ONEWBLDG/ADDITION ❑GEMOLDION
MECHANICAL NO PERSON(S)SHALL PERFORM WORK ON ❑TENANT ❑FOOD SERVICH
THIS SOB SITE WITHOUT BEING IN COM- IMPROVEMENT
ELECTRICAL PLIANCE WITH WORKERS'COMPENSATION 0OTHER =
FRAMING VENTS ( INSURANCE REQUIREMENTS. _
INSULATION INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSR
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEENSIGN D —
ROOFSHEATH/DIAPHRAM
PLUMBINGgov
TUBS do SH �'
h1ECHANICAL ELECTRICAWPOOL BOND FRAMING/STAIRS/E.EGRESSINSULATIONNENTILATION
COVER NO WORK UNTIL ABOVE HA BEEN SIGNED
EXTERIAL SHEAR/HOLD DOWN _
INTERIOR SHEAR/HOLD DOWN
SHEETWROCK/SHEETROCK SHEAR'-414AU OU
EXTERIOR LATH/W-SCREED
SHOWER LATH QD
NO TAPE OR PLASTER UNTIL AB E.HAS BE . R] ED
,,SCRATCH COAT
SEWER/WATER —
TEMPORARY APPROVALS.
OCCUPANCY
ELECTRICAL
GAS
(FWAI.SS.id .# .i 'f�i3Yn'KI's'PE�
GAS TEST
GRADE
FIRE
HANDICAP
ELECTRICAL
PLUMBING
MECHANICAL
ENERGY CERTIFICATE OF OCCUPANCY
VISUAL FINAL ONLY
•
BUILDING IMPORTANT: ISSUANCE DATE
OCCUPANCY%OFjBUILDIN4'ISNOTCPBRMIT;T t PLEASE READ REVERSE SIDE BEFORE
'UNTIL BUILDINQ.FINAU IS SIGNED by BUILDUVG'.'; CALLING FOR FINAL INSPEC
4'. SUED SUED BY: '
APPLICANT'S POSTING COPY
------.--- — -----