S 2601 (2) - -APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO4a BUILDING-ELEC71'RICAL PERM[TNO.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL
1 (N d][k O
BUILDING PROJECT IDE I IFICX UN J G v
rGILDING ADDRESS: I SANITARY NO APPLICATION SUBMI"fl'AL UAI'H
On? S��, no2z� �� UN,;s z l/0oatj_ l6Fr3sp-?�
. OWNF! MI1:, PHONE: Cfl�;Ol1 .jR1 / LICNO'.
1 NIC CON'I'IiOLM
Pic
tow'A HTE BNGI LICN ' ADDRESS: ❑ O
3 9-o Z
DUILUINC PERMITINFO
ZI% iY '�' ❑ Comaillunl Fees Paid by Applicant(Initial) BLLDDG` ULECT PLUMB MUCH
u � G
Woo, �,h Section
force an B«t. Lunn -2 -'m. de.-ndt sense i, QTY. . F;LEC'I'RIC PGRMn' � PIG' JON DESCRIPTION '
LICENSED CON TRACTORS DF.CLARAI ION
IAL
nlOp a PERMII ISSUANCB T
hereby ul'f r n 0 at].,if a t,eJ under Pmv sins<f Chapter 9(w n nencing
Z with Section n,eflfe n3nfthe Business undP 'y - -
1/l -l*/� a UWL ❑KITCI117J RCMODEh
Q U APPLIANCES RESIDEM'IAL ❑ADDITION ❑PLUMBING REPIIT
`'Don ARCIII'I'ECTS DIiCI. ❑MULTI-UNIT' ❑STRUCTURAL
'Don N PANELS
ZOHZ I understand myplan,s shall be madaspubN
liCrecos MODIFICATION
OZ_O UPTOLX)AMPS ERIOR El CHIMNEY REPAIR
6` .W-I Licensed Proewsinnd OWNER-BUILDER DECLARATION 201-IIKKIAMPS OVEMENT SWIMMING POOLS
K d I hereb fl'ir I Ihvt 1 an exem t Ion...hu Cromnm.or's License Law for the OVER 1000 AMPS �RATH RF,MOOEUREPAIR ❑DEMOLITION
XC)6O following reason.(Section 7031.5.Business and Professions Cann Any city or county SIGNS ELECTRICAL []OTHER
W B-rB"j which requires a grrmit to construct.alter,improve,demolish.or Tapir any.fracture
prior to its issuance also requires thezpplicaot lit such permit o file a signed statement SPECIAL,CIRCUI"1'7MISC.
!!i that to is licensed ptuauact mthe.mvisiinv of'br G..handns License Law(Chapter9
aa' Bvnnntencing with Section 700fbof Di ,ion 9ol'.he 13mine,z I Promssinns Coole)a, TTM V MHR OR I10I,E I NST. COMMERCIAL:
Q.y o C that he is a......hcrefmm and the hasi.c far the alleged exemption.Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION
X'"
S:ction 7031.5 by any applicant for apormit%objects Ne applicant)a civil penalty of POWER DGVICF_S ❑TENANT FOOD SERVICE
7} not more than five hundred dollars D5W). IMPROVEMENT
WQI,.,,owner of the properly,..nay employee%with wagwas their sole compensation, SWIMMING POOL ELECTRIC
. will Jo the wmk,,mW the mmnum is urn intended nn:lleretl fni sole ISac.7BJ4,liuslness E3O'111ER
W anyY Pfofeseions Gyle:The Commw o.emr's License Ladoe,napply u)an owner of OUTLIi'I:S-SWITCHES-FIXTU RFS
a 3 property who builds or improves therefrom,and who does such work himself of through
his own employees,provided that such impmocameax ate not intended o0 offered for NEW RESIDENTIAL ELEC7FR SQ IT
sale.l(however,the hu ilding or lmpmvement is sold within inn year dean Iconic for SQ.ITT FLOOR AREA $/$Q.FE
cr-builder will Lima the burden of pm,ing tom he did not hulld or improve for per- Q /l
pawof,maj. Y.
y y
I]1,as owner of the info am exclusively contracting with liamed contractors m TOTA �— O S�`/
construct the project(Sec.10,14.Business and Prafecomm,Cule:)'Ihe Cumructnr's Li- V
cense Lowdensniugnplyto an owner of proton,who tomidsor improvesthcreon.and QTY. PLUMH .RMIT FF.I?
who contracts for.rch projects with a cnmraciffs)licensed pursuant to the Contrnate"s
Liccme law. PERMIT ISSUANCE , v
❑I am rxcmpt under See. ,B&P C for this maven
Owner Dute ALTER-DRAIN AT VENT-WATER CA) VALUATION
WORKER'S COMPENSATION DECLAItAI'ION HACK('LOW PROTIeC'f.DEVICIi ^
'net by ailirm underµooh,of perjury ins of the following dalarutions: O�g � V � +
❑(have willmmultud a Cenifcate of Consent self-imum for Worker's Compen- DRAINS-FL 96 AREA,COND. STORIES TYPE CONSTRUCTION
wenn,- o id far by Section 3700 of the labor Cale,for the performance of the ,
whic this pernilt is issued. PIXTIJIt FIXTURE TItAI'
I 1 we and I omintein Workers Compensu.iun Insurance,as required by Section
AX) [the Labor Gyle,forthe perfammceofthe work forwhich thispentrt is issued GAS-M.SYSTEM.I INC.JO P1.9
OCG GROUP APN
Car 't)rk rompenemii I 'urencc former are:
Cur cr: GAS-EA.SYSTEM-OVF.Ri(EA)
1?R'I'IFI T s OP l E 1PI )N F OM WORKERS'
COMPENSATION INSURANCE GRF.ASEIINDUSTRI.WASTE IN'I'I:ItC1iPfOR
//'(�7/M� ��'��/^/}�1 BUILDING DTVI. PERS
or less icenif h:ui em perform:.nc£n0lhe ik Trtb1,01r, lspermkiwed mmfl STW R'SANI'T'ARY-STORM Iin.2W FT. I'hANCHfiCK E
mol entpluy nnY person in nnY manna sat os In beanie xuM1,lrrl the Wndcrs'Cnntpeo- ENERGYit p
Z
stolon Laws if Colltumiv.Dae WAI'17R HBATTR WIVEN TIEI.EC'I'R
Z Applicant GRAUI LE
N
NOTICE TO APPLICANT:If,after making his Ccnihcawdlixcmptinn,you should WAI pit SYSIEMaREATWO SOLI TIF
�^ hecm onsubject ,,te hWorker's Cormomm m provisions of the Lubor Code,you frost
forthwith enn..1,wit h suE doll r and,or Wia panni.shall hodeemedmvoked. WATHR SERVICE
O
5z CONSORUCTION LENDING AGENCY NEW HFSIDENTIALI'WB. SQ.ITT. PND
C.I0 work
haffirm theuhemissued( aoconstriction0 lending agency PonhePerformance if Dae Receipts �C
W F the work for which Nis permit is issued[Sea 31197.Civ.C.)
Q Laurels Name Name TOTAL.L) Lender's Address TOTAL:Fr4 L crafty tint 1 have mad this application and state that the above information is - - BUILDIN
tocorers.l agree m comply with all city and county conferees and sure laws main,to QTY. MECHANICAL PERMIT FEE ^ Q
L) ,'Z buildiagconstructiomand hereby authorize represmtotises of this city'.enter uponthe SEISM1 LC S
nhnvo-memlonad prnldeny for Inslnodon pnrpnses.
(We)vgrcr In Suva,indenmify and kaep harmless the Clty nF Cuµnlnn mgoinst PERMIIISSUANCE 51 i'fR FE8da 14 el
Rabilities.pidgmem,,costs and expenses which may in anyway acerae agaimtvid City ALTER OR ADD TO MUCH.
e nfilb grantingofthispem.it. PLIJM1 LNG FEE
in entire UNDIiRSTANDS AND WILL COMPLY WITH LL -POINT AIR HANDLING UNIT(TO 10,0(X)CFM)
- M 'IIANICA1.ITli
AIRHANDLING UNITOVER IOdXp CFM) CO. STRUCTION TAX va�
Sign o p orDat EXHAUST HOOD(WIDUCq
HAZARDOUS MATERIALS DISCLOS RF. I10US1 MITIGAf10N FEE
Will Ihrvppllcamofilmre boildingocmganalstoreror LnnAlehamnlouamaterial HEATING UNIT(TO IO(I,WO I3'11j)
r as defined by the Cupertino Municipal Code,Chapter 9.12,zed the Health and Safety
Card,Station 25592('.)^ HEATING UNIT(OVER 100.000,BTU)
❑Yes KNo PAID
/n VENTI LATION FAN(SINGLE RTS ID) Du.c Reniptp
W21 Nr aP1!i,I I or Patrice building ottupeal me apdprnem or devices which
emit hamrdrots air aominarm defined by the Bay Amu Air Quality Management BOILER-COMP(31 IP OR 100,000 BTU)
District? TOTAL:
(] 1'IONF.I<AIH CONDI
Yes HOLLER-COME(OVER(00,00X1 RTU)
'
1 hove rand theImzeMous inn.crials rryuirenrenla undo Chnplar 6.95 nI Tho coli- ISSUANCE DATE
Icalth do Safety Code,Sec' a 25505.3533 and 25534.1 understood that if the NEW RESIDENTIAL MACH. SQ.ITT.. ,
buili does not cu ntlyfiev t nanuhat it is,oy responsibility oa
no.fyl occupant
of an- t prior In issuance of
rauthor agent - In 1'O'I'AL: ISSI11iU HY:
OFFICE
u,. . i .ioo_ ♦:i••-trx'i en.enii ani r_vy- r.VLK r1J,Off r.'e•'c
Man Kangas Faulk
Engineers a Surveyors • Planners
May 7, 1999
9f0009-SO
Chuck Schoenberger
O'Brien f irmip
2001 Winward Wny,Suite 2111
Ian Matco.VA 94404
Snbjeclf Omit Vnllay—Founriallon 7'erlllention
Will,Olitil'k,
On Mny 6, 1490 we perfnnueJ n livid survey of the location of the fuuncinflon forms for the buildings bcinp
conrtmcietl on Lot S-01 /w. I,it 3,11. Lot S-28. Lot 1.29, Loi 143,mid Lill 3.74 ol'thc Oak Volley
project to t'upeninn.
Thorrau lin of lhnt,virvey clearly-how thin the location of the foundallun Ibrma ore consistent and In
conformance with the deripn Incatlnn of me hsipdings,ns trial localinns nra ghorvn rm the plans prepared by
nut nnii.
'Phis letter is inleoded ut provide yvu with the verlficatinn of Ihnse snits per nur survey, Inhere nre miy
other(iacallols concerning lhm loci lion,please do not licsitate to call.
Slncereiy.
N
11(11AN KANl1A5 Pl11ILf; (,pCnL
Isrndloy A. Rllho Ii.I..S,ri 1,11
Project Mnnnper
.•
411rvey I)Cpntllnrll!
l
S40 Prlce Avenue . Redwood City,CA 94063 . 1650)462.8300 . FAX(6501862.5399 i
1 •
4
Brian Kangas Fmdk �d12 22
Engineers • Surveyors e Planners
May T, 14144
960069-50
Chuck Schocnlxrgci
O-lirlen Cimup
2001 Winward Way.Soitc 200
San Mateo.CA Q4404
9
Sobject: On6 Valley—Fmindation Verification
Dear Chuck,
On May 6. 1999 we performed a flelq survey of the locotlon of the foundulion f txms for the buildings being
constructed on Lot 5.02103.LojS-2 f Lnt 5.28,Lot 5.29.Lot 5.33.:'.nd Lut 5.34 of the Oak Valley
pmiect in 01porlino.
lie resulL%orthnl survey denrly show that the location of the foundotior. forms are consistent and in
conformance with the design 4Kation of the huildin¢s,ns said locations;re shown on the plans prepared by
nur film.
Tiffs letter Is intended m pmvldc you with the vorincatlon of those units per(wr snmey. If there are any
other questions concerning thot location,please do not hesitate to call.
Sincerely.
/��
~r eU.11jry.
ltiq
Y 1
BRIAN KANIlAS FOULK GF• CAI.
Bradley A. MIN P L.S.11141
Prgicct Manager
Sarvey Uepnrtmemt
r
540 Price Avenue . Iledwood City,CA 04063 •'(800)482-0300 . FAX(050)482.8399
• [Di10 'd 2WDE ON xlid POND N3I8M 3HI WSW I83 66-tri-Avw
r
• ENGINEERING WEST INC'
OBSERVATION CHART
OAK VALLEY DEVELOPMENT CUPERTINO,CA.
10118/88 PAGE 2 OF 3
NIT Lot Plan OP dn. AB'S lstfloor Rao I 72 I Basic rm .
1 3E 325/99 / 0 9 1 !99
5 2 BMR 0921/99 N/A
5 3 _BMR 0921/99 N/A
5 4 40 2 04-29-99 06/04/99 07 9 10/01/99 1UNV99
5 5 6A 2/60NUS 04.29-99 06/04/99 06117/99 0922/99 0922/99 /11/99
5 8 2A 3 1 04-29.99 06104/99 06114199 0920/99 0920/99 "(3)
5 7 5C 2/BONUS 2 04-29-99 06/04/99 06/11/99 09/15/99 09/15/99 10/01/99
5 8 28 3 04/19/99 06/11/99 06/11/99 09/09/99 09109/99 0924/99
5 9 3D 2 04/19/99 06/04/99 06/07199 09/03/99 09/03/99 0921199
S 10 68 2/BONUS 04/19/99 0528/99 09/03/99 09/03/99 0920/99
5 11 4C 3 04-20.99 0527/99 0829199 0829/99 0928/99
5 12 60 3/80NUS 04/01/99 0521/99 0823/99 0823199 09/15/99
5 13 3C 3/80NUS 04/01199 0527199 08/18/99 08/13/99 09/03/99
5 14 6E 2/80NUS 04/01/99 07/02/99 08116/99 08/18199 0828!98
5 15 3A 3/BONUS 04/01199 05/17/98 08/10/99 08/12/99 0823/99
5 18
5 17
5 18
5 19
5 20
5 21 5B 08/16/99 10/14/99
5 22 7C 08/18/99 0927/99
5 23 1C 08/18/99 09117199
5 24 7A 2 0723/99 0927/99 104-99
5 25 _
5 25 M
5 27 18 2 05/07/99 06/11/99 0629/89 10/04/99 10/04/99 10111/99
5 25 7B 2 05/07/99 06/11/99 0629199 10/07/99 10/14/99 10/14/99
5 29 1D 2 05-10-99 08/16/99 07/09199 10/16/99 10/16/99 10/18/99
5 30 BMR
5 31 BMR
5 32 4A 3 0526/99 07/14/99 0720199
5 33 2A 3 05/07/99 07/02199 07/12099
5 1 34 3B 2 1 05/07/99 07/07/99 0723199
5 35 58 3/BONUS 0528199 07/07/99 1 0725i99
5 38
5 +7 2C _. 2_-__-•O6L23/99 07/16199 1 0726,99 __...�........... ......
5 1 38 1 3E L 0®i1�„%a9' I t7 ;w11 0.1Mi z, a
5 1 39 1 6A. 3-'— U2319G 00/10/99 1:1d/18 99
5 TC 'ti0 2/GCKIUS 07i(JO,5t 07/2.1."70 01.I,/t2.'^9
5 41 1 3A 07/08/99 0720/99 06/23'99
(1) LOT 6 PLAN 2A 6 LOT 7 PLAN SC
•DID NOT OBSERVE PIERS.
'(2)DBL SIDED SHEAR WALLS
'(3) FLR.NAILING
•
>� - � I IT ... Ally IC1M OA11'VOIAITk�AI-J 1 /T Tn ==-OT-Inn
Xp
DATE JOB ND.
Cansuitkig Engineers and Scientists S 97
/- 94/0-7-
PROJECT
425 NDWAY 0,,9
OAKLAND,, CA CA 94621 L�T� /•
(510) 568-4001 ( e
TO .00,-1en/ (.7✓yVA �ie FOS CONTRACTOR arvr+ER
/Dr , 5-kov 5 5 Biro'S
Data Gr � Q�✓�`�✓C
J' yf�7 ( ,(J, WEAT R TEMP. •EI A
yQ V I� �PYJ :at !Z%
Flours Charged To Project Z Nuclear Density Tests 1�9- a+ NT AT E // R
C�EEo„/z 1116 — Srk-ov5.5 4121
Field Task Number Concrete Cylinders vJ
THE FOLLOWING WAS NOTED-
COPIES TO VLJ' iL'N l7ti�c� llL� Q
SIG14E/D
1�'BRIEN
GROUP
P16k Burke
From: Jim Riply(SMTP:riplaydg@pacbeli.netj
e
Sent: Monday, March 08, 1999 2:26 AM
To: PAT BURKE
Subject: OAK VALLEY
Pel Burka
Oak Valley
Cupertino, CA.
Reference: Linear parkway planting,
Pal,
All plantings within the Ilnoar perk are consistent with the landsoapa
construction documents prepared by this office and reviewed by the city
on March 1998 and conform with the preliminary approval douments,
James A. Ripley
ipley Design Group, Inc,
i
FINAL PLANNING SIGN OFF
DATE y0 v
SIGNATUR
I WARY,SUITE 200,SAN MATEO, CALIFORNIA 94404.2473 TIiLEPIIONR(650)377.0300 FACSIMILE(650)349.2442
[7 wiurr MarrI, f ..
EAST'
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:
SITE ADDRESS: LOT #5-28 OAK VALLEY
FLOORS:
Manufacturer OWENS CORNING/MV Thickness/Type 91 R-Value 30
EXTERIOR. WALLS:
Manufacturer OWENS CORNING/MV Thickness/Type 3� R-Value 15
CEILINGS:
BATTS: Manufacturer OWENS CORNING/MV Thickness/Type 12 ,6+ R-Value RR�1 P
BLOWN: Manufacturer OWENS CORNING Thickness/Type 15* R-Value 38
Weight/Bag 35 Sq. Ft. Covered 1760 # Bags Used 40
AIR INFILTRATION SEALANT INSTALLED: YES 79 NO ❑
GENERAL CONTRACTOR THE O'BRIAN GROUP LICENSE #
TITLE: DATE
COAST INSULATION CONTRACTORS, INC. LICENSE # 465440 C-2
BY: rkl 46,1 Adz TITLE: BS DATE: 12/13/99
K. B UM
•
J0144 *r 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:
SITE ADDRESS: LOT #5-28 OAK VALLEY
FLOORS:
Manufacturer OWENS CORNING/MV Thickness/Type 91 R-Value 30
EXTERIOR WALLS:
Manufacturer OWENS CORNING/MV Thickness/Type 3j R-Value 15
CEILINGS:
BATTS: Manufacturer OWENS CORNING/MV Thickness/Type 12 —6+ R-Value 38 19
BLOWN: Manufacturer OWENS CORNING Thickness/Type 15* R-Value 38
Weight/Bag 35 Sq. Ft. Covered 1760 # Bags Used 40
AIR INFILTRATION SEALANT INSTALLED: YES NO ❑
GENERAL CONTRACTOR THE O'BRIAN GROUP LICENSE #
BY: TITLE: DATE
•OAST INSULATION CONTRACTORS, INC. LICENSE # 465440 C-2
BY: l ✓ 4Am/j TITLE: BS DATE: 12/13/99
K. BYRUM
JlAlky - -7101POU
�mT 7- is
INSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
rte 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. Iof Efficiency Duct Duct or Heating Heating
Type(pkg. CEC Certified MfrName Identical (AFUE,etc.)! Location Piping Load Capacity
kcal um and Model Number Systems 2CF-I R value attic etc. R-value tuthr) (Btu hr
Cooling Equipment
• • Equip. CEC Ccrtified Compressor 0 of Efficiency Duct Cooling Cooling .
Type(pkg. Unit Mfr Name and Identical (SEER,etc.)t Location Duct Load Capacity
heat um Model Number systems CF-IR value (attic,etc. R-value Btu/hr tuilm
SnT
yt�e
1 . �1 ,L_
C
1. >_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 that specified in the certificate of compliance (Form CF-1R)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.
27437 AVA04 rl- ��
Signature,Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER HEATING SYSTEMS:
Distribution If Recir- g of Rateds Tank ER- External
Heater CEC Ccrtificd Mir Type(Std, culation, Identical Input(kW Volume cicnrys Standbys - Insulation
Type Name&Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Loss(Y) R-value
2 For small gas storage(rated input of less than or equal to.75,000 Btuthr),electric reslitaace 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 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
M.
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