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52995 (2)—APPLICANTTO FILL IN INFORMATION WITHIN RED LINES • USE BALL POINT PEN ONLY
CITY OF CUPERTINO I BUILDING. ELECTRICAL.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING. MECDANICALn-
I BUILDING PROJECT IDENT'IFICATI
BUILDING ADDRESS
/�
✓ /
/ LICENSED CON TRACTOR S DECLARATION
1 herebm y affirthat l licensed p f Chnpi
W oO z wall Section lfA%p of D smd 3.DIr Basins:nhP fe
F�o in full tore, and eftec 6
Out Loanft, Class Lice x -J
y 6 4 Dam L 1 I CnnitvdCL
h
x(" � ARCHITECTS DGon All N
OZ-z drst dmyplanxshallhe�x us public oN.
P 4 F � Licensed Professional
ADDRESS:
El Consultant Fees Paid by Applicant (Initial)
QTY.11 ELECTRIC PERMIT FEE
PERMIT' ISSUANCE
APPLIANCES - RESIDENTIAL
PANELS
UP TO 200 AMPS
�+,�,2..I
CC
p, papd� Q
y
'tY E O C
k G
W m
F5pno(
OWNERBUILDERDECLARATION
I Incurs, a]Bnn mm 1 am r.acmpt from the Commoners License Lew fix - me
following mason. (Section 7031.1, Business and Professions Code: Any city or county
which requirespermit t.t t after improve,demolish, repairY structure
prior to its.. al.so requiresthe p11' t for suchpermit ( fileg dtmnent
bar her, 1 :ed prom a thepovi,iofrof(M1 Combachoex L Law (Chapter 9
taco g oh Sect 9000) fDivi.sio i fth B 'iness IProfessions Code)or
thatthe is exempt therefrom and the basis for the alleged exculpated. Any, violation of
Situation 9031.5 b Iicu. torn enmt uuh ecte (hen I cnnl In. i,il 11 I'
y all, re P 1 BPI penalty n
mom (M1un f vc hundred dollars ($500).
(] I, vs owner of therepro,, nr my empinyeas with wages nx their sole u,mpenxntimy
will do the work,and themeacmre is not intended omffcrcd for sale (See. 70,TU Rosins.
OVER 100fIAMI'S
SIGNS HI.HC'I'RICAL
SPEC] AL Cl RCUI'I'/MISC.
TEMP. METEROR PO 'INS']'.
POWER D
SWIMMING L RIC
41 m
�' 3
add Professions Code: The Commctor, License Law does nor apply It, art owner of
.ropenywho builds of ...rave, (herum, artd who does such work han,dre, drought
OU'i'LF' S- WI" HP.S -
his own roploy,id, pmvided that such impmvemems Ire not intended or offered for
NEW RES D' TI LECCR
_
,alaIf, hawavep the building.. improvement is-od within one year of comple(inn,the
owner -builder will have the burden of proving (hut he did not build or improve For put-
- ��—
,ro affair.).
❑ 1, as owner of We property, am exclusively contracting with lircnsul wnlradnm in
DT yj
ncswcl the project (Set. 9014. Business and Probe ssions Cale:) The C.naom.r's Li-
aseLawdoesnotapplytoanownerofpropenywhobuilds or improves theorem, and
QTY. PLUMBING PERMIT
whowmuoe(sfor-such prejuct. with aedmmcmr(s) licensed pumuam(,,the Criminal..'.
-
-
PERMIT ISSUA CE
License Law.
❑ 1 am exempt under Sed. B & P.0 I this mason
-
ALTER-DRAIN&-WATERTA)
wner Data
13ACK FLOW T. DEVICE
WORKHk:S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one critic following deelanumn,'.
DRAINS-FLOOR,R I -A, CON
❑ I have and will maintain a Certificate of Consent in self-insnm for Worker's Camper-
sation, as provided for by Sermon 3700 of the Labor Coda for the Iarmrn(anw at the
work for which this permit is Issued.
FIXTURES -PER TRAP
El 1 have and will maintain Worker Compensation Ireairms, av disdained by Saudi,.
37M of the Labor Cade, for the performance of the work for which this permit is issued.
GAS - EA. SYSTEM -I INC. OI1T1.
My Worker's Compensation Insurance carrier and Policy number are:
Cunieu Policy No.:
GAS - EA. SYSTEM -OVER 4 (BA
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
GREASEIINDUSTRL WASTE INTERCEPTOR
(Th]xxedinnneed not he completed if(hepmmh is permit, hundred dollars X 100)
orless.)
GREASETRAP
SEWER - SANITARY - S'fORM EA. 200 PI'.
O z
O
he,fir'ydmt inthe perhaduaceofthc work Raw Inch this permit is is.vad, l shelf
not employ any person in any manner so as to become subject to the WorkersCompcn-
action Laws of California. Dam
Applicant
WATER HEATER WNENT/ELECTR
z
H Co�
a2
W
Q
z
NOTICE TO APPLICANT: If, roar ruildr dins Cenifieme of Exemption, you should
become subject to the Worker, Compensation provisions of the Labor Code, ymo must
forthwith comply with such provisions or this permit shall be deemed revoked,
CONSTRUCTION LENDING AGENCY
WATER SYSTEM/TREATING
-
WATER SERVICE
NEW RESIDENTIAL PLMR. SQ, FT.
U O
wH
um this Permi that ueissued( ee. NPuld ending agency forfhe performance of
workfor
the wmkfrirwhleh this Permit is issued tsar. 3fnT, Civ. CJ
Name
O
Lender'.Addrmrx
TOTAL,
ULender',
W
-
I candy that I have readIN, it,duccland and 'In, thin the buse infiannation is
UO
Uz
cone. I agree to comply witha11 city and county ordinances caltl laws relatingto
muldiogeonmm.tt.a,rdlmbyvulhor'm c p,rmufvofIhrdy Inenlerury,t the
QTY., MECHANICAL PERMIT
PERMIT ISSUANCE
rho a-axonloned propeny mr inspection pummel.
(We) agree to save, indemnify and keep harmless the City of Cupenire against
ALTER OR ADD TO MUCH.
'
liabilities,judgments, costs and expenses which may in any way accrue against said City
in consequence of the gaming of this permit.
AIR HANDLING UNIT (TO 10,000 CFM)
kAPPLIC NT UNDERSTANDS AND WILL COMPLY WITH A .NONTOINT
SOURC EGULATIONS Y
AIR HANDLING UNIT (OVER 10,000 CPM)
:� © �I )���
Sig umSig re ol'Appicanl/Cm���
EXHAUST HOOD(W/DUCT)
HAZARDOUS MATERIALS DISCLOSURE
HEATING UNIT (TO 10,000 BTU)
Will thcappllcnt or hard huilTing,cupantsmre cartons mandousnmr... I
as defirrol by the Cupertino Municipal Code, Chapter 9.12, and the, Health and Safety
Code Stion2n)? L
❑ Yes HEN.
HEATING
:ATING UNIT (OVER ](NI,t INI BTU)
A�
VENTILATION PAN (SINGLE RF.SID)
i
Will the applicant or fumrc building reaffirm use equipment or devices Much
pit hrrnalous air contaminants as defined by the Buy Area Air Quality Management
District? -
❑Yex �I Nn � ,
g01LER-COMP (31{P OR IOO,W11 BTU)
BOILER- COMP (OVER I nnOn(i BTU)
AIR CONDITIONER
I have read the hmerAous maldnals requiamemf under Clutuef 695 of the Cali-
NEW RESIDENTIAL MECH. My Er.
form Her re Safety Code, Sections 255B5, 25533 and 25534. 1 un send then d the
�j/dJ a
hadch not currently have. levant, than it is my refpors,bilil out occupant
ofl ren riderats.1anhumrbbE11r, mioa m issmnccuf a CeniM%Ve�if�f.
i !S
rl
1 73 i/
BUILDING PERMIT INFO'
BLDG' ELECT PLUMB MFCH
J EMB3 r
JUTS DISC KIF PION
. �DWL
❑ KITCHEN REMODEL
❑ADDITION
El PLUMBING RE -PIPE
[]MULTI -UNIT
❑STRUCTURAL
MODIFICATION
❑ INTERIOR
❑ CHIMNEY REPAIR
IMPROVEMENT
SWIMMING POOLS
❑ BATH REMODEUREPAIR ❑ DEMOLITION
❑ OT'HER
COMMERCIAL:
❑NEW BLDG/ADDITION El DEMOLITION
❑TENANT El FOOD SERVICE
IMPROVEMENT
❑ OTHER
SQ. FT FLOOR AREA
1 /II0:z /
FEE 33 ^ 4
FEE
$/SQL ET
VALUATION
114
aj, '1V C7ry
U1CC.GROUP APN
' .1
a k # X n ; DING DIVISION
SOILS
PAID
Data y Receipt#
PAID
&7-Zz-9y
OFFICE
i`rir, 3l. GLlla1 10116W" . BRIHri KRNGHS FGLLK
Willits s tiurvavore' a Planners
May 31, 2000
960069 S0
Muck Schoaobarga
01 w Oroup
?A019NIodltard WAY. SWIa 200
$m Maroc, CA 94404
Sub wA: Oak VWby-8oundagon VCMcatlon
Dear C ht"
On May 23, 21M we pmbrmad a BoW aurvay of the 100atioo of the foandnpoa forma for the bWWL ag
being CousWigod oa 1aa 3,Wl of the Oak vary prgm m Cupu*o., .
The r"Wet Of that atEYey oleuly than that fhe loeation Of the fouedstion !occur are Consistent and In
coottae with the doaip ]credos of the bttUngt, ea Wd Wudoct ore ohm oo the plane preptaod by
OurThis ]epee L uwndad to provide You with the veaw adon of those unite per our suM. If dwo am any
Odw quoidoos coacts:24 the Iocepon, please do not beef= to cats.
Sincerely. ►AND 8
G,p 1
BAAOAEYAB0.60 / ✓�
8RIA1'I >rr4NCiAS FOCR.K * E%S J/91/02
Bradley A. Bubo PIJ. 6141
projeaMaea9n rife pqa
SwvoyDeparmlent i Air CALL
s+ �
xj vrl lr43Fl`o hJa..�'
I`�a�' �:;'yt Qak�Val�eY� CuPie
�I
rn` v
' 8•29.2000 -
r
WESTING
fa *
,ENGINEERING
�'
- OBSERVATION CHART
'
OAK VALLEY DEVELOPMENT CUPERTINO, CA.., . .
PAGE 2OF4
�r .
UNIT
Lot
Plan
ION
n.
st
5 -
2
' BMR
09/21/99
-WA
2-&2000
2-1&2000
3.7-2000
5
3
BMR
09/21/89
WA
2-&2000
-t&2000
3-7-2000
5�'
4
4C
• - 2
04-29.99
' 07/01/99
0924M
10/Ot/99
10/01/99
5
5
BA
2IBONUS -'
0429-99
08117/98
09/22/99 °
OAV2M
10/11/99
5
6
2A .
3
1 04.29.98'
- 06/14/99
0&20/99
O9/2O198
09122199
5-'
'7
SC
?/BONUS
2 0429.99'
OBN1/99
09115/99
09/16198
10101/99
5 .
8
2B
3
04/1
OB111/99
09I09199 .
OB/09199
09/24/99
5
9
3D
2
19199
06107/99
09/03/99 09/03M9
09/21/99
5
10
1 6B -
218ONUS
04/19/99
05/2a99
OW03M
09103S9-
-
08/2om
5
1
1 4C
3
0420.99
0527/W
08129/99
OB/19I99
.092af99
5
t2
11
318ONUS
1/B9
05/21/99 .
0823I99
0823/88
09H
5 •
13
3C '
NUS
10M
7/98
0018199
08/13/99.
5
14
6E
NUS
1/98
07/02/99
08/18199
08/18199
0829/99
5
15
-3A
3/BONUS
04/01199
05117/99
OB4-2DD
O24-2 9
0823/98
5
16
2C
- 11l07199
12.23-9B
32
3.242000
6762000
427-2000
5
17
4A
11/02/99
- 12-23 M
2-2000
3.22.2000
3-22-
5
18
5D
11/02/99
12-1&.99
332000
3.10-2000
5.1
412.2000
5
19 -
6C
1 V02/99
12.1399
2-23.2000
2-25.2000
1-21.2000
4-&
5
20
3C
-
12/029
�2-1&2000
2-1&2000
120-2000
3-24-OM
- 5
21
B
DET.GAR
00
19
10/14/99
2-142000
2-142000
. &1 2000
3$•2000
5
22
7
6/1 08/99
09/27/99-
1-21-2000
7-21- 0000
d.n.a
T
5 r
23
IC .
08118439
09/17/99
1-20.2000
1-21-2000
drn.a
1-21-2000
5
24
7
2
07/23/99
0-- .99
1.18-2 000
1.7-2000
d.n.a
1-21-2000
5
25
,. 5
28
'10/04M�
., ....
.,
.6,....,.
r r
18
.r ..'.2 -
06107/99'
06129/98
...10104199
.., ..��.....
'�10111M
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r 2 -
06/07M
06129M
10/07/98
10114/99
, 10114W
5
29 -
�1D_
_... 2
05.10.99
07/09199
10/113%
10/16R9 _
.. -
10118199
s
30
MR
- --
stall
10103/2000
10/03f2000
10/03Y1000
-�-•-5--�-
Tr
BMR
- _
--slabs---10/032000-
10103/2000
1
',-5
32'
4A
0628199
07/2 M
1 22-99
10.22.99
10 27A9
5
33
2A
- 3
05/07/99
07/12199
11/02/99
10-29.99
11
5
34
3B
2 -
7/99
07/23199
11/08I89
12-1-99.
12-1-98
- 5
35
5B
31BONUS
07/28/99
11.10-M
11-10.99
124WM
5
35
37 -
-2C
7 07128199
11.12-99
11-2M
12
5
- 38
3E
2
OB/23/B9
08/12M9
11-22-
12-2.99
12-14-99
5 -
39
6A
3
W18M
12$499
12899
12-1&89
5
40
BC
?/BONUS
07/08199
0812/99
12-1309
12.1349
12-21-99
5:
41
3A
07/08/98
132000
132000
2.18.2000
+.p
07 6 PLAN 2A & LOT 7rPLAN 5C (4) AB.'s 9 porch franc
• DID NOT OBSEM PIERS
iL SIDED $HEAR WALLS p +
LR NAILING i l"I a, ti! i i 'I I q }> re°I `jI Cty+)1 l}�V l al +1r I l�
r+f ivrr V �.17 1 'S 1? I rlp 1' addl
lia�wt rl;'�
i ti a
1 Ii�'✓x 4,y i�rr .!°p� '.fit r1 4 J}. y+ i [n Ali �il ;h a, l�r i
I'
ri a ti+t`i,%isl i��l
Y
(' vF �I ,dj n+}I mI t a I t 1 o
�l° f I"vFvx r I i.
i
w , r•se ! I t 1' ,. > r, t t��� lei .}jv' xs�� 1
it
r, r dl. �1 a
9 p n l L? l i l 11 h23f r��1+ 1 e r�. IS
e rl 1, f 1 I b r✓ f� Iti ' 1+ t 1 J "t iir f!
�14
'� �� 1hI;+It t"i11 t�p
z , y s j�ri rl'+nzi, 1
I r ! v v v+{ I i'w 1 7J '9rg� i+ A �. Yr s
i u II a v I t 1, t� i
t.:• 4 +�
d ii tir <e rr+ri " ra �i
i t
t' rr: �I OB'NW�QOD
��' 1 u rI
r� r..r�,i x«I 5�s I ✓ , x.1` b d. r _ w �. Ct 1, � + r �,L'('r),'� k udpno �a4'
,, I w� C..Mn WPAW ERCINIT OE RILLOING
),.,O//�?A ,-g;: IZ e9/ m?
is
I`/
CITY OF CUPERTINO -. V fPERMIT
BU{LDING DIVISION
F777777v,BUILDING PROJECT IDENTIFI\ .4, d.i 5`::.W;4 "!%i'
NOADDkES.`
NO,
SANITARY NO:
APPLICATION SUBMITTAL IIA'I'E
QWNE 'S 4! t u HONE:
+ �/ T t �
CONTRACTOR'S NAME:b--- - -1 - — -^ " LIC NO.
NIC
❑
CONTROLN
"� p /
HIT INE LIC ND'.
AU S �1 _ w C
�GC
INSPECTIONS T )';
N + v
DATE
1,}`
INSPECS
_('
❑Consultant Fees nid by Appllce t (initial)
..'••'i 13UILDING PERMITi INFO ..:'
eL G ELECT PLUMB MECH ,
FOUNDATION/PIERS/H.D.S.
INSPECTION RECORD
NOTE: ALL GRADING AND DRAINAGE
SHALL BE INSTALLED TO COMPLY WITH
THE APPROVED PLANS AND CITY OF
CUPERTINO STANDARDS.
JOB DESCRIPTION
RESIN
❑SFDWL ,. ❑ KITCHEN REMODEL
❑ADDITION ❑PLUMBINGRE-PIPE
[]MULTI -UNIT ❑STRUCTURAL
MODIFICATION
❑CHIMNEY REPAIR
IMPROVEMENT SWIMMING POOLS
❑ BATH REMODELIPEPAIR ❑ DEMOLITION
❑OTHER
UFER GROUND
PAD/SETBACK-CERT -
GARAGE SLABS/PREGUNITE
'POURNO.CONCRETE UNTILABOVE-HAS:BEENSIGNED.
- ... ...
TO ARRANGE INSPECTIONOINTERIOR
CALL AFTERNOONS (1:00 PM - 4:30 pM)
777- 3228 MONDAY TO FRIDAY 24 HOURS BE-
FORE REQUIRED INSPECTION. JOB ADDRESS
AND PERMIT N ARE NEEDED WHEN PHONING.
ATTENTIONCONTRACTORS:
NO PERSON(S) SHALL PERFORM WORK ON
THIS JOB SITE WITHOUT BEING IN COM-
PLIANCE WITH WORKERS' COMPENSATION
INSURANCE REQUIREMENTS.
UNDERGROUND/SLAB
PLUMBING
ELECTRICAL
DO. NOT POUR FLOORyVNTIL-ABOVE,HA&BEEN;SIGNEO
COMMERCIAL
❑ NEW BLDG/ADDITIGN ❑DEMOLITION
❑TENANT ❑FOOD SERVICE
IMPROVEMENT
0OTHER
PLUMBING
MECHANICAL
ELECTRICAL
.
FRAMING VENTS
INSULATION
'INSPECTION SPECIAL INSPECTION REQUIRED ❑
DATE
INSP.
PUACENO SUBF.'I.00RUNTIt?ABOV`F1 ASt EEN SIONED�'•.
ROOF SHEATWDIAPHRAM 0
UMBING O
r
&SHOWER PAN
0
CHANICAL
(o
ELECTRICAL/POOL BOND
FRAMING/STAIRS/E. EGRESS
Co
1p�P
INSULATIONNENTILATION Q(f-
:.CQYER NOIWORK UNTB:�ABOVE HASF73EEN1$ICNED;kj ;;{
EXTERIAL SHEARMOLD DOWN
o*e
INTERIOR SHEAR/HOLD DOWNInees
SHEETWROCK/SHEETROCK SHEAR
EXTERIOR LATH/W-SCREED
SHOWER LATH
NO TAPE OR ...,. , ,'OVB�HA,. , .. S BEEN SIGNED',
.PLASTERUNT,U:
SCRATCH COAT
SEWER/WATER
TEMPO RARYp'e1PPR�;t'"1r
OCCUPANCY
ELECTRICAL
GAS
GAS TEST
GRADE
FIRE
HANDICAP
CTRICAL
MBING
MECHANICAL
ENERGY
'
CERTIFICATE OF OCCUPANCY D
VISUAL FINAL ONLY
BUILDING
IMPORTANT:
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION!!
ISSUANCE DATE
-/ • 2 .� %
s2
ISSUED BY: /
IjpC UFAt�j, gQ,F�t IvI1,A,14iq ,Ijt1IQ9�r R1II) , 9C1
'NUN•f�4.�Li1MA,l Y N 1SjS1(iN RWr.rH�ll jNG;
+g FI {
APPLICANTS POSTIN(; COPY
TALLATION CERTIFICATE
Et
I I .
j: I oN
An 4uta11ation corlificato Is required to be posted at the building site or made avIllsb1c for call APPMPrigo inspections..(The
,
information pinavided'on this form is required; however, use of this fond to provide theinfarmadort It,optionaL)
complickon of findInspection, a copy must be provided to the building department (upon request) and the buUding owner,at.
occupagicy, per Section 10-1 03(b)� V.:,'
HVAQYSTXMs:-�
1..:�
Affeating Equipment
Equip -I of Eniclacy Duct- Duct or
7ype (4 c5c calineed Me r Nam Ideallul I ' : Hmtng Hostiles
(A;% ")I Location PJpjn6 LAW
Pump) %rA RaCell system VM1.0 I.M.eta. ED ce peelly..
hod it
Cooling Equipment
Equip; CSC Callfild CMWUW I of Elliclu"
Type (plea. unit Mal Nam &W � Duct Cooling r4olins,
(SESR. cuc.)' Location'
on
Lftsul.;. Ce Maly
lk"M MVJ Mo4el Number Syllenu 1kCp_jgvxjucj (Itflc� R-YodurtuAv
J.
1.X reads Vwtv than op faquat I
1, the undenip4 verify thsit.squ(pment Usted &Wye is: 1) Is the actual equipment Installed, 2) equivalent to or miqrgf..,,�
VeMilant than that specified in the certificate of compliance (Form CF-IR) submitted for A with the Shergy
Afflelaft
7 Standartir for ratildcalial buildings, and 3) equipment that mcou or exceeds the Appropriate requirements for
Ma4uflicaircul devices (from the Appliance Efficiency fisguitutom or pa".6), where applicable.:,,
*ate pAd
Sig 11K 1 11 - 11 : - 7—
installing Subcontractor tV.0, Name)
OR General Contractor (Co:Name) OR Owner
WATER HEATING SYMMS1
itat lkatcell'Tok
c8l; c"neA mir Type islet, valtiens clear? Staeuiltya WWWan
Type'Int-OWN) Control Type Modal Pa or BtuAtr) (EP, M
I Foremen gusto"&$ (relad input . of jus daR or equal to 73,000 BhVM, electric rulusus and bnt pugp casts battn lot &utp Fultu
Fw large in storeget water bukn (now lopuidgmetcrNan 73,000 Bhft listlumvOty
For (asufalsonu I" feskr,bulgra, jig Roe"" Z MCI wKY cad RWA Input.
;FAucats &Shaw*rHeads: -
All faucets and showerboads installed are certified to the Commission, pursuant to 71do 24, Pon 6, Subchapter 2, Section
L the undersigned, verify that equipment listed above my signature: 1) Is the actual equipment installed; 2 . ) I I a equivalent
to Of more efficient than that specified In the certificate of compUenco (Farm CIF, I R) submitted for compliance with the
ZndFVF&kNY&4ndwn* for residential buUdinp; and 3) the equipment meets ,or.exceads the appropriate requirements
for 11141111fachlrecl d*YIC= (from theAppliance Effloloncy Regulailortr or Part 6
w
&I SU64-0111hIllor (Co. NIMI) OR
06crAl Contractor (Co, Name) OR Owner
COPY TO:.:: Building Department
Building Owner at Occupancy
elm Rlploy(SMTPIrlploydg(:pacboll,nol(
Monday, March 06, 1990 2.20 AM
PATBURKE.
OAK VALLEY
yCA.
Linear parkway planllnp,
s wllhln Iho llnoor park oro oonalilonl whh Iho londa capo '
n documenls prepared by Ihls orrice and rovlowed by the clly
996 0nd.eonform wllh Iho prollminery approval doumanle,
1p1ey
2n O(oup'Inc,
�e
,
SIGNATURE w�
WITH lOnAANMATIM.NUMOkNIAO/In(•2.17) TIILnPIIONH(Ofn377.0)tl0 PAC41All4e(010))/V•f41)
p.�lu�j M�rnh I, 19V6
Commercial Roof Management San Jose, Inc.
Residential Roof System Application Inspection Report
Inspection Date_ I
'L- %"Oa
Pro}ect: `I -` 41' ,E 5
Address: -V d ynUlm 17A71 ��
City: r/A statelL
Client:
Roofing Contraaor 1- 11D --buT jzppFr�vU
CRM lnspectort_ ?,,g7
Lot Numbers -Phase
TYPE OF INSPECTION: FELT FINAk TYPE OF ROOF: ASPHALT SHINGLEVT
ROOFING MANUFACTURER & TYPE:
UNOERLAYMENT:
GUTTERS:
SHEET METAL FLASHING:
ATTACHMENT:
SKYLIGHTS:
VALLEYS: RIDGES: EAVES: VENTS & PIPES:
Comore ntslObservatio ns:
2. rj9dt Id-SPP-er10 - oK
• I
INSPECTORS SIGNATURE: ----
qFc
ed Wties:80 0002 2T 62£8S££T£8 : 'ON Mid lrswdJ : WOdj
ppmpm oil _
eC3A8T hiEkilatlon Corrcrac>ore,.inc
., 1N$ULATION C�RTIFl.CATI�N
1066 Wi11h SI • +;$an JdMeo CA 95112
This N to oeftliylthat msUlatlon hag C?een,insfalled Ih Cottfbtmanc@: Wl�h the �urfent �ne�gy regulahoh5,
GatilorWa Adminf5fra"tiv/�e,Gbdej TRCe 2A, State of GalifornlA,
tha bUddind loodted at,
SITE AIiDAESS: Iia1� - UAIIzy
FLOOR Manufacturet OWENS.00RNINQ
TtNckriees/Type l.��t R-Vane . i �l GL L
EXTERLOR WALLS:
`Manufacturer OWGNs COFININo
1
Thlckness_(fype -�'� `F# Value
CEILINGS
BATTti:" hlahwoofOret OWENS CORNING
ThicknBss(iype /'Z R-Value :36a.
BLOWN Manufacturer OWENS G(SkNING1.
ThlcKneseJType �. R-Value 30
WeI�hQBag 36
Sq. FL Covered.. ��I�i1 .:' # Bade Used, o'
AIA INFILTRATiC3N SEALANT W8. TALLED
YE8 No Cl
GENERAL GgNIM&OR. _Li7c
- ` : [� ��i�N--.
YYAI�= ... LICENSE # -
BY:
71TLEi DATE i
COAST IN8 CATIPN CONTRACTORS, I14C ._ UCENSfi # 485440 CL2 - • t
13Y: YYJpV t CG lD=
.`GVYaS(O
TITLE uCrA DAYS: I
°i 1
�
Kevin Visser dba
A-AAAAA Leak Finders & Repair
P.O. Box 3091
Santa Clara, CA 9SOSS-3091
Leaks located Electnsr"ly In. PaalL Spas,
Buildings & Undergound Pipes, All Types of
Plumbing Repairs Made;
Contractor Lic. 41699113
_
(409)288-6932 (510) 839.5898 (707) 552-1120
(475) 979-9SO9 (92S) 939-2359 (916) 331-9999
(650) 366-0111 AU Other Areas - FAX
1-800-573-1234 - (888)296.4882
lob Wwk Order/invoice
Please Pay From This Invoice On Presentation
NB: TOTAL AMOUNT DUE S PAYABLE ON PRESENTATION OF WVOM
SUTE
1.0
AWRESs
No
O G
m
116
xF'XR
> avnew ]a!E
cawRu�l e-
Z
m
iD
WORK OGNE ON
CONTRACT BASIS
- zwc-ME
no
,w:xy�
N B. NO OTHER LEAKS WERE APPARENT AS AT TIME OF TEST
>. 'NOPI( ORDERED BY: - ' PF'ONE: T07AC i '
^$ THE OWNER OR TENANT HAS THE RIGHT TO REQUIRE THE CONTRACTOR TO HAVE A PERFORMANCE AND PAYMENT BOND.
='2 ^ I FIND THE WORK SATISFACTORY AND THE CHARGES AS AGREED, AND AGREE TO PAY THE TOTAL AMOUNT OUE ON FRSSENTAT:ON,C%
= THIS INVOICE WITHOUT ANY DEDUCTION WHATSOEVER. I FURTHER AGREE TO PAY REASONABLE CHARGES FOR COL=_EC'ION-INCLUDING
ATTORNEYS FEES. IN THE EVENT OF MY DEFAULT. AS "ELL AS PENALTY WTEREST AS ALLOWED BY LAW,
SIGW-D BY: DATE
COMPLETED
C..1,a:ma as .taVCa EY m. w M rp 4 a.O •ryaln Cy Ur ewwaYva 51r acsrae a.w6 of p rm NaYI/A.Q a ... mm to row wo N IY Ro now eanytvJR &a V L<C 9 4' 9 2s C_.X.! 4uM •_x.� l'a.', v f rS
waves r e em I:oeosz-w.am. :xaw:a assae 9+a1 2ss]fo'. caw+ n sa awuaYa--�a1e1I +uw`. e.evse r Rnmm ary ev.e..ia .e'. rw. ewr^y lav e+.. Yo..1n. ,owu.:wYe aaN .eaerm ...M co.;.xr.r ..e. �. xqn.. a .,:x<.. d
e.e ewnarva .<elwe I,- -
N
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e
I`ti11'.3i.S666 16 1oFV" HRIRti KRICAS FOULK
Brier MWs fioWk
Enoinsers • Survevors a Planners
May 3l, 2000
9M9-SO
Chuck Schoenberger
O'Brien Omup
2001 Windward Way, Suite 200
San Mateo, CA 94404
Sabjecst Oak Valley — Foundation Verification
Dear Chuck,
NO. 019 P.22
On May 23, 2000 we performed p'6eld suiivay of tlto looadon of the foundation fOrtne for the building
being constricted on Lot 3.30d31 of the Oak Valley project in Cuputino.
Tuts resni is of that survey clearly shove that the 100WOn of the foundation fomu are consistent and in
conformance with the deep locador of the buildings, as said locadans are shown on the plans prepared by
our &M.
This latter is intended to provide you with the varWO14on of those units per our survey, 1f thom ern any
other questions concerning that location, please do not hesitate to caU.
Sincerely,
BR" KANOASFOULK
Bradley A. Bilbo PIA. 6141
Projem Manager
Survey Department
it�fRl13/31/g2
tea^. tin."
540 Price Amos • Redwood City, CA 64C63 a (650) 402.6300 a FAX 1050) 482.6399
IN "—.Lot
•
it`s'v�N
CupprNno ti
Lr ns 1 <ti "�t�,• �• t �•,,, r t.. t .�x 4 T,. t�� _L
ENGINEERING WEST INC. .
OBSERVATION CHART -
OAK VALLEY DEVELOPMENT CUPERTINO, CA,.
PAGE 2 OF 4
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�1) LOT 6 PLAN 2A & LOT 7 PUW W (4) AB. s st porch front
!DID NOTOBSERVEPIERS :. . •t (5)chimrays ..
'. ur ts'(2)D� SIDED SHEAR WALLS;° r 1 r :; r`1, fiv
ow (3) FM NAILING )
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rb �`� 1� t t1P.-J' n` ra+` 1 �' .s • irk , w ',r
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4
n
POSTTHIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO
BUILDING DIVISION
11,I)ING PROJECT IDENTIFIL. N', �'A,
PERMIT 145,
s
ILDINGADDRESS r
Sri
SANITARY N AFF)
AI 1UN b7ML I IAL DATI
0
)WN s N ME: . PHONE:
I
Y) &
CONTRACTORS NAME
N/C CONTROL#
CT/F.NGINEER: LIC NO:
ADDRESS:
INSPE
7
4NSPEC�
❑ Consultant Fees Paid by Applicant (Initial)
PBXIMTTANFO
BLDG ELECT PLUMB MfiCH
FO UNDA TION PIERSM.D.S.
INSPECTION RECORD
NOTE: ALL GRADING AND DRAINAGE
SHALL BE INSTALLED TO COMPLY WITH
THE APPROVED PLANS AND CITY OF
CUPERTINO STANDARDS.
TO ARRANGE INSPECTION
CALL AFTERNOONS (1:00 PM - 4:30 PM)
777- 3228 MONDAY TO FRIDAY 24 HOURS BE-
FORE REQUIRED INSPECTION. JOB ADDRESS
AND PERMIT # ARE NEEDED WHEN PHONING.
JOB DESCRIPTION
RESIDENTIAL,
[I SFDWL 0 KITCHEN REMODEL
El ADDITION C) PLUMBING RE PIPE
0 MULTI.UNIT El STRUCTURAL
MODIFICATION
INTERIOR 0 CHIMNEY REPAIR
,IMPROVEMENT [I SWIMMING POOLS
BATH REMODEUREPAIR 0 DEMOLITION
0 OTHER
UFER GROUND
PAD/SET BACK-CERT
GARAGE SLABSIPREGUNITE
:POUR NO,CONCIETE:,UNTIL; .A4..OVE,HXS'BUN,SIGNER„
UNDERGROUND/SLAB
PLUMBING
ELECTRICAL
Iv
,DO NOT�POUR.F,LO.OR,,UN,T'ILIABO,V,B, HASIPEE.N. SIGNED
I I I . I'll I I . -
COMMERCIAL,
0 NEW BLDWADDITION 0 DEMOLITION
0 TENANT 0 FOOD SERVICE
IMPROVEMENT
0 OTHER
PLUMBING
I
I I ATTENTION CONTRACTORS:
NO PERSON(S) SHALL PERFORM WORK ON
THIS JOB SITE WITHOUT BEING IN COM-
PLIANCE WITH WORKERS' COMPENSATION
INSURANCE REQUIREMENTS. I
MECHANICAL
-
ELECTRICAL
-
FRAMING VENTS
INSULATION
INSPECTION SPECIAL INSPECTION REQUIRED El
DATE
INSP.
tP,L
ROOF SHEATHtDJAPHRAM
OCLJ
PLUMBING
BS & SHOWER PAN
ECHANICAL tci
t cr_�'
05,
ELECTRICALIPOOL BOND f6f
I Ito
0�7
FRAMING/STAIRS/E. EGRESS f6_(Lft>
(2P
INSULATIONNENTILATION
§tOV R ' 'REEN"SilqNE15� .... ,
EXTERIAL SHEARMOLD DOWN let, tadX�)
J5*
INTERIOR SHEAR/HOLD DOWN
�
SHEETWROCK/SHEETROCKSHFAR
EXTERIOR LATH/W-SCREED
SHOWER LATH
#601SMSIGNEDI
SCRATCH COAT
SEWER/WATER
ITEMP
OCCUPANCY
ELECTRICAL
GAS
Fj
- � ' M. I "' INN, 1
"'A Ow in NA7%
" L
0 ,
GAS TEST
'N
GRADE
FIRE
HANDICAP
ECTRICAL
LUMBING
L
MECHANICAL
ENERGY
CERTIFICATE OF OCCUPANCYJ��.
VISUAL FINAL ONLY.
BUILDING
IMPORTANT:
READ REVERSE SIDE BEFORE
FOR FINAL INSPECTION..
ISSUANCE DAT,�
2
ISSUED BY:
ftd' �tm
g
g
jIs In
1 nnrTlnlr InnN,
FROM.: CRMSJI
FAX NO. : B313358329 Dec. 06 2000 05:30PM P2
Commercial Roof Management San Jose, Inc.
Residential Roof System Application Inspection Report
�/ [Inspection Date:
Project �lw Y AlG/ -5
AddrewI.-2v—&f#f1R6 DEM-5
Cny:yN TIA/O SWe. A
C ient• T/% Ok ra 41Rolr O
Contact: PA17'l3G� 0/0# .
Roofing
.401
CRM InspecIo g14 d/mISTUFfre
Lot Numbers 3o r S-3/ phase
TYPE OF INSPECTION: FELT FINAky
TYPI OF .ROOF: ASPHALT SHINGLE ✓ TILE
UNDERLAYMENT: ROOFING MANUFACTURER & TYPE:
SHEET METAL FLASHING: GUTTERS:
SKYLIGHTS: ATTACHMENT:
VALLEYS: RIDGES: EAVES: VENTS & PIPES:
Comments./Observations:
1. 4FIW#41 - OK
r
INSPECTORS SIGNATURE:
REP-rms`
C 3P� EN
:GROUP
Burke'
Jim Rlploy(SMTPIrlploydOr�paCbelLnol)
Monday, March 06, 1990 2t26 AM
PAT BURKE
OAK VALLEY
0
ca
Linear parkway planting,
2 wllhln (he Ilnoar perk are eon2121on1 wllh Iho la
n doCUrnan13 prepared by this olnnd2capo
ce end reviewed by the Illy
998 and, conform with the proliminary approval doumonls,
(pley
gn Group; Inc,
•
FINAL PLANNING SIGN OFF
DATE
'SIGNATURE ��..:..
SIII7II200,SANMATa(),nALIN0914IA9IIn(.1.173 TIILnPIInNk(61n)377.0J00 FACSIMI1.17(610)349.2442
Davit Mcrnh I, 1996
&STALLATION CERTIFICATE (page 1 'of 4) _ S 3� GF=1SR
to Address Vermit Number
An Installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The .
information provided an this form is required; however, use of this form to provide the information Is.optional.) After
completion of renal inspection, a copy must be provided to the building department (upon request) and the building owner at
occups4cy, per Section 10.103(b).:
IRVArAYSTRMS: •
Heating Equipment
Equip.: f of Emclenry, Duet Duct or Huang Haulag
Type (pkg. CEC Certified Ma Noma IdentiW (AFUE, etc.)r Location Piping Lad Capacity
heat um T���del�•iTumber Systems RCF-IRnluel (attlo:ate) Rvatue IBtuthrl (BtuAtd
Cooling Equipment
Equlp: CEC Certified Compressor f of Emclenry Duet Cooling cooling
Typo (pkg. Unit MR Name and Identical (SEER ata.)l Location Duet Load Capacity
heat um Model Number systems CF-IR value anie etc. R-value Kuhr tWhr
1. a: 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
Oefficient than that specified in the certificate of compliance (Form CF-1R) submitted for compliance with the Energy
Ef rclency 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
eaasrerdr� =z7-9Frer�r'41e4A&� & ai- Afe _
S.1griliture, Date Installing Subcontractor(Co.Name)
r, OR General Contractor (Co. Name) OR Owner
WATER HEATiNC SYSTEMSe "
V.
Distribution IfReelr- for Rued' Tank Ern• External
Heuer'. CEC Certined Mir Type (Sid. culmlon, Identical Input (kW Volume alenay' Standby' 'insulation ¢i
Type Name d: Model Number Point -of -Use) Control Type Systems or Bl Atr) (gallons) (EF RE) Loss (Vol " R-valuo
2 For smell gat storage (rated Input orless than of equal to 7S,000 Buthr), electric resistance and heal pump water beaten, list Energy Factor,
. For large gas storage water heaters (rated Input of greater than 75,000 BrAr), list Recovery Bmclenoy, Standby Lou and Rued Input -
For lastantaaeow gat water haters, (1st Recovery Efficiency and Rated Input _
Faucets & Shower Heads:
All faucets and showerheads Installed ara certified to the Commission, pursuant to Title,24, Part 6, Subchapter 2, Section .
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•1R) submitted for compliance with the
Energy EficiencyStandardr 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.
igna re, UAW ingtoiling 5ubconhator (Co, Namf) OR
General Contractor (Co. Name) OR Owner
COPY TO: Building Department
Building Owner at Occupancy
Rnvlapd Mnrch 1. 1996
Kevin Visser dba
Job Work Order/Invoice -
A-AAAAA Leak Finders & Repair Please Pay From This Invoice On Presentation
P.O. Box 3091 -
Santa Clara, CA 95055-3091
v[oar °Fawrs'euEo MEc.uelc .e-
Leaks located Electronically In: Pools, SPas, WSroMEus oloca no -
Buildings & Underground Pipes, All Types of
Plumbing Repairs Made; erti To - —
Contractor Lic. M 699113 �CC 2,0 oD
(408) 288-6932 f510) 839-5898 (707) 552-1120 iOCREu
(415)979-9509 (9?5)939-2359 (916)331-9999
(650) 366-0111 All Other Areas FAX arr STATE ZIP
1.800-573-1234 (888) 296.4882
NO
O C
WORK CGNE ON
CONTFAOT BASIS
9a =va '2'c
NB: TOTAL AMOUNT DUE IS PAYABLE ON PRESENTATION OF INVOICEcrtr STATE 21F 206 =Hwle
_ v 3
JOB T'IPE: REFERRED BY:
a o --
c 1
J� a=a _0
12ZC-4 E6 1425410:�-YD
%Y O v_ T�
r ay,
C p
T C Tic C
V •J � � j J C._ ✓
�Jcu
!
^tea LL .
c -
N.B. No OTHER; LEAKS WERE APPARENT AS AT TIME OF TEST '
_ - I P1'.ONE. TOTAL' S
'NOPH ORDERED BY: -
-_'� THE OWNER OR TENANT HAS THE RIGHT TO REQUIRE THE CONTRACTOR TO HAVE A PERFORMANCE AND PAYMENT BOND-i
I FIND THE WORK SATISFACTORY AND THE CHARGES AS AGREED. AND AGREE TO PAY THE TOTAL AfACUNT DUE ON FR_�E V-ATiCN C%
THIS INVOICE WITHOUT ANY DEDUCTION WHATSOEVER. I FURTHER AGREE TO PAY REASONABLE CHARGES FOR COL'_EC'ICN, INC-U DIKG
ATTORNEYS FEES. IN THE EVENT OF MY DEFAULT, AS VVELL AS PENALTY INTEREST AS ALLOWED BY LAW.
SIGNED BV: DATE -
COMPLETED
area a ine Cow•aaaas Suit L<eree S.A. aq a _ sot (a n.+q a may to •eie,,w m tic neganz, Cunlmame State Laerse Bme. mns '= e'^a
Coa[ta_Uri -va •ayv2e by tat b 0e t _I"ti tad r±}A Y a [O �Se It su_aVn T - o v arJtim -wemi 120:' O.Y.Iron t,,e aPFa-Imm. Uale (pew20 m In_
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