99080202 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES•USE BALL POINT PEN ONLY Q 9 ZlOZ.;x
CI9'X OF CUPERTINO BUILDING-ELECTRICAL
BOILDING FCUPVISION APPLICATION/PERMIT PLUMBING-MECHANICAL
';,BUILDE45PROJECT mBNIV1CAT10N [,z'i^?!5s#ai
BUILDING ADDRESS: SANITARY NO. APPLICATION SUBMITTAL DATE
U S 6°1 ��"Al"s � n . CIA �^d C/} � -3 a p
03,ER'S NAME: P NE: CONTRACT'OR'S NAME: �s LIC NO:
/ �p a 'Aa�Q•s av � e 4 e t S r7a1 Q6 N/C CONTROL#
ICHITECT/ENGINEER: LIC NO: ADDRESS: ❑
ONTACfs:�. � �g PHONE: 5 ./ y /�I� os/ '-..:.1;'BUIIDEJO PERMIT INPO•:": ..-.s-Cir
Sf,e I f v u Q S - / !7- 01"'1 ' ❑ Consultant Feag P city Appl�eant(initial) yU o y ijti f BLDG.. ELECT PLUMB MECH
'B ❑ ❑
LICENSED COcensed e,provision;DECLARATION QTY 1Tj ew as BLBLTRIC PERMl:1,. y` x '¢PEE $}
1 hereby 0)of that I em licensed under ndPofof Chapter 9 my licanamtl a . -. •.4: '.. JOB DESCRIPTION
aZ with Section 7000)of Division 3afthe Business and Professions Code,and my license re RESIDENTIAL'
O PERMIT ISSUANCE
C i i full a me an-,Red.
IUZC' License Cha Lic.# ❑SFDWL El KITCHEN REMODEL
>ad u1 Date Cuntmcror APPLIANCES-RESIDENTIAL ❑ADDITION [I PLUMBING RE-PIPE
�Z,n ARCHITECTS DECLARATION ❑MULTI-UNIT ❑STRUCTURAL
1 understand m ads.hall be uuA u blit records PANELS
zip Y P W MODIFICATION
Z UPT02MAMP5 El INTERIOR [I CHIMNEY REPAIR
Licensed Professional
OWNER-BUILDER DECLARATION 201-IOOOAMPS IMPROVEMENT [3SWIMMING POOLS
OVER IOW AMPS [I BATH REMODELIREPAIR ❑DEMOLITION
1 hereby eflinn that 1 em exempt from the Contractors License Law for the
3 q U fallowing mason.(Section 7031.5,Business and Professions Code:Any city or county SIGNS ELECTRICALr]OTHER
Cwhich requires a permit to construct,star,improve,demolish,or repair any structure
Our to in issuwme.a.mature.to applicant to..uch Permit 3o filc,signed nmemem SPECIAL CIRCUIT/MISC. ��
rs �
pN. that he is licensed pursuant to the provisions of the Contractors License Law(Chapter 9 �1yL\L/
GO (commencing with Section 70W)of Division 1 afNe Buainasend Profaciom Coast or TEMP.METER OR POLE INST. COMMERCIAL:
of that he is exempt therefrom and the basis for the alleged exemption.Any violation of ❑NEW BLDG/ADDMON ❑DEMOLITION
4, Section 7011.5 by any applicant far a permit aubjec s the applicant to a civil p melty of POWER DEVICES ❑TENANT [I FOOD SERVICE
F y not mare than five hundred&]I.($500). IMPROVEMENT
q 0 C]1.a;ownerof Ne property.or my employees with wages in their sole compensation, SWIMMING POOL ELECTRIC
will do the work,and the structure is not Intended orofiered fmsaie(Sao 7044,Business []OTHER
3
.it Profession.Cade:The Contractors License Law does not apply to an owner of OUTLETS-SWITCHES-FIXTURES
property who builds or improves marcor,mrd who does such work himself or tluough
his own employees,provided that such improvements ace not intended or offend for NEW RE ELECTR SQ FT.
sale.If,however,the building orimprovement is wld within ane year ofcomplation,the SQ.FT,FLOOR AREA $/SQ.FT.
owner-budder will have the burden of proving that he did not build or improve for pur
Lane of sale.).
1,an owner of the property,sec exclusively convecting with licensed contractors a TOTAL:
construct the project(Sec.7044.Business and Professions Code.)The Contractor's Li-
cerise
t L
cense Law does not apply ton owner of property who builds or improves thereon,add QTY r"j,.. `1PL�IMgJNOp 'rIs=PEEe I.4s�d
who contracts for such project with a convactor(s)licensed pursuant to the Communes t. . r.er..*ss..r.xrsm.. n.ti;.rv.St,r N+h';w•e ao.S biPS
License Law. PERMIT ISSUANCE
❑IvnexemplunderSec. ,B&PCforlhisrmwn
Owner DALTER-DRAIN&VENT-WATER(EA) VALUATION
at<
f WORKER'S COMPENSATION DECLARATION BACK FLOW PR07ECL DEVICE 51000 , i
I hereby affirm under penalty of Perjury mm of me following decluetiom:
I I have and will maintain a Certificate ofComem toml6inime for Worker's Compact- DRAINS-FLOOR.ROOF,AREA.COND. STORIES 'TYPE CONSTRUCRON
tI..,a provided for by Section 37W of the Labor Code,for the performance of the
work for which this permit is issued. FIXTURES-PER TRAP
❑1 have and will maintain Workers Compensation Insurwme,as required by Section
37W ofine Labor Cuda for the performance of Ne work for which this permit is issued. GAS-EA.SYSTEM-1 INC.4 OUTLETS OCC.GROUP S-.9PN`y
My Worker's Compensstion Insurance carrier and Policy number am: (�J
Carrier: Policy No.: GAS-EA.SYSTEM-OVER 4(EA)
CERTIFICATE OF EXEMPTION FROM WORKERS' O ?
COMPENSATION INSURANCE GREASFIINDUSTRL WASTE INTERCEPTOR
" (This sectianneedtrotbe completed ifthe pemdt isfarone hundrcddo11an($100) �NLOw•Q�Y45fOPI,,
or less.) GREASE TRAP
1 certify that m the#adorns.ofine work for which this permit is issued,I shell PLANCHECK FEE
low SEWER-SANITARY-STORM EA. FT.
not employ y y person in any manner w u w became a me Wmheri Compen- ENERGY FEE
Z
It. Laws o[C.3moms.Date
O0 Applicant �L .3
WATER HEATER W/VENT/EI.ECfR GRADING FEE
fa NO'fICB APPLI T.If,afar making Nie Cedificme of Exemption,you should
WATER SYSTP.M)TRE.ATINO
abecome wbject to the Workers Compensation provisions of the Labor Cora,you tens, SOILS FEE
I:I forthwith comply with such provisions or this permit shall be,deemed revoked. WATER SERVICE
Q
I'D z CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL PLMB. SQ.PT. PAID
LJ n I farherebywhich
fiithi Ne mere is a ed(Section lending agency for the performance of Dem ,R_aeip•, M--
D-' IlrFyyyy be work for which Nis panni[is issued(Sec.7097,Civ.CJ -
0 Lendcra Name TOT L
Wl Lender.AEdmss TOTAL
L>, 1 certify that I have mad this application end sate Nat the above information t y, v., .- BUILDI Q ¢E
0 Correct I agree m careply with all city and County ordinances and note laws misting to f y) t a 1 d -•T=.'fl tR v{+r'*^e: �"'
QTY_F MECHANICAL PERMIT, a T FEE AUG
V Z building construction,and hembywmonze representatives of this city to enter upon the t:- <, x a s, s a "4 >�'vf SEISM I iPE� M
"-' above-mentioned property for inspection purposes.
Me)agree to save,indemnify and keep harmless me City of Cuper ins PERMIT ISSUANCE against ELECT FEE
Iiebilificajudgments,costs and expenses which may in my way accrue agsirst said City ALTER OR ADD TO MECH.
I.consegmna of the granting of this pcmtit. PLUM IN$ E
APPLICANT UNDERST AND WILL PLY WITH ALL NON-POINT AIRHANDLING UNIT(TO[0,000CM) Mr ,Vorr,r teas^^ �---
SOURCE
AIR HANDLING UNIT(OVER 10,000 CFM) CONSTRUCTION TAX
SignetumofAp 6mt1Commc Data EXHAUST HOOD(W/DUCT) HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle haallom material HEATING UNIT(TO 100,0011 BTU)
as definM by the Cupertino Municipal Cale,Chapter 9.12,and me Health and Safety
Cade,Section 25532(a)? HEATING UNIT(OVER 1 W,000 BTU)
❑Yes ❑Na
VENTILATION PAN(SINGLE RESID) PAID
Gate Receipt#
Willens apPRcantm.mem turn.building by the BayAso equipment mdevaeswhich BOILER-COMP THP OR 100,000 BTU)
emit baatdous air comnminen[s as-armed by Ibe Bay Arca Air Quality Manegemcm
'isvicR
❑Yes ❑No BOILER-COMP(OVER I W,000 BTU) f�
1 have read the bawdous materials requirement under Chapter 6.95 of the Cali. AIR CONDITIONER ISSUANCE DATE
fomia Health&Safety Code,Sections 25505,25531 end 25514.1 understand that if the NEW RESIDENTIAL MECH. SQ.Fr.
building dmn acne veatenann my responsibility mrwtify the mcupant
m mustbe asuwce ofa CeniOcme fOccu cy. f
Owneror rhonz .gen. ate TOTAL ISSUED BY:
OFFICE
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY
�HuildlnR Proecl Identification PERMIT NO.
C- Building Addmcss: 20082
1j82 O O(1 l�
056 ASSe�n J CU 173 ^YN 'S' 1 G
I. wars ante: one:
-3-17CITY OF CUPERTINQBUILDING DIVISION
Contractor's "'e LIe.No: APPLICATION /PERMIT
BUILDINGFL TRICALPLIIMBINGMFGFIANICAL CATEGORY CONTROL N
Architect/ gine e • Ltc.No:
QTY ELECTRICPERMIT FEE BUILDING PERMIT INFO
Address: SOM I'ERMITISSUANCE ❑ 1:1 ® Ll
CONTRACTOR'S DECLARATION
I hereby ection70that f IvIA.r3.fthcm licensed under
Mnex.ao profesapter9(mmmmc- APPLIANCES-RESIDENTIAL.fingwitJOB DESCRIPTION
If..h 1.full 7f mio leffeon3ofthc Buslneeeand Pro(essionsCode,and my
Iicenv Is In full toms and effect. PANELS
License Clay Lk.N
Date Contactor 32TO 200 AMPSJ�'�-�• �i P/�'7 TT/
ARCHITECTS DECLARATION 207-1000 AM
Tt
Q�u0Z0
C l understand my plareshale used as public records.bOVER H(X1 SQ.FT.FLOOR AREA S/SQ.FT.
k�u Licensed Professions l SIGNS ELEC ti
¢FPI+ OWNER-BUILDER DECLARATION SPLCLILC CUI TSC
Iherehyafflrmthatlamexempt fromthe Contractors License Lawforthe
p folowing reason.(Section 7031.5,Business and Professions Code:Any city or LEI
O county which requires.permit tomostruct,slter,bnprove,demolbh,orrepair
TEMPnmw
M anystmcture pdortolts beuance,abo requirestheappllant forsuch per
out
file a signed statement that he Is licensed pursuant to the provisions of the POWER D -
3O� Contn(t.e.License Law(Chapter 9(commencingwith SMion700D)ofDivl-
E53 alon3ofthe Bualnvaand ProfeesbnsCade)onhat hebexemp[therefromand - NG L E C VALUATION
O¢ the bash for the alleged exemption. Any violation of Section 7031.5 by any O E
C aPpBomtfor a permit subjects the applicant to a civil penalty of not morethan
five hundred dollars(SM.
I,as owner of the ro NEW AL ELECTR .FT. STORIES TYPECONSTRIICTION
Z< p party,or my employees with wages as their sole
compensation,Business workand tors,C cturebnot Intended or offend(or
O vie(Sec apply to Business and wner f prop"
rop ons Code:The Contractors heLt...
o r law
docs not apply torn i.1f.f throng his o buildnem orImprovesthat and OCC.GROUP RFS.UNITS '
C•
who doements are net msededorwghhbow formic.
If,yees,owe proer,Outbuilding
nor
Improvementsasenot Intended earofco p[dio ILhowever,lheerwilI have
TOTAL:
improvement beold wlthinoneyearotcompletion,theowner-bullderwlll have
t LJ Lrden of proving that he did conbuild or Improve for purpose of sale.). QTY, PLUMBING PERMIT FEE FLOOD ZONE APN
as owner of the property,am exclusively mntracting with Ile — PERMIT ISSUANCE �N1
contractors to construct the project(Sec 70K Businessand Professions Cade: C.e/
The Contractor's License law does not apply to an owner of property who ALTER-DRAIN&VENT-WATER(EA) =W
bull"or Imprrwa thereon, contracts and who contfor such plo*u with a FEE SUMMARY
ctmi lansedpursu.n the Contractor's License Law. BACK FLOW PROTFOT.DEVICE
am pt under c. B A P C for this reason
Owns Date DRAINS FLOOR ROOF,AREA,COND. SANITARY Y_ N_
RECF9R N
W C1tAN C0 P ATI DECLARATION FIXTURES PER TRAP SCHOOL TAX Y N
❑I hereby that I have a II of consent to self-Insure,ora RECRIpT M
certifiateof kers Comperuattonlauanem.on"lfied copythemeof(See. GAS EA.SYSTEM-1 RICA OUTLETS PARK FEE Y N
3000,[ab C
Policy N — RECEIPT M
Com any GAS EA.SYSTEM-OVER4(FA) BUILDING DIVISION FEES
[7CertlBed copy is filed Mthrthe city GREASE/INDUSTRL WASTE INTERCEPTOR PLANCHECK FEE
❑Certified ropy b filed with the city Inspection division.
CERTIFICATE OF EKWPTION FROM WORKERS' GREASE TRAP PAID
COMPENSATION INSURANCE SEWER-SANITARY DR
RhlseMion need not be completed tithe permit b(Drone hundred dollars -STORM EA.200FT. ate eCel pt#
($10(>orlcv.) RIOTER HEATER W/VENT/dECTR ENERGY FEE Y N
I certify that In the performance of thework for whim this permit Is issued.
I shall not employ any person In any manner w v to become subject to the WATER SYSTEM/TREATING PAID
Z
Worksrs'Compenvtionlawsof Callfomla.Date -
O Z Applicant NEW RFSIDENIIAL PLMB._SQFr.
mDate Repel t#
O NOTICE TO MPLICANT:IL after making this Cortlfkate of Paamptlon,you
should becoe subject to the Workers'Compensation provisions of the Labor TOTAL:
jLO Code,you mast forthwith comply with such provisions or this permit shall be BUILDING FEE
deemed revoked.
LU
p CONSTRUCTION LENDING AGENCY SEISMIC FEE
I hereby affirm that there It,a construction lending agency for the perform (t{',.e�0 ELECTRIC FEE
Z ance of the work for which this permit b Issued(&o 3097,Civ.CJ TOTAL:
(,) O Lender's Name PLUMBING FEE
LL F- Icndce.Addmu QrY. MECHANICAL PERMIT FEE MECHANICAL FEE
O W l omify that l have madthb ma
application and statethatthe above Information
1 lecorect.7 a gree to comply with all city and county ordinances and state laws PERMIT ISSUANCE FEES PAID:
N watingtobulldingeonstactlon,and Mrebysuthorlu representativaofthis
H Z city to enter upon the above-mentioned property for Inspection purposes. ALTFRORADDIOMECH. Date Rt#
V — (We)agree to save,Indemnify an d keep harmless the City of Cupertino eCCI P
against liabilltles,Pdgments,mstsand expenses which may In any waysccrue AIR HANDLING UNIT CFO 10,000 CFM) SUBTOTAL:
aga Wt told City In consequence of the granting of this permit.
AIR HANDLING UNIT(OVER lO,OW CFM) CONSTRUCTION TAX
Signature of Appliant/Contractor Date EXHAUST I iOOD(W/DUCT) CONSTRUCTION TAX PAID:
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant orfuhrm building occupant store or hand Is hazardous HEATING UNIT(TO 100,000 BTU)
material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Date Recel t#
Hes lth and Safety Cad a Stolon 25532(.)7 HEATING UNIT(OVER 1pg000 BTU) TOTAL: I Lk coo
nn Yea rj No
X4111 the applant or future building occupant use equipment or devices VENTILATION FAN(SINGLE REBID) NCE DATE
which emit hazardous air contaminants as defined by the Bay Arca Air ���
allty Management District? BOILER-COMP DHPOR 100,000 BTU) ��9
YYean❑NomaERO2 (IU
have read the hazardouf tedaH requirements under Chapter6.95 of BOIL -COMP(OV100,000 BTU)
the Calif xonla Health k Safety Code,Sections 25505,25533 and 25531. I
understarad that lithe building does rot currently have a tenant,that It is my NEW RESIDENTIAL MECH. SQ.FT `(/lj1Py-
of -
responsibllitytonalfytherecupant 9(lLaaeg Iremrent.which at be mat R
prior t nceaaCertlRcate of ccvpan (ri ^ 04D
Owner or'"dud agent ate TOTAL: ISSUED BY:�.1 U[%Vs W`a+saA,a-vet
OFFICE COPY
.Al/17/1999 09137 FROM JAMES CHEN, C.E-S. E. 70 7370970 P. 01
• James C. Chen,C.E., S.G.
P.O. Box 20302
San Jose, CA 95160
. . . . . (408)268 -0612
�Q
December l4, 1999 ^2,
City of Cupertino
10300 Tone Ave,
Cupertino, CA 95011
RE: 20569 Blossom Way
Cupertino, Calilbrnia
Our Job No. 9907
Deer Inspector:
1 visited the job bite qn 12/1/99 to perform the observation inspection for the structural framing
construction.All wogks are complied with the Plan and Specification shown, and satisfied to me.
• if you have any questions in regarding to this subject, please don't hesitate to call me.
VTOFESS/0y9
Very truly yours,
No. 2282
Exp. tyatlld
sT rRUCN�P
James C. Chen,C.E., S.E. 9fE0f CAl1F0��
•
'NOV-01-99 04:16PM FROM-BIG CREEK LUMBER WATSONVILE 6317611634 T-060 P.09/12 F-642
AIRE=
ro
Cert1 mcate of Conformance
c® 053738
THIS IS TO CERTIFY that the glued laminated timber products identified with a Collective mark of
Enginreretf Wlsod Systema(00)were manufactured in aceor4ance with the applicable standards
and associated specifications indicated below.,
AN611 Standard A190.1-1992, For Wood Products-Strueraral Glued
Laminated Timber
NEP-AW Glued Laminated Timmer Combinations And'W"
Computer Program For Determining Design Strnaees
AITC 117-93-Manufacturing-Standard SpecSications For Structural
Gued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIED that the AA4 OWStrademarked structural glued laminated timber memoers
were produced in a manufacturing facility aut9sot to regular&Wall In acoclaince with the Engineered
Wood Systems (EW6) Quality Assurance Program. Routine audits include inspection of the
• manufacturing process and evaluation of the in-plant QA program with adequate sampling to verify
conformance to Industry standards for lumbar grade and glusline bond quality.
Us Att4citasat 01 dated 11-1-1999
we 40
��� o��g ♦�,rrya► N
by
SFAL Thomas G. Williamson
7 Brsoutive Vice President
saqIV
1
a�r�ei .p.�
6N91N8HlfQQ 110[108Y97FNSa tBNeo ao.'1 WAM-71ii wow"
n..�
7011aais11W Moog,iC.ep 11700.TWwW N 1147 0
TwP�X031M ooa-�N~..�
r
NOV-01-99 D4:16PM FROM-BIG CREEK LUMBER WATSONVILE 6317611634 T-090 P.10/12 F-642
AM MWI
At 'n Number 1
TO CERTIFICATE
�OF CONFORMANCE N0. /_O!s37v.W DATED /
J0 pawa
J0 Wm"A
cuumlm' omw Na 3.5687 Qego /40 —&/_/9"Mfges Ortlrr No.
The following Idend ies the members and 9 B6 the bDa� ficW speciwns that were used on this job:
I.umber 8peciss: [-7.Yr5 � /� ° RarJ �.- �69,� O�
Itla acam QuWAY sin Ca *m" 1 sGmr Cemaer
�1 ///v 3)4.x /a 1r yLn A010 4k4tt .gni+_
5•a.
ao5a� ' asp. �u,•.2,
ConlPe�r UP Qu. 0111 f
//- /—
o.0
•
NOV-01-68 04:I5PM FRO"IG CREEK LUMER WATSONVILE 8317611634 7-080 P.07/12 F-542
Certit.cate of Conformance
Certificate 053739
THIS IS TO CERTIFY that the glued laminated umber products identititia with a collective mark of
Rrrilkwwed Wbod Systems (MW)were manufactured in accordance with the applicable allndards
and associated specifications indicated below:
ANSI Standard A19f1.1.1982, For Wood Products—Stn3MMI Glued
Lsminatad Timber
NER-486 Glued Laminated Timber ComRH►ations Ana-GAP"
Computer Program For Determining Design Stresses
AITC 117-93—Manufacturing-Standen! SperAcatiorrs For Structural
Glued Laminated Timber Of Softwood Spades
IT IS HEREI3Y CERTIFIED that the ARA 111111111 trademarked structural glued tamlnated Umber members
were produced in a marMactudng facility sutdect to regular audits In accordance with the AnSlneanad
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
manufacturing process and evaluation of the in-plant OA program with adequate sampling to verify
• conformance to industry standards for lumber grade and glueline bond quality.
see attacbsaat I 1 dated ti-1-1999
o w�ao
Fi�I. - by .�..I
S
w Thomas G. Wilifimson
Executive dice President
IMrwviaaa0 WC1o0 svS7iYBu��Voa aeNanta�a.VM-7Na eVeweBReD MGOO A6i0eMnon
7m t MIM an 116.1800 "Too.
Ta.rMQ& ets•VA Bull-"
—"
•
NOV-01-99 04:15PM FROM-BIG CREEK LUMBER WRTSONVILE 8317811834 T-080 P.08/12 F-542
A
• Attachment Number 1
TO CERTIFICATE OF CONPOPIMANCE NO. DATED
Jou Name a�'J& d>?dctFAL 4 Yw,
4.
Job 409oae �+�'7 J(( ,� Oo p
Cralamar'a arnaf Na. �'4-'f - - Dam /dp-
The ibllwAng Ideftfin the members and gives the basic speciflcadans that were used an this jab:
Lumber Species: S7*1, /,Ra-dyzw .2Wc 64.4-S ><r2.. --
me"M Adhomo AppearenGa
NMNIaglIWl Guamly am Can�oinahion Tim Qrdda Damoor
817� ��5' ![/0/L" � _ J .die
gy _ I /'f 3 SVP K /D r12- CJP &Cd ?ZSaaai2
.c A** WR A4ro 3 +a'►�
�bc, r3lcsantnn �.G ne,.
Com
o">I��N.rr.7 !tom �iA4WIlp�� MIN a�a Coroa �
�! -/`/9
claw
NOV-01-88 04:1 PM FRO"IG CREEK LUMBER WATSONVILE 8317511834 T-080 P.05/12 F-542
• 1.
Certificate of Conformance
CartMicate 053740
THIS IS M CERTIFY that the Clued laminated timber products idenofied with a collective mark of
EnDlnearad WWd Syatama (EIWS) were manufactured in accordance with the applicable standards
and associated apaoifieafions indicated below:
ANSI Standard Al 90.1-1992, For Wood Products—Structural Glued
Laminated Timmer
NEPI.488 Glued Laminated Timber Combinations And"GAP"
Computer Program For Determining design Strasses
RITC 117-93—Wnutactunng—Standard Specifications For Structural
Glued Larrihated Timber Of Softwood Spades
IT 19 HEREBY CERTIFIED that Me APA M41 trademarkao structural glued laminated timber members
were produced in a manufacturing facility,subject to regular audits in accoroanca with the j?nWneered
• Woad Systems (AW) Quality Assuranoc Program. Routine audits Include inspection of the
manufacturing process and evaluation of the in-plant QA program with adequate sampling tb verify
eonfortnanca to industry standards for lumber grade and glueline bond quality.
Sea 6ttaalmaat #1 dats4 11-1-1999
14
� W OOB
wSM Thomas G.Williamson
Executive Moe President
�,�8�asoa 5•�• �a.1r�Je
aosb� Yytust:w.-•lu*•�
s>uerAEEasoWOW st•SM4aoidaws PCPW~aAPA-rMHauswsa 0wpp34e8opP0w
ron3W,nten0oen•RO•Oft 11700-Tamma.MMII-O o
• ibwonona(tIf71 ow4men-Pas la~,(3971'%s*as
-- ---; _ _,� �. �.._ . _ J "i►F�"�>. _ -mar -1
NOV-01-66 04:14PM FROM-BIG CREEK LUMBER WATSONVILE 6317611634 T-060 P.06/12 F-642
A A4
Attacbmcnt Number 1
M CERTIFICIn OF C0NKIRMANG§ N�oi ' -DATEa
Jac Nam a4EX Lugg£&
.=L.Ctatl011
cwmmer'n c,wNn 3b 3 T ply /P —0-)6- 'ry7 MWs Orcw Na
The WOVI iM9 idemiHesst_tSS '
MoMberl and m
ghme e basic spo"Vations that were used on oris job:
C
I kism QW1110 �1 Bite Camwam A v reMmor awe Camper
�r, � �/b 1 53r9 X/O'�t'L F✓ � �ncr>< .�5'tt�it..
Dow
S•1�. 1.�e�cL,k.,•,�,
CO+epeM bgll0ua r
irr- 9
NOV-01-88 04:12PM FROM-BIG CREEK LUMBEER�WATSONVILE 8317611834 T-080 P.03/12 F-842
Certificate of Conformance
Certificata 053741
THIS IS TO CERTIFY that the glued laminated limber products identified with a collective marc of
AMM tamed @tiWed Systema (M)were manufactured In accordance With the applicable standards
and associated specifications indicated twow:
ANSI StandaTgA190.1.1992, For Wood Products-Structural Glued
Laminated Timber
NER-08 Glued Laminated Timber Combinations And'GAP
Computer Program For Determining Design stresses
ARC 117.83-Manutactunng-Standard Specifications For Structural
Glued Laminated Timber Of Softwood species
IT IS HEREBY CERTIFIED the!the AAA!WB trademarked sfruooaral glued larninated timber members
were produced in a manufacturing facility subject to regular audits In accordance with the i><rty roared
Wood Systems (FWS) Quality Assurance Program. Routine audits include inspection of the
• manufacturing process and evaluatlon of fns in-plant QA program Win adequate sampling to verity
conformance to industry standards for lumber grade and giusline bond quality.
Sine Attachment #1 dated 11-1-1999
w 9�j��jO
S SQL M by
w Thomas 4 Williamson
v Executive Vice President
8H III -sit
ural
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N0V-01-o8 04:13PM FRO"IG CREEK LWGER WATSONVILE 8317811634 T-080 P.04/12 F-542
A A4 EWS
Attachment Number 1---
M CHRrlFICM OF C4CONFORMANCE NCL ��3Z V1 -RATED
JO Noma QQ � a?:
Jaa LaeR4an WAY" U I�, �--?
Cueroarar'a Order Na 3�ya/��---� Dane /�`a7"/�� Y1pre Oreer Na
The following ideirdflas me�lmembws and gives the basic epecffica lore that were used on this Jab:
4-D/FS" *
LumbwSpecies: lc�Sa.14a 4q/fis
INIRA II .t7uenOq Bim ComtunaUon Type Cemtiar
W� 54;24�P-,
x X1) 1/?-
• a af,' 31/8.x 10'/z" o;OFyip' 47*-W 315451 rz
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a..v�
coffww Mdr Quo Gow
Dere
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• s '
NOV-06-99 08:38PM FRO"IG CREEK LOM6ER WATSONVILE 8317611634 1-238 P.03/06 F-864
•
Certificate of Conformance
cafi�ate
0537,45
THIS 19 TO CERTIFY that the glued laminated timber products Identified with a MllB tivs mark of
EnUkW d YNood Systsme (11j were manyWilmd in accordance with the applicaWe standards
and as=polated spedf}catiom indicated below:
ANSI standard A190.1-1992, For Wood Products-Structural Glued
Laminated Tlmber
NER-4W alued Laminated Tanbar Corrtbinatione And"GAP"
Computer Program For Detraining Design Stresses
AITC 117.99 Manufaolunng-Standard 60"Ificatons For SUUCtUMI
(aluao La"Mated Timmer Of softwood Spades
IT IS HEREBY CERTIFIED that the ARA EW8 tmdamarMd structural glued laminated fimber members
were produced in a menulMring facility eublect to regular audita in accordance wdh the "Reefed
• Wood Systema (SWS) Quality Assurance program. Routine audits include In=p6tationOf
manufacturing process and evatuation of the in-plant QA Program wttn adequate samWg o ty
conformance to industry evr4ards for lumber grade and givaline bond quality.
Sas estacbmeat #1 data4 11-05-1999
o Wo=o
Sj
Thorn=m,Uyiilierttson
Execut"vox President
anCttWar Cr�pDO gyarW119u e'Natw pN'orWon
at A* Ina Wd#40 Fll w000 A37DCIATI7M .
ronstwn toa�aew� FA.Bet moo•Swoma 1W lwn•tmw
serer OM 6 4tMM•Paid NWMW p48
is