03090212 crry or CUPCR,rwo
HuILDING DIVISION PERMIT CONTRACTOR INFORMATIO -'
Bm1.o1NC ADDRESS: HSIANG TIEN YIE PERMIT N003090212
OWNER'SNAME: PERMIT155UEDATE
09/24/2003
PAPHONE SANITARY NO. CONTROL NO.
ARCHITEC 1INGINEER: BUILDING PERMIT INFO
BLDG E
ELECT PLUMB MECH
O
too LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description 51 as ea rx pD
�Z. with section 7MBoroivisinn 3 oflhe Busi.exa.d Professions Code.and my license is IYb \\WII(N�\a\14I I_�FE
iI.full I.ree and effect' KITCHEN REMODEL/BEAM CHANGE
License Class Lie.g
o Da. Cumrsetm AUG 13 2004
s-Ety ARCH]ECT'S DECLARATION
I m 1 understand my plans shall at used as public records
JWV
oG LoCroodProfcss....I BUILDING
S OWNER-BUILDER DECLARATION
j<y 1 hereby affirm that I am exempt from the Comracmr's License Law for the
COO following reason.(Scedon 7031.5.Business and professions Code:Any city fir county
Sm which requbds a Nortit tit ehpxtrudt alter.improve,demolish.fir.parr any stomp. 8,10000
Ii poor in its issuance.also requires the applicant for such permit to file a signed statement
that he islicensed pursuant a the provisions of the Contractor's License Law(Chapter 9 Sq. Ft. Floor Area Valuation
eF0 (commencing with Section 7")at Division 3ofthe Business and Professions Cndc)ser 36924021 . 00
$ Nat he is exempt therefrom and date basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit srbjCCU Ne applicant to a civil penalty of APN Number Occupancy Type
not mom than eve hundred dollars($500). -
0 I,as owner of the ppcny,or my employees with wages as their sole compensation,
will do the work,end the$niece c is not intended or offered far sale(Sec.7064.Business —
and Professions Code:The Conuacmr's Liecase Law does not apply to an owner of 102 - P I ERS d Inspections
property who builds or impova Nemo.,and who dwessueh work himalror through his
own employ=,provided(hol such improvements are not intended or offered for sale.It, 103 — UFER
however,the building or improvement is Cold within one year of completion,the owner-
builder will have fie burden or proving that he did not build or improve for purpose of 104 — REBAR
ale')' 105 — ANCHOR BOLTS
0 1,a owner of the popery,am exclusively contracting with licensed Contractors to
construct the project(ScC.7044.Business and Nofcssiom Code:)The Conracmr's Li. 106 — SEWER & WATER
Cents Law does not apply toan"nor fproperty who Wilds orImproves,wemnn.and, 202 - UNDERFLOOR PLUMBING
whip n.o.mµufor such proiwu wird aeontnnortq Raaedprrsammthe Contractors 203 — UNDERFLOOR MECHANICAL
lam cxe pt antler See. .B&Pg�C��for
�this
��rcaz>on 204 — UNDERFLOOR FRAME
Owner wo 1 SCOMPENSA t ATION � 205 — UNDERFLOOR INSULATION
I hereby affirm under penalty of perj one or the following deelaaurar. 301 - ROUGH PLUMBING
I have and will maintain a certificate or consent to self-usum for Worker'acnmpen- 302 — TUB & OR SHOWER
sati rn,a provided for by Section 3700 of the Labor Code,for the performance of the 3 03 - ROUGH MECHANICAL
work for which Nis permit is issued.
304 - ROUGH ELECTRICAL
0 I have and will maintain Workers Compensation Iaunncc, h his Per by Section
ssu d.
non of me Labor Code.mrthe,Performance of the work four which mire Permit is issued.
305 — FRAME
My Worker's Compensation Insurance carrier and Policy number am: 306 — HOLDOWNS
car"`° PolicyNo.: 307 — INSULATION
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE 308 — S'HEETROCK .
Thisseetionneed ambeeomplaed ifthe permit isforane hundmddoiles($100) 309 - EXTERIOR LATH
nrlese) 310 - INTERIOR LATH
1 cenify Nat in the performance of find work for which this permit u issued,l shall not
employ any person in any manner eu an in heeome subject o the Wortrrs'Compeaauon 311 — SCRATCH COAT
Laws of California.Data
Applicant 313 — ROOF NAIL
NOTICE TO APPLICANT:If,after making this Celli(call of Exemption,you should 501 'FINAL ELECTRICAL ENERGY
become$Object to the Worker's Compensation provisions of the Labor Car,you must
]'L forthwith comply with such pr.vi:;onanrthis pcon itshall xdeemedrevoker. 502 — FINAL PLUMBING ENERGY
Z O CONSTRUCTION LENDING AGENCY 503 — FINAL MECHANICAL ENERGY
I hereby affirm Nat there is a construction lending agency for me performance of 504 — FINAL BUILDING ENERGY
x > the work for which this permit isiaredesee.3097,c1v.c.1' 505 - FINAL ELECTRICAL
Lender's Namc
DIl. Z 4nd r'sAddress 506 — GAS TEST
j 0 I certify that 1 have rad this application and sato that the above mrormauon is 507 — FINAL PLUMBING
(—' correct.I agree to comply with all city and county ordinances and state laws misting to
Z) U building construction.and hereby authorimrepresentatives orthis city tocn.rupnnBut — FIN L MEC ICAL
above-mentioned ppcny for inspection proposes
ya. ro-(We)agree to save,indemnify and keep harmless Ne City of Cupertino against 0 — F I
rq liabilities.judgments.costs and expeaa which may in any way accrue against said City NG
JZ in eonsequene.of Nd granting of Nis lcrmit.
SY&
APPLICANT UNDERSTANDS AND WILL COMPLY WITH A N -POINT Issued by: 5 I
WORKSDate
IV R E REGULATIO
. c"
Re-roofs
am.of Appli Contractor Da
AZAR...S MATE IS DISCLOSURE Type of Roof
Will she applicant or future building�eupant store or handle leauvdous material
as defined by the Cupertino Municipal,Code.Chapter 9.12,and the Health and Safety
Code,s0 o.25532(a)7 No All roofs shall be inspected prior to any roofing material being installed.
Will me.ppee..t or Intro eroding ocapany rate ewipment rr dmiaa which a roof is installed without first obtaining an inspection,I agree to remove
mil h.xa um s air contaceinanu a defined by d.Bay A.Air Quality Moagcmcnt all new materials for inspection.
Mrliarm'? �s
DYes /7�No
I have read the It".ohnus`ma.riels requirements under Chapter 6,95 of the Califon
nix Health&Safety Codd.Section 255115.23533 and 25534.1 understood that if the holding
does not cane dy have a tenant.Nat it a my raponsi bilay n notify floe asupant of the
requ me nkkmrstbc t m toissLancef¢a.r(0, P ey Signature of Applicant Date
_16'0".J(he r i.d a Date
All roof coverings to be Class "B" or better
OWN&-BUILDER VERIFICATI04
1. (Check one) I or my immediate family (parent,spouse or child) will perform
A. All the work authorized by this permit
B. _ A portion of the work
C. None of the work
If B or C is checked, complete 2 or 3 below.
2. A state licensed contractor will be hired to do:
A. _ All of the work
B. A portion of the work (complete section below)
Contractor Address/City Phone # State License # Type of work to
3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or
portions of the authorized work. I understand that I may be an employer(see reverse side). A
® Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office.
Person/Firm Address/City Phone Number Type of work to be
performed
.....................................................................................................................................................................................
I declare under penalty of perjury that the above is true and correct. I have read and understand the
Owner-Builder Information�(rever side). n
Property Owner's Signature: _ Di}(e: ll� �d3
Job Addr �J TA FSS °� C'UPi39RT�Nc� Permit#
Any changes to the information provided on this form shall be submitted to the City of Cupertino Build
Department.
_ City of Cupertino Building Department
CITY OF 10300 Torre Avenue
C O P E' I N O Phone: (408)777-3228 -
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified.
For your protection you should be aware that as owner-builder you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are
personally performing their own work. If your work is being performed by someone other than yourself,you
may urotect vourself from Possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all
permits for which they apply.
If you plan to do your own work,with the exception of various trades that you plan to subcontract,you
should be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work
(including materials and other costs) is$200 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
If you are an employer,you must register with the state and federal government as an employer and
you are subject to several obligations including state and federal income tax withholding,federal social -
security taxes,workers' compensation insurance,disability insurance costs,and unemployment compensation
contributions. •
There may be financial risks for you if you do not carry out these obligations, and these risks are
especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law,contact the Internal Revenue
Service (and,if you wish,the U.S. Small Business Administration). For more specific information about your
obligations under state law,contact the Department of Benefit Payments and the Division of Industrial
Accidents.
if the structure is intended for sale,property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees,without a licensed contractor or
subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing
their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License
Board in your community or at 1020 N Street,Sacramento,California 95814.
Please complete and return the enclosed owner-builder verification form so that we can confirm that
you are aware of these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
Building Department,
City of Cupertino
Printed on Recycled Paper
�(t _ CRY OF CUPERTINO S
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
APN # Date: I�Ip3
Building Address: g'g-,j 'E5T-f Dom. Mailing Addr�nt-fromb-ui ilding-address):
� al
Owner's Name: �A5 tta4)(t--Tltr t,1 flE✓ one#: C4-D9)) 2,93 -C,&92
Contractor: -
'UWYJ-6�Bvti�J�+2—
Contact: Phone: Cupertino Business License#:
Fax:
Building Permit Info: p�
Bl Elect ❑� \ P mb ^
Job Description: .iU•1'li � 7� /
Residential ❑ `�
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of Project: „ Occupancy Grou .
Type of Construction Please check this bo if the project is a
second-sto addition: ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 Elec 600V <= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi I BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
r -# 239
1of3
(dam CI4' OF CUPERTINO
CITY OF PERMIT APPLICATION FORM
CUPERTINO
Quantity Fee ID Fee Description Fee Group
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL
BNEWMULTI Multifamily Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BNUMULTI New Multifamily Res PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
MA BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM Stonn/Raln Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENf Alt of Drain & Vent PLUMBING
BPWATER Install/Alter Water Pipe PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Fumace > l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL"
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
•
2of3
i
'( - CITY OF CUPERTIl*
CUP TYOF O PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL ,
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
13REMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Seb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING-
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC. Business License BUILDING
ELECTRIC Electfical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
.I
3 of 3
BAY BUILDING DE51 GN ERS 467 ARCHCOVE COURT, 5AN J05E, CALIFORNIA 951 I I
JOB N: YIE DATE: 09/14/03 CALCULATED BY: WENDY HSIEH 408-226-9541, Fax. 408-22G-9427
STRU "'t�URAL CAL ON
QROFEss�ob OF gY:
*WG�`'�`y REMODELING
3
W CT L T FOR
� STRUCTURAL � NRCF
COPY
� EXP. 6-30-04 �
OFC�.�Fo� YIE RESIDENCE
AT
ff,,}} 883 EAST ESTATES DRIVE, CUPERTINO, CA
W
LOA6I N G hPPROVElt
OU
ROOF ROOFING (COMPOSITION SHINGLE) IN AM1rm"IMMIM"
1/2" PLYWOOD C&ERT� '@ C P AND Or I'M
® ROOF TRUSSES @ 24" O.C. 4.0
1/2" GYPSUM BOARD DATE—INSULATION SIGNED 3.0
MISCELLANEOUS ifiis —.014lan "A ywei dications MUsT
TOTAL (4.5+ I .5)' 12.65/12+4+2.2+3L+e.3 tl .,�3,I 'Fat all t, as and it is un
USE I G.0 PSF (DEAD LOAD) lawful td RRt;4e511OREangas or. alferaffiar`-
I G.0 PSF (LIVE LOAD) same Without W,
the building DeDI-^ C"y d GWItioe.
The stamping ab this Plan a-'A yPaygmmirs
j.LL ISOI be had to Pet evil Or t® be ar.
EXTERIAL WALL STUCCO %IpL0f0P5Foi8tic" of any provisivol
3/8" PLYWOOD C,"I; tt b-- ance or Stare La.
2X4 STUD @ I G" O.C. 1 . 1
1/2" GYPSUM BOARD 2.2
INSULATION 1 .2
MISCELLANEOUS 0.3
TOTAL 10.0+ 1 . 1 '2+2.2+ 1 .2+.3= 15.9
USE IG.O PSF
INTERIOR WALL 1/2" GYPSUM BOARD BOTH SIDE 4.4 PSF
2X4 STUD @ I G" O.C. 1 . 1
MISCELLANEOUS 0.3
TOTAL 5.8P51'
USE G.0 P51'
BAY BUILDING DESIGNERS 4G7 ARCHCOVE COURT 5AN J05E CALIFORNIA 95111
JOB #: YIE DATE: 09/14/03 CALCULATED BY: WENDY H51EH 408-226-9541, Fax. 408-22G-9427
ALL FRAMING DRY USE CM= 1 .0 TEMPERATURE FACTOR C,= 1 .0
SHEAR STRESS FACTOR C„= I BB � �fl g ALLOWABLE Fv'=Fv' C
I�JBYlIIITTA� �EIVEI�
FOR VISUALLY GRADED LUMB LLOWABLE Fb'=Fb'C r�7— Cq Cr
FOR GLU-LAM BEAM: •' , , ALLOWABLE Fb'=Fb Cp'C�; •
BY:
CEILING BEAM @ NEW OPENING BETWEEN KITCHEN AND LIVING ROOM
SPAN L= I G' MAX. W=(I G+ 16)'(24+2)/2 4177.#411”
M=.4 17* 1 G^ 2/8= 13.35K' R=4 17' 1 G/2=3.3GK
USE 3. 125X 12 GLB 24FV4 CEILING BEAM A=37.5, 1=450, 5=75
C„=k'(1 2/d)^(1/1 O'(5. 1 25/b)^(1/10)*(2 IN—(1/10)=.9G'(2 1/1 G)^. 1 '(5. 1 25/3. 1 25)^ . 1 = 1 .03
Fb'=2400' 1 .25=3K-91 Fv'= I G5' 1 .25=20GPSI
5regd= 13.35' 1 2/3=53.41N^3 Are6jd=3.3G' 1 .5/.206=24.471N^2
0=5'.41 7' 1 G^4' 1728/(384' 1800'450)=.7G"=IJ(I 2' 1 G/.7G)=U252 O.K.
CAMBER C=.7G' 1 .5/2=.57" USE 5/8" CAMBER @ CENTER
��pp �p
FOUNDATION DESIGN:
SALLOWABLE SOIL BEARING PRESSURE I .OK5F DEAD + LIVE
PROVIDE 24" SQUARE 12- DEEP FOOTING @ EACH END UNDER NEW 4X4 POST AND EXISTING FOOTING
WITH 344 E.W. @ BOTTOM
2
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t ; � t �i, h - _ g/8 Ga►-ttzt:tz ��N'(�iZ
) 6A ( i ArU-ROVEd
f, RC-FL McS Apt-
=4Xt� Posh'! LAIl [-,VTU RES tl t fil AvW!DAN^ WfTH THE fTY 09
I -tea i vt _ C3a't H l�ccM S Xy ` " No , i
jUtS/�iNOWaQ -� DAT
- - iv, _ r t —� E�aGt.oSUrL� ii41o [.�
6L DQ-
- - �,IGNED
I i % � fsYrS t C36 T�Nr'. !�t/, ?duns MUST
This et �:. iP
/ 7,-::- pt-onVwmat V trmas and it is un
t _ -_! — _ lawful to make any changes or alterations
j [Nt PjjD f on some without written permission ftutr:
tilebuitdioaDept,-City of Cupertino..
LL
�A The stamping of this plan and specifications
�— — �)r_M Li P � [L�L _ f SNALL NOT be held to permit or to ba u:
t 1 approval of the violation of any provisions
( 1 ,t env CIN Ordinance or State Law.
-FT 6(
O vr�Tt
FICII-COPY--
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