27498 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
L4BUILDING
RTINO BUILDING� -ELETrl xl Al. PERMIT NO.
APPLICATION/PERMIT PLUMBING-MECHANICAL.
ISION BUILDING PROJECT IDENTIFICATION27498ESS. re1UNITp LOTpSANITARY NO. APPLICATION SUBMfITAL DATE
PHONEI, CO ACTORS NAMF: LIC NO: N/C `a ev: � f LLICN :D • A FSS: al C.71011.05 M ❑ � L ,I
CONT PEON r J 1
I a 9 �p�S)q QTY. y ELECTRIC PERMIT FEP. BUILDING PERMIT INFO y��
oro�On Sne�l JC9r DSII LDG PL Y
.J PERMIT ISSUANCE
LICENSED CONTRACTOR'S DECLARATION pppL1ANCES-RPSIOENTIAL TOB DESCRIPTION
Opal I hereby affirm mm l am licensed un improvisions ofaepin9(commencing with
4100 f_ctfrceandoof Divisi0n3 of the and Business Professions Code,end my license is in PANELS ^
all
c<.Z1y License Class CoUP T0200 AMPS
Z= Date Dale nnlfde aelnr
ARCH DECLARATION 201-I"AMPS SQ.FT.FLOOR AREA S/SQ.FT.
HyZ
ZOsnj OVER ELECTRICAL TRIC �� I�
O Z—O 1 undersand my plans shall be used re public nee ass.
�^+�F W.4 SIGNS ELECTRICAL
gK� Licensed Professional
OWNER-BUILDER from
DE cCongrTION SPECIALCIRCIII'1'/MISC.
qx O iU I hereby affirm that I am exempt from the Contmcmr's License Lew for the
sr)3 611owing reason.(Section 7031.5,Business and Professions Cade:Any city orcoumy TEMP,METER OR POLE INST. I
Jig which requires a permit to construct,alcor,improve,demolish,or repair any structure
.n>-f Anon,its issuance.also regmres theapplicunt for such Permit to fileesignedsamment POWER DEVICES
t4�D Oz that he is beensed pursuanns
no the provisions of the Contractors License Law(Chapter
a eLL 9(commencing with Section 7")of Division 3 of the Busineas and Professions Code) SWIMMING POOL ELECTRIC VA ATION
or thiny f,y Sectio 7031. by therefrom and f the hanPermit
ects med_xnmptt to civiny 1p natty of OUT
l ZQ net..703in by onyapplicantfma0(h). subjects the epplicanrtoacivilpenehyof `.`
t mou-han l ftbepmddollarmy p). NEWRESIDFNTIALELECTR SQ.Ff.
C � n❑ Laaownemftheproperture Iso intendeeswithendforsthe(See.c0m,Baatiom STORIES TYPE CONSTRUCTION
i3—
will dothe nfovii k.Colne no Commoners
inandedr Law
and (see.7Bw,owner of
and Professions Code:The Convenors Licrnse Lew d«s not apply t0 an owner of
propeemployees,iptro videmapdhromvsens cIhh improvements durcoensnsucmhewnodrtea ormoaffelfedRuough his
oiso f0rsale.If, OCC.GROUP RES.UNITS
however.the building or improvement N sold within one yeari f manpleticni,the owner-
builder will have the burden of that he did not build or improve for T
proving p purpose of
sale.).
❑ I,as ownerol Rte propeny,em endusivelycontraning with lice ed nnmunorsm QTY. PLUMBING PERMIT FEE FLOOD ZONC APN.,
construct the project(Sec.7(Wq Business and Professions C :)The onteeaor'a
License lawdoes not applymnnownerofpropeny whobuilds Improves hare0 ,end PERMITISSUANCE is
whocomructs for such projects with acnnvaator(s)license rsuuntt0 the ommedor's ALTER-DRAIN&VENT-WATER(CA) FEC SUMMARY
License Law.
❑ 1 em exempt under Sec. ,B&P C for is. BACK FLOW PROTECT.DEVICE OUT SANITARY Y D EES N
O Dao RECrl"#
WORKM PENSATION DECLARATION DRAINS-FLOOR,ROOF.AMA, SCHOOLTAX Y N
❑wnelrhertby off haveacenifi.a ofconsenlmself-insure.m.ex ificam of - RECEIPTp
Wmken'Com FIXTURES-MR TRAP
pens lion 1.aumnce0ruceni�pd copy Nereof(gec.3800,Lab .)which PARK FEE Y N
ra ell employc'n undcnhiapermit. GAS-IA.SYSTGM-1 INC.40U'I'LETS RE .PI'M
PolicyM IL 1NG VISIONFEES
Company GAS-EA.SYSTEM-OVER 4(EA) PLANCHEC
❑ Certified cop is hereby famished.
❑ Cenifiedcap is filcdwith the city inspection divisio. GREASEANDUSTRL WASTE INTERCEPTOR / GRADIN ,E
CER'IFICATE OF EXE ON O O GMASETRAP SOI /•
COMPENSAI N
(Thisseetiona dnotberoon
mplet h urehundrcddoll W) SEWER-SANITARY-STORM EA.2C IWE �.EQ
or less.)
Icenitylhatint _performance. itsfor which thispe soned,11n all WATER HEATER W/VENT/ELF.CTR
not einpl0y any pars n in any manner o as m become an et or the Workers' PAID
Compention Lawso California. Dam WATER SYSTEMTREATING Data I,#
O z uApplicant
0 NOTICE TO APPUCA IT:ILafter meking thi,C Bcamnf Exemption,you should NEWRESIDENTIALPLMIL SQ.FT. OTAL:
[�' N become subject m the W rkcr's Compensation 7Y visions of the labor CWe,you..at
FFFFa'"' ;
forthwith comply with so hpervisionsort'lgmnit shall hedeem>a revoked. BUILDING FEE r�
W .-s SEISMIC FEF.
rs. z COI 'TRU NLENDING AGENCY
^� 1 hemby afOnn that i convection lending agency for the performance of ELECTRIC FEE
U Othe work for which this perm) is issued/Sec.3097,Civ.C,I 72 0 \
V, PImiler'e Name
OLenders Address QTY. MECHANICAL PERMIT IFTE PLUMBING FEE
WI certify that 1 have mad this application and state that the above information is MECHANICAL FEE
Or wren.l agate m comply with all city and county ordinances and stem laws relating to PERMIT ISSUANCE
Cn huilding construction.and hereby vuthoric representatives ufthis city to enter upon the CONSTRUCTION TAX
V Z above-mentioned property for inspection proposes: ALTER OR ADD TO MECII.
(We)agree m save,indemnify and keep harmless the City of Cupertino agaimt
liabilities,jud its,cosaurdexpetim,which may in any way gccmeugi Inst said City AIR HANDLING UNIT(TO 10,000 CFM)
nconsequene the grunting isrcarrint.
t AIR HANDLING UNIT(OVER BUM CFM)
I mart nl' '71"S
r peat EXHAUST HOOD(WMUCI')
PAID is
IT OUS MATERIALS DISCLOSURE HEATING UNIT(TO 100,000 BTU) Date Receipt 11
Will the applicant or future building occupied store or handle humrdous material
as def red by the Cuprriro Municipal Code,Chapter 9.12,wd the l leahh and Safety HEAPING UNIT(OVER 100,04011 BTU) TOTAL:
Cwle,
Section
eeti 25512(e)T
0Yes 11 No VENTILATION FAN(SINGLE RESID)
Adak BOILER-COMP CHP OR 100,000 BTU) ISSUANCE DATE
W i11 theepplicanwrfuwre buildingeccupunt uuequipmemordeviceswhichemid g�
evNn
us air mmemimmts as defined Arms by the Bay AAir Quality Mansgemem BOILER-COMP(OVER 100,000 BTU)BTU) 1_ A B D
0.,
El Y'. 11No NEW RESID17WIAL MECH. {�
SQ.FT. /I/r,j? 2
1 have mad the IncautiousIncautiousmaterials requirements under Chapter 6.95 of the /�
California Health&Safety Code,Samisen 25505,25533 and 25534. 1 undersigned met C11 1995
if the building does not currently have a mnan6 that it is my responsibility to notify the
oceupant of the requirements which must be met prior to issuance of a Certificate of (,VNr
Occupancy.
Owner or m0orimed agent- Data \ ISSUED BY:
` OFFICE
PERMIT P-15467
CUPERTINO SANITARY DISTRICT'
Santa Clara County
20065 Stevens Creek Blvd., Bldg C, Fax (408) 253-5173
Cupertino, California 95014
Phone(408)253-7071
CONNECTION PERMIT
R.O.S./P.M./Tract No. Lot No.
A.P.N.: Book -�92Ca Pa e nnrcel ge1�Pa -G--?S$ Date �r0=
Property Owner: C , /�/� r 40 �10 /' welzzt IV. 4*,rn F S
Mailing Address: 10947, D 1
(If different) 0 / -
Telephone:
Sirs:
(I/We), being the owner(s) (owner's agent), hereby make application for�connection of the property at:
/O/33 /�r //G✓�,�f Rte/. �/D�Pa-d�' /J �
consisting of the following TYPE OF BUILDING(S):,., '
Residential: Single Family X Multiple Family No. Units
Commercial ; Industrial ; Other ; No. Units
do hereby request a permit to connect to the sewer system of the Cupertino Sanitary District.
IN CONSIDERATION OF THE GRANTING OF THIS PERMIT,THE OWNER AGREES:
1. To comply with all existing Ordinances, Rules and Regulations of the Cupertino Sanitary District as now or hereafter amended.
2. To maintain the House Sewer (that portion of the sewer within private property) which includes a cleanout (raised to grade and
accessible) located at the point of connection with the Lateral Sewer (that portion of the sewer in the street right-of-way or
District Easement). / I
3. To acquire a Plumbing Permit from the of r� etS4- YI 0 Building Department and obtain
inspection and approval by said Building Departmenf prior to coveringoe work or use of the sewer.
4. To first expose and inspect for serviceability the Lateral Sewer (that portion of the sewer within the street right-of-way or
easement), prior to starting construction of the House Sewer.
5 Tf at this permit does not constitute a request for the issuance of an encroachment permit for sewer construction in the
street/public right-of-way of the agency having jurisdiction thereover.
.¢,Jo call Underground Service Alert(USA) 1-800-227-2600, at least 48 hours prior to starting grading or digging operations.
SPECIAL PERMIT CONDITIONS(Exhibits):
' t
4
® A BACKFLOW Protective Device shall be installed on the above property by the owner. Type of device and installation
shall comply with the Plumbing Code Requirements of the jurisdiction shown in 3 above.
FEES:
Connection Permit Fee: $ 7/ne
Sewer Service charges to June 30, 19 J,$ 170 /mo. x_/Imo.: $ 167 2 60
Inspection Fee for backflow protection device: $
Considerations and Restrictions of this Sanitary Sewer Connection Permit with attached Exhibits (when noted), are hereby agreed
to and acknowledged by the undersigned Owner(or Owner's Agent). Failure to comply will void this permit.
Acknowledgment:
Owner's Agent: n i—c��9 n pPc✓ia a r�
(print name)
o�
Receipt of$ 2 acknowledged and permit granted.
MARK THO S& CO., INC., District Manager-Engineer
byl
Note:See Details on other side of this permit.
TYPICAL CLEANOUT FOR LATERAL SEWER
Distance from Property Line
to be as close as practicable,
a, not to exceed five(5) feet.
c
J
Removable Cleanout Plug
a
0
a` Finish Grade
u.
�..
Wye for Riser
Sewer Cleanout Box with Lid to be accessible
and maintained by property owner.
Short length Riser Pipe
Adaptor coupling 1/8 Bend
Lateral House Sewer
Lateral Sewer slope House Sewer slope
determined by District determined by building department
—CLEANOUT TO BE SAME SIZE AS LATERAL SEWER—
Notes:
1. Distance from the property line not to exceed five (5')feet.
2. Property Line Cleanout, Lateral SewerCleartout,to be same size as Lateral.
3. The maintenance of the Lateral Sewer Cleanout is the responsibility of the Property Owner.
4. House sewer minimum slope determined by local Building Department plumbing code requirements of the
agency having jurisdiction thereover.
TYPICAL BACKFLOW PROTECTIVE
DEVICE INSTALLATION
TYPICAL BACKWATER VALVE TYPICAL KELLY VALVE INSTALLATIONS
INSTALLATION durlsdictl...I Reeblctions
Accepted By All durlseicuan.
FIGURE I FIGURE 2 FIGURE 3
Installed Below Grade InslalMd Below Grade Installed Above Grade
Shown Between Street Right-at-Way and Building Shen.Al properly Line Clmnaut Shown Adjacent To building
Requiras Regula,MalntenanG s Reguiree Minimum Moinlenance Requires Minimum Maintenance
Valve To Be Removable Valve Should Be Removable
VALVE ACCESS BOX
rc with/Vented Cover FINISH FLOOR
w
o L v l FI H FyQp-R KELLY VALVE
IKELLY
ish,Grade
VALVE ACCESS BOz VALVE Finish Grade .—ZFlnieh Grad. a. q
S
m
BACKWATER
VALVE
'
FLOW Af FLOW 3l - FLOW P
Notes:
1. The Backflow protective device to be located on site in the house sewer.
2. The type, location and installation of the Backflow Protective Device shall comply with the local Building
Department plumbing code requirements of the agency having jurisdiction thereover.
3. Device to be accessible and maintained by the Property Owner.
4. If a Kelly Valve is installed at Property Line, it is to be readily removable for Lateral Sewer Maintenance.
r;I e ;
o2 71�Iq p
r, cc
'CLEARY CONSULTANTS, INC.
Geotechnical Engineers and Geologists
May 15, 1995
Project No. 835.1
Ser. 6166
JUN 1 1995
wr Ur GUI'MINU
Pam and Mike Barnes BUILDING DEPT.
10342 Noel Avenue
Cupertino, CA 95014
RE: SOIL ENGINEERING OBSERVATION AND TESTING SERVICES FOR SITE
GRADING AND DRILLED PIER INSTALLATION
10133 HILLCREST ROAD
CUPERTINO, CALIFORNIA
Dear Mr, and Mrs. Barnes:
This letter report summarizes the results of our soil engineering observation and testing services
during the initial site grading-operations and the drilling of the pier foundations for your new
residence at 10133 Hillcrest Road in Cupertino, California. Our geotechnical investigation
report for the project was submitted December 28, 1994. The architectural plans for the new
home were prepared by RH Associates. Our site visits were coordinated by your contractor,
Gordon Snedigar.
A. Site Grading
After the site was cleared and the required excavations to grade were performed, the subgrade
in the garage slab area was recompacted. The subgrade consisted of orange brown gravelly,
clayey sand of the Santa Clara Formation. Field density tests performed on the garage slab
subgrade achieved at least 90 percent relative compaction. A small area with approximately 12
inches of fill for the front porch slab did not achieve the required 90 percent relative
compaction. We understand that this area will be reworked and retested at a later date prior to
the placement of non-expansive fill and:concrete.. .
B. Drilled Piers
• Our representative was present intermittently on May 4 and 5, 1995 to observe the soil
conditions encountered and measure the pier hole depths for the drilled pier foundations. All
900 N. SAN ANTONIO ROAD, LOS ALTOS,CALIFORNIA 94022(415)948.0574
•' Pam and Mike Barnes
May 30, 1995
Page 2
piers were at least 12 inches in diameter and ranged from 8 to 16 feet deep. The holes generally
extended at least eight feet into supporting soil which consisted of dense orange-brown clayey
gravelly sands of the Santa Clara Formation, as recommended in our report and shown on the
project plans. No water was encountered during our period of observation. Records of our field
observation and the pier hole depths will be kept in our files for possible future reference.
Conclusions
Based on the results of our field observations and testing, it is our opinion that the site grading
and drilled pier excavations for the above project as described herein, generally conform to the
intent of our recommendations and the project plans and specifications.
We have employed accepted engineering procedures and our professional opinions and
conclusions have been made in accordance with generally accepted geotechnical engineering
principles and practices. However, we do not undertake the guarantee of the construction, nor
do we relieve the contractor of his primary responsibility to produce a completed project
conforming to the project plans and specifications. This warranty is in lieu of all other
warranties, either expressed or implied.
• If you have any questions regarding this letter, please call.
Ve truly yours,
C EARY CONSULTANTS, INC.
C �
Ri k A. Steven
Staff Engineer
QROFESS/p�
CL�p�F2
J. Michael Cleary o�Fl 222 A
Geotechnical Engineer 222 EXP.930-97
RAS/JMC:nm *JTcI0 CHN�0P0.Ptr
Copies: Addressee (1) F 0 CAW
Gordon Snedigar Construction (2)
CLEARY CONSULTANTS, INC.