04040071CITY OF CUFERTINO
BUILDING DIVISION PERMITCON�TRACIOR
INFORMATIQN,
BUILDING ADDRESS:
SONES MASONRY
PERMITNO04 04 0 07 1
ERS NAME:
PERMIT ISSUE DATE
ROGER HOMMDE
4
UNE:
SANITARY NO. CONTROL NO.
4083777512
ARCHITECT/ENGINCER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB0 MECH
0 0 0
LICENSED CONTRACTOR'S DECLARATION
Job Description
under provisions of Chapter 9 (commencing
I h c7( frrm that 1 am liar
p
wi@Sectio 7l )ee Division Sof the❑usinc and Pmfcasinns Cndc, and myliecnm is
B
mrdlrnreer ejjme
Liansc Cl
Na
CHIMNEY REPAIR (2 FIREPLACES)
_[�� _Lic.
Date Coni nor
AR ❑IiCT$ A T'ON
in d yplans Il be used as s _
------Nz>arra
Licensed ssiona
O ER-BUILDLR DECLARATION
achy affirm t I a exempt fru. the Convector's License Law for rbc
to A g mason. (Section 7031.5, Business and Pmfexsiam Cndc: Any city or county
which requires a permit v, construct, aper, improve, demolish, or repair any structure
prior In its issuance, also requires the applicant for such Permit to file a signed statement
that he is licensed promotion to the previsions of the Crometori License Law (Chapter 9
Sq. Ft. Floor Area Valuation -
(commencing with Section 7000) of Division 3 or the Business and Pfafessinns Cart or
that he is exempt Ncmfron and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a femur subjectsthe applicant o a civil Penalty of
3'.0&AI4`LI"cr0 0
panC
Occupancy e
"iyp
not marc then Eve hundred delta. (SSW).
y
❑ I, m owner of lie property, army employees with wages as their sola compensation,
will do Ne work, and Ne swcture is not intended or offend far sale (Sec. Toad, Business
and Professions Code: The Contractor's Liceve Law don not apply to an owner of
Required Inspections
property who builds or improves thereon, and who does such work himself or through his
own employme, provided that such improvements are not intended or offered for sale, If,
however, Ne building or improvement is sold within one year of completion,theowner-
builder will bars the burden of playing that be did not build or improve for purpose of
ole.).
❑ 1, as owner of the property, am exclusively contracting with licensed convenors to
consumer the pmjcct (Sec. 7004, Business and Professions Code:) The Contractor's Li.
cense law docs not apply to an owner of property who Wilds or improves lh neon, arid,
who contracts for such projects with a contractor(,) licensed pursuant to door Contractors
License Law.
exempt under See. ,B& P C far this reason
Dale
WORKER'S COMPENSATION DECLARATION
Ihereby afar. under Penalty of perjury ane of the following declarations:
an and will maintain a Cenifcam of Consentto self-asum fur Workeri Coal
101'..
, as provided for by Section 3701 err the Labor Code. for the performance of the
for which this Permit is issued.
ave and will maintain Workers Compensation Insurance, as required by Section
of the laborCudc, for am performance of the work far which Nis Permit is issued.
orker's C open ALIO sumac canter and Policy nu r
r: Policy .:
CEI FIC Ih OFEMPf OM 0 KE S
COMPENSATION INSURANCE
(This section need not W completed Bitter Permit is forone hundred dollars (VOO)
or less.)
I cenify Nal In the perrm Amin, of the work for which this Permit is issued, 1 shall not
employ any person in any manner so as to Election Subject In dre Worker{ [ompensallon
Law. of California. Da.
Applicant
NOTICE TO APPLICANT: If, erre, making this Ccnircme of Exemption, you should
became subject to the Worker's Compensation provisions of the Labor Code, you must
fonhwi to comply with such provisions or this Permit&hall ber deemed monastic.
-
CONSTRUCTION LENDING AGENCY
I hereby affirm Nal there is a construction lending agency for the performance of
the work fur which this feral is issued (Sec. YgO, Civ. C.)
Leader'. Name
Lenders Address
1 cenify that 1 have mad this application and stale that the above information !s
-
correct. 1 agree to comply with all city and county ordinances and sure laws totaling to
building construction, and hereby authorise representative of this city to enter upon the
Property for inspection
ahavc (We) nedagree mnify ankeeps purposes.
(We) egme to save, indemnify And kith harmless the City of Cupertino ageing
as
judgments,costsand which may in Any way accrue game said City
in consequence
in conseyucncc of the grand ng of Ibis permit.
of this
APPLICANT UNpE TANDS AND WILL COMPLY WITH AL NON- DINT
Issued by: Date
SOURC ECULATI S.
dL I
Re-roofs
of Roof
at Applies nlnetor am
AZARDOUS MATERIALS DISCLOSUREType
ill Be ap am or future building occupant store or hand chaaim us material
ted by the upenino Mun' !pal Code, Chapter 9.12, and the Health and Safety
.stzss3z(a ,.,%e
:) Yes )?
Yet
All roofs shall be inspected prior to any roofing material being installed.
//�L
If a roof is installed without first obtaining an inspection, I agree to
Wil the app icen 6r future building occupant ase equipment or devices which
remove
lir baeandous air mntomInants as defined by the Bay Arca Air Quality Management
all new materials for inspection.
trio?
❑ Ycs
I have lead the he Nous materialsmquimments under Chapur6.95 ofthe Califor.
nia Health & Safcty Calc, Sections 25505, 25533 and 25534. I understood thmif the Wildin
does not cunenlly have a ant that it is my responsibility to notify, the noel t nI
rimetpdortoissaan,ctifeCaairaatcafor,
mpone a hichm
ignatureofApplicant Date
All roof coverings to be Class "B” or better
.pthtidx nl p„e
s
CITY OF CUPERTINO
,
Gi1NTr22EiLCTOR IN]FRMA�i,,;
BUILDING DIVISION PRRM0
BUILDING ADDRESS:
JONES MASONRY
PERMITN004040071
OWNER'S NAME:
PERMIT ISSUE DATE
ROGER HOMMDE
4
E:
SANITARY N0, CONTROL NO.
4083777512
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
C� 0
LICENSED CONTRACTOR'S DECLARATION
A�
p
Job Descri t1 n,IN/
I hereby affirm that l am barred under provisions Of Chapter 9 (commencing
with Sectio ] )of Division3ofthc Rualne, end Professions Code. and myliccnseis
infullforecLED
a arae -
CHIMNEY REPAIR (2 FI.REPLAC
Llcensa Cl e.�n Lu.N !,
Date Cammcmr
A TION
APR z1 2004
11 uredo cry x
11 crura
BUILDING
Llcen "'xi.ma
ER-BUILDER DECLARATION
om exempt from the Contractor's License Low for the
follow;1.5, Business and Professions Code: Any city or county
which requires a permit to construct, altar, improve, demolish. or repair any structure
Sq. FL Floor Area
Valuation
Prior ha its issuance, also rcRurs Oc applicam for such permit to file a signed statement
iaw(Chapter 9
t that he is licensed pursuanttothe provisions Ofthe Contractor's License
(commencing with Section ]000) of Division 3 of the Dartmoor and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
3 566`144 4ffiefO 0
Occupancy Type
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
.at mom than rive hundred dollars (5500).
0 I, as owner of the property, or my employees with wages an their sole compensation,
Required Inspections
will do the work, and the swmure is not intended or offered for sale (See. 7094, Business
a'ad Professions Code: The Contractor's License Law does not apply to an owner of
Property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, the owncr-
builder will have the burden of proving Net he did not build or Improve for purpose of
plc 1
❑ 1, as owner of the property, am exclusively contracting with licensed contractors la
consumer the project (see. 7094, Business and Professions Code:) The Contractor's Li-
cense law does not apply to an owner of property who Wilds or improves Iheean, and ,
who contracts for such projects with a comractorfs) licensed pursuant to Ne Contractor's
License Law.
Iam exempt under See. ,B& P C for this reason
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a Ceniricate of Constant self-insure for Worker's Compact
sation, as Provided far by Section 37W of the Labor Code, for the performance of the
work for which this permit is issued.
❑ 1 have and will maintain Worker's Compensation insurance, an,eyuired by Section
37W of the Labor Code, for the perrarmaar, of rhe work for which this permit is issued.
My Worker's C open strip sum�aa`c�eeatatcanter and Policy nun to rt:
Policy
�
r:
M WOR
CER FIC TE FE RREM OM OKE S
X
COMPENSATION INSURANCE
(This section need not becomplcmd tithe permit is for one hundred dDilam ($10i
'
or less)
I cerdfy Nat in the performance of the work for which this permit Is brand, I shall not
employ any person in any manner an as to become subject to the Workers'Compensation
Laws of California. But
Applicant
NOTICE TO APPLICANT: IL after making this Coal Ream of Exemption, you should
become subject m the Wmkm's Cam repository provision of the label Codc, you must
forthwith comply with such provisions or this permil shall he deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm Our there is lending7,Cagency for the performance of
sed (See.construction0
� the work for which this Permit Is issued (Sec. JU97, Civ. CJ
Lender's Name
•--'I"f
y Lender's Add,rsa
y1 certify (hal I hew read this application and tum that the shove information it
correct. I agree to comply with all city and county ordinences and stain laws relining to
(✓
ny au@on ,epreaemarivrs of this city minter upon the
building canstmcti rolanyherebyfainspection
ahova-mea) imedogre to arty fin inamily an imposes
(We) agate m save, indemnify and keep material;inan the City of Cupertino
Ciay
in City
/
y incodi isequenc or the gratsing expenses thisPermit. may any way acerae against id
in CANT NDER,aTANDfthis permit
APPLICANT UNDE TANDS AND WILL COMPLY WITH AL NON DINT
Issued by: Dale
So EGULATI S. _
6
Re-roofs
Type Of Roof
at Applican ntramor am
AZARDOUS MATERIALS DISCLOSUR
Ill the ap ant or future building uceupanrsme Or hen c havndous malarial
as ned by the upertino Mun3'eipal, Code, Chapter 9.12. and the Health and Safety
Codc, Section 25532by? ,,,/
All roofs shall be inspected prior to any roofing material being installed.
❑Ycs/pTNo�
If a roof is installed without first obtaining an inspection, I agree to remove
Wits thea Iican future buildin oma ant use e t or devices which
pr g p
nus air comominanu in JcfincJ by the Bay Arce Air Quality Management
it aAirQn
all new materials for inspection.
District?
District? '
❑Ycs
Ihavereadthehod an totals requiremmu under Chapter 6.95 or the Califon
nia HcaIN & Safcty Code, Smc ons 255(15, 25533 md25534.1 undctaund than if the builJin
does not currently haw .yam, pat nor my responsibility t0 andfy the ecu r of
,cquimm tswhichmu minpdormisaaanceoraCerdOeamoftxea
ignatureofApplicant Date
All roof coverings to be Class "Bit or better
wry author;, d g n1Dam
Q
VITH THE CITY OA
AND Mniwiurec
t 0-frT6e job at at, � �'
to
r-_1ake any changes or alterations
e without written permission
dine na�t r' from
nping of this plan and specifications
VOT be held to permit or to be ar.
of the violation of any provision,
itv Ordinance or State Law
5r
OFFICE
t a
x�
4
APR 12 2004
CITY OF CUPERTINO
BUILDING DEPAPTMENT
?DP,- L,,)Ji
E
n
rarer to 4 Joists
tm.with 2 - 161 e! -h Jols[.
vertical reinforcement
14 rebar used when chimney is 5ft. and under
85 rebar used when chimney is over Sft. to max. 8ft:
(all rebar above must extend to foundation)
any condition other than above will require engineering
11.1
. h
W
O
m
Q
LLst dk=ic t
2
0
UJ
•
,Sqtet
n �'^•7 �C l* 6rok.e Lae.k
� �.� 126 •C •c•al.
TIE
,�-RUNNER
ELEVATION REPAIR AT ROOFLINE
Spat xrresler SEE ATTACHMENT BCP
Sam When P Tied. 37-3-(h),
A. 2. MorT3r Caq.
Wood frame �• :. _ ' • Bond
Combustible material 6" min. to fireplace opening. i i ' arrant
from opening when.material projecting I i
. mom than%for each 11 3 l
Above roof 2' at 10' (See U.S.C. Table No. 37-B.) b V.
_ HCrilantDl • ties w 18" Std two des at each bend in
. ry 'I 11 �rinftNdng vertical steel. - ...
Clarinet 'trrJ Vvtinl four No. 4 full-length bars . f . or chimney
10"7')din. � 1 fifinforcirlq to 4(r wide, Add two No.4bars for
1 , each additional 40" or
t, Gacdon of Ovid:
or each additional flue.
Flashing I —
. 1
Anchor
1 _ Strap
Anchoragestrap I 116" Min. t bttww
Nutli aaort
bcr 2 .
Iti z I' — I • �grout
eoncrttt mry and
irtvClay flut+lining
Embedment into chimmey 12" hooked around outer bar w/6'ezt.
Fasten to 4 joists /
Bolts s glvo t1' diameter Flui lining �✓ ' !
Claafarica _
Roumdliran 6 -Min.
ee
'dve flue area (based on area g—t4r or 50 sq. in. min, i
of f opening) Reerangularlin)ng—Vto or 64 sq. in min;
Unlined or lined with firebrick—Lf or 100
sq. in. min. t
on
rt� t ,
• • • ,j�J �� ya«
fltifl�rticle
y. 18" O.C. and two ties @ ea, ted in
steel. pequired steel ]ap, '.'T bends
Mtn. I with 8" min. exterrtion.
4" Thick
T Masonry Unit .
-!1 6,- •I Vtrtieal Reinforcing Four No.4 full-length ban f.mchimneys
20" Lap,if spliead to m 4(Y wide. Add two No. 4 ban for
+
Lintel 20"
Mith additional 40' 017 fraction of wide
•'
Noncombustible material. • � c L Orth
each addition! flue,
•' PrvviCl2 revised retail
e for chimneys Over 40" wide.
e Hearth eztemion Pimbriek
(front of opening) Htatrth nun^ mrnon brick or 8" where a firebrick
G j 4Thick :Wall 10 co
16" fireplace opening <6 sq, ft Flearth iu" Tltiepk1nKt liming is used. Joints in firebrick'/."
20• fireplace opening a 6 sq. ft. Ezton�ion PET�t W' max
¢end
::{'• :aT I, r • , Iran standing fireplace �' ��tc/,
Natural
Grade
Thlclmess � : •i I •• � .a: � • • '. �'.:.. ..; ,l
�
wan 6" each sid(fueplxe wd ; r' — L ' �i. Bars in
Cancnts Footing
�Q it W Squant -- Altarnato for Fm
• Standing Fintplact
BRICK FIFIE13OX AND CHIMNEY— .
SECTIONAL SIDE VIEW ON CONCRETE SLAB
r '