24945 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
•. CITY-OF CUPERTINO BUILDING-F.ECHARICALICA PERMIT NO.
APPLICATION/PERMIT PLUMBING,-MECHANICAL.
BUILDING DIVISION BUILDING PROJECT IUENTIFICATIOry 24945
BUILDING ADDRESS: is SANITARY NO. APPLICATION SUBMTITAL DATE
/1- FL UNIT# LOTH
OWNB IiAME:
N
,a-pyO `��� TOR'S NAME: LIC NO.
#
G/IL Z V N/C CONTROL
Ie
ARCHITECT/ENGINEER: LIC NO: AD S
�MRW Z& 9-S ❑
CONTACT: - PHONE:
QTY. ELECTRIC PERMIT PEE BUILDING PERMIT INFO
BLUG ELECT PLUMB MECH
PERMITISSUANCE ly ❑ ❑ ❑
LICENSED CONTRACTOR'S DECLARATION APPLIANCES-RESIDENTIAL JOB DESCRIPTION
cmz I hereby affirm that l am licensed underprovisionsofChapter9(commencingwith
[ WO)
cc Section] of Division 3of the Bminessand Professions Code,and my license is in PANELS
Fp;U UE full have and effect.
GyyW License Class Lic.# UP TO 200 AMPS
In 6 an Date Contractor 201-1000 AMPS
Z8-NK - ARCHITECTS DECLARATION OVER IOOOAMPS Q R)REA $/SQ.FT.
o z.,v I understand ter plains hall be used to Public reeoma.
r, ; - SIGNS ELECTRICAL
rqad ,� Licensed Professional K
Saw6 OC7 1171
WNER-BUILDER DECLARATION SPECIAL CIRCUIT/MISC. 0
aWS�a'F I hereby affirm that I am exempt from the Convector's License Law for the
s't 3 ap following reason.(Section 7031.5,Business and Professions Code:Any city or county TEMP.METER OR POLE INST.
an J O which requires a permit to construct,alter,improve,demolish,or repair any srumure -
i 2 priorto its issuance,also requires the applicant forsuch permit o rile it,6ped statement POWER DEVICES
uaJ..O p that he is licensed pursuant o the provisions of the Contractors License Law(Chapter
dXoC 9(commencing with Section 71000)of Division 3of the Business and Professions Code) SWIMMING MOL ELECTRIC VALUA
y)❑py. or that he is exempt therefrom and the basis for the alleged exemption.Any violation of /V9V/1
[— 4
Section 70315 by any applicant for a permit wbjemsthe applicaano a civil penalty of OUTLETS-SWITCHES-FIXTURES O
^� not more than fve hundred dollars(5500). NEW RESIDENTIAL ELECTRS .FT.
5 m EII,asowneroftheproperty,ormyemployeeswiNwugesastheirsolecompensmion, Q STORIES TYPE CONSTRUCTION
y3_ will do the work,andthesructure is not interdedorefferedfor sale(Sec.]044,Bushm.
and Professions Code:The Contractors License Law does not apply to an owner of
Property whobuildserimproves fievar,and whodoes such workhimsciforthrough his OCC.GROUP RES.UNITS
employees,provided that such improvements arc not i mended or offered for sale.If,
however,the building or improvement is sold within one yearofcompletion,theowner-
builder will have the burden ofproving that he did not build or improve for purpose of
TOTAL:
ale.).
❑ 1,as ownerofthe propercy,am exclusivmycomreamg with licensed rnnrectonm QTY. PLUMBING PERMIT FET. FLOOD ZONE ApN
omloten the project(Sec.7044,Business end Professions Cade:)The Compere is
License Lawdoes not apply manowner°funperty whobuildsorimproves thereon,and PERMIT ISSUANCE
wh°emnmcts forauchprojecis withaccuumet°r(s)Iicensedpursoannothe Contractor's ALTER EA
License Law. USA) FEE SUMMARY
❑ I am exempt under Sec. ,B&P C for this reason BACK FLOW PROTECT.DEVICE UT IDE FEES
SANITARY Y N
Owner Data RECEIPT#
DRAINS-FLOOR,EDGE,AREA,COND.
WORKMAN COMPENSATION DECLARATION SCHOOL TAX Y N
❑ I hereby affirm that l have a certificate ofeassent to self-insure,or a certificate of RECEIPT#
Workers'Compensation Insurance ora certified copy thereof(Sce.3800,Lab C.)which FIXTURES-PER TRAP PARK FEE Y N
covers all employee's under this Permit RECEIPT#
GAS-EA.SYSTEM-1 INC.4 OUTLETS
Policy p BUILDING DIVISION FEES
Co any I GAS-EA.SYSTEM-OVER 4(EA) PLANCHECK FEE
Certified copy is hereby famished.
Certified copy is filed with the city inspection division. GREASEANDUSTRL WASTE INTERCEPTOR GRADING FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' GREASETRAP SOILS FEE
COMPENSATION INSURANCE
(This section need not he,completed ifthe permit is for one hundred dollars($101)) SEWER-SANITARY-STORM EA,200FT. ENERGY FEE
or less.)
I certify that in the performanccofthe work for which this permit is issued,Ishall WATER HEATER W/VENT/ELFCTR
not employ any person in any manner so as in became subject to the WorkersPAID
Compensation Lawsof California. Date WATER SYSTEMITREATING Date - Receipt
Applicant I
O NOTICE TO APPLICANT:If,ofter melon this Certificate of Exenn i n Q FT.
g pro you should NEW RESIDENTIAL PLMB. 5 TOTAL:
become subject o the Worker's Compensation previsions ofthe Labor Code,you must
�i forthwith comply with such previsions or this permit shall he deemed revoked. BUILDING FEE
z CONSTRUCTION LENDING AGENCY SEISMIC FEE
I hereby affirm that there is a construction lending agency for fie performance of TOTAL: ELECTRIC FEE
V mi
O the work for which this pert is issued(Seo.3097,Civ.C.)
h4 pr Lenders Name
t-' Lender's Address QTY MECHANICAL PERMIT FEE PLUMBING FEE
WI certify that I have read this application and state that the above information is
care
Gn ct.l agree to comply with all city and county ordinances and state laws relating m PERMIT ISSUANCE MECHANICAL FEE
building construction,and hereby authorize representatwo fitbis city mentor upon the
U above-mentioned proER
property for inspection purposes. ALTORADDTOMECH. CONSTRUCTION TAX
(We) e I save,indemnify and keep harmless the City of Cupertino against
liabilitie. antscoats sea ich may in any way accrue agmartsaid City AIR HANDLING UNIT(TO I0,000 CFM)
trome q ce of the of th a.
AIR HANDLING UNIT(OVER 10,000 CPM)
Sig rare of Applicart/Contrig6or Date EXHAUST HOOD(W/DUCT) PAID
HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO 100,000 BTU) - Date Receipt#
Will the applicant or future building occupant store or handle hazardous material HEATING UNIT(OVER 100,000 BTU) TOTAL:
as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Cade,Section 25532(a)]
EI Yes El No VENTILATION FAN(SINGLE RFSID) l
TE
BOILER-COMP(JHP GR 100,000 BTU) ISSUANCE DA
.ddour air
epplicantorfumre building by the
nBay equipment Quality es Management Al
haznMous air contaminants as defined by the Bay Arca Air Quality Management ROLLER-COMP(OVER I03,000 BTU)
District?
❑Yes ❑No NEW RESIDENTIAL MECH. SQ.FT. a�PR e. ����
L have read the hazardous materials requirements under Chapter 6.95 of the (/��''''�)
if the uil Health&Safety Code,Sections 25505,25533 and 25534. 1 understand that Ci I'i Ir t/vrr �'X /
ifthebuildingdoes not
anantscurrently have ntenant,thetins my responsibility to notify the
occupant of the reyuir mems which must be met Prior m issuance of a Certificate of
Occupancy. a — � w
Owner or authorized agent Date TOTAL: ISSUED BY: - �JVTPJ}
OFFICE
i
I
BREWED
�I
MAY 5 19
93
BLDO:CTY OETION CUPERTIPId�ENTi
I
ADVANCED STRUCTURAL ENGINEERING
3170 WILLIAMS ROAD
SAN JOSE, CA. 95117
Gu rbrerNO, c.A.
OQpOF SSIpy9
yQF' 'PP •ASs/yAF'
C 35084 x.
�gpPROVED =
IN ACCORDANCE WITH THE CITY OB
CUIRTINO CODES AND ORDINANCES �>•••• CIVI�,•'�Q
glFOF CAUF���
DAT
SIGNEly
This set of plans and specifications
be kept on the job at all times or alterations
lawful to make any changes
i
on same without written permission from %r
the building Dept., City of Cupertino'
The stamping of this Plan ermns
itsor to an
• SHALL NOT be held fop rovisions
approval of the violation of any P
of any City Ordinanna nr State LBW.
COPY
• PREPARED BY: ADVANCED STRUCTURAL EN0INEERING PAGE NO.
CHECKED BY: JOB NO.
DATE:
REPAIR OF LARTIIQUAYf DAMAGED. CHIMNEYS
To facilitate the repair of chimneys damages E- the earthquake of
February S. 1971• the Department of Building and Safety has approvet
the following procedures and datalls. Any of the appropriate details
. .
any be used.
REINFORCED MASONRY CIIIMNSTS
Dasa fed masonry In reinforced chinners shall be removed and replaced.
Ealsting reinforcing steel may be used If it can be straightened,
• otherwise It shall be tut off and extended br welding. Where existing
h
vertical reinforcing steal has been spliced by the. use of "C" clamps
and slippage Is evident, the spite@ shall be welded. Details for the
construction of reinforced chimneys may be obtained from the Department. ;
Ask for "typo Y Sheet - Wood Frame sulldlnts,..
UNREINFORCED MASONRY CIIIRNEYS
Unrelnforced masonry chimneys may be rebuilt using one of the following
met hods:
• 1. For chimners damaged below the roof line and above the firebox.
use Sectlan "6" together with detail "s•l". -
GENERAL NOTES
The firebox and undamaged areas or all chimneys to be rebuilt shall
be carefully inspected to determine that no cracks or voids are present
which would permit the access of flames to the surrounding wood frame.
Anchorage straps shall be ins¢eeted and. if loose, shall be bolted to
Joists or rafters.
Permits shall be obtained for all chimney repairs. No plan check fees
will be charged.
GENERAL SPECIFICATIONS
Masonrr:
1 .
A) brick (MW Grade) -ASTM designation C.73 '
s) Concrete block (ASTM designation C SO)! (F111 all tells)
Concrete- Grade "C" Concrete
Steel Reinforcing. ASTM designation AIS and AIDS,:
Mortar: 1 • /•1/1 1/1 part lime putty, or hydrated lime \
1 (Plastic Cement) - 3-max. 1/1O'part lima
Giout: 1 • 3 max. 1/I0 part lima
Flue lining: s@besLeyx cement, tarts cotta, or fire clay
3170 Williams Rd. / San Jose, Ca. 95117 (4011) 244-6200
• PREPARED BY: ADVANCED STRUCTURAL ENGINEERING PAGE NO.
CHECKED BY: JOB NO.
DATE:
CONa BOND BAAM WIlH
y 2-'2 BARS AT GAP
.'WITHH IRX/2.MAx LWEMER 12�NGS/RE. .'.. . .�.• �.
TOP OF CHIMNEY SNALL EXTEND'A MIN
�'°•'; OF TWO FEET ABOVE ALL PORTIONS OF=
ROOF W/TH/N TEN FEET OF GH/MNEr'j_.1?
• FLUE ER ..,
CEILING
✓01ST
NEW
' BRICK
STRAP TO RAF R OR CARING✓ ' 1
2-3/l6 X I'STffl STRAPS CAST sr ...
MIN.W IN CHIMNEY AND ATTACHED
TO BLDG. FRAME W/TH 2-I/2*BOIL TS
PER STRAP• WHERE JOISTS ARE PAR
ALLEL TO CHIMNEY, STRAPS TO BES
CQ4NEOTEO TO TNWD JOIST FROM0 to "
rACE.0r,jcx1,FNrr W/TH BLOCKING.,
OLD ' ! ' d tQRFN'£ 4 ' E„
BRICK OVED TO
��ELOW [ .
BARS 7(J t*£NDf �¢ PAST
, i Polo,
E I,101 "A_�_
•
3170 Williams Rd. / San Jose, Ca. 95117 (408) 244-6200
• PREPARED BY: ADVANCED STRUCTURAL ENGINEERING PAGE NO.
CHECKED BY: JOB NO.
DATE:
SMAP 70 RAFTER OR CEILING JOIS-
?•.f/l6,y r srm STRAPS CAST
AIN /B'IN CMUNEY AND
ATTACHED 70 aVLOING FRAME Be
PAR CLE�LrS 70 CMMNEY AR"IrRrDisrs STRAPS E '
TO BE CONNFCTED TO TMRO
JOIST FROM FACE OF C}/MNEY
WIM BLOCKING B£7
DETAIL "B-I"
3170 Williams Rd. / San Jose, Ca. 95117 (408) 244-6200
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31.10 Williams Rd . / San Jose, Ca . 95117 (400) 2414-6200
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