28259 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMII'NO.
APPLICATION/PERMIT PLUMBING,.MECHANICAL C[�
BUILDING DIVISION BUILDING PROJEC'FIDENTIFICATpION O 5 J
BUILDING ADDRESS: /� ,p /// vI �a SANITARY NO. APPLICATION SUBMITTAL DATE
/Q� i9e (' l 'e` /` /s UNIT N LOf M
O NLRS PHONE: CONT E: LIC NO: L
l{'IGL 1�'CSS-Gi^ Z.$ - 017 me coNTRol.a
( CII] Cf/ENG 'EER: LIC NO: ADDRESS:
El
dlo h o G 0 T/
CONTACT I PHONE:
QTY. ELECTRIC PERMIT FEE BUILDING PERMIT INFO
BLSH"{,1 i
ELECT PLUMB ME❑CI{
PIiRMIT ISRUANCii
LICENSED CONTRACTOR'S DECLARATION APPLIANCES-RESIDENTIAL
p C'T Iherebyiffirudau lam licensed underprovisionsnf Chapter9(mmmcncing with ESCRII'fION
�!00 Section 700jDivision 3 ofthe Business and Professions Code,and my license is in pAWgls ntz
CW E full fomeanJeffeo.
fj License Class Lica UP TO 200 AMPS
N=y Doc Cmnmdnr 201-IIMIO AMPS SQ.IT.FLOOR AREA E/SQ.FT.
7O�Z ARCHITECTS DECLARATION OVER IOW AMPS
O Z—O 1 undimmed my plans shall be used as public records.
ods.
SIGNS ELECTRICAL
K $j Licrowd Professional
ye,< OWNER-BUILDER DECLARAI[ON SPECIAL CIRCUIT/MISC.
x060 I hereby affirm that 1 am exempt from the Contractor's License Law for the
613 W y following mason.(Section 7031.5,Business and Professions QNe:Any city urconi ty TEMP.METER OR POLE INST.
a ON s which requires a permit to conarm,ahm
cr,improve,deolish or repair any structstructurec
W, .Gloms im iswance,dmrc,mic,imittidicmn fu....els,nait1.f lc a signedalmire POWER DEVICES
�rG¢p that he is licensed forward to the provisions of the Contraeroh License Law(Chapter SWIMMING POOL ELECTRIC
6'dOT 9monareneing with Section Mail of Division 3 of the Business and Professions Code) VALUA'T'ION
❑so or that he is exempt therefrom and the basis for the alleged exemption.Any violation of OUTLETS-SWITCHES-FI%TfIRLs
Z Q Section 7031.5 by unY npplicam for o prnnil subjects the...heard m a civil penally of
not morelhan five hundred d.11...(S500), NEW RESIDFNI'IAL ELECI'R S .FF.
� p ❑ I.asownerofthe pnrpeny,ormyrmpleyeeswith wageseatheirsolecompensmion, Q SITIRIILS l'YPL CONSTRUCTION
u will dothe work.and the structure is not intended uroffered mrsale(Sec.7044,13us Tress
and Professions Code:The Contractors License law docs not apply to an owner of
property sholmild,or imemites dim c+m.and whodoe,such work himself.,through his
ownever,Ec Im,provided Nal surh improv ld wid art not intendNoruffereJ Tarsale. ,-
OCC GROUP RES.UNITS
however,theave the o,den of proem ishathwithinoneyear or improve for theowns- TO
ifte).builder will have the burden of proving that he JiJ not build or improve for purpose of
saln.l. QTY. LUMBINGPERMIT :E FLOOD ZONE APN
❑ I,vsownrroflbe pmpenY,ata exdusivdy cantrazling with license)cmmmcmrsto
consumer the project(Sec.7044,Business sed Professions Cede:)The Convacmr's
License Lawdocs not apply to an owncrofpropcny whobuildsorimproves thcrcmn.and PER ISSUANCE
whorontmms forsuch projects with a contracauds)licensed pursuant mun Cmancior's iiR- I:N'T- FA
Licens,L.W. TDRAIN&VWATER( ) FEESUMMARY
❑ 1 am exempt under Sec. ,B&P C for this reamnBACK FLOW PROTECT.DEVICE OU'T'SIDE FELLS
SAN BY Y N
Owner Date DRAINS-FLOOR,ROOF.ARM,COND. RECE HIT#
WORKMAN COMPENSATION DECLARATION SCHOOL YN
�❑ Thereby affirm that l have a certificate ofcomennoself-insure.or a certificate f FIXTURES-PER'rRAP RiECIi1Pfp
Workers Comp,nsmionlnaumncemr cenifidc ylhenof(Sec.38W,1ab C.)whic PARK FEF: K
coven all employee's under This petal. GAS-EA.SYSTHM-I INC.4 O 'CF.IPi'N
Policy. BUILDING ]VISION P'ES
Company GAS-EA.SYSTEM-OVER 4(GA) IFEE
HECK FEF.
❑ Cenifiedrift,Nherebyfuvlshed.
❑ Cenifinl copy is Oled with lbs riy impemimn division. GREASF/INDUSTRL WAS TI? : CEPFOING FFCERlIFICATEOFF,XEMPTIONFROM WORKERS' GREASETRAP FEGCOMPENSATION INSURANCE(This section need not be completed iflhe permit is forms,hundred dollars(SIM) S WER-SANTI'AR -SORM GYor Ices.)
I cnify that in Ne peRommnce ofNe work for which this pond,is issued,l shall WA' ° HEA - /V1i iLECInal employ any Arman in any manner.vr,as m becmmc suh]eml to the Workers'CompenutionlawsofCalifnmia. Date WAFER YSIEMTBFATINGIa¢ ReceiplaO Z ApplicantZONOTIC.1'0 APPLICANT:If,after making Nis Certificalc of Exemption,you should NEW REST N'I'IAL PI.MB. SQ.IT. TO'T'AL;
r TIC become subjectto the Workers Compensation provisions ofthe Labor Cada you mustFforthwith comply with such provisions or Nis permit shall be formed revoked ING FTSEr� CONST RUCTION LENDING AGENCY IC ME ��1 hereby affirm thatthem is a construction lending agency for the performance ofa ,Z 'fOTAL: RIC FF;EO the work for which Ibis pemtimis iswcd(Ser.3097.Civ.C.)
Lenders NameLenders Address QTY. MECHANICAL PERMIT BING FEEU 1 cenify that I have readthis application and ante mhot the aMve information is ANICAL FI ;correct. I agree to comply with all city and county ordinances and state laws relating m PERMIT ISSUANCE
buildingureamd.n,and hereby nmhoriao rrprcsenmlives of this city memeruon the '1'HUC'I'ION' X� above-mentioned property for inspection purposes. ALTER OR ADD TO MECTI.(We).,me to save,indermif,and keep hannlesaNe Cty of Cupertino.gamerhadities,judgmen¢,cost,andexpences whit ay many way accrue against said City AIR HANDLING UNIT(TO 10.000 CFM)
cc al grxming fhls.eAIR HANDLING UNIT(OVER 10.000 CFM)
ign tu:e of Applicant/C nonclor• Date EKIIAUSTHOOD(W/DUCT)HAZARDOUS MATERIALS DISCLOSURE IIIiATING DNI]-(TO 100,0011 BTU) Date Rcceipl a
Will the applicant or future building occupant store or handle hmmdous material
as defined by the Cupertino MunicipalCom.a .Chapter 9.12,andthe I E.1n and Safely HEATING UNIT(OVER 100,000 BTU) TOTAL:
Code,Section 25532(a)? VENTILATION FAN(SINGLE REBID)
❑Yes ❑No
ISSUANCE
WilUhumpplicam orfuunc builAingaccu..muse eyuipmcmonleviceswhichemh BOILER-COMP(311POR 100,010 i
rnrdous an,conlamivanm as defined by the Bay Area Air Quality Management BOILER-COMP(OVER I00,0ti
Jivrim? Rf1 A W O D
❑Yea ❑No NIiW RESIDEN'T'IAL MECH.—SQ,IT. V-
1 have mud the hum Nous mamHals 5505. menta under Chapter understand
of Inc Jill Or
California have
a rein t eSafetyhaft Code.Sections 25505,ementadd 25534. ]undersand ttheO
ifthebuilding
«..at tar theJoaeysuniorctmcuerreunwhich bi,met mpritmistmo yissuance of.ymnotify the
Certificate of n IN
Owner or uutnnriecd ng to, Date TOTAL: ISSUED BY: - •1=1
OFFICE
8 ,
POPA ENGINEERS Inc.
=PC STRUCTURAL ENGINEERING CONSULTANTS
•
01
9
City of Cupertino 7-12
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ECE 1%
Building Department Oe y JUL 25 1995
Re: Presser Residence
19902 Peart ree Lane W& INSPECTION DEPARTMERT
WY OF, CUPERTINO
Per owner ' s request I visited, the residence located at the
above referenced address , earlier today. The scope of my
visit was to evaluate the alteration work done, without the
benefit of a building permit , along the rear wall of the
house .
Originally, the rear of the house consisted of a window, a
sliding door and three segments of wall . The new condition
consists of 5 french doors and short segments (approx . 20" ) of
walls in between . Two header beams, one 4x12-18 .0' df#1 and
the other one 4x12-12 .0' df#1 were installed over the entire
affected wall . The two headers were tied together with 2 MST37
Simpson straps at the joint . In the same time, the ends of the
headers were tied with 2 MST37 to the existing walls.
The ceiling in the affected area is sloped and the roof was
• sheathed with 1 /2" plywood . The nailing of the plywood could
not be verified but even if there was minimum nailing of 8d at
6"o. c . along the supported edges , this type of horizontal
diaphragm may be regarded as a strong diaphragm. The two short
walls of the rectangled' space ,were plywood sheathed and along
the long interior side of the rectangle there were sufficient
segments of long walls . In this way the diaphragm presents a
real capacity to resist the horizontal 'forces, applied along
the open side, by rotation. In the same time, the 2 MST 37
straps anchoring the end of the header system to the existing
wall , provides a second mean to resist the horizontal forces
applied along the open side .
There were no other noticeable alterations and the one
described above was done in a good workmanship manner .
It is my opinion that the subject work may be approved .
This is a professional opinion based on a visual observation
of a portion of the house. It was formulated in accordance
with the principles and practices of the Civil Engineering
profession . No warranty as to the quality or the structural
integrity of the house is inferred or implied beyond
what was expre W4
\ge1 &r. d above .
John P. Popa,ri, ,,, r
8 4-
nLE3( N;i ALLEY OFFICE CENTER
2542 South BasF � -
�%�G6L Suite 102 Campbell, California 95008
Phone: 559-4202 • FAX: (408) 559-3628
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DATE Job No.
POPA ENGINEERS Inc.
Design By pe STRUCTURAL ENGINEERING CONSULTANTS
Chk'd By Golden Valley Office Center•2542 S.Bascom Ave.•Campbell,CA 95008
Phone:(408)559-4202 Suite 102 Fax:(408)559-3628
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