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29054 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY. - CITYOFCUPERTINO - BUILDING-ELECTRICAL PERMITNO. BUILDING DIVISION APPLICATION/PERMITPLUMBING-MECHANICAL ' f�(] 0 C /I BUILDING PROJECT ITI DENFICATION Gx� Jt{ BUILDING ADDRESS: SANITARY NO, APPLICATION SUBMITTAL DATE OWNER'S NAME:�tll A v PHONE: CONTRACTORS NAME: - LIC NO: NIC CONTROLN RCIIITT.CDHNGINEER: LIC NO: ADDRESS: ❑ 7 Q INQ / CONTACT. - PHONI' BUILDING PERMIT INFO 7- e�h✓i A/SkY�S ��� as ❑ Consultant Paid by Applicant(Initial) BLDG ELECT PLUMB MECi ❑ LICENSED CON'TRACTOR'S DECLARATION QTY. ELECTRIC PERMIT FEE 1 hereby affirm that 1 am licensed under previsions of Chapter 9(commencing JOB DESCRIPTION_ wo,Qgcz with Section 7000)th Division 3ofiheBusiness and Prnfcs>ions Cade,anJtolicenscis X00full y PERMIT ISSUANCE RESIDENTIAL: (- Licene rceClass and affect. �UV License Class Lich OSFDWL OKITCHEN RE.P[PI. F�W Date Contractor API'LIANCCS-RCSIDENTIAL DDITION ❑PLUM PLUMBING RR-PIPE la, ARCHITECTS DECLARATION PANELS Z004s OM 171-UNIT OSfRUCCRAI. z O yy Z f understand my plans shall M used as public mcoNs MODIFICATION OZ=1 " ' • UP'r0210 AMPS OINTERIOR - El CHIMNEY REPAIR � ILicensN Professional 20LI000AMPS IMPROVEMENT ` OWNER-BUILDER DECLARATION Contractor's OVER HXXAMPS O BATH REMODEUREPAIR 0DEMOLITION I hereby affirm ohm'1 am exempt from the Comhncmr's License city o for the O❑U Which followingmotion.(Section eIll S,Businessandmp tie,derliCsde:Any city or county SIGNS EI.fiCTRICAI. El F LL F' which requires n permit re paces the slmq improve,h Permit t nr repair ed iwemre priortosscensed e,also pursuant to the provisions of for sucContractor miensele a Lw(Chaptecm SPIiC1ALCIRCUIT/MISC. himanmad he m�in with Sectio too W)of Division 3 Om Cnmsinesssnd Proelxw(Code) 9 I�GG�O (commencing with Section]000)of0ivisi.n3of the Easiness and Professions Code)or TEMP.METER OR POLE INST. COMMERCIAL: a q m y met he is exempt therefrom and the basis for the allege exemption.Any violation of - ❑NIiW BLDG/ADDITION 0 DEMOLITION iC V. Section 7031.5 by tiny applicant for a permit subjects the applicant to civil penalty of POWER DEVICES ❑TENANT El FOOD SERVICE z> not more than five hundred dollars lS50B C� O1,re owner of the pmprrt,or my employees with wages as their sae compensation, SWIMMING POOL T:LECfRIC IMPROVEMENT ' VG" will do the work,and the svucturc is not intendeJ nr olfereJ lir salt(SecJ044,Business DOTHER a and Professions Code:The Contractors License Law does not apply to an owner of OUTLET$-SWITCHES-FI%TI1ftE5 property who builds or unproven;Ammon,and who does such work himself or through his own employers,provided that such improvements are not intended or offered for NEW RE.SIDEN'TIAL ELECTR sale.If,however,the building or improvinm,is sold within one year.fcompletion,the ^ SQ.FT FI. RARERww g/SQ.FT. owner-builder will have the burden ofpmvingthathedid not build or.improve for pun- pose of suleJ, ©. VVx L \T/1✓1 J( O I,m owner of the prepeny,am exclusively contracting with licensed contractors m cent,La the project Sur.7094.Business and Rot ho bus Codas The Convector's Li- "Si c some is fors apply toanowner ofpmpeny whnsol pursuant improves lothe thereon, QTY. PLUMBING PERMIT FEE Gl VV�1 {;av(\ 01,511 who camrums for such projects with n anhamor(s)I IcensM pursuant to the Commmors License law. PERMIT ISSUANCE - ❑ IamexemptunderSec. ,B&PCfmthismmcn Owner Date ALTER-GRAIN&VENT-WATER(EA) VALUATION ' WORKER'S COMPENSAi'ION DECLARATION Ihereb Ifinn under p f BACK FLOW PROTECT.DEVICE tyle y v peon y o perjury one of the following dcdmmions: _ ❑Iheve and will maintains Certificate of Consennn sell'inssrc for Workers Cooper. DRAINS-FLOOR,ROOF,AREA.COND. cation,as provided for by Section 7700 of the LvMr Cale,for the performance.f the STORIIS, t1 TYPH CONSTRUCTION work fon which this permit is issued. FIX'TURLS-I'I?R TRAP o 1 I have and will maintain Worker's Compenandon Insurance,as required by Section a 3700 ofthe Labor Code,for performance of the work for which this permit is Issued GAS-BA.SYSTEM-I INC.4 OIITLET3 OCC GItOUR1 APN My Workers Compensation Insurance comer and Policy number sere: Cartier: Policy No.: GAS-EA.SYSTEM OVER 4 HA) CERTIFICATE Of EXEMPTION FROM WORKERS' . P s , j p"U COMPBNSATIONINSURANCE GREASMNDUSTRLWASTEINTERCEPfOR rIlU1DDING DIVISION IBES (Thissectionnmdnotb.completedift permitis(Dronehundm dollars(SIMI .`t or Inas.) GREASE TRAP PLANCHECK ME (cenify that in the perfonnsnce of tM1e work for whichthispeconoiasued,lshall SEWER-SANITARY-STORM EA.200 FT. ntemploymypersonlmany manner sn ncmhccome suhject.vM1OWn.keN Compen- P.NERGY Ffi6 �r O ,z !alio.Laws.(California Dae WATER HEATER W/VENI'/ELECTRL Is Z 2 Applicant GRADING FEE NOTICE TO APPLICANT.If,after mskingthis Cenificme of Exemption.you should WATER SYSTEMn REATING 'become subject to the Worker's Compensation previsions of the[aher Code,you must - - SOILS FEE (11Q forthwith comply with suchprhvishmun,this permitted]he deeruchlrev.ked. WATER SERVICE - � z CONSTRUCTION LENDING AGENCY NEWRISIDENTIALPLMB. SQ.1--r. PAID U O l hereby affirm that hem is a connmction lending agency for the performance of s Date Rectooas IL F the work for which this permit is issued(Sec.3097,Civ,C.) ' - Q U Lenders Name TOTAL: Lenders Address 'TOTAL: I cenify that I have read this applicatl..and state that the vWtc infurmaiom is BUILDING FEE Ie �^ y conecl.l agree mcomply with all city and county ordinances and arselaws relating m QTY. MECHANICALPERMIT FEE U ,ZZ. building construction,and hereby minimize rcpresentadves ofthis city to enter upon the SEISMIC FEE above-menti...dpmp.nyforimpretionpugsxes, i (We)agree to save,indemnify and keep harmless the City of Continent against PF.RMI'1'ISSUANCE r ELECTRIC FEE liabilities,judgments,costs and expenses which may in any way acerae against said City ALTER ORADD TO MECH. PLUMBING FEE in a trove uence of the granting of thmit is per . APPLICANT UNDERSTANDS AND WILL COMPLY WITH'ALL NON-POINT AIR HANDLING UNIT C 010,000 CFM) SOURCE REGULATIONS. MECHANICAL I7CE AIR HANDLING UNIT(OVER 10.000 CFM) CONSTRUCf10N TA% Signature of A,IsarmCmlheI., Dvte EXHAUST HOOD(W)DUCT) HOUSING MITIGATION FEE HAZARDOUS MATERIALS DISCLOSURE Will theri,ticanl or future building occupant smmor handle hvsaNnns antitrust HEATING UNIT(TO 100,00)BTU) as defined by the Caperton Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)p - HEATING UNIT(OVER 1110,000 BTU) r-3 Yin; ONo VENTILATION FAN(SINGLE RESID) PAID Date Receipt# Will the air cofircand offuture building mandiby nd Bay eea AirQntofdeviceswhich BOILER-COMPQHPOR 100,"BTU) :mit hmnrdous air cnnmminvms m defined By the(ivy Arca Air Quality Management Diatdal BOILER-COMP(OVER 100,000 BTU) T I. ❑Yes C]No 1 have read the hamrdous materials requirements under Chapter 6.95 mf rho CNI- AIR CONDITIONER ISSUANCE.DATE boron.Heald at Safety Cade,ea(tri 25505,23533 and 25534.1 to unity the that if th< NEW RESIDENTIAL MECH. SQ,ET building dens urn curtcntly haven mnanf.Nm it is my resgnsihility m notify the occupum of the requirements which must Is; in primm issuance of is Certificate of Occupancy. 1 'V e) -- Ownermmommnzedngcnt Date L / VM77A ISSUED BY: OFFICE - .T. . .. . .. .. .. .c».•,,iw:rn;-�=5ae�'�.':C . ;.,,.,.,. 'r . .-i•in ili,•t:f i+:�r•.;1!;ie: ti(:T'��rit7 (o;�iii - + LABORATORY CERTIFICATE ' �� r5• •:,y r a2. '., '� : T.t. !H -.'4Y-: Sw)"9 , (' i't^yn ,r� 7 �. h:••,- 3•.trs.rr.. .ry-t^�:x2-.,_,:.tvc,•'.:tY' ,iC.b.V..._:e,Yv.at..a'w,^�'e�..,.�Jurf.a�hY'NfA'4•#Yh�r;',T1,.`JivVsTMC1�'A Sy A{yt T.: SIGNETS,TESTINGILABORATORIES.iI*NC �t'ia:N' �,fr4�,,. ' '}'t.,-�•, DP M+��'e`I'+ ?.;d,.,• •"f� ' TESTING INSPECTION OFC O NSTRUGTION AIA N 0,4 ND U STR I A L'MATiERIAL5i�1•f�'tYM^�� ,{1' X'f- .� •� (;, Al - / in. 47 {i. a5y4PEYadf 0.EPLY TO :a • ENGINEERS .. 06, ...t M1 _ Ti({l'11' -� ..... .. CHEMISTS , ',t1. „ 1425 WEST WINTON AVENUE ' METALL UPG STS ��' t�'u'1t //—.,,/�,_„y;,,�,i;'�•;J,1Ura 1I'HAYWARD,CALIFOR II A 94545 i.\, �� itn i/ � + ]li ID W AREA CODE -STeti/J4� a L� 897 rr. q r (( t,I<h`'."-!':'':>'{'rk.-Y•';(<t1"I'»!•F1:7) O 97.'`.m.��p, ' REPORT TO: n I A.V J•21.t�99C��" y 1 y996' PROJECT: Welding Procedure ,Qualification JVV !'1' 4 ,y;:::`r,.; .,,.: ..,._-•:Tests' ASME,�Section Ix ' Sunnyvale We & Fabri , 11 r°v �B G,,(Ngp CTl , pgRT + 1717 E. Evelyn ON D G�! I MEN .q rlc ,•1) FILE.NO. , Sunnyvale, CA OFCUF� l ...-. L:..,.,...,;.t. 1 , E TIN" APPL:NO.: :I r P.0.NO,. ' DATE SPEC.1 .'.6ne , (l)' 1']II 'thick-,�xt'8";wide x-12"'"long'"Welded=Steel'-Plate-lor Aoril 22, 1980 Two"(2) .Transverse:Tensile ;Tests & Four (4) Bend Tests.,,;,._ -LABORATORY NUMBER 36182 ' '•• f f 1 , i { , , 1 HEAT NUMBER 't ,. . ...,. ., . . ..-. :-,..., TENSILE TEST Figure No. QW-462.1 a QW-462.1,(e),, ; f NOMINAL DIMENSIONS, INS......... Guided, d TE?StS� , i UAL DIMENSIONS..INS..___..._- - 1:'000 x 1.250 11000 x 1�260 a I;ei+Fi .::QW- " " : T 1.250 -1.260 UAL AREA • SO. INS- ------------ v•' -•• ic.! Side.-l•.:: Satisfacto YIELD STRENGTH. PSI. ' ' . ... ., .. _. . ...--.... I , .::�y. ,- s..::.........',. . � ... , x'Y'': @ 91, OFFSET_______________ i".,4n(9il;Side:,2 t iy Satisfactory,'. TENSILE STRENGTH - PSI.-_-__._... 70400 - 70000-,_ ;,1,• •, ,_,.,•_,•._ . .-.•. ..�-__SidE:,''4, Sati factory Ultimate Load, lbs......... 88000 88250 Side.'3. r3 •, Sat>_sfactory ELONGATION IN INCHES...... ELONGATION, PER CENT............ .- 't•�Lr . �.,,.. . _.. ', ••'•».•_..,«....,, . REDUCTION OF AREA, %___________. FRACTURE ........................... base metal base metal ., r' °Trn Minimum Tensile Strength 3 •p. , ._ :_..�.: ..._---_ _�; (' 1 Required, psi: 70000 70000 i T r ^ 1' 'i) -MA% j:,',.<,"!.• COLD BEND TEST: : . ...-......_.9...._.., ...,..,...._ .._ ..,,.,.........:. ...::'.':,.'. >' +i'.r;i FLATTENING TEST: 1 t REMARKS: Welding data submitted.by fabricator: i �.... .. .tf. ><,< _ .._ . . ), Welding Process: Shielded Metal-Arc (SMAW) Base Metal: SA515 Grade 70" Filler Metal:Position: Flat IG) E-7024 . • 5(32" diameter.. ... _...._... _... .: _......�.,....-..._.... . .._....,.._.�,,,... ......�.•�r :.�, Postweld HeatTreatment: ' 1 tr . ,. .•_...,i_ .. -Electrical Characteristics DCF2P °,:, ./in 1@ 1125 F ,. •Welder: Ronald. Nbniz -SS#548 84 6638 � c,. ,r ci . +f�Y, ,«, �q „ d >) r'y,'s .. . ,4,e7 {v,,•aft . . . _..__._. . ... ( aT^ct?t2iiAt I I h`L{ta 2cc _. , • RES E TFULLY SUBMrlf ITITED SIG ET TESTING LAB O RIE , 1 nt ttl •7 {.;•, •ts',"t�•:'t�l2 . - ..,.. ei'C w. Yv� .Si fried J Otto; Sta Eng>neer