01120017BUILDING DIVISION
BUILDING ADDRESS:
19140 STEVENS CREEK BL
P� e nd : 1018, &1 CUM 0 0 M A
OO ARCHITECLENGINEER:
n = LICENSED CONTRACTOR'S DECLARATION
j z n ❑ 1 hereby affirm it I am licensed ,in. provisions ti us Chapter
CMa9 (commencing under
etc with Scene. rceand of Dirision3of the Busines, and Professions Code. and mylicenu
,.M< YfJ is in full forte and [ffecss (3
License Class GH Gc, x
Data / 1& oW ".no to
3 LL O ri. ARCHITECTS DECLARA N
1 understand my plans shall be used as public records
�r
O O Licemed Professional
OWNER BUILDER DECLARATION
1 hereby alimn Nat I am exempt from the Contractor's License Law for the
F �_ < following reason. (Section 7031.5 Business and Professions Code: Any city or county
i ❑ which requires a gem i m conswm, aher, improve, demolish, or repair any structure
$ prior to its ituonc>elso require theappliant faauch perm... fileasigredstmernem
a. Oat he is licensed pursuant to the provisions of the Conmctoes License Law (Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code)
or that He is exempt Ociefrom and the basis for the alleged exemption. Any violation
of Section 903 L5 -by any Wplicant for a permit subjects the applicant to a civil penalty
of not more Run five hundred dollars (SSW).
01, as owner of the property, or my employees with wages as their sole compensation,
will'do the work.-and the structure is not intended or offered for sale (Sec. 7044,
Business and Profusion Cade: The Contractor's License law does not apply to an
owner of progeny Wbo builds or improves thereon, mud who does such work himself
ns throegh his own employers. provided Nat such improvements we not intended or
'.ffmad for sale. IL however, the budding or improvement is sold 'w thin one year of
completion, the owneobuilderwill have the burden of proving that hs, did rid build or
improve for purpose of vie.).
01, as owner of the property, am exclusively contracting with licensed can.,.. to
couswm the project (Sec. 7044, Business end Professions Code:) The Contractor's
License Law does not apply to an owner of property who Wilds or improves Merton,
and who contracts for,such projects with a conuactot(s) licensed pursuant to the
Contractors license low.
01 am exempt under Sec, B & P C for this mason
0. Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury, one of the following declinations:
It 71 ❑ 1 have and will maintain a Certificate of Consent to self -insuu W Worker's
s�J! Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this Permit is issued.
01 have and will maintain Workers Compensation Insurance, n squired by Section
.. 37W of the Labor Code, for the performance of the work for which this pemdt is
issued. My Workers Comp n a an hnsunntt own a and Policy number arc:
Cariierdl,Qjaeti: tj E.11'O'' Policy No.:!9 1_L 03510
.. CERTIFICATION OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE"
(rids section mad not W completed if the permit is for one hundred dollam
($100) os less.)
1 afify 0. in the perksom en of the wad per which Nis pemGt'is Issued, I
shall not employ any person in any manner so as to become subject to the Workers
Compensation Laws of California. Date
Applicant.
NOTICE TO APPLICANT: I!. after making this Certificate of Exemption, you should
%Q Obecome subject to the Workers Compensation provisions of the labor Cade, you must
forthwith comply with such provisions or this permit shall he domed revoked.
CONSTRUCTION LENDING AGENCY
ai tl"' 1 hereby ism that share is a construction lending agency for the perfmmance
of Ne wod for which this D pemut is issued (Sec. 30 7. Civ. C.)
m me -_- ........... ... _...,. .. ,...
Lender's Name
z Ir tier, Address -
V •1 cenify Nat 1 have read this application and state that the above infomention is
kgsa F correct. 1 since to comply with NI city end county andantes and state laws relating
V m building constmction, and hereby authodxe representatives of Nis city m emerupoo
W the aWve.menaoned property for inspection purposes.
ps, (We) agree that.. indemnify end keep harmless the City of Cu,.mtagainst
Vi Retail ities.)'andgmm�as coo¢ and expenses which may in my way accrue against said
City in cppsequcnce o! Ne gnnung of Nis pemmit. '
AP PL: T UNDERSTANDS MM WILL COMPLY WITH ALL NON.POINT
cntm aarr Montane• I ._ .
HAZARDOUS MATERIAL DISCLOSURE
)Will tlx applicant or (owns, WOding occupant mac or handle haardwss srmedal
v defined by.th e Cupcnio Mu icipal Cole, Chapter 9. 12, and the HcaIN and Safety
Code Section 79S3$e)l q
ore.. `.�,
Will the applicant or future building occupant use equipment or devices which
emit havrdous air conuumment n du and by the Bay Are Air Qnaliry Mwgement
.� Distriol .
Oyes
l:y 1 have read Ne haerdous mnerials icquirements under darner 6.95 of the
Califomia Health & Safety Coda Sxtions 75505.75533 and 75534. 1 understand that
if the but ing tloes not arrtn0y have u tenant, that it is my responsibility m notify the
ocdup of the icquiu m mu which nisi be mew prior to issuwe of a Cenifate of
".
an cy.. . • ..
cloyner or muhmad age • .
DRAEGER CONSTRUCTION INC
605 COMMERCIAL ST
(408)536 -0420
V 01120017
PPLIC TION S B DATE
1-2/A04 2001
WTTARY NO. CONTROL NO.
BUILDMG PERMIT INFO
BLDG ELECT PLUMB MECH
Job Description
VEHICLE IMPACT/MULTI-FAMILY DWELLING
37
10
FINALED
APR 2 2 2003
BUILDING
'N VOT911DATION
- PTF.RR
$16000
103 - UFER Required Inspections
104 - REBAR
105 - ANCHOR BOLTS_
106 - SEWER & WATER
202--- UNDERFLOOR PLUMBING
203 - UNDERFLOOR MECHANICAL
204 - UNDERFLOOR FRAME
205 - UNDERFLOOR INSULATION
301 - ROUGH PLUMBING
302 - TUB & OR SHOWER
303 - ROUGH MECHANICAL
304 - ROUGH ELECTRICAL
305 - FRAME
306 - HOLDOWNS
307 - INSULATION
30,8 - SHEETROCK
309 '- EXTE1ZIOR `LATH .
-310 INTERIOR LATH.. ...._ ...
311 - SCRATCH COAT
Valuation
Re-roofs
fs
Re- roofs
Type of. Roof
Date
All.roofs shall be inspected prior.to any roofing material.being installed..
If a roof is installed without first obtaining an inspection, I agree to remove
all new materials for inspection. Applicant understands and will comply with
all non -point source regulations.
Signature of Applicant Date
All roof coverings to be Class "W" or better
- " i OFFICE
313
- ROOF NAIL
501
- FINAL
ELECTRICAL ENERGY
502
- .FINAL
PLUMBING ENERGY .
503
- FINAL
MECHANICAL ENERGY
504.-.FINAL
BUILDING ENERGY,
505
FINAL
ELECTRICAL
506
- GAS TEST
507
-- FINAL'PLUMBING
508
- FINAL
MECHANICAL
509
- FINAL
GRADE
510
- FINAL
PLANNING
514 -
FINAL
PUBIv,TC WORKS
Re-roofs
fs
Re- roofs
Type of. Roof
Date
All.roofs shall be inspected prior.to any roofing material.being installed..
If a roof is installed without first obtaining an inspection, I agree to remove
all new materials for inspection. Applicant understands and will comply with
all non -point source regulations.
Signature of Applicant Date
All roof coverings to be Class "W" or better
- " i OFFICE
mo
CUPERTINO
ItITY OF CUPERTINO •
PERMIT APPLICATION FORM
allaoul
AP #
3.26'7 07. -� D
Date:
1?144101
Building`Addiess:
Sl o £UEn/S D v K/ Ad 0 G 9 ,SO /
Owner's Name:
Phone #:
C O H ry OV , A./
MECHANICAL
Contractor:
License #:
E E aN3i/zucr�a J /Vc.
�/Iq&
Contact:
Phone #: GL G�oc,c
GC
_
SGO /
jq - o - 5 33 qoe- Slit -ucz
Applicant/Contractor:
BBOILER2
Building Permit Info:
Bldg X Elect Plumb Mech
Job Description: v EH -c- E / q p cT
Residential: Commercial:
Sq.Ft. Floor Area:..
$ /Sq.Ft.:
Architect/Engineer:
Valuation:
EOPCeS .556G.
16/000—
Type of Construction:
Occupancy Group:
Boiler > 1.75M Btu
MECHANICAL
Quantity
Fee ID
Fee Description
Fee Group
BAPPLOTHER
Other A liances
MECHANICAL
BBLDGFEE
Bldg Permits . foot
BUILDING
BBOILER1.
Boiler <= 100,000 Btu
MECHANICAL
BBOILER2
Boiler > 100K to 500K Btu
MECHANICAL
BBOILER3
Boiler> 500K to 1M Btu
MECHANICAL
BBOILER4
Boiler> 1M to 1.75 M Btu
MECHANICAL
BBOILER5
Boiler > 1.75M Btu
MECHANICAL
BCONSTAX, ,.
Construction Tax
BUILDING
BCONSTAX
Ind/Off/Comm/ uasi
BUILDING
BCONSTA)MQ
Con. Tax for BQ Zone
BUILDING
BCONSTAXH
Hotel and Motel
BUILDING
BCONSTAXR
Constax - Resi/Mobile
BUILDING
BELEC1000
Elec 600V <= 1000A
ELECTRICAL
BELEC1001
Elec 600V > 1000A
ELECTRICAL
BELEC200
Elec Svcs 600V <= 200A
ELECTRICAL
BENERGY
Energy
BUILDING
BENERGYADD
Energy Add Multi
BUILDING
BINVESTIGA
Investigation fee
BUILDING
BMITIGATC
Comm. Housing Mit. Fee
BUILDING
r Mal 1 of3
oS
Oct le 01 09:27a I✓%`1- @� l./(a °h{-
PEOPLES ASSOCIATES
S T R U C T U R A L E N G I N E E R S
408 -957 9221 P.1
529 South Main Street
Milpitas, California 95035 -5320
(408) 957 -9220 Fax (408) 957 -9221
LETTER OF TRANSMITTAL
To: Community Housing Developers Date: October 18, 2001
3681 Cape Code Ct.
San Jose, CA 95117 Job No.: $01 -200
Attn.: Sherene Bigelow Sent Via: Pick -up —
Delivery
Mail _Federal Express
From: Jeff Medeiros
x Fax to: (408) 243 -5596
Re: Studwall Repair ( 3 sheets total )
Stevens Creek Village For Your: Review Approval
• Cupertino. California — —
X Use Information
Enclosed herewith are:
Wall Repair Detail, Notes & Specifications
Comments:
Original to follow in the mail.
oe f (Nm1e peall if you have any questions.
ACCT Dt:NCE W11 THE CITY OF,
IM NO CODES A,NO ONINIANCES
NED /
MUST
iYililj fi Cr alfelatirinS
n same s an from
•OW Sl ii Cl:' ;; 'CIIICi tl9 CTS
SFI =,1.;. �� „, 1a or to ue an
=ilf ri pV;50715
If aa}' t6iV,
C.c. Robyn G. Mendheim @ Draeger Construction
DEC 4 2001
DEC ^- 2001.
U.
Fax: (408) 536 -0425
Oct 18 01 09:27a 40B -957 -9221 p.3
I. • •
•
GENERAL NOTES
1. (E) DENOTES EXISTING CONSTRUCTION
(N) DENOTES NEW CONSTRUCTION
2. 20' -0 "t DENOTES EXISTING DIMENSION DEC 4 2001
S. SEE STRUCTURAL SPECIFICATIONS THIS SHEET ,
4
AND SHALL 0 BEGINNIN EXISTIG CONDITIONS
D CONSTRUCTION
AND/OR ORDERING MATERIALS. ANY DISCREPANCIES _
SHALL BE BROUGHT TO THE ATTENTION OF THE
ENGINEER IMMEDIATELY ,
5. (N) lE" PLYWOOD PANEL SHALL HAVE 10d EDGE NAUNG O 4" D.C. - DEC 42001
& 10d FIELD NAILING O 12 O.C. BLOCK ALL PLYWOOD EDGES. '
6. CONTACT PEOPLES ASSOCIATES 48 HOURS PRIOR TO INSTALLING PLYWOOD TO
ALLOW FOR A FRAMING INSPECTION.
STRUCTURAL SPECIFICATIONS
PLYW000 _ AMERICAN
ALL ASSOCIATION. L CONFORM
EACH SHEET SHALL BE STAN ED WITH THE P PS APA GRADEMARK.
W i I P YWOOD
- SHALL BE 4 PLY INDEX 24/0, SPECIES GROUP IDENTIFICATION
ES GROUP 2 OR BETTER
• PLYWmoQOOD AH C
- S
ADHESIVES SHALL ALL CONFORM TO APA SPECIFICATION AFC -01, APPLIED IN ACCORDANCE WITH
THE MANUFACTURER'S RECOMMENDATIONS. IF OSR PANELS WITH SEALED SURFACES AND EDGES
ARE USED. GLUE SHALL BE SOLVENT- BASED.
EBAMINS+
DOUGLAS T D FIR GRADING AND DRESSING RUULE0NO.IN 17 AS LUMBER
E. MOISTURE BUREAU
AT TIME OF CLOSURE SHALL NOT EXCEED 19% AS SHOWN BY TESTING.
I iGHT GAGE METAL CONNECTORS
ALL LIGHT GAGE METAL CONNECTORS SHALL BE 'SIMPSON COMPANY STRONG TIE CONNECTORS.'
OR APPROVED EQUAL. INSTALL PER MANUFACTURER'S RECOMMENDATIONS, U.N.O. ON DRAWINGS.
IS
ALL NAILS SHALL BE BRIGHT COMMON WIRE NAILS. GALVANIZED FOR EXTERIOR WORK. 16d GREEN
VINYL SINKERS MAY BE SUBSTITUTED FOR 10d COMMONS IN ALL APPUCATIONS.EXCEPT SHEET
METAL CONNECTORS AND PERMANENT ER OR CONDITIONS. 16d GREEN VINYL SINKERS MAY BE
COMMONS-
SUBSTITUTED FOR 16d COMMONS AT OF THE SPACING REQUIREMENT FOR THE 166 COMMONS.
IN NO CASE SHALL GREEN VINYL SIN RS BE USED FOR SHEET METAL CONNECTORS -USE THE
MANUFACTURER'S RECOMMENDED NALS. NAILS INTO PRESSUR- PRESERVATNE TREATED AND
FIRE- RETARDENT TREATED WOOD SHALL BE HOT - DIPPED GALVANIZED.
SHORING
ALL SHORING SHALL BE PERFORMED IN SUBSTANTIAL CONFORMANCE WITH OSHA, STATE AND LOCAL
JURISDICTION REQUIREMENTS AND SHALL BE THE SOLE RESPONSIBILITY OF THE CONTRACTOR. WHERE
REQUIRED, CONTRACTOR SHALL PROVIDE CALCULATIONS AND SHOP DRAWINGS FOR SHORING SIGNED
BY RECISTERED ANDACALCULATIONSC SHALL RBE REVIEWED AND APPROVED D APPROVEBY THE ENGINEER PI I
PRIOR START OF ANY
WORK.
CONSTRUCTION LIABILITY
CONSTRUCTION CONTRACTOR AND HIS SUBCONTRACTORS AGREE THAT IN ACCORDANCE WITH
GENERALLY ACCEPTED CONSTRUCTION PRACTICES, CONSTRUCTION CONTRACTOR AND HIS
SUBCONTRACTORS L REQUIRED ASSUME COMPLETE
JOB SITE CONDITIONS DURING THE COURSE OF CONSTRUCTION OF RESPONSIBILITY
HE PROJECT. INCLUDING
SAFETY OF ALL PERSONS AND PROPERTY: THAT THIS REQUIREMENT SHALL BE MADE TO
• APPLY CONTINUOUSLY AND NOT LIMITED TO NORMAL WORKING HOURS, AND CONSTRUCTION
CONTRACTOR AND HIS SUBCONTRACTORS FURTHER AGREE TO DEFEND, INDEMNIFY AND
HOLD DESIGN
CONNECTION WITH ST E PERFORMANCEFOF WORK ON THIS PROJIECT. EXCEPTULABIUIYO�
ARISING FROM THE SOLE NEGLIGENCE OF DESIGN PROFESSIONAL.
0
® (E) 'MST37' STRAP, TYP.,
RECONNECT TO (N) POST
BOARD I2 RIM
TOP OF PLYWOOD
® SECOND FLOOR
• TOP OF R
® (E) HEADER -
PROVIDE SHORING
BEFORE REMOVING
(E) HOLDOWN POST
q (N) 'LTP4' CLIP -
® 160 O.C.
(4 MIN.)
TOP OF SLAB
0
PANELCEW HZS CPLOYWOOD
SEE STRUCTURAL
SPECIFICATIONS
V (N) 'HD8A' IHOLDOWNJ + `(TMP 'A34' CLIP,
ZFIELD VERIFY
PLYWOOD JOINT
® q RIM BOARD
SEDGE NAIL
DBL TOP R
HOLDOWNDPOST
EDGE NAIL
Z HOLDOWN POST,
TYP.
`\(N) 'HDBA' HOLDOWN
WALL REPAIR DETAIL
3/8 " =1' -0'
m m
CD
N
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O
j
F) '
N
O
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d
•
K - • TRANSACTION REPORT P.01
OCT -18 -2001 THU 09:27 AM
FOR: DRAEGER CONSTR 408 536 0425
0
RECEIVE
DATE START SENDER RX TIME PAGES TYPE NOTE M# DP
OCT -18 09:26 AM 408 957 9221 1'18" 3 RECEIVE OK
DEC 42001 )1
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