24938 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPER'PINn BUILDING.ELECTRICAL - _. ,. PERMIINO. 2 a 9 3 8
APPLICATION/PERMIT PLUMBING..MECHANICAL (4
BUILDING DIV INION BUILDING PROJECT' DRNTIFICATION
/ RUIL�ADD j�� GB SANITARYNO. APPLICATION SUBMIT]' LCA U!
22 ON]']'# ].Or# ��
S NAME. PIIONIi: CI'OR'S NAME LICNO,
k� CL XU 6 w E NIC CONTROI,p
RCIIITF.Cf/ENGINEER: - LIC NO, RESS:lGM U� � � ❑
CONT PHONE:
QTY. ELECTRIC PERMIT FEC BUILDING PERMIT INFO
LQ IZ('i .CECT P.IJ 1ppB MECH
�4, s UlbT Q.6'1 'f PERMIT ISBUANCE ITT/61'r ?I�'s
LICENSED CONTRACTOR'S DECLARATION APPLIANCES�RLSIDENTIAL
I herch ffimt that l am licensed under 'Chat 9 0 RIP
pyy ya pm Profession,
per and
mmecerawwith
a00 fall fan]and If Division 3of the Business and Prufeeslans Codc,and my license is in PANELS �• /
1y full forte and ett t.
QZU yI license I Lic.p—e�4144b UP TO 2(b AMPS
ti<y Date��Cuban 4 ERx 201.1 MPs I.
70vni�' ARCHITECTS DECLARATION ERI A •SQ.FT.FUJOR AREA $/SQ.FT.
QOZ�O Iutyl cranlani my plan: the uttd as public reeonls. ryl�/� ► L nT
lWLiles I SE Cl A1.
P.Ou LCISofes.i��nal� l
OWNER�DUILDIiR DECLARATION 9 .IALCIRCUI'D SC
5d a F I hereby affirm fm 1 am exempt from the Conwetors License Law fur the
Wa�ON fullnwiny rwxm.(Se lir."l031.5.Onsiness anA Professions Cale Any city maunty T P.MFTER I 1
FSH; which requires a'"', ISW
to canstmct,ober,improve,demolish,or repair any..Glare
}� print to its issuance,also requires the applicant for such permit to File a signed statement POWER DEVIL
DO that he is licensed pursuant mtbo provisions of the Counselors License L.,w 1apmr
o•�o�' 9fcommcncing with Section]000)a(Division 3offe Business and Professions Code) SWIMMING POO 13LECT'RIC lex„✓ N r
W^�y or that he is exempttherefrom and the basis for the at leged exemption.Any violation of (•/�7f`,�O—'�
Za Section 7031.5 by any appi icam for a permit subjects the appllcannoa civi l Penalty of UT LETS-SWITCHES-FIXTURES
not more than five hundred dollars(5500), NEW RESIDENTIAL CLEM S .FT.
L mnwnernffoprnpurty,nrmyanpinyecx with wugcsas fcirsolecamperuarmn, Q STORIES TYPE CONSTRUCUON
y ill Ju the work.ond the urunure isnot intended or.ffered far sale!Sec.](134,Businesx A p A ■ Ir. 8 }
nd Professions Calc:The Contractor's License Law does not apply m an owner of �\V9 6e5�k IIIL ILLS t
perfectly s,,roviimproveuch impromdwbodoesninter edoro aced for thrnughhis
. D qCk:(yt JI' iS.0 HIS
etly who hands orimpvided hmsuchimon,and hodess ihwork inslimd forcullproue.If, �IVV(IJI 10^J
however.he building or improvement is sold within one yearofc.mpletion,theowner
builder will have nbe burden of proving that he did not build or improve for purpose of
sale.!.
❑ Las comerofthe pro,sury,our exclusively contracting with liveream commatomm QTY. PLUMBING FERMI'( FEE DTE I'- AP
construct the project(Sec.]044,Business and Professions Cnde:)The Contractors 1PERMIT ISSUANCELicense Lawdoes notapply to an ownerofproperty who huilds or improves themon,anJ
wbnconvucts for web proJccts with o atmscmr(s)!tensa!putxumm to the Convuctar'a
License Law. ALTER�DRAIN&VENT-WATIlR(IA) FEE SUMMARY
I am exempt under Sec. ,B&P C for this reason BACK PLOW PROTECT.DEVICE IITSI E FETA
SAN]'IARY Y N
4,oco,ml
ter Dam DRAINS-FLOOR,ROOF,AREA,CONE). RECEIPI'p
WORKMAN COMPENSATION DECLARATION SCHOOLTAX Y N
Fl%TORES-PER TRAP �"' RILCEIPI'#
rkers'Compensation Insurance ora ceri0ed copy thereaf(Sec.38IXL Lab C.)which PARK FEE Y N
employee's undenhis permitGAS-FA.SYSTEM-I INC.4CIA'LF.TS REC IPI'#
Policy# BUILDING DI SION FE'S
Company GAS-EA.SYSTEM-OVER 4(EA) PLANCHECK FEE
Certified ropy is hereby famished.
RI CmifieQcopyisfiled withthecity inspectiandivision. GREASEgNDUSTRL WASTE IMIERCEPfOR GRADING FEE I
CERTIFICATE OP EXEMPTION FROM WORKERS' GREASETRAP SOILS PER V
COMPENSATION INSURANCE
(This section need nut or completed ifthe permit is forona hundred dollars IS 100) SEWER-SANITARY-STORM EA.200Pr. ENERGY 4fV
��
or less.)
I certify that in the performance of the work for which this#unlit is issued,l shall WATER HPATER W/VENT/ELECfR
not employ any person in any manner so as to become subject m the Workers' P ID
Compemlion Lawsonf California.. Dam WATER SYSTEMTREATTNG Dam Receipt Is
.111 nt
OTICETOAPPLeWork LL Compensation
this visionofth ExemptCod,you you mull NEW NESIDI3NTIALPLMD. SQ,PR TOTAL:
eco ce vill,comply
the such
pe Compensation prnvisio elf tc a lard meae d. must
fothwith comply with such provisions nnhis permit shelf MJameA revoked. BUILDING PI3E
L9
A CONSTRUCTION LENDING AOf3NCY SEISM IC FEE _ B
7 z Ihemby eflir..thnnhere iso construction lendingagency boom performance of -
f) the work(or which this permit is issued(Sce.309E Civ.C.) 'I L: ELECTRIC, r
Q Lerner,Name O F Larders Address QTY, MECHANICAL PERMIT FEE PLUMBING FEF:
1 cenify that 1 have mad this application and state that the above information is mMECIIANI( L FEE.
rcet m
I....ccnmplywithull cityardcountyordind naneesnsmmlmssloBngm PERMIT ISSUANCE
f^ building construction,and hereby aurhanu representatives ofthis city tnenter upon the
V ahwe-mentioned property for inspectinu purposes. RACER OR ADD TO MECH. CONSTRUC ION TAX
(We)agree to save,indemnify and keep hornless the City of Collector.against
liabilities,judgments,costs and expenses which may in any way accme against said City AIR HANDLING UNIT(TO 10,000 CPM)
I...a,yucnpe nJ the gnmtin6 or tb
AIR HANDLING UNIT(OVER 10,000 CPM) ) '
Siglrfre oolfffALA'ppplic--umcCnntract�orr D�nte EXI IAUST 11001)(W/DUCfJ
PAID
HAZARDOUS MATERIALS DISCLOSURE HEATING UNITrIO 10(L000111'U) Dam Receipt#
Willfic.,licaut nr fsure building occupanr store of handle hazardous material HEATING UNIT(OVER IW,IgO BTU) 'I'
as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Section 11 Yes 2(a)7 ❑No VENTILA'T'ION PAN(SINGLE RHSID)
k ISSUANCE DATE
' Will theapplicunt orlhmre buldingoccupm use equipment othvices win chemad BOILER-COMP(31 IF OR 10(j"BTU)
' ardous air contaminants as defined by the Bay Area Air Quality Management BOILER-COMP(OVER 100.000 BTU)
ohic,?
3 "'010 Yea ❑No NEW RPSIUI3NTIAL MHCH. SQ.PI, P A D
QI have read the hawNous materials myaimments under Clutp,l,6.95 of the a 1993�
C.1ifomia Health&Safety Cade,Sections 25505.25533 and 255M 1 understand th
nmm pp^y at P'#a
if the building doe not currently have u tenant,that it is my ponsibility notify the ry
cupant of the tequircments which must he met prior to issuance of a Cenilicme of
Occupancy. uurtri I IIVV
Owner orautburiudll', - Data 1: ISSUED BY 1
OFFICE
F Run
` �/ ,'•/RR ��, z' , - OBOrHCNNICAL ENOINEFRS AND OHOLOOwn:
•Y 1' t:k' } vn I .u•.. Y "IP.:�'`^, I.;.a I...I;; �=fir?' INC,
80f> 'C r +„ ,I;TH.Y -Earta IFO , ..
1680 NORTH FOURTH STREETttSAN JOSE`CALIFORNIA 951,12-46 6 •(108) 453-1180
rolect No. 6633
W Ib$ RDANCE WITH THE CITY>'013 May. 1993
'i bj a
D'ORDtfVkI-
' ' `CUF�RTINO CODES ANtiCE9
.- C: Steve Renard, a.' r`4 ,C"�
SR Construction and Ehglnl:,
tof.'plags.and_ specifications MUST
1242 Sundown,Lane •
r . be'kepf on the job at all times and it is on
San Jose, CA95127 lawful to make any Than!es or alterations
a dons
on same without written permission from i
the bui;dirig Opt., City of Cupertino.
• Subject: Proposed AddiliiSifitamping of this plan and specificefions j t
22659 Stevens Wl'oirl�°v' rd Permit or ro be an
rova: o trio vmanon of any provisions
Cupertino, CalA''�f��p*
't1�{i{��ihr Ordinance or SMri a
REPORT Or TESTING AND OBSNVATION
SERVICES ,DURING GRADING OPERATION �AY ..71993
AND FOUNDATION EXCAVATIONS
fDpC ��r10N p�A
Dear'Mr. Rehard: ':• - I E CUP�nIVQr4f91L
1 At you r'r*est,'.TERRASEARCH', INC., has provided testing and observation services
duping the pad, grading operations and foundationexcavations at the subject site. The
grading'• operations ;and foundation. 'excavations l'have been''�atisfactorily performed in
accordance'.with the'recommendations of our.previous'.16itcr,dated 19 March 1993 aiid/or
as directed`'by,our SoiFEn`gineer` in the field
Grading operations eoriimenced with clearing and stripping operations in structural areas.
An oldsain ary sewer trench`was,found,during'the`early,'stages'of,grading. The lccat.ion of
this trench was about• ? feet from the westerly extortor wall of the existing house. Tae old
backfill to file trench`was`tsoft :Intour previrous investigation, the test borings may hr.ve. been
drilled at the trenchaocatlon To further investigate,the`site,,twd test'pits,about 3'f.et deep
were excavated Bused on the.do'ndltion:of the,soils"Il'obsdived in theA st pits, supplemental
recommendations were provided by our Soil Engineer : Our field recommenda '.om were
implemented as described 1`,. e
The near surfa�e'soils we're scarified; iriotsture.conditione'd'as necessary, and compac..d to
a nurnmum',relative compaction of 90% basod`on the Laboratory:Test Procedure /,-.STM
D1557.78.; Fill was'then placed and_compacted-as.above until the desired finishes rough
-grade was achisved.- The upper 4. fo 6 inches of fill consisted of aggregate base import
material.
All .laboratory and field density tests:are summarized on the.attached data sheets. The
bu' ildi'ng asilding pad wrea 6 h ' t o o receiv is ns.
(r1/,may/J1/(I�1
BLIND_CALIPORNIA.01600, (31P) 0�)r020r
FF;U11 5. 7. 1993 9:63
Project No.6633 6 May 1993
a
After:the complefion of pad agrading; spread-footing foundations were excavated at the
approval of the"Soil Engineerin lieu`""of-pier foundations. I he continuous.footings were 24
inches deep and the width';was`4 and 24 inches in accordance with the structural design.
'I vo isolated'footings were•-30ic30:inch'es"and 24 inches deep.
Based,on: our observations,-'it�is :our "opinion that"-the soils encountered in the footing
excavations"(rave a�tequate'dYYowabYe beanng strength to support the design footing pressure
of 1,500 ps:f used'by the.Structutal Engineer;; It"sh.ould be noted,that the footings should
be cleaned fromIpoils .pioc to:pouiing'conerete. "
• Proper surface drainage must be"provided as designed by the project Civil Engineer and
maintained by the property.owners at all times.
Should you have any questions relating to the contents of this letter or should you require
additional information, please do not hesitate to contact our office at your convenience,
Very truly yours,
Reviewed by: TERRASEARCH, INC.
J
0 Mov 4-A.&O kA- e, �
Tom S. Makdissy, G. Gus Khenaisser, P.E.
Principal Engineer Project Engineer
\Id
yAttachments Data Sb"eets
. Copies: 3•to"" SR'Construction and Engineering
-CAwp3l\gredIq\6633' ,. • .
_.Page 2 of 2
b
SROM .�a �`,� i1 4 >�� f s JJz 'JJ JRLL e 3 5 7 1993 9.'G4 F. 2
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PROJECT ` 22659,,4tavdns'i'X esk Boulsvar`d;, r PROJECT NO7 6633
Cupertino`,-Kwlfi'Porn`i+s 's.�t4 r DATE` PRINTED 05/06/93
CLIENT .s+ SR Construction and° Engineering ,
Descripti-on TRat Method Max. Dry Dana. Ogi-.imum M015t,
1.). ,Br ' Sndy SLT w%Gr ASTM D1557 131 . 5 9 . 0
2 ) Br, SLT, & 'SND w/Gr., ASTM D1557. 129 . 6 9 . 8
3 ) Or Gry. Sndy Gr ROCK ASTM D1557 145 . 5 4 ..7
6 ).
8 ) b
9 ) e
10.)
l'
• 12 )
13) .:
14 )
' r
` Y
. _FROw 3. 7 1993 9004 F•
FIELD COMPACTION TEST DATA
PROJECT: 22659 Stevens Creek Boulevard PROJECT NO. : 6633
Cupertino, California AREA Mass Grading
CLIENT : SR Construction and Engineering
SOILS USED IN FILL:
( 2 ) Max. Dry Density: 129 . 6 PCF: O.M. C. 9 . 8 $: Test Method : ASTM D1557
( 3 ) Max. Dry Density: 145 . 5 . PCF: O.M. C. , 4 . 7 $ : Test Method: ASTM D1557
( ) Max . Dry Density: PCF: O.M. C . $: Test Method:
• Degree of Compaction Required: 90%
Moisture Dry Max Dry Degree.
TestTestContent Density Density Comp.
No. Elevation•'",' Date .. Location $ PCF PCF
1 1.5 04127/93`: Northwest,portion' 9.0 123.0 129.6 95.0
2 1 5 04/27/93 6outhuest portion 9.0 121.0 129.6 93.0
3 1.0 04/27/93 " Northeast portion 10.0 123.0 129.6 95.0
4 1.0 04/27/93 southeast portion 8.0 123.0 129.6 95.0
5 O.S . 04/27/93 .,North portion/RT Y7 5.0 127.0 145.5 87.0
6 0.5 04/27/03 South portlon/RT #8 4.0 125.0 145.5 86.0
7 0,5 04/27/93 Retest of #5 5.0 131.0 145.5 90.0
8 0.5 ''04/27/93, Retest of 06 4.0 132.0 145.5 91.0
• 9 FO North portion 6.0 151.0 145.5 90.0
10 FG 04/28/93 ,' South portion7.0 131.0 145.5 90.0
method Used: ' Nuclear ": Fill Placement: Conforms to project spec .
Remarks : NOTES :' '
FG = finished grade
4. .43 ¢ No. 27651 'O
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M� = 6,5K&957r - (. 758)'6,579yz�
27,36 x 1(2>,5'z 919.38 1)4
to x :325
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