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03030033 (4) CITY OF CUPERTINO BUILDING DIVISION PF.RMIT• �dCON 'RACTflR © iYAA`h„F BUILDING ADDRESS: PERMIT NO. ER'S NAME: PERMIT I SUE DATE HSIAOZYEH JAMES ONE: SANITARY N0. CONTROL NO. ARCHITL•LT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLT Mn pop LICENSED CONTRACTOR'S DECLARATION I lzi C1 heuby efOrm that I am likensed under provisions of Chapin 9(commencing Job Description with Section 7o110)of Division 3 or the Ban..and Professions Code,end my license is in full Bone and e , VOLLITNTARY SEISMIC RETROFIT i Z License Clg Lk.Y/ '+4 Data cantrae CONTRACTOR: LAZER CONSTRUCTION qq DID i 2 1 understand my plans shall W uscJ u Puhlk reCarJa pydd W Licensed PmR.sinnal s o OWNER-BUILDER aexemptIm.0.Canna ON 1 hereby affirm that 1 exempt Tram the Convector's Code: U,...Law for the p O which co massa.permit i 7031.5. s.sinus and improve, de Professions COdc:Any oily or county 5 which its issuance. a n eealso re cnnsw0.alma improve,de ermit t,or e a sig any sltucture cmcm .xi p�orm itsissumnce,atm requires the oapplicant tforhe Contractors RlcesiawJ snlemcm e (COMMalimnsedpSectio 70DO)ofDivision3oftheBsinessl3censelsw(Chopwr9 Sq.Ft.Floor Area Valuation 3 °s (commencing with Section]0nd ilm Division r the al el Business and Profeon.Any Code)iminn or Net he V esempl 1Mm(rom and Ne basis for Ne alleged exemption.Any violation of 81850 Section 7031.5 by any applicant fora permit subjects she applicant to a civil penalty of APN Number Occupancy Type not more than Eve handled dollars(5500). ❑I,As owner of the property,or my employees with wages as their sale compcnell ht, 3 5716057 . 00 will do the work eAd Bm swcture is not intended orofered fonale(Sec.7W.Businus And Professions Code:The Contmeme,License Lew dors not apply to as owner or Required Inspections property who builds or improve thereon,and who doessuch work himself or through his 101 - FOUNDATION own employees,provided that such improvements are not intended araaered rorssle.It. 102 — PIERS however,she building or improvement is sold within one year of completion.Ne owner. j builder will have On burden of proving that he did hot build ser improve for purpose of 103 — UFER sale.). 104 - REBAR [3 1.as owner or the property,am exclusively contracting wish licensed convectors to 105 — ANCHOR BOLLS. construct she project(Sec.7044.Business and Professions Code:)The ConlnemYe Li- KVO cone law does not apply to an owner of property who Wilde or improves Neeson,and 106 - SEWER & WATER who Contracts for such projects with a convactar(s)licensed purauansso the Convector's License Law, 202 - UNDERFLOOR PLUMBING rl Iamexemptunder Sec .B&PCfmthlaresson 203 - UNDERFLOOR MECHANICAL Data— r WORKER'S COMPENSATION DECLARATION 204 - UNDERFLOOR FRAME Ihereby M.under pendly or perjury ane of the following ciedantions: 205 — UNDERFLOOR INSULATION 0 l have and will maintain a Certificate of Consent elf-imam for worker's comps- 301 — ROUGH PLUMBING auto.,As provided for by Section 3700 of she labor Code,for the performance of she 3 02 TUB & OR SHOWER work for which this Permit is issued. 1 have and will maintain Worker's Compensation Insurance.ss required by Section3 0 3 - ROUGH MECHANICAL 3700 of the labor Cade,for the performance of the work for which shin pa.it is issued � 304 — ROUGH ELECTRICAL My Worker'Cam enation ln�sunrec Carricnnd Policy. Wr.m: 305 — FRAME Canin7,, T 1 EXEMPTION�Poiiry l0E- .G—{— CERTIPICArIAMPoliF1111011111 WORKERS' 306 — HOEDOWNS COMPENSATION INSURANCE 307 - INSULATION kat)Clhis section need not M completed tribe Permit b for one hundred dollars(SIM) 308 - SHEETROCK sir I certify that in the performance or%e work for which this Permit is issued.I shall not 3 09 - EXTERIOR LATH .-. .. employ any person in any manner an a as become subject to the Workers'Compensedan 310 — INTERIOR LATH AvPisc iml iromia.Data 311 - SCRATCH COAT NOTICE TO APPLICANT.If,afmf making this Certificate of Exemption,you should 313 - ROOF NAIL - become Subject to the Worker's Compensation provisions of the labor Code,you must 7Z ronhwitlt comply with such provision or this Permit slmailW deemed revoked. 501 — FINAL ELECTRICAL ENERGY z C CONSTRUCTION LENDING AGENCY 502 - FINAL PLUMBING ENERGY I hereby al(irm that there is a construction lending agency far the performance of 503 - FINAL MECHANICAL ENERGY Y.> the work fur which this permit Is Issued(Sec.309'1,Civ.Cd - s7p Lander'aName 504 - FINAL BUILDING ENERGY Z)B LndeYSAeerea _ 505 - FINAL ELECTRICAL U O 1 cenify that 1 have read this application and Nrc that the above infmmatlOn is 506 — GAS TEST correct.l agree to comply wish all city and county oNinarms and crate laws relating tan Ly, correct. building construction,and hereby authorim representatives of this city to enter upon the FIN PLUMB G ?�U shove-mamoed propcny for impaction purposes. (We)apace to save,indemnify and keep harmless the City of Cupertino against 0 8 FI AL Li V7 liabilities,judgment,costs and expenses which may to any way accmc against said City 5 I UZ MCO f she gaming o(this permit L// ^m U RSTANDS AND WILL COMPLY WITH ALL N N-POINT Issued by:5 WWING Date GU A �0 Re-roofs 4 NAL PUBLIC WORKS !A 'c nlracmr etc ARDOUS MATERIALS DISCLOSU Type of Roof Will she applicant or future building Occupant store or handle haysrd.m material As defined by the Cupertino Municipal Code,Chapter 9.13.and the Health and Safety A.se❑ctYc+2ss3z(a)7 �Na All roofs shall be inspected prior to any roofing material being installed. Will the applicant or(marc building occupant esu equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit havamous air contaminants as defined by Ne Bay Area Air Quality Management all new materials for inspection. D. ties? ❑Yes 51NO - 1 have mad the hmardous mamrials rcquimments under Chapter 6.95 of the Califor. nia Hcal &Safety ode Secuons255x15,25533and5534.lundem=dshuifthe building _ Jots mly a tenant shat it is my raapoeiality m Anal( the occupant of the mqu m hwhich priortuisauancort Ccnificcide cup uy Signature of Applicant Date harize ale All roof coverings to be Class "B"or better - Xc jt�1�TAi-L �iMf��t51� u�('� FGU�D�T'DN /aNGt�lZl�� 4IAJzDN'A17 P�'f2 NI�N�H+U�t7� 5 S Gl2iC/aTiCV- TV .' SUMITAL ,f #1 07FEE COPY • APPROVED IN ACCORDANCE WITH HE CITY OF CUPERTIN C D 2ORDINANCES VAI SIGNED,_ This set of , ns and specifications MUST 2003 be kept on the job at all times and it is un MAR 1 0 lawful to make any changes or alterations on same without written permission from BY the building Dept., City of Cupertlno- The stamping of this plan and specifications SHALL NOT be held to permit or to be en 1 AIN v I y' th,.riola'ion of any provislone 0 t,'z'L i n==7,r.,te Law. -, l�l� I o�N��� f�V;✓� CLI �izTrJO�� �!b L-U.�.t T��j �E l5�✓j �C.. T- UNIVERSAL The UFP10 Retrofit Foundation Plate cuts installation time in halt. X10" Designed to connect when the mudsill is offset from the foundation 'vau ` gryj up to 2'/z"or extended beyond the foundation up to Yz". The UFP may be used In place of the FA,HFA and FAP connectors. 6a/4 MATERIAL: 14 gauge.FINISH.GalvanizedgC c j _I INSTALLATION.•Use all spclflee -fasteners;see.General Notes. t z,,y"MAX. •Loads are based-our`Simpson s SDS1AX3 screw's allowable - MAX. �, _ • . shear v lut-which are supplied with s-UFP10. \UFP10 UFP70 •Al ate lag screws will not achi published loads. installed • ee Epoxy-Tie'"Anchoring S ems and RFB Retrofit Bolt on as St eight on ayStraight 1. far tested,load-rated epoxi and retrofit bolts. Fougdation with(. `,( ! {^u Foundatro CO ES: ICBG 5313;City of L.A.RR 25281. '/F" Offset Mudsill.. �'� 5 9PI�5"{ 7� - [I�III FUYU7219J t� Model ton Max.Spacing to Fasteners Allowable replace Anchor Boll Anchor Bolt Par el x N. or s "dia. Plate Y' G pt "oia to Plale(133) FP10-SDS3 6' 2 Yz" 5-SDSY.X3 1340 Z,g.MAX� 1. 11 Ow loads have been increased 33% 2.The retrofit bolt RFB#4x7 with Epoxy-Tie or ylic-Tie UFP70 f r eanhquske or wind loading,with no embedded 4'h"or equivalent 1h"x 414" chanicaI anchor installed on o, • '.' fu her in allowed.Reduce where bolt embedded 214'will meet th a allowable load. on a Trapezoid 20 MAK. oth load durations apply. 3.Each anchor holt require andard cut washer. Foundation ^j r, r FINISH:Simpson gray paint / NSTALLATION:•Use all specified fasteners.See General Notes. ik\w� 304. Bolt holes shall be a minimum of Yat"to a maximum of '?-,tl, larger than the bolt diameter(per the 1997 NDS, PL s W sec8.1.2.1.). = •Check t ebar spacing requirements on all installations. „y.; SAMEAS o,/ 3" OPTIONS:•Sawn ber and other sizes may be ordered by -!� „"�� HOLE - p 0) OPTIONS: spec) I Imensions;use the letter designations Plures shownon the Illustr ns. •Specify if two-holt GLB del is desired;see illustration. �;. y" � CODES:ICED 1211,City of L.A. R 2086. Ta" 3' t2" PO Y4' 2„2'.n,P p y4. 2. Model Dimensions ir Bolts Allowable Bearing Loads(180) , No. W pp � pyf p7 pry Dia @ 18 n siIMasonry si Concrete' GLB 3y #6 rebar (TYP) GLBSA 5Y4 5 7 3 ga i Y 4935 9845_ 11530 61-B5B 5Y 6 7 Y 1 Y 5920 1 0 13840 GLBt T r'� G L B 5 C 5 7 7 Y 1 Y 6910 13780 16145 9".IrCW X4 GLBSD SX 8 7 y 1 `Y 7900 15750 50 6" 3Gq�1 1.Allowable concrete GLB7A 67j 5 9 3 go 1 Y 6480 12890 1519 1N - - .. hearing values are Hill !-m' AV, 31-8713 6 9 {I Ya 1 Y 7755 1547025 ased an the allowaole - GLB7C 6% 7 9 I 1 - h in of the wood n - - /e 1 9050 1804 21260 g 'M .y4" o - - - - mem r on the steel GLB70 6/c 8 9 Y 1 % 10340 2 5 24300 plate at psi. i i `r Dimensions ' Bolts Allow g Allowable '/ x12 3 v<' 1h' PD PW PT pt Dia able Bearing Loads Hari DEFORMED o Model ... .. Boll Loads" BAR Y4<" 5" ' No. 1 On Concrete HGLBA%;" _ " — W Masonry Masonry With Glulam Width` v. Range y @188 psi'@ 375 psi' -- - - 0 i (160) b 51A I fi3/a I ga/4 low HGLBA 34 to 9 5 3/e 2 '/4 9400 18750 11530 15190 19690 — 8260 99 - HGLBB 3 .to 9 6 10 '/e 2 '/4 11280 22500 13835 18225 23625 — 8260 9910 �> HGLBC 3'/4 to 9 7 10 3/e 2 '/4 13160 26250 16140 21260 I 27560 — 8260 9910 HGLBD 3Y4 9 8 10 '/e 2 '/4 15040 30000 18450 24300 31500 — 8260 9910 `GLULAM _�, _ 20670 25395 8260 9910 GI BT616 3/44 to 15I 6h 16 '/e 2 '/a 157 0 39000 19745 25595 131445 8260 9910 GLBT112 A toll 15Y 12 sic 2 1 ' 23625 20670_ ' a ' ' _1 ) 14990 19745 25595 _. .. 1{ -, ' I { 31500 12110 159451 ,25395 8260.1 9910 31445 8260 9910 • GLBT620I 31/4 to 19 i 6 h 1 20 i '/e 2 24440 1 48750 149901 t 19745 25595 31445 8280 9910 GLBT520 3/41o19 5/4 201 sic 2 /4 19740 39375 12110' 15945 20670 1 25395 826.0 9910 1.Allowable masonry bearing loads must be reduced widths not shown. quake or wind loading;reduce if CONCRETE PILASTER where limited by the wood bearing on the plate. 3.The GLBT5 has a WT4x9 structural tee, masonry or concrete is limiting. 2.Allowable concrete bearing loads are limited by the GLBT6 has a WT4xl2 structural tee. 5.Specify"W"dimension when Typical GLB the allowable bearing of the wood at 450 psi. 4.Allowable horizontal bolt loads include ordering.. Installation 14 Loads must be adjusted for other a 33%and 60%increase for earth- f PITY OF CUPERTINO • CITY OF O O CUPE(� PERMIT APPLICATION FORM O7 6 33 JPermit 16 Date: dress: Nan, Phone #: License / Cupertino Business rmit Info: Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential \ LUWT" 17KW--11 Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Group: Type of Construction: uanti Fee ID Fee Descri tion Fee Group BAPPLOTHER Other A liances MECHANICAL BBLDGFEE Bld Permit s . foot BUILDING BBOILERI 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 BCONSTAXB Con. Tax For Dn 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 Ener BUILDING BENERGYADD Ener Add Multi BUILDING BINVESTIGA Investi ation fee BUILDING BMITIGATC Comm. Housin Mit. Fee BUILDING 1 of 3