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03110050 (2) CICY',7F CUPiMINOd r +*,; saaw tom' ^ _ BUILDING DIVISION PER CON71" RdINP'tORl�I©N BUILDING ADDRESS: PERMIT NOO 3110 O 5 O NNER'S NAME: PERMIT ISSUE DATE RICK MULTAGH CHLISTINA ARMO TR 11/12/2003 PHONE: SANITARY NO. CONTROL NO. ARCHITECMENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 joo LICENSEOCONTRd under DECLARATION mp 1 M1cmby affirm that 1 em licensed under previviuns of Chapter v(commencing Job DeSCrIpl1OO ;Z. with Senion7 )ref Division 3 of the Business mfcssiuns Code,end my license is .c� in full foree' n t. ,qz u.erre � Lic.0 Z�ciZZ� FOUNDATION UPGRADE Dam Codnemr = v CONTACTOR: VALENTINE CORPORATION ARCHITECT'S TION 1 un ....ad my planashall he used as pm o rccnrda cQ� Liccnscd ProfCssomai 9 3 OWNER-BUILDER DECLARATION 7 i q 1 hereby slams that 1 am exempt form the Conuscmrt License Law for the O o following masers.(Section 703 1.5,Business and professions Code:Any city or county $ which requires a remelt a.ennstrun,staff,improve,demolish,or repair any atmcwm iy pdono its issuance,also requires the applicant for such permit to file a signed sudoolool 2 G that he is liccused forward in flon previsions Of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area Valu$ft360 2 $ (commencing with Section 7000)of Division 3 of the Business and Professions CMc)or that he b esempl thea from and the basis for the alleged caemtdom.Any violation of Section 7031.5 by any applicant fora permit mbjecti the applicant to 7civil pcdilty of 3 5- �erO 0 Occupancy Type art are than fiw hundred dollars(SSW), P Y YP ❑I,as owner of the property,or my employees with wages as their sole core reputation, will do the wort,dna the swcture is not intended or offered(or sal.(Sec.7W.Business and Professions Code:Tie Contractor.License Law does not apply to an owner of Required Inspections property who builds or improws thereon,and who does such work himself or through his own however.thecs.uildin ori prove ant is wre withincuts net vets dedOf Completion.eered for owner. ®�a.,v n ter, sa ase® however,ill ban she b r den of pervin s solhat he id o t year of for Be owner- elm I�IVVlpgil//a-L`TYYFgbf6iuss builder will have she burden of proving that he tlitl not Wild or improve for purpose of sale.). ❑ 1..1 no,of due'wivit,em esclus VCIy convecting with licensed cunuactors to Dtitan 19 2003 Construct the pmject(Sec.7044,Business and Professions Code:)The Contrecmr's Lt. (-1/ cense tow does not apply to an owner of property who Wilds or improves lhcoem,and w who se La omnm for doth projects With ecr(Q licensed pursuer to the ContContractor'.o ��8�®��� wheLiccLew. 0.I em esempl under Sec ,B h leC rorthu moon Owner Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following de h nlions: ❑1 have and will maintain a Cenilcale of Concent to stir-bnum for Wohcrs Compon. sation,as provided for by section 3700 of Ne Labor Code,for the performance of the work for which Nis permit is issued. 0 1 have and will maintain Worker's Compensation Insurance,as mquind by Section 37M of Be ra Wr Care,for the Performance of the work for which this permit is Issued, My Workers Compensation lnwntrace,siniw.en Pgliey numberare: artier:��-L-4+1fI,� L//rls�licyCNwNo.: f.�^OW—1 -Y�3 CERTIFICATE OF EX T�1{6�f ON FROM WORKERS' COMPENSA 'INSURANCE (This section oead not W completed if the rermit B far..hundred dnitan(SIM) or lass.) 1 certify that in the performance,of the work for which this Permit is issued,1 shall not employ any person in any manner an as to Wennle subject to the Workers ComPcnsmlon Laws Of C.1dramilt.Data Applicant - NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should become subject to the Workers Compensation previsions of the Labor Code,you must Oforthwith comply with such previsions or this permit shall be deemed warded. - �'--' CONSTRUCTION LENDING AGENCY r+� I hereby affirm that then is construction lending agency for the Performance of x the work for which this permit is issued(Sec.3097.Cie C.) W�Q Under'.Name z Lender's Address U C) 1 certify that I have read this application and state that the above information is 1, f-' correct.l agree to comply with all city and county ordinances and sum laws misting to 0V building Construction,and hereby aubmin mpeemotaties of Nis city to enter upon the W above-mentioned pm,Crty for imricedon purports. 0.1 (We)agree to save,indemnify and keep harmless the City of Cupertino against UN tobilitler,jomof he no dna oftcnsesmit. may in any way ecctuc against sold City s U cG in consequcdgmene,granting expertf this es which '--' APPLICANT UN RSTAN O WILL COMPLY WITH NON-POINT Issued by: Date SOU Ry R U NS. OAK Re-roofs gra o aHAomDOUSC`ZMATERIALSDISCLOSURE Dam Type of Roof WI the applicant or future Wilding occupant store of handle hanAuus material • as coined by the Cotentin Municipal Code,Chapter 9.11,and the Health and Safety Code,Section 25532(x)7 All roofs shall be inspected prior to any roofing material being installed. Ycs u Will the apphcanl fir future Wildingoreupant use cgnlpmcnt or devices which If a roof is installed without first obtaining an inspection,I agree to remove colt Mammas air contaminants as Jcfincd by the Bay Area Air Quality Management all new materials For inspection. District? v�✓/ ❑Ycs OX. I love read the hazardous materials roquimments under Chapter 6.15 of the Califon riaHcalthat Safety Cade Svdo.25505,25533and25534.loodenend thalifthe Wilding does not cunen0y hast a tenant that it u my responut ility to notify the Occupant of Nes to m taw mustW t riormissuancc CertificmeofOccuPanc Signature of Applicant Date cr t rizcJ eF.c Dam All roof coverings to be Class "B" or better '490 CITY OF CUPERTINO o �S o 3 CITY OF PERMIT APPLICATION FORM • CUPEkTINO APN# 3 :�- 7 03 U ZZ Date: Building Address: `U 3/ Owner's Name: Phone# Gi R/r-/< /�uC N G6�rS?IN�I �1Zr� 2Or�5 40v 3 — I 2.-7 Contractor: // � License#: Z 2 Z Z V�LrZ.v`I'(NE c�(G�d LA`l10� Contact: Cupertino Business License#: ng' it Info: Bld Elect ❑ Plumb ❑ Mech ❑ Job Descripti Reside �� �� rci q. t. Floor Area: /Sq.Ft.: Cost of Proje t: / .36 o Occupancy Group: Type of Const «�D r��� 5 ruoz G N C NC�:�2 �PeZ-A-o ptDo -t GJ6 Quantity Fee ID Vee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BB0ILER2 Boiler> 1 OOK 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/Quasi BUILDING BCONSTAXBQ 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 2 3 9s^,3 1 of VALENTINE CORPORATION- GENERAL ENGINEERING CONTRACTORS (415) 453-3732 • 1 1 PELICAN WAY • SAN RAFAEL, C 94901 . DY DATE SUBJECT r , �� t SHEET—/— OF ; CHKD. Y_ DATE D JOB NO. ���W4TN 09 tan DESa # :citica5ons,1M � . W d 2 2003 .. y u, dans mes and' this sei of P at alt ti ango6 t r on the i tions tBy�ul a mak ouCYW�tt naPa��ssio6 �% boildmg Dept, tIaOnt tars On SOMO endsPecta / ad of this PO petID't a6 W�„�,,e� 'ihe L4 NOT be held Ot . aNPal Ot tho violahon appcovCity.OCdinatlSS 5 Pit S Z I- �t ICE,u MY �nrfr�crac e �i "L '3 �q 4 0- p4?t �ltn ` c f ig�'rJiusj 0w, — Al1GCQ'4i a+Js , 4��f�f�s Ai✓/� C/�Cerfi'�'� N7 - Noi E : ALL aIsT'v�biIvQ �A2t�� o� -n� HID�,gE yv i TH w --l4iL wv e L Ad fiZ,,:% v�.i 3►% Rg CONl7tT10N' , IN GoMj�Lt/ C� wiJ?4 _ Gv;2ct_�, �Tv1c,DwC� SISI °"Din, t. A ,i I 696 Ux f — �✓i� L�� �,, - OF CALIF°Q�\ k4 //F .1 , l r Ir 03 VALENTINE CORPORATION- GENERAL ENGINEERING CONTRACTORS 111 PEICAN WAY • SAN RAFAEL, CA • Br DATE SUBJECT U V SHEET �OP CHKD.B DATE v l JOB NO, cerf6 NOV a NOV 12 2003 py �rac.ke�'• r I .PPn�t ct v��< 5d!;4;e'w CS L S mor, S Fa62: L bid TP, ///4LCYIiAle,4t ;N or lol` Cdl� �E' '- rr erA �' " ccI Wnn'� d3 ,Ccvy - beau c( o uerleak u ..�.� S Z n � 'r��tsSlOfyq �;. 4� • ' m 5 y I x � `rTgT cio\ - OF CAI _ �= F`ry L� VALENTINE CORPORATION- GENERAL ENGINEERING CONTRACTORS (4151,453-3732 • 111 PELICAN WAY • SAN RAFAEL, CA 94901 • BY DATE � SUBJECT 1 O 311 PA I -o SHEET _OF VQ CHKD. BY DATE d 6,A J08 N0. -� u t LOAD GAIGuV-�rT1ooJ 1;: ':� )FINED NOV 1 2 2003 &SIDI�NGdL 1s A j` YPleArL_ W000 7G.M�+N1LQ 5_ - LTV _ ` �,., � "r-'-r-1 C_aNC.�n---7'[ P f�Ltr-I fi.-r�-fL ;Fou�•R'T"'l o►<! .f FLveZ t .S y PF'0Q2TED By G I F-OC aS . 6 ' cc- o ,j i>DS?'S N Gur t5 Ps f /g55ur �i£ GJIVSFI�vA7'1� r1'a «tJ1N6 , I.R. Fvt.L. V� I IJI,1 ON PSLL ?oiL7jo"S O#z �vND TIG L"-' " I�x Z,Zs K t Sz� t x + + ti/ x10 sF + 16 Z4 32-p,F 1oG7, 5" ;Ib 64-05 ,o .,. �ovoPESSlpyq . � �.) SE 9,60. g (�5 l 1Zbl '1� M1N� �Q �`�� BJ. T�y 27.' A►-.I TIG � ? 7'60 i7�.PyS/�l. ' f CMI. ATF OF CAUF�� tij. � VALENTINE CORPORATION- GENERAL ENGINEERING CONTRACTORS (415) 453-3732 • 111 PELICAN WAY • SAN RAFAEL, CA 94901 • BY C-- DATE -L SUBJECT U 3 �I ��' 5 7"lok SHEET OF CHKO. BY DATE C-{,�P �_,:�I,Qt�,pj JOB N0. f ' NOV 12 2003 t-lAV, Si:'Atv ,l 60 = 1068 1`ou t.to/N iod = ► 'x 2,2.x �, ,� — *4- ar►o... t Z ►�-1 ra,x, t-1 or- F-"T* I"l�Ir1 C f-Z'i>P+G r o u,(, U n 7 4p ol 2. w.1x 4,c�oca)CA 170 AA. r. I�EN.r-, = 64 5+2-1b fi M.k = 7,7v7 1 b > - i ok ��� • .c>C/�NNtIV�o �: 11X1`31'ING 1'Ol>NUA114,,j \" t7-:H H �L 4iL,Gc:� M C1�ll�\t-l.►�S c�n� N tr7'L 6.U i�.Sa�c.T1Cp - tr-j FostT�4E !2-6,- WEDS Al-, P*Boar� 11411 p`rD "LZ F/�oM •t+9L -1-oP dF Tt+� zo ury plpJ, Tri Fla t r\-41- "-a. N 1 to ( S ot7i N S Q„ �Essinyp� �. • OF `T I-m ;'05 rr% v S �-&f!4 ( NLo'j, o`opo J. � v P CIV\l qTF OF CAS\F� cn S-H r - . EARTH ENGINEERING and TESTING N Adwsl nOtBncker&Assoc..Lid. 2026 S. Brentwood Blvd. , Brentwood, MISSourl 83144 N 314.968.18�4y2 (Brentwood)?'.- t4 REC3k1'.4IV 81 �(st. Cherlee),' 76 Mr. John Langenbach NOV D1ecjeTbTr 16 , 1985 Perma Jack 9064 Watson !toad St. Louis, Missouri . 63126 t3 Re : Perma Jack Load Tests c }: Dear, .John : X U At your request , we have load tested two welded brackets N submitted to this office. The test pieces, A. & , S , were to be loaded to 120 ,000 pounds or destruction , , whichever came first. The 01 testing was conducted using a Riehle Universal Testing Machine , a SIN R-84608 . a, �i U: The o general appearance 001 C. p �s as follows s• • r� 10" long piece of 3-3/4" OD X . 312" wall tubing with 2 threaded fittings fillet welded on the tubing. A 1/2" thick plate, 6" x 5" was fillet welded onto the end of the tube. Opposite the threaded fitting on the back of the tubes was welded a 9" x 8" x 1/2" angle. c plate. Connected to the top of the tube was 2 pieces of - 7-1/211 long X 2" wide X 3/8" thick bar stock , fillet welded along the length of. the 9" section of angle plate has 4 holes 5/8" diameter in it and the 6" x 5" has 11/32" hole next to the fillet weld. We calculated tile length of weld of this part , not in- cluding the threaded fitting , as approximately 66" of 1/4" throateffective fillet welds . Paragraph 2. 3. 2onfilletwelds foret•beceffectied AWS ve �weld area on1-81 Codeothese paras. After load tests the welds were visually inspected and found to be acceptable with no visible change. Parts are being returned with this report . If you have any questions, please contact this office . /JVer trullj7y yours, / �/C•v/2ct;I �, ti+2 QTOFESS pN • Daniel Cottin FOPo ' F DJC/lb y m Enclosure's o.Co 95 A X • 'TlgT F OF C rMO rr ir/O3 • PERMA JACK DATA SHEET Sheet .hof SYSTEM RECEIVED Design Load 16 KIPS NOV 1 2 2003 Maximum load 24 KIPS Maximum Pier Refusal Achieved when as .applied load of 24 KIPS yields 0 vertical displacement - PIPE ASTM-A513-Type ,5 Identification colors Cold. D.O.M. Mechanical tubing ` 3" O.D. �0, Interior diameter tolerance . 009" Length 36" Wall thickness 1/0„ Lath cut end OFFEE COPy 6" Machined .tlterior .conneclor sleeve BRACKET 10/20 Steel Yield strength- Tested in 1200000 lbs,, 1. configuration Lockingbolts �� 3/4 0 high tensiley. • �(7"s c,u• �OEESSIpy` �p�DpD J. T 4 ,• �7„ . m : if OF VALENTINE CORPORATION presents The Perma Jack System for Building Foundation Stabilizing System Since 1964, Valentine Corporation has distin- • Maximum Load (7(teAWN C�i guished itself as an innovative, general engineer- Design Load 16 KIP ing contractor within the greater Bay Area based • Maximum Refusa1 2 Z�Q KIP on its ability to successfully tackle unique and Pipe Column D.O.M. Mechanicg-i==3"=0`.D challenging construction problems. The Corporation . ASTM -Mechanical' A513 Type 5 deals in a large number of engineering applica- • 1 _ #3 Bar - Each filled with concrete tions, however Valentine's Perma-Jack division specifically specializes in foundation stabilizing • Interior Diameter Tolerance - .009" and leveling utilizing a unique and patented pipe Bracket pile system - The Perma- 10/20 Steel • Yield Strength - 120 KIPS tested Jack System. When installing Perma Jacks, a minor excavation is Since 1978, Valentine J ', Si• made by hand to enable Corporation has successfully access to the base of the installed thousands of fjVoua . The "L" shaped Perma Jack piles to correct ° bn attached to • foundation movement and tti n, and the pile settlement in a variety of is driven with an applied conditions. These conditions force using hydraulic jacks. range from highly expansive 1 The mass of the structure is soils, to poorly compacted used as a reaction to drive fill, to improper drainage. In the pile to refusal. The most cases, structures and hydraulic jack can be used, foundations are not only if required, to.lift and level stabilized, but they are also the foundation and struc- leveled at little or no ,- _ struc- ture. Having been loaded, additional cost o no owner. the pipe pile is then locked off with high strength bolts. After continuous rebar is inserted in the column, the column is The Perma Jack System uses steel "L" shaped filled with concrete and the soil is then backfilled. brackets that have been test-loaded to 120,000 lbs. in combination with pipe pile sections that In general, average depths range from 20 to 30 have a minimum yield strength of 60,000 PSI and feet, but in some locations, Perma Jacks have been a tensile strength of 70,000 PSI Additionally, each driven to 125 feet. Average spacing between Jack pile is actually load tested Piles on a one and two story structure is 5 to 6 and every Perma feet on centers. The tested factor of safety for in the field when installed. most jobs falls within the range of 2 to 4. Valentine Corporation • General Engineering & Building Contractors 111 Pelican Way, San Rafael, CA 94901 1-800-233-7625 . 415-453-3732 Lic.#229225 A B HSR ° T PAa5 `� 1 00 ell, 0 1 RECEIVED 101" 1 2 2003 �•..1: _I f� cl Vi- mil ffl)lf fnllffl)ffl-- Il 110..14.•,•,Ci:'S'%"^ ..-. Il -_._.� _•__.-_.____-.--_)III • PPRMA-JA('ic nanCKE'..1- L4W-j1:h 75 ,000 P.S.•T . ASTM A513, a'YPe 5 anll nn._tc-30 ME - Carbon cd11Lell•L . 2611111x. I°I:1.1'1:i,lnll)11 :1.'U 11:3:i.:LU S'I:L•i:1111'I:II :i lI,DO D-IIU,IIUU Geld Si:rengCh 36 ,000 P.s,. . Me•Lts Spc:ci.fi.czrL•:i.on ASTM A36 . 7PPORT STRAPS, TOP PLATE AND TIIREAD PLI1G :I.o1l carbon no Co:l.oc cadr: . Ll' welding 'Lo be Gas McCal.-Arc 6r :;h:i.c:Lderl Mcl:a:1,-ar.c w.i.1:11 gene l:ra Cion ndcdua Lu Lo MXVIC e—fll.axiInum S LrengEh of Lhe uwrCed wate)c:Ca:LS. 1G , 3/4 x 2 Cap Screw Grade 0 Zink PlaLed ' A1..1. :>pec:i.f:i.ca C:i.on:.1 ::�nb.jocl: Co change cri.I:hllu l: no L:i.CC . +'. •. Qc 1985 llor.lila-,lack Co. i i V. EXHIBIT• B ;n • . 1 I F. ClE •, IIIII II III1y. I II! II I iI .., fi�.`9•�`._IIII +I. " cI III( k2..Nf7 II m_1 \V v II I ` I` - 200— 3 2. ,4' 1 2. 50 1/g'� 8" 27. 0- 2. 35_o 2. 40 119,136" .2 Oil IOF IDL r I •,� RosetteWcld I 3/4" I VI/ • . i . LL1 3/4 " I 7/8„ t, I 1/2 •7/.81, - I- _I 2" 2 3/4„ ITIWA JACK PI15C SUPPORT COLLhIN Port No. 200 Mechanical Steel Tubing of 1020 Carbon Steel with typical minimum tensile strength of 80,000 P.S. I. and minimum ,yield strength of 70 ,000 P.S. I . Identification color gold. PERMA JACK CJNNECr011 SlIEVE Part No. 300 The connector is muhined with a raised center knurl to locate: .it between the jointed sections of the support column, using welded ruhing. PERMA JACK FRICTIONLESS UNU Part No. 300- 1 Machined lead end. SPACER Part No. 200-1 Made of the S:Ilne materjnl as used in the ripe Support Column. (70r),rir'ltt Penna