04060111 (3) CITY OF CUPERTINO
BUILDING DIVISION PER ""� � ^� LA, j;
BUILDING ADDRESS: SWAN POOLS PERMIT NO 04060111
OWNER'S NAME: PERMIT ISSUE DATE
14C); q WTNCJJT�2T.�R PT-71
14,12
ONE: SANITARY 0. OL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0
yOo LICENSED CONTRACTOR'S DECLARATION Job Desc p
I be by (firm Nat 1 am licensed under provisions of Chapler 9(commencing
^ with Section )orDivixion3af the Husinc;ealP.rufsiunr Codc.antl myliccnu is
oy mmflbm defect T G NEW INGROUND GUNITE POOL
�� Li.ense lea IJ°.^ SEP3v 2004
qq Duca C Contractor
tq ARCHITECTS DE N
Ky a< 1 undcrstsplans shell be este.)a puhli rccnrus
Oyu
30� Licensed Professional
OWNER-BUILDER DECLARATION BUILDING
F.<f 1 hereby affirm that 11. exempt from the Contractor's License Law for the
F.p 0 Which re rens a aeosection 7031.5,Business Ola , and ve.da orth Code:Any city(it county
$ which requires a pormio re uirewm,ppeq in,for such
demolish, fie a rig any statement H=Sv^
prior in its issuance.alsoant to the pro provisions
the Contractor
to file e,Law(Cha mens
O shat Acisllama.)pSectio 7the")of Division3theCamrutor'andCaseLew(Cock)or Sq.F[. Floor Area Valu hon
� $ (commencing PhScmion]II00)of Divisior3 of the
eged essundon.Any
Cade)or
Nat he u exempt therefrom and the basis for Ne alleged exemption.Any violation of '.,h
Section]031.5 by any applicant for a permit subjects the applicantto a civil penally of 3-A?N'� H;ro O Occupancy Type
bot more than to.hundred dollars($500).
Q 1,as owner of Ne property,.,my employees with wages.their sole compensa0on,
will do Ne work end the swcture is not intended oraffered Rustle(Sec.7D44,Business
and Pmfcssions Code:no Combector's License Law does not apply an an owner of Required Inspections
property who builds or improv.s thereon,and who does such work himself ter through his
own employ..provided that such improvements arc nolintended oroQerel foreek.If. -
however,the building or improvement is sold within one your of completion.the owner-
builder will have Ne burden of proving Net he did not build or improve for purpose of
sale.).
❑I,as owner of Ne property,am exclusively contracting with licensed convectors to
const..[the project(Sec.7044.Business and Professions Code:)The Contractor's Li�
came Law does not apply to an owner of property who builds or impmves Hereon,and
who contracts for such projects with a contractor(s)licensed pursuant o Ne Contractor's
License Law.
❑I areexempt under Sec. .E&P C for Nis r.xnon
Owner Dam
WORKER'S COMPENSATION DECLARATION
I hereby a(rmt under Penalty of perjury one of the following declarations:
'I have and will maintain a Certificate of Consent to selGinsun,for Worker's Conifers.
sation,.provided for by Section 3700 of Ne Labor Code,for the performance of the
work for which this permit is issued.
have and will maintain Workers Compensation Insurance,.required by Sudan
3700 of the Labor Code,for Ne performance of Ne work for which Nis permit is issued. `
MyWorker's Compensation In(suruna carrier and Policy number am: //��
Carrier: �aty�� M� H • Policy No.ral k4. ;2_1 0(
,!ERr F1�i TETE OF EXEMPTION Ft[OM WORKERS'
COMPENSATION INSURANCE
rnis section need not be completed If the permit is for one hundred dollars($1 W)
or less.)
I certify that in the performance of the work for which this permit is issued,l shall not a
employ any person in any manner so as to become subject In th.Worxers'Compensation
Laws of California.Das
Applicant
NOTICE TO APPLICANT:Ir,after making this Cotillion,of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you must
�Z forthwith comply with such provisions or Nis permit shall be deemed minded.
.ZiO CONSTRUCTION LENDING AGENCY
[•n 1 hereby aRnm Nat More is a constrection lending agency for the performance of
lx > Ne work fur which this permit is issued(Sec.3097.Civ.C.)
W G m
Lender's Nac
.a7 Z Lenders Address
U O 1 certify Nat I have adthisapplication and scam Nat Ne be.information is
W P counno.l agree to comply with all city and county ordinances and scale laws relating to
Q U building c.nst.ction,and hereby auNorine mpresemativcs of this city to enter upon the
W above-munammed property for inspection purposes.
(Wo)agree to save,indemnify and keep harmless the City of Cupertino against
liabilities,judgments,costs and expenses which may in any way accme against said City
U in consequence of he noting of this permit.
^a APPLICANT UNDERST@NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOU EGULATIO g.
Re-roofs
Si App]i VConsmc r Dam
HAZAR US MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant atom or handle harsrdous material
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Code,Sued..25532hq? All roofs shall be inspected prior to any roofing material being installed.
❑Y. ON.
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection.
District?
❑Yes 59$14t
I have mad the harallous materials requirements under Chapter 6.95 of the Califor-
riaHeaila&SuRlyCod.,Sections 25505.25533 and 25534.1 understand that if Me building
does net curemly have appneNat it u my respnsihility Ito otify Ih.WcuPmar Nc
hir..a, Cmyvirc mm
oissuancc ofa CcrvOcele of Occupancy..
"a`/ Signature of Applicant Date
Own ewhonxcd gem pale All roof coverings to be Class To or better
i
CONSTRUCTION SPECIFICATIONS
EXCAVATION :
1) POOL SIZE 15.0"X 00 -0 • 9) SPA DEPTH "
2) DEPTH A =l-'TO /'-%0"TO 10) POOL CAPACITY—Z4, GALS
11"of 18"R55,Tib Face, 8'of 6"RBB,Tile Face, 3) AREA 412 SQ. FT. PER 84 11) FILTER RATE ! O GPM
8'of0"RB15,Tile Face, Colored Coping Cap Colored Coping Cap 5) GRADING
LOADS HRS 13) DFENCE LK REPLACE 8Y CiwyEB FT.
Colored Coping Cap
12'-O"t 6) COVER BOX MISC:
_ 7) TRACTOR ACCESS FT. MISC: —_—_
8) SPA SIZE 'X MISC:
STRUCTURAL:
Pwr Pole---_ 1) RAMP10) DAM WALL—'OF
_ 2) SWIMOUT lez'XZO FT. 11) TYPE LIGHTS 1—�*-/FC•
Low Voltage Pwr Line 3) SWIMOUT 6 "A' �A1 Sl FT. 12) ROPE
WRINGS
d
-12 `` ` g 4) RBB: lG FT. OF G'T_ 13) COVER BOX
(22'Min Height) 5) RBB: FT. OF �8' 14) SPA SPILLWAY SIZE
- ----15"RdWd �-
— �—� 6) RBB: FT. OF MISC: LDP7.�1l-�: 'S1t� Ylj Y2
'GFI O High Voltage Pwr Line 7) RBB: FT. OF 11 MISC
Rece -� (25' Min Height) 8) RAISED SPA MISC:
9) NOTCH SIZE MISC:
yI
Front NIF NO PLUMBING STUB REBOUND INPLANTERS
PLUMB OY]SON0
POOL:
Anchor—' IIII ( R6'-0 36 t R6'- 1} RETURNS # -W/AIM FLOWS 1) JETS # ---W/AIM FLOWS
Q Sheer-Dscent _ 2) SKIMMER # 2) SUCTION
- SFT. OF
3) SUCTION -FT. _
OF 2 3) RETURN FT. OF
' II
Dropservice 35olar Lines, - 4) RETURNS PO FT. OF 4) AIR LINE FT. OF
-' III I 5) RETURNSFT. OF 5) FLOOR FT. OF
(10'Lateral) p I 6) CLEANER --Z�FT. OF 6) BOOSTER FT. OF
7) FILL LINE FT. OF .2/4 7) AIR SWITCH FT. OF ( 1" )
8) AUX. PUMPFT. OF8) SUPER SWITCH FT. OF ( 1" )
10'-0" - ="s 9) WATERFALL 2F -_FT. OF —� MISC: /AQUA 217,
! �-
► I Mks ' 10) COVER DRAIN 1FLFT. OF ( 3" ) MISC: '
III 11) T.P.U. YES ❑NO MISC:
MI SC:.3/. f/ <.,p- D $ E� MISC: y
IF YOU HAVE QUESTIONS CALL SWAN
Existing Pavers r, GAS LINE:
IL I GAS BY: N/A _ MISC:
I - 1) HOOK UP BY: MISC:
2) GAS LINE FT. OF MISC:
2� 2�
F
'�
C ELECTRICAL:
ELECTRICAL BY.----,fu/d-- 5) SUPERSWITCH -FT.
1) ELECTRICAL LINE FT, 6) COMPUTER LOCATION
2) LIGHT SWITCH LOQ;TION MISC:
I I �O� 3) POOL LIGHT st FT. MISC: —
> Impervious Cover Data PER 4) SPA LIGHT FT. MISC:
II CITYGCOEpaQ ►EN MASONRY:
u I Lot 598%90,01141) WATER LIN TILE # 8) PLASTER COLOR _9 N1
2) COPING atePA Y4FF7y 9) DIVIDERS
W Residence 2107 3) TILE TRIM_WIFT. OF 10) SPA SPILL. BRIDGE —OPEN
Nieghbors
m Driveway(concrete) 532 4) FACE RBB TH v MISC:
Residence5 RBB W
ITH MISC:
Existing Decks(pavers)_791 FACESPA WITH MISC:7) GROUT COLOR MISC:
Residence C/o Fool(incl. Coping) 496
° ° Total Cover 3946 -ME
° % Cover 65% q�+ ^"� TME Off 04 DECKING
' '*` OROI. DECK BY: OWNF.P
1) TYPE SQ. FT. 7) DIVIDERS
2) MESH REBAR 8) EQUIP. PAD
I LLJ 3) MASTIC BY MISC:
4) STEPS
FT. MISC:
�,d sPaclii lions M 5) DECK DRAINS_ FT. MISC:
i 6) FRENCH DRAINS FT. MISC:
'1053t
I x 31117 ES and Itit NO CONCRETE IN PLANTERS
�pi y
chanSes ori elts(VAGt4
w�tt�n Penrlisslort kms' EQUIPMENT:
q sa '�' GiY of Cupeltin&
Q#$llSP 1) PUMP 11tJ.0Y 7� H.P. 8) SPA LIGE
138 and,SPed� 2 FILTER SQ. FT. 9 SLIDE- MST A D
Notes for City of Cupertino: irjT� hild to Permit at.
3) HEATER BTU 10) DIVING BOARD
1. Yard is level, no slopes, ,. , tre viQi ,on of ally ted 4) CLEANER 11) COVER n J-0j 7 f
g p i,v pr mance or UVL 5) BLOWER H.P. MISC: Y3(J t1AR17�
2. Existin Gfi Rece ticle, " 5) BOOSTER H.P. MISC:
.3l".S/lE Esc ax-L!P„
more than 10'from water, _ 7) POOL LIGHT 5,,5O W MI-
r.-C/o less than 20'.
Q N E R
3. Second Gfi Rece tical W
° p NAME: G.8.2-r'€
provided at equip. pad. - ADDR7"11N7T_Cf 4Y)=- MAP PAGE # 2 2
�) Existing 4.All fencing and gates shall CITY: 77 0 ZIP: QL
Pavers conform to City of Cupertino CROSS STREET: 26 7 TRACT:
I !
Fool Barrier Ord. RES. PHONE: 5- WK. PHONE: 79- 444
I 5. Engineering Sheet Details
# 5,# 6, #11, & #12 shall be used, NOTICE TO OWNER :
I I PLOT PLANS
CHEED Y w OWNER TO DETERMINE ELEVATION OF POOL ON DAY OF EXCAVATION.
e /�� * OWNER T E POOL PER COUNTY OR CITY ORDINANCE. GATES TO BE
- I - 5 OSING AND LATCHING. DOOR ALARMS MAY BE REQUIRED.
Driveway • OWNER TO WATER CURE GUNITE 3 TIMES DAILY FOR 7 DAYS.
Y1.
DATE DO NOT WALK NEAR POOL EDGE, INJURY MAY RESULT. SCALE: Va"=1'-0"
Directions:
N - Hwy 28O 2710 Camino Diablo
5 - Wolfe Rd. Walnut Creek, CA 94596
L - 5teverls Creek Blvd. 925-934-7926
N 2°22'41"E 57.00
R - 5. Tantau Ave. 111111 1 111 W 1495 S. Winchester Ave.
San Jose, CA 95128
Sidewalk
Quality Pools Since 1954 408-866-6893
1804 Soscol Ave. #102
F/C State License no. 574198/C-53 Napa, C8A79246559
5. Tantau Ave. 7
N
m
N.N. ENGINEERING SERVICES
P.O. BOX 720862 San Jose, CA. 95172
Phone/Fax(408) 873-7972
•
24164
June 29, 2004
Cupertino Building Department
City of Cupertino �df�
10300 Torre Ave.
Cupertino, CA 95014
RE: 10580 Tantau Ave., Cupertino, Calif
Dear Sir/Madam:
We have inspected the swimming pool steel reinforcement at the address stated
above. In our observation we found:
❖ In conformance with the expansive type of soil occurring at the location of the
proposed structure, the steel schedule for expansive soil was used from the
• general detail plan.
❖ The steel reinforcement layout conforms to the approved plans and is
installed pursuant to standard pool construction methods.
If you have any questions, please call us at our office.
Yours truly,
Q FESSIo,��( '
�O 1 N 00. F
ui CO 34 vl
2
* EXP.
f
slsj� OIy�.Uq�;`
E0FCN�\
Nhu Nguyen
•
CITY OF CUPERTINO
t ZF
SWIMMING POOL
6 CUPEkTiNO PERMIT APPLICATION FORM
APN# , 3- r dLS Date: iy� ooz/
Building Address: / `f
d
Owners Name: Phone#:
+� fog. 05S 3 7`7Z
Co ctor:cynffl� m PlrJg ��1 �� Licens #: 67q'�
Co tact: Phone:
IKC�o Cupertino Business License #:
Ulm gcoCn Co 'r�
Building Permit Info:
Bldg
' Job Detion:
Residential Commercial ❑ Cost of Project:
• QtY•
A c e Fee ID Fee Description Fee Group
BSWIM Swimming Pool BUILDING
BUSLIC Business License BUILDING
i
,