12030130 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7818 ORION LN CONI RACTOR: BAY AREA nxssii I, ,o: 12030130
RETROFIT
OWNER'S NAME: CRACKNELL DAVID H AND GLENDA 737 PAGE ST DATE ISSUED:03/27/2012
OWNER'S PlIONE: 4768348 BERKELEY, CA 94710 PRONE NO:(ill))548-1111
❑ LICENSED CON"IRACTOR'S DECLARA'T'ION Br r rBUILDING PERMITINTO: IfLUG E:LF.0"I" PLUMB License Class Lie b r r r
?I F.C11 RESIDE;\"1'I:\1. C(1y1V4:Rfld 1.
Contractor Da 7..6 2
1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPITON: INSI"A LI.POl1NUA'IION ANCI TORS&:til 11'AR I'W1NSI'IiK
I'llN
(commencing with Section 7000)of Division 3 of the Business&Professions "l 0 CRAWL SPACI-ONLY-FOUNDAIION S'I'RI:NGI I
Code:mJ that my license is in full force and effect.
hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate ofconsenl to self-insure for Worker's
Compensation,as provided for bySection 3700 of the Labor Code,for the
pcdorn,ance of the work for which this pemut is issued. Sq.Ft Floor Area: Valuation:S3i6l
I have laid will maintain Worker's Compensation Insurance,a provided for by
Section 3700 of the Labor Code, fir Elie performance of the work for which this
�n APN Number:36220015,00 Occup:mer'I'rpe:
permit is issued
I cerlil) that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree m comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction.mad hereby authorize representatives ofthis city to enter
upon the stove mentioned property for inspection purposes. (We)agree to save 180 DA FOM LAST CALLED INSP CTION.
inderunil'y and keep harmless the City of Cupertino against liabilities,judgments.
costs,and expenses which may accrue against said City in consequence o1'Ilic Q
granting of this permit. Additionally,Elie applicant understands and will comply Issued by: /[ C Dalei
with all non-poi ouree regulations per the Cupertino Municipal Code.Section
9,18,
RE:ROOFS:
Signature Dale 3 ?*- 2- All rook shall he inspected prior to any roofing,material being installed if it roof is
installed Without first obtaining an inspection.I agree In renuwe all lice'materials Ibr
inspection.
❑ O"rNFR-BUILDER DECLARATION
Signature of Applicant: Date:
hen by affirm that I am csrmpt from the Conirndor's License Loy fur one of
the following['so reasons: AIA.ROOF COVERINGS'10 III:CLASS"A"Olt IEE:ITER
I,as owner of the property,or my employees with Wages as their sole compensation,
Will do the work,mad the structure is not intended or offered for sale(Sec 7044,
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS NIA'F-RIALS DISCLOSURE:
construct the project(Sec 7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Ilcalth&Safe[v Code,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penalty'of perjury one of the following three maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the
declarations: Ilcalth&Safety Code,Section 25532pp should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or dew ices which emit hazardous
Compensation,as provided for by Section 3700 of the labor Cute,for Elie air contaminants as defined by the Bay Area Air Quality Managemcnl District
perforn,amce of the work for which this permit is issued will maintain compliance with the Cu ertino Municipal Code.Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided I'or by the Health&Safety Code.Sectio -505,25533,and 25534.
Section 3700 of the labor Code,for the performance of the work for which this — Zp/
permit is issued Owner or authorized agent• U:uc:
I cenify Ilial in Elie performance:of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSRU(,HON LENDING AC.E:NC1'
become subject to the Worker's Compensation provisions of the Labor Code.I must I hereby of inn that there is a construction lending agency fin the performance of
tirthwith comply with such provisions or this permit shall be deemed revoked w'ork's for wi,ieh this permit is issued(Sec.3097,Civ C,)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I cenif) Ihat I have read this application and state that the above information is
correct. I agree to comply with all cit,and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city lu enter
upon the above mentioned property for inspection purposes.(We)agree to save ,\RCIII'I'F.("I"S DF.CL,\R,\TION
indenmify and keep harmless the City of Cupcnino against liabilities,judgments,
costs,and expenses which may accmu against said Cit in consequence of the I understand my plans shall be used as public records.
granting al this permit Additionally,the applicant understands and will comply
will,all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Dale
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
10 ADDRESS: 7818 Orion Lane DATE: 03/27/2012 7REVIEWED BY: Sean
APN: BP#: `VALUATION: $3,561
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1GENRES
USE: PERMIT TYPE:
WORK Installation of 10 retrofit UFP10's around existing foundation.
SCOPE
d.l:.:d. l'lnn Chcrh Phrmh. Ilan ChevA /:'lee. Plan Ch,ck
,Naar. I rma Iver /'hush. Per mit F.:c: Llcc. Pemw Iva:
orbe, ,1/ech. Insp, O(her Plumh Insp. U(h(v /i/cv. lap.
,blecir. lmp. 14:e: 1'lrnuh, hI.p. Fec. liln(. lnxp. Pl,:
NOTE: This estimate does not includejees due to other Departments(ie. Planning,Public Works, Fire,Sanitary Sewer District,School
District,etc. . These fees are based on the prelhnina in ormation available and are only an estimate. Contact the Dew for addn'l info.
FEE ITEMS (Fee Resolution 11-059 Eft' 7/1/11) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 0 # Foundation Repair
Suppl. PC Fee: 0 Reg. () OT 0,0 hrs $0.00 $0.001 1
PME Plan Check: $0.00
Permit Fee: Hourly Only? 0Yes 0 No $0.00
Suppl. Insp. Fee-.0 Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C°unstr(«lion Tay.
Athniijoirejove Fer':
Work Without Permit? O Yes Q No $0.00 1 E)
Advanced Plannine Pee: $0.00 = hours Inspections (]
Travel Dowonen/nlion Pet's: $130.00 ISTINSP Inspection, Hourly 0A
Strong Motion Fcc: IBSEISMICR $0.50 Select an Administrative Item
131d2,Stds Commission Fee: IBCBSC $1.00 ,_I �
SUBTOTALS: 1 $1.50 $130.00 TOTAL FEE. 1 $131.50
Revised: 1/19/2012
CITY OF CUPERTINO
5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36220015 . 00
DATE ISSUED. . . . . . . : 03/27/2012
RECEIPT # . . . . . . . . . BS000016369
REFERENCE ID # . . . : 12030130
SITE ADDRESS . . . . . : 7818 ORION LN
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CRACKNELL DAVID H AND GLENDA
ADDRESS . . . . . . . . . . : 7818 ORION LN
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5001
RECEIVED� FROM . . . . : BAY AREA RETROFIT
CONTRACTOR . . . . . . . : JEFF BAILEY LIC # 31266
COMPANY . . . . . . . . . . : BAY AREA RETROFIT
ADDRESS . . . . . . . . . . : 737 PAGE ST
CITY/STATE/ZIP . . . : BERKELEY, CA 94710
TELEPHONE . . . . . . . . : (510) 548-1111
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- -- ------- - ----- ----- -- ------- -
-ADMIN HOURS 1 . 00 41 . 00 0 .00 41 . 00 0. 00
1BCBSC VALUATION 3, 561 .00 1 . 00 0 . 00 1 . 00 0. 00
1BSEISMICR VALUATION 3, 561 .00 0 . 50 0 . 00 0 . 50 0 . 00
1BUSLIC FLAT RATE 1 . 00 119. 00 0 . 00 119 . 00 0 . 00
1STINSP UNITS .1 . 00 130. 00 0 . 00 130 . 00 0 . 00
---------- ---------- ------ ---- ----------
TOTAL PERMIT 291 . 50 0 .00 291 . 50 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ----- ------- --------
CHECK 291 . 50 2602
---------------
TOTAL RECEIPT 291. 50
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT+BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 TT
CUPERTINO (408)777-3228+FAX(408)777-3333•building(a)cuoerlino.ora 12 6 3013 V
❑NEW CONSTRUCTION El ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINALPERMITN
PROJECT ADDRESS — o I
KGs^' M^a AP�NMy1 A�p 2 2-O
O 15
-�
OWNERNAMF (J PHONE q6 r.J;r � / EMAIL
STREETADDRESS —7q,v / 6),, � CT'.STATE,ZII CAFAX
CONTACT NAMPHONE /WE _ 5 ' t E-MAIL
STREETADDRESS (a so,
CITY.STATE,Z2 ^r
CA- 44? ) FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGEN XCONTRACTOR ❑CONTRACTORAGEN ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTRNAME LICENSFJJIUYB LICENSE TYPE BUS.LICB �����
COMPANY NAM E-MAIL FAX Seo -Ir•q 7
1 I 11 IIS
ZIP
STREET ADDRESSF ��• CITY, , PHO-§O S y-r
ARCHECDENGINEER NAME LICENSE MBE ' V` rY( BUS.LIC0 T
COMPANY NAME FAX
STREET ADDRESS Cr1Y,STATE,ZIP PHONE
DMCRIP 1ON OF WORK Ig
I!T r l�'60Y6./ �VJly�
1
EXISTING USE PROPOSED USE CONSTR TYPE PSTORIFS vim,•`
USE TYPE OCC. SQ.FT. VALUATION(1)
E%ISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEI.ARG
PoRCH AREA DECK AREA TOTAL DECK/PORCH ARG GARAGE AREA: DETACH
ATTACH
I DWELLING UNITSISASECONDUNT ❑YES SECOND STORY ❑YES
BEING ADDED? []NO ADDTONT []NO
PRE-APPLICATION OYES IF YES.PROVIDE COPY OF ISTHEBIDGAN ']YES RECEIVED BY:. TOTAL VALUATION:
PLANNING APPL9 []NO PLANNING APPROVAL LETTER EICHIJRHOME? []NO - ' -3s-/_ W
By my signature below.I cenify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. 1 have read this
application and the information 1 have provided1 meet. I have read the Description of Work and verify it is accurate. I agree o comply with all applicable local
Ordinances and state laws relating to building cuo I audlorize representatives of Cupertino to enter the above-i ey}n..tPiifil/leQpmperty for inspection purposes.
Signatureol-Applicant/Agen1: Date: —?31- //2,WZ
SUPPLEMENTAL INFORMATION REQUIRED PLan CHECK TYPE .aolrrtNc sur'
_New SPD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER '❑ BUILDING PLAN REVIEW -
existing building(s). Demolition permit is required prior to issuance of building -
permit for new building. '❑ FXPRESs_ ❑ PLANNtne PUN REVIEW ..
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ SrANDARD ❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project ❑ LARGE ❑ 'EIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to ❑,MAJOR' I '❑j;SANRARV SEWER DISTRICT
submittal of Building Permit application.
11-ENVIRONMENTAL HEALTH
Bldg4PP_2011.doc revised 06121111
26'
t`
0
Foundation Anchors: Simpson
UFP10's,
Shear Transfer Ties: Simpson
H-10's, L90's, A23's, or KC Metals
equivalent as access allows,
Design and actual placement of
bolts, plywood panels and other
hardware may vary depending on
° 1 1 . r existing site conditions, All workl2ECEIVEj:)
34' 34' takes place at substructural MAR 27 2012
crawlspace area, BY.�_
COMMUNITY DEVELOPMENT DEPARTMENT Legend
BUILDING DIVISION-CUPERTINO
foundation anchor
APPROVED
This set of plans and specifications MUST be kept at the 1 shear transfer t I e
fob site during construction. It is unlawful to make any ° existing bolt
changes or alterations on same,or to deviate
O therefrom,without approval from the Building Official.
The stamping of this plan and specifications SHALL NOT
be held to permit or to be an approval of the violation �1-•
of any provisions of any City Ordinance or State Law. Dave Cracknell,
By , Zt2-ji✓ x4'."// C 7818 prion Lane
DATE Z�d7-j � Cupertino, CA ICE C
RM
PEIT NO. /203 �/ 0 408-476-8348
i '
° Bay Area Retrofit
° ° ° °
Howard Cook, Contractor
26' I (510) 548-1111
I
,
i
subfloor subfloor
end joist/blocking floor joists floor joists
Simpson L-90, or Simpson L-90, or
equivalent equivalent
RSDS 1/4"x3" hex screw RSDS 1/4"x3° hex screw
Simpson UFP10 Simpson UFP10
1/2'x4-1/2' wedge 1/2"x4-1/2" wedge
anchor anchor
i
DTry/V'�j yV D
MAR 2 7 2012
BY:------ _�
Bolting of floor to foundation when Bolting of floor to foundation when
a clearance is too low to install a a clearance is too low to install a
anchor bolt from above anchor bolt from above
OFFICE COPY