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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