12070115 CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: 20025NORT1]WIND SQ CONI-RACfOR:QUALITY BUILT PERMITNO: 12070115
CONSTRUCTION
OWN iR'S NANIE: 13RIiDF1iLDT EAILIN TRUS'1'li8 1160 DANBURY DR DATE ISSUED:07/172012
OWNER'S PHONF,: 4089213358 SAN.IOSE.C\ 95129 PHONF-NO:(408)666-6096
- ❑ LICENSED CON I'RACI'OR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r e1,UNIB r
License Class Lie.d ( (a r r r
NIECII RESIDENTIAL COMMERCIAL
Contractor (�Q(L �AU L'1Dale 1 11 IZ
1 hereby affirm chart not licensed tinder the provisions of Chapter 9 •JOB DESCRIPTION: REPAIR EXISTING DECK FOR TOWNI]ONIUCONDO-TO
(catnnmencing frith Section 7000)of Dirision 3 of the Business S Professions CLEAR
Code and that mr license is in full force and effect. CODE VIOLATION
herehy affirm under penally of perjury one of the follmving mo declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided Tor by Section 3700 ol'the Labor Code,for the
perfommnce of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided 1'or by
Section 3700 of the Labor Code,.for die performance of die work for which this
permit is issued. Sq.FI Floor Arca: Valuation:$2100
APPLICANTCERTIFICATION
I certify that I have read this application and stale that the above information is ANN Number:31638003.00 Occupancy Type:
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save
indemnilyandkeepharmlesstheCityofCupertinoagainstliabilities,judgments. PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting of this emiit. Addiloc ally,thelnt understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-p i so eregu tint per lapphl'Cicanperdno Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18. //
Signalure_� Date �, — Issued bS'j� Da[e:
❑ OWNER-BUILDER DECLARATION
1 hereby affirm Thal 1 am exempt from Ilse Contractor's License Law for one of RE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,1 agree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business K Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date:
construct the project(Sec.7044,Business&I Professions Code).
1 herehy'affirm under penally of perjury'one of the following three ALL ROOF COVERINGSTO BE CLASS"A"OR BE'1-ITR
declarations:
I have and still maintain a Certificate of Consent to self-insure for Worker's
HAZARDOUS NL\'I'IiRIAISDISCLOSURE,
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. I have read the hazardous materials requirements wader Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by Citlifonai,i lirdth S Safer Codc Sections 25505,25533,:md'5534. 1 will maintain
Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cuper ino Municipal Code.Chapter 9.1_and the Ilealth S
Safely Coda Section_5532(a)should I store or handle hazardous material.
permit is issued. Additionally,should I use equipment or devices which emit hazardous air
I certify chat in the performance of the work for which this permit is issued.I shall contaminants as defined by the Bay Area Air Quality Management District I will
not employ any person in any manner so as to become subject to the Worker's ami I n I)II race will (he Cupertimm Municipal Code,Chapter 9.12 and the
Compemsaliun laws ol'California, If,after making this certifirae of exemption,I Ilcallh.4 a cls ode.- ctious 25505,25533,imd 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
Owner r m
(ortMrith comply with such provisions or this pentane shall he deemed revoked. ize g t
\ ata /7
APPLICANT CERTIFICATION CONSTRIN-HON LIENDING AGENCY
I certify that 1 have read this application and state that the above information is
correct,I agree to comply with all city and county ordinancesand state laws relating I hereby affirm that there is a construction lending agency for the perfomaance of uork's
to building construction,and hereby authorize representatives of city to enter for which this permit is issued(Sec.3097,Cir C.)
upon the above mentioned property for inspection purposes.(We)agree to save Leader's Name
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section ARCIIITECI"S DECLARATION
9.18.
I understand my plans shall be used as public records.
Signature Dale
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 20025 northwood square DATE: 0 711 712 01 2 REVIEWED BY: bobs.
APN: BP#: 'VALUATION: 1$2,100
*PERMIT TYPE: Building Permit PLAN CIIECK TYPE: Alteration/ Repair
PRIMARY Buildina is PENTAMATION
Multi-Family Dwelling , 1GENRES
USE: 3Stories � Yes 0 No PERM/"ITl'PE: �
WORK repair existing deck for townhome/condo.
SCOPE
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Mech. Han Check Phimb.Plan Check Flee. Platt Cheek
Nech.Permit Fee: Plumb.Pcimit Fee: floc.Permit Fee:
Other Alech.Insp. Other Plumb Insp. Other Floe. htsp.
,17ech.Imp. Fee: Phanh. hmp.Fee: Elec.Imp.Fec:
NOTE: This ewimate does not include jeev clue to other Departments(i.e. Planning, Public Warks, Fire,Sanitary Sewer District,Schaal
District, etc.). These fees are ha.ced on the prefindnary information available and are only an estimate. Contact the Dept for ac dh 7 info.
FEE ITEMS (Fee Resolution 11-053 E/X 7/1//1) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1 # Deck/Deck Railing
Suppl. PC Fee: 0 Reg. 0 OT 0.0 -its-
$0.00 $467.00 IDECKIVOOD Deck (wood)
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:O Reg. 0 OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME PennitTee: $0.00
ConsD-tiction Tar:
Administrative Fee: 0
Work Without Permit? Q Y No $0.00 0
Advanced Plannine Fee: $0.00 Select a Non-Residential 0
Travel Documentation Fees: Building or Structure 0
Strong Motion Fee IBSFISNICR $0.50 Select an Administrative Item
�c
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $1.50 $467.00 TOTAL FEE: I i,450
Revised: 07/01/2012
Y
RESII)ENT[AL PROJECT COVER SHEET
Assessor's Parcel Number: 17(2� $Y 101p
Name ofowner. I�(a � lfJ 1_,�C- I�r � LI� 11 <
Project address. UD2 S N61zrl-f W' OoD 6QUIJ12-C
Contact person. *(Z0J (/l1.E0. -C LP l Phone. \'7 0A I q)-l - J 3 S b
Fax.
I
Net square footage of lot. �\
Existing Proposed
Square footage: First floor:
Second floor: �--
�i �.
Garage: I
TOTAL:
i
Are there at least two 10 foot by 20 foot clear spaces inside the garage? <7�
Is privacy protection planting required for the project? 1--7—Y SIV
Build it Green Total Points
On what floor(s) is work being done? f /
Brief description of work. U
Code editions: 2007 CBC <�Y) N)2007 CFC (Y - N)2007 CMC (Y- N)
2007 CPC (Y - N)2007 NEC (Y - N)
Effective I/1/03 COMMUNrlYDEVELOPMENTDEPARTMENT I L
BUILDING DIVISION'-CUPERTINO i
I r�
APPROVED
This set of plans and specifications MUST be kept at the
job site during construction. li Is unlawful to make any
changes or alterations on;same,or to deviate
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
of any provisions of any City Ordinance or State Law.
BY
DATE Z
PERMIT NO =74
Plan Review Process Work Book Page-8-Revised 8/05/08
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FASTAP PLUS DURACOAT XT®TEST PERFORN'IANCE
I. ASTM #B-1 17-90 - 5% SALT SPRAY TEST 3,636 HOURS — NO RUST
(Installed in types ACQ & CBA/CA pressure treatments)
2. DIN 50018 / ISO 3231 - KESTERNICH TEST 40 CYCLES — NO
3. HIGH HUMIDITY TEST NO CHANGE JUC j 6,0011
(@100% at 100= 2 degrees for 24 hrs) BI!
4. ENVIRONMENTALLY SAFE COATING — (NO ZINC) YES
5. 4MIL-C-87115 - MILITARY SPECIFICATIONS EXCEEDS SPECS.
(for coated fasteners)
6. SUBJECTTO HYDROGEN EMBRITTLEMENT NONE
7. COMPATIBILITY WITH TANNINS (TANNIC ACID) YES
(IN CEDAR, REDWOOD. & HARDWOODS)
8. COMPATIBILITY WITH COPPER IN TREATED WOODS YES
(Note: Copper is common to all pressure treated woods)
9. COMPATIBLE WITH BOTH TYPES ACQ AND CBA/CA YES
PRESSURE TREATMENTS
10. LATERAL SHEAR LOADS- IN: STEEL (18ga) HARDWOODS WOOD/POLY TYPE
COMPOSITES
#8 DIA. 996 LBS. 1,031 LBS.* N/A
#9 DIA. 1.100 LBS. 820 LBS.* 837 LBS.*
#10 DIA. 1.228 LBS. N/A 976 LBS.*
*Bent screw shank at materials joint — no shearing
11. PULLOUT/WITHDRAWAL LOADS- IN: ** HARDWOODS WOOD/POLY TYP
COMPOSITES
#8 DIA. 925 LBS.* N/A (�
#9 DIA. 1,767 LBS.* 1.268 LBS.
#10 DIA. N/A 1.313 LBS.
*Screw head fractured without thread extraction — no pullout
** Withdrawal/pullout data for other wood materials is available upon request.
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CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
GUPERTINO (408)777-3228• FAX (408) 777-3333 • building(a)cupertino.oro
El NEW CONSTRUCTION ❑ ADDITION ❑ ALTERA'T'ION/'1'I ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECTADDRESS (2-(:)02- NOgt i`/ bon C (Afiaai[ : AEN; Thr 2I`„fns' �r� DT-0
�
OWNER NAME K�rtIN �fZ`r IDT I/l'f,/t D-T "Qqb%) R� �' J .J�`/v E-AIAII�/[5rZ6 rr_- DT
STREETADDRESS �.OU2 �vU/t�I-IW(JD 1/ CIT\',STATE,ZIP IX � /`- FA.' S`v
CONTACT NAME / D� PHONE (tet•` ,/ ,"CNE-MA(IILL�
STREETADDRESS C.- CITY.STATE. ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHIFccT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME '�!L n,/ � LICENSE NUMBER L16 1 �Q�I�O LICFNS�YPE 3 BUS.LICK
COMPANY NAM /'I U.i E-MAIL CJ (, /•' FAN
U Lr'� N/L l CO/JII.
STREET ADDRESS//(,00 n141L� � CITY,STAT E.ZIPC.� 1 (: �� /'/A C��/�T PHGaboo)666
ARCHITECT/ENGINEER NAME /3 LICENSE NUMBER ,/�•1 V(� (�'Y ( !f'- BUS.LIC9
COMPANY NANIE E-NIAIL FAS
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION WORK /) J O� Plc /_KIS I I' EKt C2L�LZ
LW1. G
EXISTING USE PROPOSED USE CONSR.T\'PE •STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEWFLOOR DEMO TOTAL m (�
AREA ARG ARG NHir ARCA
BATHROOM KITCHEN OTHER �((
REMODEL AREA REMODELARG RENIODELARG
PORCH AREA DECKARP.A TOTAL DECKIPORCD ARE GARAGEAREA; DFTACII
3� j;q /r ❑ATTACII
N DWELLING UNITS: IS A SECOND NI1' r-❑YES SECO?'DSI'ORY LIVES
IWINGADDED! 0N ADDr ON7 ONO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPYOF ISflit:B1,UGAN El YES RECEIVED BY: TOTAL VALUATION:
PLANNINGAPPLM ONO PLANNING APPROVAL LITTER EICHLER ITUNat:^ 0N r 'CJM�
/ J -'
By my signature below,I certify 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 infommtion I have provi ed is correct. I hav read a Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildi con. uction. 1; oriz representatives ol'Cupertino to enter the above-id 'ficd prop Fly for inspection purposes.
Signature of Applicanl/AgenC Date: b� ( 7 1Z
SUPPLEMENTAL I 'ORMATION ,EQYJIRED PLNNCIIECKTYPE xolrl'ING SLIP
New SID or Multifamily dwellings: Apply for demolition permit for p' O\'t:R=rul:Cou•an;R 0-nuil.umc rt.,NN xevmw
existing.building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ EMIRESs ❑ i'IdN:XINC PIdS RD\'I F.w
_Commercial Bldgs: Provide a completed I lazardous(Materials Disclosure EISIANDARD ❑ PUBIACNYoxxS
form if any Idazardous Materials are being used as part of this prgject.
❑ 1,\xre ❑ FIRl:nr:rr
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application. EI MAJOR 13 sANrENRrsee'eR Dlsrxlcr
❑ EN\'IRONNIESTAL I IF.ALTII
Bldg 1pp_2011.doc revised 06/21/11