13020067 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22445 LINDA ANN CT CONTRACTOR:MG CONSTRUCTORS& PERMIT NO:13020067
ENGINEERS INC
OWNER'S NAME: JAMES RARICK 15650 VINEYARD BLVD STE A 232 DATE ISSUED:02/13/2013
OWNER'S PHONE: 4082643291 MORGAN HILL,CA 95037 PHONE NO:(408)842-5599
LICENSED
CONTRACTOR1` 'S D ARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL.
License Class �l Lie.# 64om REPAIR 12 LINEAR FEET OF FOUNDATION FOR
VOLUNTARY
Contractor ryry�gqstt l,' Date � FOUNDATION REPAIR
1 hereby affirm that I am lic rsetpunder the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$4000
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:32613076.00 Occupancy Type:
permit is issued _ p y
APPLICANYCERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WTTIIIN 180 DAYSA), MIT ISSUANCE OR
to building concoction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY T CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
' costs,and expenses which may accrue against said City in consequence of the
granting of this permit..Additionally,the applicant understands and will comply e Jsered-by, et —Z,
withal]non-point source re lations er the Cupertino Municipal Code,Section
9 18.
�j RE-ROOFS:
Signature Date d All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,I agree to remove all new materials for _
inspection.
❑ OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Lew for one of Signature of Applicant: Date:_
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sce.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I 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: Health&Safety Code,Section 25532(a)should I 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 devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Section 505 25533, d 2553 .
Section 3700 of the Labor Code,for the performance of the work for which this if
permit is issued. Owner or authorized agent: Date
:
I certify that in the 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. It;after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisionsor this permit shall be deemed revoked, work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments, -
. costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION n O
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•buildinG(GDcuoertino.ore
a(
ElNEW CONSTRUCTION ElADDITION �
❑ REVISION/DEFERRED ORIGINAL PERMITN
PROJECT ADDRESS APN# -32-u- )3 -0-Da
OWNER NAME 1,. rt G1' PO ^�_��� E-MAIL
STREET ADDRESS VilrJ 4+5 1 .,_J �F tl_n (�,� C;STATE4ZIP C1 FAX
LL 1�(f l(/UA Nny, ;LEL
CQ lCJ(��
CONTACT NAME PHONE )_OQ Q &MAIL,
I 1 IVLpvJI
STREET ADDRESS t( CITY,STATE,ZIP FAX
V Y` �1ptt
11 OWNER 11OWNER-BUILDER ❑ OWNERAGENT 11 CONTRACTOR 11CONTRACTORAGENT ❑ ARCHITECT p ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME iA d •I LICENSENUMB ^O�� LICENSE TYPE BUS.LIC#
COMPANY NAME \It�l� n ylSO9� EMAIL L (ins-t.�,t,.Cl_.r�,� FAX
s'00- .�w,051
STREET ADDRFS$y1 `�� �Nvd. �e•R# 2 CITY.STATE.ZI. I ICA 11�8SO� PHONE VmZ- 5"61
ARCIITECDENG EER NAM LICENSE NUMBER C 7 Z99 g BUS.LIC# @� 1 �r
COMPANY 114E 1nP�4 E' O !An 1S'lNC.oeS. ISR 1 Fig-'2�l-Sl /
STRE ADDRESS CITY,STA ZI PNONE
Isb Veru &Ivd. -A 232 N „ �I Cq- a5031 s�o q21-049b
DESCRIPTION OF WORK V01um.n0undathbn Cal& rL v-
EXISTING USE O USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTO NEW FLOOR DEMO TOTAL
AREA AREA AREA NET ARIA
BATHROOM KITCHEN OTHER
REMODELAREA REMODELAREA REMODELAREA
PORCHAREA I DECK AREA TOTALDECKIPORCH AREA I GARAGEA ' DETACH
ATTACH
#DWELLING UNITS: ISASECONDUNIT ❑YES SECONDSTORY OYES
BEINGADDEDt ONO ADDITION? 0 N
PRE-APPLICATION OYES I YES,PROVIDE COPY OF I ISTHEBLDGAN ❑YES TOTa VALUATION:
PLANNMGAPPL# ONO PLANNING APPROVAL LEITER EICHLERHOMET ONO
By my signal=below,I certify to each of the following: I am the property iorized agent to act on thKroperty owner's behalf I have read this
application and the information I have provided is correct I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to g cons =representatives of Cupertino to enter the above-i entifi property for inspection purposes.
2
Signature of Applicant/Agent:
SUPPLEMENTAL INFORMATION REQLDRED PLANCHECKTYPE ROUTINGSLIP
_New SFD 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. ❑ EXPRESS ❑ PUNNING PLAN REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS
Tom if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application. ❑ MAJOR 11 sAnrrARr seweR DISTRICT
❑ ENVIRONMENTAL HEALTH
B(dgApp_201 Ldoc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 22445 LINDA ANN CT DATE: 02/13/2013 REVIEWED BY: MELISSA
APN:. 32613076 BP#: I `VALUATION: $4,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair
PRIMARY SFD Or Duplex PENTAT TYPEN TIO1 GENRES
1.USE:
WORK REPAIR 12 LINEAR FEET OF FOUNDATION FOR VOLUNTARY FOUNDATION REPAIR
SCOPE
14Th. Non Check - Plumb.Hem(.heck Elm.Plor.Chet%
Ltech.A---mit Fire: - Plumb,Permit Fee: Bier:. Prima Pec:
Oiher d✓eth buj, Li Other plumb Imp Curer 13c t.Imp. Li
;Wech. hal".1'e": Phimb.Imp.Fee: Efee. hup. 1-ire:
NOTE. This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
Dstrict etc). These fees are based on thereli a in ormadon available and are only an estimate Contact the Deal for addn'l info.
FEE ITEMS (Fee Resolution 11-653 E . 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 F-17 # Foundation Repair
Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $799.00 IFOUNDREPA
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg.. Q OT 0.0 1 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C onsiruction Taw
Arlrnhustratita Fee:
Work Without Permit? 0 Yes iq No $0.00 0
Advanced Planning Feer $0.00 Select a Non-Residential
Travel Documentation Fees: Building or Structure 0
Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
}r;
;ung $1.50 $799.00 , �;: Tornz�FEET $800.50
Revised: 01/01/2013
i
.E 15650 Vineyard Blvd. Ste. A a 15650 Vineyard Blvd. Ste. A
Morgan Hill, CA 95037 s Morgan Hill, CA 95037
Office: 408-842-5599 Fax: 888-234-8057 Office: 408-842-5599 Fax: 888-234-8057
matth m constructors.net
matth constructors.net ��• ^•
Matthew Hagerty, P.E.
Structural Design 'DW� � �I Ck�
g 22445 Linda Ann Q.,Cupertino,CA 95014 n�/� l�P) -3-2-R
I
Voluntary Foundation Repairs at
SCOPE OF WORK
22445 Linda Ann Ct., Cupertino, CA
1. Foundation Horizontal Crack Repair, 1 Location, l lft Long
95014 2. Foundation Exposed Reinforcement Repair, 1 Location, lft Long
ny
CC 0 CC
p r�.a{ C.�,��,� oda' � `�•�`}+'`�'£ l '"�r � �, `"�� � ����`.�'r'�t�� OPY
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INDEX•
Design Sketches and Tables:
Standard Specifications: I°6, ,3 FACE � 2
Notes.Disclaimers:
• MG Constructors&Engineers,Inc.,(MG)takes no responsibility for items not
specifically addressed within this report set. �v
• This report is valid only for the specific project shown above and herein.Further,this
e-.
report is valid only if it is stapled or otherwise bound as it originally left this office,and
contains all of the sheets as originally bound.Any sheets that are not bound to the 2013L` 6 ,�
original complete set are not valid and shall not be used(excluding authorized,stamped d`� l v-a o�
addendums).
"ems ,,7r to' L14,1 Arm (A
e 15650 Vineyard Blvd. Sts. A 15650 Vineyard Blvd. Ste. A
Morgan Hill,CA 95037 Morgan Hill, CA 95037
Office:408-842-5599 Fax: 888-234-8057 Office: 408-842-5599 Fax: 888-234-8057
matthp.mgconstructors.net matth@mgconstructors.net
FOUNDATION REPAIRS CATHODIC PROTECTION OF REBAR IN
REPAIR SITUATIONS
CONCRETE SPALL,EXPOSED REBAR AND
HORIZONTAL CRACK REPAIR General:The following is intended for Vector Brand �I
b Galvashield XP+embedded galvanic anodes.Other
1. General: Use this procedure for spatted areas or for b brands with similar capacity and capability may be used.
areas with significant horizontal cracks.The three ( Install per manufacturer's recommendations.
diagrams to the right show typical applications.All 1�[�
products shall be applied per manufacturer's �� I 1. Preparation: �l Nem?
recommendations. a. Existing rebar shall be clean and free of
2. Concrete Preparation:Remove from area to be \ corrosion. Severely corroded rebar shall V 3
repaired all deteriorated concrete,dirt,oil,grease,foams, �'p' \ ` be replaced per structural plans.
gels,silicones,caulks,wood,organic material,and any d
other bond-inhibiting materials.Do this with high- b. New rebar shall be tied to existing bars
pressure water blast,chisel,and/or scabbler. and to other new bars securely with tie
wires installed with a wire twisting tool.
3. Rebar Areas: Where rebar is exposed,prepare by Electrical conductivity must exist
mechanical cleaning to remove all traces of rust.Where between all bars. D 1 2
chlorides(salt)may have been present,use high pressure
washing after mechanical cleaning.Prime the cleaned 2. Installation of Vector Galvashield XP+
rebar with Sika Armatec 110 EpoCem or equivalent.
a. Presoak anode units for a minimum of
4. Badly Corroded Rebar:Where rebar corrosion has °� 20 minutes in clean water just prior to
degraded bars over 1/4 their original diameter,place a J o. C 724 ` rn installation. two
new bar adjacent and parallel to the corroded bar, / / ;j P 6 7340 1 L �s
extending 12"beyond both ends of the severely corroded t ate,Z `' ;' * b. Locate as close as possible to repair 6*'
area.Rotohammer and a the ends of the r bars P� CIVIC �Q edges.
into existing competent concrete if necessary to obtain 9�OF C � g
this 12"embedment. c. Maximum distance between anode
units: -
5. Substrate Primer:Prime the cleaned repair area with i. For non-aggressive
Sika Armatec 110 EpoCem or equivalent environments use 30-inches 2 2
max.
6. Repair Mortar:Apply SikaRepair SHA or equivalent. ii. For moderately aggressive 0 A/4 .
Work into pores and voids.Thoroughly compact around environments,use 24-inches,
rebar and aggregate.Maximum lift thickness=3". max.
Minimum thickness= 1/4".Where multiple lifts are iii. For severely aggressive
required,score the top surface of each lift to produce a environments,use 16-inches,
roughened surface for the next lift to adhere to. max. 4�
C�
x
7. Curing is Required:Use water methods(mist of wet a;/ . d. Minimum cover=3/4". pe��'�cO c (C'A �GY/O/,. �
burlap and polyethylene),or a water-based,compatible �� o
curing compound. e. Units may be placed on any side of e � pR OQ as Ogad�j�O
rebar in any orientation. By. OF die
d CD �f
3. Concrete Reapir:Use repair methods and 'h o
materials specified elsewhere in structural specs. liy lc�
B� Z � �
15650 Vineyard Blvd. Ste. A 15650 Vineyard Blvd. Ste. A
s Morgan Hill, CA 95037 3 Morgan Hill, CA 95037
Office: 408-842-5599 Fax: 888-234-8057 Office: 408-842-5599 Fax: 888-234-8057
matth@mgconstructors.net
matth@mgconstructors.net
Standard Structural Specifications—MG Constructors and Engineers,Inc. (MG) 8. STANDARD CONCRETE:
a. Strength.Mix,Placing;All concrete,unless otherwise specified in the Plans,
L LIMITED SCOPE OF MG'S WORK: shall attain a 28 day strength of f c=2,500 psi,and shall contain not less than 5-
a. The scope of work of MG is limited to structural design of the following 1/2 sacks of cement per cubic yard.Maximum water/cement ratio shall be 0.45
elements of the previously constructed residence: and maximum slump=4". Maximum aggregate size=7/8".Mixing and placing
i. Crack and exposed rebar repair of foundation of all concrete and selection of material to be in accordance with IBC and ACI
MG takes no responsibility or liability for items not specifically addressed in the 304(latest editions).Provide 5%air entraining in all concrete exposed to earth or
sketches or callouts. weather.
2. OWNERSHIP OF THIS REPORT: 9. CONCRETE REINFORCING:
a. Ownership of this report,sketches,and other intellectual information pertaining a. Strength. Splicing,Bending;Reinforcing bars(rebar)shall be Grade 40(Fy=40
to the project shown herein shall remain sole property of MG. ksi)or better,unless otherwise specified in the Plans.Lap all bars 30 bar
diameters,or as specified elsewhere.All reinforcing shall be detailed, bolstered
3. SINGLE PROJECT: and supported in accordance with applicable ACI codes.Bars shall be bent with
a. These sketches,notes,and specifications are only valid for the project indicated minimum 6 bar diameter radius for sizes up to and including No. 8,and 8 bar
herein.There documents are not valid,are not applicable to,and shall not be used diameter radius for bars larger than No. 8.
for any other project at any other location. b. Cover:Provide the minimum cover.
i. Footings and other unformed surfaces,distance from the bar to the earth
4. INSPECTIONS: face.........................................................3"
a. MG recommends that the Contractor,Builder,or Owner retains MG or other ii. Formed surfaces in direct contact with earth..........2"
qualified structural specialists to provide on-site inspection services of the items iii. Surfaces exposed to weather.......................1-1/2"
analyzed/designed herein.It is the responsibility of the Contractor,Builder,or iv. Surfaces exposed to salt water..........................3"
Owner to arrange such inspections. v. For slabs-on-grade,center the reinforcement in the slab unless otherwise
specified.
5. BASIS OF DESIGN—APPLICABLE CODES:
a. This design is a voluntary upgrade and repair initiated by the Owner and is
intended to strengthen certain portions of the subject residence.These upgrades
and repairs may or may not bring the affected part(s)into compliance with the
current code;however,all affected portions will be stronger than exists currently,
and at least as strong as original construction.
b. All construction shall adhere to the minimum requirements of 2009 IBC with CA
amendments.Contractor shall be responsible to comply with all OSHA and State
Labor and Industrial Standards.Contractor assumes full responsibility as to
construction methods used,safety provisions employed,and the finished as-built No. 72448
condition of the structure and related systems. gyp• 30
6. COMPETENT CONSTRUCTION PERSONNEL: fT9 CIVIC Q�Q
a. Only competent personnel familiar with construction and safety practices 0, CN\ j
germane to the project shown herein should be employed to assemble and
construct the work.
7. CO Contractor shall verify all the dimensions and"fit"conditions in the field. Should Re`e�G'OJR �' N' .a. ERRORS p'Q�
the Contractor or Fabricator note any conflicts or errors in the Plans and/or Pah COO
Specifications,they shall be brought to the immediate attention of the Engineer. roc G e'
If any questions arise during construction pertaining to any structural matter,the
Engineer shall be consulted immediately. <�
9
Building Department
City Of Cupertino
10300 Torre Avenue
6Npg1�1110I CA 95014-3255
C U PERTI N O Fax: 408-777-3333
CONTRACTOR 7 SUBCONTRACTOR LIST
JOB ADDRESS: 22gg5 4 PERMIT#
OWNER'S NAME: - 0.Ta , . Y & " PHONE#9O9) 2-b4-32-91
GENERAL CONTRACTOR_Ka.,(-V- . arriso rn BUSINESS LICENSE# b9205_8
ADDRESS:1%W YvnngW.,%4. A '32 CITY/ZIPCODE: M h r;II C# a5t737
*Our municipal code reques'aii businesses working in the city to have a City of Cuper no business license.
NO BUILDING FINAL OR :>•IM&4 -OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR`AWRAI)L SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE. 3
I am not using any subcontractors, s
Signatur Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE#
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/Carpeting
Linoleum/Woods
Glass/Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contra $' store Date