14060023 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10604 LA RODA DR CONTRACTOR:'FBD-TO-BE PERMIT NO: 14060023
DETERMINED
OWNER'S NAME: GENEVIEVE ANDREWS "G elli DATE ISSUED:06/05/2014
OWNER'S PHONE: 4082522284 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
KITCHEN REMODEL 150 SQ FT TO INCLUDE M,E,P'S
License Classj _ Lic.# A-1
Contractor, —/ � Date
I hereby affirm that I am licensed under 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.
I 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
erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$25000
ave and will maintain Worker's Compensation Insurance,as provided for by
ection 3700 of the Labor Code,for the performance of the work for which this APN Number:36933018.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
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 WITHIN 180 DA),S OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LA. T CALLED INSPFCVON.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, /� / I C1_111
costs,and expenses which may accrue against said City in consequence of the /
granting of this permit. Additionally,the applicant understands and will comply Issued by: r� Date: �/
with all non-poi urce regulations per the Cupertino Municipal Code,Section i
9
R RE-ROOFS:
Sign re r Date ✓ / 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
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,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(Sec.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 25505,25533 nd,%5534. /
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age t: M1 Date: L
permit is issued.
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. If,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 provisions or 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
918.
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �^
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333•buildinq ftupertino.orp
CUPERTINO
❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDjtE 5vPt)Jf �s� ` APN# alp J� /
OWNERNA �j J O 'j/� P PI Z -MAIL .
STREET AD&S '(JJV C••/V llrr CITY, STATE,ZIP FAX
CONTACT PH �f/ E-MAIL�/( �a�1-/�/ 7� `
STRE )� r 0
REi [�/ yp /r CTTY T I //1� FAX61 y 1�
od"OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHrrECT 11 ENGINEER ❑ DEVELOPER TENANT
CONTRJ 1 R LIC A/a' LICBNS E r BUS.LIC#
COMPA /tqACV , E-MAIL FAX
9�7%xeVa -
STREET ADDRESS CITY,STATE,ZIP PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT: VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL-AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DEC ORCH AREA GARAGE AREA: DETACH
[]A TTACH
#DWELLING UNrrS: IS A SECOND UNIT ❑YES SECOND STORY []YES ADDED? []NO ADDITION? []NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN 11 ES gEI `B ,;, k? "' T VALUATION: ,:PS
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NOa } a "
Ali 10
By my signature below,I certify to eac of the fo wing: I am the property owner or authorized agent act on the property owner's behalf. I have read this
application and the info vided is orrect. I have read the cription of Work and ve ' it is accurate. I agree to comply with all applicable local
ordinances and state la s re a I o traction!I auth r ntative of Cupertino to enter the above enti ed op for in ection purposes.
462)
Signature of Applicant/Agen. Date:
SUPPLEMENTAL INFORMATION REQUIRED PiAl t ciCxTYPE>,. ,., RoiiTiNc slP
New SFD or Multifamily dwellings: Apply for demolition permit for OER THF COUNTER ;gBUrL>?r�1 �LREv1E�I
existing building(s). Demolition permit is required prior to issuance of building , r t
t � LANNJNG PLA
permit for new building. ExrR � AN REVIEW�
" � � � ❑ FPUBLIC� m
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sTANnARD
WORkS
form if any Hazardous Materials are being used as part of this project. I AItGE ' FIRE DEr
_Copy of Planning Approval Letter'or Meeting with Planning prior to fi�iAaOR {]tisANITARY sEWEICnJSTRrcTF
submittal of Building Permit application. � ���t�
BldgApp_201 Ldoc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 10604 la roda dr DATE: 06/05/2014 REVIEWED BY: Mendez
APN: BP#: "VALUATION: 1$25,000
xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE
WORK [kitchen remodel to include m e 's
SCOPE
ML 'c11. /'1ar=C`Aee:ck 11henib, flan Check
11 11. M'r it lil Fee;
7rvI (3ttler"lum,1rup 011;
Structural Calculation & Details
For
Y Ceiling Beam
At
Andrews Residen ;�
10604 La Roda Drive
Cu h'ey%�U�`�j�,
Cupertino, CA 95014 Cp >
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CR��F
John Di Vittorio,P.E.
The attached beam calculation and details are being provided as support for the installation of a new
ceiling beam for the removal of an interior bearing wall at the above mentioned residence.
AD JAD Engineerin& Inc.
CIVIL ENGINEERS
1.545 Santa Monica Avenue
San Jose, CA 95118
(408)316-9281
of
JAD Engineering,Inc. Toni Andrews Residence 5/23/2014
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JAD Engineering,Inc. Toni Andrews Residence 5/23/2014
Ceiling Beam
WDL= (24.5 fL/2)8 psf =98 plf
3'-4"
WLL= (24.5 fL/2) 10 psf =123 plf
W PDL= [(20 fL/2)10 pst](14.25 k/2) =713 lbs.
i __ tar
1 12'-6" PLL= [(20 fL/2)20 psfJ(14.25 fL/2) =1425 lbs.
Rev:510300
user:Kw.oe03 RC Ver 5.1.3,nJun-1908,whiz General Timber Beam 9
User.KWe•E�Rc uc Pae 1
cAproaram files%eclandrews residence.ecw.Cal
Description Ceiling Beam
2613 686
General Information Calculations are designed to Will NDS and GW AM Requirements
Section Name Prllm:3.5x11.875 Center Span 12.50 ft ..__.Lu 0.00 ft
Beam Width 3.500 in Left Cantilever ft .....Lu 0.00 ft
Beam Depth 11.875 in Right Cantilever It ._.Lu 0.00 it
Member Type
Fb Base Allow 2,900.0 psiN
Load Dur.Factor 1.250 Fv Allow 290.0 psi
Beam End Fixity Pin-Pin Fe Allow 750.0 psi
E 2,000.0 ksi
Full Len h Uniform Loads
Center DL 98.00#fft LL 123.00 #/ft
Left Cantilever DL #/ft LL #/ft
Right Cantilever DL #/ft LL #/11
Point Loads
Dead load 713.0 lbs lbs lbs lbs lbs lbs lbs
Live Load - 1,425.0 lbs lbs lbs lbs lbs lbs lbs
...distance 3.333 It 0.000 ft 0.000 ft 0.000 ft 0.000 ft 0.000 ft 0.000ft
=Summary Beam Design OK
Span=12.5011,Beam Width=3.500in x Depth=11.875in,Ends are Pin-Pin
Max Stress Ratio 0.347 : 1
Maximum Moment 8.6 k-ft Maximum Shear* 1.5 4.4 k
Allowable 24.8 k-ft Allowable 15.1 k
Max.Positive Moment 8.61 k-ft at 3.650 ft Shear. @ Left 2.95 k
Max.Negative Moment 0.00 k-ft at 0.000 ft @ Right 1.95 k
Max @ Left Support 0.00 k-ft Camber. @ Left 0.000 in
Max @ Right Support 0.00 k-ft @ Center 0.139 in
Max.M allow 24.85 Reactions... @ Right 0.000 in
fb 1,256.70 psi fv, 106.44 psi Left DL 1.14 k Max 2.95 k
Fb 3,625.00 psi Fv 362.50 psi Right DL 0.80 k Max 1.95 k
Deflections
Center Span... Dead Load Total Load Left Cantilever... Dead Load Total Load
Deflection -0.092 in -0.236 in Deflection 0.000 in 0.000 in
...Location 5.950 ft 5.900 ft ...Length/Defl 0.0 0.0
.._Length/Defl 1,621.8 634.28 Right Cantilever...
Deflection 0.000 in 0.000 in
...Length/Defl 0.0 0.0
3/�
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- `]AD Engineering,inc. Toni Andrews Residence
5/26/2014
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CUPERTINO
Building Dep.artrnem
n JUN 0 2014
cz!
REVIEWED FOR CODE COMPt..104C.F �
100",� P�� MOtOddilviewed
COtdMUNr Y DEVELOPMENT DEPARTMENT � � � , DOOTOOP
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BUILDING DNISION-CUPERTINO Q M
APPROVE® I -Ent! Pone1
Ibis set of plans and specifications MUST be kept at the Drawers �.•.�..�..
Finish
chahoU or alteratitins on same, or to aeviale COtln��� USA
��,
therefrom, without approval from the Building Official. -
The Stamping of this plan and specifications SHALL NOT Floor �.,.••,_"'""""""""'�""r' m
be held to permit or to be an approval of tha violation Edge detail
Of any�proyis. n�f any City Ordinance or State Law. Entry/Crown cm ` `
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