14090209 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10384 DENISON AVE CONTRACTOR:SUMMIT PERMIT NO: 14090209
REMODELING
OWNER'S NAME: iJ�4 n t�7 D U `�'Lj A –,7E 381 E MCGLINCY LN DATE ISSUED:09/30/2014
OWNER'S PHONE: 4088688097 CAMPBELL,CA 95008 PHONE NO:(408)377-5252
❑ LICENSED CONTRACTOR'S DECLARATION r
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.# F F I—
MECH RESIDENTIAL COMMERCIAL
Contractor Date JOB DESCRIPTION:TEAR OFF AND RE-SHINGLE WITH 28 SQUARES CLASS A
FIRE-RATED LIFETIME TIMBERLINE COMPOSITION
I hereby affirm that I am licensed under the provisions of Chapter 9 ROOFING.REPAIR SHEATHING AS REQUIRED DUE TO
(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
performance of the work for which this permit is issued. Sq.Ft Floor Area:0 Valuation:$10000
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:31629069 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 DAYS 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 LAST 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 Issued by: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
RE-ROOFS:
Signature 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
I hereby affirm that I am exempt from the Contractor's License Law 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)
I,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,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agent: Date:
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
9 18.
Signature Date
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SMOKE / CARBON MONOXIDE ALARMS FILE
OWNER CERTIFICATE OF COMPLIANCE
10 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION /0--7777
CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228 •FAX(408)777-3333•buildingCc)-cupertino.org
J Permit No./*"AC) 4�9/ Z
Address ��� �/���,o r� f�A . #of Alarms Smoke: y Carbon Monoxide:
PERMIT CANNOT BE EINALED AND COMPUTED UNTIL THIS,CE' FICATE
n y e a l r�
Q
I3AS„BEElD N
. ,�
PURPOSE
This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations,or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420:6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA SMOKE ALARM CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the X X
bedroom(s)
On every level of a dwelling unit including basements X X
Within each sleeping room X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply:In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above-referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
I have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Age g's)Name: -�
l' l ,
riPZ „ Si nature..:..:... . .. .%�--'..... ....... ........ Date .6....1. ...
ContrpWr Name, f '/
Si nature.... L. 114 1'� ..// ........Date:
Lic.#........... ..........af�
Smoke and CO form.doc revised 03/18/14
Visha Consultants
April 30,2014 Project No:14-0101-11
To: Ms. Larissa TsuiMei Wu ,� �-
10614 Lonna Ln
Cupertino,California 95014 FIL
S /—/�!
Subject: Summary of Geotechnical Field Observation during Foundation Excavation
Residential Addition at 7665 Peach Blossom Drive, Cupertino, California.
Reference: Visha Consultants LLC., Geotechnical Investigation Report for the Proposed Residential
Addition, 7665 Peach Blossom Drive, Cupertino, California, Project No. 14-0101, dated
February 13, 2014.
Consultants Engineers Inc., Foundation Plan (Sheet No. S-1), Notes and Details(Sheet
Nos.SD-1,SD-3, SD-5 &SD-6), Planned Addition to Wu Residence, 7665 Peach Blossom
Drive,Cupertino,California, Revision No.1, dated 02/13/14.
Additional Email Recommendations Regarding Foundation Excavation Observations, by
Vishnan,Gopalan (Visha Consultants, LLC), dated, April 24, 2014.
In accordance with your request and authorization,Visha Consultants LLC., has provided geotechnical field
observation services during construction of foundations associated with the proposed residential addition
project within the subjected site. The purpose of our field observation was to verify the soil conditions
encountered during construction are in conformance to the soil conditions reported in the above
referenced soils report and ensure the bottom of the proposed footing are founded on un-yielding, stiff to
very stiff native soil materials as recommended in our soils report.
As per request of Ms. Larissa TsuiMei Wu, on April 24 and 30, of 2014, Visha Consultants representatives
visited the site to observe the soil conditions at the bottom of the proposed interior and perimeter footings.
Based on our field observation on April 24, the soil condition observed at the bottom of the perimeter
continuous footing excavation appeared to be firm and unyielding and was generally in agreement with the
recommendations provided in our above referenced soils report. However, shallow soils (upper 3 to 6
inches encountered in most of the excavated post-footing bottoms were loose/soft. Further, it was noted
that the contractor was using a 2 ft diameter auger to drill the post footings.Thus,the footings shapes were
circular in contrast to those footing shown on the referenced foundation plan (as square(2X2)footings).We
believed the reason for soft/loose soil conditions at the bottoms of the footing excavation was due to soil
disturbance caused by drilling/excavations. We requested the contractor to compact the bottom of the
footing excavations using mechanical compactors such as a Wacker compactor and summarized the owner
and the project architect, regarding our observations including the post footing foundation discrepancy
(circular instead of square).
Visha Consultant's representatives visited the site on April 30, 2014 to re-evaluate the excavated footing
bottoms. The soil conditions encountered at the bottom of the excavated footing bottoms were appeared
to be firm and unyielding and was generally in agreement with the recommendations provided in our above
April 30,2014 Project No. 14-0101-11
referenced soils report,'It was observed the contractor had compacted the bottom of the post footings as
we recommended in our earlier email. Further,the drilled post footings were reshaped to square footings
as shown on the plan. Based on our field observations, the current excavated footing bottoms are
considered suitable to support the proposed construction.
If you have any questions regarding this report,please do not hesitate to contact this office.We appreciate
this opportunity,to bie of:service
Respectfully submitted„
pf6
VISHACONSULTfiNTS;.LLC, O
Q
0 .. Na. 3rn
Z4
Arasan Singanayah m P.E.,G.E. �P'� TACH ic✓� ®P
Vice President.
CALM®
RC Consulting Engineers, Inc. tel 408-229-8155
Structural&Earthquake Design fax 408-229-8157
7007 Realm Dr. B-3 e-mail: rcengr@aol.com
San Jose, CA 95119
Date: July 29, 2014
Q
To: City of Cupertino L (�d
Building Division �t'l
10350 Torre Ave.
Cupertino, CA 95014
Re: Wu Residence ILE
7665 Peach Blossom Dr.
Cupertino, CA 95014
(Project No: 13.-244) '
To Whom It May Concern: t
This letter is to confirm that 5 1/2"x11 7/8" GLB may be used in lieu of the
5 1/4"x11 7/8" PSL beam located in living room.
If you have any questions, or if we may be of further assistance, please do not
hesitate to call at (408) 229-8.155.
I? -FESS/6,
Sincerely, eta OC.
RC Consulting Engineers, Inc. �w
No. c 46956
Exp. 09-30-15 �
Romeo G. Cabalar, P.E. 01 clvl\.
Principal Consulting Engineer moo!c ��F°
1 of 1
Testing Engineers, Inc. Quality Assurance Services
Materials Consulting
Since 1954
Regular Concrete Compression Test Report
Project No. : 57260 Client : APP337 Sample No. : 240206
Project Name: Report Date : 07/10/14
TA07B South:AOS Relocation Sample Date : 06/12/14
10100 N. Tantau Avenue Time Sampled : 1100AM
Cupertino, CA Date Received : 06/13/14
Permit# 1301-0132 Inspector: C. Wilson, TEI
Supplier: Quikcrete Specimens Cast(ASTM C-31) : 5
Mix : Jobsite Air Temperature(ASTM C-1064) : 63 deg F
Mixture Temperature(ASTM C-1064) : 65 deg F
Slump(ASTM C-143) : 4 inches RECEIVED
Location: IJUL 2 S 2014
Chiller pads on line A.25 from 1 to 1.5.
�. BY
Date Tested 06/19/14 07/10/14 07/10/14 AMID 14 HOLD
ID Number 2A 2B 2C 2D 2E
Mark Sample
Dimension,Inches
Diameter 4.01 4.01 4.01 4.01
Length 8 8 8 8
Area, sq.inches 12.63 12.63 12.63 12.63
Ultimate Load,lbs 29000 53000 52000 49000
Ultimate Str., psi 2300 4200 4120 3880
Average, Str., psi 4070
Age Tested, Days 7 28 28 28 HOLD
Fracture Type 1 1 1 1
Dry Unit Weight, pcf
Specified Strength, psi 3000 3000 3000
SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD
The Material X_WAS WAS NOT The Material Tested >< MET DID NOT MEET THE
SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT.OR DSA APPROVED DOCUMENTS.
REQUIREMENTS OF THE BLDG.DEPT.OR DSA APPROVED DOCUMENTS.
Remarks: Samples Tested in General Conformance with ASTM C-39
1 cc. City of Cupertino
1 cc. Hayes Group Reviewed By:
1 cc. SW Structural, Inc.
1 cc. Apple Computer Inc.
1 cc. XL Construction "Z;;e Roobert-U '
Concrete Lab Supervisor
Corporate Office-2811 Teagarden Street, San Leandro, California 94577- (510)835-3142- Fax(510) 834-3777
Testing Engineers, Inc. Quality Assurance Services
Materials Consulting
Since 1954
Regular Concrete Compression Test Report
Project No. : 57260 Client :APP337 Sample No. : 240120
Project Name: IMICIEWED Report Date : 04/07/14
TA07B South:AOS Relocation Sample Date : 03/10/14
10100 N. Tantau Avenue APR 16 2014 Time Sampled : 1030AM
Cupertino, CA Date Received : 03/11/14
Permit#1301-0132 BY Inspector : C.Wilson, TEI
Supplier: Quikrete Specimens Cast(ASTM C-31) : 5
Mix : 5000 Air Temperature(ASTM C-1064) : 63 deg F
Mixture Temperature(ASTM C-1064) : 18 deg F
Slump(ASTM C-143) : 3 inches
Location:
Trench in-fill.
Date Tested 03/17/14 04/07/14 04/07/14 04/07/14 HOLD
ID Number 1A 113 1 C ID 1 E
Mark Sample
Dimension,Inches
Diameter 4 4 4 4
Length 8 8 8 8
Area, sq.inches 12.57 12.57 12.57 12.57
Ultimate Load,Ibs 57000 85000 86000 87000
Ultimate Str., psi 4530 6760 6840 6920
Average, Str., psi 6840
Age Tested, Days 7 28 28 28 HOLD
Fracture Type 1 1 1 1
Dry Unit Weight, pcf
Specified Strength, psi 3000 3000 3000
SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD
The Material WAS WAS NOT The Material Tested _,)MET DID NOT MEET THE
SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG.DEPT.OR DSA APPROVED DOCUMENTS.
REQUIREMENTS OF THE BLDG.DEPT.OR DSA APPROVED DOCUMENTS.
Remarks: Samples Tested in General Conformance with ASTM C-39
1 cc. City of Cupertino
1 cc. Hayes Group Reviewed By:
1 cc. SW Structural, Inc.
1 cc. Apple Computer Inc.
1 cc. XL Construction Robert(3reen
Concrete Lab Supervisor
Corporate Office-2811 Teagarden Street, San Leandro, California 94577- (510)835-3142- Fax (510)834-3777