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B-2016-1220 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PE RMI NO:B-2016-1220 22460 ST ANDREWS AVE CUPERTINO,CA 95014-3961(356 03 002) J T K BUILDERS SAN JOSE;CA 95122 OWNER'S NAME: MCCORMICK GBENJAMIN DATEISSUED:04/22/2016 OWNER'S PHONE:302-540-0885 PHONE 0:(408)426-1682 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO. License Class la Lie.#766021 Contractor J T K BUILDERS Date 03/31/2017 X BLDG X ELECT _PL I hereby affirm,that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ADD 519 S.F.TO CREATE N BED/BATH ROOMS&EXTEND I hereby affirm under penalty of perjury one of the following two declarations: DINING RM.ADD 2(1)CO RED PORCHES(247 S.F.)REMODEL 1. I have and will maintain a certificate of consent to self-insure for Worker's (E)HOUSE(1306 S.F.),REMODEL 2(E)BATHS(135 S.F.,REMODEL Compensation,as provided for by Section 3700 of the Labor Code,for the KITCHEN(157 SF),RE-ROOF(E)20 SQ'S,UPGRADE PANEL performance of the work for which this permit is issued. (200AMP) 6 2._ I have and will maintain Worker's Compensation Insurance,as provided for by", REV#1-REVISE STRUCTUI LAL DRAWING FOR SHEAR WALL& t Section 3700 of the Labor Code,for the performance of the work for which this CEILING BEAMS-ISSUED 8117/16 permit is issued. TII+T AT ON Sq.Ft Floor Area:766 Valuation:$292500.00 APPLICANT CER 1 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 APN Number: Occupal cy Type: and state laws relating to building construction,and hereby authorize 356 03 002 Deferred Submittal(R-3),R-3(Custom) representatives of this city to enter upon the above mentioned.property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES WORK IS NOT STARTED ' may accrue against said City in consequence of the granting of this permit. Additionally,,the applicant understands and will comply with all non-point WITHIN 180 DAYS F PERMIT ISSUANCE OR source reguaonper he Cupertino M cipal Code,Section 9.18. 180 DAYS FROM LAST�CALLED INSPECTION. Signature', Date 08/17/2016 Issued by:ME Dater 04/22/201 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is i. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an i spection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(See.7044,Business&Professions Code). Date:08/17/2016 "- I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self-insure for Worker's ALL ROOF COVERINC S TO BE CLASS"A"OR BETTER Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. HAZARDOUS ATER SCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous matei'als requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cu ertino Municipal Code,Chapter 9.12 and the s. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section.`5532(&)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material.Additionally,should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If,after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I exemption,I become subject to the Worker's Compensation provisions of the will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and Labor Code,I must forthwith comply with such provisions or this permit shall the Health&Safety Code,Se tions 5505,25533,and 25534. be deemed revoked. APPLICANT CERTIFICATION Owner authorized agent.'; Date:08/8/17/2018 I certify that I have read this application and state that the above information isCONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal , Code,Section 9.18. I understand my plans shall be u ed as public records. Signature Date 08/17/2016 Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING D1VIS1 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 CUPERTtNC3 (408)777-3228•FAX(408)777-3333•buildina cu e hmlo.or , ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI tS RIS 0 /DEFERRED ORIGINAL PERMIT# tCP r PROJECT ADDRESS-n OW NER NAME n n C PHONE E-MAI STREET ADDRESS ��, S �� �W� B� CITY,ST ATE,ZIPJA)L or FAX CONTACT NTAMEPHONE �i j chF e cl` �C�Z End .1C.�VIGG9*c��G! • c I�(.cam..,, STREET ADDRESSL ZcCo(> ¢ /L e CITYGE,Z -t � C3 i FAx OWNER ❑ O)A-NER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CON7RACTORAGENT ❑ ARCHITECT ENGINEER ❑ DEVELOPER. ❑ TENANT CONTRACTOR NAME �^p� LICENSENUMBER LICENSE TYPE BUS.LIC 1; V l I Cs( e COMPANY NAMEC>C E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR.TYPE 1 x STORIES -USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR -DEMO TOTAL _ AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER - - - - - -REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑DETACH - ATTACH DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES: BEING ADDED? ❑NO ADDITION? ❑NO - PRE-APPLICATION ❑YES IF YES;PROVIDE COPY OF IS THE BLDG AN ❑ r ED Hy TOTAL VALUATION: PLANNLI'GAPPL# ❑.NO PLANNING APPROVAL LETTER EICHLER ' ^; By my signature below,I certify to each of the following: I am the property owner o orized agent to act on the prope owner's beha ve read this application and the information I have provided is correct. I have read the Description of\7ork and verify it is accurate. I ag ee to comply with all applicable local ordinances and state laws relating to b 'ding cAns,truction. J, thorize representatives of Cupertino to enter the above-identil led property for inspection purposes. Signature ofApplicant/Agent: Date: o t —1 SUPPLEMENTAL INF ATION REQUIRED � " <•�ti...PL{�CHECKT'IPE ._,k,:,. - ROUTING`SLIP ,,,�,�; New SFD or Multifamily dwellings: Apply for demolition permit for 5 k OVER IHE COULTER ❑ BUII DING PLAN RE3TE�i existing buildng(s). Demolition permit is required prior to issuance of building , c permit for new building, EkPRESSa ❑ ?LAN�INGPLANRE�IEl3 � g _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTANDRD ❑ 'tisilc SVoRLs To— if any Hazardous Materials are being used as part of this project. v r, LARGE ` ❑,FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to 3 submittal of Building Permit application. ©x ` ' t ❑ s �rrARi sERERDISTRICT a >,.. _ ❑ n'IRONii�vTa gEALTH BldgApp_�011.doc revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1220 22460 ST ANDREWS AVE CUPERTINO,CA 95014-3961(356 03 002) J T K BUILDERS SAN JOSE,CA 95122 OWNER'S NAME: MCCORMICK G BENJAMIN DATE ISSUED:04/22/2016 OWNER'S PHONE:302-540-0885 PHONE NO:(408)426-1682 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#766021 Contractor J T K BUILDERS Date 03/31/2017 X BLDG X ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ADD 519 S.F.TO CREATE(N)BED/BATH ROOMS&EXTEND I hereby affirm under penalty of perjury one of the following two declarations: DINING RM.ADD 2(N)COVERED PORCHES(247 S.F.)REMODEL t. I have and will maintain a certificate of consent to self-insure for Worker's (E)HOUSE(1306 S.F.),REMODEL 2(E)BATHS(135 S.F.,REMODEL Compensation,as provided for by Section 3700 of the Labor Code,for the KITCHEN(157 SF),RE-ROOF(E)20 SQ'S,UPGRADE PANEL performance of the work for which this permit is issued. (200AMP) 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 permit is issued. Sq.Ft Floor Area: 1532 Valuation:$292500.00 APPLICANT CERTIFICATION 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 56 Number: Occupancy Type: 3 and state laws relating to building construction,and hereby authorize 356 03 002 Deferred Submittal(R-3),R-3(Custom) representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations er Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAT ALLED I PECTION. nattxr Date 4/22/2016 Issued by:Alex Vallelunea Date:04/22/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) z. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:4/22/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. 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. HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. 1 will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cu rtino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code, cti ns 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. _Owner or authorize tr APPLICANT CERTIFICATION li'l.ate GOTi I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 4/22/2016 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE r CUPERTINO,CA 95014-3255 CUPERTINO 1 (408)777-3228•FAX(408)777-3333 r buiiding0pcupertino.ora � ZO I Z Z 0 ®.NEW CONSTRUCTION tK ADDITION ❑ALTERATION/TI ® REVISION/DEAEMIb ORIGINAL PERMIT.# PROM"A DRESS APN# Q-6-002- a OWNERNAMB PHONE �y E-MAIL STT�REETAD Rffi3 CITY,STATB,zip FAX G UW kJAlue . Z NTACT NAME PHONE E MAIL S 6 D SS CITY,STATE,ZJP FAX d OWNER 13 owNEit-Bumnm ❑OwNERAGENT 13 CONTRACTOR CI CONTRACt'ORAGENT ARCH1T5CT ❑ENGINEER 13 DEVELOPER ©TANANT CONTRACTORNAME LICENSE NUMBER LICENSETYPE BUS.LICH COMPANYNAME WMAIL FAX STREET ADDRESS CITY,STATE,zIP PRONE ARCHI TJBNOINEER AME LICENSE NUMBER /' BUS.L1C# COMPANvN"=^- E-MAIL 1 J FAX STREET C RESS L CITY,STATE,ztPAr-- aA o PRONE" 11(0-151.W4 A(p , DESC IPTION Oil WORK l � r�Q Ido 19 Co XIsrw'o USE PROPOSED USE CONSTR.TYPE STORIES -IN E SaIN LGRHL \JV> (� /► W 5 EW FLOOR DEMO TOTAL REA EXISTG NAREATRAARA0 , 5 Dr J , CN BATHROOM MTCHEN OTHER REMODEL AREA PIMODELAREA RRMODELAREI S r PORCiIAREA DEC$ARBA ALD RRA •'•"'^^" DETACH Od�lfS! 2 OR ?` ATTACH 4 DWELLINO UNITS: IS A SECOND UNIT YES SECOND STORY YES BEINGADDEDYii0 ADDITION? O _-- PRE-APPLICATION 39YO IF YES,PROVIDE COPY OF IS THE BLDG AN ���YES--�- •R F- - TOTAL VALUATION: , PLANNING APPL I) nNO, PLANNING APPROVAL LETTER EICHLER HOA/F.? fes:" � •/1 oa 1 r 5-00 By my signature below,I certify to each of the following: I am the property owner or authorized a f on the property owner's behali have read this application and the information I have provided is correct. I have read the Description of Work and verify it is aucutate. I agree to comply with all applicable local ordinances and state laws relating to uilding construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes, Signature of Applicant/Agent: Date: SUPPLEMENTA NFORMATION REQUIRED PLAN CIWAX TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition pen-nit for ❑, ova-'I'11H-CoUNTgR D BUILDING PLAN REvnlw existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Cl .srANOARD ❑ Punue-W- Oms farm if any Hazardous Materials are being used as part of this project. ] LARGE ❑ FIRIMPT XCopy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. Q MAJOR SANITARY 3E91+ER DISTRICT la uNVIRONMENTALHEALTrr S7dgApp 2011.doc revised 06/21/11 CITE' OF CUPERTINO FEE ESTMATOR-BUILDING DIVISION ADDRESS: .22460 ST ANDREWS AVE DATE: 0112012016 REVIEWED BY: MELISSA APN: 356 03 002 BP#: B-2016-1220 VALUATION- $292,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex 2nd Unit? ' Yes (D No PENTAMATION 1 R3SFDADD USE: OTC. 0 Yes (D No PERMIT TYPE: WORK ADD 519 S.F. TO CREATE N BED/BATH ROOMS & EXTEND DINING RM. ADD 2 N COVERED SCOPE PORCHES (247 S.F.) REMODEL (E) KITCHEN (147 S.F.), 2 (E) BATHS (132 S.F., RE-ROOF (E) 20 p TYPE OF FLR AREA OCCUPANCY TYPE: CONSTR. (s.L) PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,N,V-B 766 $2,654.00 IR3PLNCK $1,666.00 1R3INSP TOTALS; 766 $2,654.00 $1,666.00 _ No PLUMB,H� IRLY es :_ N:ti IC,I�EOUR ;Y tbTecJi. Plan t`"rickPlujub. !T(ost Check Elec,Plan Check 0.0 hrs $0.00 1.1—Ifech, Plua)b. i'i:'7'11J1t Fee: Elec.Permit Fee: IEPERMIT _L_ CliJa<�':t1� h.Iu;p. F-1 Orher.t'lunrJrlrrs,�. ED Other Elec.Insp. 0.0 hrs Plumb..l isp,Fee: h"leo. /12.5p. I- e: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Server District,School District,etc. . These ees are based on the preliminar information available and are only an estimate. Contact the Det for addn'l info. FEE ITEMS CFee.Resolution 1.1-053.E . 7111131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 999 s. . Remodel, Other Suppl.PC Fee: •? Reg. OT 0.0 hrs $0.00 $647.00 ]REMM, OTH PME Plan Check: $0.00 = # Window/Sliding Glass Door Permit Fee: $1,666.00 $431.00 1 WAIREP Replacement SuppI. Insp,Feer Reg. OT 0 0 hrs $0.00 2,000 s.£ Re-roof PME Unit Fee: $0.00 $340.00 1RE,R0OFRES PME Permit Fee: $48.00 200 amps Electrical ('rnsirwion Tcrx: $48.00 IBELEC200 Services Work Without Permit? 0 Yes (D No $0.00 0 Advanced Ptanning Fee: IPLLONGR $107.24 Select a Non-Residential 0 Travel Documentation Fee: ITRAVDOC $48.00 Building or Structure Strom:Motion Fee: IBSEISMICR $38.03 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $12.00 66.0 :............_........ :.° QT;AL E $6 039.27 4 573.27 1 4 0 =:-:::....`: =:::-::.=._...:.. ........ , Revised; 01/01/2016 KURT McCORMICK, P.E. MEMORANDUM 001 PSC 103,Box 4603 May 05, X06 .. rl APO,AE 09603 (707)639—8686 �5p�t l Building Department City of Cupertino 10300 Torre Avenue Cupertino,CA 95014 re: Permit#B-2016-1220—(APN#356-03-002) 22460 St.Andrews Ave. Foundation Clarification Dear Building Official, As per the on-site inspectors request,this memorandum provides clarification regarding the placement of horizontal reinforcing bars in new concrete stem walls. Horizontal reinforcing bars should be#4's placed at a maximum of 12"o.c. as shown in Sections A/5-3,B/5-3,and D/5-3. Given that the overall foundation height(stem wall+footing)does not exceed 3'-0",three horizontal bars in the stem wall are sufficient. --- Respectfully, Kurt McCormick,P.E. KURT McCORMICK,P.E. MEMORANDUM 002 PSC 103,Box 4603 July 06,2016 APO,AE 09603 (707)639—8686 Building Department FILE City of Cupertino 10300 Torre Avenue — — L. Cupertino, CA 95014 Q� re:Permit#B-2016-1220—(APN#356-03-002) 22460 St.Andrews Ave. Beam to Post Straps and Grid`B' Shearwall Modification Dear Building Official, As per the on-site inspectors request,this memorandum provides information regarding the addition of Twist Straps at the Beam to Post interface in Bedroom#4 as well as the modification in length of the Grid `B' Shearwall in the Master Bedroom from 9'-0"to 8'-0". 1) Install(2)TSI 8 twist straps(Simpson)from the 5.25 x 11.25 Parallam roof beam in Bedroom#4 to the supporting king posts. Straps should be installed on both sides of the beam at both ends(4 straps total). 2) Modify the Grid`B' Shearwall in the Master Bedroom from `delta' 2 to `delta'3 and revise the tiedowns from`TD-2' to `TD-3'as per the attached SK-2. Also attached is revised calculation page 50 showing this modification. We hope this meets with your approval. Please advise if you have any questions or require anything further. Sincerely, Kurt McCormick,P.E. CUPERTINO . Building Department REVIEWED FOR CODE COMPLIANCE Reviewed By:SEAN HATCH Date: 08/17116