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B-2016-1500CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1500 18790 HANNA DR CUPERTINO, CA 95014-3853 (375 29 045) BUILTEX rnXrrn ArIMT? OWNER'S NAME: ROESKY RICHARD D AND GHIASVAND I'ARZANEH OWNER'S PHONE: 408-808-9216 LICENSED CONTRACTOR'S DECLARATION License Class B Lic. #2Z63A2 Contractor BUILTEX CONTRACTOR Date 09/30/2016 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: 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 ,,. perfbrmance of the work for which this permit is issued. z ' 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. 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 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said CityJin consequence of the granting of this permit. Additionally, the applicant oyperstands and will comply with all non -point source regulations per the Apertino Municipal Code, Section 9.18. Date 11/08/2016 I hereby affirm that I int exempt from the Contractor's License Law for one of the following two reasons 1. I, as ovine 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) 2. I, as owner of the property, am exclusively contracting with licensed- contractors icensedcontractors to construct the project (Sce.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: a. 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. 2. 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. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 11/08/2016 JOSE, CA 95110 ISSUED: 07/05/2016 NO: (408) 439-2226 BUILDING PERMIT INFO: BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCLAU, JOB DESCRIPTION: ADD 2ND STORY (554 S.F.) TO CREATE 2 (IS) BEDROOMS & 2 (I) BATHROOMS, REMOVE ENTIRE 1 ST FLOOR ROOF SYSTEM TO LOWER CEILING FRAME & RE -ROOF (E) 11 SQ'S, REMODEL (E)140 S.F. KITCHEN, REMODEL FAMILY ROOM (253 S.F.). REMODEL 213 S.F. REAR BEDROOMS TO CONVERT TO DINING ROOM AND ENLARGE CORNER REAR BEDROOM. ADD STAIRWAY LEADING TO PROPOSED SECOND FLOOR (55 S.F.). ADD (N) HVAC IN GARAGE REV # 1 CHANGE FRONT PORCH ENTRY & BACK DOOR/TWO WINDOWS - ISSUED 11/8/16 Ft Floor Area: 554 }Valuation: $180000.00 APN Number: Occupancy Type: 375 29 045 Deferred Submittal (R -3),R-3 (Custom) { PERMIT EXPIRES IF WORK ISNOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: RE -ROOFS: 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.. Signature of Applicant: Date: 11/08/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material Additionally, should I use equipment o devices which emit hazardous air contaminants as defined by the Bay Area Air uality Management District I will maintain compliance with the Cupertino ncipal Code, Chapter 9.12 and the Health & Safety Code, Sections Spy; 25533, and 25534. Owner or authorized agent/ Date: 11/08/2016 hereby affirm that there is a constructs n lending agency for the performance of works for which this permit is issue7lSec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. xf CUP ER.T (N0- I7 -,xv; rnxc� T .r n T CC 1[STRICTtON PERNUT APPLICAT[ON Com,mUN7Y. DEVELOPh/TENT DEPARTMENT • BUILDING DIVISION 10300 T ORRE AVENUE CUPERTINO, CA 95014-3255 (� (408) 777-3228 - F,',' (408)777-3333 - buildino(c�cuoertino.org A Tl7)TTTln1,3 1 I IT 1-0 e •'i'inwi ; -ri r t: ^r.r�.+ i - - - 1 - .. 1J � / /mit_ BId��pp_2011.doc revised 05/11%11 PROTECT DDR.=SS t /^' 14 q% /®� n (ry' $(eJ p (\\ Q OR cR? Vii\ 'P z P30?vT_('6e-j 0?�2 c_ ialL ST=ADDRESS CITY; STATP,;ZiP I FA—' . n K, ' 1 r 1 VI STREET " � 4 CITY; TATE, ZIP I -11 t ' __� F�3 g4 OF.^ ❑ 0\i ,`2-BL'TDER ❑ O1V.N7 AGc,'r ❑ CO>\ZRACTOR ❑ CONTF CTOR AGTT ❑ A CT ❑ LX'GLT`-�7M- ❑ DEN ELOPER ❑ i=XANT CO .4CTORnVI c LICTSfE ZNBER 1-7Y LIMNSE TYPE BL`S. LIC r 1 to bL C1. C O\ e Tpl„E 9 i e-a-iA i I LA e- 4 1 ON ` t\�^ rL I FAX ST ET DP --S Z % V.D'Y' CiIY;STAT-.ZIP C� A: IEME?MKNEER?c iE LICE SE- ?\ ^(3ER I BUS. LIC= C O4?vY jn J E- i TI, Q FF_X : I CITY, STATE, _TIP ST T ?T,r I PHONE DESCRPPTIOI ' WOR fl i✓ �.C/C6r�.✓cl -- � 1 uj EXISTNG USE - PROPOSED USE CONSTR. i-�FEi .= STOPStS _ I USE T7 -PE OCC. I SQ. T. I VAL.IaTIO?` (S) EXISIG kMW FLOOR DE1.50 TOTAL .AREA Fa I ARLA. I KET A -EA I BAT 00M CFEN OTrER . - P=- 4DDEL;iREh I PEMODELAKE-A RE140DELAR=A I. i I PORCr.'-`h DECKARIA TOT_A1DECKTORCHAREA GARk0BARES: ❑DETACH I ❑ATTACH I. M\ 1112,\G UOTS: IS.4 SECO\D '❑ 1tIT _S SECOND STORY - ❑ YES I BELNGADDED E]NO ADDITION? ❑?�O PR_ °t IC• T, N ❑ _-cS Ii, !IS: PROVIDEE COPY OF ISTHE BLDG LN ❑" RC TOTAL VALUATION: PL.A.�TG.4??L ❑\0 PT.�=-','\L'\G.=3PR0\'ALLTFA I EICHLERHO.,1E? ❑. 3y my si---na u;e belga,, I ce, to each of the i llo , i 2: i zn to prope.i e�ner or lIe zed .nt to act o� - P e j otiDers b=hz.i. -=ad this L application and the ira^bmnation I have p.o��ide _s coT-ect. I have read zhe Description of Worl, and `�e:" ccurate I egee to comply with all a plicz' Ie local ordinances and state lzy,s relo.i-ia to build;. ns c` n. I auuhorize r„presen`ati` es of Cope: Lino to enter the 2bo� e -Toe -,tined p gperj for nspection Du;poses. r SiEna-areofAppliea-nt/Azent: Date: ^- SUrPLE?�ZEl\T L _ A2.� TION REQtI 1Rl_D CF_ECK T3`P£..... j h P,OLTI G SLIP.n Ne iI SFD or MW)Itir-nhil; d« e11 •, gs Appy for d. io4uen y rnnit for 1.� io. ,iss_cnce ODmoitionp-rim -Q..i� bLij-'iQ �.`:1_tu.`=• b�i)�...�(S). i = v ER Ti-;E.-COL-ITEF. LDI1G Per,t Mr ne•,v building. J SPRE�s � PLa�"\II\GPLa_'\ REQ IE\i :.nic-C.2) 3id� PrO�'•de 8 CC ni ed I7_Zcrd011S?�ate7__l �iSCICqt.-- Cc..I] ST D tiD F BLICi'0123 re used 2s vE^ CT Ili•_ P_Oj' Copy of PICC IlinQ Approval Le—, --r or l icetina with PlanIiina prior to � T�LaJOR � �P.1 � Stbnllli�al OI �� ?)dlna P..niiit application, Sa_'\IT SEZ�'rRDI�TRICT BId��pp_2011.doc revised 05/11%11 CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTORS PERMIT NO: B-2016-1500 18790 HANNA DR CUPERTINO, CA 95014-3853 (375 29 045) BUILTEX CONTRACTOR SAN JOSE, CA 95110 OWNER'S NAME: ROESKY RICHARD DAND GHIASVAND FARZANEH DATE ISSUED: 07/05/2016 OWNER'S PHONE: 408-838-9216 PHONE NO: (408)439-2226. LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic. #Q Contractor BUILTEX CONTRACTOR Date 09/30/2016 X BLDG ELECT PLUMB — — — X MECH X RESIDENTIAL— COMMERCIAL 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. JOB DESCRIPTION: ADD 2ND STORY (554 S.F.) TO CREATE 2 (N) BED OOMS & 2 I hereby affirm under penalty of perjury one of the following two, declarations: BATHROOMS. REMOVE ENTIRE IST FLOOR RO F SYSTEM TO is I have and will maintain a certificate of consent to self --insure for Worker's LOWER CEILING FRAME & RE -ROOF (E) 11 SQ'S. REMODEL (E) 140 Compensation, as provided for by Section 3700 of the Labor Code, for the S.F. KITCHEN. REMODEL FAMILY ROOM (253 S.F), REMODEL 213 performance of the work for which this permit is issued. S.F. REAR BEDROOMS TO CONVERT TO DINING ROOM AND 2. I have and will maintain Worker's Compensation Insurance, as provided for by ENLARGE CORNER REAR BEDROOM. ADD STA WAY LEADING Section 3700 of the Labor Code, for the performance of the work for which this `permit is issued. .TO PROPOSED SECOND FLOOR (55 S.F.). ADD (N HVAC IN GARAGE Sq. Ft Floor Area: 554 Valuation: $180000.00 APPLICANT CERTIFICATION 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 Niumber: Occupancy T)7pe: and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for 375 29 045 Deferred Submittal (R -3),R-3 (Custom) inspection purposes. (We) agree to save 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. PERMIT EXPIRES IF WORK IS NOT STARTED Additionally, the applicant understands and will comply with all non -point source regulations per the CuY�n�nicipal Code, Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED SPECTION, Signature Date 7/5/2016 Issued by: Abby Ayende OWNER -BUILDER DECLARATION Date: 07/05/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: RE -ROOFS: 1. I, as owner of the property, or my employees with wages as their sole All roofs shall be inspected prior to any roofing material beir g installed. If a roof is compensation, will do the work, and the structure is not intended or offered for .installed without first obtaining an inspection,) agree to remo a all new materials for sale (Sec.7044, Business & Professions Code) inspection. 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sce.7044, Business & Professions Code). Signature of Applicant: I hereby affirm under penalty of perjury one of the following three declarations: Date:57/ 7/ 016 a. 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by HAZARDOUS MATERIALS DISCLO RE Section 3700 of the Labor Code, for the performance of the work for which this I have read the hazardous materials requirements undei Chapter 6.95 of the permit is issued. California Health & Safety Code, Sections 25505, 2553 , and 25534. I will 3. 1 certify that in the performance of the work for which this permit is issued, I maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the Health & Safety Code, Section 25532(a) should I store or handle hazardous Worker's. Compensation laws of California. If, after making this certificate of material. Additionally, should I use equipment or devices which emit hazardous exemption, I become subject to the Worker's Compensation provisions of the au' contaminants as defined by the Bay Area Air Quality P lanagement District I Labor Code, I must forthwith comply with such provisions or this permit shall will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505,2502, and 25534. be deemed revoked. APPLICANT CERTIFICATION Owner or authorized agent: certify that I have read this application and state that the above information is Date: 7/5/2016 correct..I. agree to comply with all city and county ordinances.. and state laws CONSTRUCTION LE ING A: E relating to building construction, and hereby authorize representatives of this city 1 hereby affirm that there is a construction lending agen for the performance to enter upon the above mentioned property for inspection purposes. (We) agree of work's for which this permit is issued (Sec. 3097, Civ I.) to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands Lender's Address and .will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18, ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Signature Date 7/5/2016 Licensed Professional .............. .. CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 - buil dincAoupertlna,org �CtiP RTH40 ,,w�ryry - 13, Z-016- f 500 D NEW CONSTRUCTION $0 ADDITION L ALTERATIO'N / T1 M REVISION I DEFERRED ORIGINAL PERMTT 9 PROJECT ADARESS 011A'AME f PHONE j( Z4irje (qi*) LOO Z j E-MAIL4t J STREET ADDRESS tf V CITY, STATE, ZIP FAX CONTACT NAME V Q t 9 4 I Al _ PHON }} "} �}]� �'C� i E-MAIL C�Yy`t/ �i7 '' • �R i STREET ADDRESS a` A 1 gq f:(4 t + STATS, -VP 1vj '0. OWNER M OWNER -BUILDER OWNS A T CI CONTRACTOR. © CONTRACTOR AGENT ❑ ARCHITECT D ENGINEER 11 DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARtT Ii17 c' C LICENSE NUMBER SUS. LIC# LA COMPANY NAME. � r Li E-MAIL 1G 1� � ✓' W���`S.c+M FAX STREET ADDRESS ? CITY, STATE, ZIP Y/ e t a jJ -! U SC,tf (4 �j f `J i plioNE YW y DESCRIPTION OF WORK A .� rte- C.'A reevi C. Gt -1 V'& EXISTING U .-f.,� ���---ccc.��� 6i"It PROPOSED USE - CONSTR. TYPE # STORIES. >j USE TYPE; OCC. C•` SQ.FT. - VALUATION ($) EXISTO AREA NEWFLOOR AREA r DEMO AREA TOTAL (� - - - NETAREAi q0 - - - BATHROOM .. - IXIIEN REMODEL AREA REMODFL AREA Zoo /gODEL EER AREA ` PORCH AR9A DECK AREA. - ' TOTAL DECK/PORCH AREA GARAGE AREA: DETACH C -to 2-�TTACR - # DW LING UNITS; I ISA SECOND U: YES SECOND STORY ES BEINGADDED? 2,MO ADDITION? []NO " PRE -APPLICATION. ❑YES IF YES, PROVIDE COPY OF JSTHEBLDGAN PLATNINOAPPL# nNO PLANNINGAPP.ROVAi,L£TTER F.ICHLEREJOhiF.? Q. "- N: 0' By my signature below, I certify to each of the following: I am the property owner or authorized agent to act the prope �er's behalf. 1 hav read this application and the information I leave provided is correct, I haVe read the Description of Work and verify i 's accurat agree to comply with all pplieable local ordinances and state laws relating to b ' ' g s ruction. I a ore representatives of Cupertino to eut t _ e -identified property for inspec ion purposes. Signature of Applicant/Age ¢ Date: .» - SUPPLEM'TNTAL ]NFOR.MATION REQUIRED © OVER r�E CaU�IEu ❑ sutLnrG P x> vlEi� Nety SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building, ❑ EXPRBSS ❑ PLA��I\GP Ai\RE�IF�i Commercial Bldgs: Provide a completed Hazardous Materials Disclosure : ❑ STAnDAitD ;' -::' = ❑ PUBLIC F� OR foi`m if any Hazardous Materials are being used as hart of this project, L iRGE ❑ i IRE }}) PT u_ Copy of PIanning Approval Letter or Meeting with Planning prior to «'❑ I,Laaorc ❑ SAVITAR1iS R$R➢I5TRICT:°':' submittal ofBuilding Permit application. =' _ :`.La,:.E\i'IRO\tl4E TAL.HEA B1dgApp_2011,do revised OO121l11 1/1 WAA CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: TYPE OF CONSTR. I DATE: REVIEWED BY: JimADDRESS: APN: BP9: WALUATION: E0, �OO� *PERMITTYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? Yes (E) No 0 �OTC? 0 Yes )No PENTAMATION PERMIT TYPE: 1R3SFDADD WORK I SCOPE1 100 S.f. Re -roof r $187.00 1REROOFRES OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. () PC TEES PCFEE ID BP FEES BP FEE ID R-3 (Custom) 11-B,111-BjV,V-B 554 $2,654.00 JR3PLIVCK $1,666.00 IR3TNSP PME Plan Check: $0.00IF1, 100 S.f. Re -roof r $187.00 1REROOFRES Permit Fee: $1,666.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs, $0.00 L Mechanical $14100kMI�'R=<lao Furtiace, Forced -Air PME Unit Fee: $0.00 PME Permit Pee: $48.00 = # Mechanical $72.001 IBREM41R A/C Units (<--I OK ofin) TOTALS: 554 1 $2,654.00 $1,666.00 1: Mech. Plan Check 1 0.0 1 hrs R' •=:s rhe'ri, Mech. Permit Fee: IMPERA47TI I "'lovmif hee: I I 11"lei.. Pernw Other Mech. Insp. 10.0 1 hrs 1 $48.00 dt; .I , Othe, 1-Ir?C' J!,Iez-h. fiev- I Plwnb. "),FpP,tV. I Insp re�-.. NOTE. This estimate does not inchidef"w due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer Dlsrict, School — I TI G. __ I.- -..,I — -h, — '.6—f. P -1—i i1j" Mont fig Anddlill ZIjfL FEE ITEMS (Fee Resolution 11-053 Eff 7111132 FEE QTY/FE I ri,7—MISC ITEMS Plan Check Fee: $2,654.00 F-2-007 s.f. Remodel, Kitchen (<--300 si) $645.001 1REMRESKIT Suppl. PC Fee: (E) Reg. C) OT Q.Q hrs $0.00 PME Plan Check: $0.00IF1, 100 S.f. Re -roof r $187.00 1REROOFRES Permit Fee: $1,666.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs, $0.00 L Mechanical $14100kMI�'R=<lao Furtiace, Forced -Air PME Unit Fee: $0.00 PME Permit Pee: $48.00 = # Mechanical $72.001 IBREM41R A/C Units (<--I OK ofin) MPI TeTv., A,1M21`M.Y4'r?Ah_e 0 E) Work Without Permit? C) Yes (F)_ No $0.00 Advanced Planning Fc ]PLLONGR $77.56 Select a Non -Residential Building or Structure G 01 Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISHICR $23.40 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $8.00, S, ... 11LS ukT 4 524.96 $1,447.00 TOTALAVEeE $5,571."6 Revisel: 01101/201fj 1q, Estre-fla Civil Engineer 1138 Telfer Ave. * San Jose, CA 95125 * Phone (510) 378 —4852 July 19, 2016 City of Cupertino 10300 Torre Ave. Cupertino, CA 95014 Subject:. 18790 Hanna Dr. Al NO To Building Inspector: This letter is to inform you that the following items were confirmed to no longer be needed due to existing foundation conditions and can be eliminated: 1. The 30"x30" underpin footing at rear garage wall is not required. 2. T he 24"x24" underpin footing at left interior garage wall is not required. 3. The 18"x18" & 24"x24" footings at kitchen shear wall are not required. 4. The 30"x30" footing at interior entry corner along the hall wall &'Vvalk-in closet is not required. Sincerely, Sandra Estrella I � Civil Engineer C 58921 Sandra Esttella FILE Civil Engineer f ELaz 1138 Telfer Ave. * San Jose, CA 95125 Phone (510) 378 —4852 September 27, 2016 City Of Cupqdim� 10300 Torr Ave. Subje0t: 18790 Hanna IR This letter is to inform you that the following epoxy connections were inspected and found to be in conformance with the approved plans and per ICBO ER -5279 epoxy connection process. The threaded anchors at HDU2 type holdown locations. Sincerely, Sandra Estrella Civil Engineer C 58921 �A ESTiELUE3IGN.COMn ' Sandra Estrellai�1 ILE Civil Engineer 1138 Telfer Ave. * San Jose, CA 95125 * Phone (510) 378 —4852 October 12, 2016 City of Cupertino 10300 To Cupertin 9501 To 8,uilding Inspector: This letterls to -inform you that the following were inspected and found to be in conformance with the approved plans: 1. The shear nailing for shear walls. Sincerely, Sandra Estrella Civil Engineer C 58921 CUPERTINO CONTRACTOR/ SUBCONTRACTOR T,T.qT Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS:4,014a. it ` PERMIT # OWNER'S NAME: < oF NE # GENERAL CONTRACTOR:nof F. BUSINESS LICENSE # ) ADDRESS: ..__ . . CITY/ZIPCODEI —.._ .uu IFa1 L UUV , equu CN all uusinesses worKing 1n the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE -SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCON RACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: �,) � .— Signature Date Please check applicable subcontractors and- omplete the following information: Owner / itractor Signature A Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / itractor Signature A Date