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B-2016-1268NON CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-1268 21800 ALMADEN AVE CUPERTINO, CA 95014-2804 (357 15 035) ARENA CONSTRUCTION INC SAN JOSE, CA 95125 OWNER'S NAME: HESTIA HOMES DATE ISSUED: 08/04/2016 OWNER'S PHONE: 408480-9506 PHONE NO: (408) 960-6461 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #792432 Contractor ARENA CONSTRUCTION INCDate 03/31/2017 X BLDG —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: CONSTRUCT 2 STORY SFD WITH ATTR 3555 S.F.) CHED I hereby affirm under penalty of perjury one of the. following two declarations: GARAGE (436 S F 1. I have and will maintain a certificate of consent to self -insure for Worker's i Compensation, as provided for by Section 3700 of the Labor Code, for the �jperformance of the work for which this permit is issued. �2,/ I have and will–maintain Worker's Compensation Insurance, as provided for by /f !u Section 3700 r Code, for the performance of the work for which this e per22d Sq. Ft Floor Area: 3991 Valuation: $800000.00 APPLICANT CERTIFICATION certify thati this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 35715 035 Deferred Submittal (R -3),R-3 (Custom),R-3 representatives of this city to enter upon the above mentioned property for (Custom),Deferred Submittal (R-3),Deferred Submittal inspection purposes. (We) agree to save indemnify and keep harmless the (R-3),Deferred Submittal (R-3),Deferred Submittal (R - City of Cupertino against liabilities, judgments, costs, and expenses which 3),Dcferred Submittal (R-3),Deferred Submittal (R - may accrue against said City in consequence of the granting of this permit. 3),Deferred Submittal (R-3),Deferred Submittal (R - Additionally, the applicant understands and will comply with all non -point 3),Deferred Submittal (R-3) source regulations per the Cupertino Municipal Code, Section 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED jgnat, -- - _Date /4s /201 WITHIN 180 DAYS OF PERMIT ISSUANCE OR OWNER -B Trr D R DECLARATION 180 DAYS FROM LAST CALLED INSPECTION. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: Issued by: ABBY AYENDE 1. 1, as owner of the property, or my employees with wages as their sole Date: 08/04/2016 compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1tE-ROOFS: z. I, as owner of the property, am exclusively contracting with licensed All roofs shall be inspected prior to any roofing material being installed. If a roof is contractors to construct the project (Sec.7044, Business & Professions Code). installed without first obtaining an inspection, I agree to remove all new materials for I hereby affirm under penalty of perjury one of the following three declarations: inspection. 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 Signature of Applicant: performance of the work for which this permit is issued. Date: 8/4/2016 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIALS DISCLOSURE shall not employ anyperson in any manner so as to become subject to the I have read the hazardous materials requirements under Chapter 6.95 of the Worker's Compensation laws of California. If, after making this certificate of California Health & Safety Code, Sections 25505, 25533, and 25534. I will exemption, I become subject to the Worker's Compensation provisions of the maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Labor Code, I must forthwith comply with such provisions or this permit shall Health & Safety Code, Section 25532(x) should I store or handle hazardous be deemed revoked. material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I APPLICANT CERTIFICATION will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I certify that I have read this application and state that the above information is the Health & Safety Code, Sections 25505„ 25533, and 25534.. correct. I agree to comply with all city and county ordinances and state laws to building hereby this relating construction, and authorize representatives of city to enter upon the above mentioned property for inspection purposes. (We) agreeC Owner or authorized agent: to save indemnify and keep harmless the City of Cupertino against liabilities, Date: 8/4/2016 , judgments, costs, and expenses which may accrue against said City in N T LE ING AGENCY consequence of the granting of this permit. Additionally, the applicant understands 1 hereby affirm that there is a construction lending agency for the performance and will comply with all non -point source regulations per the Cupertino Municipal of work's for which this permit is issued (Sec. 3097, Civ C.) Code, Section 9.18. Lender's Name Lender's Address Signature Date 8/4/2016 ` ARCHITECT'S DECLARATION I understand my plans shall be used as public records. CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING D1V1 iuN 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 C/j1,�lPERTINt7 (408)777-3228'T FAX (408) 777-3333 • buildinaCa.cupertino.o� \��� r-- �� / � t � ,.• �RI MPIXT lYIATQ TDI TrIPMM M w l-1 . r"1 1 (� _l�j..__...... _ ,. ,. ,,. r „ u ? 1�©� jMGe/�v. iccvicrvry t U rh1LK ✓ll UXIUINNA`L FERNUT # APN# ✓ / 3!;-7- jJ p 7 7 FPRESS E ReSf!�6.41 ' S L 1 � PRONE .. E-MAIL ESSJI4.� (iR 11 jJ CITY, STATE, ZIP l ) r f 1f cr5-03� 4 ( FAX -. CONTACT NAME/jam l U / PHONEyat ryv��''t�%{7 E -MAI gg 'nC{ (8,7a R400.00M ) /� 400 +� STREET ADDRESS Q Q •I} "4110A 24 f j' j� -� 24"r'1/!❑�' CITY, STATS, ZIP p/ r , f -1 13l 4 175o 3 FAX OWNER ❑ OWNER -BUILDER 13 OWNERAGENT CONTRACTOR ❑ CONTRACTORAGENT❑ ARCHITEEcT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME LICENSENUMBER LICENSE TYPE BUS. LIC# COMPANY NAME E-MAIL - - FAX STREET ADDRESS CITY, STATE, ZIP : PHONE rr ARCIIITECT/ENGINEBRHAME r Ate A tknn { C a r j1j LICENSENUMBER �.� f � BUS. LIC # COMPAIVYNATvIE ITOh'Ie CC JI rC� i'7CC E-MAIL �a v+2' eC'?"e �o r�► 4,1. C p STREET ADDRESS (9 J' (pt M f CITY, STATE, ZIP ) PI•IONH DESCRIPTIONOP WORK. EXISTINGUSE` {� S(�-R PROPOSED USE CONSTR TYPH V 13 # STORIES Z • USE - TYPE OCC. SQ,FT. VALUATION {$) AREAEXISTG i 13 AARREA LOOR5-�4 DEMO ✓ 2 TOTAL NET AREA BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER REMODEL AREA PORCHA#rRBA DECK AREA TOTALDBCK/P!ORCHAREA GARAAGEAREA: DETACH C9 B'7�ETACIJ - - - t/DWELLINGUNITSt. ISASECONDUNIT❑YES j BEINGADDED? Ar- t SECONDSTORY MYES ADDITION? - PRE -APPLICATION jEfTES IF YES, PROVIDE COPY OF PLANNINGAPPL# ❑NO PLANNING APPROVAL LETTER ISTHEBLDGAN ❑Y EICHLER HOME? p RECE! TO. LVALU�TION;_{ 1Vi � IO 000 By my signature below, I certify to each of the following: I am the property owner or authorized agent to drop owner's behalf. I have read this application and the information I have pr vided is correct. I have read the Description of Work and v - �+-it` 9rccburata. I agree to comply with ail applicable local ordinances and Slate laws relating to ioriz resentaiives of Cupertino to enter the abov identifie for inspection purposes. �iOnstr�iOu, !property Signature of ApplicantlAgent. Date: / SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECKTYPE ROUTING SLIP ❑ OVER -THE COUNTER El BUILDING PLAN REVIEW _ New 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. ❑ EXPRESS 0 PLANNINGPLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 11 STANDARD i] PUBLIC WORKS form if any Hazardous Materials are being used as part ofthis project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to of Building Permit application. ©xrAaaR 11 SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgrApp 2011.docrevised 06121111 OVER ;sem SOO PROJECU SINCE 1986 *CALYFORNIA SMALL SUt1 3001 Winchester Blvd Suite I I * Campbell, CA 95009 * Phone- 40 email: kenw@wilsonlandsurveys.wm web: --iK Date:, Jurisdiction: tg a -T? A o Subject Address: C2 0 t ("' - I'a ('0 6 #59923 -7687 Wilson Land Surveys Inc. has measured the location, of the, forms set for the concrete foundation onthe, above mentioned project. The forms were placed in the following positions: Minimum *ft Setback per plans: 14-150 Measured Setback-, 570 Minimum Left Side Setback per plans: ' 0, 0 Measured Setback: c , /7 Minimum Right Side Setback per plates; Measured Setback: ZZ 4�5 Minimum *W Setback per plans: Measured Setback: :4 The finish floor elevation of the building per the plans is The measured finish floor elevation is -!� �.-o . Sincerely, Ken Wilson Licensed Land Surveyor FRANK LEE & ASSOCIATES GEOTECHNICAL CONSULTANTS (} K iC}TENAI COURT, "I E iO r CALIF IA 539 (510)676-58 t August- 5, 220_i6+ -y Uob.No: FR239` S2 -L2 Ms. Zhimei Wiz Hestia Nome's 880 Aaron Park Drive Milpitas, California. 95ii35 SUBJECT . • PflUNDATION EXCA7VA ION INSPECTION Proposed Two --Story Residential Building 21800 Almaden Avenue Cupertino, California Dear Ms. Zhi mei Wu: This letter is to confirm that we have inspected the foundation excavation for the proposed two-story resibuilding of the subject site. Our observation indicated that the condition observed during construction are ;generally in agreement with the city of Cupertino approved plans were based and the recommendations contained in our Foundation Recommendation report. The soil conditions are adequate for the proposed two-story residential building. We appreciate the opportunity to work with you on this project . if you have any questions or if we can be of any further service, please do not hesitate to call. Thank you. Very truly yours, FRANK LEE & ASSOCIATES �ctz?k Lee Professional Engineer 34975 FRANK LEE 4 ASSOCIATES GEOTECHNICAL CONSULTANTS ,. 1() KOOTENAI COURT, FR.EMONT, CALIFORNI (510)616-5859 16 August 5, 2016 job No: FR239-S2-L1 ms. Zhime,i Wu Hestia Homes 880 Aaron Parc Drive Milpitas, California 95035 SUBJECT: INSPECTION OF BUILDING PAD COMPACTION Proposed Two -Story Residential Building 21800 Almaden Avenue Cupertino, California Dear Ms. Zhimei Wu This letter is to confirm that we provided inspection and testing during grading operation of the building pad compaction for the proposed two-story residential building at the subject site. The results of the field density testing performed by our firm included that a, minimum of go percent cif relative compaction was achieved on the building pad. We appreciate the opportunity to work with you on this project= if you have any questions or if we can be of any further service, please do not hesitate to call. Thank: you. very truly yours, FRANK LEE, & ASSOCIATES Professional Engineer 34975 C'I E MEN`S ENGINEERING Keporr imoies: General Daily Field Report Date: 8/23/2016 Project No.: 2806 Client: Arena Cons. Permit No.: B-2016-1268 Project Address: Cupertino* Page #: 1 of 1 *The job site located in: 21800 Almaden Ave, Cupertino, CA, 95014. The job site was visited on 8/23/16 at 12:30 in order to observe the progress of embedding the bolts into the new footing according to the following description: (46) %"x12" all threaded rods were embedded 6" into the W holes along new footing by using. SIMPSON SET -XP epoxy with expiration date on 1/28/18. All holes were cleaned by brushing and blowing up. In general, the inspected scope of work was in compliance with plan sheet 1S1 dated on 8/20/15 and revised on 3/10/16 and also detail #4 in plan sheet SN dated on 8/20/15. Discrepancies: Corrections: Reported by: Amir Moayedi. Signature: Inspection time from: :12:30To: 13:30 Form#: 1-12 Date Prepared: 9/20/2014 Revision No:1 Revised: 6/23/2016 Address: 2455 Autumnvale Drive, Unit E, San Jose, CA 95131, Ph (408) 217-9174, Fac: (408) 217-9632, www.achieveng.com 0 San Jose Water Company 1265 S. Bascom Ave. San Jose, CA 95128-3514 February 6, 2017 Joe Arena Arena Construction 1407 Koch Lane San Jose, -CA 9,5125: Reference: 21800 Almaden Avenue, Cupertino Dear Mr. Arena: 0 k Q7, - I 'p- (,- k Facsimile: 11408 279-7889 Writer's Direct Dial: 1408 279-7983 Thank you for submitting a water service questionnaire for this project. The purpose of this letter is to inform you of the procedures you need to follow to finalize I the installation of a new water service for this project. You will be required to hire a contractor to perform the service installation work to our standards and under our inspection. It is suggested, but not required, that you contact one of our general contractors to have this work performed. They are West Valley Construction at (408) 371-5510, and Lewis & Tibbitts at (408) 925-0220.1 In any case, your contractor must possess a valid license to perform this type of work, and must obtain a permit from the City of Cupertino to perform the work. I I Based on the data that was provided, including a 27.37 GPM demand Ifor the fire -sprinkler system, our Engineering Department has determined that a 1 1/2" copper sI i ervice s required for this house. Also, the piping from the meter to the house should be 11/2' in size. By copy of this letter, we are informing the City of Cupertino --of our- determination, and have enclosed our standard service drawing that details an approved installation: The meter �', (service connection) defines the point at which you receive service, and the point where the owner's piping begins. The owner of the property is responsible for all piping and equipment past the check valve. If you would like to proceed with the service work, please sign, date, and return the copy of this letter with a construction deposit as discussed below. Also include the I address where the monthly billings should be sent. Monthly billings start when'the meter is installed, and a copy of our rate schedule is enclosed for your information. You must submit a deposit in the amount of $1,103.00 to cover the cost of our reviews and inspection, and the purchase and installation of the new meter and checki valve. 1866 2016 150 Years of Service to the Comr1im* Joe Arena February 6, 2017 Page Two At the appropriate time, you will need to provide our Construction Department at least one i - week notice for inspection services. Your contact here will be Daryl Lambert, who can be. reached at (408) 279-7830. A San Jose Water Company inspector must wi I tness the actual tap of the water main. Once the service lateral and meter box have been installed and approved, we can install the meter at your request. If you have any questions, or require further information, please contact me at (408) 279- 7983. Sincerelv, JC:bt Enclosures FIP#17-029 cc: Building Department, City of Cupertino ACKNOWLEDGED AND AGREED Jay Coito Water Services Representative MONTHLY BILLINGS TO: Responsible Party Name Signature Address Print Name city Date Phone Number