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B-2016-1947CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-19,47 10330 MENHART IN CUPERTINO, CA 95014-3631 (375 16 017) GRAND - NEST CONSTRUCTION SARATOGA, CA 95070 OWNER'S NAME: MENHART PRIME LLC DATE ISSUED: 08/30/2016 OWNER'S PHONE: 408-829-6083 PHONE NO: (408) 891-8059 LICENSED ONT A TOR' ARATION BUILDING PERMIT INFO: License Class a Lie. #965419 Contractor GRAND - NEST CONSTRUCTION. Date 09/30/2017 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: (N) 2 STORY HOME 2197 SQ FT, (I) GARAGE 425 SQ FT, (N)PORCH I hereby affirm under penalty of perjury one of the following two declarations: 50 SQ FT 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 r. performance of the work for which this permit is issued. : ' I have and will maintain Worker's Compensation Insurance, as provided for by -;L/0Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $500000.00 permit is issued. 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 Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 375 16 017 R-3 (Custom),R-3 (Custom),U (Private Gar /Ag Bldg),U representatives of this city to enter upon the above mentioned property for (Private Gar /Ag Bldg) 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18, 180 DAYS FROM LAST CALLED INSPECTION. Signature Z' J Date 8/30/2016 ' Issued by: Abby Ayende OWNER -BUILDER DER DE RATION Date: 08/30/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: RF 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 being 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, I agree to remove 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 (Sec.7044, Business & Professions Code), Signature of Applicant: Date: 8/30/2016 T 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 COVERINGS 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. z. 1 have and will maintain Worker's Compensation Insurance, as provided for by HAZARDOUS MATERIALS DISCLOSURE Section 3700 of the Labor Code, for the performance of the work for which this I have read the hazardous materials requirements under Chapter 6.95 of the permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will s. I 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 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, Sections 25505, 25533, and 25534. be deemed revoked. f, APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is Owner or authorized agent: Date; 8/34/2016 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 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 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 C.) 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 I understand my plans shall be used as public records. Signature Date 8/30/2016 Licensed Professional CONSTRUCTION PERMIT APPLE .1 -- COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-32218 - FAX(408) 777-3333 . t..;1,41 IF hEv "V.Urq I [I NEW CONSTRUCTION El ADDITION [--IALTERATION /TI El REVISION /DEFERRED -wtMCUPERTINO4,+ ORIGINAL PERMIT # PROJECT ADDRESS/`jlU GARAGE AREA: 0 DETACH ,41_ — R I",] I AIN �- ., CANINER NAME PHO P -MAIL tv a! 140piA STREFTADDRESS lq CITY, STATE ZIPAX C44 ql:�-() V DWELLINI, UNITS: IS ASEC ND UNIT L] YESC11- CONTACT NAME 1 60 'at PHONE _ S�Q E-MAIL P STREBTADDRESS K034 REINGAI)DW? 0 ADDITION? NO CITY, STATE, ZIP . . .... . ... .. . . ....... FAX OWNER El OWNER-BUITI)ER ❑ OWNERAGENT ❑ CONTRACTOR 11 CONTRACTORAGENT ARCHITECT El FNGDJEER El DEVELOPER L3 TENANT CONTRACTORNAME NTIQ VI By jity signature below, I certify to each of the following: I am the property Owner & authorized agent to act On the propelty Owner's bf-,balf. I have read this LICENSENUMBER LICENSE TYPE Signature ofApplicant/Agent- % 17�!� — BUS. LTC 0 COMPANY NAME . . .... .... E-MAIL :.E OVER' tH& FAX STREET ADDRESS permit for now building. CITY, STATE, ZIP fes, q Commercial Bldgs: Provide a completed Hazardous Material; Disclosure PHONE ARCHMECT/ENGINEER NAM forinifany Hazardous Materials are being used as part ofthis project. LICENSE NUMBER Copy of Planning Approval Letter or Meeting with PI anifin g prior to BUS. LTC COMPANY NAME w6rl submittal dBuilding Permit applicatioD. ...... . .... E-MAIT, 4) &-c; FAX STREET ADDRESS7 --> 6 CITY, Z0 CA- / q PHONE g? DESCRIPTION -OF -WORK - el - . - — 4=r A L EXIS USE PROPOSED USE TINQ CONSTR.TYFE tSTOIMS EXISTO 'NEW FLOOR DUIO'7OTAL AREAJ AREAZ AREA NET AREA K071z, REMODELAREA BATIMOOM KITCHH1 OTHER REMODELARBA/VREMODEL. AREA FORCE AREA TOTA LDECYJFORCH AREA GARAGE AREA: 0 DETACH 3. . . . . . . . . .. . .. . C—A 471's E�'ATTACH ................ . V DWELLINI, UNITS: IS ASEC ND UNIT L] YESC11- STORY ff`Rs ........... REINGAI)DW? 0 ADDITION? NO . . .... . ... .. . . ....... . .. . . . .... .. ..... ... PRE -APPLICATION, YLANNINGAPPL9 NO IrYES.PROVIDECOPYOF PLANNER'S PAW'. PLANNINGAPPItOVALL]TITIM El rrz I -- ---- - ------- NTIQ VI By jity signature below, I certify to each of the following: I am the property Owner & authorized agent to act On the propelty Owner's bf-,balf. I have read this application and the information lhave provided isrolTect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building con ction, I authorize representatives of Cupertino to enter the above}-Idan)L*fjed rop or inspection put -poses. Signature ofApplicant/Agent- % 17�!� — - -- --- - Date: (7% 171 SUPPLEMENTAL INFORMATION REQUIRED . . .... .... New Sl D or Multifamily dwellings: Apply for demolition peri -nit for :.E OVER' tH& existing building(s). Demolition permit is required prior to issuance of building permit for now building. fes, q Commercial Bldgs: Provide a completed Hazardous Material; Disclosure ... .... ... STANDAREk PiJBITC WORKS forinifany Hazardous Materials are being used as part ofthis project. Copy of Planning Approval Letter or Meeting with PI anifin g prior to -Q iLVE&DISTRICT ;;W.e submittal dBuilding Permit applicatioD. ...... . .... SANITARY. SE .... ..... ... .... BldgApp. 2011. doe revised 03116111 t,aM CAPER ENGINEERING INC RO BOX 14198, T1tCMONT, GA 94530 Td(510)668-1815 Far. (10) 490-8690 September 7, 2016 Tro ect No, 1,0581 Building Department City of Cupertino 10300 Torre Avenue Cupertino. CA 95014-3232 Subject.- Proposed New Residence at 10330 Menhart Ln. Cupertino, CA FOOTING EXCAVATION (GRADE BEAMS +& SPREAD FOOTINGS) AND PREPARATION OBSERVATION RE PORT Dear Sir;.. APEXE GINEER NG INC., has provided inspection service for footing excavation and preparation. Footing depth and Nidth were excavated adequate, i accordance with approved foundation plan and specifications. The exposed soil conditions of excavated foundation are beyond design bung capacity and acceptable. Any questions, please call our office at your convenience. Sincerely, C R INC., air slip Principal., $ S CO OF A, CA PEVENGINEENNG INC. RW Engineering, Inc. 505 Altamont Drive, Milpitas, CA 95035 Tel: (408) 262-1899 Fax: (408) 942-0898 Email: rwengineering@gamil.com September 9, 2015 City of Cupertino — Building Division 10300 Torre Avenue Cupertino, CA 95014 Re: Building setback verification Project Site: 10300 Menhart Lane, Cupertino, California To Whom It May Concern: U MIN Wl� mov This letter is to confirm in writing that RW Engineering, Inc. has provided staking for the house on 10300 Menhart Lane. The stakes have been placed in accordance with the plans approved by the City of Cupertino. We have subsequently done a foundation verification site visit, and have determined that the contractor has formed the foundation stem walls in accordance with the stakes and the approved plans. Please feel free to call me if you have any questions. Sincerely Robe Wg, E-, P.L.S.P-U tAND ROBE 0 -J WANG W cp No.8931 :A 11. OPC September 1-6,2016 File: 16021811 Wesley Liu, Wesley Liu Engineerin 7246 Sharon Drive, Suite O, San Jose, CA 95129 December 23, 2016 Re:/,- ramina Whlk/Revi New Cust m Home 10330 Xenhart Lane Cupoffino, CA 95014 Whom It May Concern: Inc. tel & fax: 408-973-1839 n E -3'O 16 - 17q 7 File: 160218.L2 As requested, we have made the structural framing walk for the project entioned above on 12/15/2016 and rechecked on 12/23/2016. All of the items that we brought up on the first walk were addressed per our recommendations. Based on our observation, we concluded that the framing was in general plans and specifications. This review is conceptual and qualitative. It is of major structural connections and to identify major deficiencies. Accu and grade of the materials, and similar features of the work were not the undertake the guarantee of the construction or relieve the contractor of h produce a completed project conforming to the plans. We appreciate the opportunity to have been of service. If you have any information, please feel free to contact us at your convenience. Sincerely, 7 C 60570 Wesley W. Lill --F- mformance with the approved tended to verify the presence cy of the dimensions, type :ed in detail. We do not primary responsibility to or require additional CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: PERMIT # p OWNER'S NAME: ,L L C h4,tz PHONE # 9a GENERAL CONTRACTOR: BUSINESS LICENSE # 1 ADDRESS: U Q 2e C CITY/ZIPCODE: Uo *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. / 7, I am not using any subcontractors: I/ ic-001 Signature Date Please check applicable subcontracto s and complete the following information: Owner / Contractor Signature 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 / Contractor Signature Date xiACTOR`1, SUBcoNNTRA Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 R LIST .wrs ADDRESS: _ l� a PERMIT OWNER' S NAME: -PHONE # u r: �) � q s . � P � S GENERAL CONTRACTOR t YUP. '�/--y BUSINESS LICENSE ADDRESS: L/ CITY'ZIPCODE: T5 iZ *Our municipal code requires all bu l"nesses working in the city to have a Cite of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. = I am not using any subcontractors: Signature Please check applicable subcontractors and complete the followinu in€nrrnatinn• Date ✓ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing U YOB C) 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 Contractor Signature Date �10 �j m► - (�'�-��1 Y� ��sT �' lJ�p�c�rxtoN• 7/w /7 ,��yb �sj ,Mj.It/ ST CERTIFICATE OF INSTALLATION -MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) . Project Name: Menhart Prime Residence Enforcement Agency: City of Cupertino Permit Number: 82016-1947 Dwelling Address: 10330 MenhartLane City: Cupertino 'Zip Code: 95014 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served upstairs 03 Building Type from CF -113 Single family -04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category New MCH -20a - Completely New Duct System = B. Duct Leakage Diagnostic Test - 01 Condenser Nominal Cooling Capacity (ton) 0 02 Heating Capacity (kBtu/h) 58 03 Conditioned Floor Area served by this HVAC system (ftz) 1000 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.06 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Heating system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 76 10 Actual duct leakage rate from leakage test measurement (cfm) 48 11 Compliance Statement: System passes leakage test Registration Number: 216-N0100604A-M2000002A-0000 Registration DateMme: 2017-05-23 09:08:42 . HERS Provider: CWCERTS CA Building Energy Efficiency Standards. Report Version: 2013 Rev 1.008 Report Generated: 2017-05-15 18:56:56 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: as me,& Jose Novelo l/v/ Company: Signature Date: 2017-05-15 18:57:16 California Air Duct Testers Address: CEA/ HERS Certification Identification (if applicable): 5279 Eggers Dr City/State/Zip: Phone: Fremont CA 94536 408-824-0740 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. - 4. 1 understand that a HERS rater will check the installation to verify compliance, and that if such checking identifies defects; I am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the - requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that`HERS sample group will be performed at my expense., S. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 6. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Kevin Dong SL/ Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): OF Builder/Owner) owr GRAND - NEST CONSTRUCTION Address: CSLB License: 13428 CHRISTIE DRIVE 965419 City/State/Zip: Phone: Date Signed: SARATOGA CA 95070 408-891-8059 X123 2017-05-23 09:08:42 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CatCERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-NO100604A-M2000002A-0000 Registration Date/Time; 2017-05-23 09:08:42 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-05-15 18:56:56 2013 Residential Compliance Schema Version: 2013.1.007 CALGREEN SIGNATURE DECLARATIONS r N Project Name: MENHART LLC "E Project Address: 10330 MENHART LN. CUPERTINO, CA 95014 Project Description: Demolition (e) single story 1249sf to build new 2 stories 2,197sf SECTION 1 — DESIGN VERIFICATION Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City of Cupertino. i Owner's Signature TRI HONG Owner's Name (Please Print) Design Professional's Signature TRI HONG Design Professional's Name (Please Print) Signature of License Professional responsible for CalGreen compliance Name of License Professional responsible for CalGreen compliance (Please Print) Email Address for License Professional responsible for CalGreen compliance SECTION 2 — IMPLEMENTATION VERIFICATION Date 02/27/2015 Date Date Phone Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Builder Standards Code as adopted by the City of Cupertino. 05/1512017 Signatre of License Professional responsible for CalGreen compliance Date F L. HO - ARCHITECT - C29889 1408.892.5020 Name of License Professional responsible for CalGreen compliance (Please Print) Phone FRANKLHO@YAHOO.COM Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen 2014.doc revised 01115114 � -070 ao - /Y�� ,, t; Electric Company,, WE DELIVER R JUNE 27TH, 2017 DANIEL XI 10330 MENHART LN. CUPERTINO, CA 95014 RE: 10330 MENHART LN. CUPERTINO, CA. 95014 • d,Number:9r To whom it may concern, The gas main at the above -referenced address does not have any structural damage. The gas construction supervisor has confirmed there are no hazards at this property, and the customer's gas is currently connected and in service. If you have any additional questions my contact information is listed below. Sincerely, i�� A& 6a'� Justin Pigg Project Coordinator I Pacific Gas & Electric Co I DeAnza Division) 10900 N Blaney Ave. Cupertino, CA 95014 J2PY@pge.com (Office: 408.725.2165 M -F 7:OOAM — 3:30PM **AVAILABLE BY APPOINTMENT ONLY** "Safety is a full time jab; don't make it a part time practice" Er,afu Camwv�