B-2016-1985CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-1985
10518 GASCOIGNE DR CUPERTINO, CA 95014-3842 (375 23 012) TITAN GENERAL
CONSTRUCTION INC
FREMONT, CA 94539
IOWNER'S NAME: LI YIMING AND LIN FANG I IDATE ISSUED: 09/19/2016
I OWNER'S PHONE: 408-834-2618 I . I PHONE NO: (408) 883-8668
LI FNSED CONTIaA TOR' D R TION
License Class R tic. #948867
Contractor TITAN GENERAL CONSTRUCTION INCDate 06/30/2018
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.
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
PERMIT INFO:
BLDG —ELECT —PLUMB
MECH X RESIDENTIAL — COMMERCIAL
JOB DESCRIPTION:
(I)2 -STORY SINGLE FAMILY (2,371 S.R); (I) ATTACHED GARAGE
(441 S.E); (I) COVERED PORCH (319 S.F.)
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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: 2812 1 Valuation: $600000.00
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
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 t _ upe ' o Municipal Code, Section 9.18.
Date 09/19/2016
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
m. 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)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
i. 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.
C
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 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 09/1912016
APN Number: Occupancy Type:
375 23 012 R-3 (Custom),R-3 (Custom),U (Private Gar/ Ag Bldg),U
(Private Gar / Ag Bldg)
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Kim Dunbar
Date: 09/19/2016
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: 09/19/2016
ALL ROOF COVERINGS TO BE CLASS "A"
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 or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code ection` s ZMS 15, 25533, and 25534..
Owner or authorized agent:
Date: 09/19/2016
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is_a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
understandmy plans shall be used as public records.
Licensed
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE # CUPERTINO, CA 96014-3255
'M WERTIMO (408) 777-3228 - FAX (408) 777-3333 - bOi ding@ I cupefrmo.orq
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By illy' signatum bajo)v, I certify to cacti of the I jun th8 liropeily ownerorauthorlzedknt toaon tlieproperLy ownees behalf. I have read this
applivation and the inforination I have provided is con-ect. I leave read the Description of Work and ver ify it i g acemate. I agree to comply with all applicable local
ordinances and state laws relating to buildin, onstradiDli. HUtb0ri7X TVPrCS011tD&eS ofCuperdno to enter the above-idantiffed propexty Rir hisPopt,
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SUPPLEMBINTAl TINIFOWATION REQUIRED
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Now 13FD orMultifainity d -walling": Apply for domolition permit for
01xisting buifding-&), Dwnolitian perinit is rocpdred prior to hmanca Dfbuilding
permit for -new building.
Commercial 131d_m. Provide a. completed Hazudous Materials Disclosure
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Form if any Hazardous Materials are being uml as part ofthis-projem
ottor or.oeling with Planning prior to.
Copy of.1113ming Approval LR
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subin ittal of Building Permit application.
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CAPEX ENGINEERING INC.
P.O.BOX 14198, FREMONT, CA 94539
Tel: (510) 668-1815 Fax: (510) 490-8690
Building Department
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3232
Subject: Proposed New Residence at
Dear Sir:
F I Lj
0-116
November 11, 2016
Project No. 10563
10518 Gascoigne Dr.
Cupertino, CA
FOOTING EXCAVATION (GRADE BEAMS & SPREAD
FOOTING$-) ANLL --P-RF1ARAT1-Q-NOR SERVATI NREPORT
CAPEXENGINEER17VG INC., has provided inspection service for footing excavation and
I
preparation. Footing depth and width were excavated adequate in accordance with
approved foundation plan and specifications. The exposed soil conditions! of excavated
foundation are beyond design bearing capacity and acceptable.
Any questions, please call our office at your convenience.
Sincerely,
(;APEX E
411� ZGINEERING INC.,
GarHsu, P.E
Principal
CAPER ENGINEERING INC.
F
IOW Engineering, Inc
I Ji/J6
Civ l'Engineers: - Land Surveyors ,
soy Altamont have, CA 95035
Tel: (408)27624 890 Fax: (408) 424-5556
Email: rwenaineertn c
� � ggail.coan
" NoviT1a%, 20 10 -_
City Of upertino —Building Diis o
10300 orre l venue .
Cupertino, CA, 05014 -320
Re: Building setback verification
Project Site 1{ 518 Gascoigne Drive., Cupertino, CA
i
To Who to Tt May Concern; - J
This, is t0 �onf1I111 that the foundation fo tns for the above -referenced proiect Comply
with the;
setb44 k ;requirements as, shown on the approved: plan, Also, the foundatio forts meet the
approved elevations as follow:
A PRf3 PI SURVtYPD:
Pad, elevation 61.30 Pad elevation -101.30'
I~inish floor el6vation: 103.30' Tap of form -102.57'
Calculated finish floor elevation 10330'
Please feel free to "call me if you have any questions.
Sincerely. ,
ertfang, P.E.PrE., P. , QBlwl
WANG
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10518 GASCOINE DR
P.O Box 1055
San Juan Bautista, CA 95045
Contractor's License #635993
Office: 831-623-2212 Fax: 831-623-4704
Insulation Certificate
CUPERTINO
City
Subdivision Lot Number
N
Declaration:
I hereby certify that the above insulation was installed in the building at the above location in conformance with the
currrent Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California
Administrative Code.
General Contractor (Builder)
Signature
Ponzini Insulation, Inc.
Sub -Contractor (Insulation Installer)
ignature
License Number
Date
635993
License Number
5/3%2017
Date
Description of Installation
Ceiling
Batt or Blanket Type:
Brand dame:
Thickness (inches):
Thermal Resistance (R -value):
Spray Foam Type:
Brand Name:
Loose Fill Type:
Minimum Thickness (inches):
installed weightrftl:
Thermal Resistance (R -value) -
Exterior Wall
Material:
Brand Name:
Thickness (inches):
Thermal Resistance (R -value):
Raised Floor
Material:
FIBERGLASS Brand Name: John's Manville
Thickness (inches):
6,5" Thermal Resistance (R -value): 19
Declaration:
I hereby certify that the above insulation was installed in the building at the above location in conformance with the
currrent Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California
Administrative Code.
General Contractor (Builder)
Signature
Ponzini Insulation, Inc.
Sub -Contractor (Insulation Installer)
ignature
License Number
Date
635993
License Number
5/3%2017
Date
P.0 Box 1055
San Juan Bautista, CA 95045
Contractor's License #635993
Office: 831-623-2212 Fax: 831-623-4704
Insulation Certificate
10518 GASCOIGNE DR CUPERTINO
Number and Street city
County Subdivision Lot Number
Description of Installation
Ceiling
Batt or Blanket Type: FIBERGLASS
Thickness (inches): 12"
Spray Foam Type:
Loose Fill Type:
Installed weight/ft':
Exterior Wall
Material: FIBERGLASS - SPIDER
Thickness (inches): 5.5"
Raised Floor
Material
Thickness (inches}
FIBERGLASS
10.25"
Brand Name: John's Manville
Thermal Resistance (R -value): 38
Brand Name:
Minimum Thickness (inches):
Thermal Resistance (R -value):
Brand Name: John's Manville:
Thermal Resistance (R -value): 23
Brand Name: John's Manville
Thermal Resistance (R -value): 30
Declaration:
I hereby certify that the above insulation was installed in the building at the above location in conformance with the
currrent Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California
Administrative Code.
General Contractor u+ er
Signature
Ponzini Insulation, Inc.
Sub -Contractor (insulation Installer)
M z i✓LLT k po*"i+1.ii
ignature
License Number
Date
635993
License Number
5/12/2017
Date
CLARAENGINEERING CONSULTANT
b�11-17
aclaraeng@gmail.com R0.13ox 53892, San Jose, CA 95153 Tel: (408) 228-7526
March 20,2017
Building Division
City of Cupertino
10300 Torre Avenue,
Cupertino,
CA 95014-3202
Subject: Rough,framing inspection
Proposed New two story SFD for
10518 G.*coinge Dr., Cupertino, CA 95014
To whom it may concern,
During the inspection on March 20, 2017, the engineer had completed the
walkthrough of the house and the contractors had built the house based on the
structural drawings.
During inspection, engineer recommend contractors to provide CS -16 around any
opening which is more than 4'-0" in width. Please refer to detail 6/SD-3.
If you have any question regarding the above stated subject, please feel free to
contact me at (408) 228-7526.
Sincerely, oQ�CFESS/0
P.C. T,ycF2�
fi
No.C65265
* Exp.CIVIL
9/3Q/� it
Clara Ting 0�gppCA1-�����\P
CALGREEN SIGNATURE DECLARATION D
Prcrje t POinLi Reslc ice ,
PrA ct Address:
10 � sc >Ign Dr
Project Description:. ,y.ews!n91:e tarll10*0llh !.:0 at, ched garage
�'.
117 ciN
SECTION 1 — DESIGN VERRIFFCATlON
Con lite ail-i'anes.:of Seecfion I—'Deign Verification°and:subrnitthe completed checklist(Columns.a and 2)with the
plans and:buifd ng permitapplicationto the.iBrrildi,ng DepartLnent_
The ownerand de5ign profe,:-ionei respona ble for coniplionce whin G lGrcn Standardfl.have revi :the plans ani..
certif thatthe items:checked above are hereby:incorporated into the projed pfans-and will be implemented into the
pro ect in accordance h:the requirements set forth in the 2013 California Gnccn Building:Standards Code as
adopted by the City.of Cupertino"
f
' PtiLOBi{k 9)'i
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. ... ...... . .. .
Ci s fiigriaxure Date
-t wer's.1•ame 1;PleasePtinti
t
,12 •
•Gess re Prdessi al s Signature • ,Date
8 m
H M ke Cheep
Design Professional's.Name {Please Print)
Illwag-
Signadure iFLicen e F of-' onal responsible for CaIGre n ooinpliance. Date
H Mike he B A4'b 1
•
Narne ofLicense:Prc5essicrialresplonsihke for GaiGreencoa [lance(Please Print} Phone
• Ernail: .ddiess for License:Frofessionat responsible for CalGreen u-ormpliance
SECTION 2—;IMPLEMENTATION VERIFICATION
Compiete,sign and:subriiit,tlie competed checklist,including cdlrir nn a,together with.all original;.s n tures on Section
2Eto the Building-Depart ient'pr r to.Buil ng Department fertall ihs ctort_
inspected the work and have received sufficient aocun ntation to verify and certify that projectidentifferf
abo ve, as constructed in accordance with this Green Building Che kliist and in ac dance with the requirements of
the 2013 Cal'onii Green Building Standards Code as adopted.by The City.of Cupertino.
agn hree•cC se '=i'anal.respcnsi:blefar CalGreencomplianoe :Date
Name hof License Professional responsible for CalGreeen compliance(Please Print} Phone
•
EMail�,.ddress fcr"t.icense Professional re ,onsible for CalGreen opeppliarrvoe
111144*11
•
Pap 5 of 5 Cairriwn.;0314.duc ro.sad fig iii 4