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4003 8759 4004 8760 4006 4007 4008 4002 4001 4009 4010 4011 4012 4013 4017 4016 4014-F10051, 10052, 10053,p 10057, 10059, 100611p 10063,p 10067,p 10069,p 10079,p 10081,p 10085,p 10087,p 10089,p 10093,p 10095, 10097 CRAFT DRIVE PERMIT # 4003,p 8759,p 4004,p 8760,p 4006,p 4007,p 4008,p 4002,p 4001, 4009,p 4010, 4011, 4012,p 4013,p 4017,p 4016,p 4014 F SCANNED BOX #650 0 Z Z 0 CC U L > 0- E D Z LJ_ U 0 LU IN INFOV!�MATION SII -THIN RED LINES BALL POINT PEN ONLY BUI LOING PF(bJECT I DENTI FICATIC14' APPLICATION & PERMIT BUILDING ELECTRICAL— PLUMBING — MECHANICAL PERMIT NUMBER 4001 ADDR"S ,V 5m, x �.l 0", 0111,21 '1/"1'/,/,//MN Pr PLAN CHECK VALIDATION DATE OF APPLICATION OWNER'S -7 NAME CON qTOR,4 NAME �IC� NO. UTLETS - SWITCHES - RECEP 5.0011=1 LIGHTING FIXTURES 5.00/1-00 fONTRAli CTOR' ADDRESS ,if -11 JeJ6,4 1—fHONE APPLIANCES - RESIDENTIAL 4.00 PANELS 5.00� AFICHIT€CT OR ENGJINE£R LIC. NO.SIGNS SIGNS 6.00 PLAN CHECK FEE F,C. NO, TRANS. 3.00 ARCH, OF ENrl: ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. R�JIFAJW5.00 ZIP APPLICANTS FEE SCH. SERVICE CHANGE 1Wft- N ^ASSU; ANCE DATE LICENSED CONTRACTORS DECLARATION I herby affirtn that I am licensed under provisions of'Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes sions Co< d my license is in full for LicenL Number Date. P Contractor Ot Cupertino MECH. in 07 DECLARATION I heTeby affirm (fiat J'arn exempt from tile Contractor's License Law for the friflowing reas;on. (Sec, 7031 .5, Business and Profess; ons Code: Any city or county which requiresti permit toconstruct, ti let, Improve, demoligh, or repair any structure, prior to its issuance, also requires the applicant fow such permit to file asigned statement that he licensed pursuant try the provisions of the Contractor's License Law (Chapter 9 ~commencing with Section 7000) of Division 3 of the Bien less slid Profession$ Code) or that lie is exempt therefrom and the baisis for Ow alleged exemption, Any violation of Section 7031.5 by any applicant fora permit subjects then pplicant to a civil Penalty by an that or hundred dollars(S500).): IMISC. REFER TO ORD PERMIT ISSUANCE .00 VALUATION $/FT. ?3 ELEC, CONTR. LIC. NO, I ELEC. TOTAL/ is PERMIT TO ; I I'll PIJU STORIES .2, TYPE CONSTR. ALTER -DRAIN & VENT -WATER (EA.) 4.00 y 1, as owner of the property, or illy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND, 4.00 Code: The Contractor's License Law does not apply to all owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve - Merits are notintcnded or offered for sale. If, however, the building FIXTURES - PER TRAP 4.00 SO. FT FLOOR AREA TOTAL ACREAGE GAS-EA.SYSTEM-1 INC.40UTLETS 4.00 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- provefor purlmsse of sale"). D 1, as owilrer of the property, ant exclusively contracting with licensed contivetors to wristruct the project (Sec. 7044, Business and Proftslallos"C"ride: The Contractor's License Law does not apply to all owner of property who builds or improves thereon, and who cool forsueb projects with a contractors) licensed pursuant to the Contractor's License Law. n 14m exempt under Sec. B.&P.C. for this GAS - EA. SYSTEM - OVER 4 (EA.) 1.00 BUILDING USE X 0 0 El 11 INDUSTRIAL WASTE INTER. 20.00 iLAWN SPRINKLERS kNPJkV,B- 5.00 ASSESSCRS PARCEL NO. LAWN SPRINKLERS _0'VtVli`4 (FAI 1.00 IT SEWER -SAN -T4RM EA. 200ft/8.0 WATER HEATOVEINT 1�121 1 4.00 TRACT NO. PARCEL NO. reason Date WATER SYSTE 4.00 ACC. DATE ACC. FILE NO. WORKERS'COMPE.NSATION DECLARATION WATER TREATW(3 9bURPertini) 4.06 1 hvreby affirm that I have a certificate of consent to self -insure, or a certificate (yf Workers' Compensation Insurance, or -a certified 110 Lal Asa_ C1 is hZrehy furnished, u Cert' co car with he city _Inspection division, Applicant i5 7#,C, ZONING ENG. SITE NO, Z -A =J FIRE SPRINK Y E] N 0 ENERGY T-24 y [:] NE] I MISC. REFER TO ORD. PERMIT ISSUANCE 6.06 FLOOD ZONE Y lJ A.L.U.C. Y N , r M 'IF �M M WORKERS' �W� -,XL PTION CF_ 3F EXEMPTION F COMMM NSATJON INSURANCE (This scTOTAL cti6n need not be completed if tile permit is for one h to dollars ($100) or less I co rormance of tile work for which this per rtity that in tile per mit, is issued, I Sball not, employ any person in any manner so as to become subject to the Workers' Cor4c risat ion Laws of California. Date NOTICE TO APPLICANT: if, after making this Certificate of Ex- emptjon, yousbould become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deerned revoked, CONSTRUCTION LENDING, AGENCY I hereby affirm that'Abere is a construction lending agency forCN,0 the performance of the work for which this permit is issued (Sec. 3097, Civ,C.),, Lender's Name I certify Owl I have road this application and stale that the above information is correct, I agree to comply with all city and countyPLUMBING ordinances and state laws relating to building construction, and hereby authorize represenlativ(s of this city to enter upon tile above-mentioned propefty for inspection purposes. (We) agrqU) save, Indemnify and keep harmless the pity of 'upertirio ag4ii�,vst habilKies, judgments, costs,aniT, yrfcn, which ly �c� "Irma a� I Y��/ ;e( 1 0 the o c� g' it 7� J,,am/<,,'ontract0T PLG. CONTR. LIC. NO. PLG 0, QTy, I M 0' AN'tCAL PEAMT, !4 77��. OR112 W1,11 BUILDING L- -i 13 if 0#1 ALTER OR ADD TO MECH. 4.001 APPLIANCE 4.00 PLAN CHECK FEE --- AIR HANDLING UNIT A109C.F.M.) 3.00 _AIR —HANDL ING UNIT (OVER 10= C. P.M.) 5.00 SEISMIC FEE EXHAUST H �tIJH D OCT)"I 2,00 'N d" MICROFILM HEATING UNIT (TO 100,000 B.T,U.) 4.00 �EATtN�GUNIC a.T.U.)7,50 ELECTRIC VENTILATION FAN (SINGLE) 3,00 BOILER -,COMP (3 H.Fy, or 100,000 B.T.U.) 4,00 BOI LER-COMP (Over 100,000 BTU) SEE FEE SCH.: MEcH[ ICAL CONST TAX MISC. - REFER TO ORD -1: • _�ERMIT ISSUANCE 3.00 75 d"" MECH, CONT, LIC.NO, ____TAMECH . ...... . TOTAL 16 VON OFFICE COPY CrTl OI' CL'J'::I:TI;IO II SPECT10i: RECORD (Off ic .CoFy) PI:PJIIT NO. SANITARY DIST. NO. c G PROJECT LOT NO • ADDRESS (� 01-711ER JOB SITE PHONE NO. t'INAI. INSPECTIONS BUILDING Date Insp. Pad Certification 3°oundati on Pre-Gunito Bond Beam Linderf.l-nor Girders Floor Steel Tiedowns f7laplirams �• v . '- Seismic Bracing Halls -Panels Frame T t Uallboards Int/l:xt. Firewalls "� tutsvC au .1q G xa�- &L( ELECTRICAL Date I Insp. )'ower Pole Underground Rc)uF,h Wiring Uaiis Ceiling Fixtures Int/Ext Notors Grounding Temp. Power Other Not Approved G ' Backflow Underground Underfloor Partial Rough Rau ,h Complete Solar P.ou ,h Water & Insulation Main Drain 5- R/of/S Drain Gas Other Not Apnroved ,-r61p Z 5 -, 17 -19 MECHANICAL Date Underfloor S.M. 3 -2 7-F' Ducts & Insulation Insp. Fire Danpers Fireplace Grease Duct & hood One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved BUILDING Lk> D -W� ELECTRICAL PLUMBING nrr,pA'KJTrAT. MISCELLANEOUS CTTY OF CITPERTINO INSPI;CTIOi: RECORD (Offic kvp3') PI;P.til mo.SANITARY DIST. No. LOT NO • ADDRESS PROJECT 01.1NER JOB SITE PI1014F NO_ PERMIT 'ISSUED Buil dinr. Flectrical PIumhinr 'IochnnicaI Ie �i, CIS /1`lect Sulnr', Fire Snrinwler Sirn His c. FINAL INSPECTIONS Date Power Pole Underi;round Routh Wiring - T)a11s Ceiling Fixtures Int/Ext - Notors Grounding- Temp. roundinl;Temp. Pottier Other Not Approved Insp. Date I Insp. PLUMBING Date Insp. Backflow Underground B_ UILD ING Underfloor Date Pad Certification Solar Rough Foundation 3 Pre-Gunite 5--7- Gas "SlaHeA Q-- Bond Ream Underfloor Girders k' Floor Steel Tiedowns Diaphrams "T. r1elsmic Bracing 1 11alls-11anel s Frame 1 L,,th . Uallboards Int/f xt. - < Firewalls Other "tit -Not Approved ` 'Ad Insp. Date I Insp. PLUMBING Date Insp. Backflow Underground I sp. Underfloor Partial Rough Rough Complete Solar Rough Zdater & Insulation Main Drain R/of/S Drain 5--7- Gas Other Not Approved r, MECHANICAL Date Underfloor S.M. ,- Ducts & Insulation I sp. Fire Danpers Fireplace Grease Duct & Hood One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved y BUILDING/ ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS 0 LL ` v C O P o t r t ` U7 N u � � w LU 00 v o Z0 -y W f ' #n z �0 © a a CJ N a Q Q V Luw s, J LLJ w ' P � 7 N C3 N 6 }. � O O C O P I y a w=auj 'swjoj ssouisnp.ajooyy @a iaspeadr, _ BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 1 BLDG, PERMIT O. TflE BLDG. LOCATED AT �m COQ PLETED) ' F HAS.BEEI�I FOR USE AS = `cam APPLICANT TO FILL_ 1N INFORMATION WITHIN RED LINES -- USE BALI. PUNT PEN ONL , BUILDING PROJECT IDENTIFICATION BUILDING -- APPLICATION & PERMIT ADDRESS 2 '" BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER /) 0 �"'� 2 �} �J ,[, OWNER"'S NAME ELECTRIC PERMIT ' PLAN CHECK VALIDATION DATE OF APPLICATION C(rNTRACTQR`S NAME I, L ., o� / tt OUTLETS -SWITCHES - RECEP 5.00/1.00 LIGHTING FIXTURES 5.00/1.00 w° rONTRACTOR-S ADDRESS y Q r«x : �) HONE / �� ' APPLIANCES RESIDENTIAL 4.00 PANELS 5.00 AF1CHi ICT OR ENGINEER LIC. NO. .�..- SIGNS 6.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ARCH, OR ENG ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TER OR PO LE INS. 15.00 ZIPT .y APPLICANT'S ADDRESS MOTORS SCH. g SERVICE CHANGE 10.00 LICENSED CONTRACTORS DECLARATION Atc, 483/ I hereby affirm that 1 arm licened under previsions of Chapter 9 (commencing wrth Section 7000) of Division 3 of the Business and Professirrns Code Id racy Bicense la in lull tot r License 0, Lie. Number Date�� ISSUANCE DATE - u Ino I� BLDG. ELECT. PL MEW. $/ r ,NER-BUILDER DECLARATION I hereby affirm that I atn'exempt from the Contractor's License Law for the Following reason. (Sec. 7031,5, Business and Professions - alter, Code Any city or t:ounty which requires a permit to construct, improve, demolish, or repair any Strut tete prior to its issuance, also requires the applicant for such permit to talc a Signed statement that he Is licensed PLUSU411t to the provisions of the Contractors License Law (Chapter 9 (cornmencina with See tion 7000) ofDisrsion 3 of the Businexs and PrtTvsions Code) or that he is exempt therefrom and MISC. - REFER TO ORD PERMIT ISSUANCE VAt UATION $/FT. L I{ ELEC.CONTR. UC. N0. ELEC6.00.. TOTAL PERMIT TO �- - P1 :)I1'�� STORIES - TYPE CONSTR. j %� the pasts for the alleged exemption. Any violation of Section 7031.5 by any applicanGfor a permit subjects the applicant toa civil penalty of ricit more than five hundred dollars (S500).): ALTER DRAi N & VENT -WATER (EA.) 4.00 Owner of the property, Y P Y iwages their sole compensation, will do the work47 and the structur is not intended or offered for salt (Sec. 7044, Business and Professions Cade: The Contriiaor's Libtnxe Law does not apply to nn owner of property who bolds or improves thereon, and who does such workv') himself or through his own employees, provide that such improve - mems are. not intended or offered for sala If, however, the building BACK FLOW PROTECT. DEVICE 2'00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA,COND. 4.00 ---_ / d F XTU'R ES - PER TRAP 4.00 '" SQ. FT. FLOOR AREA / 7B TOTAL ACREAGE GAS EA. SYSTEM - 1 I NC, 4 OUTLETS 4.00 or hoprovernent is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- Prove forpiarposezofsale). 0 1, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM OVER 4 (EA-) 1.00 BUILDING USE RES IND CON PB Other ❑ (J 1:1 El 11licensed INDUSTRIAL WASTE INTER. 20.00 contractors to construct the project (See. 1044, Business ot SC Law thereon, and who and Professions of property to an owner of prerperty who builds oe improves thereon, �uid who whntr builds r improves LAWN SPR INKL NC 5 V.B. 5.00 ASSESSORS PARCEL NO. „�.�... O _ LAWN SPRINKLERS -OVER 5 IEA,) 1, L NSP contracts for such ro ects with a contractor(s) licensed pursuant to projects the Contractor's License Law.:CEL SEWER -SAI R `ST A. 200�'i/1 �� .,,.._-.. 'r C PAR." NO. ___ ^ Sec _._ .__ .-- ,B&PC.for this reasonCam exempt under ....__�. _.� ACC. DATE ACC. FILE NO. WATER HEATERW/VENT 4.00 Date-_._ -. �_......-._._,_ Owner ......... _....- ( e� WATER S PO.. upei Eno 4.00 WATER TREATING EQUIP, 4.00 WORT [RS'COMPENSATIONDECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified crLa Pot? o ZONING ENG. SITE NO. ^^ �„ �l - Certified opy here ,y furnished. L Certafhe! cop is filed with Checoy inspeLhon division. Applicant�� ' �.-_..� FIRE SPRINK Y ❑ N ❑ ENERGY T-24 v ❑ N❑ MISC. REFER TO ORD. CLRTiF1Ci4T>•.OF I;XF.14PTld)ty' 9 WORis1;RS' PERMIT ISSUANCE 6.00 FLOOD ZONE A.L.U.C. PLG. CONTR. LIC. No.PLG TOTAL ("OMPENSATION INSURANCE (This section need not tore' completed d the permit is for one II��11 Y l� N ❑ f'-� 11 ff��11 Y F NIJ BUILDING _ 3 A hundred dollars IS 10) or less.) 1 certify that in, the performance of"the work for which this per - ani, is issued, I aha not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California Date Applicant _.__. NOTICE -C"O APPLICANT If, atter making this Certificate of Ex- emption, you shouldhecomesubject to the workers' Com pen sat ion - Y, M a�Ar� A� � � rid, ALTER OR ADD TO MECH. 4.00 APPLIANCE PAID 4.00 PLAN CHECK provisions of the Labor Code, You must forthwith comply withFEE such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (TO 10=C,F.iMJ 3.00 AIR HANDLIN (CIVER .F,M.) 5.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY EXHAUST HOOD (WITH DUCT) 2.00 +� I hereby affirm that thea is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ(.',) MICROFILM HEATING UN� *f10Q.UJ 4.00 HEATING UNIT (OVER 100,000B.T.U.)7,50 ELECTRIC .�." Lender's Names. _ Lender's Address �_..._. _ ...._ . - ._.._....___.___ I certify that I have read this application and stale that the above information is correct 1 agree to comply with all city and county ordinances and state laws relating to building construction, and ' VENTILATION FAN (SINGLE) 3.00 4kf PLUMBING 1l, BOILER- COMP (3 H.P. Or 100,OOOB.T.U.) 4.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL e' bereb authorize representatives thisY P pcitt to enter upon the p ahove-mentioned property for rinspection purposes. MbSC. - REFER TO ORD. _.. (we) agree to save, mdeoinify and keep harmless the City of Cupertino again",t 1hibihties, )!lidgments, costs and expenses which may man way o.crua. y y y guu t at m wnse uence <>f y q granting eracc the ._ Sig aturN of ApplximtfContr^,rv) for Dat• CONST. TAX PE PERMIT ISSUANCE 3.00 I MEOH.0 T. LIC. NO. MECH. o 7 j//iii ///// , iii , . � � � � � � } . � }kd � � � � . t3� §� S�� \ . : �. . � . � . \ r {� } . . � . � �< � \\� ° { \\k ^� � � . .. <22�� ? \d � � � \ � � .a �. �� \ ire CI'T'Y�(W CUPI:ATINO INSPECTIO1: RECORD (Office Copy) r�T .. PI;P}IIT P10. SANITARY DIST. NO. LOT 1,10. AD01"I;SS .. PROJECT OUNER JOB SITE PIIOIvE N0. PERMIT ISSUED Date ELECTRICAL Buil dinr� I Date Insp, Electrical Power Pole 1'1umbinr Unk-,rground 11cc}hnn.i ca P.c)u�h Wirin& 'Tera1. (ins/I'lect. � .. Slim Fire Sprinkler_ Sinn MISC. FINAL INSPECTIONS BUILDIIIG Pad Certification Date Insp. Foundation --R3 Slab-F-Ie�-rats .e - Bond Beam Underfloor Girders Floor Steel -5-- Tiedowns DiaphrAMS Seismic Bracing hal l s-11anels Prame Lin t h 5z-., Wallboards Int/Ext. Col Firewalls Other Not A mroved (s'r4-1 V, Ceilin Fixtures Int/Ext Hotors Grounding Tem . Power i Other Not Approved =-6= PLUMBING I Date Insp. Backfloc; {Underground -- -- — S -> -YT Underfloor Partial Rough Rou .h Com Tete -5-- Solar Rough ldater & Insulation Main Drain R/of/S Drain Gas Other Not Approved MECHANICAL Date Underfloor S.M. 3 !- Ducts & Insulation -- In p. Fire Dampers Fireplace Grease Duct & Hood One }lour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved BUILDING ELECTRICAL PLYING l2cRANICAL MISCELLANEOUS _ 'v§ S, C: 0 1,10 L) 'Z IE Q) C: 0 u 0 co V) E—L E ELECTRIC SERVICE NOTICE BUILDING INSPECTORS NOTICE CITY OF CUPERTINO To You ore hereby authorized to Connect electricof service for Owner or Tenont ',"— t S At e aJ ti P.G. & E. COPY 19 �3 No. of Wires Size of Wires Size of Switch Motor Load Voltage Phase Heating Load K. W. Voltage w /No. of Meters Lighf 110 New Service Reconnect Heot 120 Three Wire More Service No. of Add. Meters Power ee Phose Move Meter ©M ELECTRICAL INSPECTOR CERTIFICATE OF COMPLETION 07-3 BUILDING INSPECTOR'S OFFICE ^� CITY OF CUPERTINO DATE .] — Z 7 19 BLDG. PERMIT NO. E THE BLDG. LOCATED AT ° o OWNED BY S �� C!�(J��. s o HAS BEEN I PLETEDI R USE AS U/!C- om 0 IA. Qr/Q o. Om v 'o F v v � a u i BUILDING PECTOR BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Backflow Device E Sewer Connection 0 ❑ Plumbing Final ca' `o Owner or Tenant ® At v Tract v a Date Connected OM Sanitary Permit No Plumbing Permit No. Lot No 19 Date Final Bldg. Dept, Office Copy 901 PLUMBING INSPECTOR .... ... L CERTIFICATE OF COMPLETION " /r BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE_ "" 19 BLDG. PERMIT NO. THE BLDG. LOCATED ATZ 41 OWNED BY �- c_„ �`a rJ / 4i` c - COMPLETED) -- . HAS BEEN - _.-- � . FOR USE AS IALTEREDI BUILDING INSPECTOR O M E c E ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO To You are hereby authorized to Connect electrical service for Owner or Tenant At No. of Wires Size of Wires Motor Load Voltage Heating Load K, W. No. of Meters No. of Add. Meters 1 OM ( Light— Heat _ Power_ ELECTRICAL INSPECTOR OFFICE COP' 1 19 VOOVA - )-I Size of Switch Phase Voltage - 1 10 New Service —Reconnect - 1 2 econnect120 Three Wire More Service Three Phase Move Meter i BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO E ❑ Backflow Device Sewer Connection Plumbing Final _ m S Owner or Tenant O O At N Tract Date Connected O M Sanitary Permit No. Plumbing Permit No. Lot No. Bldg. Dept. Office Copy 19. Date Final 19 PLUMBING INSPECTOR co o LL o Qi).� CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 19 BLDG. PERMIT No. THE BLDG. LOCATED AT V OWNED BY C, HAS BEEN (COM PLETED) -FOR OR USE AS tA/ A -(ALTE`0EC0 BUILDING INSPECTOR ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO � 19 OFFICE COPY E E o u. m c To You ore hereby authorized to Connect electrical service for Owner or Tenant At 1 G o Co d `o No. of Wires Size of Wires Size of Switch 0 Motor Load Voltage Phase 0 v m Heating Load K. W. Voltage a `^ ' Light -I 1 0 -New Service Reconnect No. of Meters Heat 120 Three Wire More Service No. of Add. Meters Power Three Phose Move Meter OO M ELECTRICAL INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE q� 19 ��BLDG. PERMIT NO. THE BLDG. LOCATED AT E OWNED BY �. �f y.� c U a a (C©MPLETEDJ% E ! HAS BEEF` -' a FOR USE AS k., o s (ALTERED) f O-' � f " a 4 r N u V f ^..:i r ��F/ ( ;I '1�(.'; •r is --'! OM ` BUILDING INSPECTOR ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO r E To You ore hereby authorized to Connect electrical service for E 'u°. Owner or Tenant N N 7 At o m 0 No. of Wires Size of Wires 0 0 : Motor Load Voltage a a a Heating Load K. W Size of Switch Phase Voltage 19 OFFICE COPY Light -I 10 New Service Reconnect No. of Meters Heat 120 Three Wire More Service No. of Add. Meters Power Three Phase Move Meter OO M ELECTRICAL INSPECTOR BUILDING INSPECTOR'S OFFICE Bldg. Dept. CITY OF CUPERTINO office Copy E ❑ Backflow Device E b ❑ Sewer Connection I r g ❑ Plumbing Final _ m a Owner or Tenant Q d At m d i Tract Date Connected II ©M Sanitary Permit No. Plumbing Permit No. Lot No. 19 . Date Final 1211111111111111 PLUMBING INSPECTOR BUILDING INSPECTOR'S OFFICE Bldg. Depi. CITY OF CUPERTINO Office Copy E ❑ Backflow Device E 0 I ❑ Sewer Connection LLL III Plumbing Final Cr _ m N 0 Owner or Tenant Y f Q d j At d I Tract Date Connected Sanitary Permit No. Plumbing Permit No. Lot No. 19 Date Final ©"" PLUMBING INSPECTOR ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO E To Nt You ore hereby authorized to Connect electrical service for E LL Owner or Tenant I At m� 0 No. of Wires Size of Wires Size of Switch 0 f Motor Load Voltage Phase v Heating Load K. W. Voltage_ m a '^ Light 1 10 New Service No. of Meters Heat 120 Three Wire No. of Add. Meters Power Three Phase OO M ELECTRICAL INSPECTOR OFFICE COP) 19 Reconnect More Service- -Move ervice_Move Meter CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 19L' L BLDG. PERMIT NO. (,2 THE BLDG. LOCATED AT 1j, OWNED BY tI HAS BEEN (OMPLETED)�;�j,,RE-,,.,-,-FOR USE AS IS UP BUILDING INSPECTOR'S OFFICE Bldg. Dept. CITY OF CUPERTINO Office Copy E ❑ Backflow Device E d Sewer Connection o LL _ in Plumbing Final _ m . Owner or Tenant 0 ® a At a CL Tract Date Connected i ©M Sanitary Permit No. Plumbing Permit No. Lot No. 19 , Date Final 19 PLUMBING INSPECTOR ELECTRIC SERVICE NOTICE BUILDING INSPECTORS NOTICE CITY OF CUPERTINO r. E To NYou ore hereby authorized to Connect electrico! service for E , o 41 Owner or Tenant N . C At i — m of 0 No. of Wires Size of Wires Size of Switch 0 Motor Load Voltage Phase N Heating Load K. W. Voltage— (D a '^ Light 1 10 New Service No. of Meters Heat 120 Three Wire No. of Add. Meters Power Three Phase © m ELECTRICAL INSPECTOR OFFICE COP _, 19_ Reconnect More Service Move Meter II CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE i ( 19 E >� BLDG. PERMIT NO. a v THE BLDG. LOCATED AT E 0 v- OWNED BY co (Q:51 TEDI E HAS BEEN ALTERED)E-TE — FOR USEAS O v �f v Qo N i I BUILDING INSPECTOR BUILDING INSPECTOR'S OFFICE Bldg. Dept. CITY OF CUPERTINO office Copy ❑ Backflow Device Sanitary Permit No. ❑ Sewer Connection Plumbing Permit No. Plumbing Final Lot No. Owner or Tenant At Tract Date Connected 19 Date Final 19_ I ©"" PLUMBING INSPECTOR ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO To ou ore hereby authorized to Connect electrical service for Owner or Tenant At No. of Wires Size of Wires Motor Load Voltage 19 Size of Switch Heating Load K. W. Voltage Light _l 10 New Service - Reconnect_ No. of Meters Heat 120 Three Wire More Service No. of Add. Meters Power Three Phase Move Meter_ ©m ELECTRICAL INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 19 �.mm_, BLDG. PERMIT NO. THE BLDG. LOCATED AT I�(Uti" OWNED BY (/ PL HAS BEEN (COnMER D1D1" FOR USE AS / O M I % BLJILDCNG INSPECTO-R CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 0 197>BLDG. PERMIT NO. THE BLDG. LOCATED AT /(2 0 OWNED B Y (COMER S BEEN HAS -'-' F 0 R U S E AS Lv' 6 BUILDING INSPECTOR @ ©"' PLUMBING INSPECTOR it BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Office Dp eCoy E ❑ Backflow Device Sanitary Permit No. E Sewer Connection Plumbing Permit No. Plumbing Final Lot No. t Owner or Tenant 8 Q m At I a i Tract Date Connected 19 Date Final 19 ©"' PLUMBING INSPECTOR Er e t� E o � CERTIFICATE OF COMPLETION`„ BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE I ��' 19= BLDG. PERMIT NO. 0 THE BLDG. LOCATED AT i �U L— 6'� OWNED BY `ICOMPLETED� wU HAS BEEN — FOR USE AS +'`ter/J I,, �/ ,l /"L `CA rr-ER E D I INSPECTOR M ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO I E To c r You ore hereby authorized to Connect electricoI service for rE i .U_ Owner or Tenant 5 At m No. of Wires Size of Wires Size of Switch 19 OFFICE COP 0 0 Motor Load Voltage Phase m Heating Load K. W. Voltage v a `^ Light -I 10 New Service Reconnect_ I� No. of Meters i Heat 120 Three Wire More Service No. of Add. Meters Power Three Phose Move Meter_ I np r n i iKMDPr rno w I BUILDING INSPECTOR'S OFFICE Bldg. Dept. CITY OF CUPERTINO office Copy E ❑ Backflow Device Sanitary Permit No. r r .I ❑ Sewer Connection Plumbing Permit No. 0 LL O Plumbing Final Lot No. r Owner or Tenant o � I Q At Tract a � N Date Connected 19—Date Final 19 i I ©^" PLUMBING INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE '� 0 19 4�L✓ BLDG. PERMIT NO. THE BLDG. LOCATED AT r i) 0 c' . ` k OWNED BY ( —71V (COMPLETED) HAS BEEN – —'FOR USE AS (ALTERED) O M /' BUILDING INSPECTOR ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO To You ore hereby authorized to Conned electrical service for Owner or Tenant At No. of Wires Size of Wires Motor Load Voltage Heating Load K. W. _Size of Switch Phase Voltage OFFICE COP 19 w ELECTRICAL INSPECTOR Light_l 10 New Service Reconnect_ No. of Meters Heot 120 Three Wire More Service No. of Add. Meters Power Three Phase Move Meter_ w ELECTRICAL INSPECTOR n y I BUILDING INSPECTOR'S OFFICE Bldg. Dept. CITY OF CUPERTINO office Copy E i ❑ Backflow Device Sanitary Permit No. E ❑ Sewer Connection Plumbing Permit No. ❑ Plumbing Final Lot No. Owner or Tenant -00 O At v Tract a N Date Connected 19Dote Final 19' ©"" PLUMBING INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 19_ �BLDG. PERMIT NO. THE BLDG. LOCATED AT n OWNED BY C_ _.��_ "J _ ICOMPLETEDI,.�� HAS BEEN TEREDI FOR USE AS r 9 �? r , % © M ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO E I To You ore hereby authorized to Connect electrical service for . E I Owner or Tenant j m At IM F.: OFFICE COP' 0 No. of Wires Size of Wires Size of Switch o ? i Motor Load Voltage Phase i v Heating Lood K. W. Voltage m v a Light -1 10 New Service Reconnect_ No. of Meters i Heat 120 Three Wire More Service No. of Add. Meters Power Three Phose Move Meter_ II ©M I — - ELECTRICAL INSPECTOR BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO adgeD pry E ❑ Backflow Device E `_C Sewer Connection `o 't 0 Plumbing Final Sanitary Permit No. Plumbing Permit No. Lot No. 19 Date Final - 19 PLUMBING INSPECTOR 0 Owner or Tenant 0 ® v At i a Tract j i Date Connected I OM Sanitary Permit No. Plumbing Permit No. Lot No. 19 Date Final - 19 PLUMBING INSPECTOR BUILDING INSPECTOR'S OFFICE E ❑ Backflow Device E 15( Sewer Connection a i LL Plumbing Final z m CITY OF CUPERTINO Sanitary Permit No. l 3 Plumbing Permit No. TQ T Lot No. / ',4a1 Owner or Tenant o At d Tract N Date Connected I ©M 15,-- 3 S -T Cupertino Sanitary District Copy 19__ZDate Final 3 — l 19 PLUMBI NSPECTOR E 4 ELECTRIC SERVICE NOTICE P.G. & E. COPY BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO To You ore hereby authorized to Connect electrico4 service fo I Owner or Tenant 5j—At d o 5 No. of Wires Sizef Wires Motor Load Voltage Heating Load K. W. i r �X 7 , 19 Phase Voltoge Light -1 10 New Service j�/ / - Reconnect No. of Meters Heat -1 2CThree Wire More Service_ No. of Add. Meters Power Three Phase Move Meter ©M ELECTRICAL INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY O,,��F--CUPERTINO DATE 2--27 19- BLDG. PERMIT NO. 7 0 (D THE BLDG. LOCATED AT I 0 O OWNED BY c C O!/LC HAS BEEN (COMPLE FOR USE AS S FQ kfl- CD LA- (ALTERED) A(ALTERED) BUILDINC}NSPECTOR BUILDING INSPECTOR'S OFFICE CupDistricttionitory ct Copy CITY OF CUPERTINO E O Backflow Device E 0 ( Sewer Connection f\ �r Plumbing Final m "aOwner or Tenant 0 o v Atm/o�� 3 Tract K I Date Connected I Q M Sanitary Permit No. Plumbing Permit No. �d Lot No. C ff 5-7 Ce S- —3 — 19,7-'�—Date Final 3 —2 — 19��_ l -- PLUMBING INS CTOR ELECTRIC SERVICE NOTICE P.G. & E. COPY BUILDING INSPECTORS NOTICE CITY OF CUPERTINO o r E To C V You ore hereby authorized to Connect electrica4 service fo F, E 'r•' ° 41 Owner or Tenant 7 At /006 3 rt q — _2_ 19 Fr- 74 - 0 No. of Wires `o Size of Wires Size of Switch 0 : Motor Load Voltage Phase Heating Load d K. W. Voltage d a / fight ew ervice econnec No. of Meters Heat 120 Three Wire More Service No. of Add. Meters Power Three Phase Move Meter ©M ELECTRICAL INSPECTOR i CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 19� BLDG. PERMIT NO. �� d E THE BLDG. LOCATED AT D D ��3 t- oj:!� Dt- F OWNED BY G /:f- S� Cb -� o o HAS BEEN OMPLETDEDI FOR USE ASS��L. l [��,► 4l0�_� OM �_ Om �o Qo N V E © M BUIL NG INSPECTOR- BUILDING INSPECTOR'S OFFICE Cupertino Sanitary District Copy CITY OF CUPERTINO E ❑ Backflow Device Sanitary Permit No. 3 3� C C E Sewer Connection Plumbing Permit No. LL Plumbing Final Lot No. s 5j— 0 Owner or Tenant 0 ® At ) a°or d Tract a N Date Connected S~ '-3 — 19 4941'r Date Final J9Z5 I ©"' PLUMBING INSPECT ELECTRIC SERVICE NOTICE P.G. & E. COPY BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO � � 19 To . k C , You are hereby authorized toConnect electric afor 0 C—(' `S� °l service 1-" Owner or Tenant S /o a s7 mss" At m m Y O: No. of Wires Size of Wires Size of Switch QO O Motor Lood Voltage Phase Heating Load K. W. Voltage a v a X_ / Light 110 New Service Reconnect No. of Meters Heat -1 20 Three Wire More Service_ No. of Add. Meters Power T6- Phase Move Meter OO M ELECTRICAL INSPECTOR E cm Ero 0 v- CERTIFICATE OF COMPLETION O� d �� BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE 4/-2- , 19 !C BLDG. PERMIT NO. O 0 THE BLDG. LOCATED AT OWNEDCff-.37L— CO �`A , (C MPLETE d IA 0/Q S� HAS BEEN RE DI R USE AS S� jam%% �_� CL LL 0 (V\ ZO v u 0 W\ 6 Z 6 6 z z a_ a_ c LU 0 V V) LL. a_ LL. C4= 0 o kn 0 Z CC) co 0 LLA ol u Lu CL LL ZO 0 0) O c C4= E o CC) co El ol 0 baa } P 0 U c: c w > O O LU V� U ©0 Z V) W Ix W Zo N-0 O _V zv OC O F CQ Lu W J W c: c w > O O O V C1 � d v O � U� Jr fn Q % OI GL (tY Ul W � L V N d � V � 4 O V v w T v 40 v o -p N V c v -o o a `v > ° o Q ° a c� O p `— _0 O 0 Q Z 0 2 Z Z 0 d � v 0 z f -- o OLAJ z z LL Q LL LLJ Q. O 4. V1 Z QQ a 4 m V2 LL. W v, ®a v as ui ? a <i LLJ CK o Lu LU V LUU O J v m z J LLJ LU m LU m z z = Q li ,A `10 T yywyS'S�ccL 4Hay=Omzi owocutaa3 in cc z Foo Cr wet a.J y °zzJ O0 4J a0 X3 - cc I- a � t� I E I LL.. IN INFORMATION I 6 I SRED LINES _ USE BALL PO I N P EN ONLY PROJECT I DENTI FICATION APPLICATION &PERMIT PE `10 ' LDIi J f�ilul BUILDING OFFIC' EC COPY 'A 0 :7 z i:z 0 CC 0 LU > O. a z 00 LL 1- 0 L) UJ 0. >_ (1) F- Z ,G ILL IN INFORMATION WITHIN RED LINES -,USE BALL POINT PEN ONLY ,QVI LDI NG PROJECT I DENTI FICATION APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER `9 8a -�7595'ilE' ADDRESS 7 J-4 ,NAME 1wice ONE 7 Z /70/11777/7 g' 1/77777,7""= 0 ;77777 elf"'I'v W ME '0101" _.2 PLAN CHECK VALIDATION JUN b 19 City of WOW CONTRACTORS NAME LIC. NO, OUTLETS - SWITCHES - RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S ADDRESS APPLIANCES -RESIDENTIAL 4.00 fANELS 10,00 9. PHONE DATE OF APPLICATION ARCHITSCTPLAN OR ENGINEER LIC. NO, PANELS (OVER 200 AMP) 20.00 CHECK FEE P.C. NO. 1 SIGNS TA ANS. 3.00 ARCH' OR ENQ, ADORESs SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 ZIP APPLICANT'S ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSED CONTRACTORS DECLARATION TEMP. POLE 30,00 1 hereby affirch that I ojm licensed under provisions of Chapter 9 (corrunenging wirb Sectiop, 7000) of Division 3 of tire Business and Professions Cods, land my license is in full force and effect. License Class Lie, Number ISSUANCE DATE BLDG- I EJ PLG. I MECH. Date -Contractor. 41 OWNER -BUILDER DECLARATION I hereby affirms that I am exempt from the Contractor's License Law for the following reagyn, (Sec, 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demol&h, or repair any structure, prior to its issuance, also requires the applicant for such permit to Me a signed statement that he is licensed pdrstumt to the provisions of the Contractor's License Law (Chapter 9 (commencing with SQ421 ion 7000)of Division 3 of the as and Professions Code) or that lie is exempt thereft orn and Busine, IMISC. REFER TO ORD PERMIT ISSUANCE 10.00 VALUATION ELEC. CONTR. LIC. NO. ELEC. TOTA ERMI�T �T PLUM6111414 P", the basis for the, alleged ex(aription, Any violatio ofSectio 7031.5 STORIES TYPE CONSTR, by any applicant for a permit subjects the applicant to a civil penalty of not more titan five hundred dollars 0500).); ALTER -DRAIN & VENT -WATER (EA.) 5.00 0 1, as owner of the frToperty, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4,00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 intended or offered for case (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does Such work himself or throtigh his ow " employees, provided that such improve are not intended or offered for sale. If, however, the building F IXTUR ES - PER TRAP 5.00 SO. FT. FLOOR AREA, TOTAL ACREAGE GAS-EA.SYSTEM-1 INC.40UTLETS 6.00 GAS or improveincrit z1 sold within one year of completion, the owner - builder will have the burden of proving that lie did not build or im- pyQP If f I ) " Pur", , " " �,operty, ont exclusively contracting with I, as o'n," 'of b, GAS - EA. SYSTEM - OVER 4 (EA.) 2.00 BUILDING USE E IND CON PB Other 0 1:1 1:1 INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 contractors to construct the project ($cc. 7044, Business Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who ASSESSORS PARCEL NO. LAWN SPRINKLERS -OVER 5 (EA.) 1.00 contracts for sugh proj"ts,with a contractor(s) licensed pursuant to the ContfaCtQT's, License Law, SEWER -SANITARY -STORM EA. 200ft/1 0.00 TRACT NO. PARCEL NO. C exern'Pt and qpSe B.&P,C, for this WATER HEATER W/VENT 6.00 �r w. w, ... ..... .. - w Da WORKEAS'COMPENSATION WATER WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. copy thereof (See. 3800, Lab.C.), Policy No_______ Company ..... . . ... . ....... . . . ........... ............. FIRE SPRINK Y 0 N ❑ ENERGY T-24 Y [-] No 0 Certified copy is hereby furnished. El Certified copy is filed with the city inspection division. Applicant - ............. IMISC. REFER TO ORD. CIERTIFWATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10,001 FLOOD ZONE A,L.U.C. PLG.CONTR. LIC. NO. PLG. TOTAL COMPENSATION INSURANCE (This section need not be completed if the permit is for one Y E] N[] Y ❑ N ❑ 'k BUILDING hundred, dollars (S 100) or less.) I certiry, that in the performance of the work for which this per mit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California. Date.._. _,„ Applicuant . ...... NOTICE TO APPLICANT; If, after making this Certificate of Ex - ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 PLAN CHECK eruption, you sftCr4ld become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. FEE AIR HANDLING UNIT (TO 10MC.F.M.) 4.00 AIR HANDLING UNIT (OVER 10MOC.F.M.) 6.00.1 SEISMIC FEE CONSTRUCTION LENDING AGENCY EXHAUST HOOD (WITH DUCT) 5.00 I bereby affirm that there is a construction lending agency for the performance Of the work for which this permit is issued (Sec. 3097, CivC,)� MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 H EATI NG UNIT (OVER 100,000 B,T.U.119.50 ELECTRIC Lender's Name Lender's Address-. ----- -------- --- I certify that I have read this application and state that the above, information is gorrect. I agree to comply with all city and County ordinances and state laws relating to building, construction, and VENTILATION FAN (SINGLE) 4.00 PLUMBING BOILER - COMP (3 H.P. or 100,000 B.T.U.) 6.00 801 LER-COMP (over 100,000 BTU) SEE FEE SCH. MECHANICAL hereby a1JtbQTiir represvotatives of this city to enter upon the above-mentioned property for inspection purposes. MISC.- REFER TO ORD, (We) agree to save, indenutify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which 11y.In an accrue against said City in consequence of the o this �e it. L.-% nturv, CONST. TAX PERMIT ISSUANCE 10,00 LI MECH. CONT. C. NO. MECH. TOTAL gnature of ApF'4IJk'_,ant/Ccu*faycbr Date CITY 01' CUP::I.I'I110 1I;SPL;CTIOi. RECORD (Uffi,, (,.0,, ?�) PI;PEAT No. SANITARY DIST. NO. LUT NO- ADDRESS PROJECT OI"TNER JOB SITE PHONE NO. PER_*iIT ISSUED Date ELECTRICAL l3ui3d, irt rDate Insp. Klectrical Power Pole 11IumhiT17 Underground 'lrchan cal Rouu�h Whin Temp. Cas/P; BUILDING ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS r Z Z O � h f LU a r CL 0 V O (; td_ U 0 w �- 03 Z iU TO FILL 1N INFORM TI -0N WITH1 N RFD 1,..1NE - USE R 1..L PUNT PEN ONLY __, 4 RVI LDI NO PROJECT IDENTIFICATION ��. APPLICATION & PERMIT BUILDING —ELECTRICAL— PLUMBING —MECHANICAL ' ,,;" , t t3TYx �LEG"T`RIC P(1�T � PERMIT. NUMBER 004 BViLDING At}t)FtESS a i"�4, OWNER'S NAME PLAN CHECK VALIDATION DATE OF APPLICATION CONTRACTO/ NAME ,�.,[� Olt o.Z-1l✓'{ J j UTLETS-SWITCHES-RECEP 5.00/1.00 LIGHTING FIXTURES 5.00/1.00 ADDRESS oaS ADDRESS 1 ONE '-21I '�j APPLIANCES- RESIDENTIAL 4.00 -*.� PANELS 5.00 ARCHITECT OR ENGINE.Ea LIC NO SIGNS Ey 00 PLAN CHECK FEE P.C. NO, 'SIGNS TRANS. 3.00 ARCH, OR ENG W ADDRESS ,SPECIAL CIRCUIT 5.00 PERMIT VALIDATION r TEMP. METER OR POLE INS. 15.00 ZIP APPLICANT'S ADDRESS J4 MOTORS SEE FEE SC SERVICE CHANGE 10.00 Q LICENSED CONTRACTORS DECLARATION � C 1 hereby affirms that I am licensed under provisions of Chapter 9 (commencing dh Section 7000) of Division 3 of the Business and Professions C drr n my license is m full tot e and eCIfV License a _ Lia Number ISSUA BLDG. ELECT. PLG. MECH. o �}� N/ Pipig, Al Date Contractor -. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Sec 7031 5„ Business andProfesslons Code,A'nycityor'countywhichrequiresapermittoconstructalter, improve, demolish,or repair any structure, prior to its issuance also requires the applicant for Such permit to file a signed statement that he is licensed pursuant to The provisions of the Contractor's License Law (Chapter 9 f commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and 1i ' ' ' vALUAT � 7t`!`p�y p V xJ W MISC. REFER TO ORD PERMIT ISSUANCE 6 00 ELEC. CONTR. LIC. NO. ELEC. TOTAL PERMIT TO � �✓ , PLIU 11 G P time basal for tlte'ageged exemption.An wolalion of SecSion 70131.$ y ""ALTER STORIES TYPE CONSTR. b any applicant for a permit subjects the applicant Ica cn it penalty y pp 1 of not more than live hundred dollars ($500).): DRAIN &VENT -WATER "(EA.) 4.00 ��•/f��C- thei1, as owner of the property, or my employees will)wages as r sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code. The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does Such work..FIXTURES himself or through his own employees, provided that such improve- ments are not intended or'offered for sale. If, however, the building BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES UNITS 16t_DRAINS -FLOOR ROOF, AR EA,COND. 4.00 ------ - PER TRAP 4.00. SO. FT. FLOOR AREAJ f TOTAL ACREAGE GAS - EA. SYSTEM - 1 INC. 4 OUTLETS 4.00 or improvement is sold within one year of completion, the owner builder will have the burden of proving that he did not build or tea - prove for purpose of sale.), C7 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of"Property who builds or improves thereon. and who GAS EA. SYSTEM -OVER 4 (EA.) 1.00 BUILDING USE RE ND CON PB Other ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 20.00 _ LAWN SPRINKLERS - 1 INC5 V.B. 5.00 - ASSESSORS PARCEL NO. 3 LAWN SPRINKLERS - O JD .A 1.00 - contracts for suchprojectswith a contractor(s) licensed pursuant to the Con tractor'% License Low. �- SEWER -SANITARY -STORM EA, 200ft/8.00 TRACT NO. PARCEL NO. D I am exempt under_.--,B.&P.C. for this reason _ ..... � "°7 �. ACC. DATE ACC. FILE NO. WATER HEATER T Date— _ _ ____-- --------Owner _.....,. WATER SYSTEM 4.00 WORKERS'COMPENSATION DECLARATION WATER TREATINGC* tVf 0U rtjn04.00 I hereby affirm that I have a certificate of consent to self -insure' or a certificate of Workers' Compensation Insurance, or a certified co t 1' ec, £300, Lab C. - y , ZONING ENG. SITE NO, ".� t,l Certified e6 } i e Pay furnished. P 6 Certified copy, is fled with the city inspection division. Appiwant��`ewow, FIRE SPRINK v ❑ N ❑ ENERGY T-24 Y ❑ rv❑ . MISC. - REFER TO ORD. CE ----- -_FEOHI-;X6MPT10NFR WORKERS' PERMIT ISSUANCE 5.00 FLOOD ZONE A.L.U.C, PLG. CONTR. LIC. NO. PLG. TOTAL (Q COMPENSATION INSURANCE (This section noed not be completed if thee permit is for one Y ❑ N❑ © N❑ ' " " , , " ' AN) ii ,lw,. `E✓',1 ,r+ ;"' , ;, rEM hundred dollars 0100) or tess.) certify that til the performance of the work for which thus per mit is issued, 1 s?n311 not employ any person in any manner so as to BUILDING become subject to, the Wow*ersCompensation Laws of California.'" Date.,.,Applicant _.-__ _ .. NOTICE TO APPLICANT": It', after making this Certificate of Ex- ALTER OR ADD TOMECH. � 4.00 APPLIANCEz3AIM4.00 PLAN CHECK emption, you should become subject to the Workers' Compensation provisions of the. Labor Code, you must forthwith comply with such provisions or this pertnit shall be deemed revoked. C NSTRUC71ON LENDING AGENCY FEE AIR HANDLING U A T ( =C.F.M.) 3.00 AIR HANDLI )T VE C.F.M.) 5.00 SEISMIC FEE 1 hereby aft"ictz) that thore is a construction lending agency for EXHAUST OtWd (ATH 2.00 the performance of the work for which this permit is issued (See. 3097, Civ C.) MICROFILM HEATINGU IT DO fi.U.) 4.00 ELECTRIC ti Lender's Name.., - Lender's Address __ HEATINGU �. O o B.T.U.)7.50 1 certify that -1 have read this application and state that the above Information is tatarect. t agree to complywith all ul y and county ordinances and state laws, relating to building construction, and hereby authorize represtntatives of this city to enter upon the ab property P P p Band nkee VENTILATION FAN (SINGLE) 3 00 PLUMBING � BOILER -COMP (3 H.P. or 100,000 B.T.U'.) 4.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL /" �/ "— MISC.- REFER TO ORD. _- CONST TAX (We�) agree t Savindemnify if a hses. g y 1 arnmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue atnx d ity in consectu-nce ' the PERMIT ISSUANCE 3.00, MECH'. CONT. LIC. NO. MECH, TOTAL 7C� I(rantl this p In n Uleof WIn11C.Cmim tr'A�CCOC ohm D �...uw� muu mwuwwmmm,••++' OFMCIE COPY 0: z 00 cc U - < z W 0 z z 0 J, d cc Q 0 U� a: CC X 09 cc R 0 da��O z 0 rnZ 0 W a. to Z C ANTTO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ,991 LOIN PRWJECT 1, DENTI QICATION � PERMIT NUMBER APPLICATION & PERMIT — ELECTRICAL— PLUMBING —MECHANICAL 8759 �5 'W4 PLAN CHECK VALIDATION 7,// , t a" Mo'Jj,% PUTI-ETS - SWITCHES - RECEP 10.00/1,00 "WILDIN'(3 Apr) NBUILDING OWNER $ NAME Jell'o 5A or*- A4*v*,* PHONE 41 �Ir CONTRACTORS NAME LIC, NO. ILIGHTING FIXTURES 10.00/1.00 APPLIANCES -RESIDENTIAL 4.00 CONTRACTOR'S ADDRESS PHONE PANELS 10,00 DATE OF APPLICATION ARCHITECT ORPANELS ENGINEER LIC. NO. (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ARCH_ OR ENG_ ADDRESS SNiaAL CIRCUIT 5.00 PERMIT VALIDATION EMP. METER OR POLE INS. 20.00 ZIP APPLICANT'S ADDRESS MOTORS SEE FEE SCH, SERVICE CHANGE 20.00 LICENSED CONTRACTORS DECLARATION TEMP. POLE 30.00 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, arid my license is in full force and effect. License Class Lic. ISSUANCE DATE BLDG. ELC .11 PLG. MECH. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm that I am exerupt from the Contractor's License Law for the following reason, (Sec. 7031.5, Business and Professions Code: Any city or County which requires iperunt to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appIlcant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division10(the Business and Professions Code) or that he is exempt therefrom arid the basis for the alleged exemption, Any violation OfSection 7031 5 misc. — REFER TO ORD ./f PERMIT ISSUANCE 10,00 VALUATION $/rT. ELEC-CONTR LIC, NO. ELEC, TOTAL S RIES TYPE CON-STFT- M84 % il by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500),); ALTER -DRAIN & VENT -WATER (EA.) 5.00 13 1, as owner of the property, or my employees with wages as their sole componsation, will do tire work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 — OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREACOND. 5.00 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or finfroves thereon, and who does such work himself or through his owrLemployees, provided that such improve- ments are not intended or offered for sale. If, however, the building FIXTURES - PER TRAP 5.00 SO. FT, FLOOR AREA, TOTAL ACREAGE GAS - EA. SYSTEM -1 INC. 4OUTLETS 6.00 or improvement is,sold within one year of completion, the owner - builder will have the burden of proving that he did not build or un- prove for purpose of sale.), El 1, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 BUILDING USE IND CON PEI Other El El 11 ❑ INDUSTRIAL WASTE INTER. 30.00 licensed contractors to construct the project (See. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who LAWN SPRINKLERS - 1 INC 5 V�B, 6,00 ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EA.) 1,00 contracts for such projects with a contractor(s) Iii:cils(el pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/1 0.00 TRACT NO. PARCEL NO. 0w exempt under Sec. 13&P.C. for this; reds WATER HEATER W/VENT 6.00 WATER SYSTEM 5,00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 WORKFRS'C,O9PFNSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self-inSurc, or a certificate of Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. copy thereof (Sev, 3800, Lab.C.). Policy No..... Company .—.-..-.. - - - -------- ------ - - _-___ ----- - -------- FIRE SPRINK Y [] N❑ ENERGY T-24 Y [:] N[ • Certified copy is hereby furnished, • Certified copy is filed with the city inspection division. Applicant . ..... . . . - - -_- -- - ------ MISC--I REFER TO ORD. CERTIFICATE, OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10-00 FLOOD ZONE A.L,U.C. PLG. CONTR_ LIC. NO. TOTAL COMPENSATION INSURANCE (This section need not be completed if the permit is for one Y ❑ N ❑ Y ❑ N I NIJA�At," 014 '77 hundred dollars 1$ 1 00) or less.) I certify that ni the performance of the work for which this per - mit is issued, I shall not employ any person in any manner so as to become subject io the Wouters'Compensat ion Laws or California. Date_._.., ..... Applicant NOTICE TO APPLICANT: If, after making this Certificate of Ex- BUILDING ALTER OR ADD TO MECH. 5.00 APPLIANCE 5,00 PLAN CHECK emption, you should beconac subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked, FEE AIR HANDLING UNIT (TO 10)=C.F,M.) 4.00 AIR HANDLING UNIT(OVER 10)=C.F.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDINC, AGENCY I hereby affirru that there is 4 construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ.C_). EXHAUST HOOD (WITH DUCT) 5,00 MICROFILM HEATING UNIT (TO 100,000 B.T,U.) 8.00 HEATI NG UN IT (OVER 100,000 B.T.U.)9,50 ELECTRIC Lender's Name Lender's Address—_ — - ------- lcertify, that I have read flus application and slate that the above is correct. I apirce to comply with all city and county ordinances arid itate laws relating to building construction, and VENTILATION FAN (SINGLE) 4.00information PLUMBING BOILER -COMP (3 H.P. or 100,000 B.T.U.) 6.00 BOI LER-COMP (over 100,000 BTU) SEE FEE SCH. _i� _IS_C MECHANICAL hereby an thorize rcpresergaliver; of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to ,arve, indemnify and keep harmless the City of REFER TO ORD, Cupertino against liabilities, judgments, costs and expenses which i y n any way accrue against said City in consequence of the CONST. TAX PERMIT ISSUANCE 10.001 MECH. CONT. LIC_ NO.-7MOETCH, TOTAL outing of t ]is virnit. Si nature of Appficarit/4ninfetor Date _J OFFICE COPY PERIMITISSUED Date Buil d `rl Electrical 1'lumhin�; l lrchnn ical 'ierlp, Gns/T"]ect. Solar Fire Snrinkler Sign Hisc. I FINAL INSPECTIONS Date Insp. Electric Plumbin, - 41' Mechanical 3- Solar Pool Gradin-. ' nin. . Fire 1)U I -LU L Other BUILDING Underf loor --_ Partial Rough 10 riW,. Rough Complete CITY 01' CU1'1;1'1'11I0 INSPECTIOi: RFCORD (Office Copy) i` 7"oundati on 6 Pre-Gunite j� S1ah-'� �� 4,. %' 1 I'I;i'.?IIT 1110. SANITARY DIST. NO. LUT 1,10 ADDIU',SS Floor Steel Tiedowns PROJECT OWNER JOB SITE PRONE NO PERIMITISSUED Date Buil d `rl Electrical 1'lumhin�; l lrchnn ical 'ierlp, Gns/T"]ect. Solar Fire Snrinkler Sign Hisc. I FINAL INSPECTIONS Date Insp. Electric Plumbin, - 41' Mechanical 3- Solar Pool Gradin-. ' nin. . Fire 1)U I -LU L Other ELECTRICAL Date I Insp. Power Pole Under r,r.ound P.ou€h Uiring Uaiis Ceiling, Fixtures Int/Ext Rotors Grounding Temp._Power Other Not Approved PLUMBING Backflot: Underground BUILDING Underf loor --_ Partial Rough Date Insp. Rough Complete Pad Certification Solar Rough gg 7"oundati on 6 Pre-Gunite R/of/S Drain S1ah-'� Other Bond Bear Not Approved Underfloor Girders Floor Steel Tiedowns Diaphrams . " Seismic: Bracing halls -Panels 1 Frame y Lnth �- Uallboards ` n /f:xt. Firewalls Other Not Approvedyj 1 l r , ��s - rs Ir N•1 i ( ��It �� 'C�� ELECTRICAL Date I Insp. Power Pole Under r,r.ound P.ou€h Uiring Uaiis Ceiling, Fixtures Int/Ext Rotors Grounding Temp._Power Other Not Approved PLUMBING Backflot: Underground Date Insp. -5- -3 Underf loor --_ Partial Rough 5-,3 Rough Complete Solar Rough Water & Insulation Main Drain R/of/S Drain Gas Other Not Approved MECHANICAL Date Underfloor S.M. Insp. Ducts & Insulation `' •- Fire Dampers Fireplace Grease Duct & hood One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved BliILDING ELECTRICAL PLUMBING HECRANICAL MISCELLANEOUS APPL.ICANT TO FILL. IN INFORMATION VUT'HIN RED LINES — USE BALL ISO T PLN ONLY BUILDING PROJECT IDENTIFICATION 9UILDtN+'S �-- APPLICATION & PERMIT AQgRESLv 1f �^�.�� (�_ �^y BUILDING —ELECTRICAL— PLUMBING —MECHANICAL PERMIT NUMBER ` 4005 OWNER'S e--_--._ ,;>;; ;. , NAMEy V „ Pf1IIiIIT I=EE PLAN CHECK VALIDATION DATE OF APPLICATION CONTRACTDfI'S _ NAME � 206:3 .OUTLETS -SWITCHES -RECEP 5.00/'J.00 d .:i LIGHTING FIXTURES 5.00/1,00 CONTRACTOR' y1. ADDRESS 10z5 Ol{PANELS C_Z1 "„APA -RESIDENTIAL 4.00 " iyJ ) ARCHITECT OR ENGINEER Llc, No. �� .,SIGNS 6 00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 I AAR DDRESS ENG SPECIAL CIRCUIT 5.00 i PERMIT VALIDATION TEMP, METER OR POLE INS. .00 ZIP APPLICANT'S ADDREODRESS MOTORS' FEE SCH, a SERVICE CHANGE U V I1 JU AiSfUAICCE D LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 7000) of Division 3 of the Business and (commW full a e Li ensenLicsNumbeTorce Date_Contraetor P� 1 City of OtIpertipo- BLDG. EC P MECH. LDER DFCLARATION I he exempat from the Contractor's License Law for the folh'awing reason (See 70:31.5, Business and Professions Code: Any city art county which requires a permit toconstruct, alter, im rove, deanol.4h„ or repair an structure, prior to its issuarwv, also p p y P requires the applicant forsuch permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and'fir "' MISC. — REFER TO ORD , VALUA 11 >r TION B/FT, C PERMIT ISSUANCE 6.00 Qf r ELEC. CONTR. LIC. NO. ELEC,s� TOTAL 1J Le, PERMIT TO r � Y" ' (L � ," EEE STORIES TYPE CONSTR. the basis for the alleged exemption_ Any violation of Section 7031.5 byany upphcantfor apermit subjects tire applicant toacivil penalty ALTER-DRAIN &VENT -WATER (EA,) 4. Q0 of not more thattfive hundred dollars (5500)J: C7 1, as owner of the property, or my employees with wages as their style compErsation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS .. DRAINS -FLOOR, ROOF, AREA, GOND. 4.00 - intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve- ments are not intended oroffered for sale. 11, however, the building F I XTUR ES - PER TRAP 4.00 SO. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM - 1 INC.4 OUTLETS 4.00 or improvemeri is sold within one year of completion, the owner, builder will have the burden of proving that Ire did not build or im- proveforpurposeofsale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the prosect (Sec 7044, Business and Professions Code The C'ontractor's License Law dues not :apply to an owner of property who builds of, improves thereon. and who GAS EA. SYSTEM -OVER 4 IEA.( 1.00 BUILDING USE RES IND CON PB other 9q ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER, 20.00 LAWN SPRINKLERS - 1 INC 5 V.B. 5,OQ ASSESSORS PARCEL NO. 3 2v- —_ LAWN SPRINKLERS - OV 1.00 — contracts for strcb, projects with a contractor(s) licensed pursuant to theContractor's License Lew SEWER -SANITARY STORM EA. 200ft/$.00 TRACT NO. PARCEL NO, Iain exempt under Su --_�OBt� P C, for titins C`WATER reason 3 4ACe. W/ Date-_11 J WATER SYSTEM 4.00 D ATE ACC, FILE NO, WORKERS'COMPENSATION DI-CLARATION WATER TREATING Etidlypof 0006111n000 I hereby affirm that I have a certificate of consent to self -insure, or a certificate pf Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. .. p%{y [they f Se 3800, C °Y�'>�1� I'7 er�:copy is hereby furnished. L7 Certi red iu pled with the city inspection division. - i�Yr4�i /tr .. _ .... -- Applicant fzXF;M PTION WORKERS' CFRTIFICATE Of (FS24\M FIRE SPR INK y ❑ N ❑ ENERGY T-24 Y ❑ N❑ MISC. - REFER TO ORD. PERMIT ISSUANCE 6.00 �`- FLOOD ZONE A. L. U. C. PLG. CONTR. LIC. NO. PLG TOTAL COMPENSATION INSURANCE (This section need riot- be completed if the permit is for one Y ❑ N ❑ Y ❑ N ❑ MECHANICAL 11 E FES Uix; hundred dollars($ 100) or less 1 I certify that fin, tine peri'ormancc of the work for which this peri, mit is issued, I %.hall not employ any person in any manner so as to BUILDING become subject to the Workers Compensation Laws of California. Date_,_..- - ,_,._.Applicant -- - - -- — NOTICE TO APPLICANT: If, after staking this Certificate of Ex- - ALTER OR ADD TO MECH. 4.00 APPLIANCE 4,00 PLAN CHECK emption, you should became subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. FEE m AIR HANDLING UNIT (TO 10=C.F,M.) 3.00 AIR HANDLING UNIT (OVER 1 a ) 5.00 SEISMIC FEE � CONSTRUCTION LENDING AGENCY EXHAUST HOOD (WITH DUCT) 2.00 MICROFILM I hereby affirm that there is a construction fending agency for the performance of the work for which this permitis issued (Sec, 3097,Civ.C.), HEATING UNIT (TO 1 T.U. , 0 ELECTRIC �,, 1 Lender's Name Lender's Address __ _ _-,,.... . 0 HEATING UNIT (,O1 E 0,00 B.T. I certify that I have read this application and state that the above information is correct 1 rtgree to comply with all city and countyPLUMBING ordinances and state laws relating to building construction, and VENTILATION FAN (SMkLW0 -^ BOILER - COMP (3H.P,or10 ,0 OB- TIJ.101 BOILER -COMP lover 100,000 BTU( SEE FEE SCH. MECHANICAL hereby authorize' represontatives of this city to enter upon the above-mentioned property for inspection purposes. MISC. - REFER TO ORD, CONST TAX g Nand keep harmless the Cit of We agree t ane tied, judgments, costs and expenses which Cupertino a a wq liabilities, I may man cont acinic s d Ci n corse u ce o ° lbe b I M� „TOTAL --- tractor;,! rgntt ire f As,p d nt/Grath d II Daf^ w,� PERMIT ISSUANCE 3,00 MECH. CONT. LIC. NO. MECH. j///� %. ' OFF:iCE COPY i _O Z O CC to =W ? a0 z V O L) i0 a �>- to Ip)— z t C0 a APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY BUI LDI NG PRQ41ECT I iDENTI FICATION APPLICATION & PERMIT BUILDING — ELECTRICAL— PLUMBING — MECHANICAL PERMIT NUMBER 8760 BUILDIN flRE�.» ✓ * 4 01;, r r / rr jr r / i v ..O PLAN CHECK VALIDATION CONTRCrDRs NAME UTLETS- SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10,00/1.00 LIC. NO, CONTRA4,TOR,a ADDRESS .APPLIANCES - RESIDENTIAL 4.00 PANELS 10.00 PHONE DATE OF APPLICATION ARCHITECT C1R ENGINEER LIC. No. PANELS LOVER 200 AMP) 20,00 PLAN CHECK FEE P.C. No. SIGNS T ,ANS, 3.00 ARCH, OR ENG ADDRESS SP AL CIRCUIT 5.00 PERMIT VAL#tA( J�_ �+ �© EMP. METER OR POLE INS. 20,00 , ZIP [JIN 5 9 wry ot cuportfla ADDRESSTs n MOTORS SEE FEE SCH. SERVICE CHANGE 20.00' _ LICEN E3DCONTRACTORS DECLARATION TEMP. POLE 30.00 1 hereby affirm #hat I ant licensed under provisions of Chapter 9 (commencing w4h Section 7000) of Division 3 of the Business and Professions Cod(,,,, and my license is in full force and effect, Licease Class _ __ T Lic. Number,,,,-,,,- — __. ._.—. ISSUANCE DATE BLDG. ELEC ❑ PLG. MECW El Date. _......... _- Contractor...... .... _... ....... OWNER -BUILDER DECLARATION%%%f 1 hereby affirm that I am, exempt from the Contractor's License Law for the following reascin. (Sec. 703 L5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also reyuiresthe aripi'cant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cbaptrr 9 (commencing with Section 70000) of Division 3 of the Bus6nesw and Processions Code) or that he is exempt therefrom and the basis for theallleged exemption. Any violation ofSectiom 7031.5 MISC, REFER TO ORD PERMIT ISSUANCE 10.00 VALUATION $/FT. ELEC. CONTR. LIE NO. ELEC. TOTAL,,x-2� PERMIT c �J IES TYPE CONSTR. J by any apphcaoT, for a permit subjects the applicant Ica civil penalty of not more tban five hundra:d dollars (5500).): ALTER -DRAIN & V ENT-WATER(EA.) 5,00 ❑ 1, as owner of the pTpperty, or my employees with wages as their sole compdrisation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4-00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 intended or offyred for sale (Sec. 7044, Business and Prol'esstons Code The Contractor's License Law docs not apply to an owner of property who builds or imploves thereon, and who does such work himself or throes his own employees, provided that such improve- ments are not intended or offered for sale. If, however, the building FIXTUR ES - PER TRAP 5.00' SD. FT. FLOOR AREA TOTAL ACREAGE GAS- EA.SYSTEM-1 INCA OUTLETS 6,00 or improvement, is sold within one year of completion, the owner builder will have the burden of proving that he did not build or im- prove for purpose of sale ), 0 1, as owner of the property, am exclusively contracting with❑ , ,. GAS EASYSTEM OVER 4 (EA) 200 BUILDING USE RES IND CON PB Other ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30,00_ licensedcontractors to construct the protect (Sec, 7044, Business and Professions ( ode: The C'ontractor's License Law does not apply to an owner of property who builds or improves thereon. and who LAWN SPRINKLERS - 1 INC 5 V.B, 6.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EA,) 1.00 contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. SEWER-SANIiTARY-STORM EA. 200ft/10.001 TRACT NO, PARCELNO. ❑ I m exempt)Ander Sec. .,B.&P.C. for this naso WATER HEATER W/VENT 6.00 Ow D WATER SYSTEM 5.00 ACC.DATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 oil WORKERS'COMBENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of W'orker$',Compensation Insurance, or a certified ZONING ENG. SITE NO. copy thereof (Secs:; 3800, Lab C.). Policy No .. FIRE SPRINK Y ❑ N ❑ ENERGY T-24 Y ❑ N ❑ ❑ Ce fled copy is hereby furnish e ❑ Ce ' ied cop filed i h inspection division. Applica , ._.._..__ .... _...._._—.—_ MISC. - REFER TO ORD. C :RTIFICAT1 OF f,,XEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. PLG. CONTR, LIC NO PLG TOTAL COMPENSATION INSURANCE completed if the acini is for one h' tion need not be m (This sec p P Y N Y ❑ N ✓/ / / ///9 /%r a i// hundred dollars (5100) or ¢essJ I certify that in, the performance of the work for which this per - er mit is issued, i spall not employ any person In any manner so as to mit BUILDING become subject to the Workers Compensation Laws of Cafiforniu. Date:...._ Applicant _-_..... — NOTICE TO AIIPLICAls r,if, after making this Certificate of Ex- „ '„ ='; ,; „ , ALTER OR ADD TO MECH. 5,00 APPLIANCE 5.00 PLAN CHECK emption, you shoWd becomc subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deerred revoked. FEE AIR HANDLING UNIT (TO 10MC.F.M.) 4,00 AIR HANDLING UNIT IOVER10=C.F.M.) 6,00 SEISMIC FEE CONSTRUCTION LENDING AGENCY EXHAUST HOOD (WITH DUCT) 5.00 i hcreby affnuti that there is a construction lending agency for the performance Of the work for which this permit Is issued (Sec. 3097, Civ,C.). MICROFILM HEATING UNIT (TO 100,000 B.T.U.) I3.00 HEATING UNIT(OVER 100,OOOB.T.U.)9.50 ELECTRIC Lender's Name_ Lender's Address a- __ _...__ 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 slate laws;, relating to building construction, and VENTILATION FAN (SINGLE) 4,00 PLUMBING i BOILER•COMP(3H=P.or 100,004B.T,U-) 6.00 BOI LER-COMP (Over 100,000 BTU) SEE FEE $CHI,' MECHANICAL hereby authon�v representatives of this city to enter upon the above-mrntione+Y„properry for inspection purposes. M'ISC. - REFER' TO ORD - CONST. TAX (We) agree to save, Indemnify and keep harmless the City of Cupertino against liabilities,' judgments, costs and expenses which m y in any way; accrue against said. City in consequence of the PERMIT ISSUANCE 10,�p nting of thy, l t!nttt. .�r ] r rW/✓,++ MECH. CONT. UC. NO. MECH. TOTAL —7-1 T7 j /r �r N 3gnatureol ApltllaaantjCorr io Date OFFICE COPY i PROJECT OWNER JOB SITE PRONE NO. PER,*IIT ISSUED nate BuiIdin llectriical 1, lumhir1� 'Icchan.ica1 Tem). Gas/I?Icct. Solnr Fire Sprinkler Sinn Misc. FINN. INSPECTIONS Date Insp. ilectr:ic Plumbin . 'Iechanicxl ?, ,,a Solar Pool Gradin" I' Fires nen Buildi Other t. BUILDIM I,nsp.. Fire Dampers Date Insp. C.1TY OI' CUI'.',I:TINO INSPI:CTI01 RECORD (Office ,, ,j;Y-) r foundation ��" Slab-Ifarte - _ i Y110. &-". J' floor Steel PI:I'JIIT NO. SANITARY DIST. NO. LOT A1)1)f:I:SS -.. -- Diaphrams "e . " Seismic Bracing;_._... 11alls-11anels Frame e � i PROJECT OWNER JOB SITE PRONE NO. PER,*IIT ISSUED nate BuiIdin llectriical 1, lumhir1� 'Icchan.ica1 Tem). Gas/I?Icct. Solnr Fire Sprinkler Sinn Misc. FINN. INSPECTIONS Date Insp. ilectr:ic Plumbin . 'Iechanicxl ?, ,,a Solar Pool Gradin" I' Fires nen Buildi Other t. BUILDIM I,nsp.. Fire Dampers Date Insp. I'ad Certification Grease Duct & hood _ r foundation ��" Slab-Ifarte - _ Bond Beam Underfloor Girders J' floor Steel 7 edowns Diaphrams "e . " Seismic Bracing;_._... 11alls-11anels Frame e � T—nth 4 r3"Rf Wallboards Int/I:xt. Firewalls f Other ��- ", Not Approved Power Pole Underground Rough Wiring Uaiis Ceiling Fixtures Int/Ext Hotors Grounding Temp. Power Other Not Approved ELECTRICAL Date I I.nsp. PLUMBING Date Insp. Backflow Underground Underfloor Partial Rough -5- Rough Complete Solar Rough Water & Insulation Main Drain R/of/S Drain Gas Other Not Approved MECIIAN I CAL Date Underfloor S.M. Ducts & Insulation I,nsp.. Fire Dampers Fireplace Grease Duct & hood _ One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved ! \ E BUILDING - ELECTRICAL PLUMBING l3cRANIcAL MISCELLANEOUS ui u U. LL 0 �n 0 CK Z 0 ;= uj V CL uj CL 4A U. Z° Z O co 0 u 0 co a, O > U �— a 00 Zzo L/) Z UL" W0 V) urtin > V co L) LLJ LLJ o O Q 6 z s 0 Q z 0 6 z @ 3 ,D 4 b. O ° z W � U. 00 w 00 a CAz D0 0 n o. m �^ W 0 dt.l N U. Luz 0 ~o>- V© V a co LU w V ui Q ern 0 Z ♦— 2 cr- UJ a O. o 0 q LL 0 0w F— z IN u ILL IN INFORMATION WITHIN RED LINE — USE BALL POINT EN ONLY 0 BUI LDItI G PROJECT I DENTI FICATION APPLICATION & PERMIT BUILDING — ELECTRICAL— PLUMBING — MECHANICAL � OTY I L' CTRIC 1%I1M ' Fg,e PERMIT NUMBER 0 Bi,,iLDING A✓n RESs ,*r4 / t-ol OWNEiiJb NAME PLAN CHECK VALIDATION DATE OF APPLICATION CONTRACTORS NAME G. ]� OUTLETS SWITCHES-RECEP 5.00/1.00 LIGHTING FIXTURES 5.00/1.00 ADDRESS CONTRACTOR'S m,- oNEe �I I ,. APPLIANCES RESIDENTIAL 4.00 PANELS 5,00 �1" V , ARCHITECT--", OR ENGINEER LIC, NO. SIGNS 6 Q0 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ADDRECA SS ENC ZIP SPECIAL CI'R'CUIT 5.00. PERMIT VALIDATION P ;n NO V / �j,� �t Cit Of ATE BLDG. EL IL& MECH. TEMP, METER OR POLE INS. 15-00 i APPLICANT'S ADDRESS %^ MOTORS -1 SEE F SCR.^ SERVICE CHANGE LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 ash licensed under provisions of Chapter' (commencing with Sec ion:7000) of Division 3 of the Business and Professions of and y license is in full forff,,��° at d eckNifoel License ,1 - Lic. Number rLm_ Date Contractor ,._..._ (4fNER-BUILDER DECLARATION 1 hereby aFf)riit that 1 an) exempt from theConirnclor's License Law for the following reason -(Sea 70315, Business and Professions Code: Any city or county whicls requires a permit to canstrlct alter, improve, demolish, or repair any structure, prior to It'ssuaucc, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to tate provisions of the Contractor's License Law (Chapter 9 (commencing with Sect ion 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and Z -.- -., %/% � — MISC. REFER TO ORD VALUATION $lFT. C� 1 i a PERMIT ISSUANCE 6.00 "' ELEC. CONTR. LIC. NO. ELEC. TOTAL �,,��a�� r,. PERMIT TO , y PLUM 40,P/ TYPE CONSTR. / /All Any violation of Section 7031 5 the basis for the alleged exemption, Any by any applicant for a permit subjects the applicant toa civil penally not more than five hundred dollars (8500).): ALTER -DRAIN & VENT -WATER (EA,) 4.00 a L as owner of the property, or my employees with wages as their sole compeineition, will do (he work, and the structure is not intended or offered for side (See. 7044, Business and Professions 'BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES, UNITS BRAINS -FLOOR, ROOF, AREA, COND, 4.00 Code; The Coalructor's License Law does not apply to an owner of property who }builds or Improves thereon, and who does Such work himself or through his own) employees, provided that such Improve- ments lire notintendedoroffered for Sale. If, however, the building FIXTURES - PER TRAP 4.00 ,/(0`— SO. FT. FLOOR AREA TOTAL ACREAGE GAS EA. SYSTEM -11NC. 4OUTLETS 4,00 wner- or improvement is sold within one year of completion, the owner- builder build .r will have -(he burden of proving that he did not build or in) -RES prove for purpose ofsalr). CI 1, as owpeF of the property, am exclusively contracting with heense'd contractors to construct the project (Sec. 7044, Business andProfode: The ply to an ownerans ol property wh ootractbuuldssrr r improves thereon, and 's License Law does not who GAS EA. SYSTEM OVER 4 tEA,1 1.00 BUILDING USE IND CON PB Other K ❑ ❑ ❑ ❑ INDUSTRIAL WA R. 20.00' LAWN SPR IN KLERS - 1 INC 5 V.B. 5,00 ASSESSORS PARCEL NO. a3 ",� � � -- 3. 2--�� LAW N SPR IS OV � (�A.) 1;00 0 contracts for such projects with a contractor(s) licensed pursuant to the Contractot"sLicense .Law. SEWER -SANITARY -STORM EA.200ft/6,00 TRACT NO, PARCEL NO. 0 1 am exempt under See _,B.&P.C. for this reason_ _._,_._._ ___.., _. —_.._ _ G 7/ WATER HEA f)nO 4,00 --,.-------- _.,_._ Owner _........._ , ......... WATER SYSTEM 4.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP, 4.00 WORKERS'C'OAIPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate a, Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. P�gew. 3800, La nC it ., e y. �._ . FIRESPRWK v ❑ NEI ENERGY T-24 Y ❑ N[J D Certiiieri co yis reby furnished. 0 Certif'ed kFopy is "led with the city inspection division Applicant __ _ _ MISC. - REFER TO ORD. PERMIT ISSUANCE 6.00 .. CERTIFICATE OF EXEMPT ON ERO RKI:RS' FLOOD ZONE A.L.U.C. PLG. CONTR. LIC. NO. PLG. TOTAL COMPENSATION INSURANCE (This Section need not be completed if the permit is for one Y ❑ N❑ Y ❑ N❑ // 2 S', . C+4,At [C f41 .iP., A %Ml T �. BUILDING h undred dollars (S 100) or less.) I certify that in the Iwrformance of the work for which this per- mit is issued 1 shall not employ any person m any manner so as ro becorde subject to the Workers Compensation Laws of California. Dateu, Applicant ..---.._ _ — NOTICE TO APPLICANT: It, after making this Certificate of Ex- TER OR ADD TO4.00 AL- APPLIANCE 4.00 PLAN CHECK emption, you should become subject to the Workers' Compensation suchioroprovisions or this opermit shall be deemed revoke comply with P y d revoked. CONSTRUCTION LENDING AGENCY FEE % AIR HANDLING UN1� (T 10, �) 3.00 AIR HANDLING AU *V&10 ..M.) 5.00' SEISMIC FEE & EXHAUST HOOD IWITH UCT 2,00 MICROFILM 1 hereby affirm that [here is a construction lending agency for the performanceof the work for which this permit is issued (Sec. 3097,C.ivC.) HEATING UNIT M OW . . .) 4,00 HEATING UNIT (OVER 100,000 B.T,U.17.50 ELECTRIC PLUMBING 4 Lenders Lenders Andrea& .,�._�_. _ �. _ _ .,..,.,_ I certify that I have regi l this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale laws relating to building Construction, and � VENTILATION FAN (SINGLE) 3,00 '"°`°` BOILER- COMP (3 HP. or 100,000 B.T.U.) 4.00 ._ BO#LER-COMP (fiver 100,000 BTU) SEE EEE SC H, MECHANICAL hereby autborire representatives of this city to enter upon the... above-mentionO property for Inspection purposes. MISC. - REFER TO ORD. CONST TAX (We) agree to save indemnify an keep harmless the City of Cupertino agaiaist liabilities, judg c .ts and expenses which may in any way accrue d y m conseq rice o `the grand If this peri 't „ � ��— PERMIT ISSUANCE 3.00 i' MECH. CONT. LIC. NO. MECH. r TOTAL �� YV" f gnat rcoCApiscant/Ccntraefor Date OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION APPLICATION & PERMIT BUILDING —ELECTRICAL— PLUMBING —MECHANICAL C Iz ANIAL PERMIT NUMBER 8761 nLOwG 5q -7 (Alz�-, , I "I �111, " , CT11 , n�Al K VALIDATION PLAN CHECD P JUN 5 1965 of Cupertino OWNER'$ N �4E CONTRACTORS NAME LIC. NO, OUTLETS - SWITCHES - RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS ADDRESS APPLIANCES - RESIDENTIAL 4.00 PANELS 10.00 PHONE ci�� ATE OF APPLICATION AACHITECT OR ENGINFEA LIC. NO, PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. T SIGNS ANS. 3.00 ARCH, OPI ENO. ADDRESS $KC—IAL CIRCUIT 5.00 PERMIT VALIDATION IP -11 -TEMP, METER OR POLE INS. 20.00/ ZIP APPLICANT'S ADDRESS MOTORS SEE FEE SCH. .SERVICE CHANGE 20.00 LICENSED CONTRACTORS DECLARATION TEMP. POLE 30.00 1 hereby affirm that I arn licensed under provisions of Chapter 9 (commencing with Section, 7000) of Division 3 of the Business and Professions Codt� and my license is in full force and effect. License Class.._.,.,,.,. Lie. Number LSSUAACE DATE BL4,. PLG. MECH. I A�t I Date Contractor . ........... ... — ------- OWNER-BUILDER DECLARATION I hereby affirm that I afti exempt from the Contractor's License Law for the rolkiwjog reason. (See, 7031 S, Business and Professions Code: Any city or county'which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicot for soch permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License " IMISC. — REFER TO ORD PERMIT ISSUANCE 10.00 V�l LUATION $/FT ELEC. CONTH, LIC. NO. ELEC.A IOTA PERMIT TO oty Law (Chapter 9 (,commenchig, with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for theafegcd exemption, Any violation ofSccfjon 7031 TYPE C RIES CONSTR. I by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {5500),): ALTER -DRAIN &v A.) 5.00 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4,00OCC, GROUP -SES—UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 intended or offered for sale (Sec, 7044, Business and Professions Code; The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve- meats are not intended or offered for sale. if, however, the building F IXTUR ES - PER TRAP 5.QO SO. FT. FLOOR AREA TOTAL ACREAGE I - - GAS EA. SYSTEM 1 INC.4OUTLETS 6.00 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- prove for purpose of sale.), 0 1, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 BUILDING USE RE J IN CON PB Other EA ,Q El El 0 INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - I INC 5 V.B, 6.00 licensed contractors to construct the project (See, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of .property who builds or improves thereon, and who SSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EA,) 1,00 contracts for suoh,projects with a contractor(s) licensed Pursuant to the Contractor's, License Low. SEWER -SANITARY -STORM EA, 200ft/1 0.00 TRACT NO, PARCEL NO. 0 1 am exrmp tunderSB&PC'.forthis.WATER HEATER W/VENT 6.00 Dat c' 4A&W-o' WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 WORKE,RS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, certificate of Workers' Compensation Insurance, or a certified 01 a ce, copy thereof (Sec. 3£300, Lab.C.). ZONING ENG. SITE NO. Policy No. Company ........ — ----- FIRE SPRINK Y EJ NEI ENERGY T-24 Y E] NED • Certified copy is hereby furnished. • Certified copy is riled with the city inspection division. Applicant . ...... . ............ MISC� - REFER TO ORD. CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C, PLG. CONTR. LIC. NO. PLG TOTAL (,"OMPENSATION INSURANCE (This section need not be completed if the permit is for one Y ❑ N ❑ Y ❑ N ❑ hundred dollars( '100) or less.) I certify that fit the perfi,,)rmance of the work for which this per - init is issued, I shall not employ any person in an y manner so as to BUILDING become subject W the Workers' Compensation Laws of California. Date__ ..-.,,,,,..Applicant NOTICF', TO APPLICANT; If, after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 PLAN CHECK eulptim), You should become subject to the Workers' Compensation provisions of the Labor Code, you most forthwith comply with such provisions or this permit shall be deemed revoked. FEE AIR HANDLING UNIT (TO 10MOCF.M.) 4,00 AIR HANDLING UNIT(OVER 10,WOC,F.M.) 6.00 SEISMIC FEE 0,)NSTRUCTION LENDING AGENCY I hereby affirm that tflere is a construction lending agency for the performance of the work for which (his permit is issued (See, 3097, Civ.C.). EXHAUST HOOD (WITH DUCT) 5,00 MICROFILM '_ HEATING UNIT (TO 100,000 S.T.V.) 8.00 HEATING UNIT (OVER 100,OOOB.T,U.)9.50 ELECTRIC Lender's Name_ —. Lender's Address—_—..._... I certify that I have read tbisapplwalion and state that the above information is correct, I agree to comply with all city and county ordinances and state law,,,,, relating to building construction, and hereby authorize representatiscs of this city to enter upon the above-mentioned property for inspection purposes. VENTILATION FAN (SINGLE) 4,00, PLUMBING BOILER- COMP (3H.P.orloo,000B.T.U.) 6.00 801 LER-COMP (Over 100,000 BTU) SEE FEE S MECHANICAL MISC. - REFER TO ORD. CONST. TAX (We) agree (D Save, indemnify and keep harmless the City of Cupertino against fiabilititts, judgments, costs and expenses which may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. MECH. TOT AL Ow"A grp4ng of 0 I Siguatuae of"ii�fi`,ant=actor Date CITY OF CUPI RTiNO INSPhCTI01. RECORD (Office Copy) P1:MIT 110.SANITARY DIST. 140. LOT 1,10• ADDRESS PROJECT OWNER JOB SITE PHONE NO PE&*IIT ISSUED Date BuiIdin Flectr'ical f' Iumhi11n 1lcchnn ica1: Temp. Cas/'I icct. Solar Fire Sprinkler S i r..n Misc. FINAI, INSPECTIONS r, r- s Electric Date Insp. Plumbing 3a Mechanical' -8 Solar` _ Pool J-2.,r-'�-1 Gradin _ Equipment Anchorage FirP De D ep t . _ a F'',uiIdin S -Z: -- Other BUILDING I sp. Ducts & Insulation Fire Dampers Date Insp. I'ad Certification Grease Duct & flood _ I°otin dation J-2.,r-'�-1 Condensate Drain _ Equipment Anchorage Slab-111csr- bzaz.,a _ a Other Bond Beam Not Approved Underflnor Girders Floor 'Steel Tiedowns Diaphrams � 5ni g .seismic: I1ra Gi 11alls-11anels - y Frame 7 4TTU Lath .. f Uallboards Int / I:xt . Firewalls Other Not Ap' roved y ELECTRICAL Date Insp. Power Pole \ Underground Rou ,h Wiring T—)alls., Ceiling - - Fixtures Int/Ext Motors Grounding Temp. Power Other Niot Approved PLUMBING Backf low Date Insp. Underground Underfloor Partial Rough Rough Complete Solar Rough Water & Insulation Main Drain R/of/S Drain Gas Other Not Avnroved MECHANICAL Date Underfloor S.M. I sp. Ducts & Insulation Fire Dampers Fireplace Grease Duct & flood _ One flour Shaft Condensate Drain _ Equipment Anchorage Flues & Comb. Air Other Not Approved BUILDING ELECTRICAL PLUMBING 2H;CHANICAL MISCELLANEOUS �Nn �. �.,. APPI_I a T TO FELL IN INFORMATION BUI LIlVr3 PF7 JECT I LtENTI FICATION BulLniNG AnDRtss °N�RacTo NO CONTRACTOR'S ADDRESS / ��4„Ib NE1-+°-. ARCHITECT QR ENGINEER LIC. NO. !& BIN REQ LINES — USE BALL_ POINT PEN APPLICATION & PERMIT BUILDING — ELECTRICAL— PLUMBING — MECHANICAL is// SWITCHESOUTLETS - RECEP 5.0011.00 0* nLIGHTING 2 —m 5.00/1A0 APPLIANCES - RESIDENTIAL 4.00 -- , PANELS 5.00 �-- SIGNS 6-00 T. — SIGNS TRANS. 3.001 ONLY PERMIT NUMBER 4007 PLAN CHECK VALIDATION DATE OF APPLICATION PLAN CHECK FEE P.C. NO. ADDRESS ENG SPECIAL CIRCUIT 5.00� �'�p PERMIT VALIDATION ZIPEMP. ADDRESS T S ..... METER OR POLE INS, 15.00 MOTORS 71 SERVICE CHANGE 10.00 o O 2 cc _ LICENSED CONTRACTORS DECLARATION fwith�Section > - © g 'J O w under r3 ISSUANCE DATE Q a 0 el (commencing ing 77000) of Divisionof Bus nesps and Profess[ons Code ltd my license is m full force and of v ... I Qcup ! tIIQ� BLDG, CT. PLG. MECH. l+I Z o y - 2 zDate- License s __.� Lic. Number _ Contractor t� � _n_____ - OWNER-BUILDER DF;CLARATIO E� REFER TO ORDS � , I- I hereby afflrin that lam exempt from the Con tractors License MISC. - u. 0 a J Law for the following reason. (Sec 7031,5, Business and Professions PERMIT ISSUANCE 6.00 p VALUATION $/FT. y Cade: Anyeityofcolmt'ywhiehreq Liiresal)ermittocotistruct,al4tr, ,y .../�I'�.Yy�, aJ V '" �+�' - w Q p lm rove, demolish, or re Pair art strneture, )rear to us issuanree, a[sc) p B Y I ELEC. CONTR. LIC. NO. £LEC. / y �R requires the apy}Ilcant for such permit CO file a signed Statement that TOTAL PERMIT TO X ti he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing Section 7000) Division 3 of the f, � z r with of Busmess and Professions Cade) or that he is exempt therefrom and 0 Y, FL,I Mi1,1�ICa FES.. `;„ ¢ H o the bails for the alleged e;cemptinm Any violation OI'Seetion 7031.5 ' STORIES TYPE CONSTR. by any by n applicant torn permit subjects the applicant to a civil penalty ALTER DRAIN St VENT-WATER {EA,) 4,00 t Wore than five hundred dollars ($5(10).j; ❑ 1, as owner of the property, or my employees with waw as BACK F LOW PROTECT. DEVICE 2-00 OCC. GROUP RES. UNITS their sole compensation, will do the work, and the structure is not intended or o(fefred for sale (Sec 7044, Business and Professions DRAINS-FLOOR, ROOF, AREA, COND. 4,00 ' Code: The Cofstrtwtor's License Law does not apply to an owner of roped who th ulds or improves thereon, and who does such work FIXTURES - PER TRAP 4.00 0 SO. FT. FLOOR ARE A TOTAL ACREAGE himself or through his own employees provided that Such improve- menta are not intended or offered forsale If. however, the building GAS- EA. SYSTEM - 1 INC.4OUTLETS 4,00 W p ;G or Improvement to sold within one year of completion, the owner GAS - EA. SYSTEM - OVER (EA.) 1.00 BUILDING USE builder will ha0e the burden of proving that he did not build or im- RES IND CON PB Other provelurpurposeofsale,) 1, the with INDUSTRIAL WASTE INTER. 20.00 A ❑ ❑ ❑ ❑ ❑ as owlet of property, am exclusively contracting Incensed contractors to construct the project (Sec 7044, Business ' LAWN SPR INKLE .. '. 5 V.B. 5.00 ASSESSORS PARCEL NO. and Prolessions,Coda: The Contractor's License Law does not apply p buildsimprovesth Leon, and who tot LAWN SPRINKLERS OVER IEA.) 5.00 . --.- ry p licensed pursuant to tra�tsnl'or�acltulroJe�t with the Contraclnr's License Law. SEWER-SANT - OR . 200ft/8.(70 TRACT NO, PARCEL NO. C7 I am exempt under Sec. B &P,C. for this reason WATER HEATER W/VENT 4.00 �. ...m _... ,_.- ......_ Date.— ,„.._.—_ Owner.._.., „.. WATER SYST 01 CUPeM1104.00 .'—... ACC. DATE ACC. FILE NO. ..... WORKPRS'COMPENSATION DECLARATION WATER TREATING EQUIP. 4.00 hereby affirm( that 1 have a certificate of consent to self-insure, ZONING ENG. SITE NO, or a certificateaof Workers', Compensation Insurance, or a certified c l sof (..,e 3800, b $� ��` --• ^, ... O P tpanyf xr ❑ Certified rapy is tereby furnished. R SPRINK ENERGY T�24 ❑ Certified "D is filed with the city inspection divisio . Applicant �n MISC. - REFER TO ORD. Y N�] Y C1 No p _- OC 0 1 CLRTIPICATEOF N F I WflRK> RS' PERMIT ISSUANCE 6.00 F OODZONE A.L.U,C. LU 0 COMPENSATION INSURANCE PLG. CONTR, LIC. NO, PLG. TOTAL Y ❑ N ❑ Y ❑ N ❑ ' d (This section need not be completed if the permit is for one D Z 0 O1 hundred dolhim ($100) or less.) certify thw in the performance of the work for which this per QTy, ��C�AIU�AL PEI�MIT � �I"EE, FE�� M� ' P mit is issued, I shall not employ any person in any manner so as to U ©a. become subject to the Workers Compensation Laws ofCliforrua Appht.ant._ a_ BUILDING 3? a Date__. .__ _... _ ALTER OR ADD TO MECH. 4.00 (n NOTICE TO A1'PLItAI`Yk'� if, often making this Certificate of hx . Z eruption, you should become subject to the Work ers'Coinpensation ; APPLIANCE 4.00 PLAN CHECK - provisions of the, Labor Code, you must forthwith comply withFEE ''� � U such provisions or this permit shall be deemed revoked. AIR HANDLING JC)0 0CvF,M,) 3.00 CONSTRUCT ION LENDING AGENCY AIR HANDLING UNIT (OVER 10=C.F,M.) 5.00 SEISMIC FEE � 1 hereb ffnirrru that there is a construction lending a ens for hereby a i agency EXHAUST I ITH ) 2.00 -°-' the performance of the work for which this permit Is issued (Sec P MICROFILM 3097,Civ.C.). HEATING (TO 100,000 B.T,W 4.00 Lenders Name _ —.� HEATING U ELECTRIC �Icertif ' that have read thisa application and state that the above v PP (SINGLE) 3,00 VENTILATICIAN (SING��B.T.U.J3.00 information is correct I agree to comply with all city and county BOILER-COMP (3 HI.P. 0r 100,000 B.T.U.) 4.00 PLUMBING'” ordinances and- slate laws relating to building eonatrucauon, and IS hereby authorize representatives of this city to enter Ripon the BOILER-COMP (Quer tOt5,000 BTuf SEE FEE SCH. MECHANICAL , i 111 forins inspection purposes. above-mentioned propertyuses. We , ) agree to saveindemnify and keep the City of MISC. - REFER TO ORD. - C;u ertino against habilitte, ud men#s costs and ex ens s wl , h P g J & p' PERMIT ISSUANCE 3.00 CONST TAX may an an way seer airs . in cot xqucn of the grantln its rrnl y v Vl rE✓�iii// MECH. CONT, LIC, NO.MECH, iTOTAL ��j�D>„i y r' Sig ur oaf Appheant/Cowttractor D e I OFFICE COPY u 6/ :11/ �` CITY OF CUI'I:I'TINO INSPECTIO1, RECORD (Office' Copy) Pool Crn _ may Foundation m PI:P.?II'r rIO. SANITARY DIST. NO. LUT Ido. MiiIdin -Z #" Other Bond Beam PROJECT OWNER JOB SITE PHONE NO. s PERMIT ISSUED nate ELECTRICAL Iui] din Diaphrams .- ' Date Insp. Seismic Bracing; Electrical )'ower Pole Pfumhisrtr, l e�chanical Temp. Czs/I,lcct. Solar Fire Snrinkler Sirn Itisc. FINAI, INSPECTIONS r, r s _ Electric Plumbing Mechanical Date Insp. -6 Solar Pool Crn _ nnnin , Foundation irp -De t , e p t. .,U MiiIdin -Z #" Other Under ,round Rough Wiring Ualis (Ceiling Fixtures Int/Ext llotors Grounding Temp. Power Other Not Approved I PLUMBING Backflow Underground Underfloor Partial Rough Rough Complete Solnr Rough Water & Insulation Main Drain R/of/S Drain Gas Other Not Approved MECHANICAL DateInsp. -L --, -- WN Date Underfloor S.M. 7, Ducts & Insulation.. BUILDING Fire Dampers Date Insp. I'ad Certification _ One Hour Shaft Foundation _ Te .,U Flues & Comb. Air Slab-:;ro 6. Ir Bond Beam Underfloor Girders s Floor Steel Tiedowns Diaphrams .- ' i Seismic Bracing; llalls-l'anels Frame t' Ln t h r Uallboards Int/i:xt. r, Firewalls " Other t` Not Approved Under ,round Rough Wiring Ualis (Ceiling Fixtures Int/Ext llotors Grounding Temp. Power Other Not Approved I PLUMBING Backflow Underground Underfloor Partial Rough Rough Complete Solnr Rough Water & Insulation Main Drain R/of/S Drain Gas Other Not Approved MECHANICAL DateInsp. -L --, -- WN Date Underfloor S.M. 7, Ducts & Insulation.. Insp. Fire Dampers Fireplace Grease Duct & hood _ One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved BUILDING M_ ELECTRICAL ; PLUMBING MECHANICAL MISCELLANEOUS APP T LL IN INFORMATION fflTHIN RED LINES — USE BALL POINT PEN ONLY r, BUI LDIN1 G PROJECT I DENTI FICATION APPLICATION & PERMIT BUILDING — ELECTRICAL— PLUMBING — MECHANICAL 7 E' ECT'RIC',"Ple'J"I"" LE PERMIT NUMBER 4008 OVV�DING ADDRESS j=&,>�crz,4 -D,(- W 0 NER'S NAME PLAN CHECK VALIDATION CONTRACTORS NAME otnr , o.7-IC9 DATE OF APPLICATION OUTLETS - SWITCHES - RECEP 5.00/1-00 FIXTURES 5.00/1.00 1,4 CONTRACTOR'S ADDRESS (11Z15 Yyt—C-11 In" ILtaE 3'71 _&LLIGHTING — APPLIANCES -RESIDENTIAL 4.00 . PANELS mm 5 00 ARCHITECT ENGINEER LIC. NO. SIGNS 6.00 PLAN CHECK FEE7 P.C,NO. FAR SIGNS TRANS. 3.00 ARCH.OR ENG. S ZIP SPECIAL CIRCUIT 5.00 NPERMIT VALIDATION OV 1 1983 )� ioof�ur0no 3 TEMP. METER OR POLE INS. 15.00 APPLICANT�S ADDRESS Iq MOTORS SdRAJOCH. �SERVICE CHANGE 10.00 LICENSED CONTRACTORS DECLARATION N 1 hereby affirm that I am licensed tinder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P " rofessions C rid y license is in full f d ft Lie or�m!v,.V_ LicenseLie. Number - a D te —Contractor....._ - 91n ISSUANCE DATE CITY 0 f Cupertini BLDG� 2� ELECT. PLG. MECH. a a 2� , R v", I'll . . . . . . WNF,R-BLJILDER DECLARATION I hereby affirm that Itim exempt from the Contractor's License Law for the following reason, (See. 7031.5, BusinessandProicssions Code: Any city orscanty which requires permit to ccurstruct, alter, improve, demol)sli, or repair any Structure, prior to its issuance, also s require s the tiplificant for permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (CbaptcT 9 (commencing with Section 7000) cit'Division 3 of the Business and Professions Code) or that he is exempt therefrom a d !misc. — REFER TO ORD PERMIT ISSUANCE 6.00 VALUATION $JFT, ELEC. CONTR. LIC. NO. ELEC. LT.TCAL/(O If PERMIT TO FE the basis for the alleged eKemption, Any violation ofSection 703, 5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty of not more thatfive hundred dollars [$500).): ALTER -DRAIN & VENT -WATER (EA.) 4,00 0 1, as owner of the Property, or my cmPIcyr"s with wage' 48 their sole coin pensat ion, m, ill do the work, and the structure is not intended or offered for style (Sec. 7044, Business and Professions BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS 2— 15RAINS-FLOOR, ROOF, AREA, COND. 4.00 Code: The Contractor's License Law does not apply to in owner of property who huJ)ds or improves thereon, and who does such work himself or through his own employees, provided that such improve, merits are not intended or offered for sale. If, however. time building 'a Ja FIXTURES - PER TRAP 4.00 SO. FT. FLOOR AREA1 7 TOTAL ACREAGE GAS- EA. SYSTEM- 1 INC. 4OUTLETS 4.00 or improvement is sold within one year of completion, file owner - builder will have the burden of proving that he did not build or it"- prove for purpose ofsale .), 0 1, as owner of the property, am ex&mvely contracting with GAS - EA. SYSTEM - OVER 4 IEA.) 1.00 BUILDING USE RES IND CON PB Other N, 0 El 11 El INDUSTRIAL WASTE IP, 1wensed contractors to construct the project (See. 7044, Business, and Professions 0de: The Contractor's License Law does not apply to an owner of property who builds, or improves thereon, and who contracts for such, projects with a contractors) licensed pursuant to Co the Contractor's License Law, LAWN SPRINKLERS - 1 INC 5V.B. 5.00 ASSESSORS PARCEL NO. 3 7 17— 4 LAWN SPRINKLE MVVI! 1 SEWER-SANITAR Y-STORM EA. 200ft/8.00 J: TRACT NO. PARCEL NO. 0 1 am exempt under B.&P.C, for this Date----- . .... . ... Owner . ... ........ . . . . . k / WATER HEATERYWKOUperfino, 4,00 WATER SYSTEM 4.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 4.00 WORICERS'COMPENSATION DECLARATION 1 hereby affirm, that I have a certificate of consent to self -insure, or a certificate of,Workers' Compensation Insurance, or a certified cpo I �, A�Wo f ZONING ENG, SITE NO. FIRE PHI y NF� �*l ENERGY T-24 Y N ❑ i Certi ie cop is he y furnished. 'ril le is 0 Certifj cop is lied with the city in division ec"o" Applicant I ti4�� MISC.- REFER TO ORD. P CERTIFICATE OF FXEmTION 44 WORKERS' PERMIT ISSUANCE 6.00 F1_dO0 ZONE A.L.U.C. PLG. CONTR. LIC. NO, LG. 1P TOTAL COMPENSATION INSURANCE. (This sectiou need not be completed if the permit is for one y ❑ N y❑ NEI Yl -14A 0111"r hundred dollars($ 100) or less.) Ic certify that in the performance of the work for which this per- cr rin, i s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, Date _—Applicant NOTICE TO APPLICANT: IC after making this Certificate of Ex- BUILDING 3 f ALTER OR ADD TO MECH, 4.00 APPLIANCE 4.00 PLAN CHECK emption, you should become Subject to the Workers'Corrupcusution provisions of (,It(,, Labor Code, you must forthwith comply with such provisionsor this permit shall be deemed revoked. CONSTRUCTION' LENDING ACFNC)' FEE -AIR HANDLING UNIT (-PNNI Ppt.F.M.) 3.00 AIR HANDLING UNIT( 9YEy 5.00 SEISMIC FEE I hereby affirm, that there is a construction lending agency forJ_ EXHAUST HooN&kVrHJDUCfV0J 2.00 J_ time performance of the work for which this Permit is Mucci (Sec 3097, Clv.C.). MICROFILM HEATING UNIT (TO 100,0.00 B.T,U.) 4.00 ELECTRIC Lender's Name Lender's Address., ... . .............. HEATING UN IT (&VVFPT0164W'91UU.)7.50 I certify that I have read this application andstate that the above Iro ation is correct. I agree to comply with all city and county ordinances and state laws; relating ordinrlall to building construction, and VENTILATION FAN (SINGLE) 3.00 PLUMBING BOILER - COMP (3 H.P. or 100,000 B.T.UJ 4.00 ?� BOILER -COMP (over 100,000 BTU) SEE FEE SCH, MECHANICAL hereby act I horrix, representatives of this city to enter upon the 3brive-yrientioned property for inspection purposes. MISC.- REFER TO, ORD. (Wei agree W save, indemnify and keep harmless the City of Cupertino agaiust liabilities, d It ,cost and expenses which catty any way aVcruc a '011'se(lukrice f the ty 0' grant may in n P I �n 7"'r A CONST. TAX PERMIT ISSUANCE 3.00 3 MECH. CONT. LIC. 0 I.TA L 777=777� 121,11 . .... ... ..... ? OFFICE COPY , o TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY BUI LDI NIS PROJECT I DENTI FICATION BUILDING - ADDRESS APPLICATION & PERMIT BUILDING -•- ELECTRICAL— PLUMBING — MECHANICAL PERMIT NUMBER 7284 OWNER'' NAME wPHONE CONTr ACTOR'S� i L N E � („✓C"'.."-t`''y C LIC. Nd ,). JG1f f/�/�JJ Il/ / � %'//'fj%, l� 1'� �,� �J 1/10 UTLETS - SWITCHES - REC EP 5,000/1.0/1..0 0 A P4-AN CHkWCK YALIDATION DATE OF APPLICATION PLAN CHECK FEE P.C. NO... LIGHTING FIXTURES 5.00/1.00 r°tNTR�ti�ns ADORE # � r _5 ,,"y,l , ,. d , ,,.z " PHONE �y7 ,' OR ENGINEER LIC, N(5. APPLIANCES -RESIDENTIAL 4.00 PANELS 5.00 SIGNS B.00 SIGNS TRANS- 3.00 ARCH. OR -ENG.. ...._._..._.. AODRP8S. .. SPECIAL CIRCUIT... 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS, 15.00 MOTORS SEE FEE SCH. zip APPLICANT'S 0.0On ES5 (` SERVICE CHANGE 10.00 _ LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 ata licensed under provisions of Chapter 9 (Co "Iffl(IlIncing with and on ivision 3 of the Lie contC Jf and rl l O�Oc NuDtnb roc e end effBustr License lass ., , ._Contractor OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec. 703 L5, Business and Professions Code; Any city of county which requires a permit toconstruct, alter, improve, demolish, or repair any structure, Prior to Its issuance, also requires the applicant for such permit to file a signed statement that lie Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (Commencing with Section 7000) ofDivision 3 ofthe Business and Professions Code) or that he is exempt therefrom and basis r ,, o' ect o... 7031.5 the l rims for the for ad exemption. Any violation t S cti n by any applicant fora permit subjects the applicant to civil penalty of not more than jive hundred dollars (S500).): ISSUANCE DATE BLDG. ELECT, © © El PLG. MECH....... ❑ ❑ MISC. — REFER TO ORD PERMIT ISSUANCE 6.00 VALUATION $/FT. PERMIT TO ELEC. CONTR, LIC, NO. ELEC. TOTAL i STORIES TYPE CON5TR. ALTER -DRAIN & VENT -WATER (EA.) 4.00 I ars owner of the property, or my employees with wages a' their sole compensation, will do the work, and the structure is not i intended or offered for sale (See. 7044, Business and Professions Code: t he Contractor's License Law does not ripply to an owner of property who builds or improves thereon, and who does such work himself or lhrolu ,LI his own employees, Provided that such improve• mends are not intended or offered for sale. If, however, the building BACK FLOW PROTECT. DEVICE 2,00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 4.00 -. FIXTURES - PER TRAP 4.00 . GAS - EA. SYSTEM - 1 I NC.4 OUTLETS 4,00 50. FT, FLOOR AREA TOTAL ACREAGE or improvement is, sold within one year of completion, the owner=' builder will have the burden of proving that he did not build or im- prove for purpose of sale,). iii 1, as owner, of the property, am exclusively contracting with GAS - EA. SYSTEM - OVER 4 (EA,) 1.00 BUILDING USE RES IND CON PB Other 1:10 11 11 INDUSTRIAL WASTE INTER. 20,00 __ LAWN SPR IN KLERS 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO. lice nsed contractors to Construct the project (Sec. 7044, Business and Professions Code. The Contractor's License Law does not apply to an owner o( property who builds or improves thereon, and who LAWN SPRINKLERS -OVER 5 ( J I Ithl0 contracts for such projecha with a contractor(s) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 00 TRACT NO, PARCEL NO. G:7 I am exempt under Sec .- B &.P.C, for this WATER HEATER W/VENT mason..., . — Owner Date __........ _............ ._. WATER SYSTEM r tv .00 - ACC. DATE ACC, FILE NO.... WATER TREATING EQUIP, ` WOR0,',RS'COMPENSATION DECLARATION I here by affirm that I have a certificate of consent to self insure, or a certificate o Workers om erisati InsUr, or a erufid copy tlicrcoi (Sec 3800, Lab r) Policy No Company (�t",fTi _. ZONING -- ENG. SITE NO..._.. - FIRE SPRINK ENERGY T-24 Y ❑ N ❑ Y ❑ N❑ L7 Certified copy is hereby furnished. ll Certified .Copy Is filed with the city inspection division. .... .. MISC.-REFER TO ORD, CERTIFICATE OC" EXEMPTION FROM WORKERS' COMPFNSATION INSURANCE ('This section deed not be completed if the permit is for one hundred doltarA,0100)orless) er- ] certify that in the performance of the work for which this per- mill mit is issued, ] (tall not employ any person in any manner so as to�i% heeom sublcct to the Workers Compensation Laws of California. Date__ _ ,. Applicant .. __.,.,_� _ _. NOTICE TO ADPL ICAtd1: If, after making this Certificate of Ex• emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. PERMIT ISSUANCE 6,00 PLG. CONTR. LIC. NO. PLG. Ot TOTAL .- %/// ��,%�%//ii ��/ �%r%!r i��i �/// !/� ! // /�/ ��%/. / ,.�.,,, , ",/ „ ,, /Ui� ,:, - /� /( / /i , .r //,% ,.,rr„ //�,/�� ALTER OR ADD TO MECH. 4.00 FLOOD ZONE A,L.U.C. Y ❑ N ❑ Y ❑ N ❑ - BUILDING APPLIANCE 4.00 __ PLAN CHECK FEE AIR HANDLING UNIT (TO 10,000C.F.M.) 3.00 AIR HANDLING UNIT (OVER 10=C.F.M.) 5.00 SEISMIC FEE CONSTRUCTION LENDING; AGENCY I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 2.00 the performance of the work for which this permit is issued (Sec. 3097, CivC.). ;; HEATING UNIT (TO 100,000 B.T.U.) 4.00' MICROFILM ELECTRIC Lender's Name,----- - Cinder's Address _---.�---.— �.-.. �� ', HEATING UNIT (OVER 100,000 B.T.U.)7,50 PLUMBING % ec aat al ce ordinatnuesnahma4cst tclfaws rciatmgottopbt dinbalconst icton.band BOILER-CCOMP 3H.P©5100,000 B.T.U.) 4.00 hereby authorize representatives of this city to enter upon the above-mentioned, property for inspection purposes. BOILER -COMP lover 1070,000 BTU) SEE FEE SCH-' MECHANICAL MISC. REFER TO ORD. (We) agree to save indemnify and keep harmless the City of — - P crfxno a ainst h lid judgments, costs Consequence uen Y ag y g and ence of the may in an wa �cruc ainst said (it in IF q expenses f the PERMIT ISSUANCE 3.00 CONST. TAX gu i y f this iv y �x 4��re i t aacan7,rl,t..._.. �ly1i)tcantlContractor Date MECH. CONT, LIC. NO, MECH. TOTAL r1rrI117 el no\e . CITY 0I' CUPERTINO INSPECTIOi. RFCO?�D (0€five Copy) Foundation ((-3-3 Pre-Gunite Main Drain P./ of / S Drain 5 -7-.,)7 - Bond Bead Other Underfloor Girders Not ADnroved Floor Steel PI MIT 1.10. SANITARY DIST. NO. LOT 1,10. Not Approved Diaphrams '[)tkJ `seismic Bracing t �„ 7 j r Frame PROJECT Lath 01.111ER JOB SITE PHONE NO. , PERI2IT ISSUED Date 11 ELECTRICAL Buil dinp, 1 Date � I.nsp. Liecttical }'I.urnhiclr ltochan i cal 'Ienp. Gas/I;lcct. Solar . Vire fi rinkler Sign Misc. FINAL INSIECTIONS BUILD TNG Insp. Rough Complete Date Insp. Pad Certification Foundation ((-3-3 Pre-Gunite Main Drain P./ of / S Drain 5 -7-.,)7 - Bond Bead Other Underfloor Girders Not ADnroved Floor Steel Other Tiedowns Not Approved Diaphrams `seismic Bracing }falls �_ (Ja Frame "Z2 Lath y ! i7 llboards Int/I;xt. , Firewalls Other Not Approved ' - Under ,roernd Rough Wirin lla-11 Ceiling Fixtures Int/Ext Hotors Grounding TemE, Power Other Not Approved �— PLUMBING Date Insp. Backf lot. Underground .. , 1, -- Partial Rough Insp. Rough Complete Solnr Rough [dater & Insulation _ Main Drain P./ of / S Drain 5 -7-.,)7 Gas Other Not ADnroved MECHANICAL Date Underfloor S.M. y �Y Insp. Ducts & Insulation -Py Fire Dampers Fireplace Grease Duct & Ilood _ One Hour Shaft Condensate Drain ............ Equipment Anchorage Flues & Comb. Air Other Not Approved f-5 I BUILDING PLUMBING I ICVrtl AVrTr' AT MISCELLANEOUS TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POWT- PEN ONLY BUILDING PROJECT IDENTIFICATI N APPLICATION & PERMIT BUILDING —ELECTRICAL— PLUMBING -MECHANICAL PERMIT, NUMBER 4009 BUILDING AJDRES f -a4+ - YA ."TRI A"'' EA PLAN CHECK VALIDATION ON DLICATILAN C"611!% PP.C. NO. 16 Will I OWNER'S NAME lc4t6NE CONTRACTOR'S NAME 142, 0 Z -7()q OUTLETS -SWITCHES - RECEP 5.00/1.00 IbA L-Qr7 LIGHTING FIXTURES 5.00/1.00 CONTRACTOWS I ADDRESS -711P APPLIANCES- RESIDENTIAL 4.00 PANELS 5.00 ARCHITECT OR ENGINEER LIC. NO. SIGNS 6.00 SIGNS TRANS. 3,00 ARCH, OR ENG,FTW—a ADDRESS SPECIAL CIRCUIT 5,00 VAON VV TEMP. METER OR POLE INS. ZIP city 'rtIn APPLICANT'S ADDRESS 4 MOTORS MT,JJA[F%SCH. SERVICE CHANGE "IV V 40.00 LICENSED CONTRACTORS DECLARATION IQ i Cz I hereby affirlm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 or the Business and P s C de and my license is in full force a Lice. 7 lc� Number Li N her ly fit Expe Moo ISSUANCE DATE BLDG. ELECT PLG MECH. Date Contractor.,,_ t4 — W VALUATIOi� $/FT. OWNFR-BUILDER DECLARATION I hereby affirm that I arn extrript front the Contractor's License Law for tile folhoving reason. (Sec. 7031,5, Business and Prorosions Code: Any city or county which requires a permit to construct, alter, Its issuance, also improve, demohSh, or repair any structure. prior to it, requires the app4cant for such permit to fIle a signed stMetnent that he is licensed pasnant to the provisions of the Contractor's License Law (Chapter 9(cornmencing with Section 7000) cif Division 3 of the Business and Pr4f(tssions Code) or that he is exempt therefrom and MISC. REFER TO ORD PERMIT ISSUANCE 6�06 ELEC. CONTR. LIC. NO. CLEC C C�L TOTAL l PERMIT TO _I "CITY. P LuMIBI N0,0 *1T FEE STORIES TYPE CONSTR. the basis for the zifleged exemption. Ary violation o[Svetion7031.5 by any applicant for a permit subjects the applicant to a civil penalty ofnot more than five hundred dollars (5500).): ALTER -DRAIN & VENT -WATER (EA.) 4.00 0 1, as owner of the Property, or my employees with wages as their sole compolviation, will do the work, and the structure is not intended or offered for uile (Sec, 7044, Business and Professions BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES, UNITS DRAINS -FLOOR, ROOF, AREA, COND. 4.00 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does Such workz himself or through his own employees, provided that such iii illi are not intended or offered for sale. If, however. the building SQ. FT. FLOOR AREA TOTAL ACREAGE FIXTURES -PER TRAP 4.00 .4 GAS - EA. SYSTEM - 1 INC. 4 OUTLETS 4.00 or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or in)- prove for purpose of sale ).ES ❑ 1, a, owner or the property, am exclusively contracting with GAS - EA. SYSTEM - OVER 4 (EA.) 1.001 BUILDING USE E IND CON PB Other El El 0 El . . WASTE IqTER2000 4 LAWN SPRINKLERS - 1 TN`1t4WB. 5.00 ASSESSORS PARCEL NO. 7 J licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The, Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who T 5 (EA.) LAWN SPRINKLERS - OV 1,00 contracts for sudi projects with a contractor(s) licensed pursuant to the Contractor's License Law. ac SEWER-SANITARi4ttibRI101 EA! /8.00 TRACT NO. PARCEL NO. 0 1 am exempt under Sec. for this reason --------- WATER HEATER W/VENT 4. Date ----,---.—Owner,, WATER SYSTEM ACC. DATE ACC. FILE NO. WORKERS'COMPENSATION DECLARATION TER TREATING EQUIP, 4.00 I hereby affirm that I have a certificate of consent to sof-insurc, or a certificate,of Workers' Compensation Insurance, or a certified 0" �,n P L' C""f" d copy is 1, 1, 11 Citified .p, is Cited Applicant.. . ........... .............. . . ....... ... .... - - - . ..... ZONING ENG. SITE NO. FIRE PHI Y N ENERGY T-24 Y F N REFER TO ORD. CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 6�00 F(O&&ONE A,L.U,C. PLG. CONTR. LIC. NO. PLG TOTAL COMPENSATION INSURANCE (This section, need not be completed if the perntit is for one F-� N J Y N ❑ ()TY MECHAMIZALPT-FtMIT FEE j W JIVIAJky hundred dollars(S100) or less.) Icertify that in tire performance of the work for which this per- un, is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California. Date Appfi;,�mt — ------- -- ___ . ....... NOTICE TO APPLICANTIf, after making this Certificate of Ex- BUILDING ALTER OR ADD TQM��H. 4.00 PLAN CHECK emption"you Should become subject to the Workers' Compensation APPLIANCE I—IKILJ 4.00 provisions of Ole Labor Code, y6u must forthwith comply with such provisions or this permit shall be deemed rtvokcd. FEE —_ AIR HANDLINUNIT (JO 10eC.,F.M.) 3.00 CONSTRUCTION LINDINC AGENCY AIR HANDLINdWIV (Oi/ER 1"d.F.M.) 5.00 SEISMIC FEE EXHAUST HOOD (WITH DUCT) 2.00 J.. I hereby affirm that f4cre is a construction lending agency for thep"formana of the work for which this permit is issued (Sec. 1 3097, Civ.C). MICROFILM HEATING U N MAI Wiliffrae. u.) 4.00 H EATI N G U N I T (OV ER 100,000 B.T.U.)7.50 ELECTRIC Lender's Lender's 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 VENTILATION FAN (SINGLE) 3,00 PLUMBING 010, /-217 — BOILER- COMP (3 H.P. or 100,000 B.T.U.) 4.00 BOILER -COMP (Over 100,000 BTU) SEE FEE $CH. J MECHANICAL hereby authorvre representatives of this city to enter upon the above-rtientiom,W property for inspection purposes. MISC. - REFER TO ORD. (We), agree to save, indemnify and keep harmless the City of Cuperthto, against babilitio 'td rwint)r, I ld expenses which may ll�, I 'ag, I I a, w w;y accrue / gm 7. to consent rice the gran of 5 ov ofA ppl7can t7con tractor Dat, jEn 2�u CONST. TAX PERMIT ISSUANCE MECH. CONT. LIC. NO. OCH, TAL It _0W OFFICE COPY '1� I �11 CITY Oi CL'I'ERTINO INSPECTIOi_ RECORD (Office Ducts & Insulation Date Insp. Insp. �n r1PCtr;c- P lamb ala . -�-5- PI;PJIIT NO. SANITARY DIST. 140. LOT NO Solar / ..,.P f,raclin' Bond Beam PROJECT OWNER JOB SITE PIIONE NO. PEFUMIT ISSUED Date .Building- ELECTRICAL BUiIdinr Diaphra,ms ".7 ..;.4*1. Date ! Insp. Elect P IUm)-) TIC, c)In Temp . Solar Tire S ip.n _ 1 tiv[l1. 1lv';�1'La.11V1'JJ Ducts & Insulation Date Insp. Insp. Pad Certification r1PCtr;c- P lamb ala . -�-5- 'lechanical Pre-Gunite Solar Pool f,raclin' Bond Beam Other i(, irp De D ep t . Floor Steel .Building- Other BUILDING Insp. Ducts & Insulation Date Insp. Pad Certification Fireplace Foundati on _ One Hour Shaft Pre-Gunite Condensate Drain S1 a b -Wep4vmme Flues & Comb. Air Bond Beam Other Underfloor Girders Floor Steel Tiedows Diaphra,ms ".7 ..;.4*1. Seismic Bracing; llalls_I Trame Lnth to Uall,boards Int/Ixt. Firewalls Other Not Approved {�J� -t j QV Under ,round Rough Wiring ilaiis Ceiling Fixtures Int/Ext Notors Grounding Temp. Power Other Not Annroved PLUMBING Backflow Underground Underfloor Partial Rough Roup,h Complete Solar Rouch (dater &Insulation Main Drain R/of/S Drain Gas Other Not Approved MECHANICAL Date Insp. P4/ - - --- Date Underfloor S.M. -? -k'y Insp. Ducts & Insulation Fire Dampers Fireplace Grease Duct & hood _ One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved 0 I BUILDING ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS `*4,0001 0 Z Z �= 2 CC TO UJ > CL 0 Z) Z C-)0 U- 0 LU a. V) Zf A 'P ICAN TO FILL IN INFORMATION VVITI-HN RED LtlNES - USE BALI- POINT PEN ONLY Of BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING BUILDING APPLICATION & PERMIT A D�o 8 1 60st 0 - 4 Ic') BUILDING -ELECTRICAL- PLUMBING -MECHANICAL 4010 WIN �'V. - PLAN CHECK VALIDATION NAM t Pit CONTRACTORS 1117 OUTLETS- SWITCHES- RECEP 5.00/1-00 6L LIGHTING FIXTURES 5.00/1-00 ,,ONTRACTORS APPLIANCES - RESIDENTIAL 4,00 ADDfIESS �APANELS 5.00 � DATE OF APPLICATION f ARCHITECT6.00 PLAN CHECK FEE P.C. NO. OR SIGNS ENGINEER LIC, NO. SIGNS TRANS. 3.00 ADDR.ESS 0#3 ENG. ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 15.00 ZIP APPU 'ANT'S C ADDRESS MOTORS :---4yW SEI SERVICE CHANGE 10,00 NO LICENSED CONTRACTORS DECLARATION JNOVI I hereby affilin that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business andity Professions X I d ny license is in full f o Licenseic. Nurnbe Date,J �- ----- - —3 --Contractor, ;OWNER -BUILDER DECLARATION I hereby adix that I am exempt from the Contractor's License 'It Law for the following reason. (See, 7031,5. Business and Professions Code: Any city orcounty which requires alleril)ittocon�trtict,altvr, improve, demolish, or repair any structure, prior to ata issuance, also requires the applicant for such permit to I ile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the om "I'd Business and Professions Code) or that fie k exempt therefrom the basis for thealleged exemption. Any violation of Section 703 115 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).); — ISSUANCE DATE a trtrM. I MECH. y 0 of CCupertino 40 misc. — REFER TO ORD I PERMIT ISSUANCE .00 6 . 6— VALUATION $/FT. C <— ELEC. CONTR. LIC. NO. ELEC. TOTAL 4F PERMIT TO Ir �o,,,,T�, PLUMOIN16,kA,�0 Tf ALTER DRAIN & VENT -WATER (E A.) 4,00 STORIES TYPE CONST FI. —V. WK 0 1, as owner of the property, or my employees with wages as their sole comptasotion, will do the work, and the qrueful-C is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of" BACK FLOW PROTECT. DEVICE 2,00 OCC. GROUP RES. UNITS -- A� DRAINS- FLO 0 R , OOF, AREA, CON D. 4.00 . . ---R .. ID F IXTUR ES - PER TRAP 4.00 property who budds or improves, thereon, and who does SLIC11 work himself or through his own employees, provided that such iniprove- merits are not ititonded or offered for sale. 11, however, the building SO. FT. FLOOR AREA TOTAL ACREAGE GAS- EA. SYSTEM -1 INC.4OUTLETS 4,0Q or improvement is sold within one year of completion, the owner will have the burden of proving that lie did not build or prove for purpose of sale,). 0 L as owner Of the Property, am exclusively contracting with GAS Im— RE IND CON PB Other 0 0 0 0 INDUSTRIAL WASTE INTER. '20.00 ------- --- — licensed contractors to construct the project (Sec. 7044, Business and Prolcs;.,jomsC'qdv; The Contractor's, License Law does nand to all owner of property or improves thereon, and who LAWN SPRINKLERS - 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EAJ 1 00 with contracts for such,projects with a contractor(s) licenscid pursuant to the Contractor's License Law. I] I am exempt under Sec. -.,—, B.&P.C. for this reason---------------- ---- .... . ...... — ------ Date Owner_..._. .... ..... . ... t SEWFR-SANITARY�STJ�RJ%10. 200ft/8.00 TRACT NO, PARCEL NO. WATER HEATER W/VENT 4�00 WATER SYSTEMNO V ACC, FILE NO. WATER TREATING EQUIP, 4.00 WORK ERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certificate ofconseril to self -insure, or a certificate of Workers' Compensation Insurance, or a certified City of Cupertino " — ZONING ENG. SITE NO. Ail I c y Ili reo800 PGCpay6 • ertifiedc py is hereby furnished. • Certified co filled with the city . it I ectiondivision Applicant. CERTIFICATLOP'FXE PTIONF M WORKERS, 6— IY FL ZONE t(V ENERGY T-24 NE] A,L.U.C. misc. - REFER TO ORD PERMIT ISSUANCE 6.00 PLG. CONTR. LIC. NO, PLG. TOTAL 612 COMPENSATION INSURANCE (This section need not, be Completed if the Permit is for one - Y E] NE] Y F] IN E] I I 4E C 0 1 AN 40, I 1 1, 1 0/ A hundred dollars (S 100) or less,) I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to become subject'to the Workers' Compensation.Laws of California. Date- .—Applicant NOTICE TO APPLICANT: If, after making this Certificate of Ex- BUILDING if, . ALTER OR ADD TO MECH4�00 APPLIANCE 4,00 PLAN CHECK emption, you should become subject to the Workers' Compensation provisions of tbe Labor Code, You must forthwith comply with such provisions or this permit shall be deemed revoked. FEE AIR HANDLING UNIT IMUDC.F.M.) 100 AIR HANDLING UNIT (OVER 10=C.F.M.) 5.00 SEISMIC FEE c6NSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for EXHAUST HOON0*JDUC1qR3 2,00 th e performance of the work for which thus permit is issued (Sec .. 3097, Cjv,C.). MICROFILM HEATING UNIT (TO 100,000 B,T,U.) 4.00 HEATINGUNIT(CiV–efiftpefte-LL)7.50 ELECTRIC Lender's Name-_ Lender's, Address ... . .... . . . 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 VENTILATION FAN: (SINGLE) 3.00 PLUMBING BOILER- COMM H.P. or 100,000 B.T.U,) 4,00 BOILER -COMP (Over 100,000 BTU) SEE F E E SCH. — MECHANICAL hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MISC.- REFER TO ORD. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgment, costs and expenses which may . in any way accrue shamI 'd'' it in co nse uence / f the Eran", ""i Vontractor -1"'1131 1 31 CONST. TAX PERMIT ISSUANCE 3,00 MECH. CONT, LIC. NO, MECH. ITOTAL 7 7 —7777 Signa Uat OFFICE COPY -, CITY OF CUT'1'1'Ti']O INSPECTIM RECORD (Of f-�iceCampy) V TIPJIIT 1,10. SANITARY DIST. 140. LOT 1,10. AllI)I:I;SS - �5 PROJECT Ol-,MER JOB SITE PHONE NO. PERMIT ISSUED Date T7].T-(.TP T (A I Buil din Z Electrical PIUMI) iTIP '1cc I lan i Cal i - emp. Gas/Flect. Solar Fire Sprinkler Sir.n Hisc. FINAL INISPEMONS BUILDING Date I Insp. Date j Insp. Power Pole Underground Ro h Wiring TIalls CeilinE Fixtures Int/Ext 11otors Grounding Temp. Power Other CC 4 o, k. Not Approved C' C .4 PLUILBING Date Backflow Underground Underfloor Partial Rough Rough Complete Solnr Pough Water & Insulation Main Drain R/of/S Drain Gas Other .Not ADnroved Pad Certification MECHANICAL Foundation Date Insp. Pre-Gunite Underfloor S.M. U4 AA1; 1 a b -Wep+T � , 41 Ducts & Insulation -v Bond Bean Fire Dampers Underfloor Girders Fireplace Floor Steel Grease Duct & Hood T-Tedowns One Hour Shaft (1,)Diaphrams Condensate Drain 5eismic Bracing Equipment Anchorage Tl—alls-Vancls Flues & Comb. Air Frame Other lath Not Approved Uallboards Int/Ext. Firewalls Other -7711 Not Approved Lk _4 t pe Sr r- BUILDING ELECTRICAL PLUMBING HECHAN I CAL MISCELLANEOUS APPLIC di BIJI Z z F_ 2 CC 10 LU > CL 0 z C-) 0 LL L) 0 LU CL in z LAI ILL IN INFORMATION WITHIN RED UNES -- USE BALL POINTPEN ONLY M OFFICE COPY � (01g,") I B LDING PROJECT IDENTIFICATION U APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL .. ....... 0 PERMIT NUMBER 4011 PLAN CHECK VALIDATION DATE OF APPLICATION a BUI&LDING,, ADDRESS "s Tr -4 11 " _:L), I I OWNER'$ NAME CONTRACTORS NAM N.2-309 ?'7,-ULIGHTING OUTLETS -SWITCHES - RECEP 5.00/1.00 FIXTURES 5.00/1.00 rONTRACTOR'S ADDRESS tyyC-111 V,61� Ln PHONE 6-11 -"Z-IJ-7 APPLIANCE S - RESIDENTIAL 4.00 a PANELS 5.00 /0— ARCHITECT 08 3 ENGINEER LIC. NO. SIGNS 6.00 PLAN CHECK FEE P.C.NO. PA 1`'1 SIGNS TRANS. 3.00 ARCH. OR ENG. ADDRESS ZIP SPECIAL CIRCUIT 5.00 PERMIT VALlb'ATION NOV 1, 1983 TEMP. METER OR POLE INS, PAIDO APPLICANT'S ADDRESS MOTORS SEE FEE SCH. �SERVICE CHANGE IND V 1 10 refer LICENSED CONTRACTORS DECLARATION I hereby affirm that I arri licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions C d rid my license is in full foWA41�-J License a 1c. Number -I5 cify ot uperir ct0 ISSUANCE DATE BLDG. I ELECT, PLG. MECH, I Fn� 3 [A Date -4., . Contractor 1`014107 4100" NER-BUILDER DECLARATION I hereby affinni that I am exempt from the Contractor's License Law for the following reason. (Sec. 70315, Business and Professions Code: Any cityoLI r County which requires a permit to construct, alter, improve, dernolJsh, or repair any structure, prior to its issuance, also requires the applictint forsuch permit to file a signed statement that he is licensed Pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Businessand Professions Code) or that he is exempt theref on) and c 7031.5 the basis for the alleged exemption. Any violation ors -etion imisc. — REFER TO ORD VALUATION 2 ocs 0 If - / $/FT. I PERMIT ISSUANCE 6.00 ELEC. CONTR LIC. NO. ELEC. T8,TAL PERMIT TO Ory"J PLUMBING PERMIT 411 FEE STORIES TYPE CONSTR. by any opplicard for a permit subjects the applicant toa civil penalty of riot more than five hundred dollars (SSOOM� ALTER -DRAIN & VENT -WATER (EA.) 4.00 4 6C 0 1, 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 and Prorqssi(,) Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve- merits are not intended or offered for sale. If, however, the building, BACK FLOW PROTECT. DEVICE 2,00 OCC. GROUP RES, UNITS DRAINS -FLOOR, ROOF, AREA, COND. 4,00 ------- F IXTUR ES - PER TRAP 4.00 - SO. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM - 1 INC. 4 OUTLETS 4.00 wner- or1111provement Is sold within one year of completion. the owner- bu,kler will have the burden of proving that he did not build or un- builder prove for purpose of sale.}, C1 1, as owryer of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ' d Prof essionsCode: The'Contractor's License Law does not apply to an owner of�property who builds or improves thereon. and who con tracts for such projects with a contractor(s) licensed pursuant to the Coll tractor's License Law. - EA. SYSTEM -OVER 4 (EA.) GAS 1.00 BUILDING USE RES IND CON PB Other K El 1:1 1:1 11 INDUSTRIAL WASTE TE20.00 LAWN SPRINKLERS - 1 INC 5 V,B. 5.00 ASSESSORS PARCEL NO. 3 LAWN SPR I N K LERS SEWER -SANITARY -STORM EA. 200ft/8.00 TRACT NO. PARCEL NO. 0 1 am exempt tinder Sec.----__--__ B.&P.C. for this reason --------- - - Date Owner 61-7115 WATER HEATER nttll� 19834.00 174— WATER SYSTEM 4.00 X/4 - ACC. DATE ACC. FILE NO, ,rtinn 4.00 WATER TREATINJfi9MCU0p WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to Self-inSUre, or a certificate of Workers' Compensation Insurance, or a certified Sec '3800 ab.C,4_. 1 2 X��Ul cq an1:3 to py is ereb y furnished. er, D CerIi �'edc iy is fled with (lie cit " I- tion divisl Appliu 51-1y" 1 , -1 a�� _ ZONING ENG. SITE NO, FIRE SPRIN N ❑ ENERGY T-24 Y 0 No _MISC. - REFER TO ORD. CERTIFICATE OF EXEMPTION F WORKERS' PERMIT ISSUANCE 6-007 c FL OD ZONE A.L.U.C. PLG, CONTR. LIC. NO. PLG TOTAL COMPENSATION INSURANCE (This section need not be completed if the permit is for one I NEI 17 IN 0 GT,Y, MECHANICAL PERMIT Fly hundred dollarst$100) or less.) I certify that in the performance of the work for which this per hall not nploy any person in any manner so as to init is issued, I s(u BUILDING 3 7 become subject to the Worker~ 'Compensation Laws of California Date Applicant __ ...... .... . .. -1 --------- -- - _ NOTICE TO APPLICANT: Ifafter making this Ctilificite ofLx- - ALTER OR ADD TO MECH. 4,00 APPLIANCE 4.00 PLAN CHECK FEE emption, you Should became Subject to the ~Yorkers' Compensation provisions of the Labor Code, you must forthwith comply with such provisionsor this permit Shall be deemed revoked, AIR HANDLING UNIT (TO 10,000C.F.M.) 3.00 'et AIR HANDLING UNIT (OVER 10= C.F.M.) 5,00 SEISMIC FEE CONSTRUCTION' LENDIM: AGENCY I hereby affirm that there is ,I construction lending agency for EXHAUST HOOQ.4JIT4,.DUCT) 2.00 the performance of the work for which this permit is issued (SCC. 3097, Civ,C). HEATING UNIT fTInW,000 B.T.U.) 4.00 MICROFILM EATI NG LN IT IOER 1p, TBT�U.)7.50 _47 ELECTRICLender's L rider's Name,---,.... --- — --- ---- . ....... eH I certify that I have read this application and state that the above formation is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction, and V ENTI LAT NU VA* ISI 4961?f 3.00 /.1 PLUMBING BOILER -COMP( H.Pqt`100,A20B.T.U.) 4.00 MECHANICAL hereby authorize represent at ives of this city to enter upon the above-mentioned' property for inspection purposes. BOILER-CO 1400YA M9,H96V}SEE FEE SCH, misc. - REFER TO ORD. (We) agree to save, indemnify and keel) harmless the City of Cupertino against habilitias, judgments, costs and expense I tell may ranit "y 13 ity In co/equen Of the is A Igo tune Applicant/Contractor Ic n'p CONST. TAX — PERMIT ISSUANCE 3.00 3 MECH CONT. LIC. NO. MECH, TOTAL OFFICE COPY � (01g,") C.1T1' 01' CUPI RTI170 II.SPI.',CTIOI. RECORD (Office Cop).) PI:PJIIT NO. SANITARY DIST. NO. LOT 1,10. A1)1)I:1:SS .. f I.A 1,w PROJECT OI.ITIER JOB SITE HONE NO PER*iIT ISSUED nate BuiI din i;lectical Plumbilir Nechnnical Aerp. Cas/I:lett. Solar Tire Sprinkler Sis*n Misc. I FINAI. INSPECTIONS r. p s Date Insp. T;lectric -9- PI limb inp, Nechanica,l -, Solar _ Pool ("radin Plnnninn neaitti oe c. BuiIdin -(U Other BUILD IITG Date Insp. Pad Certification Founda;ta.on 1( -3 Pre-Gunite Slab-aFre -- - - Bond Beam Underfloor Girders Floor Steel.. Tiedowns Sflrms rc 2 �� Bracing stalls -Panels Frame Tn th Uallboerds Int/I:xt. -Cj- � � ° Firewalls Other r Not A proved CI ELECTRICAL Date ' I.nsp. Grounding, Tem2- Power Other c c .g .-7/p_,;_ 0,/.t Not Approved ,r>( C t S C A -7 PZr BdrXt S PLUMBING Date Insp. Backflow Underground Underfloor Partial Rough Insp. Rough Complete -y7 Solas Rough Water & Insulation 'lain Drain R/of/S Drain _ Gas Other Not Avnroved 11ECIIANICAL Date Underfloor S.M. Insp. Ducts &Insulation Fire Danpers fireplace Grease Duct & Hood _ One )dour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved BUILDING ELECTRICAL PLUMBING MECHANICAL HISCELLANEOUS a = i F W 0 0 cr W U et F- U Z W 0 z z F - 'r cc W 0 , , F- 0 W <0 0 a: X 0 u- I- z bio ME TO FILL IN INFORMATION WITHIN RED UNES - USE BALL POINK- PEN ONLY I OFFIC0PY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER SOLOING oN12APPLICATION & PERMIT ADDRESS BUILDING —ELECTRICAL— PLUMBING —MECHANICAL 4012 1 CO -S1 ci rrc-4 -Dk, - OWNER's C PLAN CHECK VALIDATION NAME TY ELECTRIC IPERIVIM' JP CONTRACTOR NAME q*7OUTLETS SWITCHES - RECEP 5.00/1.00 0_4b)i, 3LLIGHTING FIXTURES 5.00/1.00 CONTRACTOR'S 4,00 ADDRESS (3 APPLIANCES - RESIDENTIAL Le b-7,CNE PANELS 5.00 DATE OF APPLICATION 3-7 &:�:] - PLAN CHECK FEE P.C. NO. ARCHITECT OR SIGNS 6.00 1 ENGINEER LIC, NO. SIGNS TRANS. 3.00 1 ARCH, OR ENG. ADDRESS SPECIAL CIRCUIT 5.00 PERM11ftJVON TEMP. METER OR POLE INS, 15.00 ZIP 83 APPLICANT'S ADDRESS MOTORS njJEE SCH. SERVICE CHANGE 10.00 1 LICENSED CONTRACTORS DECLARATION NOV 1 a Pq I hereby affirm that I Sun licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession C d my I I -ense is in full to Licens 51' 11 Lic, Number ISSUANCE DATE CRY Of CUPeFfiffi) BLDG, ELECT. PLG. MECH. q , W JVM,40% OWNER -BUILDER DECLARATION I hereby affirm that I am cKerript front the Contractor 's License Law for the folk),wing reason. (Sec. 7031.5, Business and Professions Code: Any city err county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires tile applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of -Division 3 of the Business and Professions Code) or that he is exempt therefrom and MISC. — REFER TO ORD PERMIT ISSUANCE 6.00 VALUATION (XID 0 $/FT. I CONTR LIC NO ELEC. . . . ELEC. TOTAL PERMIT TO PLU T F� STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation ofSection 70-11.5 by anylipplicarit Ibr a pernnit subjectsfir applicant toa civil penalty ofnotracire than five hundred dollars ($500).): ALTER -DRAIN & VENT -WATER (EA.) 4.00 0 1, as owner of the property, or my employers with wages as their sole compensation, will do tile work, and the 5tructury is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does riot apply to an Owner C, property who builds or improves thereon, and who does -suck w r himself or through his own ernployens , provided that such inifir vc- ments are not intended or offered for sale. If, however, the buill in B, CK FLOW PROTECT. DEVICE 2,00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 4.00 FIXTURES . PER TRAP 4.00 41�0_ SO. FLOOR AREA S17 TOTAL ACREAGE 1 GAS-EA.SYSTEM-1 INC.40UTLETS 4,00 or improvernent is sold within one year of completion, tile owner- builder will have the burden of proving that he did not build or irn- prove for purpose of sale,), 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The'Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who GAS - EA. SYSTEM - OVER 4 IEA,) 1.00 BUILDING USE RES IND CON PB Other 19 1:1 El El El INDUSTRIAL WASTE INTER. 20.00 LAWN SPRINKLERS - 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO. 3 LAWN SPRINIPUkfUVER 5 (EA.) 1.00 contracts for such projects with a contractor(s) licensed pursuant to the Contractor's Licenw, Law. 0 1 am exerript under Sec.—___ B.&P.C. for this reason . . ........... . SEWER -SANITARY -STORM EA. 200ftMOO TRACT NO, PARCEL NO, WATER NNEJ W/VMJ 4.00 Date_ — ------ Owner - I WATER SYSTEM 4.00 44 ACC. DATE ACC. FILE NO. WATERT 4,00 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent towif-insure, or a certificate of,Workers' Compensation Insurance. or a certified copy thereof ,�,&iic. 3 800, La Policy No. ,1, ZONING ENG. SITE NO. ENERGY T-24 Y [:] No • Certified copy ishereby furnished , • Cert is filed with the L'itV1`,gxefion dh'..!, Applicant C11 - — -------- — CERTIFICATE IF LNI PTION F WORKERS' �TION �IN MISC. REFER TO ORD. PERMIT ISSUANCE 6.00 A,L.U.C. PLG. CONTR. LIC. NO. 'AL 4'.x— J:T(L�)� �A COMPENSATION IN"S�11'.A 1E (This section geed riot be (oropiclted it the permit is for one r-� Nr -1 o IN Ei 7 7777777=77 77U . ALTER OR ADD TO MECH. 4001 BUILDING 277 0/ hundred dollars (S 100) or less.)✓ I certify that in the performance of the work for which this per - init is issued, I shall not employ any person it, any manner so as to become subject to the Workers' Compensation Laws of California': Date—Appheant NOTICE TO APPLICANT: If, after making this Certificate of F x- — —APPLIANCE PAID 4.001 PLAN CHECK FEE emption, you should become subject to the Workers'Coniperisafion provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (TO 10)WOC,F,M.) 3,00 AIR HAN purn PT (OVffi C,F.M,) 5.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the perfbrmanos of the vaork for which this permit is issued (Sec. 3097, Civ.C.). EXHAust*FT6bd`1WIT W6VCT) 2.00 MICROFILM HEATING, )lAd-We B.T.U,) 4.00 ELECTRIC Lender's Name— Lender's Address ------ ----- --- -- - -------- H EATING U9if(oTEW!bdbooI3,T.U.)7.50 VENTILATION FAN (SINGLE) (/;t,,—)3.00 I certify that I have read this application and state that the above "formation is correct. I agree to comply with all city and CountyPLUMBING ordinances and state laws relating to building construction, and J_ BOILER- COMP (3 H.P. or 100,000 B3.W 4.00 4,4--- MECHANICAL hereby aUthori4t, representatives of this city to enter upon the above-nientione,d property for inspection purposes. 801 LER-COMP (over 100,000 BTU) SEE FEE SCH. 74 MISC. - REFER TO ORD. (We) agree to save, indemnify and keep harmless the City of Cupertino against 'liabilities, judgments, costs and expenses which may in any way ac, n U a in t� ty in conse fence of the CONST. TAX PERMIT ISSUANCE 3,00 [grand is perm MECH. CONT. LIC. NO. MECH TAL,;;) 41- Si a t4r,�,ofAppli,.,,ant[C,(Igtractor' OFFIC0PY 1�� N Insp. Ducts & Insulation -ate P Fire Dampers CTr)' 01' CUPI;IMNO INSFECTIOi: RECORD (Office Copy) Grease Duct & flood One Hour Shaft Condensate Drain Equipment Anchorage PI;PM], C10. SANITARY DIST. NO. LOT NO. ADDRESS Not Approved PROJECT OWNER JOB SITE PHONE NO. PERIMIT ISSUED Date BuiI din rl ectrical 1'lumhi rr_ 'lechanical Temp. Gi :S/I;'lcct. Solar__ Fire Snrinller S i r..n Misc FINAL INSPL'CT10'NS Date Insp. r, ;r s Electric Plumbin 5 Mechanical ,- Solar Pool Gradin Fire e ealtlt De p t. Build ingO Other BUILDIM I'ad Certification Totin dati on Pre -Granite Bond Bean Underrloor Girders Floor Steel Date I Insp. L- va Daphxms et. s ��s��., V l% Seismic Bracing, balls- Panels Trame -d-O7 Lath. ttallboardsn ./ Ex t M(a, Firewalls Other -11161- Not MNot A uroved wr (( STee44 (5T (t z 1' ( �.- 7 � 3 l z1A ELECTRICAL Date � l.nsp. Power Pole Underground P,ou .h Wirin _ Uaiis Ceiling Fixtures Int/Ext Notors Grounding Temp. Power Other C G 4 /7 S Not Approved �fC ,k >C C c c PLUMBING Date i Insp. Backf lot; Underground Underfloor Partial P.ou;;h Rough Com2lete Solar Rou h Water & Insulation Main Drain R/of/S Drain Gas Other Not Approved MECHANICAL Date Underfloor S.M. Insp. Ducts & Insulation -ate P Fire Dampers Fireplace Grease Duct & flood One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved m BUILDING ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS U cc z -00 cc w zo z cc < 0 LL LL 0 4 00 LL cc X '0 > < Cc i- F 77 IPLICIAN"TO FILL IN INFORMATION WITHIN RED LINES -LASE BAILL POINT PEN ONLY BVI LDI NG PROJECT I JDFNT1 FICATION PERMIT NUMBER APPLICATION & PERMIT BUILDING LDING - ELECTRICAL- PLUMBING - MECHANICAL 4013 BUILDING ADDRESS 0 OWNER S NAME 4, E 5 PLAN CHECK VALIDATION 30 IP N PIP 0r oic ov r ON CONTRAC,`TOR�'$ �J NAME NO,2_ -109 ?1 Ice �DUTLETS -SWITCHES - R ECEP 5.00/1.00 10.:z'- - ,�n ILIGHTING FIXTURES 5.00/1.00 ,gC APPLIANCES - RESIDENTIAL 4.00 5.00 DATE ATE OF APPLICATION SIGNS 6 00 PLAN CHECK FEE P.C. NO. TRANS. CONTRACTOR'S ADDRESS JgZ-' OR LIC. NO. --SIGNS ARCH OF ENG. ADDRESS ZIP SPECIAL CIRCUIT 5.00 PERMIT VALIDATION N 51983 C TEMP. METER OR POLE IN A ADDRESS MOTOR SEE FEE SCH. SERVICE CHANGE vity ()fpw LICENSED CONTRACTORS DECLARATION Pf 1c, I hereby affirin that I am licensed tinder provisions ol'Chapter 9 I commencing with Section 7000) of Division 3 of the Business and Prafessi ns C' iy license is in full fo cc License as Lic. Number Contractor.. W18"NER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law forthe following reason, (Sec. 7031.5, Business and Professions nl Code: Any city or eouy Which requires a Permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant forsuch permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and Professions Code) or that fie is exempt therefrom and ISSUANCE DATE BLDG. ELECT. PLG. MECH. 77% i�, MISC. - REFER TO ORD PERMIT ISSUANCE I VALUATION $/FT. o o o I ELEC. CONTR. LIC. NO. ELECFJ TOTAL /Z Ifo PERMIT TO S, licify'". PL4.MMOt11 STOR IES TYPE CONSTR. the basis for the, alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.): ALTER -DR & VENT -WATER (E A.) 4.00 y 1, as owner of the property, or my employees with wagex as their sole compensation, will do the work, and the structure is not intended or ofl�red for sale (Sec, 7044, Business and Professjows Code: The Conoiletor's License Law does riot apply to an owner of property who butIds or improves thereon, and who does SUCK work himself or through his own employees, provided that such improve- m(riti are not intended or offered for sale. If, however, the building BACK FLOW PROTECT, DEVICE 2.00 OCC. GROUP RES, UNITS DRAINS -FLOOR, ROOF, AREA, COND, 4.00 FIXTURES - PER TRAP 4.00 ' SO. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM - 1 INC. 4 OUTLETS 4.00 IFRES or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or mi- I prove for purpose ofs41c,), 0 Las owner of the property, an) exclusively contrac(nig with licensed contractors to construct the project (Sec. 7044, Business' and Professions Codc- The Contractor's License Law does riot apply to an owner of property who builds or improves thercon,arr(I who GAS - EA, SYSTEM - OVER 4 (EA.) 1.00 BUILDING USE IND CON Pe Other INDUSTRIAL ii� )TER. 20�.00 LAWN SPRINKLERS - 1 INC 5 V,B, 5= ASSESSORS PARCEL NO. 3 LAWN SPJMEiS, Op" (EA.) 1.00 contracts for such ,projects with 4 contractor(s) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/8.00 TRACT NO. PARCEL NO. C3 [am exempt under Sec.--_ B.&P.C. for this reason WATER HUYE0 �no 4A 4.00 1�e !� . ....... —.-...,-,,,—Owner . ..... . . ............... WATER SYSTEM 4,00 'er! ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 4.00 WORKE,RS'COMPFN SAT ION DECLARATION I hereby affirrit, that I have a certificate of consent to self -insure, or a certificate of"Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO, f ec, 3 00 L 0 Certified� yiishei6byfurnisbed. 11 Cerfifi d' y I filed with the city inspection division, Applicant "D ! �F� �� ,T 'WORKERS' ENERGY T-24 Y 0 N❑ MISC. REFER TO ORD. C E � .7", PERMIT ISSUANCE 6.00 _*N N� A.L.U.C. PLG.CONTR. LIC, NO. PLG. TOTAL COMPENSATION INSURANCE (This section need not be completed if the permit is for one Y ❑ N ❑ Y ❑ N ❑ C44 F11 AMIT, E ' hundred dollars ($ 100) or less.) I certify that in are pex(ormance of the work for which this per- Mir is issued, I Shall not employ any person in any mannerso as to become subject to the WorkeTs'Compensation Laws of CMiforiva, Date - A pplicant . ..... . . ..... . NOTICE, TO APOLICANT: 11, after making this Certificate of Ex- emption, You should become subject to the Workers' Compensation BUILDING ALTER OR ADD TO MECH. 4.00 APPLIANC190 1QPJ 4.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked, FEE -- - ---- AIR HANDLING UNIT (TO 10PWC.F.M.) 3.00 AIRHANDL(hdYJP*qW fWC.F.MJ 5.00 SEISMIC FEE CONSTRU(JIGN LENDING AGENCY EXHAUST HOOD (WITH DUCT) 2.00 I hereby affirin that there is a construction lending, agency for the performance of the work for which this Permit is JSN'Lltd (Sec 3097, Civ.C.)- MICROFILM HEATING UNIT (TO 100,000B.T.U.) 4.00 -HEATING UNIT (OVER 100,000 B.T,UJ7.50 ELECTRIC Lender's Name -, Address--,-.—. Icertify that I have read this application and state that tile above information is correct f agree to comply with all city and countyPLUMBING ordinances and gate laws, relating to building construction, and VENTILATION FAN (SINGLE) 3.00 BOILER - COMP (3 H.P. or 100,000 B.T,U.) 4.00 tZ- 77- BOILER -COMP (Over 100,0008TU) SEE FEE SCH, MECHANICAL hereby' au tborizt: representatives of this city to corer upon the above-mentioned property for inspection purposes. MISC.- REFER TO ORD. (We) agree 'to save, indemnify and keep harmless the Citv of Cupertino against liabilities, judgments, costs and exposes which 'e" may in any way accrie agam�st �xa Vy msequ, nee the ;ran�fin ermit ?a era p ST. TAX PERMIT ISSUANCE 3.00 MECH. LIC. No. MECH, TOTAL 'M 7/77777, Nf 01', 000 .10 'A S, of C tr at . . . ....... . R1130111M r«N CITY ()I' CUI'I1I11410 INSPECTIO1. RECORD (Office Copy) K IM I" P11 I T J � T 'd ( 10. SANITARY DIST. 140 �). •rr l � G JM ,urw.. '7 ) rr" ��✓�.s^"" � „P k PROJECT OWNER JOB SITE PHONE NO PERMIT ISSUED Buil dinr. Electrical P Iumhins; 'Icchan ical 'Penh. Cas/I"lect. Solar Fire Sprinkler S irn )fisc. FINAh INSPECTIONS Date Electric P1nmbinE, 'Iechanical Solar Pool Grading Planning; Fire Dept. Health Dept. Building -{a Other Date Power Pole Underground P,ou��h Wiring ilalis Ceiling Fixtures Int 11otors Grounding; Temp. Power Other Not Approved Insp. BUILDING Date Insp. Pad Certification Potin dati on-�j- P . Bond Bea* Underfloor Girders Yloor Steel; Tiedowns Diaphrams 67-77'77q-, 1Z. 7' .. Seismic Bracing halls -Panels Frame I.rith - 71allboards Int/I:xt. rt7 Firewalls Other Not Approved t 3 (- �2-' - (wi: T- 6 -41� 4 ELECTRICAL PLUMBING Date Insp. Backflo Underground S' !d P Underfloor Partial Rough Rough Complete Solar Rough [dater & Insulation Main Drain _ R/of/S Drain Gas Other Not APproved Date I Insp. Underfloor S.1` . Ducts & Insulation i - Fire Dampers Fireplace _ Grease Duct & hood. One }lour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved BUILDING rTrrTPTrai PLUMBING HECHANI CAL M-ISCELLANEOUS '40,0 0 Zz P 0 rr L,2 w? a- 0 Z) z L) 0 U_ L) 0 W 0. 0 z A now" R LINES — USE BALL POINT PEN ONLY _��IEC.11 U DENT N ILOINGPIR 'C T'O APPLICATION & PERMIT BUILDING - ELECTRICAL— PLUMBING —MECHANICAL Ty, Y`11� EL ECT RICIt PERMIT NUMBER 4014 L11 111141 A N A �NE CC T7 2- PLAN CHECK VALIDATION DATE OF APPLICATION CONTRACTOR's, J NAMEOUTLETS JXA)1�1 N..z-7698-3 lul - SWITCHES - RECEP 6.00/1.00 97 —1 f All LIGHTING FIXTURES 5.00/1.00 oZ2-- CONTRACTOR'$ ADDRES WS _`L-7 G-1 Jim— Lr)ONEZ.�JpPANELS APPLIANCES - RESIDENTIAL 4.00 5,00 L) ARCHITECT OR ENGINCER LIC. NO, SIGNS 6,00 PLAN CHECK FEE P.C. NO. SIGNS TRANS- 3.00 AR111 OF, ENG, A .. SS, ZIP SPECIAL CIRCUIT 5.00'-1 -PERMIT VALIDATION p 7 Nov , 1, I d, city / 4_3 TEMP. METER OR POLE IN' 15-00 jR4 1 APPLICANT'S ADDRESS r )_/ MOTORS �? — — SERVICE CHANGE Igo V LICI[ENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under PTOViSiOnS Of Chapter 9ISS(�Arf7 (commencing with Section 7000) ol'Division 3 of the Business and is 'ri. " and I Professions an my license full for, of 1111-' License Li' N 11 CRY Of CUPertil,0 �)f ATE T. PLG. MECH �� Date' 01-- Contractor.... .... ......... . . WNER-BUILDER DECLARATION I hereby affi,rut that I arn exempt from the Contractor's License Law for the following reason, (Sec. 7031 S, Businessand Protessions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant forsuch permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for thic, alleged orcmption. Any violation ofSection 70 MISC. — REFER TO ORD$/FT, PERMIT ISSUANCE 600 . 00 I ELEC. CONTR. LIC. NO, ELEC. TOTAL PERMIT TO L&, r O 0 L IJ4jv41 NO Pt 1 STORIES TYPE CONSTR. by any applicant for a pe;Tnit subjects the applicant to a civil petia ty of no t more than five hundred dollars ($500),): 1_,�, S_�v 1�44 ALTER DRAIN & VENT -WATER (EA.) 4.00 0 1, as owoerofthe property, or my employees with wages as ill do the work, and the struetuTe is not their soic comferisation, will{ in I tended or ofered for sale fSec. 7044, Business and Professions Code: The Cortiractor's License Law does not apply to an owner of BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, CON D. 4.00 :r:— FIXTURES - PER TRAP 4.00 SO. FT. FLOOR AREA 14"4s— TOTAL ACREAGE property who h4lds or improvcb thereon, and who does, such work himself or through his own employees, provided that such improve mems are not intended oroIt, for sale. I'however, the building GAS, EA. SYSTEM -1 INC.40UTLETS 4.00 or uniproverneat is sold within one year of completion, file owner - builder will have the burden of proving that he did not build or im- prove for purpose of sale,), prove 1, as owner of [lie property, am exclusively contractuig, with GAS - EA. SYSTEM - OVER 4 (EA.) 1.00 BUILDING USE RES IND CON PB Other K Q El El El INDUSTRIAL WASTE INTER. 20.00 licensed d contractors to construct the project (See. 7044, Business c se and Professions, Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who 5 V�B. LAWN SPR IN KL P 5.00 ASSESSORS PARCEL NO. 3 _Alt)C — LAWN SPRINKLERS -OVER 5 (EA.) 1.00 contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. SEWER -SA I\"MVfY-JTOF"%A. 200q]8.00 TRACT NO, PARCEL NO, 0 13M exempt under 134P,C, )or this reason -WATER HEAYTFTw7VENf' 4.00 -7/3 Date Owner .... ...... WATER SYSIX of bibertino 4.00 ACC. DATE ACC, FILE NO. WATER TREATING EQUIP. 4.00 WORKERS'COMPFNSATION DECLARATION I hereby affirm, that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance. or a cvIrtifted "J ZONING ENG. SITE NO, IS'4,A/ 294- 44 "7- Wth e f(So 3800,Lb WK3! * I �11U'11 1�1 0 Certified copy is hereby furnished. 0 4 )s led with the city in is ,"i�rti �ed 0 spection divjioh.�r_ Applic FIRE SPRINK Y E] IN ENERGY T�24 Y [:] Nf] misc. - REFER TO ORD. CERTIFICATE OF EXEMPTION FROPI-WORKERS' PERMIT ISSUANCE 6.00 FLOOD ZONE A. L. U. C. PLG.CONTR, LIC. ND, PLG ITOTAL CIDMPENSATION INSURANCE-. (This section,, need not he completed if the permit is for one Y E] N[] Y ❑ N ❑ '6TH. ;44 An'; ALTER OR ADD TO MECH. 4.00 BUILDING hundred dollars ($400) or less.)"kN/, I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to become subjecitto the Workers'Corriperisation Laws of California. Date____.Applicant____ __ ___ ___ ------ — , -, NOTI-FETO AFFLICANT� I making this, Certificate of Ex- APPLIANCE PAID 4.00 PLAN CHECK FEE emption, you should beconic subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply witli,r such provisions or this permit shall be deemed revoked. --I'll AIR HANDLING U UNIT (TO 10,OWC,F.M.) 3.00 VrJT(OyM3?00C.F.M.) 5.00. AIR HANRQft SEISMIC FEE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 2.00 the performance of the work for which this permit is issued (Sec. 3097, CivC.). MICROFILM -- HEATIN Ibflnoffio B,T.U.) 4.00 HEATING UNIT (OVER 100,000 B.T.U,)7.50 ELECTRIC Lender's Name Lender's ..... . . . ....... VENTILATION FAN (SINGLE) 100 A_ 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 PLUMBING I - BOILER COMP (3 H.P. or 100,000 B,T.U.) 4.00 801 LFR -COMP (over 100,000 8TUI SEE FEE SCH, MECHANICAL hereby auttiortie represeatatives of this city to enter upon the above-mentionedproperty for inspection purposes. misc,- REFER TO ORD. (We) agree tel.rive, indemnify and keep harmless the City of Cupertino agafn* 't habilitieso, judgments, costs and expenses which may in any way accrue )gams s�o City in consequence of the granti9n I t pm- t Ig a I of Aja XIRZ,41 trtractcx t —A CONST. TAX PERMIT ISSUANCE 3.00 V MECH. CONT. LIC. NO. MECH. "411 OFFICE COPY C1TY OI- CUPERTINO INSPECTIO': RECORD (Office Copy) , PI:PJIIT "1,10. SANITARY DIST. 170. L T 1'M AiD1DRESS " �� OWNER 41 �� PROJECT JOB S 7 Tr PTIONP NIC)- FINAL IC)_ PER.#IIT ISSUED Date B u i I d'n Fl ectrical` 1'1Umh.tT1r, 1lochanical Temp. C"Is/llcct. Soll.ir Fire Sprinkler Sinn His c. FINAI. INSPECTIONS r, r s Date Insp. Electric Date Plumbing 3' a S . Mechanical - Solar Pool Pre Gunite Gradin Planning (- Fire De t.' _. Health Dept. Building Other Floor Steel BUILDING Insp. Ducts & Insulation 5 - Fire Dampers Date Insp. Pad Certification Grease Duct & hood _ Foundation Condensate Drain Pre Gunite Equipment Anchorage Slab-Ilexahx-.i.ne (- ' Bond Rearm Not Approved Underfloor Girders Floor Steel _ T1edow-ns Diaphrams `'seismic Bracing halls-Nincls Frame Lnth i1allbonrds Int/Ext. Firewalls Not A i roved la �( "V7 15t' h b tS, ELECTRICAL Date Insp. Power Pole Underground Rough Wiring i]a-lis Ceiling Fixtures Int/Ext Notors Grounding Tem2. Power Other Not Approved PLUMBING Backflow Underground Underfloor Partial Rough Rough Complete Solar Rough Water & Insulation Main Drain R/of/.S Drain Gas Other Not A2proved ?1ECIIAN I CAL Date I Insp. -7- F6 Dare Underfloor S.M. Insp. Ducts & Insulation 5 - Fire Dampers Fireplace Grease Duct & hood _ One Hour Shaft Condensate Drain _ Equipment Anchorage Flues & Comb. Air Other Not Approved 4 BUILDING ELECTRICAL PLUNB ING HECHANICAL MISCELLANEOUS 0 Z 2 UJ > CL 0 Z 00 LL F- U 0w CL V) Z ILL IN INFORMATION WITFHN RED LINES USE BALL POINT EN ONLY 0_1 OFFICE COPY BUILDING PROJECT IDENTIFICATION BUILOING APPLICATION & PERMIT ADDRESS BUILDING — ELECTRICAL— PLUMBING — MECHANICAL . . . . ......... PERMIT,NUMBER 4 016 OWNER'S NAME OT, y 'ELECTRIC PiRwr"', tfl 1 _ 11 Il 2 PLAN CHECK VALIDATION DATE OF APPLICATION CON TRACTOR S NAME N..Z] L 00 OUTLETS - SWITCHES - RECEP 5.00/1- ILIGHTING FIXTURES 5.00/1.00 CONTRACTOR'S ADDRESS HONE 1'�7_> �2 >_11 _1J_7 -3 APPLIANCES -RESIDENTIAL 4.00 PANELS 5.00 1/0 ARCHITECT OR ENGINEER LIC. NO. SIGNS 6.00 PLAN CHECK FEE P,C, NO. SIGNS TRANS. 3.00 7RCH —ORENC ADDRESS ZIP SPECIAL CIRCUIT 5.00 PERMIT VALIDATION Nov 5�5 City TEMP. METER OR POLE iNS.PAlp5m APPLICANT'S A D D R ESS MOTORS SEE FEE $CH. W� Avc.,� — SERVICE CHANGE NOV 1 JqFM LICENSED CONTRACTORS DECLARATION CRY Of Nvertino I hereby affirm that I am licensed under provisions of Chapter 9 (commencinK with Section 7000) of Division 3 of the Business and in full force d -f Pro"' "co .. Contractor DECLARATION I If pt from the Contractor's License Law for the following reason, (Sec. 7031 5, Busine", and Professions Code; Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuanvv, also requires the applicant for such permit to file a signed statemeit that be is licensed pursuant to the provisions of C'ontractor's License Law ( C Chapter 9 (commenoing with Section 7000) of Division 3 of the Business and professions Code) or that lie is exempt therefrom and ISSUANCE DATE BLDG. ELECT. PLG. MECH, Ja 1 -77 g 77W -- "771" Mlsc� — REFER TO ORD I PERMIT ISSUANCE 600 . VALUATION $/FT. r, 's — ELEC,CONTR. LIC. NO, IELE C.A TOTAL PERMIT TO STORIES TYPE CONSTR. the basis for thealloged exemption. Any violation of Section 7031.5 by a n y applica n t to r a pe rant �u bjects t lie a ppl inI I ci a civil peu at ty of not more than rive hundred dollars ($500).): ALTER -DRAIN & VENT -WATER (EA.) 400 Cj 1, as ownei of the property, or my employees vvith wages as their sole compenlation, Will do the work, and the structure is not BACK FLOW PROTFXAWICE 2.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND, 4,00 intended or offered for sale (Sec- 7044, BLIShIeSx and Professions I Code: The Contractor's License Law does not apply to a n owner q_�, docs property who builds or improves thereon, and who d h work such himself or throagh his own employees. provided that such improv metits are not inWoded or offered for sale, If, however, the buildin't; or improvement is sold within one year of completion, the owi owner builder will have (tie burden of proving that lie did not build or irii- prove fou purpose of sale ), 0 1, as owner of the property, am exclusively contracting with licensed contractor,; to construct the project (Sec. 7044, Business andProfessions Code� The Contractor's License Law does not apply to a " 0 wrier of property who builds or improves thereon, and who FIXTURES - PKMJVq 1983 4,00 'OV SO. FT, FLOOR AREA TOTAL ACREAGE r GAS - EA. SYS EM INC. 4 OUTLETS 4.00 GAS - EA. SYS -UN -&\ft&ff6) 1.00 BUILDING USE i RES IND CON P8 Other 21 El 0 11 11 INDUSTRIAL WASTE INTER. 20.00 LAWN SPRINKLERS- 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO, 7 7J LAWN SPRINKLERS -OVER 5 (EA.) 1.00 contracts for such projects with a contractor(s) licensed )ursuiint to, the Contractor'% License Law. SEWER -SANITARY -STORM EA. 200ft/8,00 TRACT NO. PARCEL NO. 0 Iamexempt under Sec. _____.. . . . .... ........ ... —, BAP -C:, for this reason Date...._.. . .... Owner (0 7/' , WATER HEATER W/VENT 4,00 WATER SYSTEM 4,00 44 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 4.00 WORKTRS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to sell -insure, or a certificate of"WorkerS' Compensation Insairance, or a certified ZONING ENG. SITE NO. 800, Lab coa 1, (Sin Pi FIRE SPRINK I ❑ N ENERGY T-24 I E] N ❑ Certified copy Is tefeby furnished, * Cert' 6s fiAd with the city, in.pectiou divisio ' ie '!0!,!) y in,,ei.ou dv. Im A li .. pp cc CERTIFICATE OF E!EMPT ON Z� REFER TO ORD. PERMIT ISSUANCE 6.001 J�r' FLOOD ZONE A.L.U.C. PLG. CONTR, LIC, NO, PLG 6' TOTAL COMPENSATION INSURA- (This section need not be completed if the permit is for one ❑N❑ IEJ N ❑ I' 'T hundred dollars,($ 100) or legs I I certify that In the performance of the work for which this per - mit is issued, I siliall not employ any person in any manner so as to BUILDING become subject to the WorkersCorn pensation Laws of California. Date -__-Applicant ____ . . ......... . NOTICE TO A.11PLICANI': 11% after making this Certificate of Fx- --- PAW ALTER OR ADD T 4,00 APPLIANCE 4-00 PLAN CHECK emption, you shotdd become subject to the Workers' Compensation provisions of the Labor Code, You must forthwith comply with .such provisions or this perinit shall be deemed revoked, CONSTRU(.11ON LENDING AGENCY FEE I3 AIR HANDLINWIt (10 10A�W M.) .00 AIR HANDLING UNIT (OVER 10,O=CAMJ 5,00 SEISMIC FEE I hereby affmw that there is a construction lending agency for EXHAUST HO2.00 "1 the performance of the work for Which this permit is issued (Sec. 3097, Civ C,), MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 4,00 HEATING UNIT (OVER 100,000 B,T�U.)7.50 ELECTRIC 16 Leader's Lender'sAddrcss___---.-.- I certify that have read, this application and state, that the above information is correct, I ;agree to comply with all city and comily ordinances and state laws relating to building constru0jon, and VENTILATION FAN (SINGLE) 3.00 PLUMBING 6 BOILER -COMP (3 H.P. or 100,OOOB.T.U.) 4.00 - lover 100,000 BTU) SEE FEE SCH, MECHANICAL 4 hereby authorize representatives of' this city to enter upon theBOILER-COMP above�nientioncd, property for inspection purposes. - REFER TO ORD. =M (We) agree: 'to save, indemnify and keep harmless the City ofisc, Cupertino agair�n liabilitit,,s, judgments, costs and expenses NvIlicil may in any way ac �rue ag �0 C I: grinds O�Ap CONST. TAX PERMIT ISSUANCE 3m MECH CONT. LIC. NO- MECH, I TOTAL . I etc, I 7 OFFICE COPY C.'TY OF CUPEI:TINO INSPECTIM RECORD :.Office Copy) jL P ,P?II 110. SANITAP,.Y DIST. 140. LOT 1O. ADI)RE'SS D GCS° L.. / m PROJECTOWNER JOB SITE PHONE N0. PERMIT ISSUED Bate Buildln Electrical Plumhilir ltrchanical Temp. C,as/Elect. Solar Tire Sprinkler Sinn Misc. FINAL, INSPECTIONS Date Insp. Electric Pliimbin; . 3 - Mechanical dS= Solar Pool Gradin 1)Innnin f., Fire Dept. Health 'Dept. PmiIdin Other BUILD IIIG Date Insp. _ Partial Rough Date Insp. Pad Certification Solar Rough _ Foundation L I y �� 'lain Drain R/of/S Drain Pre-Gunite Gas Other Not Approved Bond Beam Not Approved Underfloor Girders Floor Steel Tiedowns Disphrams- Seismic Bracing 1lalls-Panels I- rame Z� " Lnth T TIT -— Wallboards Int/I?xt. Firewa' l.s Other Not Approved 't'es-T� 0v,G . Date Insp. Power Pole Under ,round Rough Wiring T) -a 1 s Ceiling Fixtures Int/Ext 11otors Grounding Temp. Power Other INot Approved PLUMBING Backflow Underground Underfloor Date Insp. _ Partial Rough Rou .h Complete -�-1-� Solar Rough _ Water & Insulation 'lain Drain R/of/S Drain /Q Gas Other Not Approved MECHANICAL Date Underfloor S .M. i - Ducts &Insulation jnsp. Fire Dangers Fireplace Grease Duct & Hood _ One Hour Shaft Condensate Drain Equipment Anchorage Flues & Comb. Air Other Not Approved IN BUILDING ELECTRICAL PLUMBING .MECHANICAL "MISCELLANEOUS to, 001 O zz I— O CC 1010 W CL 0 Z L) O 1L U Ow } t°n F— z LIE FILL IN INFORMATION fflTHIN REO LINES -- USE BALL. POINT PEN ONILY Bkll LII (SIG PRpJEG'T IDENTIFICATION PERMIT NUMBER APPLICATION & PERMIT BUILDING — ELECTRICAL— PLUMBING — MECHANICAL 4017 BUILOiNG —11-1 A QREh� NAME l E j�^►y W �,� ,iiiii//�� /�ii%.�j //�i�� PLAN CHECK VALIDATION // �'�%� ,,ii, �� OUTLETS -SWITCHES - RECEP 5.0011.00 LIGHTING FIXTURES 5.40/1.40 CONTRACTOR Sa NAME Irk I I No. 1� CQNTAACTOR ''' ADORESB HONE j APPLIANCES -RESIDENTIAL 4.00 '�- PANELS 5.00 DATE OF APPLICATION ARCHITECT OR ENC tr8ER LIC. No. SIGNS 6.00 t PLAN CHECK FEE P.C. NO. !SIGNS T R ANS. 3.00 ARCH Oil ENG. ADDRESS ZIP SPECIAL CIRCUIT 5.00 PERMIT VALIDATION - .-,. /(�iht EMP. METER OR POLE INS. 15.00 APPLICA TS MOTORS .'" �,, SEE FEE SCH." SERVICE CHANGE 10.40 E �5U�ANG ifi iilkfA LICENSED CONTRACTORS DECLARATION 1 hereby affirin that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ( d n my, license is ht full fr�d� Licensc ��+ Lit Numberl�e _ Date �� Contractor 7WNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from tile Contractor's License Law for the fo6lciPing reason (Sec 7031 g, Businessand Professions Code; Any city or county which requires a permit to construct, after, Improve, demolish, Or repair any structure, prior t9 its issuance, also requires tire applicant for such permit to file a signed statement that he is lie used purstiant lis the provisions of the C`ontractor`s License Law (C"hapter 9 (commencingwith Secction 7000)o0 Division 3 of the Business and Professions Code) or that he is exempt therefrom and PAID NOV BLDG ELECT. PLG MECH. City of Z;IJtlflfrtt4 MISC. — REFER TO ORD VALUATION, $/FT. (y." / /„„W� PERMIT ISSUANCE _ 6'40 P '" ELEC. CDNTR, LIG NO ELEC.�� Q (;^. TOTAL PERMIT TO < C. - ^---� .- , PLLIMAI G, P ',0MJ .,-. FEE �. STORIES � ,E';;, TYPE CONSTR. the basis for the alleged exemption Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of nor more thin five hunaired dollars (ISDO) ): 0 I, as owner; of the property, or my employees Willi wages as thea Sole compensation, will do the work, and the structure, is not intended or offered for .Sale (Sec 7644, Business and Professions: Code; The C'ontractor's License Law dots not apply to an owner of - property Who builds or improves thereon, and who does such work furnself or througil his own employees, provided that such Improve, meats Are not intended or offered for sale. If, however, the building ,. ;, ALTER -DRAIN & VENT -WA TER (EA.) 4.00 BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA,COND. 4.00 FIXTURES - PER TRAP 4.40 SO. FT. FLOOR AREA ' TOTAL ACREAGE GAS - EA. SYSTEM - 1 INC. 4 OUTLETS 4.00 or improvement is sold within one year of completion, the owner builder will have the burden of inulin that lie did not build or iia - p purpose ) proving rove. for ur ose of salt El 1, as owner of the property, am exclusively cortrraeting with GAS - EA. SYSTEM - OVER 4 (EA..) 1.00 BUILDING USE RES IND CON PB Daher 0 El 0 ❑ E] INDUSTRIAL WASTE INTER. 20.00 LAWN SPRINKLERS - 1 N " .B. 5.00 l) ASSESSORS PARCEL NO. -�V licensed contractors to construct the project (Sec. 7044, Business and nsCode: The ntractor's License Law does not apply builds or improves,thereon, and to - PlIWE A 1,00 contracts Poor such projects with a contra orfs) pursuant the Contractor's ,License Law. SEWER -SANITARY STOR E t/$,40 p ' o� TR PARCEL NO. 0 lain exerupt Linder Sec. _ .— --------_____,B.&P.C. For this reason. WATER HEATER NOUN -FL 4,00 Date—. '.. ___y,._—_-- Owner. ......_... WATER SYSTEM 4-00 ,. �'"" ACC. DATE ACC. FILE NO. WORkCERS'COMPFNSA`I'ION DECLARATION WATER TREATIN 4,00 1 hereby affirm .that I have a certificate of consent to self insure, or a certificate of.WInsurance, or a certified ZONING ENG. SITE NO.orkers'�Compensation Po Sec 00 L' in.7 _-" FIRE SPRINK Y N ENERGY T-24 Y M N❑ Certified copy is hereby furnished fJ Cert' ie s: p is filed with the city inspection divisio A pilhcant�� -' .... _...___ MISC. - REFER TO ORD.. PERMIT ISSUANCE 6,00 ..fir-i'�J Va-�. *^—'' CERTIFICATE OP EXEMPTION F f3 WORKERS FLOOD ZONE A.L.u.C. PLG, CONTR. LiC. 140. PLG. TOTAL °"" COMPENSATION INSURANCE (This section aced not be cornpleted if the permit is for one Y ❑ N❑ Y ❑ N❑ 'DM MECHANICAL � i T ,'T` y ' ' " hundred dollars (;S 100) or less.)" 1 certify that in the performance of the work for which this per mut is issued, 1 shall not cTnploy any person in any manner so as to become subject to the Workers' Compensation Laws of California Date— _ -..„w Applicant — NOTK h TO A If AN"i � If, atter making this Certificate of` Ex-ald ALTER OR ADD TO MECH. 4,00 � BUILDING ' APPLIANCE WRII 4,00 PLAN CHECK eruption you slit become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this peetrut shall be deemed revoked. FEL AIR HANDLING UNIT (T .F.M.) 3.00 AIR HANDLING UNITIOVER 0444 �� ) 5,00 � SEISMIC FEE CONSTRUCTION LENDING AGENCY I hereby affinn that thunre ,s a construction tending agency for EXHAUST HOOD CT) ' 2.00 the performancta of the work for which this permit is issued (Sec. 3097. CivC.). MICROFILM HEATING UNIT (TO 100,400 B.T, 4,04'1 HEATING UNIT IO 1 * W, 5 .)i.54 _ ELECTRIC Lender's Lender'sAddress. --:_ _ _ __.., _ _...._.,._ .._._ 1 certify that I have read this application and state that the above information is correct. I ra nee to comply with all city and county ordinances and (.tate law.w"relating to budding construction, and VENTILATION FAN (SINGLE) 3.40 �)_ PLUMBING BOILER - COMP (3 H.P. or 100,000 B.T.U.) 4.00 BOILER -COMP (Over 100,000 BTU) SEE FEESCH.' MECHANICAL hereby authorize representatives of' this city to enter upon the above-menuonerfiproperty for inspection purposes MISC. REFER TO ORD, (We) agree to wave, irla(emnify and keep harmless Mlle City of g r j gexpenses Cupmayinivy wl� tccruea,agarud muul4Citysin coaseque tale tile rami f Ivi ret p CONST TAX PERMIT ISSUANCE � - MECH. CONT, LIC. NO, MECH. TOTAL Sign^ erre of Ap c t/Contractor fat OFFICE COPY C;.ITY OI' CUPI:I"Ti;10 IIISPECTIOI: RECORD (Office' Uosy) a 4o __. PI MI" P1O. SANITARY DIST. 110. LOT I10. ADDRESS PROJECT OWNER JOB SITE PHONE NO. PERMIT ISSUED Date F1ect Plumb 'fecha TeT11" 1;oInr Tire Sign FINAI, INSPECTIONS Date I Insn. r,; S ..._._._._.._. Tlectric- Plumbing Mechanical Solar Parol (;radin Plannin Fire De t. Health Dept. Buildin Other BUILDING Date P Insp. Pad Certification Foundation Al . s.. - m- 1. r"IN1 ta i IVItTSF S 1 a h yiez1hr-aj;-e-- 1 Fond Beam 722t - Underfloor Girders ........... d floor ,Steel _ Tie,down s naphrams a ... Seismic Bracing .......... — -� halls -Panels Frame t La t h Wallboards Int/F?xt. T'irewalls Other Not Approved � �� _�� K v✓l i �T. f,YT -(-K 3 C5 �s3 Power Pole Underground Rough Wiring 11alis Ceiling Fixtures Int 11otors Grounding Temp. Power Other Not Annroved ELECTRICAL Date ' Insp. PLUMBING Ba ckf low Underground Date Insp. Underfloor 722t - Partial Rough d Rou ,h Complete _ Solar Rough Water & Insulation Main Drain R/of/S Drain — -� Gas Other Not ADnroved MECHANICAL Date Underfloor S.N. I p. Ducts & Insulation p 722t - Fire Dampers Fireplace _ Grease Duct & hood One Hour Shaft Condensate Drain Equipment Anchorage Flues &Comb. Air Other Not Approved • • . BUILDING ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS n I t, a APPLICANT ILL IN INFORMAflON VflTHIN RED I-INES USE BALL Pt II ONLY Now" OFFICE COPY BVI LDING PROJECT I DENTI FICATION APPLICATION & PERMIT ---•BUILDING - ELECTRICAL- PLUMBING MECHANICAL PERMIT NUMBER 4018 BUILD ADDRESS 1� NO I 4 M-115 CE24T� 4K ...... lity, OWNER'S NAME PLAN CHECK VALIDATION CONTRACTOR'S NAME JOUTLETS -SWITCHES - CEP 5,00/1.00..... Jko&l.No.% IPSj DATE OF APPLICATION 9n1LIGHTING FIXTURES 5,00/1.00 CONTRACTOR'S ADDRESS ,?5 LYIPHON bI JAPPLIANCES - RESIDENTIAL 4.00 PANELS 5.00 ARCHITECT OR ENGINEER Uc NO. SIGNS 6,00 PLAN CHECK FEE P.C, NO. SIGNS TRANS. 3.00 ARCH.OR ENG, ADDRESS SPECIAL CIRCUIT 5�00 PERMIT VALIDATION TEMP. METER OR POLE INS. 15.00 ZIP 0 APPLI ANT'S AQDRCE$S MOTORS -WsIPAJOCH, SERVICE CHANGE 10.00 LICENSED CONTRACTORS DECLARATION J— Wae NOV city of (Cu "rr+;, f- I I hereby affirn) that I am licensed under provisions of Chapter 9 (commencing with ScImq 1010) of Division 3 ol,b, Bu,me,, an, e Profess ons C d y license is in full for,e and el License Lic, Number I 9_00 A0 sAv L UAI;E SLOG. 'EL79Ct. fJV0IWJU1 MECH,_ 0- D. Contractor Date - - WNUR-BVILDER DECLARATION I hereby affirin that I an) exempt from the Contractor's License Law rorthQ following reason. (See, 7031.5, Business and Professions Code: Any City Of County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) ofDivis ,ion 3 of the pr therefrom and exempt Business and professions Code) or that he is L the basis for the alleged exemption, Ap% violation ofSection 7031.5 _77— �Qp, Els MISC, — REFER TO ORD PERMIT ISSUANCE 6.00 VALUATION $/F T, I 7� 00 0 LEC. CONTR. LIC. NO, ELFC, TOTAL 777 77 77 CP o*ijo PERMIT TO 4, STORIES TYPE CONSTR, by any applicant for permit subjects the applicant to a civil penaltv, of not more than five hundred dollars (S500)-): 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (See. 7044, Business and Professions Code: The Contractor's License Low does not apply to at) owner of ALTER -DRAIN & VENT -WATER (EA.) 4,00ie BACK FLOW PROTECT. DEVICE 2.00 OCC, GROUP HE$. UNITS DRAINS FLOOR, ROOF, AREA, COND. 4.00 F I XTUR ES - PER TRAP 4.00 SO, FT, F1_09R AREA1 / TOTAL ACREAGE property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve- ments are not intended or offered for sale. If, however, the building ]GAS • EA. SYSTEM - 1 INC. 4 OUTLETS 4,00 or tulprovcmen( is sold within one year of completion, the owner - builder will base the burden of proving that he did not build or im- prove for purpose ofsale.). 0 1, as owner of the property, am exclusively contracting with and used contractors to co ' nstruct the project7044, Business an Profes'sionscode: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who GAS - EA. SYSTEM - OVER 4 (EAJ 1.00 BUILDING USE RES IND CON PB other z 0 0 E E INDUSTRIAL WASTE INTER, 20.00 LAWNSPRINKLERS-11 INPA.M 5.00 ASSESSORS PARCEL NO, — J 747' J . . .... OVER 5 (EA.) LAWN SPRINKLERS 1.00 cou tracts for such projects with a contractoos) licensed porsuant to the Contractor 's License Law, SEWER-SANITARY-SWnV 5h. 20JW7�0 TRACT NO. PARCEL NO, 0 lam exempt under Sec. B &P.C. for this WATER HEATER W/VENT 4.00 Date WATER SYSTEM City qf Ougertifl*0 ACC. DATE ACC, FILE NO, WATER TREATING EQUIP. 4.00 WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of eonsent to self -insure, or a certificate of Workers,` Compensation Insurance. or 3 certified ZONING ENG, SITE NO. 'i"Id _LJ mTPa3809. n afte", ops as herrhy furnished, �Ic I n L71 CgTied I filcl with the city inspection &Z Appl: FIRE SPRINK Y [] N ENERGY T-24 Y E N[] MI SC REFER TO ORD. ;TIFIC I WORKERS' Cl F, TV, OF El TION R KT 'T' T PERMIT ISSUANCE 6.00 FL.00D ZONE A. L. U, C, PLG. LIC, NO. JPLG. TOTAL (mdP0Er1,,4ESATION INSCk NCE INSU� (This section need not..be completed if the permit is for One Y ❑ N ❑ Y ❑ N hundred dollarst$ 100) or less.) I certify that in the performance of the, work for which this per -Y, mit is issued, I shall riot employ any person in any manner so as to become subject to the workers;'Compensation Laws of California, Date . . .. . ........ ____._,ApPIipant _ — ----- ----------- NOTICE TO APPLICANT If, after making this Certificate of Ex- We BUILDING ALTER OR ADD TO MECH. 4.00 — APPLIANCE 4.00 PLAN CHECK emption, you sliould become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions orchis permit shall he deemed revoked. FEE AIR HANDLING UNIT (TO 10,040 C. F,MJ 3.00 AIR HANDLING UNIT (OVER 1Q=1C_F.M.) 5.00 SEISMIC FEE CONSTRUCTION LENDIN(, AGENCY EXHAUST HOOD (WITH DUCT) 2.00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ.C.), MICROFILM HEATING UNIT (TO 100,00fkMf) 4,00 HEATING UNIT (OVER 100,000 B.T.U.P.50 ELECTRIC Lender's Name____ Lender's Addre,,ei ------ _- ---- I certify that I have read this application and state that the above formation is correct. I agree to comply with all cityand county ordinances and Mate laws, relating to building construction, and VENTILATION FAN (NiMET lq'AO PLUMBING BOILER 4.00 BOILER -COMP love, 10 8 1 MECHANICAL hereby authorixp representatives of this city to enter upon the above-mentioned property for inspection purposes. MISC,_ REFER TO ORD, (We) agree to save, indemnify and keel) harmless the City of Cupertino against habilitio-, judgments, cost,, and expenses which may in any way accrue sgamst pid�City in c CONST, TAX PERMIT ISSUANCE 3.00 antpe irl, Si naf A MECH. CONT, LIC. NO, MECH, TOTAL M, OFFICE COPY IW1'?NWNItltlWpWN1A ANflIIIAIYM¢MN.p W.WMItlIN.�YWg4X11RImnumwiWWM.IIM�N/Nllumim in wmw nwwwwnrnuwww�muxmunwmmxmuwww.w« ._........ 11 �F I I " • wwm CITY OF CUPI 811110 INSPI_;CTI01: RECORD (Office -Copy) wl:-�_ PIIPiIIT No. SANITARY DIST. 110. LOT 1.0• ADDRESS wwrr "^w PROJECT OUNER JOB SITE PRONE NO. PERMIT ISSUED nate ELECTRICAL Bui1din Date Insp. Electrical Power Pole Plumh inr. Under ,round Mc, chanica1 Rough Wirin Ten7. (',,Is/T"lcct. -a-1 s Solar Ceiling- Tire Sprinkler Fixtures Int/Ext S ign Ilotors Grounding; Hisc Temp. Power FINAI, INSPECTIONS Date Insp. (,,-s— .._..---- .__.4.....,_._._._.• T:lectric Plumb in ' Mechanical -17 Solar Bond Ream Pool Underfloor_Girders gradin- Floor Steel Plznnin Tiedowns Fire Dept. Diaphrams - Health Dept. Seismic Bracing P',ullding 4 - Other BUILDING Date Insp. Pad Certification ' Foundation04 --3' Ducts & Insulation Slab -1- Fire Dampers Bond Ream Fireplace Underfloor_Girders Grease Duct & hood Floor Steel One Hour Shaft Condensate Drain Tiedowns Equipment Anchorage Diaphrams - Flues & Comb. Air Seismic Bracing Other 11alls-11,anels Not Approved Frame T..� th Wallboards Int/l;xt. - Firewalls Other Not Approved `i R(I fit is �csr-t 7-( Other INot Approved �— PLUMBING IBack;flow Date Insp. Underground Underfloor Partial Rough Rough Complete Solnr Rough Water & Insulation Main Drain R/of/S Drain Gas Other Not Ap2roved MECHANICAL Date Underfloor S.M. Insp. Ducts & Insulation Fire Dampers Fireplace Grease Duct & hood One Hour Shaft Condensate Drain _. Equipment Anchorage Flues & Comb. Air Other Not Approved � BUILDING # . ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS � � _ n Wuuutw WnWar nnuuwUV,yw; .�InowWtn. wWuuuu-- rvwauuw.wwww muuuuw�wm mmwW w. wumm _IC "r TO FILL IN INFORMATION WITHIN RED LBNE ._ USE BALL POINTPEN ONLY BUI LDI`413 PROJECT I DENT[ FI:CATION PERMIT NUMBER APPLICATION & PERMIT �" 019 T3UILDI.NG ELECTRICAL PLUMBING-�-MECHANICALOWN BUILDjNG ° ADDRESS �4 NAMERS NE�' CONTRACTOR S NAM Na „ .;i �i�� PLAN CHECK VALIDATION .... - ii '77jOUTLETS-SWITCHES-RECEP 5-4011.00 /' LIGHTING FIXTURES 5.00/1.00 APPLIANCES -RESIDENTIAL 4.00 PANELS S.00 DATE OF APPLICATION 6.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 CONTRACTOR'S oaREss `1 yY { ��c .C-�I1 i PHONE2_11 —2� 1 ARCHITECTSIGN.$ OR ENGINEER uc. No. ARCH.9R ENG ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 15.00 ZIP APPLICANT's ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 10.00 �® 0 0 LICENSED CONTRACTORS DECLARATION � Ld 1D I hereby affinn that I am licensed under provisions of Chapter 9 (commencing with Sectidtt 7000) of Division 3 of the Business and essionsCSO an myh,iCCnSC IS In full 10WO ate, tic Numberate �.: Contractor °e WNER-13UILDER DECLARATION I hereby afklrm that C am exempt from the C`ontractor's License (Sec. 7031 S, BusessandProfessions Law for the following reason m Code: Any city or county which requires a permit to construct alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to filo a signed statement that lie is licensed pursuant l0 the provisions Of tlicc Contractor's License Law (Chapter 9 (CO mmericmg With Section 7404) Of Division 3 of th e Busaneas and Itrodessmns Code) or that he is exempt therefrom and WSWANCE DATE 1983 BL L T. MECH. ,.6"o, C)ty Q Cui MISC. — REFER TO ORD VALUATION 1l17 � � $(FT. PERMIT ISSUANCE 6.00 ELEC. CONTR. LIC. NO, ELEC. TOTAL PERMIT TO � � p "' !CITY, PLUMBIN( ,'f 'RMI, F;E STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation otSection 7031.5 by any applicant for a permit subjectstheapplicant toac(vilpenalty of not more than five hundred dollars (S500).): ALTER -DRAIN -WATER (EA,) 4,00 D i, as Owner of the property, or my employees With wageS aS their sole compensation, will do the work, arid the structure is not intended or offend for sale {Sec 7094, Business and Professions BACK FLOW PROTECT. DEVICE 2.00 ' OCC. GROUP RES. UNITS DRAiNS-FLOOR, ROOF, AREA, COND. 4.00 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees provided that such improve- ments are not,hitended oroffered for sale, If, however, the building FIXTURES - PER TRAP 4.00 SO. FT. FLOOR AREA TOTAL ACREAGE GAS- EA. SYSTEM - 1 INCAOUTLETS OUTLETS 4,00 or tmprovemertt Is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or itm prove for purpose of sale.), 0 I, as owner of the, property, am exclusively contracting with GAS - EA. SYSTEM - OVER 4 (EA.) 1.00 BUILDING USE RES IND CON Pe Omer 2( ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 20.00ro LAWN SPRINKLERS- 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO. 37,S"-- 4 licensed contra tors to construct the project (Sec. 7044,. Business and Professions Code: The, Contractor's License Law does not apply to an owner of ,property who builds or Improves, thereon, and who LAWN SPRINKLER 5 (EA.) 1.00 cont acts for � Lh eos with a contractor(s)'l;icensed pursuzun to p j the f:lJp CraclO's LII: Ci)FL Law. 0 i am exempt under Sec ........__,B &P.0 for this SEWER -SANITARY -STORM EA. 200ft/8.00 TRACT NO. 6 �� PARCEL NO. WATER HEA /V NT 4.40 reason— ........ ......—..._ .....1--,--.--..— _.. Date_ .. _,._ _ Owner ___ WATER SYSTEM 4,00 ACC. DATE ACC, FILE NO. WORKERS'COMPFNSATION DECLARATION WATER TR EA C nO 4,00 1 hereby affirm that I have a Certificate of consent W self Insure. or a certificate of Workers' Compensation Insurance, or a elrUliU`d e y t ereof Ise' 3800 j' i-�. �i m> Gil trill led copy is xrcby furnished. tss Applic,anttifiel 701, led ` inspection sl 11,MISC. FRTITICATE 0h 1 XVNIP ION 1NORRHRS' ZONING ENG, SITE NO, f? - ) Cl ? FIRE SPRINK Y ❑ N ❑ ENERGY T-24 Y ❑ NE]i - REFER TO ORD, _ PERMIT ISSUANCE 6 -OO FLooD ZONE A.L.U.C. PLG.CONTR. LIC. NO. PLG TOTAL CCMPhNSATIONINSURANCE (This section need not be completed 11 the permit is for One Y ❑ N ❑ Y N ❑ IVIECHAiN1CAL P RMI'i FSE" hundred dollars (S 100) or less.) I certify that in the performance of the work for which this per-OTY. Intl is issued„I shall not employ any person in any manner become subject to the Workers Cornpensation Laws of California. ApplicantBUILDING NOTICE TO APPLICANT: if, afterer making this Certificate of Ex - ALTER OR ADD TO MECH. 4.00 APPLIANCE 4.00 PLAN CHECK FEE emption youshtnaldbecome subject tothe Work ers'Cornpensaion provisions, of the Labor Code, you must forthwith comply with such provisions or this penult shall be deemed revoked. AIR HANDLING UNIT (T F.M.) 3,00' AIR HANDLING UNIT (OVER11, C.F.M.) 5.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY EXHAUST HOOD: UC7 2.00 HEATING UNIT ( 0,' 0 B. . ) 4.00 MICROFILM 1 hereby affirm that there is a construction lending agency for he p rfor'niance of the work for which this permit is issued (See. 3097,Civ.C); HEATINGUNIT(O R 00BT-UJ7,50 _ ELECTRIC '_— Lender'sName.— — I certify that I have read this application and state that the above information t, correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and VENTILATION FA ( G 3.00 PLUMBING ---w- BOILER -COMP 13 H.P. or 104,000 B.T.UJ 4.00 ..._. BOI LER-COMP (Over 100,004 BTU) SEE FEE SCH. -- ..-•- - hereby authorize reprowntatives of this city to enter upon the shove-menticood property for inspection purposes. MECHANICAL MISC. - REFER TO ORD. _ (We) agree to save, indemnify and keep harmless the City of Cupertino agama liabilities, judgmengr costs and expenses which may In a way accrue a Ain. sof C' m consec, the rantj f r n ”' /►.- i n„ re vt 1t iplica,u f"oihtraator,D111z I CONST TAX PERMIT ISSUANCE 3.00 MECH. CONT. LIG. NO. MECH. TOTAL �/ i OFFECE COPY GEOTECHNICAL INVESTIGATION STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS CUPERTINO, CALIFORNIA 'Its S P 14 19 Prepared for TECJ.NICAL. Bond & Brown ANAUSI, 114 950 Battery Street San Francisco, California 94111 Robert H. ork Charles I. Trantham Richard C. Harlan Civil Engineer Engineering Geologist Civil Engineer 11907 EG -700 11598 R.C. HARLAN AND ASSOCIATES geotechnical consultants 55 NEW MONTGOMERY STREET -MAILING ADDRESS P.O. BOX 7717• SAN FRANCISCO, CALIFORNIA 94120-(415) 434-3004 Project 300.1 February 14, 1979 TABLE OF CONTENTS I INTRODUCTION 1 II SUBSURFACE EXPLORATION AND LABORATORY TESTING 2 A. Subsurface Exploration 2 B. - .-Laboratory . Testing 2 III SITE AND SUBSURFACE CONDITIONS 3 IV GEOLOGIC AND SEISMIC EVALUATION 4 V CONCLUSIONS AND DISCUSSION 6 A. Grading 6 B. Retaining,Walls 6 C. Foundations 7 D. Slab -On -Ground Floors 7 E. Pavement 7 F. Geologic Hazards 7 VI RECOMMENDATIONS 9 A. Site Preparation and Grading 9 I. Site preparation 9 2. Grading 9 B. Retaining Walls 10 C. Foundations 11 D. Setbacks 11 E. Slabs -on -Ground 12 F. Utility Trench Backfill 12 G. Pavement ~~ 12 VII PLAN REVIEW AND CONSTRUCTION INSPECTION 14 VIII LIMITATIONS AND UNIFORMITY OF CONDITIONS 15 IX BIBLIOGRAPHY 16 APPENDIX lA I INTRODUCTION This report presents the findings and recommendations of our geotechnical investigation for the proposed State Mutual Savings Building and Condominiums at Stevens Creek Boulevard and Finch Avenue, Cupertino, California. The site is located as shown on Figure 1, Site Plan and Vicinity Map. The investi- gation was performed in January and February, 1979 for Bond & Brown, the project architect. The proposed development consists of a two-story, 60 feet by 80 feet (plan dimension) savings and loan office building on an earth pad near the north end of the site and 24 two and three-story wood -frame condominiums built over a one-story partially depressed parking structure at the south end. A ground 1,,6vel parking lot will be south of the savings building. Maximum foundation loads for the savings building and condominiums are not known at this time. A swimming pool partially above and partially below existing ground level is planned for the condominium development. Site grading will be minimal and will generally consist of excavating for the partially depressed garage area and constructing the building pads and parking areas. The objectives of our investigation were to evaluate surface and subsurface conditions and to develop recommenda- tions for the proposed development regarding: 1) site prepara- tion and grading, 2) retaining wall design criteria, 3) founda- tion type and design criteria, 4) support of slab -on -ground floors, 5) utility trench backfill, and 6) parking lot pavement thickness. The scope of our investigation included a site reconnaissance, subsurface exploration, laboratory testing, geologic and seismic evaluation, engineering analyses, and preparation of this report. 01 II SUBSURFACE EXPLORATION AND LABORATORY TESTING A. Subsurface Exploration Eight borings were drilled at the site to depths of 12 to 26.5 feet on January 29, 1979 using a truck -mounted rig with 6 -inch diameter augers. The borings were logged by our engineer directing the drilling. Locations of the borings are shown on Figure 1, and logs of the borings are on Figures 2 through 7. The soils are classified in accordance with the Unified Soil Classification System described on Figure 8. Undisturbed samples were recovered from the borings in 2.5 -inch outside diameter (O.D.) by 6 -inch long brass liners that were inside a 3 -inch O.D. split barrel California sampler. The sampler was advanced by either pushing it hydraulically or driving it with a 140 -pound hammer falling about 30 inches. B. Laboratory Testin Laboratory tests were performed on selected samples to determine the physical characteristics of the soil. The test types and procedures were: In place dry density and moisture content (ASTM D2216) Atterberg Limits (ASTM D423 & 424) Unconfined compression strength (ASTM D2166) Unconsolidated undrained triaxial strength (ASTM D2850) The amount of swell during saturation was determined for one of the triaxial strength test specimens. 2 III SITE AND SUBSURFACE CONDITIONS The site is a flat two acre irregular shaped parcel in a residential/commercial area. Maximum relief is 5 feet. The site is bounded by Stevens Creek Boulevard to the north, Finch Avenue to the east, Craft Drive and private property to the south and Calabazas Creek to the west as shown on Figure 1. The adjacent streets and private property are nearly the same elevation as the site. The creek bottom is about 12 to 15 feet below the site. The creek is unlined and its banks are as steep as about 1:1 (horizontal to vertical). The creek banks have evidence of surface sloughing. A box culvert to pass Calabazas Creek beneath Stevens Creek Boulevard was under construction at the time of our reconnaissance and subsurface exploration. The northern end of the site was being used for the contractors yard. Vegetation is sparse weeds with large areas of bare ground. Small amounts of debris are scattered over the site. A stockpile of dirt estimated at one to two feet deep and 50 feet by 100 feet in plan dimensions is near the south end of the site as shown on Figure 1. Subsurface conditions as disclosed by our borings are alluvial deposits of primarily very stiff to hard clays and silts. The near surface clays are moderately (liquid limit, LL = 39; plasticity index, PI = 19) to highly expansive (LL = 50, PI = 26). Medium consistency clay was encountered in boring 5 to a depth of about 2 feet and dense to very dense gravelley clayey and silty sands were encountered in boring 1 at 18 to 21 feet (bottom of hole), boring 2 at 19 to 22 feet, boring 3 at 14 to 15.5 feet, (bottom of hole), boring 5 at 18 to 20 feet, boring 6 at 19 to 24 feet, and boring 7 at 3 to 7 feet and 8 to 9 feet. Clayey sand was encountered in boring 5 at 25 to 25.5 feet (bottom of hole). Groundwater was not encountered in any of our borings. 3 IV GEOLOGIC AND SEISMIC EVALUATION The geologic and seismic evaluation of the project site consisted of a review of pertinent literature and analyses of the boring logs. The property is within the U.S. Geological Survey, Cupertino, California 7.5 -minute quadrangle. The site is situated in the alluvial Santa Clara Valley which contains unconsolidated sediments consisting of gravel, sand, silt, clay and peat in various combinations according to Schlocker, 1971. Rodgers and Williams, 1974, show the project site to be underlain by alluvial fan deposits which are between 100 and 200 feet thick. A drill hole located approximately 1500 feet southwest of the site penetrated 155 feet of alluvial materials overlying bedrock. Geologic structures in this region are controlled primarily by northwest trending faults. The historically, seismically active San Andreas fault zone (nearest special studies zone) is located approximatley 6 miles southwest of the site. The closest known fault is the Shannon fault which is over 2 miles southwest of the site on the geologic map by Rodgers and Williams, 1974. The project site is within the seismically active Bay Area which is likely to experience large earthquakes in the future. The site is within zone El on Plate 6, Relative Seismic Stability Map of Santa Clara County, California, by Rodgers and Williams, 1974. Zone El is classified as an area of moderate potential for liquefaction, lurching, and lateral spreading; with the water table ranging 20 to 50 feet below the 4 ground surface. Borcherdt, et. al., 1975, developed a map showing maximum earthquake intensity predicted on a regional scale which has five intensity grades: A -very violent, B -violent, C -very strong, D -strong, and E -weak. The project site is within grade C on this map. Flooding is a potential hazard that could occur at the site caused by the overflow of Calabazas Creek. According to Limerinos, et. al., 1973, the site is within an area that may be inundated by a 100 -year flood. 5 V CONCLUSIONS AND DISCUSSION We conclude that the site is suitable from a geotechnical engineering standpoint for the proposed development provided the recommendations in this report are followed. The medium to hard, and dense to very dense soils at the site will provide excellent support for shallow foundations. The upper soil is moderately to highly expansive and our recommendations for grading foundations and slabs -on -ground include measures for mitigating soil expansion. Recommendations regarding the proximity of the condominiums and the savings building parking lot with the top of the Calabazas Creek Bank are presented in the following section and are discussed below. Suggested specifications for site preparation, compacted fill and utility trench backfill are presented in the Appendix. A. Grading We conclude that all grading can be performed with conven- tional heavy construction equipment. Special recommendations for both imported fill material, and moisture conditioning and compaction of on-site soils for slab -on -ground and pavement subgrades are presented in the following section. Subsurface drains will probably not be needed, however, we will make a final determination on the need of subsurface drains during grading. Filling along the top of the creek bank should be minimized as much as possible. B. Retaining Walls Recommendations are presented for walls that are free to rotate and retain stiff silts and clays.. G. Foundations The structures should be supported on spread footings bottomed below the zone where seasonal moisture changes normally have adverse expansion/contraction effects. Deeper footings may be needed to support structures adjacent to the creek bank. We estimate that foundations designed and constructed in accordance with our recommendations for the range of loads usually imposed by 2 and 3 -story buildings will settle less than one -inch and differential settlement between adjacent columns and wall footings will be less than 1/2 inch. D. Slab -On -Ground Floors The following methods to achieve a satisfactory subgrade for slab -on -ground floors are presented: 1) moisture condition- ing of the existing soil, or 2) replacement of or blanketing existing soil with non -expansive compacted fill. E. Pavement Pavement thickness designs and recommendations for pavement materials and placement are presented. The creek bank soils adjacent to the savings building parking lot may slough to the extent where the stability along the edge of the parking area is threatened. F. Geologic Hazards Geologic hazards believed to exist at th's site include ground shaking, ground failure, and flooding. Ground shaking at the site is predicted to be very strong in the event of a major earthquake on either the San Andreas or Hayward Faults and structures should be designed for strong ground shaking. M Ground failure in the form of liquefaction, lurching and lateral spreading is considered to have a low potential because of the relatively strong soils at the site. soils which might liquefy were not encountered in our borings. If they do exist at greater depth their effect will be mitigated by the stronger near surface soils. Flooding of the site may occur during the 100 -year flood. E:3 VI RECOMMENDATIONS A. Site Preparation and Grading 1) Site Preparation Remove debris and the dirt stockpile, and strip vegetation and organically contaminated topsoil from areas to be occupied by structures and pavements. The strippings should either be used in landscape fills or removed from the site. The dirt stockpile appears from the surface to be generally suitable for use as fill. During grading, if debris or organic materials are encountered, they will need to be separated and wasted. Complete required excavations including excavation to 4 inches below subgrade level in the slab -on -ground areas. Scarify the stripped and excavated surface to a depth of 8 inches within the area to be developed. Moisture condition if necessary and recompact in accordance with the recommendations for compacted fill. 2) Grading Compacted fill should be soil that is free of debris, organic matter and rocks greater than 6 inches maximum size. The on-site soils are suitable for compacted fill. If imported fill material is used it should be free of debris, organic matter and rocks larger than 6 inches maximum size and it should have a plasticity index less than 15%. Compacted fill should be placed in loose lifts less than 8 inches maximum thickness, and, following moisture conditioning if necessary, compacted to at least 90% relative compaction.* Special moisture and relative compaction requirements are needed in slab -on -ground floor and pavement areas. Compacted fill and recompacted scarified surface soil within the upper 12 inches of slab subgrade should have a moisture content of 2% to 5% * A maximum density and optimum moisture determined by ASTM D1557. 9 wetter than the optimum moisture content and be compacted to at least 85% but not more than 90% relative compaction. The upper 8 inches of subgrade in the paved areas should be compacted to at least 93% relative compaction at from 1% below to 2% above optimum moisture content. The moisture content of the uppermost 12 inches of slab subgrade must be maintained at 2% to 5% above optimum moisture content until the slab concrete is placed. The upper 8 inches of pavement subgrade should similarly be maintained at 1% below to 2% above optimum moisture content until it is paved over. The special moisture and compaction limits are not required if the upper 12 inches of slab subgrade and upper 8 inches of subgrade in paved areas are imported fill. The site should be graded to provide positive flow of surface runoff away from buildings and top of the creek bank. B. Retaining Walls Design retaining walls to resist active pressuresfrom equivalent fluids weighing 45 pounds per cubic foot (pcf). Design walls for Massive pressur6,from an equivalent fluid weighing fi and a coefficient of base friction equal to Footings should be designed in accordance with Foundations. Either backdrain the walls to prevent buildup of hydrostatic pressure or design the walls for hydrostatic pressures. wall backdrains should consist of a one -foot thick blanket of Class 2 Permeable Material, Caltrans Standard Specifications, Section 68-1.025, or other well graded free draining material approved by us. The drain blanket should be capped with 2 feet of on-site silt or clay. A 4 -inch diameter perforated pipe surrounded by at least 4 inches of drain rock should be placed 10 at the bottom of the drain. The pipe should discharge at weep holes or be sloped to drain to a suitable outlet. Backfill retaining walls with soil that meets the require- ments for compacted fill. Use equipment and methods that are suitable for use in confined areas without damaging the walls. The swimming pool should be designed and constructed in accordance with the pool engineer's recommendations. C. Foundations Design exterior spread footings for allowable bearing aressures of 2,500 pounds per square foot '(psf*, for dead plus live loads and 3,750 p4frfor total design loadsde;ad., %live%and wind or seileic. Design interior spread footings for allowable bearing pressures of 3,000 psf for dead plus live loads and 4,500 psf for total design loads. Bottom the footings on firm moist natural soil or on moist compacted fill at least 24 inches below lowest adjacent grade -for exterior footings and 18 inches below top of slab for interior; footings. All footings in the partially depressed garage area should be at least 18 inches below the top of the floor slab. D. Setbacks Structures and pavements should be set back at least 10 feet from the top of the present creek bank and foundations should be below a plane extended upward from the toe of the creek bank at a 2:1 slope. Setback recommendations are shown on Figure 9. 11 E. Slabs -on -Ground Support slab -on -ground floors on subgrade constructed as recommended in grading. To prevent capillary water rise provide at least 4 inches of clean free draining gravel or crushed rock beneath the slab. The gravel or crushed rock should be graded as follows: Sieve Size Percent Passing 12 inch 90-100 No. 4 0-5 Where vapor penetration would be a problem provide a 10 mil thick polyethelene membrane or equivalent and protect the membrane with at least 2 inches of sand. The vault may be founded on a mat foundation with subgrade and drain rock constructed in accordance with the recommendations for slabs - on -ground. F. Utilitv Trench Backfill Backfill utility trenches with soil that meets the requirements for compacted fill provided that bedding materials for pipes should be in accordance with the manu- facturer's recommendations. The trench backfill in building areas should be compacted to at least 85% relative compaction provided that the upper 2 feet of backfill should be compacted. as recommended for compacted fill. Trench backfill in paved areas should be compacted to at least 85% relative compaction provided that the upper 2 feet of backfill should be compacted to 90o relative compaction. Equipment and methods should be used that are suitable for work in confined areas without damaging the conduits. G. Pavement The pavement section should be as follows: LOCATION ASPHALTIC CONCRETE AGGREGATE BASE Parking Driveways 2 inches 3 inches 12 6 inches 8 ,inches A UIWWRWWWM Asphaltic concrete should be placed and compacted in accordance with the requirements of section 39 of the Caltrans Standard Specifications. Aggregate base should conform to the provisions of section 26 of the Caltrans Standard Specifications for a 3/4 inch maximum Class 2 aggregate base and should be compacted to at least 95% relative compaction. Aggregate base should be underlain by natural soil that is moisture conditioned and compacted as recommended in Grading. 13 VII PLAN REVIEW AND CONSTRUCTION INSPECTION We should review the grading and foundation plans and specifications pertinent to our investigation to confirm that the intent of our recommendations has been incorporated in them. We should observe and test all site grading to verify that the contractor achieves the specification requirements for fill quality, moisture conditioning and compaction. We should inspect footing excavations just before reinforcing steel is placed to evaluate the footing bottoms. 14 VIII LIMITATIONS AND UNIFORMITY OF CONDITIONS The recommendations of this report are based upon the assumption that the subsurface conditions do not deviate from those disclosed in the borings. If any variations or undesir- able conditions are encountered during construction, or if the proposed construction differs from that planned at the present time, R.C. Harlan and Associates should be notified so that supplemental recommendations can be given. The recommendations of this report are intended for the site described only and must not be extended to adjacent areas. This report is issued with the understanding that it is the responsibility of the owner, or of his representative, to ensure that the information and recommendations contained herein are called to the attention of the Architect and Engineers for the project and incorporated into the plans and that the necessary steps are taken to see that the Contractors and Subcontractors carry out such recommendations in the field. The findings of this report are valid as of the present date. However, changes in the conditions of the property can occur with the passage of time, whether they be due to natural processes or to the works of man, on this or adjacent properties. In addition, changes in applicable or appropriate standards occur, whether they result from legislation or the broadening of knowledge. Accordingly, the findings of this report may be invalidated, wholly or partially, by changes outside of -our control. Therefore, this report is subject to review and should not be relied upon after a period of three years. 15 IX BIBLIOGRAPHY Borcherdt, R.D., (editor), 1975, Studies for Seismic Zonation of the San Francisco Bay region: U.S. Geological Survey Professional Paper 941-A, 102 p. Borcherdt, Roger D., Gibbs, James F., and Lajoie, Kenneth R., 1975, -maps showing maximum earthquake intensity predicted in the southern San Francisco Bay region, California, for large earthquakes on the San Andreas and Hayward Faults: U.S. Geological Survey Miscellaneous Field Studies Map, MF 709, scale 1:125,000. Brown, R.D., Jr., and Lee, W.H.K.,__1971, Active faults and preliminary earthquake epicenters (1969-1970) in the southern part of the San Francisco Bay region: U.S. Geological Survey Miscellaneous Field Studies Map MF -307, scale 1:250,000. (H.U.D.-B.D.C. 30). Hart, Earl W., 1977, Fault Hazard Zones in California: California Division of Mines and Geology Special Publication 42, 24 p. Helley, E.J., and Brabb, E.E., 1971, Geologic map of late Cenezoic deposits, Santa Clara County, California: U.S. Geological Survey Miscellaneous Field Studies Map MF -335, scale 1:62,500, (H.U.D.-B.D.C. 27) Limerinos, J.T., Lee, K.W., and Lugo, P.E., 1973, Flood -prone areas in the San Francisco Bay region, California: U.S. Geological Survey Water Resources Investigations 37-73 open -file report, scale 1:125,000. (H.U.D.-Interpretive Report 4). Rodgers, Thomas H., and Williams, John W., 1974, Potential seismic hazards in Santa Clara County, California: California Division of Mines and Geology Special Report 107, 39 p, scale 1:62,500. Schlocker, J., 1971, Generalized geologic map of the San Francisco Bay region: U.S. Geological Survey, San Francisco Bay Region Environment and Resources Planning Study, Basic data contribution 8, scale 1:500,000. 16 NOTES 1. This figure adapted from the following three drawings: e� a) Boundary & Topographic Survey by George S. Nolte & Associates, el51 , 8 January 18, 1979• Sic �I b) Unnamed drawing showing proposed building locations by Bond & I 'I Brown. Proposed % , jSavingsl '�� c) Map and Construction Plan for h Calabazas Creek at Stevens Creek X 2 Building -I �o �o Boulevard, General Plan, -0 /�I'll Sheet 3 of 16, October 27, 1977. t LEGEND Approximate 3 location of boring. ><>I Proposed 4 1 Parking Area 6 Proposed j Condominiums /Ie'SITE PLAN O k� 0 50 100 feet ca >ckpi 1 i Scale of < A� Dirt 7 i 5 I i Calabazas Creek SITE PLAN R.C. Harlan AND ASSOCIATES San Francisco, California Proj. No, 309. 1 Appr.RNY Date 2/14/79 VICINITY MAP :e not to scale SITE PLAN & VICINITY MAP I FIGURE State Mutual Savings Building and Condominiums. Cupertino, California Laboratory Tests LL 50, PL 24 Tx UU 680 (100) 68 21 103 CTx UU 640 (0) 14.2 107 (triaxial specimens saturated) 5 triaxial specimen 14.6 96 swelled 6.3% during saturation at 100 psf confining pressure 10 13.7 133 15 20 55 5.9 115 25 30 Equivalent standard penetra- 35 tion blow count. ** Elevation from drawing entitled 'IBoundary & Topographic Survey'' by George S. Nolte & Associates, 1/18/79• 40 R. C. HARLAN AND ASSOCIATES 55 NEW MONTGOMERY STREET SAN FRANCISCO, CALIFORNIA 94105 Proj. No. 90. 1 Appr. RHY Date 2/14/79 BORING 1 Equipment 6 -INCH AUGER Elevation_ 185** Date 1/29/79 DARK BROWN SANDY CLAY (CL), hard, damp BROWN SANDY CLAY (CL), hard, damp trace of pebbles BROWN GRAVELLY SANDY CLAY (CL), very stiff, damp BROWN GRAVELLY CLAYEY SAND (GC), very dense, damp Bottom of hole 21 feet . Groundwater not encountered FIGURE LOG OF BORING 1 STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 2 CUPERTINO, CALIFORNIA U O `. �- O v w \ 7 C VI a -d C1 •- L ^ O - c Ca E ^ O O L C) C) f0 0 ri LL 50, PL 24 Tx UU 680 (100) 68 21 103 CTx UU 640 (0) 14.2 107 (triaxial specimens saturated) 5 triaxial specimen 14.6 96 swelled 6.3% during saturation at 100 psf confining pressure 10 13.7 133 15 20 55 5.9 115 25 30 Equivalent standard penetra- 35 tion blow count. ** Elevation from drawing entitled 'IBoundary & Topographic Survey'' by George S. Nolte & Associates, 1/18/79• 40 R. C. HARLAN AND ASSOCIATES 55 NEW MONTGOMERY STREET SAN FRANCISCO, CALIFORNIA 94105 Proj. No. 90. 1 Appr. RHY Date 2/14/79 BORING 1 Equipment 6 -INCH AUGER Elevation_ 185** Date 1/29/79 DARK BROWN SANDY CLAY (CL), hard, damp BROWN SANDY CLAY (CL), hard, damp trace of pebbles BROWN GRAVELLY SANDY CLAY (CL), very stiff, damp BROWN GRAVELLY CLAYEY SAND (GC), very dense, damp Bottom of hole 21 feet . Groundwater not encountered FIGURE LOG OF BORING 1 STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 2 CUPERTINO, CALIFORNIA Laboratory Tests 42 13.2 126 48 17.1 102 47 22.7 97 u a O .� O V1 a-+ � •- L C a E O O L 4) 4) M m i U O O o tN 0s 42 13.2 126 48 17.1 102 47 22.7 97 5 50 IN 15 20 25 30 35 R. C. HARLAN AND ASSOCIATES 55 NEW MONTGOMERY STREET SAN FRANCISCO, CALIFORNIA 94105 Proj. No. 300.1 Appr. RHY Date 2/14/79 BORING 2 Equipment 6 -INCH AUGER Elevation U6 Date 1/29/79 DARK GRAY -BROWN GRAVELLY SANDY CLAY (CL) hard, damp DARK BROWN SANDY CLAY (CL), hard to very stiff, damp to moist BROWN SILTY CLAY (CL), very stiff, moist BROWN GRAVELLY CLAYEY SAND (GC), very dense, damp YELLOW-BROWN SANDY SILT (ML), very stiff, moist Bottom of hole 261- feet Groundwater not encountered FIGURE LOG OF BORING 2 STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 3 CUPERTINO CALIFORNIA Laboratory Tests UC 3160 18.9 103 17.2 110 5 17.8 107 IN no recovery 15 x UC 3290 20.0 109 UC 2210 15.4 113 5 16.1 104 Im 15 R. C. HARLAN AND ASSOCIATES 66 NEW MONTGOMERY STREET SAN FRANCISCO. CALIFORNIA 94105 Proj. No, 300. 1 Appr.RHY Date2/ 14/79 BROWN SANDY CLAY (CL), hard, moist BROWN SANDY SILT (ML), hard, moist BROWN GRAVELLY CLAYEY SAND (GC), veru dense. moist Bottom of hole 151 feet Groundwater not encountered BORING 4 Equipment O -INCH AUGFR Elevation- 187 Date 1/29/79 DARK BROWN SANDY CLAY (CL), very stiff, moist, trace of gravel BROWN SANDY CLAY (CL), hard, damp I Bottom of hole 16 feet Groundwater not encountered FIGURE LOGS -OF BORINGS 3 & 4 STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 4 CUPERTINO, CALIFORNIA Z U a °o BORING 3 ,� \ 7 C N Equipment 6 -INCH AUGER a E 0o 1° o 0 0 Elevation 186 Date 1/29/79 0 DARK.BROWN SANDY CLAY (CL), hard damp, trace of gravel 18.9 103 17.2 110 5 17.8 107 IN no recovery 15 x UC 3290 20.0 109 UC 2210 15.4 113 5 16.1 104 Im 15 R. C. HARLAN AND ASSOCIATES 66 NEW MONTGOMERY STREET SAN FRANCISCO. CALIFORNIA 94105 Proj. No, 300. 1 Appr.RHY Date2/ 14/79 BROWN SANDY CLAY (CL), hard, moist BROWN SANDY SILT (ML), hard, moist BROWN GRAVELLY CLAYEY SAND (GC), veru dense. moist Bottom of hole 151 feet Groundwater not encountered BORING 4 Equipment O -INCH AUGFR Elevation- 187 Date 1/29/79 DARK BROWN SANDY CLAY (CL), very stiff, moist, trace of gravel BROWN SANDY CLAY (CL), hard, damp I Bottom of hole 16 feet Groundwater not encountered FIGURE LOGS -OF BORINGS 3 & 4 STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 4 CUPERTINO, CALIFORNIA 15 • BROWN GRAVELLY CLAYEY SAND (GC), 20 dense, moist YELLOW-BROWN SANDY CLAY (CL), hard, damp BROWN CLAYEY FINE SAND (SC), dense, 25 - dam Bottom of hole 251 feet Groundwater not encountered 30 35 R. C. -IARLAN AND ASSOCIATES 66 NEW MONTGOMERY STREET SAN FRANCISCO, CALIFORNIA 94105 Proj. No. _300. 1 Appr. RHYDate 2/14/79 LOG OF BORING 5 STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS CUPERTINO, CALIFORNIA FIGURE 5 U +� o° da a)` a BORING 5 \ 7 C c > a E Equipment 6 -INCH AUGER Laboratory Tests _o O° O O s u L 41 o 0 G1 M o N Elevation_ 190 Date 1729779 0 DARK GRAY -BROWN SANDY CLAY (CL), 14.7 113 medium consistency, moist, trace of gravel DARK BROWN SANDY CLAY (CL), hard, UC 2540 19.3 107 damp, trace of gravel 5 UC 4170 17.1 112 BROWN SANDY CLAY (CL), very stiff, moist 10 15 • BROWN GRAVELLY CLAYEY SAND (GC), 20 dense, moist YELLOW-BROWN SANDY CLAY (CL), hard, damp BROWN CLAYEY FINE SAND (SC), dense, 25 - dam Bottom of hole 251 feet Groundwater not encountered 30 35 R. C. -IARLAN AND ASSOCIATES 66 NEW MONTGOMERY STREET SAN FRANCISCO, CALIFORNIA 94105 Proj. No. _300. 1 Appr. RHYDate 2/14/79 LOG OF BORING 5 STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS CUPERTINO, CALIFORNIA FIGURE 5 15 �/1BROWN SANDY CLAY (CL), hard, moist 2 0 BROWN GRAVELLY CLAYEY SAND (GC), no recovery dense, damp LIGHT BROWN SANDY SILT (ML), hard 25 moist Bottom of hole 251 feet Groundwater not encountered 30 35 R. C.:HARL,AN AND ASSOCIATES 58 NEW MONTGOMERY STREET SAN FRANCISCO, CALIFORNIA 94108 Prof. No._ 300.1 Appr. RHY Date 2/14/79 LOG OF BORING 6 FIGURE STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 6 CUPERTINO, CALIFORNIA U o a BORING 6 o 4- W L u ,. µ- a E Equipment 6 -INCH AUGER _o c T c Laboratory Tests M i c° 0 0 O N Elevation 187 Date 1/29/79 0 DARK BROWN SANDY CLAY (CL), hard, damp, trace of gravel 14.2 113 15.6 llo 5 16.5 114 10 BROWN SILTY CLAY (CL), hard, moist 15 �/1BROWN SANDY CLAY (CL), hard, moist 2 0 BROWN GRAVELLY CLAYEY SAND (GC), no recovery dense, damp LIGHT BROWN SANDY SILT (ML), hard 25 moist Bottom of hole 251 feet Groundwater not encountered 30 35 R. C.:HARL,AN AND ASSOCIATES 58 NEW MONTGOMERY STREET SAN FRANCISCO, CALIFORNIA 94108 Prof. No._ 300.1 Appr. RHY Date 2/14/79 LOG OF BORING 6 FIGURE STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 6 CUPERTINO, CALIFORNIA BROWN SILTY CLAY (CL), very stiff, damp BROWN GRAVELLY CLAYEY SAND (GC), 10 dense, damp BROWN SANDY CLAY (CL), hard, moist 15 Bottom of hole 16 feet Groundwater not encountered BORING 8 Equipment 6 -INCH AUGER Elevation 185 Date 1/29/79 0 DARK BROWN SANDY CLAY (CL), hard, damp 14.2 101 14.9 108 �J M E 15 BROWN SANDY CLAY (CL), hard to very stiff, moist Bottom of hole 12 feet Groundwater not encountered R. C. HARLAN AND ASSOCIATES LOGS OF BORINGS 7 s 8 FIGURE E5 NEW MONTGOMERY STREET SAN FRANCISCO. CALIFORNIA 94105STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 7 Praj. No. „ 300.1 Appr. RHY Date 2/14/79 CUPERT I NO, CALIFORNIA U °o BORING 7 0 Equipment 6 -INCH AUGER O °O - c `o' T c a o E Vn Elevation 18R Date 1/29/79 Laboratory Tests 0 LL 39, PL 20 DARK BROWN SANDY CLAY (CL), very Tx UU 540 (0) 17.6 108 stiff, moist (triaxial specimen saturated) 5 • BROWN GRAVELLY SILTY SAND (GM), 13.9 116 • dense, damp BROWN SILTY CLAY (CL), very stiff, damp BROWN GRAVELLY CLAYEY SAND (GC), 10 dense, damp BROWN SANDY CLAY (CL), hard, moist 15 Bottom of hole 16 feet Groundwater not encountered BORING 8 Equipment 6 -INCH AUGER Elevation 185 Date 1/29/79 0 DARK BROWN SANDY CLAY (CL), hard, damp 14.2 101 14.9 108 �J M E 15 BROWN SANDY CLAY (CL), hard to very stiff, moist Bottom of hole 12 feet Groundwater not encountered R. C. HARLAN AND ASSOCIATES LOGS OF BORINGS 7 s 8 FIGURE E5 NEW MONTGOMERY STREET SAN FRANCISCO. CALIFORNIA 94105STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS 7 Praj. No. „ 300.1 Appr. RHY Date 2/14/79 CUPERT I NO, CALIFORNIA 10' min. to e o building i bottom of footings top of depressed garage floor slab TYPICAL SECTION ALONG CREEK BANK Q 5 10 feet Scale R. C. HARLAN AND ASSOCIATES AS NEW MONTGOMERY STREET SAN FRANCISCO. CALIFORNIA 94103 G Praj. No. 300.1 Appr. RHY Date 2/14/79 SETBACK CRITERIA creek bank AS STATE MUTUAL SAVINGS BUILDING AND CONDOMINIUMS CUPERTINO, CALIFORNIA FIGURE �J APPENDIX SUGGESTED SPECIFICATIONS FOR SITE PREPARATION, COMPACTED FILL AND UTILITY TRENCH BACKFILL 1.0 General 1.1 Scope Compacted fills are to be placed at the site as shown on Drawings attached to and made a part of these specifications. The work includes clearing, grubbing, and stripping of the site, removal and disposal of unsuitable material, drainage during and after construction, supplying suitable fill material obtained either from the site or from the contractor's borrow pit, and the compacting of the fill material into place, all as shown and noted in these specifications and on the Drawings. 1.1.1 Work Included The work to be done under this specification in- cludes the following items: 1. Clearing the site of trees, shrubs, and other growth, debris, etc., as shown on the Drawings. 2. Stripping topsoil, dirt stockpile, and other compressible or unsuitable material below the existing grade, as shown on the Drawings and as approved by the Soil Engineer. 3. Subsequent to stripping, making at least one pass over the stripped area with a heavy pneumatic -tired roller, to detect any soft spots. 4. Additional stripping in all soft areas revealed by the above proof -rolling --all stripping to be done in a manner that causes minimum disturbance to underlying soil, and surface water to be removed from all areas so that stripping operations are performed under dry conditions. lA 5. Removal of all stripped material from the site, or its stockpiling. 6. Filling with clean approved material to the indicated grades on the Drawings. 1.1.2 Work Not Included The following items are not included under this specification: 1. Waterproofing and damp -proofing. 2. Finish grading and landscaping. 1.1.3 Soil Conditions The soil conditions at the site are indicated by the boring logs shown in the project geotechnical investiga- tion report. Neither the geotechnical consultant, architect, nor the owner guarantees that the soil conditions will not vary from those indicated. The contractor will be permitted to make his own additional soil investigation, but at no cost to owner or architect. The geotechnical consultant has made an inspection and subsurface exploration at the site, and the report of his findings are available at the architect's office. 1.1.4 Utility and Drainage Lines The location of utility and drainage lines is indicated on the Drawings. However, the contractor should verify the location of any existing pipes or conduits within the area of his operations and satisfy himself that they are properly cut off from the service lines or rerouted. 1.2 Soil Engineer The work covered by these specifications shall be performed under: the observation and testing of the Soil Engineer, R.C. Harlan and Associates, P.O. Box 7717, San Francisco, 94120, telephone (415) 434-3004. The architect and the Soil Engineer shall have access to the work at all times. 2A The Soil Engineer will be present at the site intermittently during the conduct of work to inspect the work, and to perform field and laboratory tests to evaluate material quality and compaction. The Contractor shall cooperate with the Soil Engineer in performing the inspections and tests. At the completion of his work, the Soil Engineer shall submit a report to the Owner, including a tabulation of all tests performed. The costs of reinspection and retesting of unsuitable work performed by the Contractor shall be deducted from the contract price. 1.3 Percent Compaction As referred to in these specifications percent compaction is the required in-place dry density of the fill expressed as a percentage of the maximum dry density of the fill material determined by the Soil Engineer'.in accordance with the ASTM test method D 1557. Optimum moisture content is the moisture content corresponding to the maximum dry density determined by the ASTM test method D..1557. 1.4 Notice Contractor shall give the Soil Engineer at least 48 hours notice prior to starting work or resuming work after any stoppage. 2.0 Site Preparation The Contractor is to strip all vegetation, topsoil, dirt stockpile and unsuitable material off the area to be graded, as shown on the Drawings. Unsuitable material includes soft compressible or loose soil, material that will decompose with time such as trash, vegetation, or cinder fill, or other material so designated by the Soil Engineer. All topsoil 3A and other material determined to be unsuitable by the Soil Engineer that is removed from the area to be filled should be stockpiled at the area designated on the Drawings for future use in areas to be planted or removed from the site. After stripping, overexcavation and proof rolling, the Contractor shall obtain the Soil Engineer's approval of the foundation in each area. Scarify the stripped and excavated surface to a depth of 8 inches within the area to be developed. Moisture condition and compact in accordance with Section 3.0. 3.0 Compacted Fill Only fill material approved by the Soil Engineer is to be used; material is not to contain brush, roots, sod, rubbish, or other decomposable matter, or rocks larger than 6 inches in size. Imported fill shall also have a Plasticity Index not greater than 15 percent. The equipment used for compacting the fill may be sheeps- foot rollers, rubber -tired rollers, or other suitable equip- ment. It is the responsibility of the contractor to select and furnish equipment which will compact the fill uniformly to the required density. - The contractor is to spread the fill soil in approxi- mately horizontal layers of not more than 8 inches in loose thickness over the area to be filled, each layer to be compacted as uniformly as practicable by suitable equipment, so that the completed fill will be at least 90 percent compaction, provided that compacted fill to a depth of 12 inches below pad grade in slab -on -ground areas, to a distance 5 feet outside the edge of slab, shall be compacted to at least 85 percent compaction but not more than 90 percent compaction.at 4A a moisture content not drier than 2 percent nor wetter than 5 percent wet of optimum moisture content; and provided that the upper 8 inches of subgrade for asphaltic concrete pavement shall be compacted to at least 93 percent compaction at a moisture content not drier than 1 percent dry of optimum moisture content nor wetter than 2 percent wet of optimum moisture content. All imported fill is to be compacted to at least 90 percent compaction. If the fill material is too wet, it should be spread and dried; if too dry, water may be applied uniformly to the borrow material. The Soil Engineer may permit a greater variation from optimum moisture if the fill cannot be placed satis- factorily within this limit of moisture content. Each layer of fill is to be approved by the Soil Engineer before placement of an additional lift of fill. When a portion of the fill is found to be unsatisfactory, the Soil Engineer will advise the contractor so that he may take additional steps to attain the required density. The Soil Engineer may recommend removal, replacement, and recompaction of the material in the unsatisfactory area, or removal of the material and replacement with other compacted soil. All backfill adjacent to foundations and walks should be placed in layers and compacted with suitable mechanical hand - tamping equipment, all backfill to be compacted to the density specified for the general area fill. During construction, the surface of completed fill should be left in such condition and grade that rain and surface water will run off without ponding. Methods should be used to drain the job site that will not cause serious erosion, with natural water courses maintained or routed around the construc- tion area as required. 5A The moisture content of the uppermost 12 inches of slab subgrade shall be maintained at 2% to 5% wet of optimum moisture content until the slab concrete is placed. The upper 8 inches of pavement subgrade shall similarly be maintained between 1% dry to 2% wet of optimum moisture content until it is paved over. 4.0 Utility Trench Backfill 4.1 Material Utility trench backfill material shall be free of perishable material and approved by the Soil Engineer prior to its use. 4.2 Compaction In the building areas, utility trench backfill shall be compacted to at least 85% compaction provided that backfill within 2 feet of pad grade shall be compacted in accordance with Section 3.0. Jetting or flooding will not be allowed within the building area. In areas to be paved, utility trench backfill shall be compacted to at least 85% relative compaction up to within two feet of subgrade. The upper two feet shall be compacted to at least 90% relative compaction. 5.0 Contractor's Performance The contractor should include in his proposal the date on which work will begin, the date work will be completed, a list of equipment to be used, and the names of any subcontractors who will be used on the job. The contractor is to furnish all supervision, labor, tools, earth -moving machinery, and other services and equipment, together with the fuels and lubricants required to perform the work. The contractor is fully responsible for working under con- diti,ons as they exist at the site. He will be required to work harmoniously with other contractors on the job site. 6A Upon completion of the work, the contractor is to remove all equipment, supplies, and the like from the work area and leave the area in a neat and presentable condition. 7A structural calculations 4'D 0C 1 �.�'3 ANALYSIS", INC. Calculations performed by computer. Equations used in the programs are included as an appendix. Design Criteria; Building code (!2 7 Seismic zone Wind zone 0ri L NAY= D'o r, AHEARN & KNOX, STRUCTURAL ENGINEERS 1505 MERIDIAN AVENUE 97B-1970 SAN JOSE, CALIFORNIA 95125 AHEARN & KNOX, INC. lug IN CONSULTING ENGINEERS 2040 UNION AVE, QUITE C SAN Jost, CA 06124 400/371.0400 I r 70NT0U5E DEVELOFM E C-��ffr Dr�vF- 4- �7NGh nv� Gyf,E�,TINO) CN' NILMED ,L oN DLE:�)510 �hN Jbe� ops . �51�25 oI CE�p t XT, 15TUP NAt_A- bI. C'0jg0I Dr--c'�-INc J DI�� SHEET NO. JOB NO, _ Bp DATE 2' - 8 C' By AHEARN & KNOX, INC. CONSVLTING ENGINEERS 2940 UNION AV2. SUIT[ C SAN JOS[, CA Ob 124 404%271.0400 P�OGF FRPuUiNG - t- ;J2 I f�2 I F7 i ii I I .' SHEET NO. JOB NO. aOj�Z I DATE BY It AHEARN & KNOX, INC. CONSULTING ENGINEERS 2040 UNION AV9. 9UIT9 C SANJOSK.CA99124 409/271.0400 3ECOND FL G Gr\ fKW ING - U F�-a SHEET NO. JOB NO. DATE By----- AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVE. WIT[ C SAN JOU, CA 96124 409/271.0400 IK5T FLOO FMING- WT 4. SHEET NO. Jos NO. &Q Q DATE BY 0 AHEARN 6 KNOX, INC. CONSULTING ENGINEERS 1940 UNION AVLWIT[ C {AN J011119. CA 00114 408/771.0400 ROOF FKWN6 - UNITS b d G SHEET NO. JOB NO. _._.& o DATE__ By AHEARN & KNOX, INC. CONSULTING ENGINEERS =940 UNION AVE, SUIT[ C SAN JOSL, CA 90124 408/271.0400 5ECOND FLOA FF n�r NG UNIT FJ -1 1 Fp. I J AHEARN & KNOX, INC. CONSULTING ENGINEERS 2240 UNION AV[. SUIT[ C SAN JOS[, CA 25114 404/171-0400 J flRY FLOA F�W ING - LIN IT D i SHEET NO. JO e No. Pio IZI DATE 2 �� By GI AHEARN 3 KNOX, INC. CONSULTING ENGINEERS .; 2240 UNION AV[. QUIT[ C •AN J0St. CA 92124 405/271.0400 YP „ EC �L00K ff SHEET NO. JOB NO. DATE �� g BY e 1N6 - UNITA l� �- FB• I I I r AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVl. SUIT[ C ''. SAN JOS[, CA 95 124 406/271.0400 ,lT ffLOO& "WIND- UNIT kwv t� 1 AHEARN & KNOX, INC. CONSULTING ENGINEERS 2640 UNION AVE. SUIT[ C SAN JOS[. CA 05124 400/371.0400 ROOF FMMIM - UNITD SHEET NO. c—v, , f d::p JOB NO. -;l ' I 2 DATE . 1'2— ' ` ':::' By aef AHEARN & KNOX, INC. CONSULTING ENGINEERS 2640 UNION AVE. SUIT[ C SAH JOSK, CA 95-124 408/571.0400 5ECOND FLOOR fKhMIR9 - UNIT,,`[ 1 FD- l AHEARN & KNOX, INC. CONSULTING ENGINEERS 2440. UNION AVE.. SUITE C SAN JOSE, CA 05124 404/771.0400 SHEET NO. �S "2 - JOB NO. DATE BY AHEARN & KNOX, INC. CONSULTING ENGINEERS f'40 UNION AVE BUIT[ C 8AN J0819. CA 96124 408/471-0400 Ro Of � Mi IN G - LIN I T SHEET NO. 6 JOB NO. a DATE g By AHEARN & KNOX, INC. SHEET NO. 4�v 'Il" CONSULTING ENGINEERS JOB NO. Y7o 2 29A40 UNION AVE SUIT[ C DATE 02 SN JOS[, CA 96124 406/271.0400 BY °.COAD fLOOF\ UNII� I=J. I - - I N f r i I �FJ i I I � AHEARN d KNOX, INC. CONSULTING ENGINEERS 211140 UNION AVE. {UIT[ C Ira fAN`JOBE. CA 8B 124 408/771.0400 T FLOO 0 - AT( E"' SHEET NO. 6 .) J JOB NO. DATE BY -;77 P)C---L m AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVE. SUITE C SAN JOSE, CA 95 124 408/371-0400 VF"= r A I. or:' -p 9 " SHEET NO. Q I JOB NO. DATE By - UJ SHEET NO. Q I JOB NO. DATE By - AHEARN & KNOX, INC. CONSULTING ENGINEERS 2040 UNION AVE. SUITE c SAN JOSE. CA B5124 408/371.0400 12 r\5' 2 4,a m SHEET NO., JOB NO. 9'fo'la I DATE - (2 7- 'bf By - pfl-17-' N W- I(,, LLQ Ctnl)/2 -j- I� >c �� - 1 �2 ��f rF im AHEARN 6 KNOX, INC. CONSULTING ENGINEERS 2940 UNION AV[, SUIT[ C BAN, JOSE. CA SS I!• 400/771.0/00 W - � 119 IPL 2 X 12 v = l Al = 15moi- A = (":7 � r I � SHEET NO. ioe No. _ f50, 11 DATE V2- - Z O BY t�2 = a 1- in in AHEARN & KNOX, INC. CONSULTING ENGINEERS IN 2840 UNION AVE. 8U1T[ C 8AN'.JOB[, CA 06124 •08/771.0400 m2r o SHEET N0. Esq- JOB7 NO. aQ` DATE' BY 1 AHEARN & KNOX, INC. CONSULTING ENGINEERS 1540 UNION AVE. SUITE C SAN JOSE, CA 88114 408/171.0400 91 Lu P-�' "elf SHEET NO. t� F 1�)- JOB NO. DATE BY I %wv AHEARN & KNOX, INC. CONSULTING ENGINEERS 2#40 UNION AVE. SUITE C SANJOWCA95124 4081371-0400 =12 44 244 + -f x Z-2 (,44 a 4,,- r,2) ( 1 �,,�2 -9 47 e;" SHEET NO. JOBNO. DATE 13Y AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVE. suIT[ C SAN JOt6, CA 09114 400/771.0400 R h 1 SHEET NO. JOB NO. So'i2) 2BVDATE 1/2- BY 1 P r, -Ira) r 3ez�o r� AHEARN d KNOX, INC. CONSULTING ENGINEERS 2940 UNION AV[. QUITE C SAN J041. CA 05134 408/271.0400 P Y 1- CIO X12 w'= SHEET NO. JOB NO. DATE BY I�7 -- I re:'a Im AHEARN 6 KNOX, INC. SHEET NO. CONSULTING ENGINEERS JOB NO. �� 2 2940 UNION AVE. SUIT[ C SAN, JOSE, CA 99124 409/371.0400 DATE V� By—�Y� R�irist� 5�2�•bl I [P59 2 1 = 41r.rz AHEARN & KNOX, INC. CONSULTING ENGINEERS S40 UNION AVE. SUIT[ C SAH JOS[. CA 0S 114 409/171.0400 9�;' rof x 4' ri n k� x 42 # _ �/,2 SHEET NO. JOB NO. DATE `;z O BY �w►�1 M we;G Ni4i-d3q,�7 ag 5aco d A8 1yO ooro-ac/so•►spas r7 79 0 r No p 't/ o mins am N.;Nn orsc 0 ow ®or 91133NION3 DNIiinSNO3 -ON 133HS "ONI 'XONN R Ndd3H`d i•� AHEARN & KNOX, INC. CONSULTING ENGINEERS YY40 UNION AVE. SUITE C SAN JOSE. CA 95 MA 406/271.0400 SHEET NO. G , JOB NO. _b0' I� DATE 12 a O BY e 4 4 - max), n '4o 0apEc/Ti"VN �y w(2� 'allaw ' ? I�,� 27 5 c�uMN �� (4) I AHEARN & KNOX, INC. CONSULTING ENGINEERS 2040 UNION AVE. 5UITE C "NJOSE,CAPSIZA 404/371-0400 1 ORTIN 0,U,,5 D, Q NE� NVE f T,!:2r, bclT°� f,2- COTFINU�lco Fir, a, 5 LS SHEET NO. JOB NO. DATE BY r52 X TO�0T-rakl 4'1 PND ff G. @ f�-4 VG - OOO w/c��"5 E��ti w�Y 0- 11 IN a AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVE. SUIT[ C SAN JOSE. CA SS144 406/771.Ot00 ALL_ 1 t 0.20 3 'x}20 x�C I,4loj� �oI? I 12 - SHEET NO. JOB NO. DATE �- O BY e� AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVE. SUITE C SAN JOSE. CA 95124 408/271.0400 4011 Y � „ f F flu 10 fc 3„0 I C�i�i�l �5 d ' f m= :a f ± ► �� 14 rp-1 n. Fes=1'5) 227119 SHEET NO. JOB NO. DQ' DATE BY a SHEET NO. JOB NO. DQ' DATE BY ai •IYI 1 " 1 \/ AHEARN & KNOX, INC. CONSULTING ENGINEERS 2040 UNION AV2. WIT[ C OAN J002. G 00124 400/271-0400 I L NN Y515 - SHEET NO. Joe NO. DATE S g0 By _ pfz ✓V�l ,� 1 IAtI`r I k -c r & (.c •IYI 1 ! " • 1 \/ / - NP FL-2 IN T, L L 5 Y 1/,,7- »r, N� LLr--? D4- r5f AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AV[. WIT[ C IIIANJOSE. CA 95124 404/371,0400 L CON Ej- SHEET NO. JOB NO. -Lt) 0 DATE 'E5'bC' By Pfl\&N >< t 'A) -t + t Cl) f b�' -t Ll ) C, /2- -- Iate hn2-7': '� F4 � h x Lub h p F - :;:,r L'oi AHEARN 6 KNOX, INC. CONSULTING ENGINEERS 1540 UNION AVE. SUIT( C SAN JOS[, CA SS 124 406/771.0400 I � m Dll�E� ! V lim im F--L- SHEET NO. `^ JOB NO. DATE BY Ffvlsew 5,2(0.61 u,-;, 1 cam+ t C = 2 4,- v-r�� L- w� DlWHKUM ood h > -c ,a7,1�2 e?.�7 W5 S D L _?'� LP\TF- LNC E-:�rL-AGE 4' -OSI x Ta4 x AHEARN & KNOX, INC. CONSULTING ENGINEERS 2040 UNION AVE. SUITE C IUD SAN JOSE, CA 05124 AWS71.0400 �ti UNIT SHEET NO. JOB NO DATE By i�9 wxrvnuwwuomm nu a.. AHEARN & KNOX, INC. CONSULTING ENGINEERS 2840 UNION AM[. QUIT[ C WANJOS9.r-A4§Il4 408/371.0400 �D FLOOR, 0 WilvD I q. P-1 DIAPrfMGM eJR � SHEET NO. JOB No, DATE By N L CD 12 6)iz ooc�;;) PL- TOP PLNtE A Ta 5�co W FL00 rJ- AHEARN & KNOX, INC. SHEET NO. �- CONSULTING ENGINEERS JOB NO. 3944) UNION AVE. WIT[ C 2 �� 47 SAN JOSE, CA 95114 408/271-0400 DATE By GHAD 1cD7t(la) 4 (5 +3o -je:' 12 a.)L TOP PL-i�fiF- 3�L-CE 4' Nhl Tail = �I 42, AHEARN & KNOX, INC.. CONSULTING ENGINEERS 1040 UNION AVR. sul7! C iAN J046, CA 061!4 466/471.0400 I SHEET NO. Lb JOB NO. _ DATE BY UNIT AHEARN S KNOX, INC. CONSlXTINO ENGINEERS !e 0 UNION AV1. SUIT[ C 8AN Jos[. CA *%Il4 4081771-0440 q� 2 SHEET NO. �CP JOB NO. bo' 1011 1 DATE ,"2' 'b00 BY D{Z�y1 2 a3� 4 p G P>< rl quc -n d Y� 10 D , , _un � lake' . AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVE. SUITE C SAN JOS[. CA 95124 A06/371.0100 1 23,x✓ SHEET NO. JOB NO. DATE By p �" AHEARN & KNOX. INC. CONSULTING ENGINEERS 2040 UNION AV[. WIT( C RANJOSK. G 95124 400/371.0400 SHE, R ALU5'RE5TMNM PROOF SHEET NO. L III I JOB NO. DATE "— S' BY b{ZaW o— 1 iZz�>1 7,--2 ��j n mow• x � e I E2—r o cru oo I N" { �o2 11,a t2 �oardf, w/ e�4 N 41 4►►o G1 2 ,4 vv brj 1 fo ci n 1 Al all f �„ r 5H�-hf MLL5 P\E5Tr%N1RG 5�CNQ f�O 011--, L ItA W SVA: t titi 43► ice/ o:�5 ° w --2?w•4 x f I 22° 7 t , AHEARN & KNOX, INC. SHEETNO.pp CONSULTING ENGINEERS JOB NO. V t7 2 :.9 410 UNION AVL. WIT[ C sAKJ099. CA •5124 409/271.0400 DATE ` 8Y r 15N- �- 3/�" r1 W,,d. rql b �. e 4x10 1 yoke �a►I 3a4 �(i CHEC1 NEI�TLMNG LIN1� G M. 22 L u; r12- �m AHEARN & KNOX, INC. CONSULTING ENGINEERS 20+00 UNION AVE. SUIT[ C SAN JOSE. CA 06124 400/371.0400 NEI OV�KnI�WO LINE',0 SHEET NO. L J JOB NO. DATE- By ATE By b�•� _._.._._ t �____. 9�) v 2 -T� I ��11 _ C C1t�)�4]�'�6��1t'4)9'- (b27x14x7) (L r.+) S-Vf , T'�(L6'14 ) Lq I = �) oG� I71 LQ� qLv� qtr - a - II Li-; �,,, �# - cL1 v I�Lgi Jon N 7 T� �3NS � X19 DI HO ;� 011 E 001ro•I LCIO O► "116OW2'7for H vs > Milne 3wv No�wn o»s SU33NION3 ONIIV1SNOD 'ONI 'XONA V NbV3HV A9 Q p� 31vO pS ON 80f 'ON 133HS T� �3NS � X19 DI HO ;� 011 E 001ro•I LCIO O► "116OW2'7for H vs > Milne 3wv No�wn o»s SU33NION3 ONIIV1SNOD 'ONI 'XONA V NbV3HV AHEARN & KNOX, INC. CONSULTING ENGINEERS 29A* UNION AVE, SUITE C SAN JOS1,CA*5flA 40GI771-0400 "Aw®r SHEET NO. JOB NO. DATE BY >< > e� 3 cHEcf-, OaTIANW LINE >< r rl L �l-�S KE5TMRNG PITT rL00r\,\ A4 (r��) NALL 7� -:t) 2 3, -7,E5 Ca 152 -7 Cc 12-12- 6aN - 7 5N � � !fl°' AHEARN & KNOX, INC. CONSULTING ENGINEERS =@40 UNION AVE. SUIT[ C SAN JOSL. CA @SI=4 408/371.0400 F 1 SHEET NO. L - JOB NO. QJD ' I1L DATE _ I a' 12'4'f By phew I tl CONC^&ja DOG 11 �' 5�E UN IT H p I f a UNIT) Quo /a � 14l b S::o I tl CONC^&ja DOG 11 �' 5�E UN IT H p I nrp� AHEARN 6 KNOX, INC. Null CONSULTING ENGINEERS 1940 UNION AVE. SUIT[ C SAN JOSE. CA 99114 409/271-0400 a s°r Wvi o Or, v'�)o Pi U-1, t 1 rI� 7;,a C, rl--', In SHEET NO. JOB NO._jb'� DATE BV 91 AHEARN & KNOX, INC. CONSULTING ENGINEERS ES40 UNION AVE. SUITE C SAN JOSE. CA 05124 405/271.0400 s OUTUMAL = 2�, oft 0I# s�7 r RC1 1,2= it2;1 U1°�-fir fi N C2)rr F�2 n I� Ta�� — 2x ��( 12- wo1 IIS 100 © 3I r.) 00 1# r- Jo2 444-1 � SHEET NO. �I JOB NO. DATE BY _ �E► r ....... .......... . 4-- ��c# All AN ear I 'ON 133HS Coro-usloor rsIs@Y3'stor NY* > >uns 7nY NOINn oras SIMNIEM ONLLV1SNOO 'ONI 'XONA 9 NUV3H`d le%il al b� AHEARN & KNOX, INC. CONSULTING ENGINEERS 1040 UNION AV[. QUIT[ C L M- MN JOBS. CA 06114 400/771-0400 �IhSp ��.h�p �Y1.9 a0 SHEET NO, JOB NO." DATE- BY ATE BY -4n57 530 = I� Iag°a i �'oc'x� h� 4 Ann � Inger �� 4 041 AHEARN & KNOX, INC. CONSULTING ENGINEERS 2940 UNION AVE. SUIT[ C SANIJOSC. CA DS124 405/371.0400 SHEET NO. L2 JOB NO. v 1 -2 - DATE 2DATE BY rT X58 AHEARN & KNOX, INC. CONSULTING ENGINEERS 1040 UNION AVI. SUIT[ C fANJOSK, CA 16124 408/271.0400 .2 _flap _ oTT,°9''j po o r51 SHEET NO. L1�2 JOB NO. DATE BY AHEARN & KNOX, INC. CONSULTING ENGINEERS ENAO UNION AVE. SUITE C MNJOSE, CA 95144 406/271.0400 47� f -all SHEET NO.I JOB NO. I DATE 1-�2 ' 15-"'� BY - �W TECHNICAL ANALYSIS, INC. 10455 Torre Ave.. Cupertino. Co. 95014 (408) 252-1020 March 24, 1981 Mr. JohnBusto, Planning and Building Dept. City of Cupertino Cupertino, California Guc sT RE: State -Mutual S & L Townhouse , Craft Dr. & Finch Rd; Job No. S81-3421 Dear Mr. Busto: We have reviewed the plans for the structural plan check job referenced above and note the following items._Building was reviewed for a shell building only. . . Provide detail design for the 8 in. cont. block -'wall. 1� ' 2. Provide information about the Programs C-1, F-5: and C-6. — DK, INJZWDE.D 3. Lateral analysis does not mention the wind load effect. — CALC fj,. ,Q•3 4. No material specifications is with plans. — s�uF�ca'C45 Theseare aour findings for the referenced structural plan check. Should ,you have any puestion, please contact us. l VE PKT:ks ,�- Paul K. Tai, P.E. . 1/01% AHEARN & KNOX, INC. SHEET NO. CONSULTING ENGINEERS JOB NO. 6ol : IAO UNION AVE. &UIT9 C. NJOW CA 9612• A09/37 I.OAOO DATE -5"2(0 BY KNOX FLAN CMU n1-5PON5L 1. ro UN cv�-p of l WALL. Tr2y s �� tA 6/K '4000,,( CoYll x 0,75 A L LOW. 1905 x 1, 7 e) 1, 6 le - I I �-Tlt16r 9 y .VF,F,T, 1 V/o Z 30,K 12.0 120X12 z x 117.5 a)57�-MA6--WF-7' 67XESS 0,/b f, ol 0, 00 /4-3 /9 -ox /9 x /2xx /, 75 150 2 -&o A (W 151 A) ED-t�r�,F X z' — ------- AHEARN & KNOX, INC. CONSULTING ENGINEERS l'40i UNION AV[. /UIT[ C SAN JOSK. CA Of 124 400/371.0400 C,C)LLEGI"OIZS - .�La� wl�-6HT = 10 s� (LL -'s.5 Tgm P tJN17-6 /, 2, 5,Q, 7i B, ll, 1Z 413 LOAD = 2 x /o - 20 f l p N(� �X��= 250 �f•lb 8 use ¢x8 Rwo. 250X/2 SHEET NO. JOB NO. 8012 I DATE S �O•b/ By X/V6x 5K- UNtT3 /� � /7 P&4M SeM � /Ga' PhrA/L '5/21 n M 20 x /<v 2 Z = .2 PS) aK 8 8 G4ac-r— F -J LOAD z w j� l lZ Ham (_ /o x 2 x 5 = 250 , 4' < 2917 ' +' AT ,rPAAJ �� P,�/2 D/ZIGh1AL L�SI(,►� j1'Al L A2 2 W1 u):::. Is fs � x 12 = 18o p ly ToTPL L.o�=�a8o11• f�pu&Te b AT F3 3 All Na # rT� 3315903 FoST 3 3 �3 = //o AHEARN & KNOX, INC. CONSULTING ENGINEERS 1440. UNION AVl. SUIT[ C SAN JOS[, CA 96124 404/771.0400 fo,5r H 1G 11 = 7150 715ox /Z 2 11se- l�a"95 x ';,ocalssvAJ SHEET NO. R13 JOS NO. 8012'1 DATE _ BY KNoX Axa �T '650.00 1 1 . 00 1.33 300.00 6.00 1 . 3 3 D. ,94E2 1�U S APE C12MCAL oil ,S I,SM r c. L0401n/CQ 75x I¢o = S�15MtG LaAO IA) u LoA0 T 15, To RAF 2iJD k1tNf� l.aa0 1iZt{?�, to �sT rLoca 33= ��OPit'% 1 pI� 6,L;o) raTAL wiAJO 8AS1r SMEAa 150 135 f/0 = 425 p TaTAL SZSNUG BASS 5g6nlZ = 2w2t-1o5tl02 = ,94E2 1�U S APE C12MCAL oil ,S I,SM r c. L0401n/CQ 75x I¢o = FKOC]r\AM G-1 MASONRY COLUMN Pr -5169 , CONCENTMIC Lo?%D �. 11.D.C. WM I TAT1086 ao. MAX � = 2 o b. MIN. t 8" NOMINAL- N41 OMINAL_N41 N pq = 0.005 A d . MAX .ps = 0.040 f 4-o fj Its t< Is' .NOMINAL— U6r- In 2 r ALLOW. `I 3 i P��-✓! 1 G -co GONGRaI: GASF, 1, MOMIFNT IN C)F WALL GASB ]I — NMoMrNr NORMAL- ro WAIL �. GASB L upas 6WOUT (, 1�71 0.2187 + &-159 Naf � D + b, (t_1. b c «}7 L A = d IF 5,0W V 69ODT - ag 2oT� ot)3 4 f- (Pin)� - pn As A9 P?LOCK WALL. M516 -t I 4. Cb k l m — 0. 'y3 As d� Ass d C V, v J A3 2. CAee w 0. 21 &T 25 w A_5 Fa torn Ao k= a Aj au 4 Ps • I � (CkS9 s ) As • C t b Ni (c�tsa ZL� b 6Qury . Ttn SEAM 4ase IL foR Hol, s0'10 GaovT n IV4 LJ- . A 2.5) + b" (t - 2.5) NoY Sot -Iv GRot1T 9 bt Sor,lo GrzovT h 3 0.20vw, [� - Coot) 5c7L I O CXROUT No7 SoLlo G2ouT 4-. 5OL tv WZo L'T 1 3 ZA� � M 5. Np1 6OL.-ID C4120uT Mkd 0.33�t J s As�� Fv AJ j l� �r�R,auPs AAE RPQ. AIAX . 6PAG1A16 = b fY �( 160, �f- ;11 , i FKOdNAM T-2 GAIewooN 9Esic,N ppK LATE2AL LOADh WN5TRA►rNW 3 S� = At.coWAP�.E hay �a��utz� Al- A PTR = d 2. GASB .1Z. UNGoHSTQAINED .�4 P r I Goo Pu TpZ rfz-t NT our 1' !� 4O3.000(1)000 h -�--� 9.0000000(1 > 1 . 330(i0000 350.0 09000 JQ� 4. 3.25 b 1.33 r I KO K/ c M F 5 RI:I�ITRAI NEV Kee -AIN INC7 WALL or INTECNAJ. fizieTIoN Wr= r4)U1V. j=�U1D {'R�riVRlr w t wwaG T Cos �P- —COS O W f W COS -,9- z G� $+fco�-C— Cos lcp x 6u RC►Azbt RT FID ?JT ,F� ' X z +` 4. t<T = h, 5. _ �T Z Vx ;=,c> 4- �, t 2 cvP tll?r Ar - P (�� y x Al ANY FOIr T(R.T a► = x - �3 09LOU Blessing Associates wvoure Plann,ru i Landic.i)e Vchrtttiture CHANGE ORDER -1 Issued By: BLESSING ASSOCIATES 1905 Hamilton Avenue San Jose, CA 95125 Date: August 8, 1983 The Contract Documents are hereby amended in the respects hereinafter set forth. This Change Order, and all changes set forth herein, shall become part or said documents and of any contract entered into pursuant to ;:;,said docurrent. ITEM#1 Sheet T1 Ir Add Statement of Title 24 and Title 25 compliance. i2 Sheet A7 and A8 Change specific notes 2, 4 and 5. 1905 Hamilton Avenue, San lose. California 95125 • 408371-5535 VI . CARLOS k. FELIZ CO., INC. 1983 Blessing and Associates Sept. 8, 1983 1905 Hamilton Avenue Subjects Townhouse San Jose, Calif. 95125 Development, Cupertino Our Job #8335 Attentions W.E. Blessing Dear Wilt This letter is to confirm your conversation with Greg Lighthouse on.Sept. 80 1983 during which you discussed the above mentioned project in regard to Title 24 compliance. We carefully reviewed the plans and found them to be substantially complying with Alternate Component Package No. 4 for Climate Zone 4 with the following cha.ngess 1. Install R-30 insulation in the ceiling. 2. Install R-19 insulaticn in the floor. Your office is to note these changes on the drawings and to include a note on the title sheet stating that the drawing are in substantial compliance with the California Energy Conservation Standards. No heat load calculations are required' when a prescriptive method of measures is used to meet energy budgets. If you have any questions please call us at any time. Sincerely__ yours, Carlos] k. Felin 1981 LINNERSiTy AVE. SAN JOSE, CAHF. 95126 4o8/247 -53o6 1 Wilfred Blessing & Associates 1905 3amilton Avenue San Jose, CA 95125 Attention: Mr. Dale Krahn Noise 20440H Town Center Lane Air Quality Cupertino, CA 95014 Energy (408) 257-1045 May 28, 1981 JUti i 1981 Re: Review of Final Plans for Cupertino Townhouse Project for Noise Insulation Compliance. Dear Mr. Krahn: _ I have reviewed the final drawings for the subject project relative to compliance with my earlier recommendation letter of February 18, 1981, and Item 22 of Planning Commission Resolution 1924. The architectural specifications for exterior walls and 3/16" windows will provide a closed -window noise reduction of 26-28 dB (25 STC), with good construction practices, exceeding the noise reduction.necessary to achieve an interior level of 43 dBA. The recommendation for fireblock construction between units has been complied with by eliminating it from the design, which is acceptable with two one-hour fire -rated wallg. The recommendation for party wall construction (four 5/8" type x gypsum board, one interior panel on resilient clips, and a layer of R-11 insulation in each wall) has also been incorporated in the drawings. f I may be of further assistance, please let me know. Sincerely, �7 H. Stanton Shelly y Principal Consultant HSS/v I )�ssio� -,solution No. 1924 (continue applicant shall participate in the City's Below Market Rate Housing' I rogram as adopted by the Planning Commission and City Council. Pursuant to General Plan policy, the density may exceed General Plan limits up to a maximum of 14.4 dwelling units per gross acre (maximum 19 units) conciogent upon provision of a total of two BIM units, one at 100% of median income price and one at 120% of median income price. 19!+ The applicant shall provide a minimum of 10 ft. of landscape area between the residential buildings and the adjoining bank parking lot. The landscape setback may be accommodated by a slight shifting of the bank building into the 50 ft. landscape setback area along Stevens Creek. Boulevard. Additionally the applicant shall delete several of the parking stalls to enhance the landscaping along the Finch Avenue frontage subject to the review and approval of the Architectural and Site Approval Committee. 20. The applicant shall file a tentative map to erase all existing property lines and create new parcels to identify the townhouse ownerships within the residential component and delineate the commercial parcel. The final map shall be recorded prior to issuance of building permits. 21. The applicant shall be required to conform with all of the requirements of the Santa Clara Valley Water District as enumerated is the letter of W. g. Carlson dated December 22, 1978. z2.Y": �►1 ` residential ualts;.'facing Stevens Creek Boulevard,, shall utilize wind' assemblies which achieve a sound transmission class rating of' '_5 dBA. All of the units in the residential portion of the project shall utilize goon quality construction practices and installation including the sealing of doors, windows and their frames and casings to ensure the interior average day/night noise level does not exceed 45 dBs. The applicant shall retain a noise consultant to evaluate the detailed building plans and cartify tha* the recommendations of the npise report and the windows SIC ratings have been complied with. PASSED AND ADOPTED this 9th day of April, 1979, at a regular meeting of the Planning Commission of the City of Cupertino, 'Srtate of California, by the following toll call vote: AYES:Commissioners Adams, Claudy, Gatto, Koenitzer, Chairperson Blaine -- NAYS: None ABSTAIN: done ABSENT: None ATTEST: D,.± Cer ,Om_ I Robert Cowan Assistant Planning Director -3- APPROVED: /s/ Sharon Blaine Sharon Blaine, Chairperson Planning Co=ission t �..�.. P----, I" _. p • „� Cwt►'" RESOURCES AGENCY 40 GEORGE MWAWWAN, ERGY COMMISSION t 93814 JUN 161983 June 10, 1983 RESIDENTIAL BUILDING STANDARDS ached are addi`tiooal, alternative component packages certifie. the Ener'� , , 1's Executive, Director as allowed under le, 20, Chapter 2. Subchapter 4, Article 1, Section 1409(c). se packages, identified as packages 1, 2, 3 and 4,'may be used edi ately to comply with the 1982 Residential Energy Building Code. Each of these packages was based upon an "averaged orientation" concept: the energy consumption of a building designed to the package was determined for north, south, east, and west orientations, and the four values were averaged. This average consumption met the applicable energy budget,and the package was certified. Buildings designed using this averaging concept have no orientation requirement. Several points are worth highlighting concerning these packages: 1. Packages 1 and 2 are for concrete slab floor construction; packages 3 and 4 are for raised wood floor over a crawl space; and packages 2 and 4 require solar water heating with gas backup. 2. Several packages have trade-offs allowed between equipment efficiency and total glazing area or thermal mass. 3. The Co mission incorporated as many industry -desired building practices as possible into each package (R-11 wall insulation, no slab floor insulation, additional glazing, etc.). The packages give credit for features already used in typical construction: tiled slab floors, masonry fi repl aces, and interior concrete block walls. 4. The packages allow a variety of thermal mass components to be combined to meet the package requirements. For example, take a 1,600 square foot ho us c 1 oce,:ed in Zone 8 with: o 250 square feet of tiled slab = 15.6% floor area o 80 square foot fireplace (4" brick) - 5% of floor area 0 80 square foot 6"-140 pcf concrete block wall (exposed both sides) = 5% floor area Package 1 is selected, which requires 25 percent of -floor area exposed to room air, or a mass area equivalent to 400 square feet of exposed slab floor. f Mass analysis: Add together the ratios of the actual' mass floor areas to the values shown in Table A, relative to the selected package. 15.6 + 5 + 5 25 34 U— - 0.62 + 0.15 + 0.23 - 1.00 Since the value is 1.00 or greater, the mass requirement is met. 5. Several packages or their options require more efficient space heaters. Manufacturers certification data for furnaces indicate that many sizes, designs, and models which meet the 78 percent seasonal efficiency requirements are available. B. The California Building Officials Association (CALBO) has established an information hotline to answer questions regarding the residential standards. The service is available to all builders and building officials. Their phone numbers are: (916) 456-3823 (916) 456-3824 (916) 456-3825 16 91 em da at J* 40, 0 w O at In a 1. low is I 0 LO L. OW u 1160 0,.-! r, CL ft M cc 0- Ou LO• , 4 16 L. 0c 4m .a Jc L. 41 c cm c c 9 "a 9-6 11 -C CFW Ln 0 0 =c 319-- z 16 li JC r 0do do c 0. 0 0-0 c 7! Aj In 'A 45 • V C IL OLa N0 4n loom C, it 30 3 16 0 16 Yit 449, pp KJOC 4, 0 0 16 X.. c cc g. C4 L4 G -C 04, .09 Q 1=0 0 V 0 4.1 41 W M O E t 1 O 2. 4m, t 47 01 OIc a c I" JY c IT U L. : c uM O , 4 4,4 6 0 1w L1L , ce cc z d e+Cl! c 'm Sal. —C 3 0 w ca 34 2 c 1 — Ob CL 3c L. CP -C, ", 1 0, "; — a c c c ca11 2 C6 L4 ft N Blessing Associates Architecture, Planning& Landscape Architecture ? FNI, EN', ()RIDER, #2 Issued 8,y: BLE.SSING ASSOCIATES 19()5 iiarnilton Aveyia,ie Sain lose, Ca r 5125 fear l, e m C)ctobey, '13, 198"'3 Pro j e ::t: Cijpertino rowrihcii,ase Developmenl, The UntracA dna oci.jrnents ay,e her,eby arnorrded in the Y'esq'iects he.,reina-fter SE�t fOY'th. Th.is Chiange n, I )rdey', andi PAI I (J-ianges set forth hey'e-rn, shall beccwie pai-t of said docurnents and any cont"ract ent(,irc,,(J into rwi-sn.nant to said'J doci-sirierit. I TE IM ,F 1 Sheet I - Add "EnercLy SLandar'ds 11' sect'ioin for 1"nt I e 21 comp � i anc:ee® I TE INI 2 SN"Be(,',,ts A-2 tlw.L�Ligh A-6 Change Specific NOLE, 2 and revise door, 2.5. I TE M 3 S {n A-7 and A,-8 Change Specif 0c Nc,)te 2 I T E M� 4 S h e e t s A-14 tlhiro�L('L� rep e t e N-5, label shear, walls on flyst level and i'oof arid ceiling fi-arning, and add bio(liina note I T EM S h e e t A-- I �'3 Revise "�.`,eneral and alood Notes" se( - tons. Revis,e DeLails 11, 6, .k. (.l and 16. ITU4 #6 `z i` k-19 Add "Concr,el ' e NOtE�S" SC�Ction. R(Wlse Details 2, 7, 8, 10, 11 and "15. 1905 Hamilton Avenue, San Jose, California 95125 - 408/371-5555 Cupertino Townhouse Development Change Order 02 (continued) October 13, 1983 ITEM #7 Sheet A-20 Revise Details 1, 5, 13 and 14. IFEM 08 Sheet A-21 Revise Details 8 and 12. IIEM #9 Sheet A-22 Revise Details 6, 8, 9 and 12. ITEM 010 Sheet ME -1. Add "New Residential Construction Notes" section CARLOS A FELI Z CV.t INC. HT 2 5 1983 Blessing & Assoc. 1905 Hamilton Ave. San; Jose, CA. 95125 Attentions Wil Blessing Gentlemen s< Oct. 25s 1983 Subjects Townhouse Development, Cupertino Our Job #8335 This is to confirm our telephone conversation on the above mentioned project in regard to Title 24 compliance. ponent quired window plans are in substantial compliance with alternate com- aackage No. 3 for climate zone 49 in addition to the re- Lnsulation as described in our letter of 9/8/83, and all ;lass shall have a .65 U value. above information has been discussed with Mr. Jim West/ Paul Tai and meets with their approval. you have any questions please call. Very truly yours, f Raym % Lindberg _ 1 1981 UN;NERSITy AVE. SAN )OSE9 CAL 95126 ow/) P4005 - .1' " Fac ►�S . _ .. _ Rodd_. ec•+ �,, . Tire- _ 0 , 0 �` R-34 INSOt4ryo-V s O: yP, .� 3 _ ©s� s � LSA R-/ IAOV44rioru '/2. ► a w. 1a.4!v- /Z 4 5- Feel 0,e o0'ix.dWA4se rij' z.Y we) 0,p - - - _��_ �� 71S Z f , m F` c"�t Gu �.rr/r%cJS o,` Ute: /c. E� P r �I y Ale A R „ 411 „ w " F' n ly, Vr .. ,.fin,.,... -r..+.-+... ^-�.�4— ..,........ ,. ...•.,......,. .. O k,,.............. 1.....nu.,. „ .. zo.y \ v IJ 04'a Auk - ^,.I t��:I" _ ..._._ .,, _�•..,,.w.,ra,.a.: �Y` /.ice, "+a4 f t 4' is ff p Ilk If .�,:.r..._ o..✓w ,p,._y 'Tssa..,.,. w � R' M+�- � 'dPp�%"T A mT d� 1 / �y �t r .x, ' � � . , � M �. { �_ /0'Yv- ,/Q• �/2 �.,.--._., ��.. f �' cr %i; �0 Q ..., .-...,._�...,. � .. ,..�..-, fir,. ti.R. �"".�... `'�" 1+�«�-�„,r�� ' . � � �� qty � � "fJ" � G � G/ � � � � . �� ✓ °"� � � �i �� u � ._. , . ,_: ,. 6 L n' 1�Mv�'•."., ._. ©t �il.!., „wr,.m, 'Y-\f'.,..�"' ��;...� W •�..wmrar '1 ,�y. ,,�,/ . � �� / Jnr !` ,� •, � t � h"°Q'' � r � 1r .��"� t �' r � I too Rf(kp S w. mw 37 MAR4, �A 2394, vse"��`�©a Blessing Associates Architecture, Planning & Landscape Architecture CHANGE ORDER #3 Issued By: BLESSING ASSOCIATES 1905 Hamilton Avenue San Jose, Ca 95125 Date: October 24, 1983 OCT 2 71983 BLDG. INSPECTION DEPARTMENT CITY OF CUPERTINO Project: CUPERTINO TOWNHOUSE DEVELOPMEN'l The Contract Documents are hereby amended in the respects hereinafter set forth. This Change Order, and all changes set forth herein, shall become part of said documents and of any contract entered into pursuant to said document. ITEM #1 Sheet A-16 Foundation Plain The detail through the entry walk and stairs at the lower left is Detail 13, Sheet A-19. net ail 13/A-19 cut through the retaining wall at the top ai'' the plan is changed to Detail 13, Sheet A-18. ITEM 112 Sheets A718 and A-19 Detail 9/A-18, 1/A-19 and 5/A-19 add a dimension line at the left side of the detail, extending from the bottom of footing to top of grade; the dimension is 24" min. ITEM 43 Sheet A-18 Detail 13/A-18 is revised as per Attachment A. ITEM 1-4 Sheets A-19 Detail 13/A-19 is revised as per Attachment B. ITEM #5 Solls,ReEgrt. The Soils Report, dated February 14, 1979, Project 300.1, by R, U. Harlan & Associates shall now become part of the Contract Documents of this project. '1905 Hamilton Avenue, San Jose, California 95125 - 40W3710555 Cupertino Townhouse Development Change Order W, continued Page 2 ITEM 06 Sheets A-? and A-18 Specific Note 14 shall read: "Perforated drain line in Class 2 permeable material.b" Specific Note #2; The building paper for first floor constructior� shall be .010 inch thick rosin sized building paper. ITEM #7 Sheet A-22. Detail 4 The distance between pickets in the pool fence shall be 3" n.c, The latch for the pool fence gate shall be mounted at W-0" above deck surface. ITEM #8 Sheets P-2 The detail reference at the water heater shall be changed from 100), to I/P-6. ITEM 09 SheE.t jjj, EneLay,jt2nd2rds Method Package which is utilized in this desiqn is Package 3. Add the 011%ing notes: 8) All glazing shall be thermal glazing with as maximum "U" value of 0.65. 9) All water heaters shall have an insulating blanket of R-12 or greater and the pipe insulation closest to Lhe tank shal I be R-3 or greater. 10) The general lighting in Lhe kitchen and bathroom shall have an efficiency of 25 lurens/watt or greater, 11) All HVAC equipment water heaters and shower heads and faucets shall be certified by the Calif. Energy Commission (C.E.C.) 12) All insulation shall meet C.E.C. quality standards. 1,. i) The heating efFiciency shall be 75% seasonal efficiency or 2.7 ACOP (heat pump). ITEM 010 Sheet A-2 through W."',' Be note next to the Window Types Schedule is changed to read: "All glazing shall be thermal glazing with as maximum "U" value of 0.65.'' 0 y 'SILL SCREED CEMENT PLASTER FINISH GRADE WATER PROOFING t 0 CLASS 2 PERMEABLE MATERIAL TO WITHIN 1'-0" OF SURFACE GRADE :- DOWELS TO MATCH WALL REINFORCING y'i • ° N4 X 24' DOWELS @ 4'-0" �I, o — : •—CONC SLAB y�r . DRAIN ROCK V b 4" DIA. PERFORATED HEAVY DUTY tll' °r CORRUGATED POLYETHALYNE DRAIN ��. PIPE SURROUNDED BY CLASS 2 PERMEABLE MATERIAL 4" COVER MIN. PIPE SLOPED TO DRAIN TO SUITABLE OUTLET it-on #5 REBAR CONT TOP & BOTTOM T1'P. FOOTING RETAINING WALL 3/4"=1'-O" TOWNHOUSE DEVELOPMENT 8313 CRAFT AND FWW AVE CUPERTINO, CA ` CHANGE ORDER #3 10/24/83 ATTACHMENT A SECTION 68 SUBSURFACE DRAINS CLASS 2 68-1.025 Permeable Material.—Permeable material for use in backfill- ing trenches, under, around, and over underdrains, and permeable material for blankets or other subdrainage purposes shall consist of hard, M° durable, clean sand, gravel, or crushed stone, and shall be free from organ. is material', clay balls, or other deleterious substances. The class or kind of permeable material to be used will be designated in the Engineer's Estimate in thespecial Class 'Y.' » ».».. ..........__ _ .. ..,......................» .».... _ »..»...»».. _ ._» _ 90•-100 or specified provisions. I and Class 2 material shall to the in these :� permeable conform requirements specifications. Class 3 permeable material shall conform to the requlre- No. 4..._.........._........ ........ 25-40 ments in the special provisions. When permeable material is required and the class or kind is not designated or specified, Class 1 permeable material shall be used. No. 30......»........»....................»......_.............................................._......_..». ........ 5-15 ........... The alternative gradings within Class 1 permeable material are identi- fied by types. The Contractor will be permitted to furnish and place any one of the types for this class. provided The percentage composition by weight of permeable material in place to the following determined by California No. 200 .................... »»..».... _........ »......... ....... ....................................».... ..................... 0-3 shall conform gradings when Test 202. CLASS 1 tested in accordance with California Test 229, Class 1 and Class Percentage Passing Sieve Sizes Type A Type B 2..»................................................................................................. 100 Class 2 permeable material shall a Sand value of not 1'/,".....................................................................................»......... 95-100 . '/•'..........................................»........................ ».............. »....... ..... loo 50400 .. ..............................»................................................»»...........». 95-100 — 68-1.03 Installing Underdrains.—Trenches for underdrains shall be ex- s/i�...»....».......»................ ................................. .......... _............... 70-100 1555 No.4.... ................... »........................................ ..... ...... ............... _ 0-3 0-25 No.8.... ......... _....... »........................................ ......... .... .......... »» 0-10 0-3 material according to the dimensions and details shown on the plans. No. 200..» ... _................ _............ ....... ............ _... ........ ».....». Oa 04 When underdrains are installed in trenches outside the subgrade area, the snail firrnl tos-ol forst; Pe` itern tion. rh ' the lµ' neer Ell hnea�� be in meas: Thr; in Se+ Qn i deter; The r be de direct; > these 68-i 68-1LGli as i inv and ed I ing and Sch CLASS 2 , Percentage Sieve Sizer Passing . _.. ......»..................... »»...»............».._.......... 100 'Y.' » ».».. ..........__ _ .. ..,......................» .».... _ »..»...»».. _ ._» _ 90•-100 a :� »....»»...»».....»......».......».... .... ........ _.................» .w..»....»...». »». » 40.100 No. 4..._.........._........ ........ 25-40 No. 8.....»...».................�......»»..».................._................................�.....�........................... 183 .. No. 30......»........»....................»......_.............................................._......_..». ........ 5-15 ........... No. 50...................................»..................................................................................... _.... 0-7 No. 200 .................... »»..».... _........ »......... ....... ....................................».... ..................... 0-3 tested in accordance with California Test 229, Class 1 and Class IWhen 2 permeable material shall have a Durability Index of not less than 40., - have Equivalent lei Class 2 permeable material shall a Sand value of not ' than 75 as determined by California Test 217. 68-1.03 Installing Underdrains.—Trenches for underdrains shall be ex- r cavated, the pipe in and the trench backfilled with permeable material according to the dimensions and details shown on the plans. ` When underdrains are installed in trenches outside the subgrade area, the top 6 inches of the trench shall be backfilled, as shown on the plans, with structure backfill confo'n�g to the requirements in Section 19-3, "Struc- ture Excavation and Backfill." (68-4) snail firrnl tos-ol forst; Pe` itern tion. rh ' the lµ' neer Ell hnea�� be in meas: Thr; in Se+ Qn i deter; The r be de direct; > these 68-i 68-1LGli as i inv and ed I ing and Sch � br Y � j 4 X 12 CONT. OVERWALL FOR STAIR STRINGER CONNECTION BOLTS AS PER MFR.'S DETAIL TWO LAYERS 5/8" RWD PLYWOOD ROUGH SAWN OVER 2 X 4 STUDS AT 16" O.C. PROVIDE DBL. co STUD AT STAIR STRINGER N PRECAST CONC. TREADS ON STEEL TUBE STRINGER PER MFR.'S DETAILS AND v 3/4-1'-0' TOWNHOUSE DEVELOPMENT 8313 CRAFT AND FINCH AVE CUPERTINO, CA CHANGE ORDER #3 10/24/83 ATTACHMENT B DESIGN -'\—'SIDEWALK SLAB N � ,••• 04 EXPANSION JOINT 12' 16' SEE 1/A-1 CONC . FTG. W/#5 T�YP�.STAIRDETAIL T&B ♦� v 3/4-1'-0' TOWNHOUSE DEVELOPMENT 8313 CRAFT AND FINCH AVE CUPERTINO, CA CHANGE ORDER #3 10/24/83 ATTACHMENT B I U/ N Ulu U- -- -- -- •--u u U U 3 Pu- alYb�x�'�w o -.p1 kbxxd4 L a..t:-.6 ��s �y� xbx9 xvw IBOR PAT'TE—RNS, INCORP ,�1�4Rje SOU'tH MAIN ST Los AM6[LEa rt CAtlf„p-.� ^Wv rdtirrr 49 CITY OF CUPE.FZTINQ V(4 010 C U:D =*:; 7': i0. GA 9501.1 STRUCTURAL TESTS AND INSPECT1ONS SCHEDULE (See Appendix A on Reverse Side for Requirements of Uniform Building C6de. Section 306(a) Prior to issuance of a building permit, the owner, on the advice of the Architect or Engineer, snail complete, sign and submit this form to the 5waing Otiia*, Project Name t F -)R04 mE�- CuWTtNo cA. Project Address ccR<;,,TrZUcTicy4 7- 6 -:5, � Date Testing/ Inspection Agency Owner S Name Signature & Title nere0v certifies that Ille -,esonq:insDection Agency named above has been engaged to perform structural tests and insoection durTng construction. as checked below, io satisfy ail applicable portions at me Building Code. Prior to issuance of an occupancy permit. the Inspection Agency Shall submit a statement that all items at designated work performed were reported. Any items checked but not tested, or inspected will be noted and explained. Whenever any designated :toms on this list are ready for sampling, testing or inspection, it snail be the responsibility of the Contractor to give timely notice to the inspection Agency so that the required services may be performed. 7 NFORCING STEEL; Tensile & Bond, one set per heat per tons STRUCTURAL STEEL: — Sample & Test (list specific members below) nspection of Placement' — Shop Idem. & Welding Inspection risviecion of Welding — Shop Ultrasonic inspection MASONRY: — Shop Radiography Preliminary Acceptance Tests — Field Welding Inspection (Masonry Units, Wall Prisms) Subsequent Tests — Field Bolting Inspection — Field Ultrasonic Inspection (Monar, Groul. rziell — Field Radiography inspection of Grouting I — Metal Deck Welding Inspection Inspection at Placement 4 Grouting ASPHALTIC CONCRETE: — Mix Designs CONCRETE GUNITE & MORTAR- GROUT — Inspection of Batch Plant Gun. Group Monar — Corw7est — Field Inspection Agg. Tests; for Des" ns — Suitability Tests Suitaoili!y of Agg. — Specific Gravity Mi— Asphalt Content Test Panel — Sieve Analysis Baton Plant Insp. — K Factors Camara Grab Sample — I'laolometer Value Inspect Plop — Swell *4 Comore Tests ast Specimens INSULATING CONCRETE: Pick -tic Samples Sample & Test Una Weights FIREPROOFING: Air Check — inspection of Placement EDry Unit We tit — Density Tests Thickness Tests PRECAST CONCRETE: Inspect Batching — Reinforcing Tests FILL MATERIAL. — inspection of Ret4forcing Placernem — Acceptance Tests Tendon Tests — Moisture-0ensity Determination Inspection of Tendon Placement — Field Density Inspection of Concrete Placement ROOFING: inspection of pdri&ete Batching — Insoectien of Placement Inspection of Panel Attach. & inserts — Sample & Test Inspection of Panel Installation STRUCTURAL WOOD: Compression Tests Inspection of StressirKy7initnaler _ trisoso;oin of Fabrication PIUNG, CAISSONS.CAPS. TIES: `Inspection Of Truss Joist Fab. — Sample & Test Components — inspection of Relfqorbrig Placement — Inspection of Glu -lam Fab. — Inspection at Concrete Placement — Inspection of Concrete Belching ht, Fou "/rr"04 kC&VWT�'Q"J WP UNDERPINNING, IFO 1`4 V t> 4� �v CIO W (flxlrf�-: IS T"r'� — Inspection at Steel Fabrication — Inspection of Reinforcing & Forms; ma- IS/ — Inspection of Concrete Placement Pqcn I a Set- - Inspection of T6e0ack3 Dither Teets, Insipe~* or Special Instructions E: The tests and inspections as shown on this nage and page 2 are required by the 1979 C. Copies of test and inspection reports shall be submitted to the Building Dept. on aily basis. The special inspectors and fabricators shall be approved by the Building iCi,ql - & (r To MIU_ Ca2r1F1CA'rP- "We MED - �ANAIOT P_45CoNr -19 >g EDITION sial l .�ectlonx „ec. 306. ia) Genetal.In adclawn to the inspections to tie made as speci- 10. PILING, DRILLED PIERS AND CAISSONS: During driving and ,I :n Scc:son 305, the townera,hall employ a ipecial inspector dunng con- testing of piles and construction of cast -in-place drilled piles or caissons. 'sic:ion on the following tvpes.o f work: -,cc Items Nos. I and 3 for concrete and reinforcing steei inspection. CONCRETE: During tris taking of :est specimens anti ;lacing of all 11. SPECIAL GRADING, EXCAVATION AND FILLING: During .,'forced concrete and pneumatically ,:faced concrete. earthwork excavations, grading and tilling operations inspection to satisfy EXCEPTIONS: 1. Concrete, for rounuations :onrurminiz to :nc rrmimum ttie requirements of Chapter =9 and Chapter 70 (.-appendix) of this code. r:quiremcnisof Table No, 29 -.-sof this .,,.leanu for Greun R. Ut%,,iun ;and 12. SPECIAL CASES: Work which, in the Opinion of the building of Group 1-1. Di; sion I Q)cyutanc:es• r,i. sed :he budding oitic:al .n c no ficial, involves unusual hazards. �;cciai 'ia=Lb exist, _. For :; undauon ccricrc: 3reater:nan ;,)„si0 psi. 3. Nonsiru,::cal i -labs on effectise pi:stress a, Site work,;oncrete fuil••, hazard exits. DUCTILE MOMENT -111 " ed by Section 3626 (h) of in REINFORCING STEEL., tressing and grouting of are 3. During placing of rrnfore ;steel for all concrete require EXCEPTION: The speca. forcing steel and prestressir spected for conformance -+ forms or the delivery of coni WELDING: A. Ductile n ection 272-1 (f) of this code. All structural weldinst. incl EXCEPTIONS: 1. When shop. 2. When approved by the stressed to less than 30 pence welding and welded studs w, systems may have periodic i code. For periodic inspem welders at start of wank and pliance prior to completion o HIGH-STRENGT ning operations. EXCEPTIONS: I tire installation and (i) Inspected the spocifi=ions prior i (ii) Will, upon cor tension for 10 Dere +hen the •tru.turai .inion is ca.,ed on a i', no ra�'e.:ncluding-resurssed •laos on track :nen is less than 150 Bounds per -quare inch. ippor,ed on eanh and concr:te -n crc no oecW USTiNG CONCRETE FR.AME: As re - code. ND PRESTRESSING STEEL: A. During tressed concrete. hg steei• placing of tendons and prestress - to have special inspection by Item No. 1. inspector need not be present ouring enure rein - I steei-placing operations, provided he has in- th the approved plans prior to the closing of etc to the job sife. oment-resisting sled frames. As required ding welding of reinforcing steel. Welding is done in an approved fabricator's building official, single -pass fillet welds when t of allowable stresses and floor and roof deck on used for structural diaphragm or composite speaions as defined in Section 306 (e) of this h• the inspector shall check qualifications of hen make final inspection of all welds for com- welding. LING: During all bolt installations. and ie special inspector need not be present during the en- tening operation, provided he has: faces `and bolt type for conformance to plans and art of bolting, and cion of all bolting, verify the minimum specified bolt of the bolts for each "type" of connectiun, for a r presentative number of coral connections established by the plans and ipeciflcations. 2. In bearing -t --pe connections when threads are not required by Design to be excluded from the shcar plane. im-M-tion prior to or Junng triNzallation +ill not be required. -TRUC•TURAL MASONRY: During preparation of masonry wall `s, sampling and placing of all masonry units, placement of reinforce - inspection of grout; space. lmmedtafciy prior to closing of cleariouts uring all grouting operations. Where the j'- is less than _'6W psi and W inspection stresses are used. test ,pecimens may consist of either rism test for cash `000 square feet of wail area or a series of tests on both grout and mortar for the firs three consccumc day; and `third day thereafter. EXCEPTiON: Seal inspfttiun will not be required for >trwtcres designed in accordance with the salucs in appropnat: iaFlcs for -,in- .onrinuous inspection. 'REINFORCED GYPSL-M CONCRETE: When cast -in-place Class gypsum concrete is being mixed and placed. INSULATING CONCRETE FILL: During the application of insu- concrete rill when used as part of a structural system. EXCEPTION: The s-pecial inspearons may be limited to an initial impec- tion to :heck the deck surface and placement of reinforcing. The special in- ipector shall supervisc the preparation of compression tat specimens during thts initial inspection. SPRAYED -ON FIREPROOFING: As required by U.B.C. Standard 3-8. i (b) Special Inspector. The special inspector shall be a qualified person who shall demonstrate his competence• to the satisfaction of the building official, for inspection of the particular type of construction or operation requiring special inspection. (c) Duties and Responsibilities of the Special Inspector. I. The special inspector shall observe :he work assigned to be certain it conforms to the design drawings and specifications. 2. The special inspector shall furnish inspection reports to the building official, the engineer or architect of record, and other designated persons. All discrepancies shall be brought to :he immediate attention of the con- traaor for correction, then, if uncorrected, to the proper design authority and to the building official. 3. The special inspector ,hall ,ubmit a find ,igned report stating wheth- er the work requiring special inspccuon was. to the best of his knowledge. in conformance with the approsrd plans and spccifications and the appli- cable workmanship provision of these cudes. (d) Waiver of Special Inspection. The building official may waivethe re- quirement for the employment of a <pecial impecror if he finds that the construction is of minor nature. (c) Periodic Special Inspection. S, -mc inspections may be made on a periodic basis and satisfy the requirements of cununuuus inspection, pro - sided this periodic scheduled inspection is performed as outlined in the project plans and specifications and approscd by ifte building official (t) Approved Fabricators. Special inspections required by this section and elsewhere in this code shall not be required w ner a the work is done on the premises of a fabricator registered and approsed by the building of- ficial to perform such work without special inspection. Th: certificate of registration shall be subject to revocation by the buildiog. official if it is found that any work done pursuant to the approval is in siolation of this code. The approved fabricator shall submit a Certificate of Compliance that the work was performed in accordance with the approved plans and specifications to the building official and to the engineer or architect of record. The approved fabricator's qualifications shall be contingent on compliance with the following: 1. The fabricator has developed and submitted a derailed fabrication procedural manual reflecting key quality control procedures which will pr.ovide a basis for inspection control of workmanship and the fabricator plant. 2. Verification of the fabricator's quality control capabilities, plant and personnel as outlined in the fabrication procedural manual shall be by an approved inspection or quality control agency. 3. Periodic plant inspections shall be conducted by an approved inspec- tion or quality control agency to monitor the effectiveness of the quality control program. ;. It shall be the responsibility of the inspection or quality control agency to notify the approving authority in writing of any change to the proce- dural manual. Any fabricator approval may be revoked for just cause. Re - approval of the fabricator shall be contingent on compliance with quality control procedures during the past year. _Page mumu Harlan Miller Tait 7ctober 26, 1983 Project No. 506.1 . Bob DiVita SJ Company 5 McGlincy Lane mpell, CA 95008 S REF: r REVIEW OF FOUNDATION PLANS CUPERTINO CONDOMINIUMS Cupertino, California `r, � d Consulting Engineers and Geologists OCT 2:7 1983 BLDG. INSPECTION DEPARTMENT CITY OF CUPERTINO Report entitled "Geotechnical Investigation, State Mutual Savings Building and Condominiums, Cuper- tino, California," by R. C. Harlan & Associates, 2/14/79. . DiVita: m recommended in the referenced report, we have reviewed the cNundation plans for your condominium project at Craft and "inch Avenues, Cupertino. The drawings reviewed are A-14 through A-19 by Wilfred E. Blessing Associates, Revision 3, .0/6/$3, and Change Order No.3, 10/24/83. ire foundations and foundation drainage systems, as shown on ke drawings and change order, are in conformance with the Ecom endations in the referenced report and supplemental a�comtendations given verbally to Mr. Mark Posnick, Wilfred Blessing Associates, on 10/20/83. Sincerely, MILLER TAIT ASSOCIATES Q Ro ert. Yo Cavil Engineer 17907 cc: By Messenger Blessing Associates RH1:506.1a Hadan Midler Fait Associates I I10 Van Ness Avenue San Francisco. CA 94109 415/474-7272 r a) 9*,1Mr.=TfW« �r� TECHNICAL BULLETIN #101. r Installation Recommendations w Jun#,>i 883. NOTICE I°" i " f 3W1%2so is than 4:12 -one layer minimum The recommendationsandapplicationdetails'` ' " h `'° T�lp`,40 coated base sheet or equal. See contained in these technical bulletins have Technical Bulletin 108. been developed through many years experi- 4:12 and greater- one layer minimum Type ence by architects, builders, contractors and 30 felt or equal. various building code agencies. They are NOTE: The above underlayment recommen- presented for the convenience of ourcustomers and are not warranted by the manufacturer. dations have proven satisfactory in most TO THE SPECIFIER Our field representatives are familiar with standard and unique roof designs and appli- cation methods. They will be happy to visit offic6orjab site to share information we have compiled that may apply to your project. "TYPE OF TILE" Selecti,ng the proper style of the for your job is very important. Shape and texture are unique to each style manufactured by California Tile, Inc. and Lifetile Corpora- tion. Specify exact style and color to be used. OR EQUAL" his statement is not recommended. If r'chitct deems necessary, require the aual" to show current approvals. In or- er to'compare "or equal' products for nape, color and texture Architect should ;quire that a sample panel approximately square be submitted prior to bid date. DECKIN As a'' ger sheahinc aeCKing. I ally adeq loads an( UNDERI Dependir underlayr are: Below moppe cou me Qral rule, minimum Yz" plywood provides the strongest,most e, economical and energy-efficient ieathing selected must be structur- iate, nailed to support expected comply with local building codes. AYMENT 1 upon roof pitch, recommended encs installed over solid decking 12 - Minimum 2 plies Type 15 felt between layers, vertical wood battens nailed in place and top See Technical Bulletin 108. CALIFORNIA TILE, INC. Rialto, California Fremont. California areas. However, heavier weight underlayments may be desireable due to extreme local weather conditions. An alternative installation system to solid decking and asphalt felt is insulative, non- structural roof sheathing and spaced sheath- ing boards. This system can be used in any climate when roof pitches exceed 3:12 (see Technical Bulletin 112). BATTENS Wooden batten strips shall be of sufficient thickness to fully engage the built-in anchoring lugs of the tile. Nominal 1 " x 2" furring strips are normally used. Installations on pitches less than 3:12 require vertical counter battens. Installation on pitches from 3:12 to less than 4:12 require shims cut from asphalt shingles inserted between the batten and deck every 24" when nailing (see Technical Bulletin 108). Fasteners should be 8 penny box nails. -On pitches above 4:12, batten ends must be separated Yz" every 4 feet or shims inserted as above. NOTE BATTENS ARE ALWAYS REQUIRED ON ROOF PITCHES ABOVE 7:12. LAYOUT AND LOADING To achieve optimum beauty, the area between eave and ridge must be divided into equal tile courses. Roof layout and loading recommen- dations are found in Technical Bulletin 102. INSTALLATION Care should be taken to insure both horizontal and vertical alignment of Espaha and Chateau Tiles. Shake and Slate Tiles must be installed with vertical courses staggered. Foreign parti- cles must be cleaned from all interlocking areas to prevent breakage and water dam- ming. Cracked or broken tiles should not be installed or allowed to remain on the roof. LIFETILE CORPORATION San Antonio, Texas Lake Oswego. Oregon forth II J�° TILE FASTENING Tile fastening requirements depend upon roof pitch, decking and exposure to varying wind speeds (see tables on page 3). Where field nailing is specified, one nail per tile is used and shall; be a 10 -penny, 11 -gauge, corrosionrresistant box nail and shall pene- trate 3/4" into the sheathing or through the thickness of the Sheathing, whichever is less. When using nbn-structural roof sheathing and spaced sheathing boards, nails should provide required, penetration into framing but should not penetrate the underlayment. TILE FASTENING- HIGH WIND AREAS See Table, Page 3 FLASHING Openings through the tile for vents, etc., are to be ad!equatoly weatherproofed and sup- ported by additional blocking or roof framing as required. Flashings for Espana and Chateau tiles shall be made of lead, or other approved flexible material and shall be formed to the contours of the tile. Valley flashing shall be minimum No. 28 gauge, corrosion -resistant metal, extended at least 11" from the valley center line each way, and shall haven splash diverter rib not less than 1 " high at the flow line. Formed as a hart of the flashing with bath longitudinal edges turned inward approxfmately30 degrees, a minimum of 1/2" (see Buletins 207 or 407. for special conditions). Where roof pitch exceeds 7:12, valley metal shall extend 16" from centerline or have at least 1 splash diverter 2'/z" high. Flashing end taps shall not be less than 4". PHYSICAL DATA Width Length Avg. % Thickness Recommended Headlap (Min.) Recommended Exposure (Max.) Tiles per square at recommended headlap Approx. weight per square at 3" headlap aiHNICAL BULLETIN #101 F latfon Recommendations - ,,11982 9e . HIPS, RIDGES, AND RAKES Each hip and ridge tile is nailed to the sup- porting member using one corrosion -resistant nail of sufficient length to penetrate framing 3/4". A minimum3" headlap shall be maintained Nose ends shall be set in a bead of roofer's mastic. Field tile pieces must be neatly cut to within'/z" from hip board. Those pieces too small to nail must be set in mastic. All rake tiles shall be fastened with two nails as above. MORTAR OR WIND/RAIN BLOCKS Espana Tiles require wind/rain blocks such as metal, mortar or roofer's mastic, or other materials acceptable to the building official at all eaves, ridge, and hip or wall intersections except in areas not subject to ice back-up, blowing snow, dust or sand. Mortar, when used, shall be placed a minimum of 1/2" below the head end of field tiles abutting a nailer board or wall and stop short of the drip line of the hip or ridge tiles. An alternate method of sealing this area is to fill the space between the pan section of the tile and the nailer board with roofers mastic. Flat Shingle tiles require no mortar orwind/ rain blocks at intersections. Hips and ridges shall be covered with a continuous strip of Type 30, felt centered on top of the nailer board and covering the top3" of the field the course on either side prior to trim tile installation. Slate or Espana Shake Chateau 12-3/a" 12-3/8" 12-3/e" 17" 17„. 17" '/2" '/2 " '/2 " 3" 3" 3" 14" 14" 14" 88.5 93.5 93.5 890 lbs. 950 lbs. 950 lbs. CALIFORNIA TILE. INC. LIFETILE CORPORATION Rialto, California Fremont, California San Antonio. Texas Lake Oswego, Oregon 1t If it �rpof tart s t� �` a TECHNICAL BULLEMN*lo1 fujnstallation Recommendatlonlr June.1982/ Pagell 3 d.w,,1,.. ICBO REPORT *2656P TABLE 1 ALTERNATE APPLICATIONS AND FIELD NAILING SCHEDULE Areas designated by building officials as not being subjected to repeated wind velocities in excess of 80 mph or roof heights not exceeding 40 feet above the ground. (a) This alternative application not permitted at this pitch. (b) Above nailing schedule applicable to field tile only. All perimeter tiles and tiles on cantilever areas shall be nailed (c) Battens required above 7:12 NOTE 1: Full underlayment such as a non-structural roof sheathing recognized by ICBO Research Committee shall be applied to rafters prior to placement of spaced sheathing. TABLE 2 ALTERNATE APPLICATIONS AND FIELD NAILING SCHEDULE Areas designated by building officials as being subjected to repeated wind velocities in excess of 80 mph or roofing heights exceeding 40 feet above ground. FIELD NAILING AT VARIOUS PITCHES (b) Above5:12 to ALTERNATE Minimum Below 3:12 to less less 12:12 and APPLICATIONS Underlayment 3:12 than 4:12 4:12 to 5:1 2 than 12:12 greater 1.` Sold deck iverylow 2 plies Not and battens built-up AL L PITCHES/ALL APPLICATIONS 2. Solid deck and battens pitch) built-up required base sheet • Nail all tiles • Nose ends of h �. ridge and rake tiles 2. Solid deck (Low 1 -ply (a) Not shall be set in a bead of roofer's mastic and battens Type 30 and battens pitch) Type 40 felt required 4. Solid deck 1 -ply without battens Type 30 base sheet felt 5. Spaced See 3, Sold deck 1 -ply (a) (a) Not Every Every and battens Type 30 required 2nd row tile felt 4. Solid deck (e) without battens 1 -ply Type 30 (a) (a) Every tile Every tile (a) (c) felt (c) 5W Spaced see (a) Not Not Every Every Sheathing note 1 required required 2nd row file (a) This alternative application not permitted at this pitch. (b) Above nailing schedule applicable to field tile only. All perimeter tiles and tiles on cantilever areas shall be nailed (c) Battens required above 7:12 NOTE 1: Full underlayment such as a non-structural roof sheathing recognized by ICBO Research Committee shall be applied to rafters prior to placement of spaced sheathing. TABLE 2 ALTERNATE APPLICATIONS AND FIELD NAILING SCHEDULE Areas designated by building officials as being subjected to repeated wind velocities in excess of 80 mph or roofing heights exceeding 40 feet above ground. (a) Above nailing schedule applicable to field tile only. All perimeter tiles and tiles on cantilever areas shall be nailed. NOTE 1: Full underlayment such as a non.structural roof sheathing recognized by the ICBO Research Committee shall be applied to rafters prior to placement of spaced sheathing. CALIFORNIA TILE, INC. LIFETILE CORPORATION Rialto, California Fremont, California San Antonio. Texas Lake Oswego. Oregon FIELD NAILING AT VARIOUS PITCHES (a► Above5:12 to ALTERNATIVE Minimum Below 3:12 to less less 12:12 and :APPLICATIONS Underlayment 3:12 than 4:1 2 4:1 2 to5:1 2 than 1 2:1 2 greater 1.'Solid deck 2 plies and battens built-up AL L PITCHES/ALL APPLICATIONS 2. Solid deck 1 -ply and battens Type 40 base sheet • Nail all tiles • Nose ends of h �. ridge and rake tiles 3. Solid deck 1 ply shall be set in a bead of roofer's mastic and battens Type 30 -- felt • Eave ciosures shall be used with Espana mission tiles • The noses of all eave course tiles shall be 4. Solid deck 1 -ply without battens Type 30 attached with Lifetile Grip Clips' felt 5. Spaced See Sheathing note I (a) Above nailing schedule applicable to field tile only. All perimeter tiles and tiles on cantilever areas shall be nailed. NOTE 1: Full underlayment such as a non.structural roof sheathing recognized by the ICBO Research Committee shall be applied to rafters prior to placement of spaced sheathing. CALIFORNIA TILE, INC. LIFETILE CORPORATION Rialto, California Fremont, California San Antonio. Texas Lake Oswego. Oregon e TECHNICAL BULLETIN #102 % ` General Information Root Lay out and Loading JuaP4 v; ' �''; a. �4s1 :�."kT m "• t' �4 r p 7 � "mow.. �...,. as ^t ew ar"? "' " ,r4` aYwdF uq'+,o pr .as"xY T lie 1198fr r ICBO REPORT #2656P To into 1. ha us 2. be 3. su or th e optimum beauty, the area between the eave and ridge must be divided I tile courses. Ising a full tile, determine desired over - at eave and snap horizontal line across ,t head end of tile. The first course line is ly 151/2" from eave edge of deck. using battens, snap a second line 1/2" if first line. nap horizontal line at the top of the -1/4" from the center of the ridge. (ith a fiberglass or metal tape marked 14" (see Marking Chart below), mea- rertically from the bottom line (battens) original line (no battens) to the line near dge at either end of the roof. 5. If a mark on your tape does not fall exactly upon top line, move the tape to the left or right until the next mark intersects the line. 6. Mark the deck at every mark on the tape. 7. Repeat this process at other end of roof. 8. Snap lines between marks on deck. All courses will be equal with minimum recom- mended headlap maintained. 9. Repeat above steps on all roof planes. 10. Nail tops of battens or tiles at each hori- zontal line. GUIDE FOR MARKING MEASURING TAPES Mark Tape as Shown Below No. Courses Above Eave Course Mark Tape as Shown Below No. Courses Above Eave Course Mark Tape as Shown Below No. Courses Above Eave Course 1' 2'� 1 10' 6" 9 19' 10" 17 2' 4'+ 2 11' 8" 10 21' 0" 18 3' 6" 3 12' 10" 11 22' 2" 19 4' 8'" 4 14' 0" 12 23' 4" 20 5' 10" 5 15' 2" 13 24' 6" 21 7 0" 6 16' 4" 14 25' 8" 22 & 21, 7 17' 6" 15 26' 10' 23 9' 4" 8 18' 8" 16 28' 0" 24 CALIFORNIA TILE, INC. LIFETILE CORPORATION Rialto. California Fremont. California San Antonio. Texas Lake Oswego. Oregon �6.e.Ndu^� e2.a /�/� G TECHNICAL BULLETIN #1Q2 sut3Y1°rooKfcxtM a trrr ,, General Information Roof Layout and d n June 198 B a�u.. rv.>r ria' ,�., a. ,_,l„„. ✓ �:a ,..�*�. ,�.,�Im;.R.,.'�, c, a,;.�w�wz"��u.�a rMw�m .�f '�''�Ca�,,,,. �...�. �i�.�^'v. wr2neti�. •�ws s.,.. �� ICBO REPORT *2656P SUGGESTED LOADING GUIDE 1. Determine the approximate number of tiles needed for each roof section. 2. Starting with the third course from the eave, and continuing with alternate courses, distribute tiles (usually 6 per stack) over the roof leaving approximately 20" between stacks. 3. As tiles will be installed from right to left, do not stack tiles in the area within 30” from the right rake. 4. Double the quantity of tiles stacked near the left rake and along the ridge. 5. Distribute ridge and rake trim tiles when loading field tile. 13 12 11 10 0 8 0 6 4 0 2 1 fi®i�i�i�i�i��■� 20" 20" Approx. 20" 20" Approx. HIP ROOF GABLE ROOF CALIFORNIA TILE. INC. LIFETILE CORPORATION Rialrn (alifnrnia Fremont. California San Antonio. Texas Lake Oswego, Oregon q MEMO mom 20" 20" Approx. HIP ROOF GABLE ROOF CALIFORNIA TILE. INC. LIFETILE CORPORATION Rialrn (alifnrnia Fremont. California San Antonio. Texas Lake Oswego, Oregon q _.....,. r:. w _ .. TECHNICAL BL U Special Co diff me June.1198wi ��.,w,,�is'..��-.� �iKaai�� ^4„�aa�.t�3t`".m�xi" �� ,.:.�t�-,�� .�;aam.. ,�.�.. �ro aw._ .�..�,..., .,_ .;�, �.�„ •_�.►.._r. �<, �.aE..�� ,.,�"_ WBO REPORT #2656P !ine related information, t achnical Bulletin # 101 LIFETILE EAVE RISER STRIP Tiles to be considered as decorative only. NOTE: Installation in areas subject to ice back-up not recommended. One layer type 40 1 LIFETILE Ei RISER STRI PITCHES BELOW 3:12 24 y 'N_ 3/8" x 1 -Ye" wood lath vertical counter battens, top -mopped. 1 Mntmum 2 plies type 15 fait mopped between layers. Underlaymetil , arried over riser strip band PITCHES 3:12 to 4:12 Nominal 1" x 2" balldns. Max. 14" O.C. Separate ends /:" .vwy 48" or insert 2" square shims cit itom asphalt shingles tiling 24" on centers. To provide for proper eave course height and drainage on pitches below 4:12 when using Shake, Slate or Chateau tiles, use LIFETILE EAVE RISER STRIP. When applying Espana tiles, use LIFETILE EAVE CLOSURE STRIP. nt carried over eave - t.•niiia base. CALIFORNIA TILE, INC. LIFETILE CORP0111ATION Rialto (.Pilifnmia C.n a :� r_ ,cwonn (rnnnn aMukHut4 for the lih TECHNICAL BULLETIN *108 Batt„nd Underlayment Installation for Pitches Under 4:12 June 1982 /Page 2 FOR SLATE, SHAKE or CHATEAU' STYLES f--,- Underlayment FOR E$PAf4A" S Underlaymer LIFETILE EA STRIP'; base. LIFETILE TYP LIFETILE TYPE FE GRIP -CLIP" high wind anchor Eave course elevated 114" above deck ICBO REPORT #2656P See related information, Technical Bulletin #101 LIFETILE EAVE RISER STRIP LIFETILE TYPE F GRIP -CLIP' high wind anchor TYPICAL INSTALLATION — OPEN BEAM CONSTRUCTION I � I Wqq M � I Tiles ---a Underlayment Roof Insulation G `—Rat±cns optional between 4:12 and 7:12 +,y plywood 2" T&G deck CALIFORNIA TILE, INC. LIFETILE CORPORATION international RESEARCH REPORT d Conference of Building Officials Report No. 2578 September, 1982 Filing Category: FIREPLACES Bi(old glass door and blower kits are optional on these models. MODEL DF4211, DF42L, DF41, DF41-1, DF41-2, DF46, DF40, combustion air ducts, glass door and two blower fans for circulating air DF36C, DF36E, DF40-1, DF40-2, DF40-1B, DF40-2B, DWF36G, within the fireplace. Blower and door kits are optional for the DF40-I B and DWF36(,;O, DWF36F AND DWF36D FACTORY -BUILT DF40-213 fireplaces. A 0.034 -inch -thick aluminized steel heat exchanger is FIREPLACES A,,ND MARCO TYPE A8 LOW -HEAT fastened to the outer surface of the firebox back wall. Outside air is APPLIANCE CHIMNEY introduced into the firebox by means of two 7 -inch -diameter openings on MARCO MANUFACTURING, INC. top of the fireplace and channeled down through the front right and left 2520 INDUSTRY WAY frame. The bifold glass doors are mounted in front of a metal mesh screen. LYNWOOD, CALIFORNIA 90262 Each bifold door assembly is provided with a wood -covered handle. The Bions. The rrebox body is of double-wall construction with inner walls of blower fans are located in the lower cooling air intake area and are con- t. Subject: Models DF42R, DF42L, DF41, DF41-1, DF41-2, DF46, netted in parallel through a switch into a junction box located on the lower DF40, f3F36C, DF36 0-1 , DF40-2, DF40- I B, DF40-213, right side of the fireplace. A 1 15 -volt, 60 -hertz power source is required to DWF36G, DWF30 ki, DWF36F nd DWF36D Factory -built Fireplaces operate the fans. The fireplaces are to be installed with the Marco 10 -inch - and Marco Type A13 Low- eat ppliance Chimney. diameter listed low -heat appliance chimney. Chimney clearances to the fiberglass, insulation is attached to the outer body. floor and ceiling are established by factory -furnished fire -stop spacers. Il. Description; A. Models DFR, DF42L Fireplaces: These are Additional installation requirements are given in Table No. I and Figure C. wood -burning fireplaces designed forr installation at zero clearance to tom- buht They are the same basic design. These models incorporate D. Model DF36E: The Marco Model DF36E is also a wood -burning heft side opening in addition to the front opening. The either a right or ft r a r fireplace consisting of a0.039 -inch -thick aluminized steel firebox wrap and a 0.022 -inch -thick galvanized steel outer body, between which is a cooling triple -wall firebox kal is aizd box with intermediate and outer walls of between. steel with 2 -inch -thick fiberglass insulation between. inch-thickhehe air gap. A layer of i -inch -thick fiberglass insulation is attached to the outer nalae (fir b pan (firebox base), fabricated from 0. I8 -inch -thick aluminized The his body. The floor and rear wall of the firebox are lined with I %cinch -thick cast refractor The sidewalls of the firebox are lined with a 1 -inch -thick lin steel is lined with d b inch -thick refractory cement material. Additional protection is provided two inch -thick aluminized steel heat shields cast refractory. A damper is provided at the top of the firebox. This model earth located 1 /2 inches under the hearth pan. The heat shields are 3 inches apart under has provisions for using outside air for combustion. A 4 -inch -diameter flexible metal duct is provided as an optional outside combustion air inch- to facilitate circulation in cooling air. The firebox walls are protected thick cold -rolled porcelainized steel. The firebox opening is protected component for use with the DF36E. The unit is designed for use with the 9 - metal mesh screen; The rear wall is protected by a 2 -inch -thick layered 95- Marco 8 -inch -diameter listed, triple -wall, low -heat appliance chimney. Chimney sections are to be installed with a minimum i -inch clearance to firebricks. The units are designed for u I with the use with the Mare listed triple -wall low-heatincluappliance chimneys. The combustibles. Chimney clearances at the floor and ceiling construction are overall height of the fireplace assembly including the chimney must not established by factory -furnished fire -stop spacers. Additional installation requirements are given in Table No. I and Fi re C. exceed 35 feet. The chimney is to be installed with not less than I -inch clearance to`- E. Models DWF36G, DWF36G0 WF36F,;DWF36D: These units combustible material. For sections below the first joist area a 2 -inch are similar to the previously described e F36E, except all models require double-wall chimney and Model DWF36G has no provision or clearance isirequircd as established by the integral spacer. Chimney clear- ances to the floor and ceiling construction are established by factory ou a au'oh Model VW PJ615 cannot be installed on any surface that does not furnished ;fite-stop{spacers. allow ducting of outside combustion air. Additional installation require- ments are given in Table No. 1 and Figure C As indjcnted in Figure B and Table No. II, clearance to adjacent side walls may be reduced when the manufacturer's Models 20 WS and 40 WS Bi(old glass door and blower kits are optional on these models. wall shields, are used. The 20 WS shield is 20 inches wide and 40 inches F Marco Type A8 Chimney: The Marco Type A8 is an 8 -inch -diameter, high. The40 WS is 40 inches wide and 40 inches high. Both shields consist low -heat appliance chimney Ior use in single- and multistory buildings in of a 0.029 -;inch -thick cold -rolled steel sheet and a I -inch -thick Owens- conjunction with solid -fuel -burning low -heat appliances. The chimney Corning 1-5Type I;1 insulation laminated with sodium silicate glue. Overall consists of fire -stop spacers, elbows, startercaps, rain caps, extension pipe size of the fireplaces, clearances to combustibles, chimney size and details and flashing. The chimney is designed for installation with a minimum I - of the hearth extension are shown in Tables Nos. I and 11 and Figure B. inch clearance to combustibles and is limited to a minimum 13'/2 foot B Models DF36C, DF41, DF46, DF4i-1, DF41-2 Fireplaces: These are wood' bWrning fireplaces designed for installation at zero clearance to height. The chimney and elbows are all fabricated as triple -wall pipes consisting combustibles. They have the same basic design except for overall dimen- of a 0.012 -inch -thick Type 430 stainless steel flue pipe, a 0.018 -inch -thick Bions. The rrebox body is of double-wall construction with inner walls of aluminized steel intermediate pipe and a 0.018 -inch -thick galvanized steel 0.039 -inch -thick of uminized steel and a 0.022 -inch -thick galvanized steel outer pipe. The parts of the rain cap exposed to the products of combustion outer body for the Model DF36C, and a 0.034 -inch -thick galvanized steel are fabricated from aluminized steel. outer body for the DF41, DF41-1, DF41-2 and DF46 units. A cooling air G. identification: All fireplaces carry a permanent aluminum plate label gap is provided between the inner and outer covering. A layer of 1 -inch containing the manufacturer's name, address, model number, serial num- fiberglass, insulation is attached to the outer body. ber, ICBO research report number, clearance to combustibles, details of The floor, sides -and rear walls are lined with I'/2 -inch -thick cast refracto- chimney and hearth extension. type of fuel, the Underwriters Laboratories ry. The side walls on Models DF36C, DF41-1 and DF41-2 are I -inch-thick Inc. logo and the Underwriters Laboratories inc. file number. Each compo - cast refractory. Grilledopenings are located in the front base of the fireplace nent of the chimney system is marked with the manufacturer's name, the to provide cooling air. A damper is located at the top of the fireboxes. model number, the Underwriters Laboratories inc. name or logo and, where Additional protection is provided by a 0 018 -inch -thick galvanized steel applicable, the clearance to combustibles. heat shield located 'I'/r inches under the hearth pan. Chimney clearances to the floor and ceiling construction are established by factory -furnished (ire- III. Evidence Submitted: Reports of tests conducted in accordance stop spacers. Additional installation requirements are given in Table No. 1 with Underwriters Laboratories Inc. Standards 103 and 127, installation and Figure A. instructions and quality control details. C. Modus DF40, DF40 1, DF40-2, DF40-IB, DF40-2B: These wood- Findings burning fireplaces are similar to the previously described DF41 units except g that the DF40, DF40-1, DF40-2, DF40- I B and DF40-213 units have outside IV. Findings: That the fireplaces listed in this report are factory- 1CRO research reports are issued solely to provide information to Class A members of the organization utilizing fire code upon which the report is based. ,Reo+earch reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommendation for use of the subject report. This report is based upon independent tests or other technical data ,submitted by the applicant. The ICit0 technical staff has reviewed the test results and/or other data, but does not possess rest facilities to make an independent verification. Page t of 4 -% � l Page 2 of 4 built fireplaces complying with the 1979 Uniform Building Code, and the Marco Type A g chimney is a factory -built chimney designed for use with solid -fuel-Intrin ng fireplaces and fireplace stoves, subject to the following conditions: 1. They are fabricated, identified and installed in accordance with this report and the manufacturer's installation instructions. 2. The fireplaces and chimney are fabricated under a recognized Report No. 2578 quality control program with inspections by the Underwriters / Laboratories Inc. (AA -523). 3. Combustion air shall be provided as set forth in the 1979 Uni- form Mechanical Code. 4. Glass enclosures are not permitted unless specifically allowed in this report. This report is subject to re-examination in one year. TABLE NO.1 (BUILT IN FIREPLACES 'hearth cmemion shall be of materials spc ificd in Section 3707 (1) of the Uniform Building ('ode except for the MmIel DF36C fireplace. which requires a hearth extension consisting of minimum I - inch thick a+hcstoA millboard or approvcvl cquivalcnt. 247himncys used for all fireplace units are low -heat appliance Iriple-w"all thcnrxtryphon chimneys provided with the units except where noted. (See remarks). 1041) INSTALLED FIREBOX HEARTH HEIGHT— OVERALL SIZE OPENING SIZE EXTENSION SIZE' CHIMNEY FIREPLACE AND. (Inches) (inches) (Inches) SIZE—I.D. CHIMNEY (Feet) (Inches) Width Depth Height Width x Height Width x Depth Min. Max. NO. MODEL REMARKS I DF429 47'/4 24 443/8 Front = 42 x 163/4 Front = 74 x 20 10 14 35 End -open zero -clearance Right side= Right side= fireplace. No blower or 18 x 163/4 44 x 20 bifold door kit available. 2 DF42L 47'/4 24 443/8 Front = 42 x 163/4 Front = 74 x 20 10 14 35 Left side = Left side = 18 x 16%4 44 x 20 3 DF41 46'/2 283/8 38 35 x 18/4 51 x 16 10 14 40 Zero -clearance fireplace. 4 DF41-1 - 46/2 28'/8 38 35x 18/4 51 x 16 10 13'/2 40 Blower and hifolddoor 5 DF41-2 461/2 .283/8 38 35 x 181/4 51 x 16 10 13/2 72 kits optional 6 DF40 46'/2 283A 38 35 x 18'/4 51 x 16 10 13/2 40 Zero -clearance fireplace 7 DF40-1 46/2 2818 38 35 x 18/4 51 x 16 10 131h 40 with bifold doors, blower 8 DF40-2 46'/2 28'/8 38 35 x 191/4 51 x 16 10 13'/ 72 and outside air kits. 9 DF40- I B 46'/2 28%8 38 35 x 18'/4 51 x 16 10 13'/2 40 Zero -clearance fireplace 10 DF40-2p 461/2 281,b 38 35 x 191/4 51 x 16 10 13'/2 72 with outside air. Blower and bifold door kits optional. I I DF36E 41'h 2318 36 30 x 17 46 x 16 8 13%2 40 Zero -clearance fireplace. Uses 8` triple -wall chimney. Outside air, bifold door and blower kits optional. 12 DWF36G 41/2 2318 36 30 x 17 46 x 16 8 13/2 60 Zero -clearance fireplace. Uses 8" double-wall chimney. Bifold door and blower kits optional. 13 DWF3600 41'/2 23'A 36 30 x 17 46 x 16 8 131/2 60 Zero -clearance fireplace. Uses 8" double-wall chimney. Outside air, bifold door and blow kitsoptional. 14 DWF36F 411/2 233/8 36 30 x 17 46 x 16 8 13'/ 60 Zero -clearance fireplaces. Uses 8" double-wall chimney. Outside air, bifold door and blower s o lienal. 15 DWF36D 41'h 23%x 36 30 x 17 46 x 16 8 10'/z 20 Uses 8" double -"all chimney. 7cro-clearance fireplace with bifold doors. outside air kits and fire -stop spacer. 16 D1=46 5'1 %2 2818 40 40 x 20 56 x 16 10 14 40 17 DF36' 411z 1 23a 36 .30 x 17 46 x 16 8 13'/• 40 'hearth cmemion shall be of materials spc ificd in Section 3707 (1) of the Uniform Building ('ode except for the MmIel DF36C fireplace. which requires a hearth extension consisting of minimum I - inch thick a+hcstoA millboard or approvcvl cquivalcnt. 247himncys used for all fireplace units are low -heat appliance Iriple-w"all thcnrxtryphon chimneys provided with the units except where noted. (See remarks). 1041) if _21 Page 3 of 4 Report No. 2578 TABLE NO. Ili DIMENSIONS IN INCHES ITEM NO. MODEL A B C2 D REO'D. CLEARANCE FOR CHIMNEY I DF42R 74 44 36 '/z I 2 DF42L 74 44 36 'h 1 3 DF36C 46 16 24 %z I 4 DF36E 46 16 24 h 1 5 DWF36G 46 16 24 1 1 6 DWF36GO 46 16 24 1 1 7 8 DWF36F DWF36D — 46� 46 16 16 24 4 24 1 1 9 DF40 51 16 24 1 1 10 DF40-1 51 16 24 1 1 II DF40-2 51 16 24 2 2 12 DF40-IB 51 16 24 1 1 13 DF40-2B 51 16 24 2 2 14 DF41 51 t A 1A '/ ' 15 DF41-1 51 16 DF41-2 51 17 DF46 56 'See Figures A through E for dimensions referenced in this table. =When 40 WS wall shield is used, Dimension "C" may be reduced to 12 inches. Vii!' ,.III 0" TO 20 WS SHIELD REAR (MUST BE USED WITH ADJOINING COMBUSTIBLE 0" TO WALL) _ • _ SIDE OBX 0"TO 0" TO REARFLOOR> 0" TO FLOOR MODELS DF3 36E, DF41, DF46, DWF36G, DWF36G F36 DWF36D, DF41-1, DF41-2• FIGURE A HEARTH EXTENSION DIMENSIONS (LEFT-HAND OPENING SHOWN) (MODELS DF42R AND DF42L FIREPLACES) FIGURE 8 NO, .0 CLEARANCE REFER TO TABLE NO. 11 0" TO 20 WS SHIELD REAR (MUST BE USED WITH ADJOINING COMBUSTIBLE 0" TO WALL) _ • _ SIDE OBX 0"TO 0" TO REARFLOOR> 0" TO FLOOR MODELS DF3 36E, DF41, DF46, DWF36G, DWF36G F36 DWF36D, DF41-1, DF41-2• FIGURE A HEARTH EXTENSION DIMENSIONS (LEFT-HAND OPENING SHOWN) (MODELS DF42R AND DF42L FIREPLACES) FIGURE 8 Page 4 of 4 Report No. 2578 CEILING FRAMING FIGURE 0 DIAGONAL INSTALLATION MODELS DF3fiQ2f 36E, DF41, DF40, DF46, DWF36G, DWF36GOWF36F, DWF36D, DF41-1, DF41-2, DF40-1, `DF'4U� 15F40-1 B AND DF40-2B FIGURE E S Harlan MillEr Ta it ober 26, 1983 ject No. 506.1 . Bob DiVita SJ Company 5 McGlincy Lane mpbell, CA 95008 REVIEW OF FOUNDATION PLANS CUPERTINO CONDOMINIUMS Cupertino, California w Consulting Engineers and Geologists d� OCT 2 71983 BLDG. INSPECTION DEPARTMENT CITY OF CUPERTINO Report entitled "Geotechnical Investigation, State Mutual Savings Building and Condominiums, Cuper- tino, California," by R. C. Harlan & Associates, 2/14/79. . DiVita: ommended in the referenced report, we have reviewed the tion plans for your condominium project at Craft and Avenues, Cupertino. The drawings reviewed are A-14 h A-19 by Wilfred E. Blessing Associates, Revision 3, 3, and Change Order No.;3, 10/24/83. foundations and foundation drainage systems, as shown on drawings and change order, are in conformance with the ommendations in the referenced report and supplemental ominendations given verbally to Mr. Mark Posnick, Wilfred Blessing Associates, on 10/20/83. Sincerely, HAwRLAN MILLER TAIT ASSOCIATES �� PtRo, H. Yo Civil Engineer 17907 cc: By Messenger Blessing Associates RHY1:506.1a Harlan Muller Tait Associates I I10 Van Ness Avenue San Francisco, CA 94109 415/474-7272 HALES TESTING LABORATORIES TESTING & INSPECTION SERVICES SAN FRANCISCO 887-1430 - AREA CODE 415 SAY AREA TELEX: 176-113 HALES 23286 FOLEY STREET SAN )OSE �r P.O. BOX 6124 HAYWARD, CALIFORNIA 94540 October 10, 1983 HTL NO.: 4130-1 D LAB NO.: 3-9103 CHS,l Coapany Inc. 62!MCGlincy Lane, Suite E Cambell, CA 95008 Attention: Mr. Bob Divita IECT Inspection Reinforcing Steel at Jobsite Finch and Craft Streets Cupertino, CA On October 7, 1983, the writer visited the subject site to evaluate the effect of rust on reinforcing steel that has been at the site through at least one rainy season. Theli great majority of the reinforcing steel is bundled and lying along the western side of the site. This steel has a light coat of rust. There is no pitting or heavy scale. l In; our opinion this steel may be used in the proposed structure without any attenpt to remove the rust. A light coating of rust as found on the steel has been shown to improve bond between the steel and the concrete. On the eastern side of the site there are bars protruding from existing foo inq . These bars appear to have been exposed to weather for a longer period than the bars described above. They do not appear to have deep scale, .but they are more heavily rusted. I-INLES TESTING LAO, (TORIES CHS,J Company Inc. we recommend into future We trust tha GHS: sa Page Two (2 ) HTL NO.: 4130-1 D LAB NO.: 3-9103 October 10, 1983 t these bars be wire brushed or sand blasted before being incorporated rete pours. this provides the information you need at this time. Respectfully submitted, HALES:O.. O. George Speers AREA SUMMARIES Townhouse Development, Cupertino Far West Savings & Loan Association T "'" 2 brm, 2 112 bath - 5 Units Gross floor area 1,476 S.F. x 5'= Garage 611 S.F. x 5 = Decks 105 S.F. x 5 L "B" 2 brm, 2 112 bath - 5 Units Gross floor area 1,445 S.F. x 5 = Garage 611 S.F. x 5 = Decks 70 S.F. x 5 = 3 brm, 2 112 bath - 7 Units Gross floor area 1,517 S.F. x 7 = Garage 611 S.F. x 7 = Decks 70 S.F. x 7 = )" (BMR) 2 brm, 1 112 bath Gross floor area 1,240 S.F. Garage 564 S.F. Decks 135 S.F. (BMR) 2 brm, 1 112 bath Gross floor area 1,358 S.F. Garage 564 S.F. Decks 75 S.F. 1-15-81 #8017 7,380 S.F. 3,055 S.F. 525 S.F. 7,225 S.F. 3,055 S.F. 350 S.F. Total gross floor area with decks 29,400 S.F. Total gross floor area with garages 11,500 S.F. *S -ince garages are unfinished, their areas are taken as 112 for calculation purposes. fhos total area used for calculations: 35,000 S.F. 10,619 S.F. 4,277 S.F. 490 S.F. 1,240 S.F. 564 S.F. 135 S.F. 1,358 S.F. 564 S.F. 75 S.F. II TECHNICAL ANALYSIS, INC. 10466 TefFe Ave., Gupekime, GA 06014 WAR) PF9P I nlz. Y �,.: Date: October 21, 1983 Invoice No. 83-10-694 Mr. Jim Sisk Planning and Building Dept. City of Cupertino 10300 Torre Ave. Cupertino, CA 95014 SUBJECT: Townhouse Development -Far West Craft Dr./Finch Ave. TAI Job. No. CU83-9-481 Dear Jim: As per your request, we have completed the following engineering services for the subject building with control No. Please have Heidi issue a Check Request for us. Work Completed Energy calcs, plan check. Now due for such engineering service is $ 665.00 Thank You. Sincerely, TECHNICAL ANALYSIS, INC. �a'� Paul K. Tai, P.E. PKT,:mj d I Mr. !,Jim 'Sisk Plan°ning and Building Dept. City of Cupertino Cupertino, CA 95014 RE' Townhouse Development(Far West) Craft Dr./Finch Ave. TAI' Job. No. CU83-9-481 Dear`; Jim: As ,dour request, we have reviewed the energy design information submnittk by Spiering Construction Co., for the above referenced praject -and note the following. 1. �he mandatory features and devices check list provided for ,checking is incomplete. The page 2 of 3 is missing from thissubmital. 2. Since compliance form shows the prescriptive method Package 4 has been used in the energy design, specify on plan the heating efficiency shall be 75/ seasonal efficiency or 2.7 ACOP;(Heat Pump) for the trade -of the thermal mass design as specified in the energy code for Package 4 design. 3. 4. A c ince Package 4 design has been used in this project, as per he ;energy code requirement a solar domestic water heating ystm with gas back-up system are required for this project. rovde heat loss calcs. to verify the sizing of the furnace or this project. inose a Shou)d the brief energy code requirements is attached for reference. the energy design plan check for the above referenced project. have any questions, please contact the undersigned. Sincerely, TECHNICAL ANALYSIS, INC. Paul K. Tai, P.E. PKT;:61 TECHNICAL ANALYSIS, INC. 4134 SO � arpe Awe , Ca-pept'Re, C46 -954-U (408) 252-1020 20195 PACIFICA DR. SUITE 107, CUPERTINO, CA. 95014 October 24, 1983 Mr. Jijn Sisk Planning and Building Dept: City of Cupertino Cupertino, CA 95014 RE: Townhouse Development(Far West) CraftDr./Finch Ave. TAI Job. No. CU83-9-481 Dear JIM: As per;your, request, we have reviewed the energy design information submitted by Spiering Construction Co., for the above referenced project and note the following. 1. The mandatory features and devices check list provided for checking is.incomplete. The page 2 of 3 is missing from this SQ'bmital. 2. Since compliance form shows the prescriptive method Package 4 has been used in the energy design, specify on plan the hedting efficiency shall be 75% seasonal efficiency or 2.7 ACOP (Feat Pump) for the trade -of the thermal mass design as specified in the energy code for Package 4 design. 3. Since Package 4 design has been used in this project, as per the'.energy code requirement a solar domestic water heating sy$temwith gas back-up system are required for this project. 4. Provide heat loss calcs. to verify the sizing of the furnace for this project. A copy of the brief energy code requirements is attached for reference. Those are the energy design plan check for the above referenced project. Should you have any questions, please contact the undersigned. Sincerely, TECHNICAL ANALYSIS, INC. 14 'A Paul K. Tai, P.E! PKT:bl Prior to issuance of CITY OF CUPERTIND ICZ00 TOZRE: AVE: " CU?777 i0. CA 9501.2 STRUCTURAL TESTS AND INSPECTIONS SCHEDULE I Appendix A on Reverse Side for Requirements of Uniform Building Code, Section 306(a) budding permit, the Owner, on the advice of the Architect or Engineer, snail Complete, sign and submit this form to the Budding Official. Project Name Project Address Date Testing/ Inspection Agency Owners Name Signature & Title hereby cemlies malt the Testing: Inspection Agency named above has been engaged to perform structural tests and inspection during construction, as checkeo below. to satisfy ail applicable portions of the Budding Code. Prior to issuance of an occupancy permit. the Inspection Agency shall submit a statement that all Mems of designated work performed were reported. Any Mems checked but not tested or inspected will be noted and explained. Whenever any designated tems on this list are ready for sampling, testing or inspection. it snail be the responsibility of the Contractor to give timeiy notice to the Inspection Agency so that the required services may be performed. REINFORCING STEEL. STRUCTURAL STEEL: Tensile & Bend, one set per heat per tons — Sample & Test (list specific members below) Inspection of Placement — Shop Ident. & Welding Inspection Inspection of Welding — Shop Ultrasonic Inspection — Shop Radiography PrelMASONRY: Acceptance Tests _ Feld Welding inspection (Masonry Prisms) (Masonry Units. _ Feld Bolting Inspection s — Subsequent Tags _ Feld Ultrasonic Inspection (Mimi, Grout, Field Wal{ Prisms) _ Field Radiography Inspection of Grouting _ Metal Deck Welding Inspection _ Inspection of Placement & Grouting ASPHALTIC CONCRETE: _ Mix Designs CONCRETE, GUNITEr GROUT & MORTAR: _ Inspection of Batch Plant — CoreiTest Cone Gun, _ Grout Mortar _ Field Inspection A Tests for Designs _ Suitability Tests Slrtabiii of A _ Specific Gravity Mix Des ns _ Asphalt Content Test Panel _ Sieve Analysis Batch P+.ant Inso- _ K Factors — Cement Grab Sample _ Stabibmeter Value Sweij PRECAST CONCRETE: Reinforcing Testa Inspection of Reinforcing Placement _ Tendon Tests _ inspection of Tendon Plaoi€mem Inspection of Concrete Placement Inspection of Concrete Batching — Inspection of Panel Attach. & Inserts Inspection of Panel Installation _„_ Compression Tests Inspection of Streesing(Trasrisfer PILING, CAISSONS, :CAPS, TIES: _ Inspection of Reinforcing P acerrient Inspection of C*,&ote Placement _ Inspection of Concrete Batching UNDERPINNING: Inspection of Steell Fabnc?flon Inspection of Reinforcing & Fonio Inspection of Concrete Placement Inspection of Tiebacks Inspect P!aCi Comoresswn nests as SS ecirr+ens Pick-up Samples Shnnlr a San Yi eik7 C iieetk .. Air Check Unt Weight Other Tota, Inspections or Special Instructions INSULATING CONCRETE: Sample & Test Unit Weights FIREPROOFING: _ Inspection of Placement _ Density Tests Thickness Tom Inspect Batching FILL MATERIAL: _ Acceptance Tests _ Moisture -Density Determination _ Feld Density ROOFING: Inspection of Placement _ Sample & Test STRUCTURAL WOOD: Inspection of Fabrication Inspection of Truss Joist Fab. _ Sample & Test Components Inspection of Glu -lam Fab. E: The tests and ins-pections as shown on this rage and page 2 are required by the 1979 .C. Copies .of test and inspection reports shall be submitted to the Building Dept. on aily basis. The 'special inspectors and fabricators shall be approved by the Building icial. APPENDIX A All of the tests and inspections listed on the STRUCTURAL TESTS AND INSPECTIONS SCHEDULE will be called for at one time or another in the plans and specifications submitted to a Building Department. Seldom ,vill one project require all of the Tests and Inspections shown. The listed items fall into one of the following categories: 1. Required by Plans and Specifications as deemed necessary by the Architect/ Engineer for the integrity and successful performance of his project. 2. Required by specific reference in 1979 Uniform Building Code. and the Uniform Building Code Standards (STDS), 1979 edition. 3. A combination of 1 and 2. he following lists the Building Code references which bear on each of the Tests and Inspections in the STRUCTURAL TESTS AND INSPECTION SCHEDULE. Where no Building Code Section is cited, the Test or Inspection is optional at the discretion of the Architect/Engineer. REINFORCING STEEL Tensile and Bend Test -2603(b), (f), (i), STDS 26.405, 26.406 Inspection of Placement -306(a)3 Inspection of Welding -306(a)4 MASONRY Preliminary Tests (Masonry Units, Wall Prisms) 2404(c)1,2404(c)2-A-B-C-0 Subsequent Tests (Mortar, Grout, Field Wall Prisms) 2404(c)2, 2403(r)3, 2403(s)3 Inspection of Grouting -2413(d)3 and S. 2415(c) Inspection of Masonry Placement and Grouting 306(a)6, Tables 24-6, 24-H, 24-J, 24-K CONCRETE I GUNITE j GROUT MORTAR ! 2603(b) (d) See Conc.! STDS 24-23 STDS 24.22 I Agg. Tests for Design I 2603(d) See Conc. STDS 24-23 STDS 24.22 Suitability of Agg. 2604(c)2 See Conc. ! Mix Designs I Test Panels 26.1310" I See Conc. i I Con. Batch Pl. Insp. I I ; Cement Grab Sample 306(a)1 See Conc. I See Msnry. I See Msnry. ! Insoect Placing 2604(d) See Conc. ! 24.2201-• 24.2105-- Compression Tests 24.2202' I Cast Specimens Pick -Up Samples Shrinkage Bars Yield C;neci( Air Content Dry Unit Wt. "STDS STRUCTURAL WOOD Inspection of Fabrication--STDS 25-10 Sample and Test Components -2505, STDS 25.1003, 25.1010 PRECAST CONCRETE Reinforcing Tests (See Reinforcing Steel) Inspection of Reinforcing Placement -306(a)3 Tendon Tests—STDS 26-7,2612(m) Inspection of Tendon Placement -306(a) 3 Inspection of Concrete Placement -306(a)1 Inspection of Concrete Batching—STDS 26.1310 Inspection of Panel Attach. and Inserts -306(a)3 Inspection of Panel Installation -306(a)1 Compression Tests -2604(d) Inspection of Stressing -306(a)3 PILING, CAISSONS, CAPS, TIES Inspection of Reinforcing Placement -306(a)3 Inspection of Concrete Placement -306(a)1 Inspection of Concrete Batching—STDS 26.1310 UNDERPINNING Inspection of Steel Fabrication -306(a)4 Inspection of Reinf. and Forms --306(a)3 Inspection of Concrete Placement -306(a)1 STRUCTURAL STEEL Shop Ident, and Welding -306(a)4, 2701(b), STDS 27-6 and STDS 27.203 Shop U.T.—STDS 27-6 Shop X-ray—STDS 27-6 Field Welding -306(a)4, STDS 27-6 Field Bolting—STDS 27.706. 306(a)5 Field U.T.—STDS 27-6, 2722(f) Field X-ray—STDS 27-6, 2722(f) Metal Deck Welding -306(a)4 Page 2 , -I v - : , -n ,�a--. \,, C% °9 EDITION a ,i�cial Inspections ec. 304. ta) General, In addition to the inspections to be made as speci- ��t in Section 305, the ownerhall employ a ;penal inspector during con- °'ction on;he following typesof work: CONCRETE: During :fie taking of :est specimens antl placing of all iforced concrete and pneumatically -laced Loncrete. EXCEPTIONS: 1. Concrete for tounciatiuns ;onrormtng to :he rrinimum r equirements of Table o. _'9-A or chis .�.le anu :'or Greun R. Uic i,iun } end Group '�I. tii�ision i Qk:urancics. ,:r.nwed :he tuiluing ottl,;.al :in•:s no ,wetia 3 1rU) exist. _. For :oundauon con�re:e whcn the cru,iurai lcsign is ba.,tu ,in a i . no greater : r. zit 't iXl psi. tionsiru,;,.;ral itabs on grut'e.:ncluding prniresied taos on irailc when erfecti�c prestress in con,:.-tc is less than 150 pounds per •quarc:nch. a. Site work concrete full•,,upported on canh and concrete Allcre no <mial hazard c.�ists. DUCTILE .MOME:NT-RESISTING CONCRETE FRAME: As re- ed by Section '626 (h) of this code. REINFORCING STEEL .kND PRESTRESSING STEEL: A. During f ' tressing and grouting of prestressed concrete. . During placing of reinforcing steel, placing of tendons and prestress- °sccel for all concrete required to have special inspection by Item No. 1. EXCEPTION: The specal inspector need not be present during entire rein- forcing steel and prestressing steel -placing operations, provided he has in- spected for conformance •;0th the approved plats prior to the closing of forms or the delivery of concrete to the job site. 4. WELDING: A. Ductile moment -resisting steel frames. As required caion 2722 ( f) of this coda . All structural welding, including welding of reinforcing steel. EXCEPTIONS: 1. When welding is done in an approved fabricator's shop. 2. When approved by the building official, single -pass fillet welds when stressed to less than 50 percent of allowable stresses and floor and roof deck welding and welded studs when used for structural diaphragm or composite systems may have periodic inspections as defined in Section 306 (e) of this code. For periodic inspection. the inspector shall check qualifications of welders at start of work and then make final inspection of all welds for com- pliance prior to completion of welding. HIGH-STRENGTH BOLTING: During all bolt installations_ and :ening operations. EXCZPTIONS: U, The special inspector need not be present during the en- tire installation and lightening operation, provided he has: (i) Inspected the surfaces and bolt type for conformance to plans and specifications prior to start of bolting, and 00 Will, upon completion of all bolting, verify the minimum specified bolt tension for 10 percent of the bolts for each "type" of connection, for a representative number of ;otal conne-tions established by the plans and ' spccif ications. 2. In bearing.!vpe uonnectiuns when threads are not reµutred by ,resign to to cxcluded from the shear plane, tnspecttun prior to or aunng in,tallafion .ill not be required. STRUCTURAL MASONRY: During preparation of masonry wall is. sampling and placing of all masonry units, placement of reinforce- insps ctton of irour space- immediately prior to closing of cleanouts ,curing all grouting operations. Where the f'_ is less chart 26W psi and l' inspection stresses are used, test specimens may consist of either ;-risco test for rash 00-iquare tett of wall area or a series of tests on both grout and mortar for the first three �unsecutive clays and third day thereafter. EXCEPTION: Special inspection will no( be required ror structures designed in accordance with the values in appropriate tat`ies for non- :oncinuous impec:;on. REINFORCED GYPSUM CONCRETE: When cast -in-place Class " zypsum concrete is being mixed and placed. INSULATING CONCRETE FILL: During the application of insu- concrete fill when used as part of a structural system. EXCEPTION: The special inspections may be limited to an initial in,pec- non to check the deck s-urface and placement of reinforcing. The cpecial in- ipector shall supervist the preparation of compression test specimens during this initial inspection. SPRAYED -ON FIREPROOFING: As required by U.B.C. Standard 10. PILING, DRILLED PIERS AND CAISSONS: During driving and testing of piles and construction of cast -in-place druled piles or caissons. See Items Nos. l and 3 for concrete and reinforcing steei inspection. 11. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork excavations, grading and tilling operations inspection to satisfy the requirements of Chapter 29 and Chapter -0 (.Appendix) of this code. 12. SPECIAL CASES: Work which, in the opinion of the building of- ficial, involves unusual hazards. (b) Special Inspector. The special inspector shall be a qualified person who shall demonstrate his competence, to the satisfaction of the building. official, for inspection of the particular n•pe of construction or operation requiring special inspection. (c) Duties and Responsibilities of the Special Inspector. 1. The special inspector shall obsene :he work assigned ;o be certain it conforms to the design drawings and specifications. 2. The special inspector shall furnish inspection reports cc the building official, the engineer or architect of record, and other designated persons. .All discrepancies shall be brought to :he immediate attention of the con- traaor for correction, then, if uncorrected, to the proper design authority and to the building official. 3. The special inspector ,hall submit a final signed report stating wheth- er the work requiring special inspection was. to the best of his knowledge. in conformance with the approccd plans and I�pect:iCJtions and the appli- cable workmanship provision of these codes. (d) waiver of Special Inspection. The building official may waivethe re- quirement for the employment of a special in-�ptcfor if he finds that the ainstruction is of minor nature. (e) Periodic Special Inspection. SvMC inspec:10115 may be made on a periodic basis and satisfy the requirements of :onunuoui inspection, pro - tided this periodic scheduled inspection i5 performed as outlined in the project plans and specifications and aopro,ed by the building otficial. (t) Approved Fabricators. Special inspections required by this section and elsewhere in this code shall not be required where the work is done on the premises of a fabricator registered and approved by the building of- ficial to perform such work without special inspection. The ;errificate of registration shall be subject to revocation by the building official if it is found that any work done pursuant to the approval is in violation of this code. The approved fabricator shall submit a Certificate of Compliance that the work was performed in accordance with the approved plans and specifications to the building official and to the engineer or architect of record. The approved fabricator's qualifications shall be contingent on compliance with the following: 1. The fabricator has developed and submitted a detailed fabrication procedural manuai reflecting key quality control procedures which will provide a basis for inspection control of workmanship and the fabricator plant. 2- Verification of the fabricator's quality control capabilities, plant and personnel as outlined in the fabrication procedural manual shall be by an approved inspection or quality control agency. 3. Periodic plant inspections shall be conducted by an approved inspec- don or quality control agency to monitor the effectiveness of the quality control program. 4. It shall be the responsibility of the inspection or quality control agency to notify the approving authority in writing of any change to the proce- dural manual. Any fabricator approval may be revoked for just cause. Re - approval of the fabricator shall be contingent on compliance with quality control procedures during the past year. Page Citil of Cuverfi"O City of Cupertino 10300 Torre Avenue Cupertino, California 95014 (408) 252-4505 To: 1-1�1 "--/ / From:SDate: 13 Subject: UIU iw d111 Harlan MillEr Tait Consulting Engineers and Geologists September 15, 1983 Project No. 506.1 Civ" CIF Ckki)rffr'NO SEP Sgiering Construction Company pwlvw 625 McGlincy Lane Campbell, CA 95008 ATTN: Mr. Robert DiVita SUBJECT: CUPERTINO CONDOMINIUMS Cupertino, California REFERENCE: 1. Report entitled "Geotechnical Investigation, Safe Mutual Savings Building And Condominiums, Cupertino, California", by R. C. Harlan and Associates, February 14, 1979 2. Letter to Far West Savings and Loan from R. C. Harlan and Associates, September 1, 1981 Dear Mr. DiVita: INTRODUCTION This report presents the results of our consultations and updates the referenced investigation report for the condo- minium portion, Lot 2 of Tract 6713. Project grading and drainage is on the drawing entitled "Grading and Drainage Plan - Lot 2 Tract No. 6713", by George S. Nolte and Associ- ates,Job No. 347-78-10, Sheet 5 of 6. Recommendations in the referenced report that are updated herein pertain to construction. Design recommendations in the referenced report are unchanged. PREVIOUS SITE GRADING AND FOUNDATIONS Grading took place during the period July through September, 1981, and was satisfactorily completed as reported in the referenced letter. Underground utilities were satisfactorily constructed and consisted of storm and sanitary sewer mains, Harlan Miller Tait Associates I I10 Van Ness Avenue San Francisco, CA 94109 415/474 -72 72 ktf((i Harlan MillEr Tait Project No. 506.1 Page 2 September 15, 1983 and fire protection lines. Anticipated future underground utility construction includes water, electricity and gas, and plumbing within the pads. Results of field density tests and laboratory compaction tests of the site grading and trench backfills are attached. In September 1981, foundations for buildings 1 through 8, 18 and 19 were trenched and founda- tions for buildings 3 and 4 were concreted. Work was then suspended, and there apparently has been no additional work since. PRESENT SITE CONDITIONS The site remains in the completed grading state, has a dry surface with expansion cracks, and is overgrown with weeds, and has some debris and waste stockpiles. Utility locations are evidenced by the presence of manholes. The il.footing trenches are partially filled in with loose sloughed material. The already concreted footings at build- ings 3 and 4 appear from a geotechnical standpoint to be ready for construction thereon and require no additional geotechnically related work. 4MENDATIONS A. Site Preparation and Gradin Recommendations for completion of earthwork follow for the two !''differing conditions at the site: (1) buildings 9 through 17 which have not been trenched for footings, and pavement areas; and (2) buildings 1 and 2, 5 through 8, 18 and 19 which have been trenched for footings. 1. Buildings 9 through 17 and Pavement Areas To complete the building pads and pavement areas, and to make them ready for foundations and paving, the areas should first be cleared of vegetation, debris and stockpiles and stripped of the upper few inches of organic soil. The pads and subgrade should then be scarified to a depth of 12 inches, moisture conditioned and compacted to the recommendations for compacted fill. Harlan MillEr Tait Project No. 506.1 Page 3 September 15, 1983 In pavement areas, after construction of under- ground utilities, the subgrade should be scarified to at least six inches depth and compacted as recommended for compacted fill. The surface should then be proof -rolled with a loaded water truck or other approved heavy con- struction equipment to identify soft, yielding areas if present. Such unstable areas should then be stabilized in accordance with our field recommendations. 2. Buildings 1 and 2, 5 through 8, 18 and 19 To complete the building pads and make them ready for foundations, the pads should first be cleared of vegetation, debris and stockpiles and stripped of the upper few inches of organic soil. The pads should then be excavated to the level of the trench bottoms pre- viously trenched, approximately 24 inches below the !!,present ground surface. The excavated surface should be scarified to a depth of 12 inches, moisture conditioned and compacted to the recommendations for compacted fill. The pads should then be brought to grade with compacted fill. 3. Compacted Fill Compacted fill should be soil that is free of debris, organic matter and rocks greater than six inches "maximum size. The on-site soils are suitable for com- pacted fill. If imported fill material is used it should be free of debris, organic matter and rocks larger than six inches maximum size and it should have a plasticity index less than 15 percent. Compacted fill should be placed in lifts less than eight inches loose thickness and, following moisture conditioning, if necessary, compacted to at least 90 percent relative compaction. Special moisture and relative compaction requirements are needed in slab -on -ground floor and pavement areas. Compacted fill and recompacted scari- fied surface soil within the upper 12 inches of slab subgrade should have a moisture content of two to five percent wetter than the optimum moisture content and be compacted to at least 85 percent, but not more than 90 percent, relative compaction. The upper eight inches of subgrade in the paved areas should be compacted to at least 93 percent relative compaction at from one percent Harlan MillEr Ta it Project No. 506.1 Page 4 September 15, 1983 below to two percent above optimum. The moisture con- tent of the uppermost 12 inches of slab subgrade must be maintained at two to five percent above optimum until the slab concrete is placed. The upper eight inches of pavement subgrade should similarly be maintained at one percent below to two percent above optimum until it is paved over. The special moisture and compaction re- quirements are not required if the upper 12 inches of slab subgrade and upper eight inches of subgrade in paved areas are imported fill. 4. Utilitv Trench Backfill Backfill utility trenches with soil that meets the requirements for compacted fill, provided that bedding materials for pipes should be in accordance with the manufacturer's recommendations. The trench backfill in building areas should be compacted to at least 85 per- cent relative compaction, provided that the upper two feet of backfill should be compacted as recommended for compacted fill. Trench backfill in paved areas should be compacted to at least 85 percent relative compaction, provided that the upper two feet of backfill should be compacted to 90 percent relative compaction. Equipment and methods should be used that are suitable for work in confined areas without damaging the conduits. B. Retaining Walls Walls not designed for hydrostatic pressure should have bckdrainage. Wall backdrains should consist of a one -foot thick blanket of Class 2 Permeable Material, Caltrans Stan- dard Specifications, Section 68-1.025, or other well -graded free -draining material approved by the Engineer. The drain blanket should be capped with two feet of on-site silt or clay. A four -inch diameter perforated pipe surrounded by at least four inches of drain rock should be placed at the bot- tom of the drain. The pipe should discharge at weep holes or be sloped to drain to a suitable outlet. Backfill retaining walls with soil that meets the requirements for compacted fill. '! Use equipment and methods that are suitable for use in confined areas without damaging the walls. The swimming pool should be constructed in accordance with the pool engineer's recommendations. Harlan Millu Tait Project No. 506.1 Page 5 September 15, 1983 C. Foundations The footings should be bottomed on firm moist natural soil or on moist compacted fill at least 24 inches below lowest adjacent grade for exterior footings and 18 inches below top of slab for interior footings. All footings in the partially depressed garage area should be at least 18 inches below the top of the floor slab. D1 Slabs -on -Ground Support slab -on -ground floors on subgrade constructed as recommended in grading. To prevent capillary water rise, provide at least four inches of clean, free -draining gravel or crushed rock beneath the slab. The gravel or crushed rock should be graded as follows: Sieve Size Percent Passing 1� inch No. 4 90-100 0-5 Where vapor penetration would be a problem, provide a polyethelene membrane or equivalent, and protect the membrane with at least two inches of sand. E Pavement Asphaltic concrete should be placed and compacted in accordance with the requirements of Section 39 of the Cal- trans Standard Specifications. Aggregate base should conform to the provisions of Section 26 of the Caltrans Standard Specifications for a 3/4 inch maximum Class 2 Aggregate Base 'and ;should be compacted to at least 95 percent relative com- paction. Aggregate base should be underlain by natural soil that is moisture conditioned and compacted as recommended in "A. Site Preparation and Grading". Harlan MillEr Tait Project No. 506.1 Page 6 September 15, 1983 CONS'T'RUCTION INSPECTION We should observe and test all site grading to verify that the contractor achieves the specification requirements for fill quality, moisture conditioning and compaction, and to provide supplemental recommendations as needed to conform to site conditions. We should observe footing bottoms just before reinforcing steel is placed to confirm that conditions in footing bottoms are as anticipated. LIMITATIONS AND UNIFORMITY OF CONDITIONS This 'report update has been prepared for the client and design team for use in making decisions and judgments during construction. The work was performed by or under the super- vision of the professional who has signed this document. The conclusions and recommendations have been developed based on the data described in the report in accordance with current generally accepted geotechnical practice. There is no other warranty either express or implied. If the project or design is changed, subsurface conditions encountered which are different than those described in the referenced report, or if more than two years have lapsed since issuance of this report, this firm should be retained to evaluate the findings and, if necessary, modify the conclusions and recommendations. Very truly yours, HARLAN MILLER TAIT ASSOCIATES Robert H. Civil Engineer 17907 RHY:mav Enclosure: Test Results RHY1.506.1 150 140 130 120 Ln r F - w 110 O r O' a 80 O 10 2U 3U 4U Optimum Maximum Dry Symbol Sample Source Classification Moisture Density (pcf O On-si te -DARK BROWN SANDY CLAY 125 11 On-site BROWN SANDY CLAY 116 16 R. C. HARLAN AND ASSOCIATES COMPACTION TEST DATA FIGURE 50 NEW MONTGOMERY STREET SAN FRANCISCO. CALIFORNIA 94105 AND WEST SAVINGS BRANCH AND CONDOMINIUMS Proj. No. 3882.1 Appr.RHY Date 9/1/81 Cupertino, California TEST METHOD ASTM D 1557-70 Reference Line - 100° Saturation for 2.70 Specific Gravity O 80 O 10 2U 3U 4U Optimum Maximum Dry Symbol Sample Source Classification Moisture Density (pcf O On-si te -DARK BROWN SANDY CLAY 125 11 On-site BROWN SANDY CLAY 116 16 R. C. HARLAN AND ASSOCIATES COMPACTION TEST DATA FIGURE 50 NEW MONTGOMERY STREET SAN FRANCISCO. CALIFORNIA 94105 AND WEST SAVINGS BRANCH AND CONDOMINIUMS Proj. No. 3882.1 Appr.RHY Date 9/1/81 Cupertino, California TABLE�j�- SUMMARY OF F I ELD DENS I TY TESD ,; ��ESULTS TEST N0. DATE OF TE ST LOCATION S� o r S•.1 SR�an.i �•`.t"j, Fft.IEV. FIELD MAXI LAB DRY DEN. (pcf) REL. COM- PACT IO M REMARY,S Dry Den. (pcf) Moist ^!�Eovw Q g o� C�lJ-A ' — 1.0 C 0 E. NQ 2- —2S X07 wD ci i i i PROJECT: Far West Savings, Condominiums i(1ot 2) ASTM D 1557 PROJECT NO; 382.1 DATE: 8/18/81 Sheet 1 of 2 TABLE 1 - SUMMARY OF FIELD DENSITY TEST RESULTS TEST N0. DATE OF TEST`j IIS 141 LOCATION `off \nu�bw ELEV. (ft.) \Q�,,� aA FIELD MAX: LAB DRY DEN. (Pcf) REL. COM - PACTIO M REMARKS Dry Den. (pcf) Moist M \ \ c-g-\1� \`\.1 2C�:- 0' o Y \ ri CL `04c \t.k 4�G Far West Savings, Condominiums (lot 2) PROJECT: *ASTM D 1557 PROJECT NO: 382.1 DATE: 7/14/81 Sheet 2 of 2 Harlan MillEr Tait September 1, 1981 Project No. 382.1 Far West Savings and Loan 4401 MacArthur Boulevard Newport Beach, California 92660 Attention Mr. Lynn Catapano Subject: FAR WEST SAVINGS BRANCH Steven Creek Boulevard Cupertino, California Consulting Engineers and Geologists �d Y A! (, 2 AND CONDOMINIUMS & Finch Avenue Referenced Report: "Geotechnical Investigation, State Mutual Savings Building and Condominiums, Cupertino, California", by R.C. Harlan and Associates, dated February 14, 1979 Dear Mr. Catapano: This letter presents the results of our intermittent observations and tests of site preparation and grading of the condominium build- ing pads at the subject site. The pads are in cut ranging from 0 to 3z feet below original ground. The packs were constructed in accordance with the referenced report with the exception that, in accordance with our field recommendations, they were excavated to pad grade, and then scarified to a depth of 12 inches before moisture conditioning and compaction. Our field and laboratory test results are summarized in Table 1 and Figure 1. Based on the results of our intermittent observations and tests, we conclude that the condominium pads, Nos. 1 through 19, were graded in accordance with our recommendations and, from a geotechnical standpoint, are ready to receive foundations. Sincerely, R. C. I-ARLAN ND ASSOCIATES Robert H. o Civil Engine 17907 C.C. Dickman Construction, Attention Mr. David Yee James W. Foug and Associates, Attention Mr. Robert Gooyer City of Cupertino, Attention Mr. John Busto Harlan, Miller Tait Associates 1110 Van Ness Avenue San Francisco, CA 94109 415/474 -7272 TAB[ I — SUMMARY OF FIELD DENSITY "'ST RESULTS 1 TEST NO. DATE OFDry TEST LOCATION rjtcl Int l oft, lil ELEV. b �� FIELD MAXi� LAB DRY DEN. (Pcf) REL. COM-' PACTIO -� REMARKS ; Den. (pcf) Moi St. Q Z M N. �Vk4 q S o� 'M -LA 2. M t.o 0- 2.. —2S X03 \4S �i � � - Na (�1e9.i4 —z•� \A1\. 15.3 � �o - 01 0, \ori 31 °I 3 \L P r o j e c t ; Project No: Date: *ASTH D 1557 Sheet of L TABLE % %SUMMARY OF FIELD DENSITY TESkWoOiESULTS TEST NO. DATE OF TEST tai�ir LOCATION � o t- �A `^```bw ELEV. (ft.) \us.11 a� FIELD MAX: LAB DRY DEN. (pcf) REL. COM- PACTIO M REMARKS Dry Den. (pcf) . Moist M ki \z 1ti \ l M \lZ \4 c \ll \ r IV \ ` O VK *ASTM D 1 Project: 1 557 Proiect No.,,.�_ >.Z A ____. Date:Sheet �- of Z Harlan MillEr Tait Consulting Engineers and Geologists September 1, 1981 Project No. 382.1 Far West Savings and Loan 4401 MacArthur Boulevard Newport Beach, California 92660 Attention Mr. Lynn Catapano Jln Subject: FAR WEST SAVINGS BRANCH AND CONDOMINIUMS Steven Creek Boulevard & Finch Avenue Cupertino, California Referenced Report: "Geotechnical Investigation, State Mutual Savings Building and Condominiums, Cupertino, California", by R.C. Harlan and Associates, dated February 14, 1979 Dear Mr. Catapano: This letter presents the results of our intermittent observations and tests of site preparation and grading of the condominium build- ing'pads at the subject site. The pads are in cut ranging from 0 to 32 feet below original ground. The pads were constructed in accordance with the referenced report with the exception that, in accordance with our field recommendations, they were excavated to pad grade, and then scarified to a depth of 12 inches before moisture conditioning and compaction. Our field and laboratory test results are summarized in Table 1 and Figure 1. Based on the results of our intermittent observations and tests, we conclude that the condominium pads, Nos. 1 through 19, were graded in accordance with our recommendations and, from a geotechnical standpoint, are ready to receive foundations. Sincerely, R. C. HARLAN AND ASSOCIATES i Robert H. o Civil Engine 17907 C.C. Dickman Construction, Attention Mr. David Yee James W. Foug and Associates, Attention Mr. Robert Gooyer City of Cupertino, Attention Mr. John Busto Harlan Miller Tait Associates 1110 Van Ness Avenue San Francisco, CA 94109 415/474-7272 Tk ,E 1— SUMMARY OF FIELD DENSIT JEST RESULTS TEST NO. DATE OF TET LOCATION rjtorw. Se.ua.✓ fi�� \5kAk-%, lA ELEV. (ft.) bow FIELD MAXA LAB DRY DEN. (pcf) REL. COM-. PACTIO . (%) •� REMARKS Dry Den. (pcf) Moist 4o N o q — ;s.6 1 lo' 2- 2- zVo V-) -Z. I \Acle Ll r 1-4 A WO" t' - i .c \ 0 3 t s, t Q io 4 k� v o \?\ .2_ .. . �3 Project: o. A�� 5��..�� .cJ(��n. �n�u �\ �- i� *ASTM D 1557 Project WNo: �>'Zl .\ Date: ��`� \,'�1 Sheet of L— 12,x; V; ' TABL I- SUMMARY OF FIELD DENSITY TAW RESULTS i TEST NO. DATE OF TEST LOCATION ELEV. (ft.) \es;�� aAc FIELD MAX.' LAB DRY DEN. (pcf) REL. COM - FACTION M REMARKS Dry Den. (pcf) Moist M 0 o � � _ ' �03 1iS •t alb � I i 71 CtCl lkProject: '��^a \.�R�>� Cj��.,�� ,�-4�1_,�n.,�� 1r->,\oi-Z� ASTM D 1557 Project No:: 7>.�. .1 Date: �1�{ �1� 41 Sheet of Z International V, RMSEARC11 REPORT Hing Cate ry: FIREPLACES .--. .."erence of Building Officials V,0DELS'I'DF28- ,'I BF36-1,'1111-42-1, 1';1;36-1, TEC36-ITD, .1 1.( ".Ile-iAI)J), Th" 116-2,� TE'C36-2AD, TlX42-1 AND TF,('42-1 AT) li1;11,:;1=IN FIRE.PI,ACES TI^;"VITE 1,"III)Dti `"I SS, IINC. 41id CIBAItiI`.I)'1TE -6tn'I`;i"wUE NASI1VIL14- TEN'iNE'SSEE 37202 StibJect: ,Models TB128-1, TB1�36 1, T131:42-1, I:E36-I, 1h.f.'16 11-1), TI:CY) IM)D, TFC36-2, 11:06-2AD, I IC42-1 and TF("42JAI) Built-in Fireplaces. Yl. Description: Models TBF28-1, TBF36-1 and TB1742-1: 1 he units are wood blrnin�! buill-in fireplaces designed for installation at zero clear - to conIbLI''Mibles; Thc: ffrcl laces are essentially of thesarnc style but are ,ole to three sires;; 24, So and 42 inchL's. DllnenslOni, for the various firepVa e,, are given in Table No. 1. The basic unit consists of a base, section, ax (cuter sccli m, a hood ,L2, lion and a stack and chimney section. 'I he base (lion consists of a hearth pan fabricated from No. 22 gauge -Iype aluminized slccl and supported on a bottom pan of No, 2.8 gauge aluminized steel. " hell shie;id of No 8 , aLwc aluminized steel is installed between the I'ic,oth pan and the hottoni ,am The hearth pan is lined with a !-inch-thick laver of 67-I)xutd-tier, ,p is -blot density Gem 111'870 refractory hricks i , �nl.icturctfhv the Gcrn Rc1l,nctnrics, hie., or aluminate cement refracto- is ntattutactufccl v lcititex Products. Incorporated. The firebricks Corm the huaol, Of the hr I !a;._<:. The center section consists of refractory k f eami' fr dcxtXbcrl iPi,nitl insulated side and rear walls and ;in inner �i rutin slfielfl Tho :sud,2 and i,�ai walls consi,,t of No. 28 g:augc galvanized steel out(, 1,2tiifon with :, No. 28 gauge aluminized steel intermediate iion ,and allo 211 gaup, dununirod steel inner radiation shield (No. 22 a .r for thei ?X -inch unit). The fireplaces arc designed Cor use with a rninMuum 9 -inch int real d -.mace triple -wanted listed low heat appliance r+imricy, A minimum '-irn h cicaiaricc is required between file outer sic., pipq and colllhui.tible materials. TI'c units are provided a -ugh a t., tut% Inst«died steci (Lw)p, i A metal screen is also provided with each unit, Ti,c fae:q,.iiy supe liaci hc..trih extension consists of a minimum 1 -inch - k lavei of 16 p o ind por-cuhic-foot-density- refractory material covered 24l'tuplJvp; Ialurninum-contedsteclshcct.Dinicrisionsofthe hcaNh extein u n are shown in 'fable No. i of this report. 'Ihe unit must be +: ,allec4 nx <nalc•ordayicc ssith the manufacturer's installation instructions and thi tcport R, eport No..3195 1)e( embrr 1982 ('hc ilei€twills of file outer wising are pnrvidcel sOlh two inlet ,iir collars spot wNclded to the casing at a minimum of four point:,. Additionaki . , a+,h an outlet is provided with a darnper. A separate inlet asscmhly consisting of a ii inlet air box, an adapter and an inlet air grille is attached to the: firebox_ A No. 8 gauge galvanized mesh screen is ccured between the inlet air box and the adapter. The outlet air box assembly cor.,isis of an outlet box ;aril gloss fiber insulation. The insulation is hold in place by lit pnail rncchariical fasteners. A 9 -inch -diameter mole is cut in the center of the. insuL4.;un. T'hc outlet air boxes have lour tabs which are used to lasten ducts to the boxa', The anmdar space between (he collars is fitted with a !/rinch-(hies r�la,s liber insulation. The fireplace is connected to the outlet box by ,t double wall duct fabricated from No. 28 gau.-c galvanized steel the ei<,t is 7 inches in diameter and is installed with a minimum 1 -inch cfcaranccto combustibles. The outlet air box must be located a minimum of l M inches from the ceiling as measured to the centerline of the box. 11w inlet. duct leading, from the fireplace to the inlet air box is a Cla,r, I Ul.-listed air duct with a maximum length of 14 feet. The inlet air box ass,cnibly is lr)catcd oil an exterior watt in such a manner that it would not be accfdcnialh ! )6,Lcd. In ease of blockage of the inlet, air is drawn from within the room, rc"tilting in reduced efficiency. Additional details arc noted in TsbleNo. 1 and pizure No, 2. The chimney system must consist of listed coniponcnt:,. A hlowerpackiyc. Model BP -I , can he installed as air Optional iC,iture un the Model F1,,36-1 fireplace. The hie,wcr assenibl} is installi"d in the circulating air duet system and mounted in un the +ill ca, , hi'l,--_ !plias fireplacc air duct inict and the air inlet prillc. The I Inv ci Ian hay, a, c;.ap;icit', of 25 ('I=M. The h1mNo, aswembly must be installed <,i, that the top of the: blower box is no more thau 13 inches abovc, the firepiacc he,ai til i ,�c i)loii cr package must be installed in accordance with the manufacturer', .nstulla- tion instructions. The Model SG36-I glai,s door packitac, as described for Model TBF36-1, may also be used with Model 1_1.36-I. Combustion Air Kit Model CAK-1: -1 o,c kit car. used a, an noliunal feature for Models TBF28-1, TBF36-I. 'I BI 42-1 arid H.36-1 n:. races. The kit provides outside combustion an to the units through 't flat :?, h by 42'/, -inch rectangular fecderduct which is installed beneath the fire'ltlacc hearth. Outside catrabustion air is provided by coir,ectiollAll !;,nr the feeder duct is discharged through a hearth duct assembly a til,: !runt of tare firebox opening A d..imper for controlling the mnoanr of comhustfon y , air is locateri on the ht nrtli duct asscmbl ,. ce Fiore No. 3 for <<mficura- e bort details. 'I'lie combustion air kit must he wsiailed in Al the A =lass (Igor pa:kaec. Mixlc:l SG36-1, can he installed only, as an manufacturer`sinrtallatioiidetaik. ofd feaature, on the N1,dcl TBF36-1 fireplace_ The package consists of Model TEC36-I11): "Che unit is a tisood-hciinina' hunt in tu�cpiace i :paper an(. lower I rack i,ahricated troni No 16 gauge cold-reslled steel, a desiplied for installalion at leru clearance to unnhu ,�'�fe,. nn cu.,itunetion chain link solc, n. lot kcr n Ill,. and a lour panel bifold door system, contain- with ,i hst,ed hiw I eat nlsjn@lance double-w.tll or triple .all c`hrnmoy svvt<rIn. ii'rr';, inch thick tinnpereci r.l,iss. The glass door package must be installed The fucplaec body is of uuublc-waft cun,irucuoi ,aid the tucbo • lowd �,a%conhtin44 w nth floc instructions. ides. The i,rcpia, o with t refractory material on rile floor hack uxl sides, Model EV36-1: the il.tnntcv Model 1136-1 is a wood-hurnnig factory- �+ incorporates a� s stem tot drawing; room aJr into the hottoni of the tlmi . i tiro fircp6acc J,:,i;grtcd t(ir irn,tallatwn itt zero clearance to combustibles in circulating it by convection bctgvecn the inner and e u. ,,r (miotic al,d dis- , w,llnoie,n a tth ,t Nisted tiny - heat appliance it iphc wall -t) pc chimncy. The charging it back into the room through drill( locaicd abosc t � n'cbox tncplacc hod! i, triple wall hox with rctrai tory lining in the hearth floor "1`hc opening. A flue damper is provided , i'ih each unit 1he hlel)L�:c is ,ir),d bac°1, wall .std, optionally, for the sides. intcrlor and middle shell of intended for installation in single or MUill,t>ry btu .mw, sc lido the e„erali c ,irchox us tahricazted threat alunrinum c,,�!cd steel and the outer shell height of the tuella(( and chimney a:,,cnnbly is nut Ic;s Iha n I '. 1cet nor tiaitt . �Iv,anlza°,! stY;<rl. 1h, ,, hiimic) consists Irl triple -scall pipes. "the inner grenie^r Than 4th Ic:et usin!r a double: -wall clrinuxy, unit (>t) icer usi,ut . niplc- pip e is of st sill°� Ulc n;iddle pipe of aluminum -coated steel and the wall chininev. A minimum of it I -inch clearance mu,t he inaintamcd tioin . I,i p1pU i)f g,{ib';gtYtrc.'el °fc.".�f. FaLh lit-cpiace assembly includes a fire (he ehirnneiy pipe to all combustthlcs. lirsanhc.n. ;a div arth axten i, it. c is rune} support, for use at 3-1 feel and 64 feet Additional doiails for ihr fireplace arc neucd in Tilalc No. I and Figure Irons the base iii sltc fa cl'h,,,_ . a tiro -stop spacer, appropriate number of No. 4. ncv toxic aii'id :a is s° s,.cmhly. Additiunall}, the Circpltacc utcorpo- ,a sateeno Jor dr,a, ii,,: oanbustion iii directly into the fire and n A glass door package, Modcl GD30 1. :an be ir--allcd is an optional cau'c;ial iPi s'a i, ' air fine ea,neevut air by conccction front the hichux and feature. 'the I', 0,agc consists 01 a low<r track, a ditto link soccer -Ind a (also a duciiug „tF^ro. I bel fireplacc is intended for installation in single- or fourp,incl hilold Jour sys0.mn. 1 he etas„ door packa,z,r roust be installed in rtotry° 1nti,i,hnp. ,shire rise overall hcirsh; of the 1ireplacsr a,semhly is accordance with the manufacturer's inr,lal:alion instruea,ons. not less th,n4r f `, p t nor grcwc t than 90 feet. 'I lie fireplacc proper may he A combustion all kit, Model AIR- I , can be installed as :til "ption;il ;r! allcd +avwtl rcrrt cle;iMmo to comhu,(ihlcs and the chimncy is to be feature the kit provides outside combustion air to they unit thn,uah ., n+,lallcd With a rriugrirr�uin :'-irt,:h cleara+nrc to a>ntbush1 jcss circular 4 -inch diameter huts in the oulsidc jacket and ai 6 -melt Iccdcr dust tt BO rerwur rh reporta ate issued solely to provide Itilbrnnation to Cla%.s A nlembo-.s of the orKallizatioo talili; mg ths- c o&, upon which the report is � Ntse'd. Iia°,Warch'reparr 'are not to be ae.stherirs or an.v other attributes not specificully addressed nor as ofr endorseniertt or , lei o minendation for we of the .subject report. )"his report i, bused upon independent tests or other technicat data .suhoiwed bis rh, applicant. The IC13O teclniical.,tafj`has reviewc(i the rest r, ,alts i t,,n&or whee dcwt, but Joes not pa.vs( s.% test facdatie,s' to make all independent verijn'ation, Petri ; I of 4 'Page 2 o1 u-hich can be Ill SI Alegi on ➢loth ivid,a , of the fireplace. Outside combustion air i a pro% idcd k" ti:orlve'f oII. A ¢malPer for Controlling the amount ofeonibus- tion air is iooc,Itrd v,if hirr the <)uct collar, assembly. the combustion aril- kit rrlust bz' installed ill aea otdancC with the manul'acturer'a installation (letails. Model TT C36 I.A.DD: i hQ unit is identical to the preciously descrihe(I Model IT.C36-ITD c,w4,cpt drtil the glass door packalsc and the combustion air kit arc shipped koiii the factory enclosed in the fireplace. Additional details arw aiot,'il ,n-lialdc No. j and Future: No. 4. Model'ITIA' t6 -2:''I Sic unit is IdcnClcad to the previously dcscrihcd Model 'tE;C36 i TI? k°xccpt th6 q the height of the toff standofI5 have been incrcaiwd to 11/ Incnc,: The ccrinbustion au cnt„rs through a circular4-inch-dianicicr hole on the left side orf [lie outside racket. The baionictric damper is an Integral part of tlic fii`e[pl;ace The eov!bustion air enters the firebox through achannel Macros, the frmit of the hearth. A combustion air kit, Model AIR- l, and an ops conal i'ircrua atinv air kit, Model FAN - l, are available. Additional ;retails are noted in'lah1c No 'I and Figure No. 4. Model "I'VC36.2AD: The unit is identical to the prcvi0u:s1y described Model 1_('30-2 cxcepa that the glass; door package and t'1e combustion air Kit are shipped from the factory enclosed ill (he fireplace. Additional details'are noted in Table No. I and I imire No. 4, Model TEC42-1tTitie unit'is a wood -burning built-in fireplace designed fOr installation at rcro clearance to conibusH les, in conjunction %with al- listed lowheatapphanxr,c triple. wall chimney system. The fireplace body is of triple -wail .'onstrucition, and the t'ircbox is lined %w ith a rcfractory matc- i:al ;;as the floor, back, and stiles. The fireplace incorporates a system for drawing rown aur into,the boktooa of the unit, circulatln<_, it by convection between the inner adteLouter casings and discharging it back into the room through a grille Iotaicd ablive the firebox opening. A flue damper is providad A ith cauh snit A ruininium of a 2 -inch c1carance must be main- tained trop, Clic cntitirre p)pc to all connbustiblcs. Additional elet.oli fsii Clic fireplace circ noted ill Tabpc No. 1. A rl,a . door pacl4alte. Moi lets (I) 12-1 and SD42-1 , can be installed as an option _d feature, 'f'hr package consists of a lower trick, a chain line screen and a h,ur parlgl hifold door sy stem. The 1,,Iass door package niust be in stalledin a'crxdafact %virh 011e manu(aclurcr's installation instructions. 1 comiiustion an, 1Ii.Model .AIR -3, can be installed as an optional eature,. The kit proviide, outside combustion air to the unit through a circular �4-inc'h-dramcfer hole in Ilio ow idc jacket and a 6 -inch feeder duct which can he installed"on both sides of the fireplace. Outside combustion air '; provided h;' can �u'cfuiil A'damper forcontrolling the amount of aisnbus- tion air IN, located .vithin the duct collar w,,,cnibly. `Fire comhustion air kit Report No, 3195 must he installed in accordance with the noriuLILtuicr`s urstali:ati,ll, dctall, Ari �ipnontal fan circulating air kit Model [AN 2 is also avaifablc. j1dodef 42, IAD: TTI<, unit is identical to the preciorldv dcscrih,-d Vlodc) TFC 36- ITD cxccpt that the hla�s door package and the cuinhaustion <iir kit are "hipped from the'iactory with the fireplace. Additional detail,, are noted n liable No. 1. identification: The fireplace units are identified as follow -s: 1 The fire chainher hears a invIiif listing IabF:l which is either riveted or welded to the assembly at a foaeti,on visihIc after the fircpkwu, is illstallcd. '111x,, listing fabcl contains the t.ind<rwriters I.aboratorics Inc. namc, the manufacturer's name, address, the ICW) research report number, type of fuel, the: model number and the words "zero clearance built-in fireplace.” 2. Faeh starter section, chimney section- fire -stop .spac(,I', rain cap, housing and hearth extension carries the Underwriters Laboratoric< label identifying the part number, the rnodcl ntrmhcr of the hrcplacc and the win nium clearance to coni'bnstibIcs. 3. The accessories, Models SG36-1 , BP -1, CAK- I . GD36-1 . GD42-1, SD42-1. FAN -1 and 2, AIR -I and A,fR-3 are identified by a I- hcl containing the Underwriters Laboratories inc. namc, the inanufac- turer's name and address, and the ITiodcl numher. 111. Evidence Submitted: Reports of tests conducted i:i accordance with UL Standard No. 127, installation brochure, drawings and quality control manual have been submitled. Findings N. Findings: 'Khat the '16titee Products, Inc., models described it) this report are factory -built fireplaces complying with the 1982 editions of the Uniform Mechanical and Building Codes, subject to the follorc- ing conditions: 1. Fabrication, installation and identification are in accordance with this report and the manufacturer's instructiow,. 2. The units are produced under a recognized quality coulrol program with inspections by Underwriters I,abor:itories Inc. (AA -523). 3. Combustion air is provided as specified in Chapter 6 of the Uniform Mechanical Code. 4. Glass doors cannot be used with ;Models TIIF28-1 and 7BF42-1. This report is subject to re-examination in one }ear. TABLE NO. I (BUILT-IN FIREPLACES) REMARKS Name ',. INSTALLED FIREBOX HEAnTH HEfIGHT— . OVERALL SIZE OPENING SIZE EXTENSION SIZES CHIMNEY FI _PLACE AND (IncheE) s..,- (inches) (Inches) , _ SIZ F_--I.D. CHIMNEY (Inches) ,.__._ ._ (Feet) ..... ..... NO. _ ..- MODEL I Width Depth .........., Height .. ......... ..... Width x Height .. _ Width x Depth Min Max. I 1 fit : S I lCi ! 43'/. 28 x 24 44 x 18 9 12 90 2 I13F i0d d6 26 55 36 x 24 52 x 13 9 t2 90 1 11 ; I 4 1 20 58(;. 42 x 24 58 x 18 9 1 cl 90 4 1a i6 , 71, 25 48V, 36 x 24 52 x 16 9 1 2 j 90 5 Tt.('16 2 ail 241/1 37`.x. 30 x 17 46 x 16 K 12 40= 6 tI;('36 2 A 0 l 41 2.41/, 37V, 30 x 17 -Ili x 10 8 12 dtl- 7 I h.('tib 1 11 1) 41 h l,/, 36 30 x 17 46 x 16 h 1 2 40 I 8 TEC 3(l-- I "'0N) l t ?ii l;>, 30 30 .x 17 46 x 16 8 12 40 I 9 l"F('42 1 ' 471 '1)'a 36',x 30 x 161 52 .x 20 8 14'i, 7) 10 11:1 41 AD 6 16 x W,, 52 r 20 14 72 (� rlf�:.�a'riunvtilu�irnc�u1w)iiitidurn,t,,,.�mu�lvw,01Ilan 'ill 1 I.Milt, I !M::`.-lani1_.'�,-!. `tl�� «Ir �i IfSPr I I,.tery'trcl In rr).ay ha incre, wd'o a nreunu::. of 60 tcct, proVIdUd (1'- 6 I)k'> wAl chnnnc, SNNIL Ill IN us,.d. REMARKS Name Report No. 3195 CAUTION 1. Combustible material musl not be installed over darkened areas. 2. The units must be installed with the hearth extensic)n de- scribed in this report or a field -constructed hearth exten- sion of noncombustible materials having a minimum ther- mal conductivity of 0.86 Btu/hr. ft' °F. per -inch thickness. 3. Dimension 'Z' must equal 24 inches for TBF28-1 and 30 inches for the TBF36-1 and TBF42-1 models. MODELS TBF28-1, TBF36-1 AND TBF42-1 FIGURE NO. 1 t �+{ d B" MIN 8AI. CLEARANCE AT MIN FRONT CAUTION COMBUSTIBLE MATERIAL MUST NOT BE INSTALLED OVER DARKENEDAREAS. �— – 1 A6TTH_ Ex'Nr¢E&StONx Y Z W x 52 36V, 4r 3(1" MODELEE36-1 FIREPLACE FIGURE NO. 2 CHIMNEY DOUBLE WALL STEEL HOT AIR DUCTS UL LISTED CLASS COMBUSTION AIR DUCT Page 3 of,4 N17TE- SEA1 (rR FIRE:-PLACE: S EA f Report No. 3195 CAUTION 1. Combustible material musl not be installed over darkened areas. 2. The units must be installed with the hearth extensic)n de- scribed in this report or a field -constructed hearth exten- sion of noncombustible materials having a minimum ther- mal conductivity of 0.86 Btu/hr. ft' °F. per -inch thickness. 3. Dimension 'Z' must equal 24 inches for TBF28-1 and 30 inches for the TBF36-1 and TBF42-1 models. MODELS TBF28-1, TBF36-1 AND TBF42-1 FIGURE NO. 1 t �+{ d B" MIN 8AI. CLEARANCE AT MIN FRONT CAUTION COMBUSTIBLE MATERIAL MUST NOT BE INSTALLED OVER DARKENEDAREAS. �— – 1 A6TTH_ Ex'Nr¢E&StONx Y Z W x 52 36V, 4r 3(1" MODELEE36-1 FIREPLACE FIGURE NO. 2 CHIMNEY DOUBLE WALL STEEL HOT AIR DUCTS UL LISTED CLASS COMBUSTION AIR DUCT ...ia�ge 4 of 4 Report No. 3195 i MODEL CAK-1 FIGURE NO. 3 1*1"1r, FIEF NfNC ' TPiLfe-1,iVt4tkDAE9EE',ACf3C1xd'"r7Yii(i 'PAPJD II� �� „"�. 1262" MIN. 60 UPJUf I HE FIRO LACE MUSf NI, /[ Rt,fi i BLOCKFD THIS CpUL6 CAUSE. AFIRE HAZARD. 12' 2" M IN. i F� L. 1 i 2 x d STUDS 1 I r , i MIN C. l I i0 h Ilt ADJACE N7 1 Note: �\�� 11 �� Y Seal crack between fireplace �• s`� ,.� and hearth exlension with X hearth safety strip. ''� .,' ,�4 'HEAR Tk EXTENSION MODEL TEC36 FIGURE NO. 4 iµernationl Conference of Building Officials Report Noir 2578 !FIESEARCH REPORT Sel)temhcr, 1982 Filing Cat,airy: PIREPLACES g10DIri,S D1,4211, DF42I„ DF41, DF41-1, DF41-2, DF46, DF40, D1,30(," DF36E,1F40-1, DF40-2, DF40-11f, DV40-28, DWF36G, Dab I^361` 44, In36F AND DWF36D FACTORY -BURR' FIREPLACL'S A,ND MARCO TYPE: A8 LOW -111, XF APPLIANCE CHIMNEY EY MARCO Nl ,�NUFACTURING, INC. 2520 JND11, STRY WAY 1,YNWOOD, CALIFORNIA 90262 1. Subject: Mode+, DF42R, DF -42L, DF41, DF41-I, DF41-2, DF46, DF40, DF"36C, DF36E, DF40-1. DF40-2, DF40-1B. DF40-2B, D)A 36G, OWF3(560, C') VIw 36F, and DW1=36D Factory -built Fireplaces and Marco'kpe A8 Low -heat Appliance Chimney. 11 De riptioaat A. Models DF4211, DF42I, Fireplaces: These are wood bur nine- fireplaces dcesiened for installation at zero clearance to corn- bustihlcts`1"he° are of the wine basic desiffn. Thesc models incorporate either a rk:ht or a left side opening in addition to the front opening. rbc firebox beady is a triple -wall box with intermediate and outer walls of0.018- inch-thiels aluminized steel with 2 -inch -thick fibcrglw s insulation bets+ecn. The hearth pan (firebox base), fabricated from 0.18 -inch -thick aluminized aeel is himl with I' inch -chick refraciorF cement material. Additional protection ii provided by two 0.018 -inch -thick aluminized steel heat shields located 1 dlz hiches under the hearth pan. The heat shields are 3 inches apart to tsicilwoc circulation of cooling air. The firebox walls Lire 0.034 -inch click cold -rolled porcelainized steel. The firebox opening is protected by a metal niefh screen; The rear wall is protected by a 2 -inch -thick layer of 95 - to i 10-p(kuricl-per cubic -fool -density firebricks. Tlie unit's are designed for use with the Marco listed tripfe-wall low heat appliance chimneys. The overall height of the fireplace assembly including the chimney must not Is ecd 35 fisc! The cf urines is; to he in'stalled with not less than 1 -inch clearance to c°oinbusnblc matcri:at. For sections below the first joist arca a 2 -inch cfearanco� is required as established by the iritcgtal spacer. C'ninutcy clear- ances to the llnor and ceiling construction are established by factory furnished fisc -atop spacers. 1,, indicated inf'igure B and Table No. 11, clearance to adjacent side ,va!]s may he reduced when the manufacturer's Models 20 WS and 40 WS watt s)ref1j arc Used. "File 20 WS shield is 20 inches wide and 40 inches h eh The 40 `*'S is 40 inches wide and 40 inches high. Both shields consist or a 0.0294 inch thick cold -rolled steel sheet and a 1 -inch -thick Owens- Cornrne 1-SFl rye I insulation laminated with sodium silicategfuc. Overall ,,ze of the fireplaces,, clearances to comhustibles, chimney size and details Lit the hearth extension are shown in "fables Nos. i and it and Figure B. B Nlodefs DF36C, DF41, DF46, DF41-1, DF41-2 Fireplaces: These arc; wood burning;fircplaccs designed for installation at zero clearance to cc, xhustrh8 . They have the same basic design except for overall dimcn- sir}ns 7h: #its,hox' body is of double-wall construction with inner walls of 0.039 inw h -,thick Auntmized steel and it 0.022 -inch -thick galvanized steel .m,,r hody',for the Model DI -36C, and a 0 WI -inch -thick _,alvanized stcvl w.oer body;toi theD1,41, DI -•11-I, DF41-2 :rod DF46 unit, A cooling air }trap is provided between the inner and outer covering. A layer of (-inch 1ih rglass insulation is attached to the outer body, 'the f1c)oi, ,idcs�nd rear walls are line(] with 'I'-'-inch-thick ca,,t refractn- ry, T he side scalis on Models Df`36C, DF41-1 and DF41-2 arc 1 -inch -thick ,,.t refrai,,t try. (frilled openings are: located in the front base of the fireplace tis provide Cooling air A danificr is located at tate top of the firchoxcs. Adojnorr,,d4)io1cc0on is provided by a 0.018 -inch -thick galvanized steel haat shteldltocatcd i''/, inches under the hearth pan Chunncy ctearanccs to (liv floora d ccilinv construction arc cstahhidicd by factory -furnished fire - stop spar, rN. Additional installation requirements are given in Tahlc No. I ,ind I igtuc}A U Models DF40, DF40-1, DF40-2, DF40-1113, DF40-211: Thcsc wood - bur mug fircpkicc's'arc sirruilar to the previously clescribcd D1;41 wails except that the DI 40, DI`40-1 , [A-40-2, DF40-113 and DF40-213 units have outside combustion air duct,,. glass door and two biosvcr fans for circulating air within the fireplace. Blower and door kits arc optional forthe, DF40-113 and D1=10-28 fireplaces. A 0.034-inch-thi( Ir, ahiminire-d steel heat exchanger is fastened to the outer surface of the firebox back v,all. Outside air is introduced into the firebox by means of two 7 -inch -&anicicr opcninsts on top of the fireplace and channcl:d down through the front right and loP! frame. The hifold glass, doors are mounted in front of a metal mesh screen. Each bitold door assembly is provided with a wood covered handle. The blower fans are located in the lower cooling air intake area and arc con- nected in parallel through a switch into a junction box located on tl�c lower right side of the fireplace. A 115 -volt, 60-hert7 power source is required to operate the farts. The fireplaces arc to be installed with the Marco 10 -inch - diameter lusted low -heat appliance chimney. Chimney clearance, to the floor and ceiling are established by factory -furnished fire stop spacers. Additional installation requirements are given in Table No. I and Fieure C. D. Model DF36E: "Che Marco Model DF36E is also a wood -burning fireplace consisting of a0.039 -inch -thick aluminized Nissl firebox wrap and a 0,022 -inch -thick galvanized steel outer body, between which is a cooling air gap. A laver of I -inch -thick fiberglass insulation is attached to theoutcV body. "Che floor mid rear wall of the firebox are lined with I' in,hthi,.l. cast refractory. The sidewa'lls of the firebox are lined with a 1 -inch -thick cast refractory. A damper is provided at the top of the firebox. 'R:, model has provisions for using, outside air for comhustion. A 4-inch-�Irarnctcr Acxihlc metal duct is provided as an optional outride combustion air component for use with cite DF36E. The unit is dc,,igncd for use min the; Marco 8 -inch -diameter listed, triple -wall, low -heat appliaiw, c hone% Chunncy sections arc to he installed with it minimum 1 -inch cicaYancc to combustibles. Chime y cicaranccs at the floor and eciiing constrtrctton are estahlished by factory -furnished lira ,top :pacers. Additional installation requirements arc given in Table No. I and Figure C E. Models uWF36G, DWF36CO, DWF36F DNVV36D: Thcs,c unit,; are similar to the previously described Model OF36E, ceeept all ;nudelr require double-wall ehimney and Moder DWF36(l has no pros-isiou foo outside air. Model DWF361) cannot be installed on ,inv surface that doer; not allow ducting of outside combustion air. Addittonal installation tcquire- ments are given in "['able No, 1 and Figure C Hifold glass door and blower kits are optional on model<_ F Marco Type A8 Chimney: The Marco Typo AS is art 8-inch-(ii,ancter, low -heat appliance chimney for use in single- and multistory building', in conjunction with solid-fuel-hurning low -heat appli,mces. The chimney consists of fire slop span.ers, elbows, starter caps, rain raps, extension pipe and (lashinc. The chimney is designed for installation with a minimum I - inch clearance to combustibles and is limited to :a mrninlurn 13'w foot height The chinmes, and elbow~ are Lill fabricated as triple -wall pipes consistimt of a 0.012 -inch- thick `Cype 430 stainless steel flue pilre, a 0.018-inch-this,k aluminized steel irncrmcdiatc pipc and a 0.018 -inch -thick galvanised steel outer pipe. The parts of the rain cap exposed to the products of combustion are fabricated from aluminized steel. G. Identification: All fireplaces carry a permanent aluminum is!atc label containing the manutrrCturer's name, address, nurdcrl number, scr<al num- her, !CBO rescarch report number, clearance to combusul'rles, details of chimney and hearth cxien oon, type of fuel, the Undcrscrim '. Lahoratorics Inc. logo and the Underwriters Laboratories Inc tile number. Ew1 compo- nent of the chimney system is marked with the m:uullacturcr-s name, the model number, the Underwriters Laboratories Inc name or logo and, where applicable, the clearance to combustibles. 111, Evidence Submitted: Repeats of tests conducted in accordance with Underwriters 1-ahoratorics Inc. Standards 103 and 127, insiallation instructions and quality control detail,,,. Findings W. Findings: That the fireplaces listed in this report are factory - 1 JSO refearrch reports sire issued ,solely to provide information to Class n members of the otgauization utilizing lite code upon which the report is based_, .search reports are riot to he construed as representing aesthetics or any' tither attributes not .spee{'finally addressed nor as an endorcentent or recommendatatr, for use of the .subject report, This report is bossed upon independent lesl.s or other lerhrrical data submitted by the applicant. The 1C/10 technical staff has reviewed the test re -sults andior other darto, but does not possess test facilities to make an independent verrficulion. ! Page 1 of 4 f Pkige built firep acv'v comi)iviItg vwiIIk 0 h 1971) itIlittwmn MtHding Code, amt the l�larcu'1'y ttc Aft i ttilnrm y is :m 1'actot v built chintmrey deli) amad for a,ar,e with wolid-react-Irua1 nimm fireplaces and tirepla ve stoves, subject to the following conditilms': I. ]-hey are fathricateci, identified and insf:ffled in accordance with this report and the rg anufacturer's installation instructions. 2. 1 he firepLice°s and chimney are fabricated under a recog2m ized Repot No.2578 quality vwitrol program mm'uth inspections by the Lncferwriters Laborattories Inc. 1AA-523). 3. Combustion air shalt be provided as .se! forth in the 1979 tpni- form Mechanical Code. ]. (plass enclosures are not peen liteal unless specifically allowed in this report. ]'his report is sub,iect to re-examination in one year. TABLE NO. I (BUILT-IN FIREPLACES) INSTALLED FIREBOX HEARTH HEIGHT -- OVERALL SIZE OPENING SIZE EXTENSI0IJ SIZE' CHIMNEY FIREPLACE AND (inches) (Inches)InSIZE ches) --LD. CHIM EY (Feet) �. �.:..... I ......_ ,i._....__... .......,.__ ........... .. ,....I (..,. _._..........� (Inches) i........_ NO MODEL; Width j Depth I Height Width x Height Width x Depth I Min. REMARKS I DI -42I3 475, _4 441. Front = 42 x tW`i Flrnu - 74 x 20 10 -Max 14 35 � I.nd open zero c Icarance Right side = Right side -.- fireplace. No No% of tlr 1R x 16 Y', 14 x 20 hdoid door kit available. j ' UF421,. �f7 /, t I� 24 44;> Flunt 42 x 16'/, .._ Front IJ x 20 IO 14 �.._ i5 i Lctt side = Le It side= 18 x 16' 44 x 20 1 3 40 :ra,4 38 35 x IftA 51 x t6 IU 14 4(1 /uo cleui,,nce 1ircpl,tce, 4 UF:I I 1fi' ( ?h%„ 38 35 x 181/,, it .x 16 10 13�.' 4, Blower and hifold door S � I)P (1 I6 � '8 38 si 3.5._x.IXA 51.` 16 10 kitsopuonil 6 I)1 tti2 1�+�/, � � � � R — m8 — _.-.., 3� x l8 � ..._ 5(x IG111/, 0 m � / r 1 cleat tnc firepli�e ' W40 I 466, 18 -: 38 35 x 18'/ 51 x 16 10 I11/. 40 Asn! hi(oid dei yrs, hlowcr I w � of 10-2 i%i ?IN i8 � i5; S 91 x Ib 10 17 i ,7 ui I outside ail kill.� _35_x DI W -M, 461// 2RY. 38 35 x 18 51 x 16 10 13 IA In � l(Yo e ti tnCC 11rUpt ce 10 01,40-213 4611 28;r 38 35 x 18!<, 51 x t6 t0 13L 72 i wiin outside ,111. Blower ind hifold door tits __. optional. . I t � 17f .461: 4 t 1 '' � :)3ix 36 30 x I '7 1(, x 16 8 I., � t ) /ci , p(cartr„c fireplace � t .e s 8' t', Iple all ":It i 11113CV. OUt`;f& aur, 1 + hit old door and htUl\t`r I f �........ Us opuunal ( I t t6ce j 41'' 33'� 6 30 x 17 46 x 16 - R 13;� (,0 /uo clue lncc tirvl LWC. ( t C�'.8'dutlhlr-Mall Chinuiev. Bilol,i� door and hlt r' kits optional 13 t71�F3(I(ii:j A ?3 36 30 x 17 46 ~, IG 8 13!n FiO 1 10cle:u uie fireplace cIunlnev. Outside air, j keroid door and Mower _ia j i.rv1t 1t_ __.. . '4I'rr .. 23;4 _. ir, t 30.� 17 _ .w x )�, —H _ i 60 �< < elpanaI n1�e Iii... { � cl,le,es ' � I ,�, x�i,>1 doohl4- svA] f chinlnc�. OLt,idc air. l'itoand I,lowct Il1ii)Idoor I... fill, lflllal 15 DWI 3hf) 4I %; 3`x _ 10 311 x 17 4n x 10 8 10 20 . 1 -, . M double +all til 1 ncv It to clearance h pidcc w ith[ri6illd Iooi� . out roe air Iculs and In 40 x ?U r(, 16 Ili 14 10 I r 1)1 6( _ I 2.t ;6 30 x 11 � 46 x 16 Ih,uthr �,I rsi,i,ni �h:dl h, nl ripi6cu. f luxiliw in swion i )oY (1) til the Urld ,rnl 11"ildui)` (dude cru pi for the "Iodcl UI trr(' iirepLuc. \shich rcijwic�, .i h:.irrh cxicnaon of r1i n inion I urc h sln¢.n I, stir, n iIIL„arcl or ifl i rrl cyunalcnt. (',lmn,-ti i•(,II'll JU 1—kcalIC•1 J)1116dkdullhlhrwila"c cp0i,,cnowd,ISeeicm,iiL,L Page 3 of 4 FIF STI SPAC PI SECTI 0"' REi 0" TO SIDE 0" TI FLOOI Pq TABLE NO. Ill DIMENSIONS IN INCHES Report No. 2573 MODELS DF36C, DF36E, DF41, DF46, DWF36G, DWF36GO, DWF36F, DWF36D, DF41-1, DF41-2 FIGURE A this (tthlc. he reduced to 12 inches. CHIMNEY CLEARANCE REFER TO TABLE NO. II FIRE -ST( SPACI 20 WS SHIELD (MUST BE USED WITH ADJOINING COMBUSTIBLE WALL) __ 0" TO REAR 0" TO FLOOR HEARTH EX TENSION DIMENSIONS (LEFT-HAND OPENING SHOWN) (MODELS DF42R AND DF42L FIREPLACES) FIGURE B APage 4 of 4 CHIMNEY CLEARANCE REFER TOTABLE N0, I PIPE SECTION WARM -AIR C (DISOHAR BLOWERS (BEI,-flND GRILLE; COOL -PAIR GRILLE HEARTH EXTEr• MODELS DF40, DF40-1, DF40-2, FIGURE C Report No. 2578 3E -STOP SPACER )E COMBUSTION -AIR DUCT 0" TO TOP 0" TO SIDE 0"TOREAR 0' TO FLOOR JUNCTION BOX ASSEMBLY CEILING FRAMING FIGURE D 45" SIDEWALL PROTECTION NOT REQUIRED IF FIREPLACES ARE INSTALLED IN THIS MANNER DIAGONAL INSTALLATION MODELS DF36C, DF36E, DF41, DF40, OF/16, DWF36G, DWF3vGO, DWF36F, DWF36D, DF41-1, DF41-2, DF40-1, DF40-2, DF40-i B AND DF40-2B FIGURE E Q -Y-- (L- -7 f fZ /V --J-�� Y, 3 3 2- , L 3 3 33 3 3 3 3 — l- 9 3, 3 lv5 �z - 57 -3 d�Z J w 3 f-t��- 3 79 3 3 Y raj 7.7 ay _ '71 or --o 3 — 3 7 -3 d�Z w 3 f-t��- 3 79 3 3 Y 3 MIC —90 er -Z -s- &S - O� /0 E oo,,O/�-3 6c-- 0 -rR1 1-9 60o�FIL114llj T C Dc,6- /7/ 1,7,2 0 -7 oF xpo 1061 SOA) Q OW