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B-2017-0431CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0431 10371 SCENIC BLVD CUPERTINO, CA 95014-2719 (357 02 011) TITAN GENERAL CONSTRUCTION INC FREMONT, CA 94539 OWNER'S NAME: SCENIC GROUP LLC DATE ISSUED: 06/23/2017 OWNER'S PHONE: 408-893-8007 PHONE NO: (408) 883-8668 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ]a Lic. #948867 Contractor TITAN GENERAL CONSTRUCTION INC Date 06/30/2018 X BLDG —ELECT —PLUMB MECH X RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: CONSTRUCT (N) 2 STORY SFD (4,063 S.F.); ATTACHED GARAGE I hereby affirm under penalty of perjury one of the following two declarations: (489 S.F.); PORCHES (729 S.F.) t. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by :^ Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: 4063 Valuation: $740000.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 357 357 02 011 R-3 (Custom) and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per t ino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 06-23-2017 Issued by: SEAN HATCH OWNER DECLARATION Date: 06/23/2017 -BUILDER I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) z. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 06-23-2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code�Secdons 255113,5533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: mµ7 APPLICANT CERTIFICATION Date: 06-23-2017 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 06-23-2017 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING -DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95094-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building a-cupertino oro IVI t.TR{I/Pn7.rcrnrrI-mrnwr n r--1 - -- - u n Vlol IN r L V.MtU1 _L]J UKKJINAL PERMIT # PROJECT ADDRESS 0 r + ` vti 1 V APN # "] 5 � 1 - c),) - J `, OWNER NAME r� PHONE E-MAILI STREET ADDRrSS CITY, STATE, ZIP V ti v (.L� �e+� 'ei1rJ PAX c2A CONTACT AM i E..MAIL i' ;? ke akw, Q *a / • STREET ADDRESS r' • �� �' ` CITY, STATE, Z]P ZZ�_4, 1�. - - (AKI-,vl�� l 4(/tV%n Q. v7o FAx ❑ OWNER ❑ OWNER -BUILDER ❑ OWNCRAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT tL/RRCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME k�r (j�, fJ� vl LICENSE NUMB LICHNSETYPE. B q COMPANY. AME F MAIL FAX STREET ADDRES CITY, STATE, PH E ^ p 6 CI►ITL'•CT OtNEERNAME LICENSE NUMBER BUS. LIC COMPANY NAME -- E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP _- -- --- PHONE DESCI(IFTION OF Wor,'C - JTYPE EXISTING U H PROPOSED USE CONSTR. # STORIES Z --i USE TYPE OCC. SQ.FT. VALUATION ($) E•XISTG NEW FLOOR DEMO TOTAL ARBA AREA AREA NETAREA BATHROOM L� �Y\n � / � trl � � �,,� `� {,%� t KITCHEN OT1iER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA {J GARAGE AREA: DITACH - — ❑ ATTACHyy-- — 0 DWELLING UNITS: ISA SECOND UNIT [] YES SECOND STORY ❑ YES BEING ADDED? n NO ADDITION? ❑ NO PRE -APPLICATION [] YES 1F YES, PROVIDE COPY OF IS THE BLDG AN D B PLANNINGAPPL# []NO PLANNING APPROVAL LETTER EICHLER HOMF NO TOTAL VALUATION; �t„74r�,a�a By my signature below, I certify to each of the following: 1 am the property 0\ mer or authorized agent to act on t roperty off neI , ehalf. I have read this application and the intbrination I have provided is correct. I have the Descr read brI of Work and vc accurate. I agree to comply with all applicable local ordinances and state laws relating t0 building c s etion. I aut rmize representatives o I Ino to enter the above -identified property for inspection Signature of Applicant/Agent. Date: purposes, SUPPLEMENTA'fflNF0l81AT NREQUIRED ALAN CHECKT]TE `:" ROUTIi\G SLIP New SFD or Multifamily dwellings: Apply for demolition permit for = -L ❑ O\',ER THE -COUNTER ,.. existing building(s). Demolition permit is required prior to issuance of building ❑ BUILDIAG PLAF\ RL\7Ew` pelinitfor new building. ❑ EXPRESS ❑ PLANI\Il\GPLANREVIE\1 -�- _ Commercial Bldgs; Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC.R ORKS ; Form if any Hazardous Materials are being used as part of this project. ❑ LARGE _ Copy of Planning Approval Letter or Mccting with Planning prior to ❑ FIRE DFrr submittal of Building Permit application. d AiAJOR SAhITARl SU\i ER DISTRICT,; .❑� EN\7RONNiENTAL.HCALTIi -� B1dgApp_2011.doc revised 06121111 I RW Engineering, Inc. Civil Engineers - Land Surveyors 505 Altamont Drive, Milpitas, CA 95035 Tel: (408) 262-1899 lax: (408) 824-5556 Email: rwengineering@gmail.com July 14, 2017 City of Cupertino - Building Division 10300 Torre Avenue Cupertino, CA 95014-3202 Re: Building setback verification Project Site: 10371 Scenic Drive, Cupertino, CA To Whom It May Concern: e�-�q3) /7 This is letter is to confirm in writing that RW Engineering, Inc. has provided staking for the building on 10371 Scenic Drive. The stakes have been placed in accordance with the plans approved by the City of Cupertino. We have subsequently done a foundation verification site visit on 7/14/17, and have detennined that the contractor has formed the foundation stem walls in accordance with the stakes and the approved plans. Approved Setbacks: Front: 20.0' Right: 7.5' Left: 7.5' Rear: 20.00' Actual Setbacks: Front: 20.0' Right: 8.7' Left: 7.5' Rear: 26.2' Please feel free to call me if you have any questions. Sincerely. ,✓ Rob g, P.E., P.L.S. R0aERT Y. p -J VVANG 33 No. 8931 � �ti� � �N NOTES: 1. DISCREPANCIES BETWEEN EXISTING CONDITIONS, DRAWINGS, EXHIBITS, PLANS AND/OR SPECIFICATIONS SHALL BE REFERRED TO THE PROJECT ENGINEER FOR CLARIFICATION BEFORE THE START OF AFFECTED WORK. ALL SETBACKS SHALL BE CONFORMED TO THE REQUIREMENTS OF THE APPROVED PLANS. 2. CONSTRUC11ON POINTS ARE TEMPORARY AND SHALL NOT BE USED OTHER THAN THE CONSTRUCTION OF THE INTENDED IMPROVEMENTS. TBM SET NAIL IN POST ELEV:102.50 s= I SCENIC BOULEVARD LEGEND Q TEMPORARY CONSTRUCTION STAKE SET #1 STAKE NUMBER #4 DATE: 6/6/17 RW ENGINEERING, INC. SCALE: 1°=20' RWCIVIL ENGINEERS • LAND SURVEYORS EXHIBIT "A" 10371 SCENIC BOULEVARD 6Y: RW 505 ALTAMONT DRIVE. MILPTTAS, CA 95035 STAKING PLAN CUPERTINO, CA (P) (408) 262-1899 (FAX) (408) 824-5556 SHEET 1 OF 1 rwengineeringOgmail.com FRANK LEE & ASSOCIATES GEOTECHNICAL CONSULTANTS 10 KOOTENAI COURT, FREMONT, CA 94539 (510)676-5$59 July 10, 2017 Job No: IN151-S2-L1 Ms. Cindy Hsu 10371 Scenic Boulevard Cupertino, California 94014 SUBJECT; INSPECTION OF BUILDING PAD COMPACTI Proposed Two -Story New Residential 10371 Scenic Boulevard Cupertino, California Dear Ms. Cindy Hsu: 0 L/3/ This letter is to confirm that we provided inspection and testing during the grading operation of the building pad for the proposed two-story residential building at the subject site. The results of the field density testing performed by our firm indicated that a minimum of 90 percent of relative compaction was achieved on the building pad. We appreciate the opportunity to work with you on this project. If you have any questions or if we can be of any further service, please do not hesitate to call. Thank you. Very truly yours, FRANK LEE & ASSOCIATES — I& F�k Lee Professional Engineer CE34975 July 17, 2017 Building Department City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 RE: Proposed Residence at 10371 Scenic Blvd Cupertino, CA 95014 Our Job No. 1701 Dear Inspector : 03) /`11 t James C. Chen, C. E., S. E. 2881 Meridian Ave., Unite 118 San Jose, CA 95124 Phone (408) 656 - 2431 I performed the Structural Observation Inspection per CBC 2016 for the Foundation reinforcing steel placement for the above referenced project today, 7/17/17. To the best of my knowledge, the work has been performed in according to Plan S-1 through S-6 and Specifications shown. It is satisfied to me. If you have any questions in regarding to this subject, please don't hesitate to call me. Very truly yours 3aAA)= c. James C. Chen, C. E., S. E. Copy to: Cindy, Owner Sandors, Contractor R�QDV ESS, - N0. 2282 VF CF 41-131 FRANK LEE & ASSOCIATES \ GEOTECHNICAL CONSULTANT �g 10 KOOTENAI COURT, FREMONT, C 94539 (510) 676-5859 l '12� io July 10, 2017 % Job No: IN151-S2-L2 Ms. Cindy Hsu 10371 Scenic Boulevard Cupertino, California 94014 SUBJECT; FOUNDATION EXCAVATION INSPECTION Proposed Two -Story New Residential Building 10371 Scenic Boulevard Cupertino, California Dear Ms. Cindy Hsu: This letter is to confirm that we have inspected the foundation excavation for the proposed new two-story residence of the subject site. Our observations indicated that the condition observed during construction are generally in agreement with the City of Cupertino approved plans were based and the recoimnendations contained in Soil Investigation And Foundation Recommendation Report, Project No: 10898, dated January 15, 2017, prepared by Capex Engineering Inc. The soil conditions are adequate for the proposed two-story residential building. We appreciate the opportunity to work with you on this project. If you have any questions or if we can be of any further service, please do not hesitate to call. Thank you. Very truly yours, FRANK LEE & ASSOCIA`.CES k Lee Professional Engineer CE34975 12Coo, -s- ,7 -52P >......:. James C. Chen, C.E., S.E. 2881 Meridian Ave.,Unite 118 San Jose, CA 95124 Phone(408)656-2431 December 1,2017 Building Department City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 • RE: Proposed Residence at 10371 Scenic Blvd Cupertino,CA 95014 Our Job No. 1701 Dear Inspector: I performed the Structural Observation Inspection per CBC 2016 for the Rough Framing Construction,including Shear Wall Hold-Down and Nailing,for the above referenced project today,November 30,2017. To the best of my knowledge,the work has been performed in according to Plan S-1 through S-6 and Specifications shown.It is satisfied to me. If you have any questions in regarding to this subject,please don't hesitate to call me. Very truly yours QRpV ESS/p ' iOrr''l iVV'sz C ` �: N0. 2282 = OFcAL\ James C. Chen, C.E., S.E. 2 rA l Copy to: Cindy,Owner Judd,Framer I 2 , CAPEX ENGINEERING I 'C. - PO BOX 14198, FREMONT.CA 94539 - Tel:(510)668-1815 Fax:(510)490-8690 Octo ter Building Department City of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3232 Subject: Proposed Residence at 10371 Scenic Blvd. Cupertino. CA (Permit No. 13-2017-0431) SPF,CIAL INSPECTION SERVICES FINAL AFFIDAVIT FOR STRUCTURAL STEEL WELDIN AND NAILING SPACING ON SHEAR WALLS Dear Sir: CAPEX ENGINEERING INC, has provided testing and special inspection services at the subject site in accordance with section 1701 of the California Building Code (2016 Edition)as listed below: • (1) Check Mill certification and welder's certification. (2) Inspection of-welding procedure(FCAW)specifications qualification and equipment. (3) Check structural members for thickness adjacent to welds. (4) Check the type and size of wire.(NR 232) to be used for the various joints and positions. (5) Observe the technique of each welder periodically with the use of a welding inspection shield. (6) Observe F.P welds on connection of TS 8 x 6 bent beam and TS 6 x 6 column, TS 6 x 6 column to base plate, fillet welds on connection plate to TS 8 x 6 bent beam. (7) Visually inspected nailing spacing at shear walls. (Per shear walls Shearwall schedule) (S-2) 4 Personnel under the general supervision of a registered Civil Engineer performed these inspections. Based on the inspections performed and upon our substantiating reports that the inspected work was performed;to the best of our knowledge in.coriormance with the approved plans and specifications and the applicable workm e*,41)09, • `-~ f the California Building Code. IV 4 Sincerely. '41 •\ 44:3' APEX ENG1NEERINCi INC., (43 hw /V281 , ry Principal / / J.S.„,,, 1' 9' cp,,‘ NO FEE FOR RECORDING PURSUANT TO GOVERNMENT CODE SECTION 27383 When Recorded Mail To: City of Cupertino Communzta�.Development Department 10300 Torre Avenue Cupertino, CA 95014 NO'T'ICE OF CITY REQUIREMENT TO MAINTAIN 'FREES The undersigned, being the owner(s) of the property shown in the Santa Clara County Assessor's Rolland identified as A.P.N. 357-02-011 and addressed as 10371 Scenic Blvd, hereby agree(s) that the following plantings shall be maintained as privacy and protected -trees ; to screen the views from the second floor: Five (5) Strawberry Trees (Arbutus narrna) along the western property line. In addition to the privacy plantings, the following planting shall be maintained as the required front yard tree in the front yard setback: one (1) Red Maple ,(Acer rubmrn): In the event these plantings die, ,the owner(s) shall provide replacement plantings subject to the approval of the City, of Cupertino. This declaration is binding on the successors and: assignees of the owhers(s). PROPERTY OWNER(S): Owner's Si tore Print Owner's Name / s - Da . CITY A ORIZAT N: Erick Serrano Associate Planner M Co -Owner's Signature Print Co -Owner's Name Date Date CALoF®RNIIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 �!`.c'G+--✓`.c.`nc'C`,� f'.r�C'-t`,�`^C`:rF`.c'f`.i'{`.c�`.cN';cN`,c�',i=l�.c�t'^�',r�`,�^.c=�`:c=".c�C`.M^^�C'-`;<l'^".c�^�",+�(`.r�`.c-�^.-^_c�",c^C`.c'!'^C`.�tc`f',N`r.i��r�; A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.' State of Califo is ) Count of 525d�urpl_ ) Y. On iY s Z 4 �r�� before me, X_ A � Date Here Insert Name and Title of the OjffcerU personally appeared, Fr1tae_ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(sr whose name(s) is/,dre subscribed' to the wit( in- nstrument and' acknowledged to me that he/sly/t4ey executed the same in his/hp'r/they authorized capacity(ie4, and that by his/i�r/their signature(!�)'on the instrument the person(; or- the entity upon'behaif of which the „person(s acted; executed the instrument. certify under PENALTY OF PERJURY under the laws of ihe,State of California that the foregoing paragraph is true and correct. Commissicm # MH30 WITNESS my hand and official seal. Notary Public - California z Sema Clara County J. My Comma Expires.Feb 21, 2019 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL. Though this section is optional, completing this information can deter alteration of the document or . fraudulent reattachment of this form to an unintended document. Description of Attached Dm nt ocf Title or Type .of Document: Document Date: _ rU Z 2 (t�' Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator Other: Signer Is Representing: ��'•-c;�-b�_w��_��-����;� �`�Ga.�>t=�"-.i;�,c:.�;� .�;z�cz,C:�-ti"�--�"���_..7�Z_ .`�_'L�Lu-��`��.'T=,:�Z;�`��. �t.� c 02014 National Notary Association ^ www:NationalNotary.org ; 1=800 -US NOTARY (1-800-876-6827) Item #5907 OALiPO'RNIA, ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ill 1 A&,Gfcz ) (� OnJ V Z`� .24t .� before me, � (� Date 1 Here Insert Name and Title ofhe Officer I personally appeared J Name(s) of Signer(s) who proved to me on. the basis of satisfactory evidence to be the person( whose name(�'is/ar'e subscribed to the within instrument and acknowledged to me that l d/she/Key executed the same in hig'/herLthg7 rauthorized capacity(io), and that by his'/her/tVir signature(Von the instrument the person(; or the entif on behalf of which the. person(�acted, executed the instrument. p I certify under PENALTY OF PERJURY under the;laws of the State of California that the foregoingparagraph 01'is true and correct. "G RA'CE`$CHP/CIDT Commission # 2096030 WITNESS my hand and official seal. (Votary Public -California � Santa Clara County My Comm. Expires Feb 21, 2019 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form town unintended document. Description of Attached Docu . pt Title or Type of Document: lSl Y C l'vv_,L�• I t Document Date: _`) 2-0( Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual O Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: ��:���'-.,G wy��E7`� ��"`G�'{`�G�;'_�-_`.`�T �?-_z:�,_T,>`r-%:�_',.G`T_Z�.T��_��.;C:���L�,::�� �`'�' � �`T.J�.'.": %C`r_✓.`�` =n>-�:`%._.`C,�rL;C>z ©2014 National Notary Association ^ www. NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 Regina Alcomendras Santa Clara County Clerk -Recorder (408) 299-5688 https://www.clerkrecorder.org Receipt: 18-153942 ** REPRINT * * REPRINT ** REPRINT *** Product Name Extended NOTI NOTICE , $0.00 Document # 23991660 # Pages 3 Home & Job Act Fee false Total $0.00 Change (Cash) $0.00 **� REPRINT** REPRINT'*** REPRINT** PLEASE KEEP FOR REFERENCE 7127118 10:29 AM ourquilla