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o ¢ z FOO w Q Z U F Z w NQ ZO ~ N ? O Z .-0 W`/ F N t_ Q 2 w U a 0, X i , y w l O r_ J' iw < s w ¢ O d X O w WW_ ~za iia I- o air° O Z z ; � O W W > _ CL 0 Uo LL U Ow i a �2 A 0 _APPLICANT TO FILL I'N INFORMATION WITHIN. RED LINES -USE BALI_P.OINT PEN ONLY BUI LDI NG PROJECT I DENTI`FICA I-: & PEI T LBUILDING- ELECTRICAL- PLUMBING - MECHANICAL PE MIT ER 1710 a„ILIDING. APPLICATION ADDRESS � - OWNE S NAME _f7+7� - Y. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION 'CONTRACTOR'S NAME /� - �/�] OUTLETS - SWITCHES - RECEP 5.00/1.00 LIGHTING FIXTURES' 5.00/1.00 /O\/- ' coNTRACTOR's ADDRESS APPLIANCES RESIDENTIAL 4.00 - PANELS 5.00 PHO DATE OF APPLICA ARCHITECT OR ENGINE •, Ar -Or • L-, V u SIGNS - 6.00 PLAN CHECK -FEE O. G SIGNS TRANS. 3.00 ARCH. OR EN • Z SPECIAL CIRCUIT 5.00 PERMIT VALIDATION EMP. METER OR POLE INS. 15.00 APPLICANT'S " ADDRESS - MOTORS - SEE FEE SCH. SERVICE CHANGE 10.00 J' 'LICENSED.CONTRACTORS DECLARATIONI. I Ir./jfaJ - - . I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Sod&d my license is in full fot]�:y/j,� License C ss�+-� Lic. Numbe�:LC.�!!/�/ ISSUANCE DATE _ •' BLDG. ELECT. D PLG. E1 MECH. Date OPP C_7 Wow Contractor OWNER -BUILDER DECiARATIONC220-S!." I hereby affirm that I.am.exempt from the Contractor's License Law for the following reason. (Sec: 703 1.5, 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 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 ;J !+z'+ BUILDING PERMIT INFORMATION MISC. - REFER TO ORD VALUATION m0 �/ `��- $/FT. ,. ' PERMIT ISSUANCE - 6.00 " ELEC. CONTR. LIC. NO. i ELEC. TOTAL 1 PERMIT TO QTY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation of Section 703 I's by any applicant for a permit subjects the applicant to acivilpenalty of not more than five hundred dollars (5500).): ALTER -DRAIN Br VENT -WATER (EA.)4.00 ❑ 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 Professions BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS 7?-.gCode: DRAINS- FLOOR, ROOF, AREA,COND. 4.00 The Contractor's License Law does not apply to agowner of property who builds or Improves thereon, and who does such work himself through his own employees, provided that such improve- (mems arere not intended or offered for sale. If, however, the building FIXTURES - PER TRAP 4.00 SD. FT. FLOOR AREA TOTAL ACR EA J f/fay / /O GAS - EA. SYSTEM - 1 INCA 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 im- prove for purpose of safe.).. ❑ I, as owner of the property, am exclusively contracting with _ GAS EA: -SYSTEM -OVER 4 (EA.) 1.00 BUILDING USE RES D CON PB Other El El ❑- ❑ INDUSTRIAL WASTE INTER. 20.00 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 LAWN SPRINKLERS'- 1 INC 5 V.B. 5.00 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 -SANITARY -STORM LA. 20&t/8.00 TRACT NO. PARCEL NO. , O 1 am exempt under Sec. B.&P.C. for this reason WATER HEATER W/VENT 4.00 Date ' Owner WATER SYSTEM 4.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP, 4.00 WORKERS'COMPENSATION DECLARATION I hereby affirm that 1 have'ac rti ' e of consent to self -insure.' or a rtificate of W rker ti Insurance„or a certjjjed P OW P om any ZONING ENG.SITE NO. , FIRE SPRINK v ❑ N ❑ ENERGY T-24 Y'❑ IN ❑ ertified c is hereby furnished. - ❑ Certifie is filed wwith• fe ity inspec I n iwslon. Applicant MISC. REFER TO ORD. . CATE O EXEMPTION FROM WORKERS' PERMIT ISSUANCE 6.00 FL000 ZONE A. L. U. C. PLG. CONTR. LIC. NO. PLG. TOTAL COMPENSATION INSURANCE " (This sectionneed not be completed if the permit is for one Y ❑ N ❑ Y.' ❑ N ❑ hundred dollars ($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 QTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING ., GO become subject to the Workers' Compensation Laws of California. Date 'Applicant ME ALTER OR ADD TO CH. 4.00 NOTICE TO APPLICANT: If, after making this Certificate of Ex- APPLIANCE 4.00 PLAN CHECK FEE 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. AIR HANDLING UNIT (TO 10,000 C.F,M.) 3.00 AIR HANDLING UNIT(OVERIO,000C.F.M.) 5.00 SEISMIC FEE � Z7 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, Civ.CJ. MICROFILM - HEATING UNIT (TO 100,000 B.T.U.) 4.00 HEATING UNIT (OVER 100,000 B.T.U.)7.50 ELECTRIC Lender's Name Lender's Address I certify that I have read this'application and'state that the above VENTILATION FAN (SINGLE) 3:00 information is correct. I agree to comply with all city and county ordinances and stale laws relating to building construction, .and hereby authorize r entalives of this city to enter, upon the above-mentioned ope y for inspection purposes.. PLUMBING. BOILER -COMPO H.P. or 100,000 B.T.U.) 4.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL (We) agree t ve indemnify and keep harmless the City of Cupertino aga' li ities, judgmen 'costs and 'expenses which may.in an ue against sai is in copse ence of the MISC. REFER TO ORD. CONST. TAX- PERMIT ISSUANCE 3,00 ' granting Il is � ' d Signa[u pplicant/ on rac r Dale MECH. CONT. - LIC. NO. ' ' MECH- TOTAL '- TOTAL " .. C :? OFFICE COP' w O Z Z F i W CL D Z)Z 0 0 L U 0 'w - a } to �Z A APPLICANT TO FILL IN INFORMAT IUN w( I HIN HLU LIN LS- U5t BALL. PUIIN I PtIV UIN-T)) I? BUI LDI'NG PROJECT I DENTI FICATION APPLICATIONS& PERMIT �- BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PER BER - •^/ 2 0 WW BUILDING. ADDRESS ioa�a OWNER'S NAME 17 ]�j Zq PHONE _ /� / . 4� tr.5 y �(/ C- "' QTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION DATE OF APPLICATION cONTRACTOR'S NAME LIC. NO. OUTLETS - SWITCHES - RECEP 5.00/1.00 ILIGHTING FIXTURES 5.00/1.00 rONTRACDRESS Rs A ADDRESS 3 7 4Aebkt S` PHONE 04( APPLIANCES -RESIDENTIAL 4.00 PANELS 5.00 ARCHITECT OR ENGINEER - LIC. NO. SIGNS - 6.00 PLAN CHECK FEE P.C. NO.; - SIGNS TRANS. 3.00 ARCH. OR ENG. ADDRESS - 'ZIP SPECIAL CIRCUIT ' 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 15.00 AS ADDRESS � - � • MOTORS SEE FEE SCH. SERVICE CHANGE 10.00 LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code and nyy license is in full fore nd gf ec License Class 4 Lic. Number ISSUANCE GATE - BLDG. ❑ ELECT, ❑ PLG. ❑ MECH. Date Contractor BUILDING PERMIT OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's. License Law'for the following reason. (Sec. 703 1.5, Business and Professions Code: Any city or county which requires 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 f INFORMATION MISC-. REFER TO ORD . VALUATION $/FT. PERMIT ISSUANCE 6.00 ELEC. CONTR. LIC. NO. ELEC. TOTAL PERMIT TO - QTY. PLUMBING PERMIT FEE Law (Chapter 9 (.commencing with Section 7000) of Division 3.of the Business and Professions Code) or that he is exempt therefrom and . STORIES TYPE CONSTR. the basis for the alleged exemption. Any'violation of Section 7031.5. by any applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars (S500).):'1- 5500).):;❑ ALTER -DRAIN & VENT -WATER (EA.) 4.00 01, 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 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 or offered for sale. If, however, the building FIXTURES- PER TRAP 4.00 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 proving that' Ite did not build or im- prove for purpose of sale.)' ❑ I, 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 (EA.) 1.00 -BUILDING USE ' RES IND CON PB Other ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 20.00 LAWN SPRINKLEF42/INC.5 V.B. 5.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS -:'OW 5 (EA.) 1:00 contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. SEWER -SAN IT TORM 200ft/8.00 - TRACT NO. PARCEL NO. ❑ 1 am exempt under Sec. B.&P.C. for this WATER HEATER T 4,00' reason V Date Owner WATER SYSTEM - 04.00 ACC. DATE ACC. FILE NO. WATER TREAT UIP. 4-00 WORKERS'COMPENSATION DECLARATION 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 (Sec. 3800, Lab.C.). . T� Policy Noi_bY_&�ompany v - FIRE SPRINK Y ❑ N ❑ ENERGY T-24 .Y ❑ N❑ ❑ Certified copy is i�hefre�by furnished. ❑ Certified opy G� th t1 inspection division. Applicant MISC. - REFER TO ORD. CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 6.00' FLOOD ZONE A.L.u.C. PLG. CONTR: LIC. NO. PLG' TOTAL,, COMPENSATION INSURANCE - ' - (This section need not be completed if the.permi[ is for. one Y ❑ N❑ Y ❑ N❑ - 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 QTY. MECHANICAL PERMIT FEE - , FEE SUMMARY BUILDING become subject to the Workers' Compensation Laws 6f California. Date ApplicantALTER NOTICE TO -APPLICANT: If' after making this Certificate of Ex- - . OR ADD TO MECH4.00 APPLIANCE 4.00 PLAN CHECK emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must-forthwithi'comply with such provisions or this permit shall be, deemed revoked. FEE ' AIR HANDLING UNIT (TO 10=C.F:M.) 3.00 'AIR HANDLING UNIT (OVER 10=1C.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 0-4 the performance of the work' for which this permit is issued (Sec. 3097, Civ.C.). MICROFILM oo HEATING UNIT (TO 100,000 B.T.U.) 4.00 HEATING UNIT (OVER 100,000 B.T.U. )7.50 ELECTRIC Lender's Name Lender's Address I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 3:00" information is correct. I agree to comply with all city -and county ordinances and state laws relating to building construction, -and �;ereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. PLUMBING BOILER -COMP (3 H.P. or 100,000 B.T.U.) 4.00• B01 LER-COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL MISC. - REFER TO ORD. CONST. TAX (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of.th_e PERMIT ISSUANCE 3.00 °O� grant f his er MECH. CONT. LIC. NO. 1: MECH. TOTAL /�11 1 - TOTAL a - Signature of A icant/Contractor Date. ' OFFICE COPY i '0 APPLICANT.TO FILL IN. INFORMATION WITHIN RED LINES- USE BALL_ POINT PEN UN.LY 0- . Z Z I..) ' 0 c > LU _ CL 0 Z). Z UO LL r _A } Z U . Xle BUILDINGPROJECT.IDENTIFICATION APPLICATION & PERMIT BUILDING — ELECTRICAL— PLUMBING — MECHANICAL 'PER Nu _ - . 1 BUILDING _ ADDRESS' / J1 V OWNER'S NAME PHONE ' . 03 TY. - ELECTRIC PERMIT FEE ' PLAN CHECK VALIDATION , NAMMEE OUTLETS - SWITCHES - RECEP 5.00/1.00 LIGHTING FIXTURES 5.00/1.00 ' .NO. J�'Ie ' 'CONTRACTOR'S ADDRESS APPLIANCES - RESIDENTIAL 4.00 PANELS 5.00 O' (7 PHONE 1� DATE OF APPLICATION ARCHITECT OR ENGINEER LIC. NO. SIGNS 6.00 -PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00• ARCH. OR ADDRESS ENG. ZIP _ SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP..METER OR POLE INS. 15.00' APPLICANT'S ADDRESS ' ' _' - MOTORS SEE FEE SCH. SERVICE CHANGE 10.00 LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3,o( the. Business and Professions Code, and my license is in full force and effect. Class Lic. Number ISSUANCE DATE - BLDG. El ELECT. 1:1 PLG. MECH. El Date Contractor pA1D BUILDING PERMIT OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the ContractorsLicense Law for the following reason. (Sec. 703 1.5, Business and Professions Code: Any city or county which requires 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 licensedpursuant to the provisions of the Contractor's License INFORMATION MISC. — REFER TO ORD` �• •VALUATION - $/FT. PERMIT ISSUANCE 6.00 ELEC. CONTR. LIC: NO. ELEC. TOTAL PERMIT TO - OTY. PLUMBING PERMIT FEE Law (Chapter 9 (commencing with Section 7000) o(Division 3 of the Business and Professions Code) or that he is exempt therefrom and - STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation of Section 7031.5 - by any applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars (S500)J: 4'. ALTER -DRAIN &VENT -WATER (EA.) 4.00' ❑ I, 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 2.00 DCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA,COND. 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 or offered for sale. If, however, the building FIXTURES - PER TRAP 4.00 SO, FT. FLOOR AREA TOTAL ACREAGE GAS"- EA. SYSTEM - 1 INC.4 OUTLETS 4.00 Od "br 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.). ❑ I, as owner of the property, am exclusively'contracting with GAS - EA. SYSTEM - OVER 4 (EA.) 1.00 BUILDING USE • RES IND 'CON PB Other ❑• ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 20.00 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 LAWN SPRINKLERS - 1 INC 5 V.B. 5.00 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 -SANITARY -STORM EA. 200ft/8.00 TRACT NO. PARCEL NO. ❑ Iamexempt under Sec. ,B.&P.C.for ilus - WATER HEATERW/VENT 4.00 reason Date Owner WATER SYSTEM 4.00 =- ACC. DATE ACC. FILE NO. ' WATER TREATING EQUIP. - 4.00 WORKERS'COMPENSATION DECLARATION, 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 (Sec. 3800, Lab.CJ. Policy No. Company - FIRE SPRINK Y ❑ N❑ ENERGY T-24 y -' E] N❑ ❑ Certified copy is hereby furnished. O Certified copy is filed with the city inspection division. Applicant E MISC. - REFER TO ORD: CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 6.00 ao FLOOD ZONE A.L.U.C. COMPENSATION INSURANCE (This section need. -not be completed i(' the permit is for one PLG. CONTR. LIC. NO. PLG. TOTAL Y ❑ N ❑ Y ❑ N ❑ hundred dollars (S 100) or less.) k (or which this per- t is issued, I shall no emany manner so as to I certify that in the perfoWff(Yrtiprcanof Workers' beco su er t to WorkeLa f Cali on 'a. `� CE TO A LICANT:a a of Ex- emption, you. should become subject to the Workers' ompensation provisions of the Labor Code, you must forthwith comply with such.provisions or this permit shall be deemed' revoked. CITY. MECHANICAL PERMIT FEE e FEE SUMMARY BUILDING ALTER OR ADD TO MECH. 4.00 APPLIANCE 4.00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10,000C.F.M.) 3.00 AIRHANDLING UNIT(OVER 10,000C.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, Civ.C.). MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 4.00 Lender's Name Lender's Address HEATING UNIT (OVER 100,000 B.T.U.P.50 ELECTRIC I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction,' andBOILER-COMP(3 -VENTILATION FAN (SINGLE) 3.00 PLUMBING H.P. or 100,000 B.T.U.) 4.00 BOILER-COMP lover 100,000 BTU) SEE FEE SCH. .MECHANICAL y.creby authorize representatives of this city to enter upon the. above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may i any wa accrue against said City in consequence of the MISC. - REFER TO ORD. CONST: TAX ' PERMIT ISSUANCE 3.00 gra of thi ermit. -. - MECH, CONT. LIC. NO. MECH. ' _ TOTAL TOTAL / of A pl' n o or Vale OFFICE DOPY i • O Z Z H O CC ? . LU _ CL O Uo :.LL F- O W i a F -U APPLICANT TO FILL IN INFORMATION WITHIN, RED LINES - USE BALL POINT PE.N; ONLY' ' BUILDING PROJECT IDENTIFICATION APPLICATION & PERNIIT•:•qADORES,,((�� BUILDING = ELECTRICAL -'PLUMBING -MECHANICAL 7V� T 1 4, eDILDING O�lO (/71^4 rl It OWNER'S ` NAME PHON•'.7--O.J�D� QTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION ' DATE OF APPL1CATtON CONTRACTOR'S NAME n 'W*,ers V 'LIC. No. 3� Q 1 .OUTLETS - SWITCHES - RECEP 5.00/1.00' . aaLIGHTINGFIXTURES 5.00/1.00 roNrRAcroR's ADDRESS oa O �'lf: hn0-• PHONE' >Q'3` APPLIANCES RESIDENTIAL 4.00 �• PPLIA PANELS -5.00 AARRCHITECT - ENGINEER LIC. NO. SIGNS 6.00 PLAN CHECK FEE .;� - ' a,P.C. NO. SIGNS TWIti(VQ 3.00 ARCH. OR ENG. A RESS_ ���h zip SP I L f (5 IT .5.00 PERMIT VALIDATION V v EMP. METE O,R NS. 15.00 APPLICANT'S ADDRESS ) MOTOfti - SEE FEE SCH. SERVICE CHANIJi 10.00 cl3� LICENSED CONTRACTORS DECLARATION _ 1 hereby affirm that I am licensed under provisions Of Chapter•9 (commencing with Section 7000) of Division 3 of the Business and Professions Co an I license is in full fort f t. Licehse Class Lic. Number ISSUANCE DATE - BLDG. ❑ ELECT. PLG. ❑ MECH. Date Contract I BUILDING PERMIT INFORMATION OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from. the Contractor's License Law for the following reason. (Sec. 7,03 1.5, Business and Professions Code: Any city or county .which requires a permit to construct, alter, improve, demolish, or repair ariy 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 MISC. - REFER TO ORD VALUATION " SIFT, PERMIT ISSUANCE 6.00'1(,�' ELEC. CONTR. LIC. NO. ELEC. TOTAL' QI ' PERMIT TO QTY: PLUMBING PERMIT FEE Law (Chapter 9 (commencing with Section 7000) of Division 3'6fthe Business and Professions Code) or;that he is exempt therefrom and STORIES TYPE CONSTR... the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toa civil penalty • of not more than five hundred dollars.(S500).): - ALTER -DRAIN &VENT -WATER (EA.) 4.00 ❑ I, 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 2.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 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 or offered for sale. If, however, lhe.building FIXTURES: PER TRAP 4.00 So. 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.).. ❑ 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 El,. ❑ ❑ ❑ AD INDUSTRIAL WASTE INTER. 20.00 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 LAWN SPRINKLERS - 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO: LAWN SPRINKLERS.- OVER 5 (EA.) 9:00 contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA.200ft/8.00 TRACT NO. PARCEL NO. ❑ 1 am exempt under Sec. B.&P.C. for this reason WATER HEATER W/VENT 4.00 Date Owner WATER SYSTEM 4.00 ACC. DATE ACC. FILE NO. WATER.TREATING EQUIP• 4.00 WORKERS'COMPENSATION DECLARATION ' 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,(Sec. 3800, Lab.C.). Policy No. - Company' FIRE SPRINK Y ❑ _ N ❑ ENERGY T-24 Y ❑ N❑ O Certified copy is hereby furnished.. Certifi j q;�o��l�st f le�with to ;itY1tispection division. Applicant ` 1 F -Hen MISC. - REFER -TO ORD. CERTIFICATE OF EXEMPTION FROM WORKERS. PERMIT ISSUANCE 6.00 FLOOD ZONE A.L.U.C. COMPENSATION INSURANCE .- ` (This section need not be completed if the permit is for one Y ❑ . N ❑ Y ❑ . N ❑ PLG. CONTR. LIC. NO. PLG. TOTAL 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 QTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING - become subject to the Workers' Compensation Laws of California, Date Applicant ALTER OR ADD TO MECH. 4.00 NOTICE TO APPLICANT: If, after.making this Certificate of Ex- APPLIANCE 4.00 PLAN CHECK FEE emption, you should become subjectto the Workers' Compensation provisions of the Labor Code, you must forthwith eomply•with such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (TO'10000C.F; M.) 3.00 AIR HANDLING UNIT (OVER IO)000C.F.M.),5.00 SEISMIC FEE CONSTRUCTIONLENDINGAGENCY 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,Civ.C.). MICROFILM HEATING UNIT (TO 100,000 B.T.U.) -4.00 Lender's Name Lender's Address HEATING UNIT (OVER 100,000B.T.U.)7.50 ELECTRIC f 10 S- I certify that I have read this application and state that the above VENTILATION FAN -(SINGLE). 3.00 information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city -to enter upon the above-mentioned property for inspection purposes. PLUMBING BOILER -COMM H.P. or 100,000 B.T.U.) 4.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL MISC. - 'REFER TO OR CONST. TAX (We) agree to save, indemnify and keep.harniless -the. City of Cupertino against liabilities, judgments, costs and ekpenses which may in any way accrue against said City in consequence of the PERMIT ISSUANCE '3':00 g( ❑��ti11ng Of [jjAA/h(�is � MECH. CONT. LIC. NO. MECH. __permit /� LIAj t�Jt�0.•� • 7�.1LI� TOTAL TOTAL / It SigGOnatu"re of Applicant/Contractor Date ' OFFICE COPY / I (\ l � G I I'Y OF GUPEIRTHIO I11SPEICTIOV RECORD (Off ice . Col)y) 1710 _a _ 10210 Adriana Pi: MT PIO. SANITARY DIST. NO. LOT NO. ADDRESS Addition Willaim tidittmers PROJECT OWNER JOB SITE PHONE NO. PERMIT ISSUED Date 11 ELECTRICAL Bu:iidinp 6-2-82 _ Electrical Plumbing -d - 02 itechan ical -3-Pa- Temp. (,as/Elect. Solar Solar Pool Fire Sprinkler Grading Sign Planning like. FINAL INSPECTIONS Date Insp. g -IS- 3 BUILDITIG Date Insp. Pad Certification Foundation Pre-Gunite Slab-Hembrane Bond Beam Underfloor Girders Floor Steel Tiedowns Diaphrams Seismic Bracing [lalls-Panels Frame eL Lath Z [lallboards n Firewalls Other Not Approved Date j Tnsp. Power Pole Under -mound Rough Wiring [falls Ceiling Fixtures Int/Ext Motors Grounding Temp. Power ' Other _ Not Approved PLUMBING Date Backflow Insp. Underground Electric Underfloor �i- Partial Rough •3-9 Y Plumbing Rough Complete Mechanical Solar Rough Solar Water & Insulation Pool Main Drain Grading R/of/S Drain Planning Fire Dept. Health Dept. �' Building Other BUILDITIG Date Insp. Pad Certification Foundation Pre-Gunite Slab-Hembrane Bond Beam Underfloor Girders Floor Steel Tiedowns Diaphrams Seismic Bracing [lalls-Panels Frame eL Lath Z [lallboards n Firewalls Other Not Approved Date j Tnsp. Power Pole Under -mound Rough Wiring [falls Ceiling Fixtures Int/Ext Motors Grounding Temp. Power ' Other _ Not Approved PLUMBING Date Backflow Insp. Underground Underfloor �i- Partial Rough •3-9 Y _ Rough Complete Solar Rough Water & Insulation Main Drain R/of/S Drain Gas Other �' Not Approved HECIIAN I CAL Date Underfloor S.M. Insp. Ducts & Insulation Fire Dampers _ Fireplace Grease Duct & Hood One flour Shaft Condensate Drain_ I:nuipment Anchorage Flues & Comb. Air Other �' Not Approved Ldt, 44L#44 BUILDING ELECTRICAL PLUMBING MECHANICAL IIT MISCELLANEOUS 9 3Z. uj O 0 CI . Z . 0 -j < z z a. cc U (L ui cc 0 z z U 0 T UJ ui cc X Q 3Z. • CD ' N T - o N W T r_. Q LL U A a Z a a. n a ~ z U 0 cc W w U Environmental Management Agency Building Inspection Division County Government Center, East Wing 70 West Hedding Street 95110 County of Sania nta Clara an Jose.299-2351 CAr�earCode 408 California 0 Scott M. Pozzi 745 Emerson Street Palo Alto, CA 94301 May 24, 1982 Dear Mr. Pozzi: This is in response to your request to issue a "Certificate of Occupancy". Research of our record shows that no permit was issued for the carport you list on the request form. This address has.been annexed to the City of Cupertino. Very truly rs, THOMAS SHIH, Manager Building Inspection Division TS: ac % An Equal Opportunity Employer ORDINANCE NO. 1134 �. ,.. AN ORDINANCE OF THE CITY OF CUPERTINO AMENDING CHAPTER 16.12.OF THE CUPERTINO ' MUNICIPAL.CODE.REQUIRING A PRELIMINARY SOI PORT AND APPROVAL'THEREOF AS A CONDITION.TO THE,ISSUANCE OF A BUILDING PERMIT. R FINAL APPROVAL OF A'SUB-'_ DIVISION MAP THE CITY'COUNCIL OF THE CITY OF CUPERTINO DOES ORDAIN AS FOLLOWS: Chapter 16.12 Soil Report Requirements. This ordinance -is enacted pursuant to the provisions of Sections 16953 through 17957'.of-the Health and Safety Code of the State of California, re- lating to housing, and reaffirms the requirement of an approved preliminary soil report as..a condition to the issuance of a building permit, (Ordinance 409', Section 1968). Section 2: Requirement. A,preliminary,soil report shall be required of every subdivision as de-' fined in Sections 11535 and 1135.1 of the Business and Professions Code: ex- cept, that, due to the knowledge of the City of Cupertino Engineering Depart - went has as to soil.qualities of the soil of the subdivision or lot, no pre- liminary analysis -is necessary. The City Engineer shall however, have the right in individual sing e fam li y residential construction only, to limit the soils report to a letter of review.. LSaid letter shall consist of a statement that in the opinion of the soils engineer, the Provisions o _U.B.C. appy without mo i zc9 ion or specia work being involved.] Said letter shall.a so address any other request Gy the City Engineer.:' ...�� Section,3: Preliminary Soils Report Requirements. Thea.report--shall 'be.comprehensive and shall include an analysis of: A...; Stability of -all slopes, within the lot (subdivision) or slopes above., below.. -or adjacent to, the area under investigation: B'..:The classification of all soils for expansion potential. C. Tfie.:class ification of the soils according to-the,Unified Soils Class- ification. System. D'..:The'establishment of -design bearing values and anticipated maximum settlements: �__ E:., Soil"profilesincluding revelant.data to depths which reflect•.the nature.and..magnitude of the.future loading. Section 4:-, Prepa ion .. F. The preliminary.soil.report shall be prepared by a civil engineer who is. registered by the State of California and shall be based upon adequate test, borings, excavations, or in the.case of the letter of: review, field observations. Section 5: Approval of Report The preliminary soil report shall be filed with and approved by the City. Engineer. . Section 6: Conditions for Building Permit No. -building permit shall be i -sued for the construction of any struct- ure on any lot or subdivision subject to this ordinance unless or until an approved preliminary soil report, has been filed first with the City Eng- ineer; or.said report has-been waived pursuant to the provisions of this ordinance or, the corrective action, if any, has been assured. Section 7: Appeals Appeals from determinations made under this ordinance may be made to the City, Council by the filing of a written request with the City Clerk within five days of such determination having.communicated to the.appiic- ant for the building permit. ENERGY CONSERVATION REQUIREMENTS +. •Infiltration: Doors and Windows. All swinging doors and windows exposed -to ambient condit- ions or to unconditioned areas such as garages shall be fully weatherstripped,.... gasketed or otherwise treated to limit infiltration. All manufactured windows.. and sliding glass doors shall meet the air infiltration standards of the 1972 American National Standards.Institute (A134.2, A134.2, A134.3, and A134.4), when tested in accordance with ASTM E282-73 with a pressure differential of 1.57 lbs./ft and.shall be certified and labeled. Exhaust Fans. All fan systems exhausting air from the building envelope to the outside shall be provided with backdraft dampers or automatic dampers installed to prevent air leakage. Maintenance. Equipment which requires preventive maintenance to maintain ef- ficient operation shall.be furnished with complete necessary maintenance info-. rmation on an accessible label, which may be limited to identifying, by title and/or publication number.,, the operation and maintenance manual for that part- icular model.and type of product. At least one. copy of this information shall be furnished by the manufacturer for the original owner upon request. Intermittent Ignition Devices on Gas Cooking Appliances, No gas-fired house hold cooking appliance, except those designed.to burn only'liquefied petroleum gases, or those which do not have an. electrical line voltage supply connection and have three or less continuously burning pilot lights, shall. be installed unless it has been certified by the Commission as, complying with intermittent ignition device requirements of Section 1604 of the Appliance Efficiency Reg- ulations. No gas -fired, -.household -cooking appliance, except those designed " toburn only liquefied petroleum gasses and those which do not have an elect rical line voltage supply connection and have.only one continuously burning pilot light consuming less than 150 BTU's per hour, shall be installed in buildings for which a building permit is issued on or after. January 1, 1979,.: ' unless it has been certified by the Commission. T20-1525.' Showerheads and Faucets. The maximum flow rate of all new shower heads, lavatory.faucets;, and.sink.faucets'shall be certified not to exceed the .values shown._ Appliance' Test Pressure. Max. Flow Rate..; :.:Plumbing:Fittings ,20-40 psig 2.7.5 gpm Showerheads-- 45-80 psig 3.00 gpm Lavarory .Faucets 20-80 psig 2.75 gpm' Sink, Faucets. 20-80 psig 2.75 gpm Pipe Insulti'aon. Steam and" steam=condensate. return piping and recirculation' -hot= water piping in attics,, garages, crawl _ spaces o.r unheated: spaces ,other: -than betr, ween floors.. or, in interior walls shall be insulated to provide maximum loss-.or";riot,,; V. - more . more that 50 BTU/hr •per .linear foot, for larger sizes,;:°!' 22. Built -44p girder and henrrut 23.2" planl4s 20d at 32" n.c. nt tnp and hottom and staggered 2=20d at ends and at each splice 2.16d" at ench I,cnrinz 24. Particleboard:s ' COMMICTION MkIIIMti4 I. Joist to sill or girder, toenail 1•%{41 2".,.Bridging to joist, toenail each end Xqla 3, 1" x 6" subflonr or less to each joist, facr nail, 2 -Ad 4. Wider than 1 • x 6'. subflonr to each joist, face nail' 1-441 . S. 2" sul,floor to joist or girder, blind nod ince and 2-Irxl' to 6. Sole plate to joist or hlnckin¢,. face nail .1841 at 16" n.c. ' 7. Top plate to stud, end nail 2-11191 S. Stud -in sole,plate 4-8d, toenail or : - 2.16d, end nail 9. Doubled studs; face nail " ' 1641 nt 24' n.c. 10. Doubled top plates, face nail 1641 at Ill" A.C. Il. Top plates, laps. and intersections, face Mill 2.111,41 12. Continuous head"er, two pieces 16X1 at 16" n.c. th' or less .. alnnach cda;e 13. Ceiling joists to plate. toenail 1--4d 14. Continuous header in stud, toenail I•Nd IS. Ceiling joists, laps over partitions, Lice nail 1-lrxl 16. Ceiling joists to par:lUcl raftrrs, fnce nail Z-l(xl 17, Rafter in .plate. toenail 1-•441 18. 1" hrace.to each shad and plate, face nail 2,841 19. 1" x 8" sheathing or less to each hearing, face nail 2 AlI D. Wider than 1" x 8" sheathing"to each hearing, face nail .1-841 !I. Built-up corner studs 1641 at 24- rr.c. 22. Built -44p girder and henrrut 23.2" planl4s 20d at 32" n.c. nt tnp and hottom and staggered 2=20d at ends and at each splice 2.16d" at ench I,cnrinz 24. Particleboard:s Wall Sheathing (to framinc):. - �- rx 1' Xqla 23.Ptywood:5 Subflnnr, roof and well sheathing (to framing): !i " and less 6d2 % - K „ Nd' or 6(11- 71 C, / :l�i �.�.•. 11,..4.... IOd' or 8d4l Combination SubRoor-underlayment(to framing): :' and las t3d� j 1 !fi "-1 ". - IOds or R(It 26:Pantl Siding (to framing) th' or less .. Rola �" Md". 27.Fiberboard Sheathing:? " =_I.. L: art• ;.`T No. I I u;t.' ' 5th Nts.,16 gn.' 11 No. I I ¢a.• •. : _4 841' Nn. 16 ,;:t,• .ommon or bn■ nails may tie used except where otherwise staged. - :ommon or deformed shank'- : ommon. .. )claimed thank. tails spaced at 6 inches on center at edges, 12 inches st' intermedie'ta-supports (10 inches at intermediate, supports for floors), except 6 inches at all supports where spans are 43 inches or'more, For na,ling of plywood diaphragms and.. shear wails refer to Section 2314 (cl: Nails for wallsheathi boa ,or casing; ng may be common,. , . orrosion•relistani'sidin j and easing nails'. oteners spaced 3 inches on"center at exterior edges and 6 inches on cenitr it in- 'ermediate supports. aNanited roofing nails -with 7,.' -inch -diameter head and 13•i,teh length for X- neh sheathing and I % inch for'%,dnch sheathing• tt.•anited staple with X. -inch crown and 13"inch length Inr't.;4.rt4.t...�t:;�. •mow Relnforcng and Seismic ; irage Unless a specific design is provided, every rrasonry or concrett chimney in Seismic Zones No. ': and No. 3 shall be reir.forced «iti no less than `our No. 4 steel reinforcing bars. The bars si:ajl ex:end the fui ,:eight of the chimney ,end. shall be spliced in iccor6arce :4t applicable requirements of the Uniform Building Cade. Toe bars shai be tied horizonrally at !d -inch- inten-als with not !els :han 1;-inc, diarlecer steel ries. Two ties shail also be placed at eac::. bend it vertical bars. Where the %vidth of the chi mney exceers 40 inches. r'.vc additional No. 4 vertical bars snail be provided for each additional 7ue incorporated in the chimney or for each additional 40 inches in wiati. or Frzcrion thereof. In Seismic Zones No.: and No. I. all rzasonr% and. _-oncrece cnim- neys shall be anchored. at each 9oor or ceiling line mere -ian S feet above grade, except when constmcted comoietely within :'e -_rte^or walls of the building.-knchoraze siall consist of rWo 7.t :ren by t-irch steel straps cast at !est 13 inches into the cctamney ••vita a I _0-%'ea-ee bend with a 6 -inch extension around the vertical reir-rcrc:na, •tears in the outer face of the chiinney. Each.st-ap shail be Fastened to the st--lctural =:ar,-ev ork of nae building '•%ith ciao 1,�•incl; boics per strap. `•Where thejcis s %.4o nor head into the chimne,, the ancncr straps shall be connected :o '_-inch by 4 -inch ties crossing a nininurn of four joists. T -e t'es s:.ail bz _-cnnec:- ed to each jcist 'xith wo to penny nails. Metal anchored it each ::of and :ening %vith n.'o 14 -inch V%- 1 -j -inch rnv:: slaps lcoce7 around. lhe outsice of the chimney tn5u.atiCni!e G wlth six. 8 -penny nails per s.:ao. to the reof or ceilingf-a n1n;. •;z)ec. -na ,11.4 t Sf::h'r•w,V_YS.:/.tJaC,rc:�.t.v0.�/�!::,;'� :'.tom:::r�•.;.V.tL /.Vl.RMJT•,'..�L :N.�ri•4'iC.T�i!�VT ,. C, / :l�i �.�.•. 11,..4.... fi ' r -T =_I.. L: art• ;.`T I , / /r rj'w�'' -lata►: t.I �cro.L 1 OcrA/� 4?• ' - 'yL�.r %'J Yet.-�Z♦ - �' "' �rr--�---: y1 g'4ry�io.:....aiis..rir _aip:rar,��•: .. �)3f: 1111 �, �1 Trite MOraI :arf:I:; . //"1:5 - ".�iL' - `•t.VG�.PYrt!ir(�. �CPJw4.r4 .,.. ::v .; 4s,'" z,;:.,:; xz : e!" Sf::h'r•w,V_YS.:/.tJaC,rc:�.t.v0.�/�!::,;'� :'.tom:::r�•.;.V.tL /.Vl.RMJT•,'..�L :N.�ri•4'iC.T�i!�VT ,. . rr. CLTA-1973 SAFECO -nTLE STANDARD COVERAGE POLICY OF TITLE INSURANCE Issued from the office of YAWY TDU COMPANY San Jose, California. SAFECO TITLE INSURANCE COMPANY SUBJECT TO SCHEDULE B AND THE CONDITIONS AND STIPULATIONS HEREOF, SAFECO TITLE INSURANCE COMPANY, a California corporation, herein called the Company, insures the insured, as of Date of Policy shown in Schedule A, against loss or damage, not exceeding the amount of insurance stated in Schedule A, and costs, attorneys' fees and expenses which the Company may become obligated to pay hereunder, sustained or incurred by said insured by reason of: 1. Title to the estate or interest described in Schedule A being vested other than as stated therein; 2. Any defect in or lien or encumbrance on such title; 3. Unmarketability of such title;, or 4. Any lack of the ordinary right of an abutting owner for access to at least one physically open street or highway if the land, in fact, abuts upon one or more such streets or highways; and in addition, as to an insured lender only: S. Invalidity of the lien of the insured mortgage upon said estate or interest except to the extent that such invalidity, or claim thereof, arises out of the transaction evidenced by the insured mortgage and is based upon a. usury, or b. any consumer credit protection or truth in lending law; 6. Priority of any lien or encumbrance over the lien of the insured mortgage, said mortgage being shown in Schedule B in the order of its priority; or 7. Invalidity of any assignment of the insured mortgage, provided such assignment is shown in Schedule B. r S 11 R .•• •.. iii �0:��66AF0RQTf� o��� IVA40�•4 X% 6 1.M4c, H 5 President Secretary i MIA )l 6 1982 An Authorized Signature v.1"!p��jlr�N L'i (Y J� L'llp RTjNpTA4ENT D_9101_'— fr. 9 1 Rev. B-73 OS41— im— a Ca 0" of we.n . Mpma.a Tmd— P -218-A (G.S.) Rev. 8-73 California Land Title Association Standard Coverage Policy -1973 THIS NUMBSR IS FOR t3AFWO V— 'V&lf 25.0 NO 2 3 8 4 SCHEDULE A Date of Amount of Insurance: 8 421,950.00 Policy No: C 5474 Policy: May 21, 1975 at ,8:00 A.M. Charge 8 232.00 1. Name of Insured: WILLIAM W. WITTMERS and KATHRYN M. WITTMERS 2. The estate or interest in the land described herein and which is covered by this policy is: a fee 3. The estate or interest referred to herein is at Date of Policy vested in: WILLIAM W. WITTMERS and KATHRYN M. WITTMERS, his wife, in joint tenancy 1. The land referred to in this policy is situated in the State of California; County of Santa Clara, and described as follows: (Cont'd on next page) BEGINNING at a point in the Northerly prolongation of the Easterly line of Tract No. 651 Knoll Vista Subdivision, a Map of which was filed in the office of the Recorder of the County of Santa Clara, State of California, on October 31, 1949 in Book 24 of Maps, page 39, distant along said Northerly prolonged line, N. 00 01' 15" E. 75 feet from the Northeasterly corner of Lot 10, as said Lot is shown upon said Map of Tract No. 651; thence running S. 00 01' 15" W. and along said prolonged Easterly line, 75 feet to the Northeasterly corner of -said Lot 10; thence along the Northerly line of said Lot 10, West 128.43 feet to the Northwesterly corner thereof in the Easterly line of Adriana Avenue, as shown upon. said Map of Tract No. 651; thence along said Easterly line of Adriana Avenue, N. 00 01' 15" W. 30.29 feet; thence continuing along said line of Adriana Avenue on a curve to the right, with a radius of 20 feet, through an angle of 480 11' for a distance of 16.82 feet; thence continuing along said line of Adriana Avenue, on a curve to the right with a radius of 40 feet, to a point on said Easterly line of Adriana Avenue that bears West from said point of beginning; thence leaving said line of Adriana Avenue and running East to the point of beginning, and being a portion of that certain 2.91 acres of land outlined on the said Map of Tract No. 651 hereinabove referred to, and being, a portion.of the Northwest 1/4 of Section 14, Township 7 South, Range 2 West, M.D.B. 9 M. Vow PART II 1. Taxes for the fiscal year 1975-1976 a lien, but not yet due or payable. 2. 'Deed of Trust dated May 13, 1975, recorded May 21, 1975 in Book B420 of Official Records, page 220, executed by William W. Wittmers and Kathryn M. Wittmers, husband and wife, as Trustors, to Imperial Corporation of America, a corporation, as Trustee and Imperial Savings and Loan Association; as Beneficiary to secure payment of $37,950.00 and other sums as therein provided. An Authorized Signature ADD11106 ID n nl�� ftf TIN0, CA 1 GAL 611, K m4 ND %lily Aad a � Shy ow v5 Gxl Ss�N y N�11J 900 Lu1 S FIM PLY 1.5 J015)' 3mAy 4't �= IZ No V FF &—rT 16 tJ F,r-sSv19691 VTC = No PLASS !!NM i?ojf j0]5 - J I 18' 50o� 1 "ac� 2xjo s 7 11L h = a 4D 107 v Lilt S6 S3 14 ".610 m=6&0 t W& L., 3017(_>z X 20 V6,4 N - I45 ml -J, �,Z 1 S .S' SPf'SrJ q . S'�3 f � I UJ = Q SO pL f y 15.5 = -7v-- w, L5q IG Vj, ;y- N11AY 2:41982 I ADD 36Lpe- 200" TbTf�L T)4tN 3 rnu2� BLDG. INSPECTION. 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Mply mastiy �x1s� nay Al l a � 5 1 6Y15T A,9.9 NOW �Ig pL y 1- RLQ., N 6vj �Xr MO AO I N )� I UK e 46 Qtz 142 e 32 V -17 1 USTENC4,-- aw b'UJ/N3 a. Lon. CAL-1-C.-OUP11IONS . ' y %0 -J HPAY' 41ON-0 -3F,.)jj 44-w- fbn NEW-boap - SCJ �r :16' SPP�t�i -- l� �a - _- — --= - 67D WZ, tO 1. CLTA•1973 SAFECO Trrim POLICY OF TITLE INSURANCE Issued from the office of VALLEY TITLE COMPANY San ,lose, California STANDARD COVERAGE SAFECO TITLE INSURANCE COMPANY SUBJECT TO SCHEDULE B AND THE CONDITIONS AND STIPULATIO\S HEREOF, SAFECO TITLE INSURANCE COMPANY, a California corporation, herein called the Company, insures the insured. as of Date of Policy shown in Schedul♦ A; against loss or damage, not exceeding the amount of insurance stated in Schedule A, and costs, attorneys' fees and expenses which the Company may become obligated to pay hereunder, sustained or incurred by said insured by reason of: 1. Title to the estate or interest described in Schedule A being vested other than as stated therein; 2. Any defect in or lien or encumbrance on such title; 3. Unmarketability of such. title; or 4. Any lack of the ordinary right of an abutting owner for access to at least one physically open street or highway if the land, in fact, abuts upon one or more such streets or highways; and in addition, as to an insured lender only: 5. Invalidity of the lien of the insured mortgage upon said estate or interest except to the extent that such invalidity, or claim thereof, arises out of the transaction evidenced by the insured mortgage and is based upon a. usury, or b. any consumer credit protection or truth in lending law; 6. Priority of any lien or encumbrance over the lien of the insured mortgage, said mortgage being shown in Schedule B in the order of its priority; or 7. Invalidity of any assignment of the insured mortgage, provided such assignment is shown in Schedule B. • ' -; VA �"C �'• �-'; tit H �QG� President Secretary �� 6 •. 5 s /II f ••••. 1, lt.1J I r t a •• � • 1� I G Pro 7 An Authorised Signature fir..• w....r• Cw.�, M.r.,t•. �•!••�.. i.wr r•trr w o i nvv Ccldc-lia Land Tice Rssociahcn i standotd „cvetoge Policy -1973 ' SCHEDULE A Date of Amount of Insurance: S 429950.00 Policy !1o: C 5474 Policy: May 21, 1975 at 8:00 A.M. Charge 8 232.00 1. Name of Insured: WILLIAM W. WITTMERS and KATHRYN M. WITTMERS 2. The estate or interest in the land described herein and which is.covered by this policy is: a fee 3. The estate or interest referred to herein is at Date of Policy vested in: WILLIAM W. WITTMERS and KATHRYN M. WITTMERS, his wife, in joint tenancy 1. The land referred to in thi:.holicy is situated in the State of California. County of Santa Clara, and dc�-c•ribed as fullows: (Cont'd on next page) BEGINNING at a point in the Northerly prolongation of the Easterly line of Tract No. 651 Knoll Vista Subdivision, a Map of which was filed in the office of the Recorder of the County of Santa Clara, State of California, on October 31, 1949 in Book 24 of Maps, page 39, distant along said Northerly prolonged line, N. 00 01' 15" E. 75 feet from the Northeasterly corner of Lot 10, as said Lot is shown upon said Map of Tract No. 651; thence running S. 00 01' 15" W. and aong said prolonged Easterly line, 75 feet to the Northeasterly corner of -'said Lot 10; thence along the -Northerly line of said Lot 10, West 128.43 feet to the Northwesterly corner thereof in the Easterly line of Adriana Avenue, as shown upon said Map of Tract No. 651; thence along said Easterly line of Adriana Avenue, N. 0° 01' 15" W. 30.29 feet; thence continuing along said line of Adriana Avenue on a curve to the right, with a radius of 20 feet, through an angle of 480 11' for a distance of 16.82 feet; thence continuing along said line of Adriana Avenue, on a curve to the right with a radius of 40 feet, to a point on said Easterly line of Adriana Avenue that bears West from said point of beginning; thence leaving said line of Adriana Avenue and running East to the point of beginning, and being a portion of that certain 2.91 acres of land outlined on the said Map of Tract No. 651 hereinabove referred to, and being, a portion of the Northwest 1/4 of Section 14, Township 7 South, Range 2 West, M.D.B. E M. .,ova r�Y 1•: Taxes for the fisca ►ear 1975-1976 a lien, bu, of yet due or payable. 2: Deed of Trust dated May 13, 1975, recorded May 21, 1975 in Book B420 of Official Records, page 220, executed by William W. Wittmers and Kathryn M. Wittmers, husband and wife, as Trustors, to Imperial Corporation of America, a corporation, as Trustee and Imperial Savings and Loan Association, as Beneficiary to secure payment of $37,950.00 and other sums as therein provided. ` 46'• .....�•. • -—, +�Kw, ".., --- � 1-ilit'n" . , � ,*- --'I ... i., , . .I '...", t -F. "I., -.1-1 ,-F-.--T-,-N".q!zj I ' 'k- . .. , - 't--�-,-11— - � " -�, ��. '-., �; � I.;',", ,-�-,,-,1'111�je,'�",,. �-;!,,,.- ;,� ,- 1;... 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' y -1• �N E +� ,r is r• , h,. :'x1 > .Q, •:pi's °'th tructoi^a1 ri;uF'��s <.� teci::t�'3 h:st�eGt='�'�Oe:rfo`rrri`zrag', e .9 :.fir �?;,aad�deszgiiragJa,thestz�bportng foundati�s, rThe ,�ound�atra$ F: nd� ext rior�, x h': ] bier ,�otznded-:a.'minimum oj°t 15tu7r zrehe�; `, a Gt'g ciepth� :be1o� ttie`loioest adjacent:°:'so1, pad `rnddegri. �,;t�� �'•s:4-,vc, ::..:. 7.. 1.. ,:•, .:.;:.'t.: ::.: �:' ;ttt:. F •iT .t h..,�-' .!>,h,,� . ..�•`. _ 1•;1.x, �$ r1'13 b. c ea,ig, me ..1: or'.:a'r� allo6a'b1 io baiar;i;n' ,t'; ' s'sia` p1tt 1 the T'ci- d .'' 'his` ualiae may tae $r peas � v�, to .include short term seismic and :'w tnd e,eats'a'"sj ', r :4r ->r lJ" S3a6 c'bn ax le O'orastract'ion ' c,... t M1I• ;:•' 1'0o s abs'. ' o' ''.e3`ean'�:g,raa e.L,,or.-clean,':cru'shed .r.ock.:,t�iaas,r: a;Iryr* rdQ:� ttoeen;'he �'intsheii''so.i'1' siakrgriade.arad slabs:; to serve'4$ NactcaF Id a citshiora layero: A ma.tstureproo,'-meabran e' -may °,fie Af tit a4ltar later in order to:;.r.edrace, :potential mo istuiie T aQ�adzsc�t�z `o,ort, e.ot�erings plao.ed on Y top off' {:the ,;concrete` ;�'l ogir�g4 r tZ, Ac iaid 4on'op off' ;t herjrnernbriane ibtll:.,serue to pro,teaihe�et#x�cai nstr bora ahA. wi11 ,a1sQ assist ari sltabil pnoaes,so �� `wind is to: be itse; on t op o,r? - iiia , meiMbrr4rae;,Pe tr g>act�e1 fon crushed `rock labei� maybe :dear°aaed, t a 2�;4Lrt}e aster shozzld` the ;o©mbined:` th$ckraes..s.:o '' grQve1, iznc sa�}d.I be Less thorn ' hdhe' : 'It: is ':r°eeoiirrrrtenderl :tl�a:t cz11; $r t Ai e,�2oor;slabsbn grade,:°in';`l.iving,areas,."oontart'�t .�erast,o'+1 le�ng ar�d ,be s�'rca,cturally t� ied;. to :';the`':,Touradatioras,'',t � - r, r �t '. �.•�ypN L+ kyytt(�{ /,�tF r -t : •>. � .1• ,. i•,-' .:: /�- ��. :/�, VI -479 I.,NO� and4f s�r�rr�{YYce wat ers,.,'t.odra in {OWW : .Ly,r!PAT1ONS"-'WAND ;t7tVIFORMY.QF''COND%�1"UIU, t : Jt �. , �c'us,i-o-rts�-Q�nd��'reo.om�nerada-ao�s�� rese►ated�';;trs'.nth s�=rte°w y. gra' thei rtisuliraves'i'gat lora .perpor�aiecipav& �htt`tPae ,. ;scrib'ea",`iia th::�ts_' repgrt,4,"'If':;acny thra�aaal::so$� eoxac$8tios;''taot cBLbyshe" iat�estJ$ga�xion ''pet',©riried;;,cat 'this time, at+e`e1xe��aatB�i a'on$tr+uct iora� r o,f ::'i,� 'the',pr�o Deed :`aons>tr uct ion'.:w$I $ , ci, arznec3z:cat the Rreserat t $meD ° anPr. Piscarao'� Asaac:d $tee §h 4 i 8�.fere�a o, ored $ t toms.: so that these'';o oi�d t't io�a tt� ` tmue��ara� Qcaest.ionsa' please do aaot, he`s tate '.tolaad Kr4 w�" t}4 -t: . ,' '" . r i [ t I. ri .• - ., .. I [ ,. f , � T ', f� l - ] ', .., t La - : :. �:, �'htF. ., - ..'r.-, , , - . , z •: , ., ww r se,i✓V�fw e nL� s'ae . r.�sia ietir?i'�ilivW "� ..,h,]5 j�. GIL MASTERS PhO,PE CONSULTING ENGINEER 1450 MILLS COURT MENLO PARK, CA. 94025 (415) 497-3658 April 9, 1982 STATEMENT OF COMPLIANCE WITH TITLE 24 I have carried out the Title 24 calculations for the proposed addition to the Wittmer residence in Cupertino. After the addition the entire bu.lding (not just the addition) will have a lower heat loss than a "Standard" building of the same dimensions, and so is in compliance. li l! APR3 19�� I. BLDG. INSPECTION DEPARTNIZU CITY 0-E CUPERTIN ,-` PROJECT DATA SUMMAR Form 1 r7� iTTi�FQ- owner 'PLIES t DE�JLE DD til O l.� project checked by system type date documentation author date r, ' SITE INFORMATION ZS (0 (0 OF- Heating Degree Day (from Appendix C) ...........«L\0........ HDD 1 day Outside Design Temperature (from Appendix C or Appendix G) ...................... Tow 2 3 - °F PROPOSED BUILDING ENVELOPE INFORMATION 212 Gross Floor Area if Low -Rise (from Calculations) ............................................ Af 3 ft2 Gross Wall Area if High -Rise (from Calculations) ............................................ Aw 4 ft2 Designed Glazing Area (from Calculations) .............. A9 5 s% ft 2 (Basic Glazing Area (16% of Line 3 if low-rise or 40%' of Line 4 if high-rise)........ Abg 6 43S ft2 Description of Assembly Glazing If-1SUt-PsTED Z U91 7 � • Btu/ (hr•ft2•°F) S+=yLIICS �BL Ug2 8 C•S Q \ Btu/(hr•ft2•°F) U93 9 Btu/ (hr• ftp •°F) Wall EX1STl�b — L1Nh5ULA'CFD Uwl 10 �'Z6 Btu/(hr•ft2•°F1 NE-LAJ Uw2 11 G.��3 Btu/(hr•ft2•°F) Uw3 12 Btu/ (hr .ft2•°F) Uw4 13 Btu/ (hr. ft2 •°F) Ceiling/Roof' EXIST�n1C-, R� Ucl 14 0'04is Btu/(hr .ft2•°F) W 61AJ 2 3O Uc2 15 6. 030 Btu/ (hr. ft2 • °F) Floor �-El1A 2 Ufl t6 0.04% Btu/ (hr •ft2•OF) �5LRB EDGE l "GZ'S Uf2 17 0.3� Btu/(hr.it�•°F) PROPOSED SPACE HEATING SYSTEM (Chapter 7) Gas Furnace O �� Building Design Hourly Heat Loss (from Form 2) ..................................... qh 18 t Btu/hr Maximum Allowed Bonnet Capacity,>,.!�x Line 18 ............................................... 19 53 c 000 Btu/hr Proposed Furnace Make Model Description Rated Bonnet Capacity Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 51 .................................... sLCCe 20 $ Lowest Life Cycle Cost of the Other Systems (from Form 5) ................... sLCCy 21 $ Non-Depletable Energy w/Electric Resistance Back -Up Percentage of Annual Heat Loss Met by Non-Depletable Energy Source (from Calculations)............................................................................... 22 % Hest Pump with Electric Resistance Supplementary Heat Percentage of Annual Heat Loss Met by Electric Resistance (from Calculations)............................................................................................ 23 % PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 8) Electric Resistance Alone Electric Resistance Life Cycle Cos! (from Form 6) ................................. wLCCe 24 $ Lowest Life Cycle Cost of the Other Systems (from Form 6) ................... wLCC 25 $ PROPOSED SWIMMING POOL HEATING SYSTEM. INFORMATION (Chapter 9) Solar Life Cycle Cost (from Form 7)............................................................... pLCCs 26 $ Natural Gas Life Cycle Cost (from Form 71 ...................................................... pLCCn9 27 $ HOURLY AND ANNUAL BUILDING HEAT LOSS nr,i E Form 2 �EQ-- owner IZ� IpET�C"� / ASD 1T10tJ project checked by CCA�cU�A�oNs f7.00, e -F system type date G .. MA.57ERs P�4n l ck 0% 2 - documentation author date HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE For All Conditions Other Than the Following 70OF - 31 _OF = &Tw1 Tow from Form 1 For Insulated Floor Over Vented Unheated Space, , , , , .. , . Line 1 = 2 .. = GTw2 ( For Uninsulated Floor Over Vented Unheated Space .... . Line 2 - SOF .. = &Tw3 CONDUCTIVE HEAT LOSS 1 15— OF 2 Z -c> OF 3 OF INFLITRATION (Enter 0 on Line 5 if there is positive ventilation) 2.72-0 I Area, f12 or U from Form 1, or Fsfrom Framing Factor from ATw from ft2, x ft x Description of Assembly Length, ft Table 4.1 Table 3-6 above I from Tabte3.7 Glazing 'Dbi 1/2. `% '341 x 0, 4q x - x 39 / /� = tOS (�O Stu/hr swi CA Nr-� 1s x 0 -Sq x x 39 345 Wall 0L0-UNlb34VLA-rED a10? x 0, 2(p x 0.95 x3 _ $737 NFA - R -►1 gb'3 x O.0 -i3 x 1. 2-11) x— 91 = 3290 X x x - Ceiling/Roof OLD - R-iq x / Btu/hr x x I.Is x - _ �50-79 0,048 x3�_ 1'104 x NES - Q-30 10'7 x 0.030 x 1-13 x 3g_ = 14k9 Floor ELEvk-rFp - Rk9 zo IB x x.04 x i,1S x %a = (q o3 SlA+O - %N'SUL- 75' x 0.35 x - x_39_ 10 Z3 Other SLPTAB - UNl"J50L- 37 x x - x -69 - 1(00 1 VM 84 x 0.4?�, x o.S x 3fj_ _ ?0 4 x x x - Subtotal 4 q 2- 1, 2,1-7 Btu/hr INFLITRATION (Enter 0 on Line 5 if there is positive ventilation) 2.72-0 I G-Occos 39 %20S ft2, x ft x x OF= 5 Gross Floor Area Weignted I from Tabte3.7 &T" from Average Ceiling Height Line 1 VENTILATION (Enter 0 on Line 6 if there is no positive ventilation) O ft3/min x OF x 1.08 = . . . . . . . . . . . . 6 Ventilation Rate from AT, from Line 1 Calculations -35,+ 422 Subtotal 7 / Btu/hr DUCT HEAT LOSS (Enter 0 on Line 8 if there are no ducts) 31 0.15 x Line 7 = 8 w D /'7 31/ p TOTAL (Line 7+8) qh 9 Btu/hr HDD from Appendix C ANNUAL HEAT LOSS OF-day/yr x Btu/hr xx 24 hr/day Hourly Heat Loss C from from Line 9 Table 3.8 OF ATw from Line 1 = Oh 10 Btu/yr W HOURLY AND ANNUAI BUILDING HEAT LOSS r,r-.rE Form 2 .. W owner project project checked by 5'C ASNOP.Rp UESIit-W FOS?— Gnw Paksno system type date �D • MP�STE'4ZS � r�.X � . 1 q � Z documentation author date HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE For All Conditions Other Than the Following 70°F - -31 °F = AT,, 1 OF Tot,,, from Form 1 For Insulated Floor Over Vented Unheated Space, , , , , . Line 1 = 2. = &T,2 2 20 OF For Uninsulated Floor Over Vented Unheated Space .... . Line 2 - 50F , = &Tw3 3 OF CONDUCTIVE HEAT LOSS Area, ft2 or U from Form 1, or Ftfrom Framing Factor from &Tw from Description of Assembly Length, tt Table 4.1 Table 3-6 above Glazing UA0� SGL— _ �4L x t • to x x 3Ck _ Oy l 1 V Btu/hr Wall R-11 1t?0 x x x x = = 1492$ x 4.OgS — x S1 x x x - x x x Ceiling/Roof R- �q 2-$ 3 X-- x — x x x - __ 65, t -2- x 3?9— Floor uOkwsV t.ATFl> -Z-7 Q x x x x - - x x 0.'L x x x Other x x x - x x x - x x x = Subtotal 4 3 0 Btu/hr INFLITRATION (Enter 0 on Line 5 if there is positive ventilation) 2-2 ft2 x 9 ft x 0.206 x Z19 OF 5 (020 Gross Floor Area weignted 1 from Table3-7 LT, from Average Line 1 Ceiling Height VENTILATION (Enter 0 on Line 6 if there is no positive ventilation) ft3/min x OF x 1.08 = .. . . . . . .. .... . . 6 Ventilation Rate from GTw from Line 1 Calculations Subtotal 7 r 2�3 Btu/hr DUCT HEAT LOSS (Enter 0 on Line 8 if there are no ducts) Btu/hr X32 0.15 x Line 7 = 8 • w �Z� � TOTAL (Line7+8) qh 9 �46 ANNUAL HEAT LOSS OF-day/yr x Btu/hr x -x 24 hr/day HOD from Appendix C Hourly Heat Loss C from from Line 9 Table 3-8 -.0, 10 Btu/yr OF G— t,,, from� + Line 1 HEAT TRANSFER COEFFI—NT PROPOSED CONSTRUCTIC ASSEMBLY Form 3 owner RFs �c�c>E/P� mo ►� project checked by system type Gate (j . M A sTE'czSp r:1g2- documentation author Gate List of Construction Components R 1. C jam' E'T' 2 t" Ry 5 13 p"rq Sketch of Construction Assembly Check one: Wall Weight tbm/ft2 ceiling/Roof loor 3. Fi tRS QAC � . Z 4. (�N-GlPYSS ttJSUL 1 5. 6. 7. 8. Inside Surface Air Film Outside Surface Air Film Total Thermal Resistance (RT) 6,92. heat i r g 0. C( heating 2A,92. heating 1/RT, Overall Heat Transfer Coefficient (U) 0.044 Btu/ (hr •ft2.OF) C PROPOSED CONSSTRUG I IUN AJJtrVlbL.Y C/R - 1 List of Construction Components R 1. 0.5" gypsum wallboard 0.45_ 2. 6" mineral fiber insulation 19.00 3. 4. 5. 6. Sketch of Construction Assembly 7. 8. Check one: Wall . Weight X Ceiling/Roof Floor 1 bm/ft2 Inside Surface Air Film 0.61 heating Outside Surface Air Film 0.61 heating Total Thermal Resistance (RT) 20.67 heating 1/RT, Overall Heat Transfer Coefficient (U) 0.048 heating .f'ROPOSEDCONSTHUCT0NAS3Ek48LY W-2 B 1f') | 0~ | ' ' List ofConstruction Components B ' / 1 6.5" gypsum wallboard _0/.45_-_ ^ ~ ~~� . I �» �r mf^�r^l f��fn�. ola+�nn ll~�>O\°�°�� �. ..� ....^... ..~^. ..~..-^_ 0 G" w��� fiberboard 3. ` --1.25__- 4_ building paper {.{6�___ 5. expanded metal reinforced stucco 0,875" O]R K C l Sketch vrco"mructio"x,sarnb:y 7. � 68 D 0.68 Check one: |n�uoSurface /\i, Film °""n"y --X� Outside 3u,/ac'eAir Film 0.17 heal. Weight --- «25 1b /, % .' ' Cei}ino/RooY ^ _ Total Thermal Resimance (RT) Fivo, heating ,� ��iciro� 1/RT.O,con Heat Tmn,f,,CorM(U) �' ^-c/ � HEAT TRANSFER OOEFFICIEN_T PROPOSED CONSTRUCTION, EMBLY JKeicn Ot l.onstruct,pn KssemD,y Check one: x �'lall Weight 425 lb /f12 r.iling!Roof Fioor Form :3 1 W-2 List of Construction Components R 1. 6.5" gypsum wallboard 0.45 2.. 3.5" mineral fiber insulation 11.00 3. 0.5" wood fiberboard _ 1.25 4. building paper 0.06 5, expanded metal reinforced stucco 0.875" 6. 7. B. Inside Surface Air Film 0.68 heating Outside Surface Air Film 0.17 heating Total Thermal Resistance (RT) 13.79 heating 1/RT, Overall Heat Transfer Coefficient (U) 0.073 heating r HEATTRANSFER COEFFICIENT PROPOSED CONSTRUCTI ASSEMBLY Foam 3 w t-rT Mme-- owner project Checked by ROOT- �CEII.t0t� system type date kqt documentation author date Sketch of Construction Assembly Check one: Wall Weight ,bm/ft2 List of Construction Components R ,. wed �ha1C�s o rg7 2. �AnWDOA a. 10 -glass ivlSu�a4C 30. 4. 0, k>wwOL o.4s 5. 6. 7. S. Inside Surface Air Film 0,6 heatlrg Outside Surface Air Film o heating ceiling/Roof '3 A 5 .,Total Thermal Resistance (RT) 'T _ Floor heating 1/RT, Overall Heat Transfer Coefficient (U) 6 * 0 Btu/ (he ft= • °F) ` ALTERNATIVE DESIGN' -WARY Farm 4 p - W ITTM Fes_ j owner l projecl checked by system type date G 9 , kT9 2 - documentation author date COOLED BUILDINGS WITH EXCESS GLAZING (Chapter 10) 8 Btuf F floor area of slab on grade remaining floor area Designed Grazing Area (from building plans) ............. ........-...............-......_..._.._ Ag 1 ft2 Basic Glazing Area (from Form 1) ......... ._............................................................................................... Aby 2 tt2 Northerly Gazing Area (from bu;iding plans)......................................................................................... Ang 3 tt2 Glazing Area Linder Regulation T20-1403(c)14)....................................................................... Line 1-2-3 - 4 ft2 If Line 4 < 0, there is compliance. Otherwise, complete Lines 5 and 6. Standard Design Hourly Heat Loss (from Form 2) .................. .........:.... qn 14 Shaded Glazing Credit ........................ _.................. (Area of glazing meeting shading requirements, Agd x 2 - 5 ft2 Area of glazing which must be tinted (if Line 6 < 0, tinted glazing is not required) Line 4-5 = 6 tt2 PASSIVE SOLAR EXEMPTION (Chapter 10) NONDEPLETABLE ENERGY SOURCE CREDIT (Chapter 5) Total Therma! Pass, MT (from calculations) .................. ......................... ....................................................... Standard Design Annual Heat Loss (from Form 2 using Line 14 above) ............................. .................... Or, 16 7 Btu/OF Basic Thermal Mass, Ml,,.,... ....... * --- *11 ft2 x 7.25 + h2 x 2.25 - 8 Btuf F floor area of slab on grade remaining floor area Area of Special Giazing Meeting Mass Requirements, Aym ..:........... (Line 7-8) = 30 - 9 ft2 Area of Special Gazing Meeting Shading Requirements, A9p (from calculations) ........................................... 10 tt2 Area of special 9!aziny exempted is the lesser of Lines 9 and 10. ENVELOPE COMPONENT ADJUSTMENT (Chapter 5) 46r Standard Design Hourly Heat Loss (from Form 2) .................. .........:.... qn 14 Stu/hr Proposed 4D, ? 3G Design Hourly Hear Lou (from Form 2) ......................... q 15 Btu/hr If Line 15 < Line 14 Here is compliance. NONDEPLETABLE ENERGY SOURCE CREDIT (Chapter 5) Standard Design Annual Heat Loss (from Form 2 using Line 14 above) ............................. .................... Or, 16 Btu/yr ProposE•d Design Annual Heat Loss (from Form 2 using Line 15 abovel..........:.....................................an 17 Stu/yr Annual Heat Loss Met by Nondepletable Energy Source (from calculations) ............................................... 18 Btu/yr Annual Heat Loss Met by DeplE-jable Energy Source.................................................................................. 19 Btu/yr If Line 19 < Line 16, there is compliance. LIFECYCLE COST DEFICIT ABSORBED BY THE BUILDING ENVELOPE (Chapter 5) Standard Design Hourly Heat Loss (from Form 2).................................................................................... qn 20 Btu/hr Hourly Heat Loss to be Absorbed by the Building Envalope (S--*, + S - .4t 3413 Btu/kWh x of sLCCe iLCClowest wLCCe wLCClowest E. from TW from from Form 5 from Form 5 from Form 5 from Form 5 Table 7-; Form ] - 21 8tu/hr oF-day!yr x x S-yr/kWh x 24 hr/day HDD from C from Pwe from Apoendix C Table 3-8 Table 7-3 Allowable Hourly Neat Loss of Proposed Des;gn.......................................................... ..............Line 20-21 - 22 Btulhs Proposed Design Hourly Heat Loss......................................................................................................... qn 23 BtUN . If Line 23 < Line 22, there is compliance. SOIL AND FOUNDATIONENGINEERS • GEOLOGISTS 1737 No. First Street • Suite 425 • San Jose • California • 95112 • (408) 287 •2023 File No, A6 -0797-J1 January 31, 1977 Lars Kolnes ' a$- y San dese Gali#eianis g5.129 Subject: Proposed Residence on the North End of Adriana Avenue Cupertino, California SOIL INVESTIGATION Dear Mr, Kolnes: As you authorized, a soil.investigation has been performed for your proposed residence on the subject property, Submitted here- with are six Copiesof our report, describing the results of the !� investigation, Our investigation indicates that the site is suitable for the proposed single family residence if the recommendations of the report are followed. Very truly yours, APPLIED SOIL MECHANICS, INC, /001 ohn M. Bianchi, C;E, Carl W. Greenlee, C,E, bh Copies: 6 to Addressee 1 to Panko-Sinclair Associates MAY 6 8 BLDG, INSPECTION DEPARTMERT. - 0a OF R ERTINQ File No. A6 -0797-J1 January 31, 1977 TABLE OF CONTENTS LETTER OF TRANSMITTAL SOIL INVESTIGATION Purpose and Scope Location and Description of the Site Field Investigation Laboratory Testing Soil Conditions DISCUSSIONS, CONCLUSIONS AND RECOMMENDATIONS t Suitability of the Site Grading Foundation Recommendations Concrete Floor Slab -on -Grade Construction General Construction Comments LIMITATIONS AND UNIFORMITY OF CONDITIONS Page No. 1 1 3 4 5 TABLE I - Summary of Laboratory Moisture, Density, Swell and Direct Shear Testing 14 TABLE II - Summary of Laboratory Atterberg Limits Test Results 14 LIST OF FIGURES Figure 1 - Site Plan and Location of Test Borings 2 Figure 2 - Log of Test Boring No. 1 15 Figure 3 - Log of Test Boring No. 2 16 Figure 4 - Log of Test Boring No. .3 17 RECOMMENDED GRADING SPECIFICATIONS 0111109 Soil MerdiMO .1_o File No. A6 -0797-J1 January'31, 1977 SOIL INVESTIGATIO14 Purpose and Scope The purpose of the soil investigation for the proposed single family residence in Cupertino, California, was to determine the surface and subsurface soil conditions on the site and, based on the conditions revealed by the investigation, to provide recommendations for the development of the area for residential use. The scope of our work included: It. 1. A reconnaissance of the site. 2. A field investigation, including drilling and sampling of the subsurface soils. 3. Laboratory testing of selected soil samples. 4. Engineering analysis of data and formulation of recommendations for the proposed house pad. S. Preparation of a written report. Location and Description of the Site The subject property is located on the north end of Adriana Avenue in Cupertino, California (see Site Plan, Figure 1). The proposed building pad, situated some 125 feet from the end of the cul-de-sac of Adriana Avenue, is essentially level and slopes gently downward in a northerly direction. The site was vacant at the time of our 1 APpHod Soil MOMMS File No. A6 -0797-J1 January 31, 1977 I f I 1 I I 1 1 r / Scale: 1 = 33:L 1 1 1 d C u 'u rt � C 1 d a 0 ,r Drainage Ditch--,� th `, �_' --� ��--•I�'� --gyp _a f ki s �u1 v rt € LEGEND + test borings 1 f SITE tv c Q STEVENS CREEK BLVD, rp Q c d d � ro C � � ro A O INDEX MAP no Sr "a Figure 1 - Site Plan and Test Boring Locations, Adriana Alria� limemags Cupertino, California 2 File No. A6 -0797-J1 January 31, 1977 investigation on December 17, 1976. There were tree stump remains in the area of the proposed building pad, with fruit trees to the rear of the site. There is an existing drainage swale along the south property line. Light weed growth was noted throughout the site. The general locations and descriptions referred to in this report are based on a visual inspection of the site by a representative of our office and a drawing by Panko-Sinclair Associates dated November 4, 1976. Field Investigation The drilling investigation was carried out December 17, 1976 and included the drilling of three exploratory borings at the approxi- mate locations shown on the Site Plan, Figure 1. The borings were drilled to a maximum depth of 20 feet below the existing ground surface. The borings were advanced by using a truck -mounted, power -driven drill rig with a six-inch diameter, continuous -flight type auger. The materials encountered were logged continuously in the fieldduring the drilling operations. Where possible, relatively undisturbed soil samples were obtained by driving a three-inch O.D. split -tube sampler by means of the "standard penetration" sampling method. This method consisted of driving the sampler into the ground using a 140-1b. hammer, falling freely through a vertical height of 30 inches. 3 Upped &i1�Meoa� File No. A6 -0797 -JI January 31, 1977 No groundwater was observed at any of the three test boring loca- tions within the depths drilled. Figures 2 through 4, Appendix A, Logs of Test Borings, show a graphic presentation of the soil encountered and the vertical locations of the undisturbed core samples obtained. Laboratory Testing In the laboratory, the in-place conditions of moisture content and 3 dry density of the core samples obtained during drilling were deter- mined by weighing a known volume of material, before and after oven drying. Classification and plasticity of the near -surface soils were determined by means of Atterberg Limits tests. Direct shear tests were performed on select, near -surface, undisturbed samples to assist in determining strength parameters for the native soil. The results of.all laboratory tests performed are summarized in Tables I and II, Appendix A. 4 APuNd Soil MOMaOS File No. A6 -0797-J1 January 31, 1977 Soil Conditions The soil types and conditions vary only slightly over the subject site. The native soils were found to be typical valley alluvium, with essentially horizontal bedding plans. In general, the soil profile consists of a 3.5 to 4.5 foot surface layer'of dense,light brown, fine, silty sand and gravel. Below this layer is a medium brown silty sand with some gravel, which is 3.5 to 5.0 feet thick. The soil underlying these two upper layers consists primarily of a light brown, silty sand and gravel with gravel percentages in- creasing with depth. All of the native soil deposits investigated on the site appear to be low in expansive potential, with good vertical drainage, and of sufficient density to safely support the proposed residence without detrimental settlement, once recommended site grading has been acceptably completed. No groundwater was encountered in any of the three test borings to the depths penetrated at the time of drilling on December 17, 1976. 5 APPROd SoilnMeihaPIc$ File No. A6 -0797-J1 January 31, 1977 DISCUSSIONS, CONCLUSIONS AND RECMIENDATIONS Suitability of the Site 1. The proposed residential building pad area covered by this inves- tigation is considered suitable for the proposed one story, single family home, provided the recommendations set forth in this report a are incorporated into the design considerations and the project plans and specifications. The proposed location of the house on the sub- ject site is as shown on the enclosed Site Plan, Figure 1. It is our understanding that the house will be essentially fitted onto the natural ground surface, requiring only minor lot grading. The wood frame house is planned with.raised wood floors, except for the con- crete slab -on -grade garage floor. No basements are contemplated. 2. The native soils may be used for the creation of compacted structural fill or backfill after removal of all native soils con- taining debris or organics. In no case should organically contami- nated soil strippings be used as structural fill under the building or driveway areas. Grading 3. The placement of fill and control of any grading operations at the site should be done in accordance with the Recommended Grading Speci- fications included in Appendix B of this report. Any imported struc- tural fill must be approved by the Soil Engineer before being brought to the site. 6 ARM soil Mech File No. A6 -0797-J1 January 31, 1977 4. The surface soils over the entire site to an average depth of 12 inches have been disturbed by cultivation and tree removal, por- tions of which are contaminated with organic matter resulting from surface weed growth. On the average, the top 1 to 3 inches of organic material should be stripped and stockpiled for later use in landscaping. The exact depth of organic surface soil stripping re- quired shall be determined by the Soil Engineer at the time of grading operations and shall be based on the conditions existing at that time. 3 5. All organic surface soil, debris, abandoned utility lines, buried tanks and large roots should be removed from the area to be developed. 6. Following the clearing and stripping operations, the then -exposed surface should be scarified to a depth of 8 inches, moisture condi- tioned as necessary and compacted to the minimum relative compaction of 90%. At this point the area will be in condition to receive foundations or compacted fill. All structural, native and imported soils must be compacted to at least 90% relative compaction. 7. Native soils, free of organics and other deleterious material, -may be used as structural fill. In no case shall stripped, organic material be used as compacted fill on the building pad or under any pavement section. All proposed import structural fill shall be non - expansive, be free of organics and other deleterious material, have no rock pieces larger than 4 inches in diameter, and have sufficient clay binder to provide stabile foundations and utility trench excavations. 7 40ho soil MEN& File No. A6 -0797-J1 January 31, 1.977 8. The Soil Engineer should be notified at least 48 hours prior to commencement of any grading operations so that he may coordinate the work in the field with the contractors. 9. Should there be any known existing utilities or underground irrigation lines on the subject site, they should be located on the grading plans to assist the field engineer in providing for their proper removal during grading operations. Foundation Recommendations I 10. The proposed one story house may be supported by a variety of foundation systems, including continuous perimeter strip and iso- lated spread footings. Design criteria for other types of founda- tions are not presented herein, since continuous strip and isolated spread foundations are expected to be the most economical for the soil conditions existing on the site. 11. Continuous perimeter strip footings should be reinforced with at least two No. 4 horizontal steel bars, with one placed near the top and one near the bottom of the foundation cross section. The actual design of the foundation, including detailed reinforcing _requirements, shall be determined by the structural engineer per- forming the structural analysis of the building and designing the supporting foundations. The foundations, interior and exterior, should be founded a minimum of 12 inches (trenching depth) below the lowest adjacent compacted soil pad grade. If the pad is not 8 Flied Soil Mee' File No. A6 -0797-J1 January 31, 1977 compacted as outlined in -Paragraphs 3 through 8, then a minimum of 18 inches (trenching depth) should be used. For the above condition, in either firm undisturbed native soil, properly compacted approved import fill, compacted native soil fill, or combinations thereof, the foundation may be designed for an allowable bearing pressure of 3000 psf for dead plus live loads. This value may be increased by one-third to include short term seismic and wind effects. Concrete Floor Slab -on -Grade Construction It. 12. Living Areas: For interior concrete floor slabs -on -grade in living areas, 4 inches of clean gravel or clean crushed rock material should be used between the finished soil subgrade and slabs to serve as a capillary break and a cushion layer. A moistureproof membrane may be placed within this granular.layer in order to reduce potential moisture condensation under floor coverings placed on top of the concrete floors. Two inches of clean sand on top of the membrane will serve to protect the membrane during construction and will also assist in stabilizing the concrete curing process. If sand is to be used on top of the membrane, the unerlying gravel or.crushed rock layer may be decreased to 2 inches. In no case should the com- bined thickness of gravel and sand cover just described be less than 4 inches. It is suggested that all interior concrete floor slabs -on - grade in living areas contain at least wire mesh reinforcing and be structurally tied to the foundations. 9 WHO Soil�MOMBIS File No. A6 -0797-J1 January 31, 1977 13. Garage Floor: Due to the low expansive, granular nature of native soils, the use of wire mesh within the.garage floor slabs and baserock under the slabs are.considered optional. The garage slab should be divided, ideally, into four to six essentially equal sections during construction to assist in controlling shrinkage cracking. 14. Driveway: It is our opinion that the use of wire mesh rein- forcing and the placement of baserock under the driveway concrete slab -on -grade will not be necessary a, The driveway may, at the builder's option, be placed directly upon a firm, moistened, in- situ native soil subgrade. The driveway slab should be divided into several nearly equi-dimensional segments by means of deep _..scoring, redwood dividers, or divider strips cast into the concrete, to assist in controlling unsightly shrinkage or.curing cracking. General Construction Comments 15. The use of continuous roof gutters is optional. However, when roof gutters are used, splash blocks must be provided at the down- spouts to carry the collected rain water away from the house. 10 Who soft llyhch ®i t APPENDIX A i Summary of Laboratory Test Results Logs of Test Borings File No. A6 -0797-J1 January 31, 1977 TABLE I Summary of Laboratory Moisture, Density, Swell and Direct Shear Testing Sample Depth In -Place Conditions Swell Index Direct Shear Testin TABLE II Summary of Laboratory Atterberg Limits Test Results Atterberg Limits Sample Depth Description of Soil Liquid Plasticity Limit Index No. ft. % (P. I.) Boring 1-2 Native Soil: Light Brown Silty No. 1 SAIN;D w/Gravel 21-.8 6 14 WHO Sail NO Moisture :Dry % Swell --i- Angle of Unit Content Density 7o Moisture Internal Cohesion Increase Friction W/ 100 psf, No. ft. % dry wt. pcf Surcharge (degrees) psf 1-1 2 7.6 101..7 0.9 ..31 .160 1-2 5 7.2 100.0 1-3 8 8.5 100.8 ►. TABLE II Summary of Laboratory Atterberg Limits Test Results Atterberg Limits Sample Depth Description of Soil Liquid Plasticity Limit Index No. ft. % (P. I.) Boring 1-2 Native Soil: Light Brown Silty No. 1 SAIN;D w/Gravel 21-.8 6 14 WHO Sail NO 'File No. A6 -0797-J1 January 31, 1977 Figure 2 - Log of Test Boring No. 1 15 Who W-1 memollirs IN- PLACE DEPT :754MPLE LOG B Penelrotfon DESCRIPTION IN NO. LOCATION R., i, DRY MOISTURE FEET Of SAMPLE 840.3/ft DENSITY p.t.l. CONTENT %Err r1. 0. Boring No. 1 Light Brown Silty fine SAND 2. with fine Gravel dry,very dense (SM) 1-1 : �:,:' 33 101.7 7.64. Medium Brown Silty SAND 6, 1-2 .•ro�;: �;:'. :::,;:�:;;: 16 with Gravel, dry, medium dense 100.0 7.2 r•:: �:�; •: (SM) 8 • 1-3 22 100.8 8.5 :'+:-;'•�'; Light Brown Silty SAND •10• with some Gravel, dry, dense (SM) -12- 2 .14. •14• a ,16, �. Medium Brown Silty SAND with '18' ;')t; coarse Gravel, moist, very dense a: (S11) .20. Boring Terminated at 20 Feet Figure 2 - Log of Test Boring No. 1 15 Who W-1 memollirs File No. A6 -0797-J1 January 31, 1977 Figure 3 - Log of Test Boring No. 2 16 �Rpiied Soii Me�a�cs IN- PLACE DE➢TH SAMPLE LOG B Pmutt°tion DESCRIPTION IN NO. LOCATION p ji3tma DRY MOISTURE FEET OF SAMPLE DENSITY p.tt. CONTENT %dry rt. Boring No. 2 0• 2-1 ::�:.; 36 Light Brown Silty fine SAND 116.2 4,1 2• with Gravel , dry , very dense (SM) f.Q:.:... 4' Medium Brown Silty SAND with some Gravel, dry, very dense(SM) 6•.e.';� 10• Light Brown Silty SAND with coarse Gravel, dry, very dense 12 • cl;. -I'. (SM) 14• "�. Becoming moist 16 •18• =�� ;x�, Boring Terminated at 19 Feet Figure 3 - Log of Test Boring No. 2 16 �Rpiied Soii Me�a�cs File No. A6 -0797-J'1 January 31, 1977 Figure 4 - Log of Test Boring No. 3 17 applied soil Me'Panics IN- PLACE -MZTi SAMPLE LOG B Psutrotfon DESCRIPTION IN NO. LOCATION R„„tCnn DRY MDISTURE FEET OF SAMPLE Blo+f/N DENSITY p.e. I. CONTENT % Or, ■t. Boring No. 3 0. '1 1 Light Brown Silty fine SAND 2• "I' �•• with coarse Gravel dry, dense (SM) 'Q�:.O•�: Medium Brown Silty SAND with 6• some Gravel, dry, dense (SM) 8 •10. 'F Light Brown Silty SAND with coarse Gravel 12' dry, very dense (SM) 14• 16• Becoming moist 18' �; a .20. Boring Terminated. at 20 Feet I __j Figure 4 - Log of Test Boring No. 3 17 applied soil Me'Panics