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B-2017-1175
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR. PERMIT NO: B-2017-1175 10268 PARKWOOD DR APT 3 CUPERTINO, CA 95014-1519 (326 27 037) THERMAL MECHANICAL SANTA CLARA, CA 95054 OWNER'S NAME: AVERY GLENBROOK LP OWNER'S PHONE. 650-593-8115 LICENSED CONTRACTOR.'S CONTRACTOR.'DECLARATION License Class C-4. C -1 0:C -36-C-38 Lic. #256057 Contractor THERMAL MECHANICAL Date 01 / 1/2018 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 1. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Merformance of the work for which this permit is issued. ave and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per tupertino Municipal Code, Section 9.18. Date 7/26/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or ;my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 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. 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith, comply with such provisions or this permit shall be deemed revoked. ' APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 7/26/2017 DATE ISSUED: 07/26/2017 PHONE NO: (408) 988-8744 BUILDING PERMIT INFO BLDG X ELECT X PLUMB MECH X RESMENTLAL _ COMMERCIAL JOB DESCRIPTION BLDG #4/UNIT#3, ADD (N) A/C; REPLACE FURNACE, SAME LOCATION, (N) WASHER AND DRYER HOOKUPS; (I) ELECTRICAL SERVICE (70 AMP); (N) GAS LINE FOR STOVE, (I) RECEPTACLE OUTLETS; (I) LIGHT, (I) BATHROOM EXHAUST FANS. Sq. Ft Floor Area: I Valuation: $20000.00 APN Number- Occupancy Type: 326 27 037 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by Abby Ayende RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 7/26/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sectio 5505, 25533, and 25534. gwner or authorized agent: Date: 7/26/2017 CO STIRI TION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CUPER,�„�� (408),777-3228 • FAX (408) 777-3333 • building(a)cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑X ALTERATION I TI ❑ REVISION / DEFERREED9 ORIGINAL PERMIT # PROJECT ADDRESS APN # ®� 10268 Parkwood DR, BLDG 4, Unit #3 b. OWNER NAME PHONE E-MAIL Avery Gienbrook LLC 650-961-8330 avery@pacbell:net STREET ADDRESS 130 East Dana Street cITY, STATE, Mt. View, CA 94041 FAX 650-961-0571 coNTACT NAME Rob Moyer PHONE 408-593-8115 E-MAIL rmoyer@thermalmech.com STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP FAX 408-988-0233 Santa Clara, CA 95054 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT IX CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME. LICENSE NUMBER 256057 LICENSE TYPE BUS. LIC # 299 Thermal Mechanical - C-4 10 20 36 38 COMPANYNAME Thermal Mechanical E-MAILrmoyer@thermalmech.com FAX 408-988-0233 STREET ADDRESS 425 Aldo ave. CITY, STATE,zIP Santa Clara, CA 95054 PHONE 408-988-8744 ARCIIITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OFWORK add new AC, replace furnace in same location, (N) washer/,dryer hook ups, (N) electrical panel (70 AMP), (N) gas line,for stove, (N) electrical ,outlets, (N) light, (N) bathroom exhaust fan SE CONSTR. TYPE # STORIES EXISTINGUSE PROPOSEDU USE TYPE. OCC, SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM - KITCHEN `. OTHER REMODEL AREA REMODEL AREA. REMODEL AREA PORCH AREA _ DECK_ AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH. ' #DWELLINGUNrrS: ISA SECOND UNIT E] YES SECOND STORY OYES BEINGADDED? []NO ADDITION? ❑NO PRE -APPLICATION ❑ YBSIF YES, PROVIDE COPY OF IS THE'BLDG AN ❑ YES , RCE? ,[�'; ;<� g TOT VALUATION: PLANNINGAPPL # ❑ NO PLANNING APPROVAL LETTER EICHL'ER HOME? ❑ NO mkk By my signature below, I certify to each of the following: I am the property owner or authorized agent to action the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constru tion. I authorize repres natives of Cupertino to enter the above-identi d pr pertly for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQU 3'T A1s;CFiEGIt' AOt7TNSItTx . , _ New SFD or Multifamily dwellings: Apply for -demolition permit for° oR�u ItFltt 1GrAlttY existing building(s). Demolition permit is�required prior to issuance of building permit for new building. i3 Ext?1tI S ©"fitNIG 12EYkRWY Commercial Bldgs: Provide a completed Hazardous Materials Disclosure l sALUJIAitD}i!lShtO wow form if any Hazardous Materials are being used as part of this project. Copy of Planning Approval Letter or Meeting with Planning prior to lnz I�[AaCSIe '. ) 1 NZT s it DisTRt submittal ofBuilding Permit application. ` BldgApp_201 Ldoc revised 06/21/11 MANUFACTURER INFORMATION: PABCO® Gypsum a division of PABCO® building products, LLC PO Box 419074 Rancho Cordova, CA 95741 Technical Services: 866-282-9298 www.PABCOgypsum.com PABCO® Gypsum Specification PGS-002 ASTM specification C 1396 DESCRIPTION: The FLAME CURB® family of gypsum panel products is composed of a fire-resistant gypsum core, reinforced with glass fibers that provide increased strength and enhanced fire-resistant properties. The paper encasing the proprietary core is manufactured with 100% recycled paper and is folded around the long edges to reinforce in addition to protecting the core; the panel ends are cut square. The long panel edges are tapered, allowing a recessed joint area to be reinforced and concealed to create a monolithic surface suitable for decoration. FLAME CURB® Type X and 1/2” FLAME CURB® Type XXX meets and/or exceeds the requirements specified by ASTM under its wallboard standard ASTM C 1396 Type X. FLAME CURB® Super ’C’ is appropriate for applications requiring an extended fire resistance performance that exceeds the Type X “classified” core formulation in fire-resistive performance. This product was developed with the addition of mineral additives integrated into the product’s core to enhance the gypsum core’s performance during the exposure to fire. For fire and sound rated systems it is important to consult the appropriate fire resistance directory or test report for specific components and assembly that are acceptable for use in the specific system. Systems using FLAME CURB® Super ‘C’ qualify for fire ratings up to 4 hours in walls, 3 hours in ceilings and 4 hours for column protection. FLAME CURB® Type X and FLAME CURB® Super C are “classified” by Underwriters Laboratories in accordance with ASTM E 119 UL 263. continued on back Job name: Contractor: Date: PRIMARY USES: FLAME CURB® products are a non-structural gypsum panels intended for interior walls, ceilings, and partitions in residential and commercial applications which often require specific fire-resistant assemblies. FLAME CURB® Type C is appropriate for applications requiring an extended fire resistance performance that exceeds the Type X “classified” core formulation in fire-resistive construction. Additional applications include use as a roof underlayment per GA-276. This product is designed for direct mechanical attachment to metal or wood framing members. With the wallboard joints properly treated per GA-216 and GA-214, FLAME CURB® products will resist the passage of smoke. LIMITATIONS: • Intended for interior applications, and shall not be used where there will be direct exposure to water or continuous high humidity before, during, and after construction. • Non-load bearing • Avoid exposure to temperatures exceeding 125 degree F (52 degree C) for an extended period of time. • PABCO® FLAME CURB® is a non-structural panel, not to be used as a structural fastener base or to support wall or ceiling mounted objects. • All materials used in conjunction with the application of FLAME CURB® Type X, XXX or Super ‘C’ gypsum panels in Fire or Sound Rated systems shall be installed as specified in the applicable specific test report. APPLICATION: PABCO® Gypsum endorses the Gypsum Association’s publication GA-214, GA-216 (www. gypsum.org) and ASTM Standard Specification C840 (www.astm.org) as its application specification that provide detailed instructions on the standard application of wallboard panels and proper joint finishing procedures. For fire and sound rated systems it is important that you consult the appropriate fire resistance directory or test report for the complete assembly documentation and related information. These systems must be installed in strict compliance with the detailed fire test assembly description, including core types and other components such as studs, fastener spacing and fasteners type and installed as tested. To qualify for listed sound ratings, special caulking, insulation or clips are generally added to the systems as detailed in the test report. FIRE RESISTANT RATINGS: Fire Resistance Rated Designs are promulgated from tests performed at IAS* certified independent testing laboratories, and these designs include specific materials assembled in a precise configuration. When choosing construction details to achieve specific fire- resistance rated requirements, care must be taken to insure that each component of the specified assembly is the proper one specified in the referenced fire-resistance rated design, and assembled in accordance with the specific requirements of the assembly. *The International Accreditation Service — IAS — is a non-profit, public benefit corporation and a leading accreditation body in the United States. Internationally recognized, accreditation by IAS makes it easier to market products and services both inside and outside the United States. STORAGE & HANDLING: FLAME CURB® Type X, Type XXX, Type C, Super C what the job demands Arnold Hom 07/26/17 Store all PABCO® gypsum panels flat; do not store on edge as panels are heavy and may fall over causing injury or death. Store in an area that offers protection from adverse weather conditions, condensation, and other forms of moisture. Avoid job site conditions that expose gypsum board to water or moisture. Plastic shipping bags are temporary, and intended for protection during transit only, and must be removed promptly upon arrival. Store gypsum board under protected cover, off the ground with sufficient support to prevent sagging. Exercise proper care to avoid impact and/or scuffing of the glass faces, undue flexing, and damage to panel’s edges, corners, and ends. WARRANTIES & REMEDIES: Current warranty information for this product is available online at www.PABCOgypsum.com. LEGAL NOTICES: PABCO® Gypsum, the PABCO® logo, what the job demands™, and FLAME CURB® are trademarks or registered trademarks of Pacific Coast Building Products, Inc. and licensed to PABCO® Gypsum in the United States and other countries. Products described herein may not be available in all geographic markets. Consult your PABCO® Gypsum sales representative for information. Product features and Information subject to change without notice. Visit www.PABCOgypsum.com for product updates and current information. PRODUCT DATA, SIZES & TYPES: Product Thickness Width Length1 Edge Type Weight2 UL Core Type Type XXX 1/2" (12.7 mm) 48" (1219 mm) 8’ - 12' (2438 mm to 3658 mm) Tapered 1.9 lbs/ft 2 PG-3 Super C 1/2” (12.7 mm) 48” (1219 mm) 12’ (3658 mm) Tapered 2.0 lbs/ft 2 PG-C Type X 5/8” (15.8 mm) 48” (1219 mm) 8’ - 12’ (2438 mm to 3658 mm) Tapered, Round 2.2 lbs/ft 2 PG-11 Type X 5/8” (15.8 mm) 54” (1372 mm) 8’ - 12’ (2438 mm to 3658 mm) Tapered 2.2 lbs/ft2 PG-11 Type C 5/8” (15.8 mm) 48” (1219 mm) 12’ (3658 mm) Tapered 2.4 lbs/ft2 TYPE C PACKAGING: 2 pieces per bundle, face-to-face, and end labeled. 1Length availability may change; other lengths may be available on a special order basis. Consult with your local PABCO® representative 2Represents approximate weight for design and shipping purposes. A more exact weight may be available for your area; consult with your local PABCO® representative. APPLICABLE STANDARDS & TECHNICAL DATA: FLAME CURB® Thickness 1/2” 5/8” Manufacturing: ASTM C 1396 Installation: Gypsum Association GA-214, GA-216 – www.gypsum.org ASTM C 840 – www.astm.org Surface Burning Characteristics (ASTM E 84): Flame Spread 15; Smoke Developed 0 Combustibility (ASTM E 136): Non-Combustible Fire-Resistant Assemblies: Gypsum Association GA-600, Fire Design Manual Underwriters Laboratories, UL Fire Resistance Directory Permeance (perms; ng/Pa.s.m2) (ASTM E 96): > 1 > 1 Flexural Strength, Load lbf (N) (ASTM C 473): Test Method B Perpendicular to substrate edge 110 lbf (489 N) 107 lbf (476 N) Parallel to substrate edge 40 lbf (178 N) 46 lbf (205 N) Humidified deflection (ASTM C 473): 10/8” (32 mm) 5/8” (16 mm) Thermal resistance R value (ASTM C 518): 0.45 0.48 Composition: 100% recycled paper face, gypsum core Material Safety Data Sheet MSDS: MSDS available at www.PABCOgypsum.com, Technical Data Foil Application: Foil may be applied to the back of ASTM C 1396 gypsum wallboard for the purpose of complying with ASTM C 1396 paragraph 5.1. PABCO® Gypsum literature: “Construction Guide: Fire & Sound Rated Systems” Recycled Content: Refer to PABCO® Sustainable Materials Data Sheet for plant specific details. Federal Specification SS-L-30D Type III, Grade X. For Type C products should the Grade for the Federal Spec be ‘’R’. The federal specification for gypsum board, SS-L-30d was withdrawn in 1984. It is provided here for informational purposes only. NEED HELP WITH A PROJECT OR HAVE QUESTIONS ABOUT THIS PRODUCT? Contact the PABCO® Gypsum Technical Services Team at (866) 282-9298. ACHIEVE HIGH STC DESIGNS LIKE NEVER BEFORE WITH QUIETROCK! Visit www.QuietRock.com or call (800) 797-8159 to speak with a product specialist. FLAME CURB® Type X, Type XXX, Type C, Super C what the job demands Arnold Hom 07/26/17