13070080 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19967 TWILIGHT CT CONTRACTOR:LARRABEE& PERMIT NO:13070080
ASSOCIATES INC
OWNER'S NAME: SAYRE WILLIAM L AND BONNIE L 36 RAILWAY AVE DATE ISSUED:07/11/2013
OWNER'S PHONE: 4086791414 CAMPBELL,CA 95008 PHONE NO:(408)364-9000
0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL®
License ClassLic� ?/ 3 VOLUNTARY FOUNDATION REPAIR
�
Contractors
Date
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:
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 Valuation:$7000
performance of the work for which this permit is issued. Sq.Ft Floor Area:
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 APN Number:31631036.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION S IF WORK IS NOT STARTED
I certify that I have read this application and state that the above information is PERMIT EXPIRE
correct,I agree to comply with all city and county ordinances and state laws relating WITHIN 180 MIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter 180 D R CALLED INSPECTION.
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 ate: 9-11) lu
granting of this permit. Additionally,the applicant understands and will corn
s
with all non-point source gulations the Cupertino Municipal Code,Section
9.18. _RE-ROOFS.
Signature Date_
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,
0 OWNER-BUILDER DECLARATION Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,as owner of the property,or my employees with wa—
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) HAZARDOUS MATERIALS DISCLOSURE
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a) or devices which emit hazardous should I store or handle hazardous
I
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipm2t
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Ara Air Q lity Management District I
will maintain compliance with the rupeino Mu ipal Code,Chapter 9.t�and
*7' cipa
performance of the work for which this permit is issued. e 5
the Health&Safety Code,Sect s 255 255 ,and 25534.
1 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
Owner or authorized agent: Date:
permit is issued.
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 CONSTRUCTION LENDING AGENCY
Compensation laws of California. If,after making this certificate of exemption,I construction lending agency for the performance of
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECTS DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional_�
9.18,
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 0
CUP 15ATINO (408)777-3228.FAX 1,408)777-3333•building2cupertino.ora
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/Ti ❑ REVISION 1 DEFERRED ORIGINAL PERMIT#
ss;,1, - 'r —17�1- APN# t6 O
AME
STREET ADDRE r CITY, STATE,ZIP FAX
Co PH /C3 C�Cj E-MAIL
7
STREET$Dp�F J� �� Ctf1''S �',✓--�•� }"S � � � � r .
❑ ON;MR ❑ O1A*7X R-BUIIAER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHIMC� TG❑ENGINEER ❑ DEVELOPER ❑ TENANT
CCO`NTRA 0 N ,• rc LIICCE_ISE NR .` LICENS TYPE BUS.LIC#
COMP 1-7 /ted J E �p✓r.L "*`"w/GESi� C�r✓9 F
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ARCHITECT/EN/Gv LICENSE mimBER BUS.LIC#
COMPANY N E-MAIL FAX -
S'T`REET ADDRESS CITY,STATE, PHONE
DESCRIPTION O WORK
C
EXISTING USE PROPOSED USE CONSTR TYPE ;STORIES
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 TORCH AREA GARAGE AREA: DETACH
[3
ATTACH
#DWELLINGUINITS: IS A SECOND UNIT []YES SECOND STORY []YES
BEINGADDED? NO ADDITION? ❑NO -
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑IT S CEI y-s �, '�-,' TOT VALUATION:
PLANNINGAPPI,# E]NO PLANNING APPROVAL LETTER EICHLERHOME? ❑NO �..�_ :� "`�� � "`
-`x3" ''va s'..�,;w•irt 6/(�✓
By my signature below,I certify to each o/
of Cupertino to enter thebave-i iced pr erty for inspection purposes.,
Signature of Applicant/Agent-,
SUPPLEMENT IFORMATION REQUIRED Pav Yr k >
_New SFD or Multifamily wellings: Apply for demolition permit for
YERTHE-CC�U7t'TERs? ��� ���U�,D�GPI;A�REVIEW�`��x��.�x*•
existing building(s). Demolition permit is required prior to Issuance of buildings r k M
perm!t for new building.
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
fosrAhDxD 4 l� uB' � r E
.Y c, y ,�, c° '.r '` `+, s Sys,�„ rs rev u'S- '`+� °k'' z �a�=z•
rm if any Hazardous Materials are being used as part of this project.
�,�•*�GF�' � ��k��"��.�`'I'�" s`��`'.IItE�DEP'�.,x��.� � x�,�sA�,,�y e„��"'?�_.
_Copy of Planning Approval Letter or Meeting with Planning prior to n I51
submittal of Building Permit application. tTTAR sxpasTRYe �
.�.aE?e`S'TRt3Te'�43Eh'TiS�,HLALTH_�i '�:..:
BldgApp_201].doe revised 06/21111
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
RkPERMITTYPE:
DDRESS: 19967 TWILIGHT CT DATE: 07/11/2013 REVIEWED BY: MELISSA
PN: 316 31036 BP#: *VALUATION:Building Permit PLAN CHECK TYPE: Alteration 1 Repair
PRIMARY BPD Or Duplex PENTAMATION 1GENRES
USE: p PERMIT TYPE:
WORK VOLUNTARY FOUNDATION REPAIR
SCOPE
XEOi, Plan CheekLj phwr, f.'crrr C'hec'k
r�i:.:dr. 1"erinit Fee: I lumlr.Permit F"': litec. t'erinit Fee:
tJllter°T e!cka.Irrs . OtherPlumb Ir Other E1ec.inspr
r1:Irch,1 up. tree: T'lunib. h7s7. Fee: �ic'r'.I zs f.Fec:
NOTE.This estimate does not include fees due to other.Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District etc . These ees are based on the nelimina information available and are onl an estimate. Contact the De t or addn't info.
FEE ITEMS[Fee Resolution QTY/FEE MISC ITEMS
Plan Check Fee: $0.0011 1 1 /# Foundation Repair
Suppl.PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 $834.00 1FOUNDREPA
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee-0 Reg. 0 OT 0,0 hrs $0.00
PME Unit Fee:. $0.00
PME Permit Fee: $0.00
("onsiructionTax: FA
Crlrnitf?. tfArxti�°t ,1' c.'
Work Without Permit? 0 Yes (j) No $0.00
Advanced Planning Fee; $0.00 Select a Non-Residential E)iravcyl l)r�crr� .cntoPi€n Iq"r gas: Building or Structure. 0
t
Stronsz Motion Fee: IBSE1SMICR $0.70 Select an Administrative Item
Bldg Stds Commission Fee: iBCBSC $1.00
SCI"TTA a $1.70 $834.00 TOTAL FEE. $835.70
Revised: 07/01/2013
�p
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: 408-777-3228
CUPERTINO Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
PERMIT# 1-3 0
JOB ADDRESS:
OWNER'S NAME: PHONE
GENERAL CONTRACTOR: ,,,..,M��e BUSINESS LICENSE# ` 1
ADD4CE�SS �,,..,d���Mni-M�r CITY/ZIPCODE:
*Our municipal code-requires"all tisin'es-ses�working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCZT ORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE. ------
I am not using any subcontractors: Signature 6ate
'
Please check applicable subcontractors and complete the following information:
j/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/Carpeting
Linoleum/Wood
Glass/Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper /ZEE
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owne 0 actor re
LI-1
LARRABEE & ASSOCIATES, INC.
-nON 2 GENERAL ENGG,CONTRACTORS
H FFWTUF,G LOCA AND CONSULTANTS
5coff OF WGW: LIC.*525973 A-HAZ/C-8/HIC
MEMENSOMEMEM (E) CONCRETE PER, FND CAMPBELL,MORGAN HILL
LAl PWPO51�5 TO MfFOF If APPFOXIMAtLY 12 TOTAL FEET OF COMPPOMa[2 PHO�E:(408)3649000
FOUN12AfION 5TW WALL (� XCAWN5) AT THE PFFKV,FOUNPAfION,
THP,EfFOI`lf WILL CON515f OF �WOVINCA TIME TOP PORTION OF 5TWWAl
A5 WELL A5 TK PESFIOFATt2 5fEEL (IF APPXAM ) VJACENf TO THE
FIZACfUP,E 51TE, THE NEW 5ECfION WLL 13E ATTACHE 12 TO THE45flNC4 FNp
WO F,1�13AF t2OML5 ANP NEW HOPIZONfA, 5tEL (5EE 5-2) THE 51t WILL
-1� 4
13� FOWEP ANP THE CONCRETE PVPV
OU , 1A1.
3 Aw
Ul
ept
PULIAN6 at the
t)AfA;
W,
cl sa""I
I c
g"I'm
OCCUPANCY 6POUP -PI�7
4-tAl N
TYff OF CON5fPUCfION VN 1lOT
TWO 5folV 1`E5112ENcE
W0012 FMW CON5VUCfION Y v. MIS
5QUAF,E FOOfAa: Approx,2900
�j
0
5ffCIFICAfION5:
H FFACfUF,E LOCATION
CONCRETE COM E551\1E ST ENG 2teBW 51 AN, @ 25 DAYS� �91= -51)� I I — (E)CIZAX51FACE
PEPAP: WOFMW PAP,5 OF PLLf O�AXLE 5fn� ffP,A5TM A61
H 6PA[9E 40 FOP, #4 ANP 5MAA,EI7PTINFOPCIN6 & CAIWE
60 FOP, #5 AN12 LAP,6W, I I
11\15f&WION: PEINFOPCIN6, 120M-5, AN12 OTIV, W13W[TP
ELEMFW5 5HAL� 13� IN PL-AC� WO#� POUPINC4 CONCMV ,
CUPERTINO
"31
MINFOFCEWNf 5HALl t3l� CLEAN OF OL5 AN12 OTHWI 1`0%,1� N [)epartrne
nt
MAT�PX,
Jul-
CLEARANCE: CLEAMCE 5HAl It PWV1I2N2 WWCONO�t12
15 CAST AGAINST EA�TH, 2" WHVE CONCT\ t W05EP TO EARTH OP\ P1 FWVJP\E LOCATION
NCE
MATI-Iff PUT CA5TAC4AIN5f FOF\MWO& ---- --- RovWwOd By:
WPIN6: W P\NNFOP\CIN6 5tEL TIXE5 A MINIMUM OF 40 PAP
I I II Il
/3070,
NOTE: If 15 V�F\Y IMPOP\fANf 1W ALL KPWAAf ION 5Y51W5, WOF AW 5Uff AC
RAINACAF 5Y5TW5 / CONVOL5 ON 517E 13� � NOVATE[9 ANP / R 5VICTLY
MAIWAINW IN OPTIMUM CON[2111ON TO r2ll?\ECf ALL 5OUU5 OF 50ACE M015TUP\E I I I EX15f INCA 6Ar A6E 5LV
XLL AWAY FP\OM THE FOUNPAfION 5Y5tM5, IN 6EN�M, All AI?fA5 VJACENf
TO THE PEF\JWSFOUWATION 5Y5tM5 5HOUW13E MAIWAIW TO 1501At THE
FOUN19A110N FF\OM, FU55K M015U\� ANP If5 INFW�NCF5, TH15 M\ COMMFNI2AfION INITIALS:
5HOULP INCLUDE TOVVINCA P051fK 6M[91�1\15 A MINIMUM OF �' POWN61WIEW Fp\OM, NOTE: AFPFOXIMATE LAYOUT OF 5MCTUFE 0111111111,lo"
TIME FEF\IW�F\ FOUNt2A110N 5Y5TW5 THE COMPLF110M AN12 MAINTENANCE 9 fHJ5
WORK 5HOW2 13E A PVr OF A F\161AF\ HOMFOWF\ 517F MAINTENANCE PRO64m NV Der-
5
-;c
�saoc-;c
TWOUCAHOUf fH� 5EF\VICE LIFE OF fH� 5fP\UCTUP\�,
V
PAI'F,: 01/10/ 1�
5I-BEET: I OF 2
...............................
LARRABEE a ASSOCIATES, INC.
GENERAL ENGG.CONTRACTORS
If cleterloration of steel AND CONSULTANTS
Is present replace w/ LIC.#525973 A-HAZ/C-8/HIC
Lap rebar min, 40 dia, CAMPBELL.MORGAN HILL
Drill, (n) rebar min, 6" PHOM;(400%49000
Site Specific Fracture Site Dimensions: Into (e) f tg wl epoxy, typ,
demolished area
Total Length: Approx. 12'+/- 7
Place vertical rebar
Width: Existing < 12' o,c, and w/In 6" of 4 4 <
each end of demo'ol area,
Heigth: Varies N. reb (e) rebar
��-\------ (n) #4 rebar, ------------ -• __-__-
C=--
---- --_--_-----
- (n) #4 rebar
A
Notes: MIN. 6" MIN, 6.1
V
- All work is a voluntar foundation i12" A
systems renovatio <
<
- Concrete to to t #25M 28 days, typ. 4 .11 U LI <
T-24 not required (e) Stemwell <<
A
<
A
Horizontal Rebar . e ,�
Side View 0 sL
(N) 5/8" x 10" Anchor bolts w/ galvanized
(N) anchor boli~ (1f applicable) washer 3" x 3" x A" or Simpson UFP10 S)Z/
Existing mudsill 4X retrofit anchor plates per manufactures
guidelines.
(n)conc. <
Deteriorated Rebar
(if applicable) Sea detail 2 (n) rebar (#4 vertical dowels) to be doweled
into existing concrete a minimum of 4"
Horizontal Fracture Location every 12" and set with epoxy. Top of
vertical dowel to intersect horizontal rebar
Z
member and to be tie wrapped. See detail
Exterior
\r X7
N
77/5\\\/`7�- \'IN
/Z X"', 21/X�
CUPERTINO
/Xv -31$mm7-II-3"mm: Suilding Depar itnent
\/l%%/%/�/fit/% LL-
Crawlspace 3
U I I
UL 2013,
REVIEMD FOR CODE COM
PLIANCE
Reviewed By:
/>\ 7
(e) Footing
7
(e) Footi
< ng
#
LAL-J!5-06-J1
(E ) l�Condition Y 1, . Jorizontal Fracture Renovation Det . INITIALS:
Section View Not to scale Section View Not to scale
PAS: 0-7 10 1�