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13050103
I CITY OF CUPERTINO BUILDING PERMIT I Rrrll T.WNG ADDRESS: `20200 PATRIC CT I I CONTRACTOR: HAULING PROS I PERMIT NO: 13050103 I OWNER'S NAME: YOUNT ANNIE:P AND JAMES R I PO BOX 4033 I DATE ISSUED: 05/14/2013 I OWNER'S PHONE: 4085695882 ❑ LICENSED CONTRACTOR'S DECLARATION License Class_0� Lic. # S-53 C) 6; � 0 Contractor lk<✓ /�IDoro/S .?f� Date �- / V I / 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 performance of the work for which this permit is issued. 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. 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, Sectio 9.18. Signatur %.og��"Z, �� ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 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: 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. 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. 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 WALNUT CREEK, CA 94596 1 PHONE NO: (925) 682 -8987 JOB DESCRIPTION: RESIDENTIAL DEMO (E) 470 SQ FT SWIMMING POOL. FILL WITH COMPACTED SOIL TO ALLOW FOR FUTURE BUILDING. ENGINEERS LETTER FOR CERTIFIED COMPACTION OF 90% Sq. Ft Floor Area: I Valuation: $8000 APN Number: 36935013.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYSJMQ_SfjCkST CALLED INSPECTION, Date: 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: 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, Sections 25505, 25533, and 25534. Owner or authorized agent: CONSTRUCTION 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTIN4 SWIMMING POOL / SPA PERMIT APPLICATIO N �Q COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �O 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 S P (408) 777 -3228 • FAX (408) 777 -3333 • buildingacupertino.org (� PROJECT ADDRESS M C t T APN # 3(.9 _ -; `— — /S J OWNER NAME �` PHONE �1�� -MAIL E STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME PHONE E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER- BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CO OR NAME LICEN ER LICENSE E BUS. LIC # COMPANY AME E -MAIL, FAX STRE DD SS 403 CIfY ST TE, ZIP Cis it qs_ PHONE - ARCHITECT /ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK USE OF ❑ SFD or Duplex ❑ Multi- Family TYPE MATERIAL TYPE (CODE) AREA (SQ. FT.) VALUATION (S) STRUCTURE: ❑ Commercial POOL POOL/SPA MATERIAL TYPE CODES: SPA V - VINYL -LINED DEMO �/1 F - FIBERGLASS G - GUN`ITE P - PREFABRICATED / <_ („� __.._. _ _.. A T Te}L±V/Il Ut&N: ClC/ - m ��Cl By my signature below, I certify to each of the following: I the prope er or aut orized agent t t on 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 v it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertin o enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: / t' SUPPLEMENTAL INFORMATION REQUIRED ME - �A�csE Commercial or Multi - Family Buildings with Public Swimming Pools: - Department of Environmental Health approval required rco u�c�E �_ . � ' "'JO �; , © �; SARZT ?:RS.•$EWERDISTRICE�".,�:3,..= SwimPoolApp_M L doc revised 03116111 CITY OF CUPERTINO Ti Ti T T CTIM A T(1R — RI T11 ,DING DIVISION L1f >ch. Plan Check Fbfech. Permit Fee: Other .Weeh. Insp. 1lleeh. Insp. Fee: Plumb. Plan Check Plumb. Permit ree: Other- Plumb Insp. Plumb. Insp. Fee: Elec. Plan ( 'heck Ekc. Permit Fee: Other Elec. Insp. Elec. Insp, Fee: NOTE: This estimate does not include fees due to other uepartments (t.e. rtanntng, ruvac rrorA3, rtre, aurttutry JGWer "'aum', UU - District, etc). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. ADDRESS: 20200 PATRIC CT DATE: 05/14/2013 REVIEWED BY: MELISSA MISC ITEMS APN: 369 35 013 BP #: "VALUATION: 1$8,000 *PERMIT TYPE: Demolition Permit PLfIN CHECK TYPE: PRIMARY Swimmin Pool Res. 9 , Plumh.Alfech./Elec PENTAMATION 1SFP00LDEM PERMIT TYPE: A USE: Permit Fee: $306.00 WORK DEMO E 470 SQ FT SWIMMING POOL. FILL WITH COMPACTED SOIL TO ALLOW FOR FUTURE SCOPE I BUILDING. ENGINEERS LETTER FOR CERTIFIED COMPACTION OF 90 % DUE AT FINAL L1f >ch. Plan Check Fbfech. Permit Fee: Other .Weeh. Insp. 1lleeh. Insp. Fee: Plumb. Plan Check Plumb. Permit ree: Other- Plumb Insp. Plumb. Insp. Fee: Elec. Plan ( 'heck Ekc. Permit Fee: Other Elec. Insp. Elec. Insp, Fee: NOTE: This estimate does not include fees due to other uepartments (t.e. rtanntng, ruvac rrorA3, rtre, aurttutry JGWer "'aum', UU - District, etc). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ID # POOLS QTY/FEE MISC ITEMS Plan Check Fee: 1DEMOPRES Plumh.Alfech./Elec Permit Fee: $306.00 Suppl. Insp. Fee-0 Reg. ® OT 0.0 hrs $0.00 Plumh.iMech./ Elec Plumh.111ech./Elec Permit Fee: Consir action Tax. Administrative Fee: Work Without Permit.", Advanced Planning Fees: i 7-ravel Doe-urnentation Fees: L1f >ch. Plan Check Fbfech. Permit Fee: Other .Weeh. Insp. 1lleeh. Insp. Fee: Plumb. Plan Check Plumb. Permit ree: Other- Plumb Insp. Plumb. Insp. Fee: Elec. Plan ( 'heck Ekc. Permit Fee: Other Elec. Insp. Elec. Insp, Fee: NOTE: This estimate does not include fees due to other uepartments (t.e. rtanntng, ruvac rrorA3, rtre, aurttutry JGWer "'aum', UU - District, etc). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11 -053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: Supp/. P(.'T -e Plumh.Alfech./Elec Permit Fee: $306.00 Suppl. Insp. Fee-0 Reg. ® OT 0.0 hrs $0.00 Plumh.iMech./ Elec Plumh.111ech./Elec Permit Fee: Consir action Tax. Administrative Fee: Work Without Permit.", Advanced Planning Fees: i 7-ravel Doe-urnentation Fees: Strong Motion Fee: IBSEISMICR $0.80 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $307.80 $0. ... E:F $307.80 Revised: 04/29/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014 -3255 Telephone: 408 - 777 -3228 C U P E RT I N O Fax: 408- 777 -3333 CONTRACTOR / SUBCONTRACTOR LIST *Our municipal code requires all businesses working in the city to have a City of Cupertiao business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE :SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: S-�C_/ Signature - Date Please check applicable subcontractors and complete the- following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing NJ Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date JOB ADDRESS: aCU Q1.o d C_i- PERMIT # OWNER'S NAME: 2sk' yo J ,,� }- PHONE #(9 2- 1 3 3 `i q V P GENERAL CONTRACTOR: J �� ,,� BUSINES LICENSE # ADDRESS: CITY /ZIPCODE:' *Our municipal code requires all businesses working in the city to have a City of Cupertiao business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE :SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: S-�C_/ Signature - Date Please check applicable subcontractors and complete the- following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing NJ Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date < 0 C. �' N\ i'=1 � ) Q \ IF I'v I-r- n- ) fN C- 4z! Prorf';;)� — /1 ^ \r 'k U A 1. - - -1 - � - i v I V I -I%- 1--J - V J -V PATRIC N 0 COURT 1 ('71 & 1)1,431M ��tlo.00— — — License #834630, 925.933.4448 — — — — — — — — — — VC- 0 COMM1!JNi7YDE-ATL0P1ME 1 ENT DEPARTM1ENT -Uz- BUILDING DI'VISION-0 i -41 APPROVED This set of plans ands ec ffcations MUST be kept at the job site during construction. It is unlawful to m3ke. any L A changes or alterations on same, or to deviate therefrom, without approval from the Building Official. -7�OLC The stamping of this plan and specifications SHALL NOT be held to p 3 To �er n permit or ean *Ft approval of the violation of an n n ity Ordinance or State Law. BY - DATE .4 PERMIT NO. ZQ;LcOv 0 HOUSE Lv, — — — — — — — — — — — — — rc'�' r11% CUPERTINO CL�Q WAVLk*- Building Department 5.99 1 4, 2013 MAY O�FICN= C3- Lk* Area 470.74 9qlL Perimeter = 90.99 % U- --36.63 REVIEWED FOR CODE COMPLIANCE Af- e-G\ Reviewed By: 4.63 pmpwty**, 79.44 fV'AY 0 a 'S I e( 4 20200 Patric Ct., Cupertino, CA 95014 Santa Clara County, USA scale 1 :200ft R -t n4r�E 0 GeoEngineering Consultants (GEC) 7567 Amador Valley Blvd., Sipite 108 Dublin, CA 94568 Phone: 925 -321 -5550 Mr. Ryan Crownholm Hauling Pros, Inc. Subject: Proposed Pool Demolition 20200 Patric Court Cupertino, California GRADING REPORT Dear Mr. Crownholm: z, -sk /3oSo / 0 3 Project No. P13.0 1 May 24, 013 In accordance with your authorization, GEC has provided observation and testing services during mass grading on the subject property. This report summarizes our observations and the results of the laboratory and field density tests. The existing pool was completely demolished. All the decking and swimming pool equipments, pool structure bond beam, electric conduit and gas lines were removed. The pool was backfilled with import fill All fill soils were compacted to a minimum relative compaction of 90% at or above optimum moisture content. The satisfactory placement of fill was determined by visual observation, manual probing, and performing in -place field density tests and laboratory compaction tests. Laboratory compaction tests were performed to determine the maximum dry density and optimum moisture content for the subgrade and fill materials. The compaction tests were performed in accordance with Laboratory Test Procedure ASTM D1557 -91 by others. In order to determine the percentage of maximum dry density (relative compaction) and moisture content achieved during compaction, in- placed densities and moisture contents were measured using nuclear gauge density test methods generally in accordance with ASTM 6938 -08a. The in -place test results, including the relative compaction achieved, are summarized in Table II. Project No. P13.0201 20200 Patric Ct., Cupertino, CA May 24, 2013 The subject grading operations have been performed in accordance with the referenced report. Should you have any questions relating to the contents of this report or should you require additional information, please do not hesitate to contact our office at your convenience. Very truly yours, GEC Kamran Ghiassi, Ph.D., P.E., G.E. Registered Geotechnical Engineer Attachment: Tables I and II GEC. Page 2 TABLE I Geo Engineering Consultants Client: Ryan Crownholm, Haulinjz Pros Date: May 24, 2013 Project: Pool Backfill, 20200 Patric Court, Cupertino, CA Project No.: P13 -0201 Project Location: 20200 Patric Court, Cupertino, CA Maximum Density /Optimum Moisture Determination Sample Material Description Max Dry Density Optimum Moisture #1* Brown Clayey Sandy Silt W /Some Gravel 124.2 10.9 *Testing performed in accordance with ASTM D1557 -07 B TABLE II Geo Engineering Consultants Client: Ryan Crownholm Hauling Pros Date: May 24, 2013 Project: Pool Backfill 20200 Patric Court Cupertino, CA Project No.: P13 -0201 Project Location: 20200 Patric Court Cupertino CA Density Determination Testing performed in accordance with ASTM D6938 -10 Percent Comp. Curve 96 #1 94 #1 96 #1 96 #1 Moist. Dry Test Date Elevation Test Location Cont. Dens. 2013 Pool Backfill #1 5/20 FG -4.0' 15'S & 27' E of the SW Corner of House 14.2 119.6 #2 5/20 FG -3.0' 9'S & 6'E of the SW Corner of House 13.8 117.3 #3 5/20 FG -2.0' 12'S & 30'E of the SW Corner of House 12.5 118.7 #4 5/20 FG -1.0' 18'S & 9'E of the SW Corner of House 14.1 119.8 Testing performed in accordance with ASTM D6938 -10 Percent Comp. Curve 96 #1 94 #1 96 #1 96 #1