B-2016-1810CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1810
19998 HOMESTEAD RD CUPERTINO, CA 95014-0556 (316 03 044) OWNER/BUILDER
OWNER'S NAME: GONG, WAYNE Y & MARY M
OWNER'S PHONE: 408-306-4980
LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor OWNER/BUILDER 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:
t. I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
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, Section 9.18.
(Signature Date 4/21/2016
OWNER -BUILDER DECLARATION
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)
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
ermit is issued.
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. fi_?Sx�
nature
DATE ISSUED: 04/21/2016
PHONE NO:
BUILDING PERMIT INFO:
X BLDG —ELECT —PLUMB
X MECH _ RESIDENTIAL X COMMERCIAL
JOB DESCRIPTION:
RE ROOF REPLACE (E) WOOD SHAKE WITH SYNTHETIC SHAKE
ROOF AND REPLACE 5(E) HVAC UNITS - BLANEY CENTER
Sq. Ft Floor Area: I Valuation: $65000.00
APN Number: Occupancy Type:
316 03 044
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby A• ey nde
Date: 04/21/2016 IIV�G�
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: 4/21/2016
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-Ouality Management District I
will maintain compliance with th a no M nicipal Code, Chapter 9.12 and
the Health & Safety a e lions 5 5533.-aiu1255�
04ner or authorized agen c
Date: 4/21/2016
CONSTRUCTIONS. DING 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
Date 4/21/2016 Professic
CUPERTINO
CONSTRUCTION PERMIT APPL[CATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 T ORRE AVENUE - CUPERTINO, CA 95014-3255'
(408) 777-3228 • FAX (408) 777=3333 • building(cDcuDertino.org �� j_ RV®
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PP.E-A PPL!C.A TION F-1 YES IF YES. PROVIDE COPY OF
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By rrly signature. below, I certify to each of the follo-, inQ: I am the property owner or authorized agent o act A the property Owner's behalf. I have read this
application and the 1nf0 711a On I hav ovi ' ••d'ls co,:e ,t. I have rend the Description of \��ork and verify it is accurate. I ag ee to comply with all applicable local
ordinal?cos and state. la., s re.latint-Cgns'auction. I authorize represe!itatives of Cupeftino to enter the above -identified property. for inspection pu-ooses.
Signature ofApplicant%Aceat:
Date: ASV' 2 Ll 2a
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CUPERTINO
Oil NER-BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 • building 6Dcupetno.orq
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at:
SITE ADDRESS 4 i 19 Q M �S �' �? ... �-
APN.. �3 `� � _.
BP#�
OWNER NAME :.
QWNER ADDRESS-
DESCRIPTION OF WORK: IZao�1
L4 K i+S
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We
will not issue a building permit until you have read, initialed your understanding of each provision, signed, and
returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
(DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.)
✓ 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -
Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material
personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not
provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
V 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for
the construction and are not hiring a licensed Contractor to assume this responsibility.
V 3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may
protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her
name instead of my own.
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be
considered an "employer" under state and federal law.
✓6. 1 understand if I am considered an "employer" under State and federal law, I must register with the state and
federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject
me to serious financial risk.
✓7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by
licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work
is performed under contract with a licensed general building Contractor.
V 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for
any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction
defects in the workmanship or materials.
OwnerBuilderForm 2010.doc revised 04114110
;rt V 9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments,
and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State
License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed
contractors.
�10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I
am the party legally and financially responsible for proposed construction activity at the site address listed above.
V 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner -Builders as well as employers.
__LZ12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
information- I- have- provided on this form. Licensed contractors are regulated by..laws designed to protect.the..public. If
you contract with someone who does not have a license, the Contractors' State License Board May be unable to
assist you with any financial -loss you may sustain as a. result of a complaint,. -Your only remedy against unlicensed
Contractors maybe in- civil court. If is also important for you -to understand that if an unlicensed Contractor or
employee of that individual or firm is injured .while working on your property, you maybe held liable for damages. If
you obtain a permit -as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not --
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS: Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec 3097 Civ.)
Lender Name- 01 �/ Lender Address:
Before a building permit can be issued, this for be completed and signed by the property owner and
returned to the agency responsible for issui the pafmit. Note: A copy of the property owner's driver's license,
form notarization, or other verification ac to e city may be required to be presented when the permit is issued
'to verifythe property owners si natur
Property Owner's Signature: Date: ((�
---------------------------------------------------------------------------------------------------------------------------------------------
(NOTE: The following Authorization Form is required to be completed by the properly owner only when designating an
agent of the property owner to apply for a construction permit for the Owner -Builder).
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an
Owner -Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verity the property owner's
signature.
Property Owner's Signature:
D ate:
OwnerBuilderForm 2010.doc revised 0 ,119/10
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
, "a-, - 11
CEC-NRCC-MCH-01-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems (Page 1 of 4)
Project Name: f Date Prepared: 4/l
to
A. MECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2013 Nonresidential Manual
Note: The Enforcement Agency may require all forms to be incorporated onto the building plans.
YES
NO
Form/Worksheet #
Title
❑
NRCC-MCH-01-E (Part 1 of 3)
Certificate of Compliance, Declaration. Required on plans for all submittals.
'19,
❑
NRCC-MCH-01-E (Part 2 of 3)
Certificate of Compliance, Required Acceptance Tests (MCH-02A to 11A). Required on plans for all submittals.
❑
NRCC-MCH-01-E (Part 3 of 3)
Certificate of Compliance, Required Acceptance Tests (MCH-12A to 18A). Required on plans where applicable.
❑
NRCC-MCH-02-E (Part 1 of 2)
Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans.
❑
NRCC-MCH-02-E (Part 2 of 2)
Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water
systems. It is optional on plans.
❑
NRCC-MCH-03-E
Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is
optional on plans.
❑
NRCC-MCH-07-E (Part 1 of 2)
Power Consumption of Fans. Required on plans where applicable
❑
NRCC-MCH-07-E (Part 2 of 2)
Power Consumption of Fans, Declaration. Required on plans where applicable
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
9
;EC-NRCC-MCH-01-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems 2 of 4
(Page )
Project Name: i is islkey Date Prepared: 1 2 i /Z o
B. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms)
Test Performed By: TB D
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all
acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of systems.
Installing Contractor:
The contractor who installed the equipment is responsible to either conduct the acceptance test them self or have a qualified entity run the test for them. If more than one person has
responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible.
Enforcement Agency:
Plancheck — The NRCC-MCH-01-E form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked.
Inspector- Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations.
Test Description
MCH-02A
MCH-03A
MCH-04A
MCH-05A
MCH-06A
MCH-07A
MCH-08A
MCH-09A
MCH-10A
MCH-11A
Equipment
Air
Demand
Hydronic
Automatic
Requiring Testing
# of
Outdoor
Single Zone,
i
Distribution
Economizer
Control
Supply Fan
Valve Leakage
Supply Water
System
Demand Shed
or Verification
Units
Air
Unitary
Ducts
Controls
Ventilation,
VAV
Test
Temp. Reset
Variable Flow
Control
(DCV)
Control
5CDs z
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/9
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
g
41,
;EC-NRCC-MCH-01-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION `
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems (Page 3 of 4)
Project Name: I� e� C3 O-`i o— �` a P�� Date Prepared:
C. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms)
Test Performed By:
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all
acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of systems.
Installing Contractor:
The contractor who installed the equipment is responsible to either conduct the acceptance test them self or have a qualified entity run the test for them. If more than one person has
responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible.
The following tests require a
Enforcement Agency:
Plancheck —The NRCC-MCH-01-E form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked.
Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations.
Test Description
MCH-12A
MCH-13A
MCH-14A
MCH-15A
MCH-16A
MCH-17A
MCH-18A
Equipment
# of
Automatic Fault
Requiring Testing
units
Fault Detection &
Detection &
Distributed Energy
Thermal Energy
Supply Air
Condenser Water
or Verification
Diagnostics for DX
Diagnostics for Air &
Storage DX AC
Storage (TES)
Temperature Reset
Reset Controls
ECMS
Units
Zone
Systems
Systems
Controls
52-
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CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
CEC-NRCC-MCH-01-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION —
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems (Page 4 of 4)
Project Name: a Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation A th r Name:
Documentation Author Signature: _ --
Company:
�V�
Signature Date:
Signature ,, i z- ► i
Address: � � � 1 � � �
CEA/HERS Certification Identification (if applicable);., _ 1
City/State/Zip: 1 i /, �U ` �
Phone: � � c V
p�
RESPONSIBLE PERSONS DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance
conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit app . atio .
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit Issu or the building, and made available to the enforcement
agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Complianc 's re uii ' e in 1L wl t e oc ntation the builder provides to the
building owner at occupancy. �
Responsible Designer Name: jr
Responsible Design r Signatur
Company:
��. ���"tu �� �`
Date Signed: .. -( 12v
Address:
L4v.Yv- _ / j ��
License: d- ^ y � E)a
l(�}
City/State/Zip: ' r� I A C�TAj /��{CD
Phone: 4-
{ D b f r +--
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
GENERAL INFORMATION
1. THIS PROJEGT.GONSIST.`OF THE REMOVAL AND REPLAGEMENT OF GLASS A,
4 PLY JM-4GNG ROOFING' HEAV WOOD SHAKES AND FIVE (5) HVAG UNITS
2. (N) ROOFING SHAKES -SHALL BE GLASS "A FIRE RATING BY GEDUR WALDEN
CHOCOLATE BROWN-DAVINGI BELAFORTE TAHOE OR -INSPIRER BROWN #751
CEDAR BROWN VARAIBLEND SYNTHETIG SHAKE SHINGLES w/ UNDERLAYMENT:
PER MANUFAGTURER'S REQUIREMENTS ,
3. EXIST. ROOF PLATFORMS TO.BE REMOVED AND (E) SUPPLY/RETURN DUGTS TO
REGONNEGT TO (N): G.I METAL SLEEVES OF (N) HVAG UNITS @ ROOF GURBS
4. THERE ARE NO GHEMIGALS/HAZARDOUS MATERIALS70. BE USED OR STORED
ON SITE. REUSE REGONNEGT TO (E) DUGTWORK AND UTILITY SERVIGE
5 (N) COPPER GON.0EN5ATE LINES FROM EAGH UNIT -AND SET ON 4X4 -12" L
PT SLEEPERS. TO SLOPE TO DRAINS
6: EAGH OF THE. (N) HVAG REQUIRES TITLE 24 1-A 1-G FORMS GERT's IN THE
EVENT THIS IS REQUIRED AT THE BUILDING FINAL BY THE CITY. PROVIDE A
SINGLE GOST ITEM FO,R6. i,
7. NOT USED BUILDING DIVISION - CU,F'E'RTINO
APPROVED
This set of plans and.specifications MUST be kept- tlh'b
LOGATION MAP - GITY OFLUPERTNO
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� HOMESTEAD ROAD ¢o '
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PROJEGT SITE
FY,
1999B.HOMESTEAD RE)
GUPERTINQ, GA 95014 . g I
`a PLAN
NORTH ,
NO SGALE
A.P.N.: 316-03-044: GONST TYPE IS V-N
OGGUP TYPE IS.B-2; ZONE: G
BUILDING SIZE: 4,846 SQ. FT.
job site during. coo.struction. It is unlawful to make any PLOT P
NA E
ghanges or alterations on same, or to deyibte
therefrom, without approval from. the Building'Offlcial. D T-
-The Stamping of this plan and. specificatlo.ns SHALL NOT 2 J
be. held tc permit or to be an approval of the violation PLANNIN
APPLICABLE GODS pro si ns o n: Cit' Ordinance State Law. ®���
y v Yo . CUPER16N0
tA
O ALL WORK SHALL GOI��Y1 1TH THE THE
,
2013 GALIFORNIA BUILP�hQ�-
r
O ALL WORK SHALL GOMPLY WITH THE,LATEST ADDITION .OF THE
2013 GALIFORNIA:MEGHANIGAL GODE
O ALL WORK SHALL GOMPLY WITH THE LATEST ADDITION OF THE
2013 GALIFORNIA PLUMBING_GODE"
O ALL WORK SHALL GOMPLY WITH'THE LATEST ADDITION OF THE
2013 GALIFORNIA FIRE GODS
O ALL WORK SHALL.GOMPLY.WITH THE LATEST ADDITION OF THE.
2013 NATIONAL. ELEGTRIGAL GODS
Fill
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Sheet
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1: of 5
Dated: 4/20%2016
' Pro e-Gt:No.: 16051
HOMESTEAD. ROAD
(N) ROOFING SHAKES SHALL BE GLASS "A" FIRE RATING GEDUR WALDEN
CHOCOLATE BROWN, DAVINGI BELAFORTE TAHOE OR INSPIRER BROWN 4751
GEDAR'BROWN VARAIBLEND :5YNTHETIG.SHAKE SHINGLES::w/ UNDERLAY -MT `
ti
-. RER iFv2' REQM T S i� Fi.AS - --
HiNG AT tDGE � i�JALL A5 �tQuiKtD, il'P
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.
- REMOVE (E) BUILT-UP ROOFING INSTALL (N) GLASS A 4=PLY
U
MINERAL"GAP SHEET ROOFING:BY JM'.- 46NG OR EQUAL, TYP
2�. d
(N) CARRIER SINGLE PACKAGE HEAT PUMP UNIT'505Z-042-301
WITH (N) FITTED ROOF GURB:BY EQUIPMT,;MANUFAGTURER, TYP.
•
30' SLORE .
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774
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(N) 3' GANT STRIPS .@
(N) Z4GA SLEEVES TO.GONNEGT .
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ALL,90' R00F AREAS; TYP..UY
TO (E) S/A � R/A DUCTS TYP,
(N} 2X OR 4X F
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DUCTWORK TO- REMAIN,.TYR: DE)
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iewed 8y.'
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RE -ROOFING HVAG WORK @@ BLANEY CENTER
19998 HOMESTEAD ROAD, CUPERTINO, GA
OWNER' LEGACY PARTNERSHIP GROUP
19972 HOMESTEAD: ROAD, GOPERTINO, GA 95014 fELE 408;306:.4980
Input required where '?>` indicated - noted in BOLD text
From the 'Maps of Known Active Faults'
'Map Quadraht (Letter -Number) ? E=19
Seismic Source Type (A B.C) ?> A
.
Closest bistance (km) S .
_ Na = 1.20
Near-Source'FarYorNa
_
Type: .E=2km 5km
>=10km
Min.Test
'Max:Test 2-5Test 5-10Test ResuR,
A 1.5 - 1.2
1.0
' 1.20 120
B 1.3. 1.0
1.0 . .
C. 1.0 1.0
1.0.
Seismic Zone (1,2A,28.3,4) ?> 4
(Use single_ quote
mark befdre entry)
Soal Profde (A,B.0 D.E) ?> .. D
C _ .0.52.8 :.wgr�/
8 pc7N1�IAc��
�.
Hodz6ntal Fo ce Fador'Rp
lmportance Factor (1.0: to 1.5) ?>. i 0. ,
Coefficientap' ?? 25 :
Seismic Ccefficient Ca
Tye 1 2A
2B 3
4
Result
Height to the roof "hr' ?> 15.0
(feet)
A 0.06: 0.12
0_16 0.24
:0-384
Height to the connection 'h �> 15 0
�j
feet
�,.Up
(8j a
B 0.08. 0.15
.:
0.2 0.3
0:48
j!r,
e?I. f
(
C 0.09 0.18
0.24. 6.33
0.48
� �' .a• D 6.12 0.22
028 0.36
0.528
0.528 0.528
E 0.19 0.3.
0-34 0.36
0-432
`
Formulas
Anchorage Force Factors based on type ofinstallation
:Divided by 1.4 ,
(32-1) 4.00alp 2.1.12
Shallow expansion anchor bolts. shallow' chemical anchors and shallow cast -in
-place anUiors=-:-------3520-:_
2 514---_----.---�------------------
---------- -
_ (Show an oo of>ewwrth an embedment length to-diameterratio of iess.than.8-)
(32-2)' (apCaIplRp)(1+3f)dhr)
. .:
. .1.760
When anchorage is, constructed of non -ductile materials
or by. use of adhesives.=
5.280 3.771
(32-3a) -.0.7Caip 0.370
Lower limit
(32-3b) 4.00alp 2.112
:. Upper limit
Test Low Test High Test" -2:.'
Use :: .. 1.760
..
1.760
Allowable stress design
,. (30 1) E='pEh.+ Ev .. 1.760.
(Ev = 0. P=1.0);.
(12-13) D+L+(W or E 1.4)
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-Tt-32280
Fax: 408-777-3333
JOB ADDRESS: 1 � -
.
PERMIT'# 2O llo
OWNER'S NAME: 1'l,G G�
GENERAL CONTRALTO Q, LZi CU by\
PHONE #�Q-:
BUSINESS LICENSE #
ADDRESS: C,1�4 \N116AA..%A Skll
CITY/ZIPCODE:: S12
vur municipal code requires all businesses 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 SUBCO 'TRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors: 5 l
Signature ate
Please check applicable subcontractors a omplete the following information:
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
Paving
Plastering
V
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
_
Fm of
•� ��
/ Contractor Signature
k's
to