28561 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY '
CITY OF CUPDIVISION, L O ERTINO BUILDING-ELECTRICAL PERMITNO.
RUILUING
' APPLICATIONIPERMIT PLUMBING'-MECHANICAL , , Q C L` Z
BUILDING PROJECT IDF.NTIFIG'A'TION n5 I7
BUILDING ADDRESS: F SANITARY N APPLICATION SUBMITTAL DATE
OWN P 'S NAM&� (3Osr
0NE, ^ CON" 'S NAME: -
N/C CONTROL
RCHITE /(T, EpiQlhpi W LIC NO: ADDRUSS: 6u eo
1:1CONTACT:VI /d• /�6 PHONE:
�N V �l` 55 BUILDING PERMIT
Consultant Fees Paid by Applicant(Initial) PLUMB_ ❑
❑ ❑ ❑
LICENSED CONTRACTORS DECLARATION QTY. ELECTRIC PERMIT FEE
1 hereby a1Erm,hat I am licensed under provisions of Chapter 9(commencing JOB DESCRIPTION
000:4 Z with 700dgofDi,Wrn Infihc liminess and Professions Code,and my liwnse is -
�00 i h PERMIT ISSUANCE I RESIDENTIAL'
n full force and a ,. /`
�F.0 License s Lick U ❑SFDWL El KITCHEN REMODEL
N<G Da,e Comracmr u APPLIANCES-RESIDENTIAL ❑ADURION ❑PLUMBINGRE-PIPE
[F-Dy ARCHITECTS DECLARATION PANELS ❑MULTI-UNIT ❑STRUCIFURAL
C O r7J I understand mY plans shall he used s public records - MODIFICATION
UP10200AMP5
O [3 INTERIOR ❑CIi1MNEY REPAIR
F.rel ALJ Licensed Professional 201-IMAMPS - IMPROVEMENT
a
OWNER-BUILDER DECLARATION " OVER IMAMT'S ' OBATH REMODF:UREPAIR [I DEMOLITION
CLL6 I eebYaffirmon 11. cxemp,from,he Cessions ode:Any
Law forthe
�y(,7,V followingreason(Section]03L5,Business and Professions Code:Any city or county SIGNS ELECTRICAL ❑OTHER
W a LL F' which requires a permit,o construct,ober,improve,demolish,or repair any structure
Iq Prion.its issuance,a[ rcyuires,he.,If,.,fonuch permit to file a signed statement SPECIAL CIRCUIT/MISC.
�} that heis licensrdpurstannmhe previsions ofthe Comracmd License law(Chapmr9
(commencing with Section 700aof Division3 nfthe Businessand Professions Cerk)r, TIiME.METER OR POLE INST. COMMERCIAL:
6 M K Nat he is exempt therefrom and the basis for the alleged exemption.Any violation of
El NEW BLDG/ADDITION ❑DEMOLITION
Iaz.• Section 1111LI by any applicantfor,punch subject,the appllant to u civil penal,yol' POWER DEVICES
m t ❑'TLINANT OFOODSERVICE
not mom than five hundred dollars($SIIB),
�6 1,os owner ofthe ro n.orm em to us with wa their role cora nsa,ion, SWIMMING POOL ELECTRIC IMPROVEMENT
❑ t ge y Y P y gcfor pe
TIdmhework,and the he Cort isnmi License Law
sale(Sec]014,owner
of []OTHER
04, and property
who b Cala:The Contractor's License Law fines no,apply m it owner of OUTLETS-SWITCHES-FIXTURES
3.. his own who builds rr videdves that such improvements and who does such tinte deed oT ofered gh
his own employees,provided,hat such entissoldwithin
thin not intended or offered lie NEW RESIDEN'I'IAI.I!LECTR SQ F.
sale.
er-buihowever the
vethn burden Improvement is he id none year or improve
SQ.FT FLOOR AREA fISQ.PI'.
eof sailder will have thin burden of proving thm he did no,build nr improve for poo
pose of sola). - -
1,as owner of the properly,am exclusively contracting with licensed contraction c, m TOTAL:
cons,rum the project(See.]044,,Business and Pmfessinns CNeO The Comraemrs Li- ,
me Low does no,apply to an owner of properly who builds or improves thereon,and QTY. PLUMBING PERMIT FEE
who contracts for such projects with a comrec,ods)licensed Forearm to the Committees
License law. PERMIT ISSUANCE
7 I um exempt under Sec. •',B&P C for this reason
Owner Dom AMill R-DRAIN&VENT-WAI HR(EA) VALUATION
WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT'.DEVICE (1��^
I hereby affirm under Penalty of perjury one of the following declarations: ...J
��I have and will maintain a Cenificme ofConseat mself-insure for Worker's Compen. DRAINS-FLOOR,ROOF,AREA,COND. STORIES 'TYPE CONSTRUCTION
.ation,as provided for by Section 3700 of,he Labor CNE,for,he Performance of the
work for which this permit is issued. FIXTURES-MR'I'RAP
❑I have and will ma stain Worker's Compensation Insurance,as yuircd by Sec,inn
370(1 ofthe Labor Code,for the permornnce of the wask fm which penhd,is issued. GAS-EA.SYSTEM.I INC.4 OUTLETS OCC.GROUP APN
My Werke' p�p� glhpgl 'htd PNuy ° :s GAS-EA.SYSTEM-OVER 4(EA) (�
C IPICATE O�E •MPDON IEOM W
r COMPENSATION INSURANCE' GRFASMNDUSTRL WASTE!INTERCEPRR
(This when need not he completed if the permit is for one huntlreddoilars($100) t • , t B L ING DIVISION'FEES
or less) GRFASF.TRAP / PLANCHECK FEF.
Toy any tat in tiny performance tthe beork at which this the Win msissued,open-I shall SLWER-SANI'TARV-STORM
not ehpglny any person in any manner to its to become subject to the Wnrken.'Cnmpcn- Eryl!I r60'
O
soden Laws of C.1ifora u.Dome 0 WATER HEATI!R WNENT/ELECT'
Z O AppliNOTICE
GRADING FEE
fn NOTICE TO APPLICANT.IL after making Certificates of Exemption,you should WATER SYSTENYTREATING
al'� becomesubjectm,he Workers Compensation pewisionsof Ne Lahnr CNE,you most SOILS IEE
w ry forthwith comply with such previsions or this prrod shall he decreed revoked WAI ER SERVICE
Q '
.ti. Z CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL PLMB. SQ,PC PAID
U0 IM1ereby affimuheuherc is oconswaion lendingagency fonM1e performanceof Date Recciptk
the work far which this permit is issued(Sec.3W].Civ.C.I -
Q f' Lender's Name _ TOTAL:
V Lender's Address 'fOTAI.:
G1 certify Nat 1 have read this application end state thnC the above information is BUILDING PEE
V) commit.l agree to comply with all city and county ordinances and stare laws rele,ing,o QTY, MECHANICAL PERMIT FEE
V Z buildingeonstruction,and hereby authorize representatives ofthis city menterupon the SEISMIC TEE
above mcmioned progeny for inspection Purposes.
(Wc)agree to save,indemnify and keep harmlcas City of Cnpenim against PERMIT ISSUANCE ELECTRIC FEE
liebilitiw,judgmen¢,coos and expenses w 'ch may in- y y accrue against said City ALTER OR ADD TO MICH.
in consequence of Ne g" in
of Nim Pe iL PLUMBING FEE
APP T UNDERSTANDS AND ILL CO PLY ITH ALL NON-POINT AIR HANDLING UNIT(TO II000 CFM)
SOU E RE, S. MECHANICAL ME
AIR HANDLING UNIT(OVER 14000 CFM) CONSTRUCTION'PAN -
pp n,/Cnnvncmr D e EXHAUST HOOD(WMUCT)
HAP ill S MATERIALS DISCLOSURE HOUSING MITIGATION FEE
Will the applicant or future building occupant store or handle hazardous material HEAT ING UNIT(TO I W."BTU)
as de red by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Section 255330a0'( HEATING UNIT(OVER 100,00n BTU) -
❑Yes r-1 No VENTILATION FAN(SINGLE RESID) PAID
Will thea applicant car future building weapon,use equipment or devices which Date Receipt k
pp g p Area
n BOILER-COMP IMP OR IW,000 BTU)
emit District?hazardous air contaminants as defined by the Bay Arca Air Quality Management 6+• TOTAL:1
Distict" I BOILIiR-COMP(OVER 100,000 BTU)
❑Yes ❑Nn - � •
I have mad the hazardous mmedals reyuirehncthnx under Chapter 6.95 of the Cali- AIRCONDITIONER ISSUANCE DATE
forma Health&Safety Cade,Sections 25505,25533 it 25534.1 mutational Nat if the NEW RESIDENTIAL MECH. SQ:IT.
building does not xiemay have awourt,tha,it is my respoicihility mainly eccupont a
• ofthe es,dremems which most lc met an.,io ismanttofa Cenificmn nl Occupancy.
Owner or mamized agent Date TOTAL: ISSUED BY:
OFFICE
HOMGTEC ARCHITECTURE
RICHARD A.HARTMAN, A.I.A.
.• • RON WOOD GARAGE FLOOR
GIRDER Date:9/07/95 BeamChek 1.1
Choice 4x 12 DF-L#1 BASE Fb=1000 ADJ Fb=1100
Conditions In Grade Values
Min Bearing Area R1=6.0 in' R2=6.0In'
Data Beam Span 5.0 It Beam Wt per ft 9.57#
Reaction 1 3761 # Beam Weight 48#
Reaction 2 3761 # Maximum V 3761#
Max Moment 4702'# Max V(Reduced) 2351#
TL Max Deft L/360. TL.Actual Dell L/>1000
Attributes Section n . Shear n TL Dell On) .
Actual73.83 39.38 0.03
Critical 51.29 37.12 0.17
Status OK OK OK
Ratio 69% 94% 18%'
Fb(psi) Fv(psi) E(psi x mil) Fc.L(psi)
values Base Values 1000 95 1.7 625
Base Adjusted 1100 95 1.7, 625
Adiustments CF Size Factor 1.10
Cd Duration
Cr Repetitive' " ,
Ch Shear Stress
Cm Wet Use
Loads Uniform TL: 1495 =A
C-18952 z
5 Or
REN.
sr Qa
4Tf OF CA��F�
Uniform Load A
SPAN=5 FT
R1 3761 R2=3761
'���'''����'f
Uniform and partial uniform loads are lbs per lineal ft. ) ^� E @!J L!s O UM� " "
• - {,�
SEP a 1995
BLDG. INSPECTION DEPARTMENT
CITY Of CUPERTINO.
e
HOMETEC ARCHITECTURE
RICHARD A.HARTMAN, A.I.A.
• RON WOOD GARAGE FLOOR
FLOOR JOISTS Date:9107/95 BeamChek 1.1
Choice 2x 10 DF-L#2 @ 121n.oc BASE Fb=876 ADJ Fb=1107
Conditions In Grade Values Repetitive Use
Min Bearing Area R1= 1.1-int R2=1.1 int
Data Beam Span 10.5 ft Beam Wt per ft 3.37#
Reaction 1 700# Beam Weight 35#
Reaction 2 700# Maximum V 700#
Max Moment 1838'# Max V(Reduced) 597#
TL Max Defl L/360 TL Actual Defl L/548
Attributes Section n Shear in TL Defl in
Actual 21.39 13.88 0.23
Critical 19.93 9.43 0.35
Status OK OK OK
Ratio . . . 93% 68% 66%
Fb(psi) Fv(psi) E(psi x mil) Fc!(psi)
Values Base Values 875 95 1.6 625
Base Adjusted 1107 95 1.6 625
Adiustments CF Size Factor 1.10
Cd Duration
Cr Repetitive 1.15 ,-
Ch Shear Stress
Cm Wet Use
Loads Uniform TL: 130 =A IVc LOAD = SO PSF
r'+
C-18952 n .
REN.
Uniform Load A qr6 OF CIiLO�
Q SPAN= 10.5 FT
RI =700 R2=700
Uniform and partial uniform loads are lbs per lineal ft.
•