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15070133CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11796 PINE BROOK CT CONTRACTOR: PERMIT NO: 15070133 OWNER'S NAME: BHATT MUKULRAI N AND ILA M DATE ISSUED: 07/20/2015 OWNER'S PHONE: 4088500603 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL FRONT PORCH AREA ONLY - UNDERPIN ENTRY TO License Class i��n Li,. # STABALIZE THE FOUNDATION �e6'712,0 tea Contractor DaAt'e / /Qe4C9 C, N,OJO ' ,v te 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 Sq. Ft Floor Area: Valuation: $5600 performance 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 APN Number: 36604049.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating T ISSUANCE OR WITHIN 180 DAYS +7ALIL to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS DINSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the - 7�/Zd j granting of this permit. Additionally, the applicant understands and will comp u Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature 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. ❑ 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: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE 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(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, anld 2553 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 al 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinq(a)-Cupertino.orq ❑ NEW CONSTRUCTION ❑ ADDITION 1,SU-�-U/-3-3 ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESSr I -716P t N�°7 C l ( b pO JT APN # OWNER NAME D-� t��-� �a- PHO .- e _ Ssa -O603 E-MAIL STREET ADDRESSCITY, 716 -0, l3zooI-- � TA ZIP 2nk 1,� Cr) FAX CONTACT NAMEr--+ PHON E-MAIL /,j A ccaw STREET ))RESSCITYSTATE, (� Zj,tA/n q r �_ZIIP FAX ❑ OWN[R ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 15601TRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONT TOR NAME LICENS MBER, LICgSE TYPF BUS. LIC # (� 00QL < COMPANY NAME E-MAIL FAX STREET ADDRESS L c me CITY, STATE, ZIP ��_C r- s"el ( ucL PHONE � C1-7 -3ro -v61 z ARCHITE NGINEER N LICENSE NUMBER - BUS. LIC # �- ( r\ IG. Ski C J COMPANY NAME E-MAIL c a�hat rr12 I �F FAX S7gADDRESS CITY, STATE, ZIPPH G G(�"f 4 � E _ l , rc Mct ro�o �i tU,rPrT0 s DESCRIPTION OF WORK v/1 -J Q C (2-P / ( Z S - C)c) -0 c)(,j EXISTING USE I)- Z �� PROPOSED USE CONSTR. T? --Z TYPE � � I # STORIES � USE -Z- TYPE OCC. SQ.FT. VALVA"rIl)N [x) EXISTG NEW FLOOR DEMO - TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL. AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: L3DETACH ATTACH I N DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? []NO ADDITION? ❑NO PRE -APPLICATION OYES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES A::.UATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? By my signature below, I certify to each of the following: I am the property er or authori agent to act e p rty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and veri is ate. I agree to comply with all applicable local ordinances and state laws relating to b d' g c struc/tiion. l authorizer presentatives of Cupertino to enter a abovvee--iidentified property for inspection purposes. Signature of Applicant/Agent: / Date: SUPPLEMENTAL IN TION REQUIRED PLAN CHECK TYPE. ROUTING SLIP ❑ OVER-THE-COI'NTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS; ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRI( "r submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO F -M-7, FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 1711,13) ADDRESS: 11796 PINE BROOK CT DATE: 07/20/2015 REVIEWED BY: MELISSA Met erwil F1 APN: 366 04 049 BP#: 'VALUATION: 1$5,600 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: PENTAMATION 1GENRES PERMIT TYPE: WORK FRONT PORCH AREA ONLY - UNDERPIN ENTRY TO STABALIZE THE FOUNDATION SCOPE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 1711,13) Nfech. Plan Check -1,T 1,11111,6. Plan Check IYea..l'lan Check Met erwil F1 Phtrnh. Pcrrnir Pee: FTec Permir Fee' Other Alech. InstET_t_ rrci� i 't mir liLv, t )F12G'F I -lc c: Iiu',. Suppl. PC Fee: 0 Reg. 0 OT0.0 hrs NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 1711,13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 0 hours $143.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: 0 Reg. 0 OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes 0 No $0.00 Suppl. Insp. Fee. -(F) Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 T-1 4[,lininistrative Fee' 0 Work Without Permit? Yes 0 No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential 0 Building or Structure A Strong Motion Fee: IBSEISMICR $0.73 2.0 hrs $286.00 Inspections 1STINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.731 $429.00 TOTAL FEE: 1 $430.73 Revised: 07/02/2015 CLIFFORD TANAKA P.E. 16 ELMWOOD COURT NOVATO, CA 94945 Load and Span Calculations for Page 1 of 1 Ila Bhatt Date 7/13/2015 11796 Pinebrook Court Cupertino, CA 95014 LOAD CALCULATIONS i,336, �'�= lbs �� ft. unit 40003 psi 2500 psi plf weight/ length height thickness density w = 836.75 plf Foundation = 150.75 150 na 1.5 0.67 1st Floor = 360 90 4 2nd Floor = 0 Wall = 126 14 9 Ceiling = 50 10 5 Roof = 150 30 5 FOUNDATION SPAN CALCULATIONS Fdn. Moment = w12/8 3,765.38 Ib -ft 45,184.50 Ib -in Mu = (Vasfy(d-a/2) 84.705.88 Ib -in a = Asfy/0.85 f'c b a = 0.47 a/2 = 0.24 w= 1= As =0,2 fy = fc = b = d = i,336, �'�= lbs �� ft. int 40003 psi 2500 psi in `2 in Minimum refusal =837 plf x 6' x 1.75 (F.S) = 8789 lbs To be approved or adjusted, as required, by the Engineer of Record The existing foundation, about 1.5'x 0.67, w/1-#4 bar, supporting a uniform load of 837 plf, will span 6' unsupported. nFFICE COPY U PLAN VIEW SCALE 1/8" = P-0" CUPERTINu ' Building Department JUL 1 4 2015 REVIE'�',. -C:: OR CODE COMPLIANCE Re ed By: 0,:'z , Y _ 1-7/8' PIER UNLIMITED LIFT STEM WALL OFFSET WITH LONGER BRACKET RODS SPREAD FOOTING 4' STD, 1-11 BEFORE LIFT FLOOR SLAB AFTER LIFT •�. II 12' CSC CUP ERT/ 3uildin9 Depart JUL 10 2015 REVIEVVED �. OR CODE C --f-wig We By OMPL1A /-BCONTINUOUSLY ADJUSTABLE / RACKET LIFT ROD CAP - FACE PLATE U SIMPSON TITAN BOLTS MODEL MOOEL 300 -PIER BRACKET 14' MAX. 1 3/ s 9/16' DIA. PIER PIPE / 6' LIONG 0.165 WALL 4 HOLES x 3 0 14 /2' SUITABLE LOAD QPMENT DEPARTMENT BE ING ON - CUPERTINO STRATUM OR RE FRICTION REDUCTION '_'O E C41 -AR li%j r- 2-7/6' DIA, x `^r�! mecifications MUST be kept at 1 jo #1 0.163 WALL action. It is unlawful to make aFi 3 PIER PIPE tie, or to deviate Model 300 Model 300 Utility, Bracket. -,1 the Building OfficlEl Utility Bracket Detalls Application Drawing Th. _ of this r''_ ;ifications SHALL N bf. rmit or roval of the violatio of anydinance or State La v = ECP RESISTANCE PIER LOCATION ENGINEER OF RECORD TO APPROVE ALL PIER DEPTHS REFUSALS, LOCATIONS, AND SUBMIT REPORT TO BUILDING OFFICIAL FOR FINAL IN§PECTION CONSTRUCTION NOTES; RESISTANCE PIERS ARE FOR FLOOR LEVELING PURPOSES ONLY. PERIMETER FOUNDATION SHALL BE 1.5' x .6T MINIMUM CONTRACTOR SHALL VERIFY FOUNDATION DIMENSIONS DAT PERMIT NO. TYPICAL DETAILS - ECP MODEL 300 _ N.T.S. , A E,) CE C '!r CIVIL �NP OFFIopy' �F oQ F CAU' 7 ll s W [� O a` �¢ O U "It w O0 00 L w U W � � O p � U o OR O U s W � W M Oz V H Uo Q OU Q Date 7/13/2015 Drawn BCB Sheet 1 of 1 ,154�t7o« CLIFFORD TANAKA P.E. cawhaler@gmail.com 16 ELMWOOD COURT NOVATO, CA 94945 (415) 798-0444 Project i �� l`�(A a IT Sheet_of__� y 6- �k :7:r Date V S i4- By - C� F INSPECTION REPORT IL � °l-7 0(- SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(acupertino.org Permit No. 16D % O f 3 3 Address 1 1 7 19 P1 M� B k0" >e Co Lk Q -T # of Alarms Smoke: 5 Carbon Monoxide: 'I— PERMIT PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X G'K- X AMA On every level of a dwelling unit including basements X 61R_ X eK.- Within each sleeping room X 0.a Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: f��...S /M'Ik941-kA1 13 14 4 r Signature.............................................. ....................................................................Date: ................... Contractor Name: Signature...................................................................Lic.#...................................... Date: ................... Smoke and CO form.doc revised 03/18114 WATER -CONSERVING PLUMBING FIXTURES LI L EZ OWNER CERTIFICATE OF COMPLIANCE �Jll ,�QIS��FM1 CUPERTINO Owner Name Mk ilKk L COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - F4X (408) 777-3333 • buildinga-cupertino.oro 07 o 13 3 Address 1 17 'U Pi elf gk"k Cotte -T CA - ISO l SG I . Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. g No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. ,' No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. Please check ONE of the following: My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). 1, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: Date: 9 upon completing ana signing tnis t✓ertmcate, please return it to the rsuuoing Division in Omer w rinai yL,UI UU11U11 PCIMIL. SB407 2015.doc revised 08/26115