02030095 (3) CITY OF CUPERTINO --"' - - ' a 1.
BUILDING DIVISION PERMIT " ONTRACTORwINFORMATI t •
BUILDINGADDRESS: 'PERMIT NO,
11370 S STELLING RD 02030095
OWNER'S NAME:
APP
ST. ANDREW CHURCH 033/1/1 SUB DATE
9/2002
q( PHONE: SANITARY NO, CONTROL NO.
W O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
E"I BLDG ELECT PLUMB MECH
ia. -I I l LJ LJ
Z LICENSED CONTRACTOR'S DECLARATION IOU Description
hereby etfirm that I am ns licensed under provisional of Chapin mm
9(coexing
y t-uCS with Seedon 7000)of Division 3 of the Business and Professions Code,and my license PILASTER. �
-E is in full tamarind efrett. F
O i License Clna Lu.M 16Y OA/p ULE®
Data Can...,
e. ARCHITECT'S DECLARATION
O MAY O 8 2002
y I understand my plans shall be usetl as public records
i
I p o Licensed Professional
OWNER-BUILDER DECLARATION BUILDIN
1 hereby affirm that 1 am exempt from the Cornmeal's License law for Ne•
y u
?< following toss..(Saito 7 construct.
Business and Profession.Code:Any city or county (.3 0 O 0
which re,irts a nuruc[.alter,improve,demolish,or repair any stmctum 4
C mem.is6 gwh5ntiao7rolili ictoffor suNpermiu°Gleasiaw(Ch .._ _"_. ..__ - _ .._..__.—._.. ..._.
Perron roto
se
e 3$ piano iuissuance,aim re u
W uM di6)of it shunt Of henan°hlaa drain t. cur9 " t Sq, g. 11�y3gqr.A{g3 Valuation
000) the asonJ of he Bued tr and pretreat.Any vi Code) "_.t
e i fS�d
or that he is excmpi thercfrdmdr�d the basin for the e110gae exemdti°n.Any violation
rof Section 7031:5 by any applies for a pemtir subjects Or appliam to a civil penalty
mfnotan 11,anBvalur mddmlvals500). 10]°PNNI` t DATION Occupancy Type
mowner of the property,or my employees with wages a their sale compensation, Inl TTPRR
-
IITdo ahe-work and the aoucare is not Intended'or offered for sale(Sec.'7030, --- - - - -- � -
'Business
and Professions Code:no Connector.License law does not apply to an 1 04 - REBAR Required Inspections
caner of property Who builds or improves thereon,and who does such work himself
e Neu h his own employee,provided that such improvements art not:mended or
105 - ANCHOR BOLTS
c"o&M1 or ole.If,uowuilde will
buildingorimprovement n sold he did no, yet of "
------
'Completion,Or owne.builder will have the burden of proving that heist rat build or 304 - ROUGH ELECTRICAL ,:: � ,:p, 'a ., •.
improveftrpurprse°fele.). 505 - FINAL ELECTRICAL
_ - --ce "_.. ._ .. ... .. ...... .
olu°wner°f the property,rem exclusivelyd1,of..im,Cbkc:)snc Contractro 514- - FINAL PUBI;IC'-WORKS--' s -..:'
License the project(Sce,appl 7Psa,owner
and Professionsilds or The vest erear, i. ,dfr.,,
License Law does not apply man owner of property who builds or improves s as But '
Lute who conwense L such projecu,wiN a covtranor(p.&rnsed pursuers m,to ,---s _
Col am.to License law. "'-
❑lamexemptunderSec."" B$PC fu this won
CoW.ir' Date
WORKER'S COMPENSATION DECLARATION
1 hereby aRren under Penahy of perjury one of to following decimations:
0 I have and will maintain a'Certificare of Consent w Wyinsue for Worker's
Compensabm, a provided for by Section 3700 of the Labor Cade, for the
perfommance of she work for which Nis proal is issued.
01 have Ad will mairlmu W°rker4 Co.pemaliou Lauri ics,u required by Section
37M of the labor Code,for she Performance of the--work for which this Permit u
f: suance tamer ind Palmy no that arc:. '
issued My Work L Comp_I -In
.. . . .,,. ... . . ..... .. . . .. __.. ...-.. .. __ . ..r...... . .-.
on]ey
CuM1c I ICEMPNo: -. .
CERTIFICATION OF IXEMPf10 FROMWOR
i i v'. { ,. : i i. i ) •! "vt .,•.•.' ••
.COMPENSATION MSURANCn, ,
. . . .,. .., ._..-. ..1.... .__..,,......._--_. ._ .._-"__._.._...._.__._._-•__....... _ _ ,_.-
'-'- a,lessstian recd nm be complied if the pemtir is for one hundred dollars '`1 ` .
($100)orknJ '
I coni( Oskar, omu of the work for huh the - - . . _:.:.- _ .-. "-- - .• ', -r ,_ . .
' Y Perf permit is Issued, - .. . . .. _.. :: .,.
khall at emelt any pc In an annegAofu pg b)en to the.Workers - -
:�Ca naenOyjfay'4 jl Cryfomla peR, 9911//T ® -
t�3PLICA tl-lIIfJ _.."... _ .... ._. _ . . .. ". .... .. _
TG APPLI ILafuT'mgkang this Certificate of Etemptton,you should
Z becohmiubjeis to me Walker's Compensation provisionsaf the labor Code.you must
Zfonhwiru m.ply'wi6 such provisions or this permit shall be deemed revoked,
G
> of
` "IC ONSmUCTIONLENDING'AGPNCY,fo ..r, .
I hereby wsiliconhich that pure is'e o n d(Sec. lending agency for the performance,W.r�,n of ire rami fe which this permit is issued(Sec.3097,Civ.CJ
a.n Lender's Name-.; ..,.. c..:: . '.. - _. .". .._ _.. .. .. _.
Is1 certify trot 1 have read this application and one Nu the above informed..u '
Is, t..v comm.l agree to comply with all city and,county ordinances and sae laws mining
�.V
to building construction,and hereby authorise representatives of this city to enter upon
Lit
the above-mentioned property for inspection puryoses.
.r d (We)agree m save,iMeumify and keep bathes.the City of csiiu int agaion
CQ liabilities,judgments,town sad expense,which may in any way accrue against said / O�
U,
City in consequence of Or,ganting of this peroses. -
APPLICANTU STANDS AND WILL COMPLY WITH ALL NON-POINT
sl cEREc o"s 3 ,-,If Issued by: Da
ams AP cwouUmr actorDa Re-roofs
HAZARDOUS MATERIALS DISCLOSURE"
Will rhe applicant or fumie building occupant;tam or handle headers,..6i.) ,Type.Of Roof
as defined by the Cupertino Municipal Code,Chapin 9,12,and the Health and Safe,,
Code.Section 25.532(a)7'.,. .. .. - / .. - .. . . .
°Y" "° All roofs shall be ins pected.prior to any'roofing material being installed.
..
wofrmmppto:ar or Poarc buddedbythpem'yee AAir.alit Management
- If a roof is installed without first obtaining an inspection;I agree to remove
emit boldin On eu co r t or r rs n a,5&&by rue Bry Area Arm entity M Wgwhich
District' all new materials for inspection. Applicant understands and will comply with
all non-point source regulations. r
I have read, bawd°...medals requirements under Chaprcr 6.95'of.to "
California Health&Safety Cade,Sled.as 25505;23533 erN 2553d. undemand Nat
ifrtie building does nor cumemly have
senonL th.t it is my rtsgmtibiliry to mtifytue - -
occupebs of Ne mquiemenn which' s he mel peon°issuance.f a Cenificue of
Signature of Applicant Date
Owre r..,.me
ant «, All roof coverings to be Class"B" or better
— OFFICE .. . . . _ ... _. _. ..
0 0 0
�� CITY OF CUPERTINO p 241J CITY PERMIT APPLICATION FORM
CUPEi�TINO
7 APN# � � /�,, �v Date:
Building Address:
1�3 7 D 496
r} / hone#:
Con actor: License it:
Contact: Phone #:
Applicant/Genfraeter: /1 � Fax #: A? qqf 7 ol 8
Buil in ermifInfo:
Bldg Elect Plumb Mech
Job De ption: n
ential: ez- Commercial:
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Valuation: v __
7
ype of Construction: Occupancy roup:
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE BldgPermits . foot BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler>500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING'
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 Elec 600V<= 1000A ELECTRICAL
BELEC1001 Elec 600V > 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee I BUILDING
BMITIGATC Comm. Housin Mit. Fee BUILDING
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.TRPI-I4-2002 17.4E WHL R•H11'ECTS PLkiHERS • P.O,
STRIJCTURAL CNCINUR _ Job No. `��� Sheat
John, S. Quan BY, pate ( Aj ZODf'
SUBMITTAL
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M ACCORDANCE WITH THE CITY OA
CUPIRTINO ODES A ORDINANCES
DA
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JAN-14-2002 17;48 WHL H CHITECTS PLANNERS • P.Fj7
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JAH-14-2002 17:45 WHL r -HITE-TS PLAHHEF.'S P.01
STw4TQRn(EN,;PJEER
John S. Quan
(650159)-81609
F,NX 591-1991
FAX TRANSMITTAL
Dare : 14 January 2002 No. of Pages : 8
v'Cb Nl 99 ' Q'1,0U5 ; including c7ve: s eed
FrO@c'. : FOOTING for SCULPTURE @ ST. ANDREW CHURCH
From: Jo:nn Quan
To
(x) David vartanian c/o 7/
' Pax. 14CH)�'1;0-55&8
•
MAR 1 9 2002
By
add tior.al Messa7es :
Sr_UCCUYal. 6esian for %'JUY -` v`-ew.
•
please call 'us if all pages are nc: received
Hard copy ( 1 will (x) will not follow
OLU (:Qt'N I Y KVnU
EEL?:0.ti'f
CALIFORNIA
JR,1-14-2002 X02 17:4h OHL faH I TECTA, FLAT IHERS S F.G
STRVCTVRAL ENGINEER
John S. Quan
(650) 591•8609
FAX 591.1991
STRUCTURAL DESIGN for 99-02005
.........nmeerssv=ev_a:
1-4 JAN 2002
FOOTING DESIGN CCC
SCULPTURE @ ST . ANDREW CPURru
1!370 Sc. Stelling Road
CaOzrtino, CA 95014
Vg 2PQj'
ane Mar
BY
CONTENTS :
rooting DQZai'l
F- 1 co 3 Footing CalcuJatioas
R- i & 2 Reference Data
•
645 OLD CQQNTY A04D
EIELMONT
CAS-;FORN!A
Q4002.2723