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13030044CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7811 LILAC CT CONTRACTOR: RICHIE BOBCAT & PERMIT NO: 13030044 HAULING OWNER'S NAME: KRISHNA KILAMBI 396 PATCH AVE DATE ISSUED: 03/11/2013 OWNER'S PHONE: 4089140567 1 SAN JOSE, CA 95128 PHONE NO: (408) 529 -2531 ❑ LICENSED CONTRACTOR'S DECLARATION License Classyy��C (e ( Q (e L- Lie. 9 Q t ct Z 1 ll Contractor Q to �L A A AA Q 9 Date 5- 1 hereby affirm that 1 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 stud 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, Section 9.18. Signature Date 3 - 1 I -I 3 ❑ OWNER - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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. Lhave 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, 1 must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION Icertify 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. Date JOB DESCRIPTION: RESIDENTIAL ENGINEERED BACKFILL FOR POOL REMOVAL, CITY REQUIREMENTS TO BE MET (HANDOUT PROVIDED) Sq. Ft Floor Area: Valuation: $7500 APN Number: 35903026.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 D RMIT ISSUANCE OR 180 D� T CALLED INSPECTION. 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: Q -Iv-C- g-- Date: 3 -11 -t3 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CUPERTINO SWIMMING POOL / SPA PERMIT APPLICATION aVI COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION //�� �oo 10300 TORRE AVENUE • CUPERTINO. CA 95014 -3255 0 IS P (408) 777 -3228 • FAX (408) 777 -3333 • buildinG(Dcucertino.orQ /1.. PROJECT ADDRESS - APN k 'J J 57 O 3 O 2 % � L, 1. a c C-4- • .i. Cab OWNER NAIv@ �. () 0. 14a.m b a r— rl 468- 91 L( - oS67 E -MAa. STREET ADDRESS -1f�71( L,I CITY, Sr E' ^ Cu + "emu C... FAX 'cC Cr s CONTACT NAME PHONE &MAIL STREET ADDRESS CrTY, STATE, ZIP FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGNEEA ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME - ✓LCaQ LICENSENUI,I 91 9 l0 LICENSE TYPE C -(el _ (7 iv BUS. LIC X COMPANYNr, E-MAIL FAX �I C , STREETADDRESS 3a(. P, CL, .&v, CITY, STATE, ZIP n San JoSC� `a PHONE 4_L.9_321 -2.3 31 ARCHTTECTIENGBJEER NAME LICENSE NUMBER BUS. LIC k COMPANY NAME E -MAIL FAX STREET ADDRESS 23° I %an1<rr c( CITY, STATE, ZIP p Jar OSe s PHONE LioB- 32LI -Iqo0 DESCRIPTION OF WORK USE OF ❑ SFD or Duplex ❑ Multi - Family TYPE MATERIAL TYPE (CODE) AREA (SQ.FT.) VALUATION (S) STRUCTURE: ❑ Commercial POOL POOIISPA MATERIAL TYPE CODES: SPA" V - VINYL-LIKED P - FIBERGLASS DEMO 9 Un i GOO -tsjj0 G - GUNTTE _ - Bill, a TOTA VALUATION: P - PREFABRICATED Hy my signature below, [certify to each of the following: am the grope r auth zed age act on the property owner's behalf. I have read this application and the information I have provided is correct, I have read Description of verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to(�rilding construction. I authorize representatives of Cupertino to enter the above - identified property for inspection purposes. Signature of ApplicanUAgent `! , t 'II Date: `3 -- l L — t-3 SUPPLEMENTAL INFORMATION REQUIRED HK 7110% w, ti'09M=1— r0- , . ��•���� °,. ��'�*; 1 ,k.sa " � k`�rilceBeTe NAa Commercial or Multi- Family Buildings with Public Swimming Pools: _ Department of Environmental Health approval required. 1 ?' Q� MEN fr•.: r it `=. m ANDAAb+ -stk EIJBLIG,I'ORK .EPT i� � - rya�,,© LARG �� ro 3� "2' F �vBtGN¢�rin`Ai�BSaBTH'�� ��k -iCq R 'a`j,�i �+eu,�^� iF � '-:.)' ��r 1 jf�•�, t +�oIt'k. +mow F :' HNISAAY sSwER ISTRIAC7 Y SW imPoolAppj(?] I.doc revised 03116111 CITY OF CUPERTINO I�►1�YlAI FF.F. F.STYMATOR — BUILDING DIVISION Lui ADDRESS: 7811 LILAC CT DATE: 03/11/2013 REVIEWED BY: MELISSA APN: 359 03 026 BP #: 'VALUATION: $7,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: SFDOrDUpleX 0.0 PENTAMATION PERMIT TYPE: 1SFP00LDEM WORK ENGINEERED BACKFILL FOR POOL REMOVAL CITY REQUIREMENTS TO BE MET HANDOUT SCOPE PROVIDED) Mech. Plan Check Meeh. Pencil Fee: Other Mech. Insp. II - 1kch. htsp. Fee: �J NOTE: This estimate does not Plumb. Plan Check I I I Dec. Plena Check Plumb. Permit Fee: Elec. Permit Fee: Other Plumb Insp. Other Dec. Insp. Plumb. hap. Fee: Elee. Insp, Fee: e to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer Disl t District etc.). These feev are based on the relimina in ormadon available and are only an estin ate. Contact the De t tor aaan't into. FEE ITEMS (Fee Resolution 11 -053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F 1 # $306.001 Swimming Pool IDEMOPRES I Demolition Suppl. PC Fee: Q Reg:, Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee.e Reg. Q OT F-001 Ins $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consnvclion Tax: Adminiso-ative Fee: 0 Work Without Permit? O Yes O No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure 0 A i Travel Doemnentution. Fees: Strong Motion .Fee: IBSEISMICR $0.75 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $1.751 $306.00 TOTALFEE: $307.75 �w\ . Revised: 01/01/2013 J A- 3 -1 1- 13 b i yM OMrrvIUNITY �I�ELOPf ENT DE PA TMENT j 1 1 t BP/tL�cIN� ISIV SI ^h �C� e'i 01 ✓1 J This set of plans and specifications MUST b- ka" jdc sii^ dc: ing construction. It is unlawful :0 r: cl jai ages or aiteraiions on same, or to c -,! 'I therofiom, without approval from the Buildin,I j. The stamping of this plan and specifications SW I '" bo held to permit ort�o a' pproval of the of ov oen�f ity Ordinance or S r_' -' •:. DATE 1 _ PERMIT NO. 00Lf 0 S U n - iZoorh se Ll bU ifcd -able/ t1FFICECOPY' �� 359 - o3-0Z6 YLO'f Pl"t5 CHECKED BY 3 u za13 DATE pLfAVNuNG DE -Pq ^r^ DATE ion BLDG. DEPT- ,a r < j C;i iD rn s s o CD o a 0 a 0 M = n 0 c re � m 0� M Z O E L W C �! h1 CUPERTINO 130ding Department MAR 1 1 2013 REVIEWED FOR CODE COMPLIANCE Reviewed By: IFFICE COP" 001 llaal CUPERTINO Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014 -3255 Telephone: 408 - 777 -3228 Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST - I j JOB ADDRESS: L ,� — PERMIT # OWNER'S NAME: PHONE # GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: -3q (.- xo r c.,a CITY /ZIPCODE: 419 r *Our 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 SUBCONTRACTORS HAVE OBTAINED A'CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: -�� `y -!5- 1 k-13 Signature Date Please check applicable subcontractors and complete 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 Plumbing Roofing Septic Tank .; Sheet Metal Sheet Rock Tile OwnerTContractor Signature 3 -lk_ 173 Date SILICON VALLEY SOIL ENGINEERING GEOTECHNICAL CONSULTANTS File No. SV1087B March 20, 2013 Mr. Crishna Kilambi 7811 Lilac Court Cupertino, CA 95014 FILE Subject: Existing Residence 7811 "Lilac Court cam% � -1 Cupertino, California TESTING AND INSP4CTION SERVICES DURING THE BACKFILLING 0;PERATION OF THE SWIMMING POOL REMOVAL Dear Mr. Kilambi: Pursuant to the request of Mr. Rithie Maes, we have performed testing and inspection services during the backfilling operation for the swimming pool removal. The subject site is the existing residence located at 7811 Lilac Court in Cupertino, California. The existing swimming pool area was approximately 700 square feet with depths ranging from 4 to 9 feet :below existing ground elevation First, the entire pool was removed and inspected on March 15, 2013. Then, the excavated bottom was compacted,' Next, the excavated area was backfilled with import soil material to the existing ground surface. The import soil material was moisture conditioned as necessary and compacted in uniform 12 inch lifts to at least 90% relative maximum density. The backfilling operation was performed by Ricie Bobcat Inc. on March 18 and 19, 2013. A total of 12 in -place field moisture /density tests were performed by our field engineer using a nuclear gauge (CPN MC -1 DR). These tests showed values in excess of 90% relative maximum density of the backfill material as determined using the laboratory compaction test procedure ASTM D1 557-91. The results of the field moisture /density tests are summarized in Table 1. Approximate locations of these tests are shown on the Site Plan - Figure 1. As a result of our testing and inspection services, the contractor has performed the backfilling operation of the swimming pool removal accordingly for the "buildable" area. 2391 ZANKER ROAD, SUITE 350 • SAN JOSE, CALIFORNIA 95131 • (408) 324 -1400 e F (408) 324 -1404 File No. SV1087B March 20, 2013 If you have any questions or require additional information, please feel free to contact our office at your convenience. Very truly yours, SILICON VALLEY SOIL ENGINEERING Sean De ive rt Project Manager Vien Vo, P.E. SV1087B.BF /Copies: Jc - a RCE 32236 CIVIV- 1 to Mr. Crishna Kilambi 2 to Richie Bobcat & Hauling 2 SILICON VALLEY SOIL ENGINEERING File No. SV1087B March 20, 2013 TABLE SUMMARY OF FIELD MOISTURE/ DENSITY TEST RESULTS Test Date . Test Moisture Dry Rel. Comp. Soil Type No. 2013 Location/ % Dry Density % of Max. & Remark X3 /2.L. 12.7 Elevation Weight p.c.f. 99 X4 /21. SWIMMING POOL BACKFILL 1 3/18 X1 /21. 13.4 108.8 92.2 B 2 it X2 /2.L. 13.4 107.3 90.9 B 3 it X3 /2.L. 12.7 108.0 91.5 B 4 99 X4 /21. 13.5 106.8 90.5 B 5 is X5 /41. 12.7 110.5 93.6 B 6 It X6 /4.L. 12.1 110.3 93.5 B 7 is X7/6.L. 12.7 110.8 93.9 B 8 is X8 /61. 10.3 109.5 92.8 B 9 3/19 X9 /F.L. 11.1 108.2 91.7 B 10 it X10/F.L. 10.1 110.1 93.3 B 11 99 X>> /F.L. 11.0 108.5 92.0 B 12 is X12 /F.L. 13.5 109.3 92.6 B NOTES: 21. = SECOND LIFT 4.L. = FOURTH LIFT 61. = SIXTH LIFT F.L. = FINAL LIFT B: Dark Brown Gravelly Clayey Sandy SILT 3 SILICON VALLEY SOIL ENGINEERING �ao �4 d k3 �8 I LILAC COURT Silicon Valley Soil Engineering 2391 Zanker Road, #350 San dose, CA 95131 (408) 324 -1400 SITE PLAN Existing Residence 7811 Lilac Court Cupertino, California m i File No.: SV1087B I FIGURE Drawn by: M.H. I 1 Scale: NOT TO SCALE I March 2013 line 120 CL y 115 c m 0 110 105 + 6 Silicon Valley Soil Engineering 8 10 12 14 16 Moisture Content (% of Dry Weight) 1.1 SAMPLE: B DESCRIPTION: Dark Brown Gravelly Clayey Sandy SILT LABORATORY TEST PROCEDURE: ASTM D1557-91 MAXIMUM DRY DENSITY: 118.0 p.c.f. OPTIMUM MOISTURE CONTENT: 12.0% 2391 Zanker Road, # 350 San dose, CA 95131 (408) 324 -1400 COMPACTION TEST B I File No.: SV1087B Existing Residence Drawn by: M.N. 7811 Lilac Court Cupertino, California I Scale: NOT TO SCALE 5 FIGURE 2 March 2013