BLD-2024-0409_ApplicationII CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408)777-3228 • permitcenter@cupertino.org PERMIT #B - _BLD-2024-0409_ _ REV# DEF# □NEW CONSTRUCTION O ADDITION O ALTERATION O T I □ MEP ORE-ROOF □ SWIMMING POOL/SPA .. PROJECT ADDRESS IAPN# 10825 Drvden Avenue OWNER NAME I PHONE I E-MAILAndrew Fen£ 408 887 3061 andv.feng@gmail.com STREET ADDRESS I CITY, ST ATE, ZIP 10825 Dryden Avenue Gupertino CA 95014 (!I CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE Roberto Renteria Golden Electric JRR 1105998 STREET ADDRESS I CITY, STATE, ZIP 1505 De Rose Way, Unit 137 San Jose, CA 95126 E-MAIL 'PHONE service@goldenelectric.net 408-309·367 40 ARCHITECT O OWNER O OWNER AGENT 0 CONTRACTOR AGENT □ ENGINEER O DEVELOPER O TENANT CONTACT NAME E-MAIL STREET ADDRESS CITY, STATE, ZIP DF..',CR!Pi0N 125A suboanel reolacement ,--AM.I ffJc.. •L � ,/ IL.1:7 M JV I TOTAL VALUATION: $2000 (!ISINGLE-FAMIL Y /DUPLEX □MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL C-10'BUS. UC# BL�001872 I PHONE B EXISTING USE I EXISTING SF NEW FLOOR SF I PORCH SF I DECK SF I DEMO SF I STORIES # I TOTAL NET SF USE TYPE occ SQ.FT. VALUATION($) REMODEL REMODEL KITCHEN I REMODEL 01HR I GARAGE BATHROOM SF SF SF SF EXISING □ YES I D YES FIRE SPRINKLERS O NO EICHLER O NO SECOND STORY ADDITION QYES0No DWELLING I SECOND DWELLING UNITS# UNIT ADDITON: □YES 0ATTACHED0DETACHEDIOTHERONO SF POOLSI 0 FIBERGLASS O VINYL-LINED O GUNITE 0 PREFABRICATED QATTACHED 0 DE1ACHEO POOL-SF SPA-SF 1 srA ATTACHED □YEs a No I TOTAL-SF Comwercia1 or Mµ/ti-Fami/11 Buildin�s with Public S1Qimmin� Pools reg_uires l&r!.artment o[Environmental Heath �roval RECEIVED BY: IRE-ROOF I EX[STING ROOF TYPE: □ BUILT-UP ROOF □ ASPHALT SHINGLES □ WOOD SHAKES □ WOOD SHINGLES □TILE OTHER (SPECIFY)REMOVE /REPLACE □ NO 1 IF NO IPL YWOOD □ ½'' □ 3/8" lPL YWOOD TYPE: . _ □ YE..<; #OF LA Y':_�S---=--=--. TI-IICK�ESS O �/8''.. OTHE_R-_. -.. -. -. _r:::JosB _ 0 c°-x _ _ 01'1_ffiR .. PROPOSED ROOFTYPE: □BUILT-UP ROOF □ASPHALT SHINGLES OwooD SHAKES □wo00SHINGLES □OTHER *Provide a signed copy of the Cupertino's Tear-Off Policy I PITC.H: . . .. I ROOF CLASS _:12 A
SF #of SQUARES By my signature below I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Worl< and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. I acknowledge and authorize all information contained on this application form to be made available for public record. h& � Signature of Applicant/Agent: IIA17I SUPPLEMENTAL INFORMATION REQUIRED Date:O;u14L2024*New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a building permit for all new construction.*Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.*Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application.*HOA-Provide a letter of approval from the Home Owner's Association BldgApp _2017.doc revised 01101/2/