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08050069 CITY OF CUPERTINO ��a,�� '' BUILDING DIVISION • PERMIT t\:I.l�,t? ��7 a�:�t`A�Q �T��±y BUILDING ADDRESS: PERMITNO. 22222 BITTER OAK ST TBD — TO BE DETERMINED 08050069 OWNER'S NAME: PERMIT ISSUE DATE WING KONG LOW 05/07/2008 ,NE: SANITARY NO. CONTROL NO. ARCHITEC[ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH X00 LICENSED CONTRACTOR'S DECLARATION m I herby aRren Nat 1 am licensed under provisions of Chapter 9(commencing lob Description -° wituScetio,7")ofDivision3ofNCBashmasand ProfcssmasCode,and mylicense is RMDL BTHRMS, FLRNG, PAINTNG,NON—STRUCTRL INCLUDES ^ win full farce moa allies. iy? ummeClass Llm.a ELECT/PLMBNG/MECHNCL. PRIMA BUILDING SUPPLY PD Dam.Contractor ARCHITECTS DECLARATION FOR BUS LIC 5/6/8 1 undersand my Plato coast W used as public records Baas Lkccuseed Professional 3 OWNER-BUILDER DECLARATION f 1 lumby aRrm Net 1 am esemit fmm the Conmears License Law for ate i pOfollowing reason.(Such.7W 1.5.Business and Profeumas Coda:Any city or county wCwhich acquires a Permit w construct.ager,impmw,domolah,or rt pair my structure =� prior to its issuance,sm,tequims the,applicant for such Permit o rile a signed statement as`o that he is licensed purmantteNePmvisionsofthe Contracmr'sLicense Low(Chapter 9 Sq.Ft. FloorArea Valuation Yds mommencingwiNStttion90W)of Divaim3oft BusinmmdProfessiom CM)or $],5000 tannin,u esempt theefrom and the basis for the alleged eaempuon.Any violation of Section 70l l.5 by any applicant f¢a Permit subjects Ne mpli art to a civil penalty ofNumber Occupancy Type net mem Nm finehandled dollars($5=. 32651032 . ❑I,asowhorof die pmpary,amy employers vriN wagmas Heir sole eempewuan, and Pr Ncwmus and Ne she Communes Lza an; atapply oa,aw.os arta property who Case:Ina contactor,and Law dam net apply to an owner is Required Inspections Mme a ploys Wadsnr)mpmwsth impos ea who me notrcnwak or offredthrough na awn em,meu,por thatamh imPmwsnenthi...broachedoreered thefouwmer. bowevv,Ne buildingthnru Wpmmaent u sold last Iwithin act yeara completion.prowfor are owner. buil will nave Ne buttlett of proving Nat x did rtot Wild m impmw for puryom of isle. .... I,u uwrcr of tx property.am melmiwly contacting withlic mond etrams" ran he mtmn tW Milne(Sec.YOad,Business and Prafeuioos Cade:)The Contactors U. ¢me Law does not softy to an owner of pna,mny who Wilds or impmw Merton.and. who contacts for such projects when a contracher(s)licensed pursuant M the Cmurma's IJeenm law. ❑lam eaerTmp�s�" 1 ,9l�Se BA P C fm this sawn Owner sip lY `^�iL'^' p� 0 WORKER'S COMPENSATION DECLARATION 1 hereby affirm under Porosity of perjury,one or the following declarations: 1 haw and will mannans•CartiB.m of Convent to self-mm.for Wasters Compcm, ation,as provided fm by Section 37M of Nd labor Code,for tx perfomaace of the work for which this permit is iaued. 0 I here ata will maintain Worker's Compensation Immo¢,a required by Section 37Wof the Lala Cnde.for the peffoman¢often work for which enis permit is issued. ' My Workers Compense6m Warance.ones and Policy number art: Caoico Policy No.: CEIGTRCATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (7hu;sttuan hoed tw t 4 can pletcd ifft permit is fa one huMmd dollars(S 100) on,less) T certify that in ene Perfomwce of the work for which Nis Permit is issued.I mail am employ any person in my mmrc m one abj¢ttoto Wprkers'Compemation Laws of Cahromib Dtm ;;, Applicant P CAN NOTICETOAPPLICANT If,afar making Na Cisions of offde E Latour o d you should becomeh comp to it Warius's Ine Compeoatian provision of Ne Laker Code,you nue .J z feMwiN comply with ash provivem or this point shall x dttmed rtwkrA. ? O CONSTRUCTION LENDING AGENCY [—i I bunchy affirm Lha Vert Is a construction lending a ^Ofor to of C ate wit for wMmn uta point Is ias¢a(Sec.309'1,civ.c) az Landers Name . � z I<ndersAaamss U O 1 mtify that I base road this*mlicaune and some toes de move)aimmum n is ty F const 1 mgrs to.mply with all city end county oNinuees and sum laws mutual,us - .Q V Wilding construction.and Wanly allon.repnearmuws of this city to enter rpm the [Ll cove-mentionW propenY for inspection purpmea gy (we)agree to ave,indemnify and temp hamkss she Cry of Cupertino agaimt in consequence, ofdom mtsiol of eapmuesrer. may in aY wyacma al,aimisud Gty C.1 z APPL CANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date \ " SOURCE [AW!EGU�(ltj(.d 1l'ob me s O Re-roofs Stgrwum of Applin RDOU Dam HAZARDOUSMATERIALSsDlscLasuRE Type of Roof Wi0 y l applicant ar future building e.Calmar a hassle Health maerial as 4.Sac io tW Cupenine Mures al Cade.Cupmr 9.1;and ae H.Ien and Safety Cade. Ely. All roofs shall be inspected prior to any roofing material being installed. ❑Tan No Will enc applicant or mum building occupant use rquipmcot or dcvicm which If a roof is installed without first obtaining an inspection,I agree to remove ,urardom aircon=inanu as trcd by enc Bay Am,Air Quality Management all new materials for inspection. .ant^ ❑ Y. u I have mad as haeardam materials mquirtmcnm mul rC)umer6.95 of Ne Califor. rasaHWM&SofctyCode.Sttti.nM5,25533a 25534.1undrRurtd NaifNc building does net currently haw a mint,than it u my r.ptmibilitY to retify de aucupmt or de mgnimeentswide xmet priortoanaa¢efacctdlaaseof� Signature of Applicant Date _ qb kj S Og All roof coverings to be Class')¢ Owner or auNorim al, l Dam g 'or better CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32651032 . 00 DATE ISSUED. . . . . . . : 05/07/2008 RECEIPT # . . . . . . . . . : BS000004688 REFERENCE ID # . . . : 08050069 SITE ADDRESS . . . . . : 22222 BITTER OAK ST SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : WING KONG LOW ADDRESS . . . . . . . . . . : 22222 BITTER OAK ST CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-0105 RECEIVED FROM . . . . : DO HUI TEH CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . TELEPHONE . . . . . . . . : • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 15, 000 . 00 1 . 50 0 . 00 1 . 50 0 . 00 1REMRESBAT SQ FEET 1 . 00 429 : 00 0 . 00 429 . 00 0 . 00 1STPLNCK HOURS 1 . 00 122 . 00 0 . 00 122 . 00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 552 . 50 0 . 00 552 . 50 0 . 00 METHOD OF PAYMENT - AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 552 . 50 AMEX --------------- TOTAL RECEIPT 552 . 50 Ofb6 000 CITY OF CUPERTINO • � ADDITION/REMODEL CUPERTINO PERMIT APPLICATION FORM APN # t)O Date: 51510E Building Address: a-_�_2aQL RiTUR OAK WPERTINO, CA 9S0/4- Mailing Address (if different from building address): Owner's Name: WING KONG LO v/ Phone# (409) _73a-4158 Contractor: Phone #: (9P5) 36 3 - R4,q J PRIMA BuILbI1J 'Su P Y, INC Fax #: N-15) 363 - 4-Qqq Contractor License#: gg4 2 3 Cupertino Business License#: 0100Ob40_561 Contact: T VVA N M \J l? T"U1 Phone #: 9,51 - 3Z 3 Fax #: 7,2 — 3.6 39-g 9 Building Permit Info: S f29 \z_— A • Bldg. [P- Elect. Plumb. Mech. [' Hillside ❑ Job Description: Addition (adding sq,footage): What is being remodeled? �/Vj k 1-00 M5 r, I j �vt inrl � r%GO Shu �1 v�� Remodel Includes Re-Roof: Yes ❑ No © If yes list number of squares Remodel Includes Structural: Yes ❑ No Square Footage: Addition: Porch: Deck: Garage: Detached Attached 1089 Remodel: Kitchen Bath � Other Id Or,v,.l �R,q+l rzq Type of Construction (Usage Class): Occupancy Type: 11 IA, 1113 11, I11, V-A ❑ 11, 111, 1VV-B ❑/ tZ'7 Valuation:IPlease check this box if the project is a • � 15-. o,00. 06 second-sto addition ❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: include in plan set & the sheet index. ***For Office Use Only*** Over-the-Counter ❑ CITY OF CUPERTINO ADDITION/REMODEL C,UPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft ADDITIONS 1R3SFDADD PLLONGRNGR Long Range PL Plannin Residential 1R3INSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat B Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B ins ection 1R3HPLNCK Dwellings Hillside plan B check • 1R3HREINSP Dwellings Hillside B Repeat Inspection 1R3HREPLNC Dwellings Hillside B Repeat Plan Check 1R3ALTINSP Dwellings Alternate B Materials Inspection 1R3ALTPLNC Dwellings Alternate B Materials Plan Check 1PCESS Cesspool P 1PPRSEWG Ea. Private Sewage P Disposal System 1PRSEWER Sewers P IBPSPRINK Lawn Sprinkler/Backflow P IBPWSVCS Main Water Service P 1BSEISMICRE SeismicResidential B DECKS 1R3SFDADD OR 1R3SFDREM • 1DECKWOOD Deck (Wood)-Each B Each 1DECKRAIL Deck Railing-Each B Each CITY OF CUPERTINO • ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft GARAGES 1R3SFDADD OR 1R3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF 1GARDTM<=1K Masonry up to 1,000 SF B BCONSTAXR Construction Tax Res new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1 PATIOWOOD Wood Frame up to 300 B SF 1 PATIOMETAL Metal Frame up to 300 B SF 1 PATIOOTHER Other Frame up to 300 SF B • PATIO'S CLOSED 1R3SFDADD OR 1R3SFDREM 1 PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1 PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered-Each B Each 1 REROOFRES Residential Re-roof Each B 100 SF REMODELS 1R3SFDREM 1 REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan 300 SF check / 1 REMRESBAT Bath Remodel up to 300 B « SF 1 REMREOTH Other Remodel up to 300 B « SF . 1 REMODEL PLNCK / 1 STPLNCK (1-3 for Standard Plan Check B NOT FOR OVER THE remodel) COUNTER PLAN CKS. 3 of 3 CITY OF CUPERTINO • ADDITON/REMODEL FEESCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1 WINREP Replacement windows B ea 8 windows 1 WINNEWNSTR New Window(non- B structural 1WINMEWSTR New Window(Structural B Shear Wall/Masonry) 1 WINBAYSTR Bay Window (Structural) B SKYLIGHTS 1R3SFDREM 1 SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 B sf or structural • ]STAIRS Stairs-first flight/ea addt'I B IEPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln E Ck (hourly) 1 MECPLNCK Stand Alone Mechanical M Pln Ck hour] 1PLMPLNCK Stand Alone Plumbing P Pln Ck hour] IBSEISMICRE Seismic Residential B . 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B 4of3 i7OWNSrAi gATN • 7�1" SGIi/k riF Vv'U K ab ; i . 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Ivo �ILl b, n� rlr)h e)ecfrlc-<l rolIT"vl &I/ re I o Cott,n J . 36" 3G" A.)_ I�y�t 7oL i 40)v {: �44 I,I Ile On ha I -bg4vr SCPPE OF WOKK C�� e �Ul�zt � VGtn�ty � I t - -- z -2v Ski; moi- h.tAl kf—vre , .kowtl -- � . -Z }ile vv) S+1 ' Cx)nCCt44 m 1G t1)=V) Olr,vy, n 1 • Ixcckes' /Zon inUlS}ure I I Le f) n how )i?c�rY�er /y y ncci nn � cvr No ,dumb rn.( ovv A e)ec}rlc.�) (=e(movi aL Community Development 10300 Torre Avenue Cupertino CA 95014 CITY OF Telephone(408)777-3228 OU^E kT I N O Fax(408)777-3333 Building Department All Cupertino building permits must meet certain conditions related to maintaining environmental quality and public peace and safety. The two most common conditions are described below. STORMWATER POLLUTION CONTROL State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District control stormwater pollution. Educating local residents and businesses and enforcing stormwater pollution control laws are key parts of the City's compliance efforts. Stormwater pollution prevention: It's up to us In northern Santa Clara Valley, storm drains flow directly to local creeks and San Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife dependent on our waterways, for people living near streams and baylands, and for the local water supply. Common sources of stormwater pollution include: • Dripped oil, fuel, and antifreeze from vehicles and heavy equipment; • Construction debris, including dirt, concrete and paint; • Landscaping runoff containing pesticides or weed killers; and • Any material dumped or spilled into streets or storm drains The property owner and the contractor share ultimate responsibility for activities' occurring at a construction site and will be held responsible for any environmental damage caused by subcontractors or employees. For more information on construction-related stormwater requirements, see the Stormwater Quality Regulations section of the City of Cupertino web site at: httr)://www.cui)ertino.org/city government/departments and offices/ environmental services COMMUNITY NOISE CONTROL The basic noise control requirements for construction sites are as follows: • Typical construction work hours are: - Weekdays - 7 a.m. to 8 p.m. - Weekends - 9 a.m. to 6 p.m. • Construction other than street construction is prohibited on holidays. • Residential daytime noise levels from complaint site - 60 dBA • Nonresidential daytime noise levels from complaint site - 65 dBA For more information on noise control, please see Chapter 10.48 of the Cupertino Municipal Code, which can be accessed at http://www.amlegal.com/cupertino ca/ • Greg Casteel Building Official Community Development � e 10300 Torre Avenue 'sx� Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 *UPEkTINO Building Department JOB ADDRESS: 322'Xa gH�e(K Oet k 5f, PERMIT # G,t 2rh'no cpr gl3o A- 0YOS OCA (A j OWNER'S NAME: W10q Kooa LOW Do H U( PHONE #(9 z h) -363- (?4-c[7 GENERAL CONTRACTOR: Iwan MurFgtall FAX # u, 363- 3 I am not using any subcontractors: 5 og �igi6tlure Date Please check applicable subcontractors and complete the followm information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood • Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owne / -vntractpr Signature Date