08040122 CITY OF C—DERTINO 7377
BUILDING'SION PERMIT , 'JON:A
1 °§;�•n:
B"LgTESNERRYTREE LN JOHNSTON ELECTRICAL P0804
In�G#aj30122
OWNER'S NAME: OR PERMIT ISSUE DAIS
CHAU-YU CHEN 1302 LINCOLN AVE STE 204 04/16/2008
1NE: SANITARY NO. CONTROL NO.
(408) 266-0236
ARCHITECT/ENGINEER: BURRING PERMIT INFO
Bf�
3 O zLICENSED CONTRACTOR'S DECLARATION
w 1 hereby AM. 1 am licensed under proviuons n(Chapkr 9(commencing Job Description
wide Section 70(X0 r ELECTL PANL UPGRD 200AMP
OON of Diviuon]af NC Busines,end Profcauam it license is
n
]1in ran tame and of .r �4�[6Q
? Licenx Class Lk.,
5 Dak outcome,ARCHITECTS DECLARATION
I understand my plans shall M wed u public records
> U
y c Licensed Professional
OWNER-BUILDER DECLARATION
1 herchy onion Nat I am exempt from Me Comiscmr's License Law for Me
i❑o following moon.(Section 703 LS,Business and Professions Code:Any city or county
S 3 which mquirw a permit to construct,alter.improve,demolish,in repair my amecture '
Prins in its issuance,Wu requites the applicant forsuch permit to Ole A signodsmermen
�� Nat he ie lkemed Purwentm Nc proviuons of dx:Conmctwb Lkengo❑w(LTanm9 Sq.Ft. Floor Area Valuation
g (commencingwiNSec0on70W)o(Divkim3afth Bu,in aMProfesuomCode)w $1700
F— Nat M is exempt therefrom and Me balk for Ne alleged aanmptiom Any violation of
Section 7031.5 by any applicants for a permit subjects the applicant to a civil penalty of Number
not mom than two hundred dollars(M). 31633053�� Occupancy P y •Jfy�Pe
❑I,as owner of the property,or my employees with wages As theirgok compensation,
west M M.Amrk,and the swcmm is notimanded orotfened rwaale(See.7044,11"ness
and Professions Cad.The Canuutme.License Law dam not apply an•n owmr of Required Inspections
property aha builds or improve,thereto,and who does much ware himself w through big
own employee.,provided that such improvements are not intended or offered for sok.IT,
however,the building or Improvemut i•gold within o¢fear of completion,the owner.
builder will new Me humen of proving Wt he did tat Wild w improve for purpose of
Axis.).
❑1,u Owner of the property,am exclusively contracting with licensed contractor an
construct Ne project(Sec.7044.Business and Professions Code!)The Con rnmer's U.
cam law does not apply to an owns of property who halids or improves fl comer.and.
who contractsfor awh projects with acontrumrts)licensed Punumt tithe Co mealor's
License Law.
❑I am exempt und.Sea, ,B A PC fns this mown
Owner Data
WORKER'S COMPENSATION DECLARATION
I hereby of Im under penalty of Perjury oro of the following declarations:
M.And will mutein•Certificate of Consent kmif-insure fm Wartier.Cheapen.
ton,As provided for by Sectian 37W of the labor Code.for Me performance of the
walk for which this perch is issued.
❑1 have AM will muni.Worker's Compemauon Insurance,As required by Section
3700 of Ne Labour Code,for dmpuformanac ofthe wwk for which this permit is W¢0. '
My Wart is:s9 a,ansamim IInso ¢cuss.and policy nutgyy�h/er/'�re':r-�.�.-sem
Cartier. I/+LA1kVX9 Policy No.:�J�/�
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE .
(Thus rection mail not be completed If the permit is fns ane hundred dollars($100)
or it .)
1 certify Met in the perfamuce of Me wark for which this permit W issued.l shall nes
employ any parson in my mucorgo As to become subject to the Workri Compensation
Laws of CWIoML Dain
Applicant
NOTICE TO APPLICANT.If,ancr making NW Ceninam o(Eumption,you should
become subject m Lha Wwkeh Compewtion previsions of Ne Labor Code,you meet
.J Q foMwith comply with such pmviames.Mis Permit shell W deemed mucked.
z fjl CONSTRUCTION LENDING AGENCY
[—t I hereby aRrm Mat them is a cwuttuseden lending agency for the Performance of
ai
Me work for which this permit is issued(Sec.309'1,Civ.C.)
6�i Q Lender's Name
D Z L ndimsAddress
U Q 1 cwtify Nat 1 have mad this application AM sum than Ne above information is
If+H comes.I•gra te comply with all city and cowry ordinances and show lam relating an
�O building construction.And hereby uthorim representative of this city to enter upon tie
lihove-menudgm Property for inspection purpwhich AM
(We)agree m save,indemnify and keep humless the City of Cupollino agurm
ti T/I liabllluu,judgmdnu.cwts andexpemes which may in any way a¢me ageluuud City
U z in consegwnce of Meg hog of this rmll
.. SOURkPPLICER 0 ANDS W CO WITH ALL NO -PO Issued by: Date
�v Re-roofs
ignitor HAZARDOUS MATERIALS DISCLOSURE Dau Type of Roof
Will Me applicant or future,building accupantnore orhandle havudous materiel
U definM by IN Cupertino Municipal Code.Chapter 9.13,And the H¢TN and Safety
code,scum 25532(.)7 Yes All roofs shall be inspected prior to any roofing material being installed.
Will Nc applicant or Imre building occupant use equipment our device.which If a roof is installed without first obtaining an inspection,I agree to remove
.h.`us air cmure u defined by Me Bay Area Air Quality Management all new materials for inspection.
uc7
❑Yes Nu
I hawreel Melbrin ma cHabmquimmcnuunder ,Chapkr6.95ofNcUifor-
niaHwlNkSaletySwriom255U5.25533a 25534.1um =d thfifthe Wilding
dwa not cumndy ve a tin Ota u my pansiMlity m notify the t of Me
mquucmen w m t teissu ar.Cenirmatea�Ojc panf Signature of Applicant Date
IM nil t ate- All roof coverings to be Class'W'orbetter
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31633053 .-00
DATE ISSUED. . . . . . . : 04/16/2008
RECEIPT # . . . . . . . . . : BS000004503
REFERENCE ID # . . . : 08040122
SITE ADDRESS . . . . . : 10371 CHERRYTREE LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CHAU-YU CHEN
ADDRESS . . . . . . . . . . : 10371' CHERRY TREE IN
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : JOHNSTON ELECTRICAL
CONTRACTOR . . . . . . . : BRIAN JOHNSTON LIC # 23411
COMPANY . . . . . . . . . . : JOHNSTON ELECTRICAL CONTRACTOR
ADDRESS . . . . . . . . . . : 1302 LINCOLN AVE STE 204
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408) 266-0236
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---- ------- ----------
1BSEISMICR VALUATION 1, 700. 00 0. 50 0. 00 0. 50 0. 00
1EPERMITFE FLAT RATE 1. 00 40.79 0. 00 40.79 0:00
ITRAVDOC FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00
TOTAL PERMIT 82 . 08 0. 00 82 . 08 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 82 . 08 #1403
---------------
TOTAL RECEIPT 82 . 08
•
' D�01-[ D 1,2A
CITY OF CUPERTINO
• CUPERIINU GENERAL BUILDING
PERMIT APPLICATION FORM
APN # D -1-23 . O O Date:
Q
Building Address:
GWSI4 -,-n6ee Lh-J��
Mailing Address (if differenefrorh building address):
Owner's Name: Phone#:
Contractor: Phone: 4 Z _p Z3 Gyp
11t4e. Fax: l�p>i 50
Contractor License#: �� 2' '
Cupertino Business License#: 2-341 I
• Contact: Phone: (4ov 2&6
/ t�vls�JU Fax: C4II zar,�, - 6��
Residential Y9
Commercial
Job Description: . .�y�L_� �.
Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No
Building Permit Info:
Bldg ❑ Elect V Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 11-B ❑ 11, 111, V-A [:] 11, 111, IV V-13Vc -3
Valuation: Square Footage:
UCS
l
Project Size: Standard are ❑ Major ❑
Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it
• to the application or if applicable, include in plan set & the sheet index.
Points Achieved:
For help, contact Build it Green at www.builditgreen.org �-
CITY OF CUPERTINO
CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 BTEMPPER Temporary Building Permit (good for B
30 days)
1BBOILERI For the installation or relocation of ea M
boiler/compressor to &including 3
horsepower, or ea absorption sys to &
incl 100,000 Btu/h 29.3kw
1BBOILER2 Installation/relocation of ea M
boiler/compressor over 3 horsepower
to &incl 15 horsepower, or ea
absorption ss over 100,000 Btu/h
1BBOILER3 Installation/relocation of ea M
boiler/compressor over 15 horsepower
to &incl 30 horsepower, or ea
absorption sys over 500,000 Btu/h to •
&incl 1,000,000 Btu/h
1 BBOILER4 Installation/relocation of ea M
boiler/compressor over 30 hosepower
to & incl 50 horsepower, or for ea
absorption sys over 1,000,000 Btu/h to
&incl 1,750,000 Btu/h
1BBOILER5 Install ation/relocation of ea boiler or M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
1 BAPPLOTH For ea appliance or piece of equip M
regulated by this Code but not classed
in other appliance categories, or for
which no other fee is listed in this
code.
lELECINSP Other Electrical Inspections (per hour) E
1MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing& Gas Inspections P
(per hour
1MEETINGIHR Application Meeting B
CITY OF CUPERTINO
Cl"OF GENERAL BUILDING APPLICATION
CUPEI�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group IGENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
]CHIMNEY Chimney B
ICHIMNEYR Chimney Repair B
FENCES
IFENCE>6FT Non-masonry, over 6 ft in height B
IFENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
IFIREPLMAS Fireplace Masonry B
IFIREPLFAB Fireplace Pre-Fabricated/Metal B
IFLAGPOL>20 Flag pole (over 20 ft in height) B
IMODUSTRU Modular Structures B
FOUNDATIONS
IFOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete) .
3 of 5
CITY OF CUPERTINO
I 2M 0
CUCITY
TYOf O GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1RETSTN Standard (up to 50 ft) B
IRETSP310 Special Design, 3-10' high (up to 50 `) B
IRETSP10 Special Design, over 10' high (up to B
50'
1RETCRB< Gravity/Crib Wall, 0-1 O'high (up to B
50 ft
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft
SIDING
1 SIDESTBK Siding, Stone & Brick Veneer B •
(interior
/exterior
1 SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<l0 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'l B
STORAGE RACKS
1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B
1 SRACKS>8 Storage Racks over 8' high (up to 100 B
st
1STUCOAP Stucco Applications (up to 400 s1) B
additional stucco application
•
4of5
0" CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPERTINO
• FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee
IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
I PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1PLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
IBSEISMICR Seismic Residential B
1BSEISMICO Seismic Commercial B
/ 1TRAVDOC Travel & Documentation B
/ 1BUSLIC Business License B
•
5 of 5
OCF
Community Development
10300 Torte Avenue
Cupertino CA 95014
Telephone(408)777-3228 Fax(408)777-3333
#PERTINO
Building De artment
JOB ADDRESS: PERMIT#ODy /�07
/M ID/
OWNER'S NAME: PHONE#G
GENERAL CONTRACTOR FAX#
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the followinginformation
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
i�
Owner/Contractor Signature Date