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08040116 • CITY OF CUPERTINO BUILDING DIVISION' PERMIT zewe Wizs 'x* ks40" " �To,,,•,,,ars.,e, fCOgRACTOAyNFRMATIO�Sye BUILO3tdG,[,QDRFS$ARGO DRIVE TBD — TO BE DETERMINED PERMIT08040116 OWNER'SL'SNAME:5U4P PERMITISUEDATE DENNIS YE 04/16/2008 1111NE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO . 0 ELECTO PLUMB0 a o o LICENSED CONTRACTOR'S DECLARATION Job Description 1 u I hereby affirm that I ern licensed under provisions of Chapter 9(commencing p Sj wiNSectlen7glU)ofoiviNon]oflheBusiness and Professions Code,and mylicense is RMDL EXSTNG KTCHN,NONSTRCTRL(100SQ) ^ In full force and a@eL ▪ Z Lkense Class Lk.L DateContractor q 1 ARCHITECTS DECLARATION iO I understand my plans shall be used as public records k Its Licensed Professional y 3 OWNER-BUILDER DECLARATION Fe X I hereby affirm that I am exempt from the Contractor's License Law for the O O following mason,(Section 7011,5.Business and Professions Code:Any city or county 91 which requires a permit to construct,alter,improve,demolish,or repair any structure Z i prior 10 its issuance,also requires the applicant for such permit to file a signed statement P e that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area $8000 Valuation $ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or.. thatis � heexempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ofNumber Occupancy Type not mom than five hundred dollars(S500). 32630122 isev • ❑I,es owner of the property,or my employees with wages as their sole compensation. will do the work and the annum is not intended or offered for sale(See.7044,Business and Professions Code:The Contractor's License Law does not apply to an owner of Required Inspections property who builds or improves thereon,and who does such work himself or through his awn employees,provided that such improvements are not intended or offered for sale.If. however,the building or Improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sak,). I,as owner of the property,am exclusively contracting with licensed convenors to 'co truer the project(Sec.7044.Business and Professions Code:)The Contractor's U- cense Law does not apply to an owner of property who builds or improves Demon,and, who contracts for such projects with a convector(%)licensed pursuant to Bre Contractor's License Law. ❑l en exempt under o. .B&PC for this mason Owner .� ' Date Y/f4/W' • KER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:. • hare and will maintain a Certificate of Cannot to self-insure for Worker's Compen- n,as provided for by Section 3700 of the Labor Code,for de performance of the work for which this permit is issued. ' ❑I have and will maintain Worker's Compensation Insurance,us required by Section 3700 of the Labor Code.for the performance of the work for which this permit is Issued. ' My Worker's Compensation Insurance carrier and Policy number ore: Cankr: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE . (Itis section need not be completed if the permit is for one hundred dollen($100) or less.) , 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 Workers'Compensation ' Laws of California,Paan_ - Applicant rj'[ASP' e b NOTICE TO APPUCANT:If after making this Ceninate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must Z forthwith comply with such provisions or this permit shall be deemed revoked. Z v'" CONSTRUCTION LENDING AGENCY l-t- I hereby affirm that there is a construction lending agency for the performance of Ix C the work for which this permit is issued(Sec.3097,Civ,C.) . LI] 0 Lender's Name 12 Z Lender's Address ' (,)p I certify that I have read this application and stale that the above information is ' Iy E correct I agree to comply with all city and county ordinances and stale laws relating to .O E. building construction,and hereby authorize representatives of this city to enter upon the W above-mentioned property for inspecdan purposes friar/ G (We)agree to ave,indemnify and keep harmless the City of Cupenins agCit % -G liabilities,judgments,of the granting and expenses which mryin any way accrue aLsiostsaid City V z in consequence of the granting of this preemie ,1-1 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: .. )VII Date 41-76-z- �. SOURCE LATIONS. t/ �//p� SiL�u t�ppl'tanUContractor + riii76I Re-roofs ' — HAZARDOUS MATERIALS DISCLOSURE • tf Type of-Roof . Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9,11.and the Health and Safety Cale,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. oyes PAC Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. ie? ['Yes j2 No I have read the hazardous materials requirements underChapter 6.95 of the Califor- nia Health&Safety Code,Sectimss 75505,15533 anti 75534.1 undcntand duff the building does not currently have a tenant,that it is my responsibility to notify the occupant of the requiremen h must be met prior to issuance of a Certificate of Occupancy. Signature of Applicant Date All roof coverings to be Class ngar or better Owner or authorized agent Date ' 3 ITEMS OF 3 • CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot.: APN ........: 32630122.00 DATE ISSUED.......: 04/16/2008 RECEIPT #.........: BS000004496 REFERENCE ID # ...: 08040116 SITE ADDRESS .....: 20804 FARGO DRIVE SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA OWNER ............: DENNIS YE ADDRESS 2.0804 FARGO DR CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 551.80 --------------- 551.80 REFERENCE NUMBER -------------------- MC RECEIVED FROM ....: STEVEN CHUNG CHU 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 8,000.00 ---------- 0.80 ---------- 0.00 ---------- ---------- 0.80 0.00 1REMRESKIT SQ FEET 100..00 429.00 0.00 429.00 0.00 1STPLNCK HOURS 1.00 122.00 0.00 122.00 0.00 TOTAL PERMIT ---------- 551.80 ---------- • 0.00 ---------- ---------- 551.80 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 551.80 --------------- 551.80 REFERENCE NUMBER -------------------- MC CUPERTINO , alo CITY OF CUPERTINO ADDITION/REMODEL PERMIT APPLICATION FORM APN # Date: Building Address: Mailing Address (if diffe ent from building address): bo v -t_ Owner's Name: Phone(# 4e.h e. \U / -Da Contractor: Phone #: i7 Fax #: Contractor Lic nse #: Cupertino Business License #: Contact: Phone #: U 444 5 Fax #: 2,f= )mom -z Building Permit Info: Bldg. �_ Elect. Plumb. Mech. ❑ Hillside ❑ Job Description: Addition (adding sq footage): What is being remodeled? % (/ R��P✓1 G'klJ�l� 1'-11��. a hU1^ �itl�Q� Remodel Includes Re -Roof: Yes ❑ No If yes list number of squares Remodel Includes Structural: Yes ❑ No Square Footage: Addition: •6- Porch: c6�—Dcck: Fs Garage: Detached �4–_ Attached Remodel: Kitchen (pa sf Bath Other Type of Construction (Usage Class): Occupancy Type: 1 FR, I lFR ❑ 11, 111, V -IHR ❑ 11, 111, IV V -N 1R_ _rl Valuation: Please check this box if the project is a second -story addition ❑ Green Building Check list must be completed and ttached to the plans. Green Building Points Achieved: BW VI1MV Ubc ""IY" , Over -the -Counter ❑ 0 CUPERTINO CITY OF CUPERTINO ADDITION/REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type ADDITIONS 1R3SFDADD PLLONGRNGR Long Range Plannin esidential PL 1R3INSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat Ins ection B 1R3REPPLNC Dwellings Repeat Plan Check B IR3HINSP Dwellings Hillside ins ection B 1R3HPLNCK Dwellings Hillside plan check B 1R3HREINSP Dwellings Hillside Repeat Inspection B 1R3HREPLNC Dwellings Hillside Re eat Plan Check B 1R3ALTINSP Dwellings Alternate Materials Inspection B 1R3ALTPLNC Dwellings Alternate Materials Plan Check B 1PCESS Cesspool P 1PPRSEWG Ea. Private Sewage Disposal System P 1PRSEWER Sewers P 113PSP UNK Lawn Sprinkler/Backflow P 1BPWSVCS Main Water Service P 1BSEISMICRE SeismicResidential B DECKS 1R3SFDADD OR 1R3SFDREM IDECKWOOD Each Deck (Wood) -Each B 1DECKRAIL Each Deck Railing -Each B 0 • 0 n CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type GARAGES 1R3SFDADD OR 1R3SFDREM 1GARDTW<=1K Wood Frame up to 1,000 SF B 1GARDTM<=1K Masonry up to 1,000 SF B BCONSTAXR Construction Tax Res new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 SF B 1PATIOMETAL Metal Frame up to 300 SF B 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 SF B 1PATIOENCLM Enclosed Metal up to 300 SF B 1PATIOENCLO Other Enclosed Patio up to 300 SF B 1COVPORCH (Each) Porch Covered -Each B 1REROOFRES Residential Re -roof Each 100 SF B REMODELS 1R3SFDREM �� D 1REMRESKIT, Kitchen Remodel up to 300S B (Deduct "Vfor ea plan . check 1REMRESBAT Bath Remodel up to 300 SF B C[ 1REMREOTH Other Remodel up to 300 SF . B « REMODEL PLNCK 1 ISTPLNCK (1-3 for remodel) Standard Plan Check B NOT FOR OVER THE COUNTER PLAN CKS. 3 of 3 CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1 WINREP Replacement windows ea 8 windows B 1 WINNEWNSTR New Window (non- structural B 1WINMEWSTR New Window (Structural Shear Wall/Masonry) B 1WRMAYSTR Bay Window (Structural) B SKYLIGHTS 1R3SFDREM 1SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'l B IEPERMITFEE Electrical Permit Fee E 1MPERMTTFEE Mechanical Permit Fee M IPPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck(hourly) E 1 MECPLNCK Stand Alone Mechanical Pin Ck(hourly M 1 PLMPLNCK Stand Alone Plumbing Pln Ck (hourl P 1BSEISMICRE Seismic Residential B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B 4 of 3 0 0 0 0 Green Points Rating System for Remodeling Projects Due to the diversity of remodeling project types, assigning a "total points' value to a project to be considered environmentally friendly is not feasible. However, 25 measures have been highlighted to signify that every effort should be made to incorporate them into your projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with ease of implementation and relative low cost. These measures can be used as a starting point for "greening" your project. I65%=1 point; 75%= 2 points; 80%= 4 points 2. Salvage Reusable Building Materials 3. Remodel for Mixed Use, Adaptive Reuse, and Historic Preservation 4. Protect Native Soil 5. Minimize Disruption of Existing Plants & Trees 6. Implement Construction Site Stormwater Practices 7. Protect Water Quality with Landscape Design LB. Design Resource -Efficient Landscapes and Gardens 9, Reuse Materials/Use Recycled Content Materials for Landscape Areas 10. Install High -Efficiency Irrigation Systems 11. Provide for On -Site Water Catchment / Retention S. Foundation 1. Incorporate Recycled Flyash in Concrete 25% Recycled Flyash = 2 points; Add 1 point for every 10% increase of flyash, up to 5 points 2. Use Recycled Content Aggregate 3. Insulate Foundation/Slab before backfill C. Structural Frame 1. Substitute Solid Sawn Lumber with Engineered,Lumber 2. Use FSC Certified Wood for framing R (For every 10% of FSC lumber used = 2 points, up to 10) 3, Use Wood I -Joists for Floors and Ceilings 4. Use Web Floor Trusses up to 4 Resource 4 Resource pts y up to 5 Resource 2 Resource pts y 3 Enerav ots v 3 Resource pts up to 10 Resource pts. 2 Resource pts y=yes 2 Resource pts y=yes 5. Design Energy Heels on Trusses 6" or more 2 Energy pts y=yes 6. Use Finger -Jointed Studs for Vertical Applications 2 Resource pts y=yes 7. Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 8. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 9. Use Structural Insulated Panels (Sips) a. Floors 3 Ener is 9Y P y=yes b. Wall c. Roof 3 Energy pts y=yes 3 Energy pts y=yes 10. Apply Advanced Framing Techniques 4 Resource pts y=yes, 11. Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 12. Use _5S a. Subfloors 1 Resource pt y=yes ® b. Sheathing y _ 1 Resource pt y=yes 33 1. Use Sustainable Decking Materials U a. Recycled content 3 Resource pts b. FSC Certified Wood 3 Resource pts 2. Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Hsalth pt 3. Install House Wrap under Siding 1 IAQ/Health pt 4. Use Fiber -Cement Siding Materials 1 Resource pt E. Plumbing U 1. Install Water Heater Jacket 1 Energy pt y=yes 2. Insulate Hot and Cold Water Pipes 2 Energy pts y=yeE 3. Retrofit all Faucets and Showerheods with Flow Reducers a. Faucets (1 point each, up to 2 points) Up to 2 Resource pts b. Showerheads (1 point each, up to 2 points) Up to 2 Resource pts 4. Replace Toilest with Ultra -Low Flush Toilets (1 point each, up to 3 points) Up to 3 Resource pts 5. Install Chlorine Filter on Showerhead 1 IAO/Health pt y=ye: 6. Convert Gas to Tankless Water Heater 4 Energy pts y=ye: 7. Install Water. Filtration Units at Faucets (2 points each, up to 4 points) Up to 4 IAQ/Health pts B. Install On -Demand Hot Water Circulation Pump 4 Resource pts y=ye r, eracmcai 1. Install Compact Fluorescent Light Bulbs (CFLs) (6 bulbs=2 points, 10 bulbs =3 points, 12 bulbs = 4 points) 2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to 5 points) 3. Install Lighting Controls (1 point per fixture, up to 4 points) 4. Install High Efficiency Ceiling Fans with CFLs (1 point each, up to 4 points) G. Appliances -1. Install Energy Star Dishwasher 2. Install Washing Machine with Water and Energy Conservation Features 3.Install Energy Star Refrigerator 4, Install Built-ImFiecycling Center H. Insulation 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls b. Ceilings 2. Install Floor Insulation over Crawl Space 3, Install Recycled -Content, Fiberglass Insulation with -No Added Formaldehyde 4. Use Advanced Infiltration Reduction Practices 5. Use Cellulose Insulation a. Walls b. Ceilings 6. Alternative Insulation Products (Cotton, spray -foam) a. Walls o. Ceumgs Up to 4 Energy pts. Up to 5 Energy pts Up to 4 Energy pts Up to 4 Energy pts 1 Energy pt U r U U :01E Up to 4 Energy pts. Up to 5 Energy pts Up to 4 Energy pts Up to 4 Energy pts 1 Energy pt 1 Energy pt Y_—Yes 1 Energy pt y=yes 3 Resource pts y=yes 2 Energy pts 2 Energy pts 4 Energy pts 31AQ/Health pts y=yes 2 Energy pts y=yes 4 Resource pts 4 Resource pts 4 Resource pts y=yes 4 Resource pts y=yes Pi 1 :01E 1 Energy pt Y_—Yes 1 Energy pt y=yes 3 Resource pts y=yes 2 Energy pts 2 Energy pts 4 Energy pts 31AQ/Health pts y=yes 2 Energy pts y=yes 4 Resource pts 4 Resource pts 4 Resource pts y=yes 4 Resource pts y=yes Pi Vit. Install Energy -Efficient Windows � - 2 Energy Pts • a. Double -Paned 1 Energy pt y=yes b. Low -Emissivity (Low -E) 2 Energy pts y=yes c. Low. Conductivity Frames 2 Energy pts y=yes 2.Install Low Heal Transmission Glazing 1 Energy pt y=yes J. Heating Ventilation and Air Conditioning 1. UseDuct Maslic on All Duct Joints --- - - 2 Energy Pts Y=Yes -- 2. Install Ductwork within Conditioned Space - 3 Energy pts y=yes 3. Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 4. Clean all Ducts Before Occupancy 2IAQ/Health pts y=yes 5. Install Solar Attic Fan 2 Energy pts y=yes 6. Install Attic Ventilation Systems 1 Energy pt y=yes 7. Install Whole House Fan 4 Energy pts y=yes 8. Install Sealed Combustion Units 5 IAQ/Health pts y=yes a. Furnaces 31AOJHealth pts y=yes b. Water Heaters 3 IAQ/Health pts y=yes 9. Replace Wall -Mounted Electric and Gas Heaters with 3 Energy pts y=yQs Through -the -Wall Heat Pumps 3 Energy pts y=yes 10. Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 11. Install AC with Non -HCFC Refrigerants 2 Resource pts y --es 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts y=yes 13. Retrofit Wood Burning Fireplaces 4 Energy pts yges • a. Install EPA certified wood stovesfinserts 1 IAQ/Health pt y=yes b. Install/Replace Dampers 1 Energy pt y=yes c. Install Airtight Doors 1 Energy pt y=yes 14. Install Zoned, Hydronic Radiant Heating 3 Energy pts y=yes 15. Install High Efficiency Filter 41AO/Health pts y=yes 16. Install Heat Recovery Ventilation Unit (HRV) 5 IAQ/Health pts y=yes 17. Install Separate Garage Exhaust Fan 31AQ/Health ots v=ves K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pts yges 2. Install Solar Water Heating System 10 Energy pts y=yes 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts y=yes 4. Install Photovoltaic (PV) System (1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points) Up to 18 Energy pts - I Sect Safe and Durable Roofing Materials_ J 1 Resource pt y=yes 7. Install Radiant Barrier 3 Energy pts y=yes L. Natural Heating and Cooling 1, Incorporate Passive Solar Heating 5 Energy pts y=yes 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yQs 3. Plant Deciduous Trees on the West and South Sides 3 Enerav ots v=ves U 1. Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes 3. Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y --yes 5. Use Engineered Sheet Goods with no added Urea 4 Resource pts Formaldehyde 61AQ/Health pts y=yes 6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 7. Seal all Exposed Particleboard or OF 4 IAQ/Health pts y --yes B. Use FSC Certified Materials for Interior Finish 4 Resource pts y --yes 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes 10. Install Whole House Vacuum System 3 IAQ/Health pts y --yes N. Flooring 1. Select FSC Certified Wood Flooring 8 Resource pts 2. Use Rapidly Renewable Flooring Materials 4 Resource pts 3. Use Recycled Content Ceramic Tiles 4 Resource pts 4. Install Natural Linoleum in Place of Vinyl 51AQ/Health pts S. Use Exposed Concrete as Finished Floor 4 Resource pts 6. Install Recycled Content Carpet with Low VOCs 4 Resource pts Total ointsvat a e: Total Points Project Received: 4 1 1401 130 57 1 01 01 0 • G:datalprogsrgreenbuildingguidelineslremodelersrgmnpoinisfnal21204protected.ds 0 Y Of O W O W a- 0 U N Y N W 0 Y W 0 V ,Gil a9p�'ry?G a,Ef Gp%p l�Ja phi % G� %lA� 4jsG✓ia�saG��a°. Goo a'Gg GP a%9 s?4 GJ EGa ° PCO GQ I V^' l �p .aa �p has .bad 4 p4/OTIi � J'rG O J d rlpJlJ4i��//Ga�J ��,:/paO ,�G,a�y P'p�ag./1 ,a0y. 40 o19 pt oGa 90� � 91'2j °i�' a ys JO W �- ��0+� � � sp�d4a�G•cy� p LJ co Li H Z 6 W W Q _Z . ✓e U COdZw !V! `L U Q J U UCD0�z ZZZ(; �l F-1-F-ZL �. Vl LA (n HX Qi X X X ( W W W W x Ld J W W W I— W U U O Q o O J J Z U N m d d H 4 - Li W WXW K W f)f3 - Nrod N y� e ),4LNVd I N3A0 3 W Z O I u 0 II 0 0 m vU }au uo!}on }suo00S®VOS DW -3 0WI-9ZL (9010 :xOJ 9266-909 (801) lal IAli �b 608E-186-804 �3NOHd o 1 0 Y = 1IO96 VO 'oui}aadn0 _ADM uyop SI90I * dx 3 M -OS -M 'ON NdV N V) saaaui6u3 6ui}Insuoo � 0929'oN f° VINaOdIlVO 'ONI1213dno M a `fir Z o anlaa OOavd n rn �� Jl��✓�JJ � � V *a MA SINN34 'S21W �B '21W W a �,� N�il�ls 3 Q) � �SS3A 3 111 133M' Jd O o U m o ° N o o s o P 0 f° o PROJECT TITLE: QAC N�S�(�,, STE!/EN CHof m m m ' MR. & MRS. DENNIS YEN G — — ASSOC/.9TES `� O m D 20804 FARGO DRIVE 012/208 0 Z N m �� N u CUPERTINO, CALIFORNIA Exp Consulting Engineers m y i a APN NO. 526-90-122 * S Q 10615 John Way. Cupertino, CA 95014 ? 0 PHONE- 408-981-7509 q� �IVI� Tel: (408) 505-9985 Fax: (408) 725-1350 0 m z 0 \F E—Mail: SCAOSCConstruction.net 1 4 0 • 0 7 0 0- 0 � oo PROJECT TITLE: (SES$/ "� S'TE!/EN ChU D< A m 0 a� MR. & MRS. DENNIS YEN — A.SS'OC/RTES' 0 ED N y u w 20804 FARGO DRIVEZ CUPERTINO, CALIFORNIA No. 52160 Consulting Engineersineers N ExP'12/08 10615 John Way. Cupertino, CA 95014 n = APN NO. 326-30-122 PHONE- 408-981-7309 rI CSV I �Q q�� Tel: (408) 505-9985 Fax: (408) 725-1350 m o CA`�F E—Mail: SCA@SCConstruction.net Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 •CUPEkTINO Building Department JOB ADDRESS: 4 PERMIT # OP046ct OWNER'S NAME: r J PHONE # — '77 0 GENERAL CONTRACTOR: FAX # I am not using any subcontractors: '7—/9D Signature Date Please check applicable subcontractors and complete the following information: W Owner/ Contractor Signature Date 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 W Owner/ Contractor Signature Date