04020143 (2) CITY OF CUPERTINO a1fi".+ SR!sekfAk.>«>ra+R;ka 'a�' `t ',uJ. z.
BUILDING DIVISION p];RN[� ONTRACTQRIil�Jl'045-MA N
x R1 s M -m3 3 s§ a s kms.. rii&Y '
BUILDING ADDRESS: ABCO CONST PERMIT NO 04020143
10-101 -rC)T-TTqcnN .A17Z:
OWNER'S NAME: PERMIT ISSUE DATE
. CU L SANITARY O. O OL NO.
aNE:
ARCHIIECT/ENGINEER: BUILDING PERMIT INFO
BLDG _ELECT PLUMB MECH
0
_Op LICENSED CONTRACTOR'S DECLARATION lob Description
1 horcby affirm Net I am licenced under provisions of Chsper 9(commenel.g
"Mwithection 7")of Division 3 oron:Business and Professioes Code,and my license u
ot Simm11form.Manttl. DEMO THE EXIST. HOUSE
t,g? License Class Lie.If
Z f 0 De¢ Cmdractra
ARCHITECTS DECLARATION
I understand my plena shell be,used u public records
JyU
wo t; Licensed Professional
3 OWNER-BUILDER DECLARATION
r� 1 hereby allure Nal 1 am exempt from Ile Convenors License law for 1W
Z 00 following mason.(Section 703 1.5.Business and Profusions Cole:Any city or county
S:$ which requima•pcsmit to cmmruct,cher,improve.demolish,ter repair any structure
m—w poor its issuance,also requires she applicant for such Permit 10 rile a signed summent
—� i dmlhculiccn pis anuotMpmvisiomof Ne Conuactu lUccnalaw(Chap-r9 Sq.Ft. Floor Area Valu non
e�th (commencing with SectionT0D0)of Division 3 of the Business and Pmfc ons Code)or
W`c 3 Net Int I.exempt thermmm and the basis for the alleged exempdon.Any vinlauan of
a. Section 7031.5 by arty applicant for a permit subjecu the applicant as a Call Penalty of 3-AFN9t"er0 0 Occupancy Type
not more Nan ftw hundred dollars($500).
0 1,as owner of she propmty,or my employee with wag"as theb sme campewtion.
will do theworh,and lana"eto-isnotinundedorartemdforsalc(Scc.704.Busin.a Required Inspections
and Professions Code:Tae Convectors Lits me law doact apply m an owner of . q P
property who builds or improves thereon,and who doessmh work himalf orNmugh his
,ownemployeu,provided thasueh impmwmenu art notimendW oroRered for ale.If.
however,the building or impmwment is sold within one year of ermidetio.,Ne owncr-
builder will haw the hurdan of proving that he did not build or impmw for purpose or FINALE®
.in.).
owner of the property am exclusively contracting with R c d ronuacmn a
meet the project(Sec.TM4,Business and Profusions Code:)M Contncsots Li- Mr]r1 g1 O +gQOp
nselaw docsnot apply Wan.wner.fpreperty who buildsor improves doomn,and, APR 4 L Y
who convects fm Such projects with a convacmr(s)licensed poaswnt m use Connnera
License Law.
BUILDINGElam exempi under See d<
.BPCf Nis mss
Date
ORKFR'S COMPENSATIONDE "."ION
1 hereby Int under pens, y of perjury one of e o g dxlendotu:
I hew and Imaintain+Certificate of consent toalf.insumfor Workers compen-
don,as pro stied fm by S"don 3700 of the Labor Code,for Use,performance of the
work for which this permit is issued.
0 1 haus and will maintain Workers Compensation becomes.as required by Section
3700 of the Labor Code,for Ne performance of the work for which this permit is issued.
My Workers Compsuadon insumme carrier aM Polity number am:
carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section weed eolixtumpined if t e permit Is faro.hundreddoliass(SIM)
of loss.)
L madly than in the perfmmance of But work for which this permit Is issued,T shall oat
employ any person in any manner."as be become subject-the Workesi Compensation
Laws of Califomia.Data
Applicant
NGnCE TO APPLICANT:If.after making this Certificate of Exemption,you should
We...subject Ie the Worker's Compt.thm pr W...of the IaMv Code.you more
.J Z foMwith comply with such Powisi.m or this permit mail h deemed rewked.
z O CONSTRUCTION LENDING AGENCY
(-+ IhembyaR"that there u.eonstromm.hndirit.phey for the performance of
[(.v7 the work for which this permit is issued(Sec.309).Civ.C.)
W Q Landers Name
Z Lenders Add.
U V I cenify Nat 1 haw read Nis application and sue cast do.b.w inforrook n Is
U.H corm,I.gree m comply with all city and county ordinance and suits laws relating In
ty
0 Wilding
(We)agreconstruction.
toand w.indeyauNorimepmaenmivcthe City Ofinenero against On
r W above-souLbmcd property for inspection purposes. l
(~G (We)agree-ave,indemnify and kap sarmless de City of Cupertino against ((//
Vl IiabilTd",judgmcnu.cosu and expects"which may in enywwy.ccruc ageiut aid Ciry
UZ into mcc'co
grantingof Nispermiu. Date
APPLI NT UNDERSTANDS AND WILL COMPLY WITH AIS.NON-POINT Issued by:
SOUR E ULATIONS.
Re-roofs
amrt pplicanvConlracmr Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Sd
Ne appliant or future building acupantstom m handle havardous material
a def by the Cupertino Municip -Code.CT+pmr 9.11.send IM Health and Safety
Code,Section 1553'!(.)7 All roofs shall be inspected prior to any roofing material being installed.
0Yu No
Will the.pplicam or arum building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it hanNnus air contaminants as defined by Int Bay At.Air .Mity Management all new materials for inspection.
viet7
1 have read Nc haaaMnu mamrialsmquimmenu under Chaper GYS or IM Califon
nia Hcalth k Safety Code,Seedom 25505,15533 and 23514.1 understand deadthe Wilding
Joca,mt currently have a mnanh Nat it h my mspomiM1ility W notify the occupant of Ne
-qui tmsw ithmustxmetPoortoommcnofIOctur am.rOccv anty Signature of Applicant
Dale
roof coverings to be Class "B"or better
Ow or uthor edogem Dam
•gulation 11, Rule 2
�o COMPLIANCE &
Y A
BENFORCEMENT Acknowledgement of
,BAY AREA
DIVISION Notification and
IRQUALITY
• ANAG6MENT Payment of Fees
3/24/2004
Abco Construction Job No: 1Y830
14880 Llagas Avenue Invoice No: OUC14
San Martin,CA 95046
The Bay Area Air Quality Management District(BAAQMD)acknowledges. ,receiffW your paayymifent faand
your Asbestos Removal or Demolition Plan described as: Demolt�nl�\ IUI lJ
Site address 10301 Johnson Ave
Cupertino, CA 95014 MAR ZC04
CATV U� CUPERTINO
Start Date April 5, 2004 nEPARTMUNT
Completion Date April 12, 2004
Removal amounts of friable ACM 0 linear feet 0 square feet 0 cubic feet
Should it become necessary to revise this plan, please do so in the spaces provided below and immediately
copy the District by fax or by mail.
REGULATION 11-2 REVISION BAAQMD J# 1Y830
REVISION# START DATE COMPLETION DATE
2
3
4
5
NOTE: This form is not intended as a verification of either the completeness of your original notification
or of its compliance with BAAQMD Regulation 11-2. If you have any questions about this
acknowledgment,please call our office at (415) 749-4762.
•
c ti mortgage°° • • w .cititnortgage.com
03/23/04
CU LE
LYNN MANG T VUU
10301 JOHNSON AVE
CUPERTINO CA 95014
Dear CitiMortgage Customers:
This letter is in response to your recent inquiry concerning your
mortgage loan #: 2000817611. Our records indicate that your loan was
paid in full on 03/22/04.
It has been our pleasure to serve you. We look forward to assisting
you with your future financial needs.
Sincerely,
�v,,«
Christopher Skarzinski R L: IVE
Vice President
Customer Relations MAR 2� 2004
(408) 999-6296 CITY OF CUPERTINO
Fax Number ORARTMENT
BH
04032300001249
SU645 02/03 CitiMortgage,Inc.does business as Citicorp Mortgage in MT and NM. Amembef o1 cltlgroupT
Pacific Gas and 10900 North Blaney Avenue
Electric Cupertino, CA 95014
oCompany
ity of Cupertino
0300 Torre Ave. v
Cupertino, Ca 95014 MAR 29 1004
o Whom It May Concern: CITY OF CUPERTINOBUILDING DEPARTMENT
ubject: Removal of Gas and/or Electric Facilities
The gas and electric facili ies have been removed and/or abandoned at
O lo "SOf-) COPGMOZ) on n4RW
If you have any further questions, please contact meat (408) 725-2024.
Sincerely,
ervice Planning
It*
City of Cupertino
Plan Check Transmittal
Permit# 04020143 Control# 12873
Project HOUSE DEMO Plancheck# 1
Address 10301 JOHNSON AVE FileDate 2/20/04
Owner LE
Description
Plan Check Status (attach comments and return to Building with pian set)
Plan
Dept check# Date Due Date Staff Comment Date Approval?
Building 1 1 2/20/04 3/5/04
Planning 1 1 1 2/20/04 1 3/5/04 1 1 CF
Assessor 1' 1 2/20/04 1 3/5/04
i f
Additional Plan Check Fee ❑ Hours
Planning Fees
Housing Mitigation Fee Amount
Heart of the City Specific Plan Fee Amount
Received 03/24/2004 09:03AM in 00:50 on line [01 for ADM �STRATOR • P9 1/1
03/24/04 WED 1.1:53 FA.I" 6 261. 7171 GITINORTGAGE RF 2C11 81001
e ti mortgage-
03/23/04 03/23/04
RE: CitiMortgage Loan #: 2000817611
Mortgagor Name(s) : Cu Le
Lynn Mang T Vuu
Property Address: 10301 Johnson Ave
Cupertino, CA 95014
This letter is verification that loan number 2000817611 was paid in
full on 03/22/04.
For further assistance you may call our Customer Service Department at
1'-800-283-7918" (TDD 1-800-395-2516) . You may also write to us at:
CitiMortgage, Inc.
P.O. BOX 790001, M.S. 301
St. Louis, MO 63179-0001
When you call or write to us, please refer to loan number:
2000817611. Thank you.
Sincerely,
Christopher Skarzinski
Vice President
Customer Relations
CC: Cu Le
Lynn Mang T Vuu
(408) 257-2335
Fax Number
Ar
"Calls are randomly monitored and recorded to ensure quality service.
04032300014479
•
—.1------ u.,,..<.:..nlr,.,n Nxn. Amemberofet4rour
• . Building Department
" 10300 Torre Avenue
Cupertino,CA 95014
Telephone(408)777-3228
Fax(408)777-3333
CITY OF
� 4RUPEI�TINO
PROCEDURE FOR DEMOLITION PERMITS
BEFORE DEMOLITION PERMITS CAN BE ISSUED,THE FOLLOWING STEPS
SHALL BE COMPLETED:
SIGNATURE/DATE
1. Owner to make sure property is located within the City of Cupertino limits.
2. Provide a current preliminary Title Report or a"Lot Book Guarantee' which shows
ownership of property,open Deeds of Trust,and a legal description. This report is to
be issued within thirty (30)days prior to issuance of the demolition permit
3. Provide the Building Department with a letter and self-addressed envelope to be sent
to all persons having entitlement to the property,advising them that the property is to
be demolish and they have 10 days to respond if they do not approve of the
demolition. Example: Lending institutions,banks,lease holders,partnerships,etc.
4. Check to see if the building is considered an historical landmark. Obtain clearance
from the Community Development Planning Department Allow 10 working days.
5:,The permit fee shall be based on the valuation of the demolition work.
6. A plot plan will be required showing any trees(10 inches in diameter at 3 feet a;Letter
grade on the subject property,and what means will be taken to protect same. T
copies of this plan are required for review by the Planning De artment.
7. Provide a letter of inspection,tests,and abatement of any Hazardous Materials.
to be initiated by person(s)certified in asbestos and/or hazardous material
8. P.G.&E.must be contacted as early as possible prior to demolition to schedule
abandonment. Contact P.G.&E.at(408)725-3325. A letter from P.G.&E.shall b
provided to the City,stating that all gas and electric has been disconnected.
a letter of clearance of all vermin frolicensed control contractor,or
call the Santa Clara County Vector Control District at(408)792-5010.
10.Important: Prior to the issuanc of'the dem lition permit, the applicant must call the
Public Works Department at(408)777-3104 an arrange "habitable dwelling"
inspection.
11.Debris bin and Recycling sheet: read,sign and date. The sheet will remain in the
project's building permit file for the duration of the project.
12. Prior to issuance of the demolition permit,the Fire Department must review the
plans for fire suppression/alarm systems that shall remain in service or be modified
during demolition or that shall be replaced with the new construction.
Revised 2/4/03
Printed on Recycled Paper
SANTA CLARA COUNTY • A," "'0 0792-5010
VECTOR CONTROL DISTRICT h I-800-675-I 155
976 Lenzen Ave. 5 Technician's # L AY 4�-' 06
San Jose, CA 95126J� �,, k www.sccvector.org
Technician 44 TI Ktb °WROV
GR/ODENT HOME
2 & YARD
,,1INSPECTION FORM
SR# / j / / Address: 10301 oWk6y'v .lG City: (;���w4
ji� Ij
befl- KOwner O Tenant Previous Visit:
ATTRACTANTS FOUND: O Pet food/birdseed O Fruit O Nuts O Citrus O Uncovered garbage cans O Insects(snail&
slugs) O Vegetable garden O Harborage bother Nll�l
ENTRY&ACCESS POINTS TO BUILDLINGS NEEDING REPAIR: O Vent screens, attic&foundation O Holes in roof
O Pet doors O Open doors&windows O Chimney O Fences O Trees O Patio cover O Crawl space opening
O Unfinished construction O Pipes, cables&wiring entering walls&foundation O Under/around garage doors(s)
O Over-lapping roof lines XOther
ANIMAL DAMAGE TO: O Lawns O Gardens O Flower beds 0eeeniVED0
SidewalksnjO Heating ducts O Insulation O Wiring O Plumbing O Other Vy-
120 22QLi4
THE FOLLOWING IS NEEDED FOR YOUR Ab RTY
TO MINIMIZE OR ELIMINATE RC&fMi}P6Q
O Weather stripping around garage and house doors O R@g I mst"aDpT
MENT
O Keep sheds tightly closed O Seal where pipes/wires enter building
O Keep crawl space covers in good condition and secured O Spark arrester needed on chimney
O Seal all openings where roof-lines overlap O Replace and/or reinforce all vent screens
O Harvest all ripe fruits, citrus and nuts from trees and off ground O Ivy or other plants thinned and/or removed
O Keep all garbage cans covered and secured O Keep all doors and window closed after sunset
O Keep all pet doors closed and secured O Take all pet food and containers inside by sunset
O Cut back all trees, bushes and shrubs approx. 24-36 inches from roof
O Store all firewood
�approx. 18"above the ground and 12"away from any structure
Comments: �fi-a- 4f I/N�� /w�, ?)1 D m07— f y,v1) &Aj, MO'i2e'
�U VI9NCe OF "tLs
Orj*., l -s E'.z, -..c c ti� WtQd Iti o�
PROPERTY OWNER/TENAT PLEASE NOTE:After all entrances are sealed shut,any rodent 1 ft inside the struture
should be trapped with a snap trap. Traps should be baited with oatmeal,walnut meat, or peanut butter
CAUTION: Do not use any rat poisons inside structures
is THE AB VE CONDITIONS HAVE BEEN FULLY EXPLAINED TO ME
SIGNATURE(Owner/tenant): DATE: / 0
®5653 REV 6102
HABITABLE - DWELLING INSPECTION-
1. Was there PG&E service? Yes No [ ]
2. Was there Water service? Yes [ No [ . ]
3. Was it structurally habitable? Yes [ No [ ]
I certify that this home located at 102'0 1 JQ k V 1 S ov l AM-Ais habitable
and shall be exempt from Park Fee requirements.
P.W. Inspector.
By: I8 0
euro P.Rieden Da e
as reques�ec) RECEIVED
py FEB 20 2004
PiEDOJ CITY OF CUPERTINO
-7-7 -7 3IOL� BUILDING DEPARTMENT
e.,
, 1
•
City Hall
d/° 10300 Torre Avenue
Cupertino,CA 95014-3255
. Telephone: (408)777-3228
�
CUCITY
E IST I N O FAX: (408)777-3333
BUILDING DEPARTMENT
DEMOLITION REQUEST
Date oi6O1057
Addresses of all interested parties: 'v E
cl,r/mop-Ta-Arcre , NC
RECEIVED.
p . 30x 74700C> 1 FEB 20 2004
ST-, L_.oUls Mo 63 / 79 -0001
CITY OF CUPERTINO
BUILDING DEPARTMENT
Reference : Loan number(if applicable) x0008 1 761 1
Dear Sir or Madam:
Please be advised that the owners at /0301 70yNS01V RVG' CUPFA7y1VO
Cupertino, CA 95014, Assessors Parcel number 375--18— 033 are requesting
demolition of their house/building.
Please notify us within 15 days if you have any objections.
Our address is: City of Cupertino
Building Dept.
10300 Torre Avenue
Cupertino CA 95014
If you have any questions, please call me at(408)777-3228.
Sincerely,
Susan Winslow
Administrative Clerk, Building Department
•
Pdnfed m Recydod Paper
9 CITY OF DE OERTIl�
anvo CSU
CUPEI�TINO PERMIT APPLICATION FORM ((
• APN# Date:
- 12 - 031 -5 o3
Building Address:
Owner's Name: Phone#:
CLA \1 - v LA LA 40 - 1 '
Contractor: License#:
Contact: Phone#:
Applicant/Contractor:
uildin Permit Info: �•
dBld Elect (lumb ch
pwbescription:
Residential: Commercial:
Sq.Ft. Floor Area: $/Sq.Ft.: ,
Architect/Engineer: Valuation: <21Jp �
G E
Type of Construction: Occupancy Gr up:
Qty f .
A ica Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILIDNG
BSEISMICOM Seismic Commercial BUILIDNG
BSEISMICRE Seismic Residential BUILIDNG
BPLANCHK Plan Check Fee BUILIDNG
BUSLIC Business License BUILIDNG
•