03050152 iW
ITY OF CUPERTINO 'b " '�'
BUILDING DIVISION PERMIT �N 1' CT,QRIN�'
LDING ADDRESS: WONG JOSEPHINE N AND HASTI UM�No03050152
NER'S NAME: PERMIT LS5b ff5 O/2 O O 3
ONG JOSEPHIN U7/
ONE: SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: - BUILDING PERMIT INFO
BLDG ELECTPLUMB MECH
0 0 0 0
u0ij LICENSED CONTRACTOR'S DECLARATION
I lon by affirm that I vin Iiaued under previsions of Chapter 9(commencing Job Description
Z with Section 7")of Division 3 or to Basin.and Professinru Code.and my license is
ria imm�mraandoffset. ADD SHOWER/UP ITCHEN
Cin License Clas Contractor
ontr ' ` '�'. 's=1''d `
Data Cmm DELL r„`Y■,!�►A�I■6I v
ARCHITECTS DECLARATION
1 understand my plans shall M used u public records
;° NOV 2 0 2003
G t; Licensed Professional
3 OWNER-BUILDER DECLARATION
<� I hereby oRrm that I am exempt from the Contractor's License Law for the
i00 following reason. 7031.5,Business and Professions Code:Any city Or county BUILDING$0i which requires a permit m construct,alter,improve,demolish,or repair any indentrt L V ,Y
—a a Tnor m its issuance,also requires the applicant forsuch permit ro rile a signed smmmenl
g
that he is licensed pursuan0o the provisions of to Contractor's License Law(Chapter 9 Sq.Ft. Floor Area $20��1®titin
y,2p$ (commencing with Section 7")of Division 3 of the Business and Professions Code)or
Nat he I.exempt Nerefmm and Ne basis for the alleged exemption.Any [.[all me of
Section 7031.5 by airy applicant for a permit subjects the applicant to a civil penalty of 3 4APN$ZMer 0 0 Occupancy e
. not marc than five hundred dollars($50o). P y EYP
❑Las owner oldie property,army employees with wages ss their sole compensation,
willdo thework.and thesuu h re is net intended oroBaned f c ah(See.70¢4,Business
and Professions Cade:The Contractors License Law awe not apply m an owner of 10 2 - PIERS
d Inspections
property who builds or improves thereon,and who das such work himastf or through his -
ownemployeea,provided mmsuchimprovements...Iintended malfemdpastels,If, 103 — UFER
however,the building or improvement is sold within one year of complm ion,the owner-
builder will have the burden of proving Nat he did not build or impmvc for purpose of 104 — REBAR
aIt.)' 105 - ANCHOR BOLTS
❑1.as owner of Ne property,am exclusively contracting with licensed contactors to
consumer the Project(sec.7044.Business and Professions Cade:)The Contractor's LI- 106 — SEWER & WATER
anse law docs not apply at an owner of property who Wilds or improves themon.and, 202 — UNDERFLOOR PLUMBING
who concocts for such pro}cu with a contractor(s)licensed pursuant to the Contractor's
L'omaLaw. 203 - UNDERFLOOR MECHANICAL
lam exempt under S=1 �A l'Crm isreason 204 - UNDERFLOOR FRAME
ono ERcD ATI R ION-/� 205 - UNDERFLOOR INSULATION
' ( 301 - ROUGH PLUMBING
I barony aRres under penally of duty one a(the allowing d lerote s:
I have and will rminlain.CcAfteate Consent to self-insure forworkers Compen- 302 — TUB & OR SHOWER
ion,u provided for by Section 3700 of the Labor Code,for the performance of the 303 — ROUGH MECHANICAL
work rorwhich this permigia issued. 304 — ROUGH ELECTRICAL
❑I have and will maintain Workers Compensation Insurance,a required by Section 3 O S — FRAME
3700 of Ne labor Code,for the performance of Ne work for which this permit is issued.
My warkd.Compensation becomes artier and Policy camberare: 306 — HOLDOWNS
lariat:
Policy No.: 307 - INSULATION
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE 308 - SHEETROCK
(Thisseedon need not ncomcphood ifrhe Permit is fnrowhundmd dollars(SIM) 309 - EXTERIOR LATH
nrlem.)
1 certify that in the performance of the work for which this permit is issued.I shall not 310 - INTERIOR LATH
employ any person in any monner ser as m become subject to the Workers'Compensation 311 — SCRATCH COAT
Laws of California.Desk 313 - ROOF NAIL
Applicant
NOTICE TO APPLICANT:If,after making this Campeau,of Exemption,you should 501 - FINAL ELECTRICAL ENERGY
bwome subject(o the Worker's Cooperation provisions of the labor Code,you most
.JZfoMwithcomply with such previsions orthis Permit shall bedeemed revelod. 502 — FINAL PLUMBING ENERGY
ZO503 - FINAL MECHANICAL ENERGY
CONSTRUCTION LENDING AGENCY
I hereby oRrm Nat Ncre is.eamtruoinn lending agency l'or the performance of 504 - FINAL BUILDING ENERGY
lYi ti thowork for which Nis permit:tissued(Sec.3097,Civ.CJ
Lender's Name 505 - FINAL ELECTRICAL
Lk) Q
Z
Leader's Address 506 - GAS TEST \
U 0 I certify dal 1 have read this application and smm that the above information is 507 - FINAL PLUMBING
IL F cored.I agree to comply with all city and county ordinances and time laws relating(o
OU building conswction,and hereby aurhado,tepresenmtivxsorthis city toenter upon Nc FINAL MECHAN CAL
�U .hove-mentioned property for ine,edon purposes 09 FI
(We)egme tra two,indemnify and keep harmless the City of Cupertino against
ti(n liabilities, udgaxaw,costs and expenses which may in any way accom Sol..,aid City A NG
C) 7 in loosely ace of the gamin of this perm.(.
t7 APPLICA UNDCyRST D WILL COMPLY WITH ALL ON-POINT Issued by:5 WORKS Date
SOURCg U N
j
Re-roofs
dawrk of Applicant on lint
NAZA DOUS MATE IALS DISCLOSURE/ Type of Roof
will'Ne applicant or tumbuildingacupanlsmreorbandlebaauaousmamrial
defined by Nc Cupertin unicipal Cade,Chapter 9.13,and Ne Health end Safely
dc,sotY,a 25533(a)? All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or fu building acupam use Cut or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it ha'rardnu air conmminanIs a dcOnca by Ne Bay Area Air Quality Management all new materials for inspection.
rill?
❑Yea 011�
1 have read the harardow materials requircmems under Chapter 6.95 of thecahl.,
nia Hcalth& afety Cade,SCC ns25505,8533and35534.1undcrsmnd Natifthc building
does not c nendy h 5e a Waxy itis my responsibility m notify Ne acupa(of the
rcyuircmc tsY rs(h m.t m ssuance of a Ccnif of Occu 9ncy.
Signature of Applicant Date
All roof coverings to be Class "B" or better
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24'-2" 2 -3'-6"
I5'-t1" 5'-10"
9'-4-
Dining -4"Uining V
Area6'_3" �_ Kitchen-(Krem,drl)FEA
p``ytt
�...' .. 13,_2"
M Bath(Iicmndd) ALCALDF
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LMng area
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CUPERTI' C DES AN INANCES
DATE 10488 LOCKWOOD BR1vK
S:CNED CU innu,CALUOWNIAveBla ?
This Se' Jf p dns and sNeCIfICatIUnS MUST
BEL GROUND FLOOR I'LAN
N MITT
be kept on t e job at all limos and it is un
awial to makeany changes or alterations '--f ar Garai
on same without written permission from EN
N
the building Dept., City of Cupertino. V
v
Drafted hp:Flsting ll''ang N
the stamping of this plan and specifications lel:(bsu)9613335
;(:ALL NOT be held to permit or to be an
Date:map 30,2003
".'r0v8l of the violation of an
)v City Ordinance or State LaW .wsielis 1
J �
:
• .
61-0000D DRIVE
t
10488 LOCKWOOD DRIVE
CUPERTINO, CALIFORNIA 95014
(REMODEL GROUND FLOOR PLAN)
May 30, 2003
48'-4" �UJ� uuu
24' 2"
21 3._&tt
Tq
W-105C�CI ab
Dbl mk
Couter ® DW Dni
'MY30
039'-4„ _
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Kitchen - (Remodel) F rna a Feraa=a
' 8'-3"
Kite
Kium�
a' - washy Nashe. 81_
'Counter Age, - Frq DrYar Dry-, Frig _ an Counter
Cab Cab Cab Cab
0,egphn36
' Ovegqdin
" 36-I'X38"ooNyy��eo-tviqq' 3-8p'cX39'
Elongated Tdlet 21ac 5Er�asureh GIa55 Ebb w Elongated Toilet
f r,
13'•
o�p, Bath (Remodel) "`"> P 11A
36'x22 112' G1 11 36'x22 112'; .
Countertop 6 5 ' ;Countertop;
55utk , ��.
Bath emo�lelj�
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i
i
49'-4"
24'-8"
RWf .nL• e e KWf IIC
1Ba(Remodel)- t•D3a�1R m 1) 1 -5
9
r r
n cc
RR-2
RR-2
1
FD 36"
N Stairs Slaih CD
N
`tairtce0 '[airnr0 1 MAY � 003
VTBR
r
B
Roof Line RWf Line
Ruutii c un(i ina' 41 .
nc Doti n
T-5112" T-51/16" 12'-4112"
49'-4 1/16' 1
SECONDFLOOR SECOND FLOOR
10488 LOCKXYUOD DRIVE,#A
JC10U4P85KLR OjyCNKN400D
CIJPERTINO,CA95114 Drafted by:HeslWang I ATel: 03i I
(REMODEL PLAN) E31OD� 4Datc may 30,2003
_ -
00 00 00
SECOND FLOOR SECOND FLOOR
10488 LOCKWOOD DRIVE, #A 10488 LOCKWOOD DRIVE, #B
CUPERTINO, CA 95014 CUPERTINO, CA 95014
(REMODEL PLAN) 491-411
(REMODEL PLAN)
ii�'E WPM
24
31 J4x22 t� ounte'S;& inks TublS aver with
Tub/Show r ith _ Glass Enclosure
_ Glass Tub idusure
i. GFl lex
Ba emodel) : r(
91— „ ong ed Toilet 1VIBa (4tem0 1}
9
003
— — r
Ay
y
SU L `
u.. to
t 36„ 3611
Stairs Stairs