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04080249 CIT`.+ OF CUfERTINO r ** rq "" '`•OWR BUILDING DIVISION PERAT �aCONTp2ACTOR INFQR rTON" ..... m BUILDING ADDRESS: PERMIT N00 4 0 8 0 2 4 9 7809 LUNAR CT OWNER'S NAME: PERMTT EiSUE DATE WEIN-PING YU 08/30/2004 PHONE: SANITARY NO. CONTROL NO. CHITECT/ENCINEER: BUILDING PERMIT INFO BLDG ELECT PMB M[CH .f 0 oLU p LICENSED CONTRACTOR DECLARATION u 51 hereby affirm that I am licensed under provisions of Charvcr 9(commencing e Job Description 'n<n with Seclum7"do'Division Sof Nc Busin[ssand Preforcuns CnJ0.andmylicenuis N mu more arta mrrmn. INTER. REMODEL (2 BATH/KITCHEN & ADD SLIDING D,rata Liccam Class Lic.k Zoo Dar ConlOemr DOORS IN LIVI . /FAMI . /KIT. ) ',' ARCHITECTS DECLARATION z`< l understand my plans shall W used a public records 3LLU a. Licensed Professional j OWNER-BUILDER DECLARATION aI I hereby affirm that I am exempt round Ne Conlmno's License Law for the 00 following reason.(Section 7031.5,Business and Professions Code:Any city or coumy ym Ewhich requires a permit to construct,alrn improve.demolish,or repair any structure Fiy prior it)its issuance,also requires the applicant forsuch permit o file axigned Statement r< that he is licensed pursuanlinlhcpmvisimmOflbeConuxmr'sI-ittnscLaw(Chapter 9 Sq. Ft. Floor Area Valu$tgyt0000 ¢t-0 (commencing with Section]000)of Divisimn3of Ne Businaxand Pmfesximu Cade)ur y that he is exempt therefrom and the basis for Ne alleged exemption.Any violation of Section 7031.5 by dry applicant for a permit subjecu the applicant to a civil penally of APN Number Occupancy Type not more Nan five hundred dollars(5500). P Y YP 01.az owner of the properly,Of my employes with wages M their role compcnutinm 36220020 . 00 .. will do Ne work,and Ne structure is not intended or offered for sale(Se[.70aq Bodnas and Pmfssioa Code:The Commeloh License Law data not apply to an owner of Required Inspections properly who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements arc not intended or offered for sale.IL however,the building or improvement is sold within one year of completion,the owner- milder will have Ne burden of proving that he did not build or improve for purpose of sale.,. ❑Las owner of the sec.7 am exclusively Pommeling with licensed ontra tors i- consumer the pmjeel(Sec.inOat..Business and property who Codei The Contractors nd cave law docs not apply moan with a of property who setters or improve thereon,and O.l� who contracts for such projects with a conuacsor(s)licensed pursuant to the Conaactor's V License Q lam cxempiundcr S�e/c �� .B&PCfar Boris azon ' Own i� /�i"/�� D"tJ7 I O W//O''RK CO 1 AT DCLARATION I hereby a?Rn un er lyof tl arc of Ne followin Ivalimm; i I have and wil I maintain Definition;a Definition;me of Consent self-insum for Worker's Comped- ...az provided for by Section 37M of Ne labor Code,for the permmmance Of the rk for which this permit is issued. ❑1 have and will maintain Worker's Compensation Immanence,as required by Section 3700 or Ne labor Cade.for Ne performance of the work for which Nis Permit is issued. ' My Worked Cam pensation Insurance cagier and Policy number art: Cartier. Policy No.: _ CERTIFICATE OF EXEM PTION FROM WORKERS' COMPENSATION INSURANCE (Thu seelinl need nal he completed if the permit is foronm hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is iuumd.1 shall not , employ anypto on in any manner so as in become subject to the Workeri Compeasmion Laws of California.Date , Applicant NOTICE TO APPLICANT:if,stuff making this CmniEcauf of Exemption,you should became subject to the Worker's Compcnwlion provisions of the rahnr Code,you most .JO forthwith comply with such provisions m this permit shall be deemed revoked. Z N CONSTRUCTION LENDING AGENCY �-+ 1hmreby affirm that there is a construction lending agency for the performance of CL Nm work fur which Mix permitl is issued(Sec.3097,Civ.Cd U]Q Lemboa Name O. fender's Address �Dz U 0 1 emnify that I have read this application and star that the above information is I, F correct.I agree to comply with all city and county ordinances and sum laws relating to 0 U building construction,and hereby audariae representatives of this city to cnmr upon Nm H Cabove mentioned property for inspection purps. ea(We).,me m save.indemnify and keep harmless Ne City of Cupertino against rA liabilities.judgmmn.,cos.antl expenses which may ins way acetum against said City U z in eunsequencc of Nc gmating of this permit. ^" APPLICA UN ERSTANDS AND WILL CJJ PLY WITH ALL NON-P� y Issued b Date SOURCE U ATIQNS. , Re-roofs S' ",m a pp anV nntr ban Doc AZ OUSMAT IetrSDsumeorURE Type of Roof Will Nm applicant aro forum building occupant dor or handle hvaNuus marmot C Sed o the Cupertino Municipal Cade.Chapter 9.12.and Nm fleallh and Safety Cale,e,355R(a)? /J,(.�\(No All roofs shall be inspected prior to any roofing material being installed. Will lhcapplicamur ruwm building acupam use cyvipmcm or devices which If a roof is installed without first obtaining an inspection,I agree to remove mit haenrJnus air eomamirrrs as defined by IM Bay Arca Air Quality Management all new materials for inspection. slfi[I? ❑Vex �Nu 1 have neat the hamandous materials ayuiremems took,Chapter 6.95 of the Califor- nia HSIN d SmctyCndc.ScmOons 25505,15533 and 2553a.1 unJcrsunJ that if Jac building docs not formally have a¢aunt.thin ilp' my repmu'M1ility to nodi Ne aeupant of Ne reyvimmcm nth must be ren pA Biu iuua��n�e a Cenif¢a f an. an y. —G o Signature of Applicant Date Owner ur athon cd agent Date All roof coverings to be Class "B" or better * CITY OF CUPERTINM CUPEYOF PERMIT APPLICATION FORM 4PN # Date: 3v. t-�2�y Building Address: . Mailing Address (if different from building address): 7S�v9 Lrati co(AC—1Cv M71,)Q0, 6 A qs- Owner's Nam Phone#: l/1�e1lJ- 19//x&l 1- 1vY- 2s- /4S3 Contractor License#: Tl�12�171!✓-1� Contact: Phone: Z 5--_, E-r j3 Cupertino Business License#: ',w�AJ- /o fC7 vt Fax: Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Job Description tn.c • ( '&--/kkOz;,n5 ecvul i c l ti e—e'a4"4 G rtnt Residential ❑ 61 t cv`t + Ed 4 A-14L% ercial Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Group: r� U�avn 'f Type of Construction: Please check this b roject is a second-story addition: ❑ oject Size: Standar Laze ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL ! BBOILER3 Boiler> 500K to IM Btu MECHANICAL BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL BBOILER5 Boiler> I.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax-Resi/Mobile BUILDING BELEC1000 Elec 600V <= IOOOA ELECTRICAL BELEC1001 Elec 600V> I OOOA ELECTRICAL BELEC200 Elec Svcs 600V <=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING lof3 *CITY OF CUPERTINO* '�1 6,a * CITY OF PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOM M New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREVE RAP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance f ELECTRICAL e 2 of 3 i OITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEI�TINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Change BUILDING • • i t,3 of 3 CITY OF CUPERTINO '+' � %' ' r•x� `�"�'"�' "''"��"us' BUILDING DIVISION PERMIT �"CONTRACTOR',INF, RMAT-IION �; BUILDING ADDRESS: PERMIT NOO 4 0 8 02 4 9 7809 LUNAR CT OWNER'S NAME: PERMIT ISSUE DATE ` WEIN-PING YU E: SANITARY NO. CONTROL NO. ARCHITECT7ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 _op LICENSED CONTRACTOR'S DECLARATION n Y F I hereby affirm Nat 1 am licensed under provisions of Chapter 9(commencing 1�IItf��,, IptI�J,olgb Description 6Z� wIth Section 7")of Division 3 ofthe Business and Professions Code.and my license is IT�''111 M. f7 infan(or ..iteffect INTER. REMODEL (2 BATH%+KITCHEN & ADD SLIDING j oh 2 Licenx ClassLie.If L"Z Date rac Comtmr 'DOORS IN LIVI . /FAMI . /KIT. ) 'f ARCHITECT'S DECLARATION I4'.`• �yns� I undemund my plans shall N used as public records UP ) GG Lamuseed Professional OWNER-BUILDER DECLARATION Bar t, LLa�`' yF�c a�� I hereM1y affirm Nm 1 am eumpt from the DECLARATION License Law for me Ii tt[I p p jj g Eno following mrson.(SeNun 7831.5,Business and Profession Code:Any city or county V�f u L�U Yp 'ISE! which requires a permit ht cnnnncL Blur,improve,demolish,or repair any structure - pow to its issuance,also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of Ne Contractors Licenx Law(Chapter 9 Sq. Ft. Floor Area Valu$tg3p000 'FC (commencing with Section 7000)of Division 3 of the Business and Pmfessinv Code)ur `<$ that he H exempt themfrom and the basis for the allotted exmption.Any=O of ' Section 7031.5 by any applicant for a permit subjects me applicant ro a civil penalty of APN Number Occupancy Type not more than than livehundred dplkrs(SSW). 36220020 . 00 P y YP 1,u owner pf the property,or my cmployca with wags u Heir sole compensnlon, will do the work,end thestmetum is not intended oroneri d foraak(See.704,1,Business and Professions Code:The Contractor's Licenx Law dors not apply to an owner of Required Inspections property who builds or improv durmn,and who docs such work himself or through his own employers,provided that such improwmenta arc nolimmnded oroRered forxk.If. however,the building or improvement is to within my y tab of comb i...the ownr- builder will have the burden of proving that M did not build or improve for purpose of sake). ❑I.as owner of Use property,am uclvively contracting with licensed mouacmn m consumer the pmjen(Sec.7(ud.Business and Professions Code:)The Contractor's Li- cense Law dors not apply in an owner of properly who builds or improv demon,and who contracts for such pmjecB with a cpnuxma(s)licensed pursuant in the Conuacmr. Licerue law. je T an eeemptundca Sec. �/ .B&PCffy%�or-(�-N/yi ¢¢p�u'SI��n Own /I A Deu89e W I4;7- 551ARATION ' l I hereby aR)(rn'n er p Ity of ury arts of the followin Imtiov: 1 have and will maintain aCi niOcae of Canxnuo self-insure for Worker'sComiten- sation,az pmvided for by Section 3700 of the Ichor Code,for the performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance,u reyvired by Section , 3701/of no labor Code,for the performance or the wok for which this permit is issued. My Worker.Compensation Inwnve carrier and Policy number are: Caller: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not he completed if the permit is forme hundred dollars(5100) or kis) I ccnify that in the pnbrinence of Bre work for which this permit is issued,1 shall nut employ any person in any manner set az to become subject to the Workers Compensation Laws of Califioniiii.Date Applicant NOTICE TO APPLTCANr:If,after making this Certificate of Exemption,you should became subject to the Worker's Compensation provisions of the labor Code,you must .JO forthwithcomply with such provisions or this pconitinalL M deemed rcwkcd. z� CONMUCTION LENDING AGENCY �-. 1 hereby affirm that there is a mnstmminn lending agency for the porfumbarve of 15 the weak(or which this permit is issued(Sa.3097,CO.C.) It7 Le Z:s Namc =Z Lcndei a Addrsss U C I ccnify that I lure read this application and sum that the chow information is F-' correct.1 agree to comply with all city and county ordinances and sue laws elating to O U building construction,and hereby auhome represenutiv of this city to enter upon the D.1 shove-mentioned property for inspection purposes. D. (We)ague 1.save,indemnify and kap harmless Ne City of Cupcnino against F'y liabilities.judgments,costs end expenvwhicIt meyina wayaccrucagi ininsaid City U z in embseetucnce of the'noting of Nis permit. ^ APPLICAN,T UN ERSTANDS AND WILL C LY WI((T��H ALL NO -P�rrr Issued by: Date SOURCE U T NS. Re-roofs S' "m p V ntr or ,' Dam A OUS A IALSDISCLOSURE Type of Roof . Will the applicant or to use building occupant store or handle hmamous material az dcfincd by the Cupertino Municipal Code.Chapter 9.12,and the Heald and Safety otic. 0y. ens 25532(4)? No All roofs shall be inspected prior to any roofing material being installed. Will the appheam car badem'occapxl pre egaipmem or devices wmrn If a roof is installed without first obtaining an inspection,I agree to remove / t hazardous air contaminants az dcdned by the Bay Arca Air Quality Management all new materials for inspection. ❑Yu �Nu1 have mad the havudnusmamrials nquiremems underClupter695 ofme Califon HcsIN a SafetyCore.Sections 25505,25533 and 25534.1 understand thuifine building not curtendy haw a tenant Nat it' in rayons ility m nod. We accuparttofthe uimmcnL ¢h mustxme,IF oissuon Certifica r an . Signature of Applicant Date A 94 D 3 0ner car trmnnvcd ascot Date All roof coverings to be Class"B"or better