04030155 CIMI
TY OF CUPERTINO
BUILDING DIVISION PERT a C�d �� a IN'k'fMA"CIO '
BUILDING ADDRESS: PERMIT NO.
04030155
110 MAMM DR
ER'S NAME: PERMIT ISSUE DATE
VICTO
ONE: SANITARY 0 OL NO.
ARCHITECT/ENGINEER: BUILDING PERMITINFO
BLDG ELECT PLUMB MECH
Oij LICENSED CONTRACTOR'S DECLARATION Job Descri tion
II hemby affirm that 1 am licensed under previsions of Chapmr 9(commencing P
,^� with Section 7Dol)of Division 3 ofthe Business and ProfessionsCok,,and my license is
in full force end e@el. DEMO
License Cl. Lie.If
a, Dam CSDECr
As mall he use DECLARATION
I understand my plain Ntll W used as public mcmNs `Vr
1
LLLp r^ Licensed Professional �F
3 GIVNER-BUILDER DECLARATION /
.�0C I Wmhy affirm o n I em exempt from she Commoner c License lyes for IM V
O O following recon.(Section 703 13.Business and Profusions Cole:Any city or county
$ which its issa n permit po cnnstrucs,alcor.improve,demh Permit
er it t ri repair any structustatement
'hat heprior its ceased pursuant to ce.also Liu the ovisio s of for such pwmluo ice s Law(Chapter
< Samosincing it pursuant to tic,of Division
of dm Commnesslnd Protections
(C ode)9 Sq. Ft. Floor Area ValUatl D
z❑$ (commendngwlth Section?and of Division.afthe alleged
Businessland Professions Cnde)of
3.. SBI hm Is 31.5 b Nem Rom and the buss it Ne alleged a pliant to Any l penalty
of
Semon ther,five
my red deft.(fora permit subjects the applicant a civil penally of 3 MN$02iber O O Occupancy Type
not mom San Ow hundrtd dation(5500). P y •7 P
❑I,as owner of the p npeny,w my employes with wages as their sets compensation,
willdodmworkendtheswesumisslotinundedoroaeredfor.l (See.70U,Bu6msa
and Professions Code:The Comracmr's License law does not apply in an owner of Required Inspections
property who Wilds orimprowns thereon,and whoduessuch work hlmselfor through his
own employee,provided thassuch improvements are notintended woResW forsale.It,
however,the building w improvement is sold within one year of completion.the wner-
Wilder will have the burden of proving But,M did not Gild or Improve for purpose of
Ic.IV.canes of Se Properly,am exclusively convecting with licensed co ustoon In
construct than project(Sec.7044,Business and Professions Code:)The Contractor's U.
cense Law doss not pply in an owner of property who Wilds or improves themon,and
who convects for such projects wit a contracmrtU licensed pursuant o the Cormacures
License Law.
I uempltmcic ,B&PCfes Is n (�
Oete T
C/ JR R'S COM SATION DECLARATION
1 hereby mr under penalty of perjury one of the following dedaustons:
I have and will maintain aCeNfcate ofComent to setginsum for Workcri Compen-
uuon,u pmvided for by Section 3700 of Jin labor Code.fes dm performatim of Jin
work for which this permit is issued.
❑I have and will maintain Worker's Compensation Insurance,u required by Section
3700 of the La Wr Code,for the i crfowance cribs work for which this Permit is issued.
My.Wo lace,Compensation Inmresme artier and Policy number are:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(ITIS sec0on neW not W completed if the permit is forone hundred dollar(SIM)
or leu.)
L certify dust in the performance of the work for which this Permit is issued,I shell not
employ any Person in any manner an in in become subject to be Workeri Compensation
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If.after making this Cool ficaut of Exemption,you should
become subject in the Worker's Compensation provisions of the Letter Code,yes most
.JO forthwith comply with such provisions or this Permit shall W deemed revoked.
z"'" CONSTRUCTION LENDING AGENCY
E+E2 I Wmhy affirm that there is a convection lending agency Our the lerfurmanm of
a> thc wart for which thus permit is issued(Sec.3097.Cl,C.)
W� Lender's Name
r7 z Looders Address ..�
U0 I certify that I have read this application and state that the show information is
Fcormcc I agree w comply With all city and county ordinances and sum laws miming to
0 V WWellbornldingconstruction,and hereby odrn mpressmarivu of Nis city to enter upon the
ftl above-mentioned property for inspection puRwes.
(We)agree to save,in mnify and keep harmless the City of Cupertino against _ s,
Yl liabilides,judgments,costs upenseawhlch may In any way acemc against said City /
V`1 in conuyuencc of Se up qqq of rte Permit. /h
F7 APPLICANT UND v �TANDS AND WILL COMPLY WITH fS�L�NO .POINT . Issued by: Date
SOURCE REGULA D N ( JJ!/
Sy3 LA Re-roofs
Sign of Appli VCo rotor ✓ Date
HAZARDOU MATERIALS DISCLOSURE Type of Roof
Will the applicant er forum Wilding occupant ssom orhandte hvardow manurial
Bead by the Cumnino Municipal Code.Chapter 9.12.and the Health and Safety
e,Setyu 25532(.)7
❑Yu All roofs shall be inspected prior to any roofing material being installed.
o
Will the applicant or Tutu WiMing occupant um equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
is moanfi ata air conuminanu�s Jcfned by Se Bay Area Air Quality Management all new materials for inspection.
Dinuict7 ❑t/
[3 Yes
Nu
I hcave madesann.materials mquimmnu underChapm'r&95of the Califon
Sdnnia HcolS&Safely Cok, 5505.25533wd25534.1.ndo dthalifthe building
does not ntly ttatitismyespnibilitymaAlytheaupnlofthe
royvimmitris
ormiuunccofeCcnific
cups Signature of Applicant Date
Owner car suthownVagdli L Dou
All roof coverings to be Class "B"or better
CITY OF CUPERTINO "«ay`" s hn^.�,�y`� '� ��`rm�s 77
CITY
BUILDING DIVISION PERM'( �4aAmt\a,'0"
BUILDING ADDRESS: PERMIT NO.040301S5
10110 MANN nR OWNER'S NAME: PEItMIl'LSSIIE DATE
VICTOR (14104 HUNG
ONE: SANITARY O OL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
app LICENSED CONTRACTOR'S DECLARATION Job Description
I hereby afltrm that 1 am licomed artier provisions of Chapmr 9(commencing
ith Section
7QW)of Diviai.O3 ofthe Bulinus and Professions Code,end my license is
ire^all fume and effect DEMO
iy Z I::ense Class Lk.D
Y ❑ Da¢ Cooloseter
ARCHITECTS DECLARATION
YY �WW77< IundcrstanJ my plain ahtll he uxdaa purist mcnrds.
7 U
licensed Professional
OWNER-BUILDER DECLARATION
1 herebymean .(Rem that I 1 .Bump from the Commcmra License Law for the
p O following meson perms t 7(131.5.Busimaa and improve.
adam h,or:Any city or county
which requires a e,els re ennawn,¢Imes impma,demolish,or repair any structure
Hsi priormitsccnmdpumuilOt LOtkres mvisihe o oft ¢Conr smis crmi'SUmnla Law summcm
pxxG it nu ialkcnwJpunuanttmkprovislomofOftheBusiness
ndPrafaaw(C odcr9 Sq.F[..FloorArea S/ Valua4 n
(comic I.exempt Sectio ant and of Division r of the alleged
de ren ere Anyana Code)or
�.. Nat k u exempt therefrom son Om buts for Bre alleged exemption Any violation of
Section 7031.5 by any appgmm for a permit subjects the applicant to a civil penalty of 3 2' JN 9021ger 0 0 Occupancy Type
not more Our five hundred dollars($500)..
Q 1,u owner of the Property'or my employees with wage.u their sole campnxalon,
will do the work,and the swum¢is not intended or offered far sale(Sec.7044,Businw Required Inspections
and Permeation Cade:The Conamemr's Lemat law data nos apply m an owner of q p
prope ny w ho bu Ilds or im pavesthemon,and who does such work him sel f or tlmugh his
own employees.provided thmsuch improvements are nolimmndnd crafted toraal&If.
however,the building or improvement is sold within ane year of complcdun,the Owner-
Wilder will have the burden of proving that he did not build or improve for purpose of
1a n.as awnu of the property,,B sinm and convecting with Iknued numette'sa i-
cense La theta not (Sec.to an wnerOf and fay Who
Code)The Mmacmn. rad
Li-
cense law tlou not apply je an with
a of proper(who builds Or improves Thereon,and
who contracts for such projects with a eonhanar(Q licensed pursuant in the ConvxmM1
Lkenx Law.
❑lam exempt under/9 ,B&P C far is n t
Ow r i Dem S T
b11 ^R'SCOM SATIONDECLARATION
1 hereby rot under penalty ofperjury ohm of the following dedasatione
1 have and will mavifice
imain aCem of Consent m self-insure for WorkeesCompn-
,an,u provided far by Section 3700 of the Labor Code,for the pedorhnarea of the
Pink for which this permit is issued.
rl 1 have and will maintain Workers Compensation Insurance,as mquimd by Section
3700 of the Labor Code,far the performance of Ne work for which this permit is issued.
My Workers Compensation Insumnm carrier and Policy number are:
Carrier: Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(ITksemim need notkcompleved if the permit Is fmane hundred dollar.(SIM) I
or last)
1 certify that In the perfomance of the work for which this pemdt is issued.I shall not
employ any moan in any marnerso as m become subject m the Workers Compnlathm
L.ws of Cthromia.Dam
Applicant
'I NOTICE TO APPLICANT:If,Met making this Certificate of Exemption,you ahuulJ
become Subject m the Worker,,oun mathm provisions of the Labor Code.you most
.Jz forthwith comply with such provisions or this permit shall k deemed revoked.
zCONSTRUCTION LENDING AGENCY
[-+ I hereby affirm Nn Nero is a comouctlon lending agency for the performance of
fyi h7 the work for which this permit Is lamed(Sec.3097.Civ,C.)
WM Q Lender Nuns
r7 z Lender's Andreas
U C) 1 certify that 1 have read this application and mm that the be.information is
W U contact.I agree m comply with all city and county ondimnf and slat laws reining m
'
0 building construction,and hereby authorize mpoesematiaa of this city In calm upon the
Lk7 ahovc-mentioned pmperty for impecdon purpoxt
gy (Wc) WUNDDS
nify ann keep harmleu me Ciay o!Cupertino againstcn Iiabilimajudpenxs which may In any way seems against said City
C)T incansequcncf this prmiL F7APPLICANT AND WILL COMPLY WITHAL NO -POINTIs$Ued by: D2CO
SOURCEREf���- �Dp
Re-roofs
Sign ofAppli VCo nor Data
HAZARDOU MATERIALS DISCLOSURE Type of Roof
C Will thcapplicart orfumre building Occupant start or handle havardam manual
as darned by the Cupertino Municipal Code,Chapmr 9:11,and the Health and Safety
Code,section 35533(a)7 All roofs shall be inspected prior to any roofing material being installed.
❑YG QAO
J. Will Ne applicant or foto building Occupant esu equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
mit hmardous air cnnuminanisderned by the Bay Area Air Quality Management all new materials for inspection.
yinrict7 ❑1J
❑Yu NV
I have read the harL,'
erials q. in k,Chapter G95ofthe Califor-
niaHulth&Safety Code, 505,35533 and 35534.1 unJ[['tnmnd thmif the building
Jens not c rely ha athismyrepronsibmihy mndbry the occupantofthe
requiremn It hmnonnissvanccofaCcNrca cup Signature of Applicant Dale
' All roof coverings to be Class "B" or better -
Owner /D.m
125.00' _ \
jr—
il
L � t k i ' i : ' \ \ \ \ 7.hI3 $Et pl is and SpQCItICd`df$1$ ♦� �" �_�
A. A�� v .A \AA A A v
tHl
I � \ \ \ \ \ \. R+ak than es'o�-m �°•�
I � e , \g p officE COPY
A A
I !' ' I � ` \ n \ �\\\\\ �•\ \ � � , \ \\ ` £�\qty ` \ S .
F �. \\ \ EI ® i i
\_ �\ .'vY. v �v
C
` \ F - 9
\\\\
\N, CI +QFC TING o
N, \ \/
\ \ < BUIL IIS DEPA ENT o
\ _I V v v v .� v rt _ r v
\ n y PLOT PIANS
II N
an
CHECK B%
\ \
INo \\ :'\ . , \�\ \ . .�\\ ;\\\ RATE
�` \ \ \ \\ \� \\`,\ \\ J
v v v vA vA v v N, v P DEPT
IN
\;. \�\ \i .•t\ \\\`.\\ `, '\\\�\ \,\ \ DATE
\ \ :\ \ \\ _\ \\ \-
sj� >,w,�c , sit uYi L t\\� �.\ ); \ \\\ \\\\ �r
v,Av vv ���- ��\ v A\ �� BL . T.
IN
125.00' --
BJ
NL I q iso.
11/17/2003 10: 23 650568 45 FERMA CORPORAT '•i PAGE 01/02
ti
„ice ."' FERMA CORPORAMN
November 14,2003
QU-03D-193.R2
Mr.Victor Hung
10110 Mann Drive
Cupertino,CelHomia 95014
RE: 10110 Mann Drive,Cupertino
House Demolition Quotation Revised
Supersedes Quote QU-03D-193.R1 dated 6/21/03
Dear Mr. Hung:
Ferma Corporation is pleased to provide the following quotation for the house demolition at the above referenced
site as per our phone conversation on 4/15103, walk throug d field observation on 4121/03 and described in the
following scope of work.
Demolition, loading end removal including labor, equip t a portatlon, legal
disposal and disposal fees described as follows: qqq
Demolishexisting house with attached garage(1,500+/-SF) ' MAR 1 7 \
Demolish concrete slab 2���
Demolishsite concrete and walks CITY
Demolish concrete driveway nF �UPERTI
• Remove lawn `
UILDING ND
Remove trees in backyard; DEPARTMENT
Remove tree stump in backyard
Dust control including water
Traffic control as required for our portion of work j
Obtain BAAQMD notification
One move-in for each piece of equipment
We are excluding the following items:
Testing,handling and removal of hazardous, contaminated and/or asbestos containing materials
Installation of temporary fencing, barricades and/or pedestrian walkways
Capping and/or removal of undergrot/nd utilities
Demolition and removal of hidden subsurface items not shown
Layout,testing, engineering and/or surveying
Handling,relocating and/or salvage of Owner material and/or equipment
Demolition of piers,pilings,pile cap's and/or foundations below.minus 3 feet below grade
Permits and/or fees (except BAAQMD)
Tree protection, tree plan,tree removal permit,and/or tree trimming
Basement demolition
Well capping
Underground tank removal and/or sewer capping
Second move-in for each piece of equipment
Ferma Corporation proposes to perform the above-described work for a total of$8,00o.oa,
1265 Mori Avenue, Suite 200 -Mountain View, CA 940434506 • (650) 961-2742
Accounting Fax (650) 961.0967 • Engineering Fax (650) 966-9625 Demolition/Administration Fax(650) 988-3945
' r
11/17/2003 10: 23 650968% FERMA CORPCRA PAGE 02/02
Mr. Victor Hung November 14, 2003
10110 Mann Drive,Cupertino QU-03D-193.R2
House Demolition Quotation Revised Page 2
Supersedes Quote QU-03C-193.R1 dated 5121103
Prolect Schedule:
One (1)working day
Payment sehedule:
100%of the base contract shall be due and payable upon of completion of our work(no retention).
Interest will be charged at the rate of 1.5%per month on past due accounts.
Qualifications:
Proposal valid for thirty(30)days from the date of this proposal,
Notification of utility companies regarding disconnect of services and meters by others
BAAQMD requires that the company actually performing the demolition work must be listed on the
Application Form as the contractor performing the demolitbn, otherwise the fee including the ten (10)
working day waiting period will have to be re-submitted.
Upon request we will provide grading,excavation and general engineering pricing
We look forward to the opportunity to work with you on this protect. Please do not hesitate to call our office if you
have any questions.
Sincerely,
• Ferma Corporation
Debbie Muller-Mendels n
DM:kds
Asbestos Removal & Insulation Co., Inc.
1662 Andalusia Way
San Jose, CA 95125
*Rsbestos* *Mold* * Insulation*
(408)267-1078 Office ECt �r 713
(408)267-1055 FAX OS A VED
MAR 172004
COMPLETIONd C17Y P CUPERTINO
DEPARTMENT
THIS IS TO CERTIFY THAT ASBESTOS REMOVAL & INSULATION CO., INC. HAS
COMPLETED ALL WORK AS CONTRACTED FOR AT THE FOLLOWING JOB
LOCATED AT:
• HUNG. 10110 MANN DRIVE CUPERTINO CA 95014
AS STATED IN PROPOSAL# 042201
THIS PROVISION OF COMPLETION IS OUR ACKNOWLEDGEMENT BY
AUTHORIZED SIGNATURE THAT ALL SERVICES THAT HAVE BEEN CONTRACTED
FOR ARE COMPLETED AS SPECIFIED.
i
SQOT,T E. BUNCE DATE
O ER/SUPERVISOR
•
MAR-15-2004 MON 02: 13 PM FIRST CALIFORNIA TITLE FAX NO, 19259529306 P. 02/05
I�ANCIAL
TITLE COMPANY
PRELIMINARY REPORT
UPDATE A
13.Ianch.
First California Title 1875 S.Bascom Avenue 02443
Attn:Athr Todd Medel Campbell,CA 95008
1777 Potelho Dr,Suite 345 Phones(408)558.1560 Fax:(408)$581553
Walnut Creels,CA 94596 Contact:Jason Baker/ERP lien
Escrow Contact:
O 11 d 70 272 I
Property Ad&esa; Other Referrnce:
10110 Mann Drive Buyer/Borrower: MAR 17 N94
Cupertino, CA 95014 Art Valerga 1.1
CITY OF CUpERTINO
QWe/+ ���3MIENT
In response to the above referenced application for a policy of tide insurance,this 9F�t o Issue,or cause to be issued,
as of the dace hereof,a policy or Policies of Titie Insurance describing the land and the estate or interest therein hereinafter set forth,insuring againsl
• Iola which may be sustained by reason of any defect,lien or encumbrance not shown or referred to as an Exception hcreln or not excluded from
coverage pursuant to the primed Schedules, Conditions and Stipulations of Said Policy forms. The printed Exceptions and Exclusions *0m the
coverage of said Policy or Policies are sot fbrth in Exhibit A arachod.
please read the exceptions shown or referred to below and the Exceptions and Exclusions act forth in Exhibit A of this report carefully. The
exceptions and exclusions are meant to provide you with notice of matters which are not covered under the terms of the title insurance policy
and should be carefully considered.
It Is Important to note that this preliminary report is not a written representation as to the condition of title and may not list all liens,defects,
and encumbrances affecting title to the land, This report(and any supplements hereto) 1s issued solely for the purpose of facilitating the
issuance of a policy of title inturouce and no liability Is assumed hereby. If It Is desired that liability be assumed prior to the issuance of a
policy of title insurance,a Binder or Commitment should be requested,
The form of policy of title insurance contemplated by this report is:
CLTA Owner's,ALTA Lender's
Dated as of March 10,2004 at 7:30 a.m.
The estate or interest in the land hereinafter described or referred to covered by this Report is:
A Fee
Title to said estate or interest at the date hereof is vested in:
CHICH THENG HUNG,AN UNMARRIED MAN
MAR-15-2004 MON 02:14 FM FIRST CALIFORNIA TITLE FAX NO. 19259529306 P. 03/05
Page No.2
Order No. 41117570-272-JFB
• LEGAL DESCRIPTION
The land referred to in this Report Is described as follows:
All that certain real property situated in the City of Cupertino, County of Santa Clara, State of California,
described as follows:
Lot 19, as shown on that certain Map entitled,"TRACT NO. 1390",which Map was filed for record in the
Office of the Recorder of the County of Santa Clara, State of California on February 8, 1955, in Book 54 of
Maps,at Page(s) 3l.
A.PN: 326-19-005
ARB: 326-19-5
•
I
•
MAR-15-2004 MON 02:14 FM FIRST CALIFORNIA TITLE FAX NO, 19259529306 P. 04/05
Page No.3
Order No.41117570.272JFB
At the date hereof exception% to coverage in addition to the printed Exceptions and Exclusions in said policy would be as
follows:
EXCEPTIONS:
1. Property taxes,which are a lien not yet due and payable, including any assessments collected
with taxes to be levied for the fiscal year 2004-2005.
2. Property taxes,including any assessments collected with taxes, for the fiscal year
2003-2004, are as follows:
Assessor's Parcel No.:326-19-005
Code Area: 13-009
Bill No: None Shown
Land: $168,438.00
Improvements: $285,049.00
Exemptions: $7,000.00
1st Installment: $2,682,43 Paid
2nd Installment: $2,682.43 Open
3. The lien of supplemental taxes, if any,assessed pursuant to the provisions of Chapter 3.5
(commencing with Section 75)of the Revenue and Taxation Code of the State of California.
4. Covenants, Conditions and Restrictions (but deleting any covenant,condition,or restriction indicating a
preference,limitation or discrimination based on race,color,religion, sex,marital status, ancestry,
disability,handicap, familial status, or national origin,to the extent such covenants, conditions or
• restrictions violate 42 U.S.C. §3604(c) or California Government Code § 12955. Lawful restrictions
under state and federal law on the age of occupants in senior housing or housing for older persons shall
not be construed as restrictions based on familial status) as set forth in the document,
Recorded: February 1, 1955,in Hook 3148, Page 362, Official Records
Said covenants,conditions and restrictions provide that a violation thereof, shall not render
invalid the lien of any mortgage or deed of trust made in good faith and for value,under the
conditions set forth therein.
Said covenants,conditions and restrictions do not provide for the express forfeiture or
reversion thereof.
Said covenants,conditions and restrictions were modified and/or amended by an instrument,
Recorded: April 21, 1955,in Book 3148,Page 362, Official Records
•
MAR-15-2004 MON 02: 15 PM FIRST CALIFORNIA TITLE FAX NO. 19259529306 P. 05/05
Page No.4
Order No. 41117570-272-JFB
• S. Deed of Trust securing payment of the amount hereinafter set forth and any other amounts
payable under the terms thereof
Dated: May 18, 1993
Amount: $205,000.00
Trustor: Chich Theng Hung,an unmarried man
Trustee: Westwood Associates, a California corporation
Beneficiary: Weyerhauser Mortgage Company
Address: 3031 Tisch Way, Suite 406, San Jose,California 95128
Loan Number: 317690
Recorded: May 25, 1993,in Book M 793,Page 1067, Series No. 11920558,
Official Records
The beneficial interest under said Deed of Trust has been assigned of record
To: First Trust National Association,as trustee for PEIMSC
Address: Dock,20 S. Limestone Street,Suite 220, Springfield, Ohi,o45502
Recorded: October 29, 1997,Series No. 13913759,Official Records
6. Any possible community interest of Mei K. Chang, if any,spouse of the vestee(s)herein.
7. The name search and title report is not complete until a Statement of Identity is submitted
from Mei K. Chang. Copies of documents have been forwarded to escrow.
• I
03;15/2004 17: 03 FAX � tool/010
MAR 15, 2404 15100 FR FNT RTOGR 408 8733444 6505z99990 P , 03
0 Fidelity National Title Company
12285 SaratogaSunnyvaia Road#700 Saratoga, CA 9S070.3067
(406) 673-3434 FAX(4011)6733444
PRELIMINARY REPORT yl b
ESCROW OFFICER: Darcy Troach ORDER NO.: 6011703
TITLE OFFICER: Komar Chan
LOAN NO.;
TO' Bay Cel Financial
MO Bayshore Hwy 0270
Burlingame, CA 94010
A7TN' Justin Liu
SHORT TERM RATE: No
PROPERTY ADDRESS: 10110 Mann Drive, Cupe I u?
EFFECTIVE DATE: March 5, 2004, 07;30 A.M,
The farm of Policy or Policies of title Insurance contemPllattedd�bby�{4��6ploit 04
1 THE ESTATE OR INTEREST IN THE LAND HER�INAP&QE Jgbj0EFERRED. ,
TO COVERED BY THIS REPORT IS: BUILDING DEPARTMENT
• A Fur
z. TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN:
Chlch Thong Hung, an unmarMed man
3. THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE CITY OF
CUPERTINO, IN THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, AND
IS DESCRIBED AS FOLLOWS
SEE EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF
With 03/1 S/2004
' r. .
1
•
03/15/2004 17:03 FAX 2 002/010
MAR 15 2004 15;00 FR FNTRRT05R 406 0733444To65052sssee P . 04
Order No. 6011703
EXHIBIT "ONE"
Lot 19, "Tract No. 1390",filed for record In the County of Santa Clara, State of Califbrnla
on February 8, 1965 in Book 154 of Maps at Page 31.
Assessor's Parcel No: 326-19.005
•
2
r
03/15/2004 17:03 FAX ?003/010
MAR l5 2004 15 :00 FR FNT*RgTOaA 408 8733444 9]6505299980 P .05
Order No, 6011703
AT THE DATE HEREOF. ITEMS TO BE CONSIDERED AND EXCEPTIONS TO COVERAGE IN
ADDITION TO THE PRINTED EXCEPTIONS AND EXCLUSIONS IN SAID POLICY FORM
WOULD BE AS FOLLOWS:
1, Property taxes, which aro a Gen not yet due and payable, Including any assessments
collected with tares to be levied for the fiscal year 21104-2005.
2. Property taxes, including any personal propeny taxes and any assessments collected
with taxes, for the fiscal year 2003.2004,Assessor's Parcel Number 326.19.005.
Cade Area Number:
1st Installment: $2,682.43 Paid
2nd Installment: 32,682.43 Due
Lend; 3168,438,00
Improvements: $285,049.00
Exemptlon: $7,000.00
Personal Property: $None
Tracer No.: 13 008
3. The lien at supplemental taxes, If any, assessed pursuant to The provisions of Chapter
3.5 (Commencing with Section 75)of the Revenue and Taxation code of thea State of
Callfomla.
4. Covenants, conditions and restrictions (deleting therefrom any reatrictions'Indlaeting
any preference, ]Imitation or discrimination based on moo, cola, religion, sex,
handicap, familial status or national origin) as set forth in the document
Recorded: February 11, 1965, gook 3064, Page 309,of Official Records ,
Said covenants, conditions and restrictions provide that a violation thereof&hall not
defeat the lien of any mortgage or dead of wet made in good faith and for value.
Modifications) of said covenants, conditions and restrictions
Recorded: January 3, 1666, Book 3376, Page 617, of Official Records
Note: Section 12956.1, as amended, of the Government Code provides for the
following:
"If Chia document contains any restriction based on race, color, religion, sex,familial
status, marital status, disability, national origin, or ancestry, that restriction violates
state and fadwai fair housing laws ono Is void, and may be removed pursuant to
Section 12856,1 of the Government Code. Lawful restrictions under state and'federal
law on the age of occupants in senior housing or housing for older persons&hall not be
construed a&restrictions bessd on familial status,"
6, A dood of rust to secure an indebtedness In the amount shown below, and any ether
obligations secured thereby
Amount: 3205,000100
Dated: Ma18, 1993
Trustor: ChG Thong Hung, an unmarried man
Trustee; Westwood Associates, a California Corporation
Beneficiary: Weyemeuser Mortgage Company
Loan No,: 317890
Reoairded: May 25, 1993, Instrument No. 71920568: of Official Records
3
03/15/2004 17: 04 FAX 9 004/010
MRR 15 ?004 15 , 00 FR FNRRTOGR 400 8733444 16505299680 P . 06
ITEMS: (CorrtinuecO Order No. 6011703
The berefiolal Interest "founder has been assigned, by Meme AA619nmatite, to'
+I
Assignee: First Trust National Association, as trustee for PHMSC,
Loan No,: 0620048188
Recorded; October 29, 1997, Instrument No, 13813759, of Official ':'
Records
END OF ITEMS
Note 1. The Company Is not aware of any matters which would cause It to decline to attach
the CLTA [indorsement Foran 116 Indicating that there Is boated on SAW land Single
Family Dwelling known as 10110 Mann Drive, Cupertino, CA to an Extended Coverage
Loan Policy.
Note 2, There are NO deeds affecting said land, recorded within twenty-four(24) months of the
date of this report.
Note 3. Your application for title insurance was placed by reference to a street address only.
Based on our records, we believe that the description in this report covers the parcel
that you requested.
To prevent errors and to be certain that the proper parcel of land will appear an the
documents and on the pallay of tkie insurance, we re4u1M wfRtWn;apprdvtl of the
legal doscription In this report be sent to this Company, stoned bar the parties to the
transaction.
• Note 4. Amended Civil Code Section 2941, which becomes effective an January 1, 2002, sets
the fee for the processing and recordation of the reaorvoyance of each Deed of Trust
being paid off through this transaction at $46.00. The reconveyance must be clearly
set forth In the Beneficiary's Payoff Demand Statement("Demand"). In audition, an
assignment or authorized release of that foe, from the Beneficiary to the Trustee of
record, must be Included.
Note a. Section 12413.1, California Insurance Code became eMeotiveJarualp 111 1890. This
legislation deals with the disbursement of funds dapoaltad,VAtFi•erty,gtfe entity acting In
An escrow or subescrew capacity, The law requires that an,funds bedepoeked and
collected by the title entity's escrow and/or subescrow accobint prior to disbursement
of any funds. Some methods of funding may subject funds to a holding period Which
must expire before any funds may be disbursed. In order to avoid any such delays, as
fundings should be done through wire transfer, certified check or checks drawn on,
Callfornla financial Institution%.
Note G. The ohsrge where an order is cancelled after the issuance of the report of title,will be
that amount which In the oplrnion of the Company is proper Compensation for the
services randared or the purpose for which the report Is used, but in no went shall said
charge be less than the minimum amount required under Section 12404.1 of the
Insurance Code of the State of California. If the report cannot be cancelled "no fee"
Pursuant to the provisions of said Insurance Code, then,the minirrwm rancellatlen,rae
shall be that permitted by law.
Note 7, California Revenue and Taxation Code Section 18666,sffaetivs January 1
requires that the buyer In all sults of California Real Estate,wherein the Sellar shows
an out of State Address, withhold 3.1/11%of the total sales price as Califomis State
Income Tax, sugJeet to the various provisions of the law as therein eontaMed.
03/15/2064 17: 04 FAX a 006/010
MAR IS 2024 16 : 00 FR FNARATOQA 409 873344416505299990 P . 07
ITEMS: (Cantlnued) Ower No. 6441703
•
6
•
03;15/2004 17:04 FAX a 006/010
MPR 15 2004 15 :01 FR FNT*RRTOGR 409 9733444 16505z99980 P . 09
�Jhy Metlanal Fln "del Aro Ce,neanWl' PllVeev Seeeenwn[ •� • '
July 1.'c001
We recognise and respect the privacy axpaetalions of today's eonwman ane cine n qu Iremanu orappdcable fuderal and
cute privacy laws, we believe that mark n9 ysu award of how we use your non,punua personal Information('Personal
• InformatwnailrRe d to whom It Is disclosed,will form the basis for writ tionshlp or dust between us and the public that we
Serve,Thur Pnveey Statement Prevldee that explerlatlan. we reeerve ori right to chwge this PrNaey Statement from time to
time consistent with applicable privacy laws
In the course of our business,we may collset Personal Irdorm09on about you from the following wilmes:
From applications or w her fume we receive from you or you audaYltfd roprosehutlwl
From your teaeseetiens with, of frau the servaee being performed by, us,For OMllaws,or others;
From aur mtsmet web cues;
From the pubue records maintained by governmental aneees that we eShef octal"dlreotly Rem VMS eridYl■s, or
from our afmiat¢a of others; old
from consumer or other reporting agencies.
Ow Pericles Regarding tine protection of the Confldentieilty end SwurRy,of Your Personal Information
We melroj a physical,electronic end preesdural sNywpda Do pectact your Penemsl Irlformeslem from unauthoraed acosos
or Intrusion, we latdt access to the Personal ImIgrmstlon any Wthose emtooyees who need such socass In eenmetlom WUA
providing produru or services to you or far ether I"ItI as budmesa ParP^ess.
cur Parralea and practices aegaMlmg the Sharing of Your P"D ur Information
We may share your Personal Information with our mmllates,such as insurance Companies,agar e, and donor reel estate
settlement SM140 PMVWNe. We 440 may disclose ywf Pwenal Idrormeclonl '
to agents,brokers at representatives to pro eltla you with services yws have mquasted;
to thud-party,contractors or service prowden who provide soevites or perform morlteUng or other furctlohe On
our Coheir: And
to ethers with Whom we Setae Intof olmt morseling agreomenw for products or Services that era eellever you
nuy find of interest.
In addition,we WIN dlscisoe your Personal Information when you direct or gird tae Pormloslan,when we ars required bylaw,
• to do so, or when we suspect froadulenf of efurilmal eeaWVas. We also may disclose your PersonalInformsbon when
otherwise permitted by applicable privacy anis such no,for ersmpw, Wham dleclowre Is headed to e"foroo our rtq,u arising
out of any agreement,trenee0w or ralstbnehip with you.
ora of the Important respenslblatlee of ware of out Affiliated aompanles Is to record documents In the pubue domain. Such
documents may Contain your Poesenal Inrornwtlon. 1.
Rion to Access Your Personal mromtatior aryl Abilby to Conect Errors or Request Changes or Deleon .,
Certain$Utas affordyou me light to access yowl personal Inholtnatl0n and,under Canner clredmebneaa,to Md out to
whom your Personal Information has bear disclosed. Also,COMM s9Xe atrofd you the dghtw request corroctiten, ''
amendmoht or dolatlan of your Personal Intomarwm. We reserve the right,where Permitted by law.to charge a raesonobla
fare to cover the costs inmurrerd In respemding to such requests.
An requests must be made in writing to the following fortress:
prvvacy Carnpllencs Officer
Rosary Neiloria Financial.Inc. '
4049 cove Ree, Burse ase
Santa 9emdrd.CA 97110
MulePle Products or SeNlces
If we provide you with mare than one financial product or Service,you may receheerriore than one privacy notice nom us. We
apologist for any inconvenience Vas may cause you.
•
as
At
rl-
s; D 3a
D rile 'g
go
� d i �� � =s8 a � � a •$oD �� l�O��Sj�� c�`a �8 _ ��6 °4
all
MIAv i
ti V t = D3 i ; S9$
0 �$a8 Ali]
Y�7 �O �38igasjsi12a
mge3-S� D �=Lwi3Jjg►3 '� E.� F9A87��.$3 8VG �° �.�45532
CD
gal 'sa E 1; if
�
PSI
D; a � .S�e�D_ 'D it.■ AICD' � ( a�$aaDs .�.33 $ D � DaS
tL
LL
=19
t; }ppy
LL '� g�8 , ic9mseAa � 3gax1 �} D_ei
Y
D B� AM c;; D 'J• D� 3 t r3
o G'�°$t•�8D 'D� � IDD9'�'. S� aD1a;�5 •D��� 3 � �s��
�ImlillpiliaR�� i86' a t i T4 -
r' �$3 ees n n..eBD � a ,I3� 1�Dsaes oa r -
o
Q `-'-
O
o � -
Bs � �-
a _ 31 -
� ---
m
{ o ■7�.L pp o g, $yid E� _ �jpa _ _
N i
_- i .--
# x yy� ��a3Y °4fq� Uzi
$ padeala SSE
r ap 9:Ai d i 3 as aaSpa
CJil � y a' I -j $j ) pE$ i
r�'.. AL a€ € # aEs a'€W
��.LK
IH 2 ]i9 tl Z�i p
ti `.i Fit �.. m G
w l.. AY
v d i a IL9a3a11
T. a
aw
al es
ga ajjg
LL m aL �� s L _dD' a {]loEo . �=
lob
v i t gills isi
ae' $ —�g€aals
o F -
03/15/2004 17.05 FAX 16007/010
MAR 15 20x4 15101 FR FNTRATOGA 408 8733444 P .03
s w
b 4:1 b
it L4 k, 14 q 1 n e', 14 q 14 N 3
j ,
sp No -if
a JOL
14 �' 17 Id i ' u 4 a i a IS •
r
r i a
a ti ti a a f Y a Ir bIL
yr
I
...rw..._ GdNDENVIEW 4N. -,._.lo..._.
•
• it ¢'Iq t� IA li K IR
I I p a
tl l e { 8 7
• 111 M 1Y111 )
1 P
® IIYV OAXVIEW
N16
• u • i • I r y • -
•m•• a'1148
The.1► P 260 I +yA�
81 4 111 k
Aps OWN
i —STEVENS •,'—&MLEVAAb
6 To 9, L`,EL�t
03/15/2004 17 07 FAX fm 010/010
MAR 15 2004 15 :01 FR FNTORATOGP 408 8733444 To 6509259500 P . 12
E7®1T A
(DONTMW)
CLT*N0MZOW1YTR'F POLICY OFTITLC 1N9URANCL(eFYN)
ALTA NOAt6OWNYR'9 POLICY OT'TMt INNYANCL(10.17-PI)
CXCLVF19M
mvswbaAmwowwsamba.Y.¢a.amww+.pmlwwwW¢ ,AgrWmaM*"W—
:. a...wwuam.p...wwwnwwnxoudw.r®r`.bpw..mw rwlw.TH, ,. Wen _ .Yryme� �T
v.m610Nbtl1a.W.wm..plY.lbo baamll' \ Dwwlfa,Y,Y�(pY altm YolY/DWrY b¢.a im CM aYa,6rypmgatr P.Yl�imw.m
woYow lm
�, �yw • Oaaul
wYYKn
a a IA"wwa s mrwaa..ra.vdrTnw-m.ew w.Yma..wYw e.a+Yerc..amnrr
j gjp,w.am f. malW bpy.aw re Y.sTw.
o4Pm.bmmm,bl ln*obYal aa .uwcmwuaaw w+iw u.LL.dW.Walu e, W,.r.m4
Ywa..maa,/]�WY TuYl.Nrnmas,/uWDw . mapC.vl.¢4wW aw w.aPrbeaavW m../aKwrp.^m,'Keowu4
rma..r..bn..,1w1 ww.oprww:awrmw u,,x le.nn>,, r
]. nemw eww swaw.wrmw.pwy Pw dOq bYnanad's..wrs¢w wYb \ m.mdmw:iwft a p4wl iRd
bIWW.Yma,f bM1HSuLMw doa.n wb b.'al.tlw.emWles mdsuedlr.t rW6i,mlw Nwam WOYW w\Npdm�wlm�dVYll nll
W m�dW,w b{Yn Ls dm 6hT W�w,eN�wd1r4 n Ym hMD W
2. �M¢.➢worw�'Yd,W J.Nwwv�•YbLehuu�nwib a,Ymawpdw"
a �KYAr�Ybw0,T.Yw DW adb meiyw W¢IfYw Wib S.lrwlYa
• RumzNTIALTITLEIlel MANCLMUM
ONE-TO•FOUR PAM MY RItMZNCT. .
;NIInNC=vEMM(an
ERCLUIRON9
Y.Ym.w le.Pwq"l.W.W.Y.y..wwl WsW.pY¢m.ww.tllwmM'bw adspaa MOW IM
1. D.. M."lamPWWI SAW.wwml n N.Ww.rwyYvw iw . apb"TW
homdwmiNeiwe,wbL wiswrry.uw WilmiYliw mmmo • IMwns¢/.Y.w1w¢yWVll�w
►+Wwwa¢b pa Ytsnw tiw T¢WSDma.sY.m..IP•'<Y lb•c¢W.nwNr
. b ]��e�asw LL.aap • aa,wuMbrwwwwr
,, b/ehWww 41la fY�WI 1Ws Nw 0.�.ew'Wn.11Y Ywm01 g11Wmv.pdsmlMAR®1e4
TM,st��NruuNntl®.a,O,aOonavw,t lbs.mmwrWW wMw WJs s. /�w.e.pywY.briw Ww
prm.w.e+a Tawvna.. f. l¢m K.ys:(-0 a¢q Iw/pWY W mw q.d6wR EweeMC wd mrawa m u ife 1 K
TmaWvs¢ba wl Ymh ewm mpeaalmdb:w lA ral9 ar ll elp a.I TIW I.I,elrAwp)b.mgY.ba;n�.aaay�.��$� 1.WT.ww
• ILLY. Tm.[¢b,h.Ws¢rn lloo 0.wta.YYe�+,7ml W NaslGaaaf 7ml.f,W..
>,rwalaw Wlmltybaaa¢ma4 mai:
a .WdwKb.saaepls bb.Telia'Dw„V6b WMywWY.C,yDlyw .
11mw�i�Mm^1i SSvvYYtyi w.Ufw YuW WYYN4a
• ** TOTAL PAGE . 12 Nc He
MAR-1E-2004 13: 18 BAY AREA AIR QUALITY 415 7494558 P.02i02
11Y/! I !� fCUltl L
ACOMPLIANA & KB�
W ENFORCEMENT Acknowledgement of
�B A V A R. 8 A Notification and
ALRC2MAL,Tv DIVISION payment of Fees
ANAQEMtNT
5 T R I C T
Mark Cunha's PavJng 7#: 1Y715
15100 Montebello Road invoice No : OTY09
Cupertino,CA 95014
The Bay Area Air Quality Management District(BAAQMD)acknowledges receipt of your payment and
your Asbestos Removal or Dcmolition Plan described as: Demolition
Site address 10110 Mann Drive
Cupertino,CA 95014
I
Start Dau April 1,2004 RE
VEL)
Completion Date April 30, 2004 MAR 17 2004
Removal amounts of friable ACM 0 linear feet 0 square feet 0 c t f
Should it become necessary to revise this plan;please do so in the s- rocd tic
tely
copythe District by faxor bymail. DING DEPARTMENT
• REGULATION 11-2 REVISION BAAQMD J## 1Y715
REVISION# START DATE COMPLETION DATE
2
4
5
NOTE: This form is not intended as a verification of either the completeness ofyour original notification
or of its compliance with BAAQMD Regulation 11-2.If you have any questions about this
acknowledgment,please call our office at(413) 749-4762.
• TOTAL P.02
c ti mortgage`"
wvnv.citimortgaga.com
j
U ► �� D02/17/04 ; ! / r
EL � �� L�
CHICH THENG HUNG ' MAR 17 200'f
PO BOX 552
CUPERTINO CA 95015-0552 CITY OF CUPERTINO
BUILDING DEPARTMENT
Dear Citi Mortgage Customer:
Thisletteris -in response "to your- recent inquiry-concerning your._
mortgage loan #: 0628048188. Our records, indicate that your loan was
paid in full on 01/21/04 for $75,054.82.
A request for satisfaction documents is being processed and will be .
completed by 02/17/04. It has been our pleasure to serve you. We
look forward to assisting you with your future financial needs. "
Sincerely, y
Christopher Skarzinski
Vice President
Customer Relations
040217D0001518
I
SUI 45 02103 CitiMortgage,Inc.don business u Citicorp Mortgage in MT and NM. A member of atigroupl
BankofAmerica
®
•BANK OF AMERICA, N A
P0. BOX 23500.
GREENSBORO, NC 27420-3500
CHICH T HUNG Account Number, 68240031191799
10110 MANN DR Payoff Date, . 01/21/04
CUPERTINO, CA 95014 Interest Paid 20041 8. 00
Dear Valued Customer: -
Congratulations:' Your account shown above is paid Vin` full Y The items-checked below may
require.you to take action or may, provide you with important information.
No.documents are enclosed. ' .
Our records indicate that the last payment made on the account resulted in an
overpayment. .. Enclosed is a cashier's check for that amount.
�/Theicancellation of lien ,for your mortgage is in the process of completion.
The canceled document should be sent to you or to the party you requested within
ninety (90) days.
_ . The collateral that was 'pledged, as security oni. your:loan is enclosed. '
Documents:have been submitted to the Department of Motor Vehicles to release the lien
on your title. A new title will be sent to you in approximately sixty (60) days.
_. ;Enclosed are ,the documents to release Bank of America as lienholder. You must file
these documents in the county tax office or your 'local Department of Motor Vehicles
to obtain ,a title without our lien. •
_ The title to your motor vehicle has been forwarded to the third party that paid .off
Your loan.'.
The information needed to obtain a title on yourvehicle is in the process of
completion, You will be contacted within thirty (30) days.
" Thesecurity' interest on your savings account or certificate of deposit that secured
your loan has been released.
'Documents have been submitted to the National Vessel Documentation Center to release
the. lien on your vessel, : The satisfaction of mortgage will be sent .to you in
' approximately ninety (90) days.
.Documents have been submitted to the Wildlife and Marine Resources Department to
release the lien. . A new, title will be sent to you', in -approximately sixty (60) days.
Documents have been submitted to the FAA to release, the lien on tho• aircraft that was as security, -
We appreciate your business and look forward to serving your future financial needs.
If you have any questions, .please call 'us .at 1 :800.621.1044. .
r�
MRR 08 2004.'x'13 44 r P.01/01
8E DE RNZR AREA 3
Aud11C6sand 10#00 North'Slaney Avenue
Cupertino,' CA95014
n ° =Camnany
+ A
n�CE .
%,'City of Cupertino- I I -. . I k 1VFD
.
10300 Torre Ave."
Cupertino, Ca 950141 MAR 17 20,04
CITY OF CU,
ERTINO
To Whom It May Concerns . BUILDING DEPARTMENT
Subject: ,Removal of Ges and/or Electric Facilities "
The gas and electric facilities have been removed and/or abandoned at
If you have any further_questions, please contact me of (408) 725-2024,
Al
S ncerely c
• j{ I
Service Plarining
- •i� I� 1 � fir..'•• e �� '
TOTAL P,01
„ .. P-. ,
SANTA CLARA COUNTYP&AAA, ft,2-5010
VECTOR CONTROL DISTRICT WI.—.1-6 .0 s,.g I-800-675-IIS rr /,�
976 Lenzen Ave: t Technician's #�`G��� r b�w
„San Jose, CA 95126n f ��\ ' www.sccvector.org
Technician �'Vl Cl .00krno�
+,
(, RODENT HOME & YARD INSPECTION FORM '
SR# �tU •`' Address: GOI M;, 'P/l it 'J N City'A6uzZ/#-V
Ftnt4
Owner O Tenant , O Previous Visit:
ATTRACTANTS FOUND: O Pet food/birdseed "Cl Fruit O Nuts O CitrusO Uncovered garbage cans, O lnsects(snail
slugs) O Vegetable garden O.HarborageOther /✓
ENTRY&ACCESS POINTS TO BUILDLINGS NEEDING REPAI Vent screens,attic&foundation O Holes in roof
O Pet doors O Open doors&windows O Chimney Cl Fences O T io cove +r sp"a `a ening `
O Unfinished construction x0 Pipes, cables`&,w�irriin�g entering walls&foundation Un aF�o'"sv ga g o s s
O Over-lapping roof lines- y Other IV Vr"N, HAR/ r _
ANIMAL DAMAGE TO: O Lawns O Gardens O Flower beds O RocCfdQ(rcr��tfj� O SidewalksF�RVVVV
O Heating ducts O Insulation O Wiring O Plumbing ther,
7�Df
"_ THE FOLLOWING-IS NEEDED FOR.YOUR_P �,ROPEl "`opt
• TO MINIMIZE OR ELIMINATE RODENT PROBLEMS
O Weather stripping around garage and house doors .O Remove any.trash accumulation
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 ventscreens
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 alCcloors and window closed after sunset
O Keep all pet doors closed and secured O Take all petfood and containers inside by sunset M§`
O Cut back all trees, bushes and shrubs approx. 24-36 Inches from roof
O Store all firewo�odIaapprox. 18"ya�bo,,ve the ground and 12"away from
yany
jstructure Tom/'
Comments: A U gV!�/JFfJV� � � J// V44 h4��/ t l-W c�
V ��Z.T� Yt N✓J i ,
`s pm (111t&v4s23 )'TyL
PROPERTY OWNER/TENAT PLEASE NOTE:After all entrances are sealed shut, any rodents left inside the structure
should be trapped with a snap trap. Traps should be baited with oatmeal,walnut meat, or peanut butter
• CAUTION: bo not use any rat poisons Inside structures. 7
THE ABOVE CONDITIONS HAVE BEEN FULLY EXPLAINED TO ME
O
L
SIGNATURE(Owner/tenant): �� L r ' C) 9 C DATE:"
®S659 REV aN2
'*CITY OF CUPERTINA
DEMo 03
10
Fry
CUPERTINO PERMIT APPLICATION FORM
APN# �/ Date-
Building Addres�/ /e)//0 14IFNd/ 7� G� 7s2 7 .t1O
Owner's Name �/C �o� � C� Cu Phone#:
Contractors !o �� �� License#:
Contact: / Phone#:
Applicant/Contractor:
Buildi g Permit Info:
Bldg/ Elect Plumb Mec
Job'Description:
Residential: ' L ( , Commercial:
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Valuation:
Type of Construction: Occupancy roup:
•
ty. 'f
ble 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
• oZ7`-'
=r(