08050047 CLTY OF CUPERTI O
BUILDING DIVISION PERMIT 3`�oN. R�.cTOI2IlV0itNIAT.>,IO�N -
RUILDINOADDBFSs:RUNE TREE LN D & D CONSTRUCTION PERMIT08050047
OWNElR'US NNA.3M2E:: k' PERMn ISSUE DATE
11k, LIU TSUNG-TIEN, YOUNG-CHI TAN 1447 HAMPTON DR 05/02/2008
NE: SANITARY NO. CONTROL NO.
INFO
ARCHrIECTIENGINBER: REPLACE FURNACE BLDG BUrLDINFIEC717 PE0.DUMB MECH
0 0 0 0
uo0 LICENSED CONTRACIDRS DECLARATION
uC I humbly aRrm Nan 1 w licensed under provisions Of Chapter 9(commueing Job Description
ZW wiNSwum700ti)or DiAAon3ofO Budneumd ProfeWu Code."mylicenwis
in full rote andeffect.
y$z License Clan fY.t
F Dam COntrxtor
n ARCHITECTS DECLARATION
[ I undersold my plans awl he used u public menrds
eyU
t o Locoed Professional '
'%,t;
'u�5 OWN -BUILDER DECLARATION
�f 1 bench,afford thus IM
em Ommpt from the Cnnu lctors Lieenu law for the -
i O O following moon.(Section 7031.5.Business and Pofesdam Code:Any city or county
5$ which reforms a permit to constrmk alter.remove.dematiah,or toms,any suuctuto
Z y prior m its issuance.also requires Ne applicamt for such permit m Ek a signed statement
On,he is licensed pursuant to tiro proviuou oflbe ConumNr's l�ccue law(Gapmr9 Sq.Ft. Floor Area Valuation
xF$ (cOmmemirg with Scaie.700o)of Division 3 Of Ne Business and Profeuime Codc)m
_ than he is e¢mpt therefrom and the bub for Ne alleged mureption.Any violation Of
Section 7031.5 by arty,applicant for a permit subjects Ne applicant to a civil penalty Of APN Number Occupancy T
rat more One roe hundred datlana(SMPant Y YPe
L,u ownu of die popmy,or my mmploym with wages u Ilreh Bole eompemdon,
will do the wok and Iheswnure is notNmnded uoRered forsale(Sce.7Uu,Bulinus
and Profcsuoru CoLc:Tim Conuacmra Liars Law daa tet apply an an owner Of Required Inspections
popery who bug lda m i m proves Nercog and whe dots such work himsel f or though his
Owncmploycact,provided thantueh impovemenu tae not inteehd.oRcnW ire sale B.
however,Ne arve the
u i en o proving sold within ore year of improve
for the awner-
builder will Nva Ne burden of proving Nat be did sat build.improve for pwpose Of
;/I .owner of Ne popes%am emluuvuY combs ung with BceuW centnuOs to
construct the project(Sec 7044,Business and professions Code:)The ConracNrs U.
come law does O.apply m an ower a property who builds or improves Ncraon.and
who conouu for such projects with a conuamr(s)licensed pursuant to the Contractors
License Law.
❑Idreaempt sec .08 PCI.
Ow w '� Dau '�/ ()pinglusum
W KERS COMPENSATION OFLI.\RATION
1 h nm under penalty of pedury one of the following dulamtiom:
1 ambo will msinuin•CutNcam OfComent to"If4mo.for Workers Cooper '
cation,u provided for by S 3710.f lie labor Code.for Ne performance of the
work for which this permit is iuucd.
❑1 have and will returned Workers Compensation Inuumm,u twuired by Section
3709.f the Labor Code,for Ne perfmmmce Of Ne work for which this peon,is issued.
My Workers Compeuadoo Wurum¢carrier and Policy number art:
Cartier. Policy No.:
CERTIFICATE OF EXEMP ION FROM WORKERS'
COMPENSATION INSURANCE .
(fhb section need not he completed l(Nc permit is fmonchu moul dollars(SIM)or local
I ouofy Out in Ne perlomme.of the work fon whi h this permit is issued.I shall nm
employ any peron in any manner m as
e c jot P\Yd '--CompeuWw
Law cant Of Califomii Da f G
Appli
NOTICE TO APPI! .If. maH ill CeniBcam of common.you should
become.object m e\ her mpcusation provisions of the Labor Code you must
.,O forthwith comply tach uin.or Nu pmeniuhall be deemed ervoke4
'�� CONsr ucnON LENDING AGENCY
(r Ihereby affirm Nat them is a construction lending agency for Ne performance of
!Yi > lite work for which this permit is Wood(Sec.3197,Civ.C.)
W� Q tondos Num .
z Lenders A".
U C) 1 angry that 1 have read Nis applicuum and sum Nu the above infomuriun b
W toner.I agree m comply with all city and county endurances and sum laws totaling to
.L� Wilding construction,and hereby amhorire mpressom eves Of this city to color upon Ne
shove-mcnuOned ms.property rte iesperimi purposes,
gL (Wo)agree to save,indemnify and bap harmer ince City Of Cupcnmo against
f/1 Iiaconsu.JWgm f h.gecents sandOf toua which may N any way argue agalrmsud City
I da
Uz APPLICucmeafd¢grmdngof Nb pc it. Issued by: Date
^' APPLICANT NDERSTANDS AN ILL LY WITH ALL NO
N-POIM
SO CER ULATIONS.
-S 4 fte-roofs
Si U Of poli UCOAMICLor 1D.E6
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Wit pplicaat or for=Wilding oaupmtstom rehandle haurdom material
fined y On CupeNm Municipal Code.chapter 9.13.and the Health and Safety
Core'p orss53z(')? All roofs shall be inspected prior to any roofing material being installed.
Will the a ions Or future Wilding ocean of n c m If a roof is installed without first obtainingan inspection,I agree to remove
pP t e equipment or devise whim P
Oil District? air conuminenu u defined by the Bay Atoe Air Quality Management all new materials for inspection.
Disuic4 /
❑Yea LyfQO
I have read Nc huudaus muni.],oquimmcru urhrCMpterb.93 of the Calif.-
nuHcalNhsafctYCo r.secripLt sssas.ss5 pt �iC.IMA1 dNuifNe building
dos tet contra,ha ,a LLmmL Net it b
ma
l biliiy m y Nc oceupmr n N
toquitomen whit ter he met piarN' acne r,Course fDccupmg / y &nature of Applicant Date
owner. m Veda i DDate / �J' All roof coverings to be Class'W or better
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 31633081 . 00
DATE ISSUED. . . . . . . : 05/02/2008
RECEIPT # . . . . . . . . . : BS000004660
REFERENCE ID # . . . : 08050047
SITE ADDRESS . . . . . : 10438 PRUNE TREE LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LIU TSUNG-TIEN, YOUNG-CHI TAN
ADDRESS . . . . . . . . . . : 10438 PRUNE TREE LN
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5263
RECEIVED FROM . . . . : YOUNG-CHI TAN
CONTRACTOR . . . . . . . : ENDE WU LIC # 23939
COMPANY . . . . . . . . . . : D & D CONSTRUCTION
ADDRESS . . . . . . . . . . : 1447 HAMPTON DR
CITY/STATE/ZIP . . . : SUNNYVALE, CA 94087
TELEPHONE . . . . . . . . : (408) 666-5298
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 2, 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00
IEPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1MPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0. 00
1MRRAA UNITS 1 . 00 61 . 19 0 . 00 61 . 19 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 .79 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 .79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 224 . 85 0 . 00 224 . 85 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 224 . 85 VISA
---------------
TOTAL RECEIPT 224 . 85
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
CITY OF CUPERTINO
FURNACE/AC
•CUPEFkTINO PERMIT APPLICATION FORM
o 5-06 417
APN # Date:
I tP 55. o&-1 •DU 4 3 o
Building Address:
0 43 '- rP ).- ,
Owner's Name: Phone#:
-DUB - C1 ave (40�- )
Contract(Y. Phone#:
Znc�e �6A Cho&� 6 6d — S'z�fda
Fax #:
Contractor License#: Cupertino Business License#:
6 .077 6 01-31
Contact: Phone#:
Fax #:
Building Permit In o:
Al Elect L9- Plumb ❑� Mech
Residential Commercial
Job Description:
��9�n� t}GV�, — c CQ (�t� Yte�tl �%t ✓t V�GtC p
For Residential Installations: U
Attic ❑•,\ I" floor 2nd floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural talcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
� aSoo , --
Strapped On Platform Bonded New Location Replacement
Valuation:
Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the
application or if applicable, include in plan set & the sheet index. -�
RG , CITY OF CUPERTINO
FURNACE/AC
CUPEkTiNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by this
code.
1 MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
} unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code. •
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1 PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
I cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential lnstall/Relocate ea M
suspended heater,recessed.wall htr, or •
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in an a 1 ermit.
CITY OF CUPERTINO
;:CECT' FURNACE/AC
•CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1 PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
I MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee E
I 1 MPERMITFEE Mechanical Permit Fee M
IPPERMITFEE Plumbing Permit P
1TRAVD0C Travel Documentation B
1BUSLIC Business License B
•
CITY OF CUPERTINO
<14- FURNACE/AC
CITYCUPEI,TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1 BCAIRHAN Commercial A/C Units<= I Ok CFM B
IMCRAA Commercial Mech Repair/alt/add M
IBSEISMICO Seismic Commeicial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 PGASRES Residential for ea gas piping system P
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
IBREMAIRHAN Residential A/C units <= I Ok CFM B
1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B •
IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
ITRAVDOC Travel Documentation B
1BUSLIC Business License B
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CI71 OF Fax(408)777-3333
*UPERTINO
Building Department
JOB ADDRESS: �/ 0,A PERMIT #
$ tit,t,t �i�,tiP CIO Ll
OWNER'S NAME: — v PHONE A"(4o-' 0 3- o
GENERAL CONTRACTOR. FAX #
I am not using any subcontractors:
Signature Date
Please check a licable subcontra d com lete the following information:
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
Owner/Contractor Signature Date