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02050008
CITY OF CUPERTINO - BUILDING DIVISION �ERMO „COIVTRAC'I'OR IIVFORMA BUILDING ADDRESS: - PERMIT NO. 10223 RANDY LA ABLE EXTERMINTATORS INC 02050008 OWNER'S NAME: - APPLICTION S D KUO YU-JEN AND HUNG-CHUN ET L 68 SUNSET AVE 05x02/'20ATE02 r PHONE: SANITARY NO. CONTROL NO. (408) 251-6500 8 Z ARCHITECT/ENGINEER: O O Bl)RDB9G PERMIT INFO m BLDG ELECT PLUMB MECH a S o Z LICENSED CONTRACTOR'S DECLARATION Job Description i Z! 1 hereby affirm that I am licensed under provisim..f Ch ipter9(commencing �y ,tet wimScnionT W)afDivision3ofineBusines andP tearmnaCodaandmylicer. WATER EHATER/SHOWER ENCLOSURE is in full frce en i, c eco License Cl Li prey�py ARCHITECT'S DECAL�FRONN F FB RA II �S LEr O g 1 undo and my plans shall be,used as public records Y 6�4 1G oo Lrcen.Profesaianal OWNER-BUILDER DECLARATION MAY 2 8 2003 usi= 1 hereby.(fent 1 exempt from the Cassa @',License Lew for me C Z_< following reason.(Seatonon 7o31.1. Cad 9.Business and professions e:Any city or m construct, $5000 which requires a permit cons ,elm.,improve,demolish,or repair an pyswart u 3 prior soils issuance,also.quirts t¢eppfcam fie such pcmduo fileuignrd swemem BU' - . may pursuantmme prfDivision of nidi@{ arenYlJWons,Ccs yy`� ��'yy.��evr Valuation or(commencingthataIcielm Sectors74a d t e basis o t e a ldged ss end Profession Code) ,3 Yg' �V Y."O ."V�•' or mm o Is campy therefrom and me basis for the cia nee,venom to My violation - of Secton 703L5 by any applicant'for a permit subjecu me,applicant m•civil penalty of not mom than fin hundred dollaroS500). 502kPN*`I0TL PLUMBIN ENERG)PccupancyType O Lea owner of the property.or my employees withwagcsas docimole compensation. 06 — GAS TEST %will dome work,and me vncwre is no,intended or offered Ye cele IS.:7094, 5 0 6 — FINAL P 21 Business end Profession Code:The Comnnor's License Lw tloes my apply m an 11UPWIlydspections owner of his w Who builds pr improves me Such improvements me h work himself or tuough his own employees.provided shay such improvement's within nm inn..or offered for sale.If,howevere will building or improvement n sold he did one year or completion,the purpose uilderwill have the burden of proving the,he did not build or improve for purpose of m1eJ. [a 1,es owner of Ne Property.am acluOwly contracting with licensed cmoranon,o ' ., construct the project(Sec.7094,Bus ess and Profession Code:)The Connector's License Law does not apply to an owner of propeny who builds or improves thereon, ma.who conmas,for such prejecu.with a commie or(s)licensed punoant in Ne Convectors License Lew. - ❑IamawroptunderSec. ,B@PClor Nis Tenon Own Dare WORKER'S COMPENSATION DECLARATION 1 hereby awrm under Penalty of perjury one of the following declaet'ion: fts(j(i ° 1 have and will maintain a Cenifcem of Consent to self-insure for Warkee. `C Compensation. as provided for by Section 37M of to Labor Cods. for the performance of the work for which this permit is issued. O 1 have and will maintain Worker's Compensation Insurance,n required by Section ,a 3700 of the Labor Code,for that performance of Ne work for which this Permit is issu d.My�Work��((slompcnss' Inumnce rem nd Policy number ere: 'i" ,, "'�D SeneF+ b7- t' .. . .. CERTIPICACO OF FROM WORKERS'' f't COMPENSATION INSURANCE ' (This anion need not be completed if the pcmdt'is for one hundred dollars . .. (S100)or less) ' 1 iecnify ihm in the parfowonce of the work for which Nis permit is issued,I Shall not employ any person in any manner so as to become subject,o me Workeri Compensation Laws of C.lifomis.Dole `.Applicant' NOTICETO APPLICANT:If,after mai this Camficare of Exemption,you should Z become subject to the Workers Compensation pmvisionset Ne Lobar Code,you must' 0 fonhwich comply with such Provisions or this permit shall be deemed revoked, ( F'LsO CONSTRUCTION LENDING AGENCY I. W,y 1 hereby affirm that there is a conswdon lending agency for the performance Fr of the work for which this permit is issued(Sec.3097,Civ.C.) Oa Q Lander',Nam ' U Z Lee nder,Address 1 . ... .. 0 1 certifyagree met'I hely rad this it,and on and auto that Ne above information palon is /) fey �r correct.1 agree m comply with all city and county auto rhes end sure laws elminI, �.fJ to building construction.and hereby aumorie reprreanurives of Nis city to enter upon W the abovomentioned property for Inspection puryo i tti ow (We)agree to save,indemnify and keep harmless the City of Cupertino against t—i f4 liabilities,judgmenm,costa and expenses which may in any way==a against said C.). City in consequence of the gni of this permit. AP LICANT UNDERST N COMP Y WRH ALL NON-POINT s REG,)LAno ` " Issued by: Date ignemre of ApplicetoXonvenor D , Re-roofs HAZARDOUS MATERIALS DI LOSURE Will the applicant'a fume building ceeupant stove or handle haasrdon minimal 'Type of Roof. qAss d<, ad by Ne Cupcnino Mum'cip.l Chapter 9.13,and me HW N end Safety C.e,Section 25532Ia)T .,, ... ..r . .. .. LL °Y All roofs shall be inspected.prior to any roofing material being installed. Will maappfp,norm...awtd'ngecupant'u,eeq%7,ordovice,which If a roof is installed without first obtaining an inspection,I agree to remove army heaardous air contarninenrs as ad by Ne Bay Aru Av I'IuOily Management g I3 g Di""r^ all new materials for inspection. Applicant understands and will comply with ny ON. .. all non-point source regulations. I have read the haandous,memrials requirements;under Chapter 6.95 of me iftlCohe lmie Health s Safety Code,Sections 25505.25533 and]5534.1 understood Net if the building docs not currently have a event,me,it is my reponsibility to notify me occupant of be requimmenu which must'be met'porous issuance of a Cenifirne of Oce-port Signature of Applicant Date wncr .....a..,an( 2 All roof coverings to be Class "B" or better w. OFFICE -- WOOD DESTROYING PESTS AND ORGANISMS INSPECTION REPORT This Is an Inspection report only-not a Notice of Completion. ADDRESS OF PROPERTY INSPECTED GING NO. STREET CITY ZIP COUNTY DATE OF NUMBER OF CODE INSPECTION PAGES 10223 RANDY -LN. CUPERTINO 95014 43 03/22/02 8 _ Affix stamp here on Board copy only ABLE EXTERMINATORS, INC. A LICENSED PEST CONTROL P.O. BOX 5339 OPERATOR IS AN EXPERT IN SAN JOSE, CALIFORNIA 95150 I I HIS FIELD. ANY QUESTIONS PHONE 408 251-6500 - FAX# 408 251-3652 ASSOCIATION RELATIVE TO THIS REPORT 1 SHOULD BE REFERRED TO HIM. REGISTRATION# PRO176 REPORT 094768MR STAMP# ESCROW# 315469-WLC Ordered by: Bob Smith Bob Smith Realt • Du Court Sun nyvale, CA 94087 Reportsantto: American Title Co. 19200 Steve a ree 30 Cupertino, CA 95014 Property owner:Yu Jen Kuo/Hung Chun Kuo Leo-shane Kuo Parry in Interest: Jenny Yuan/Phoenix Real Estate 10891 S Blaney Ave Cupertino CA 950 ORIGINAL REPORT 2 LIMITED REPORT SUPPLEMENTAL REPORT[ * REINSPECTION REPORT�*' *ORIGINAL STAMPp DATE I N F S D F O 0 - E F C E S General Description: Single story duplex N 0 U U R U T A A A E x HA T R e Y N H M R U L C 0 C T T W G E P T L L E W r>„ C IH E 0 U R W H T U S E F E N E R0 S O Y L S R 5 S R R D W 0 W 0 I 5 P A O 0 D 0 G S V ' L I E I N T R 0 0 R E E E B C N E E D T D A A L T 5 A R D E D D M K E E P N M R P R C E E 0 S coon Tans Posted: In ora e. 0 E I Y E M 0 a I A C T T S 1 N L R S R T E E R T T T E I T E I R S 0 S E A V S U Other Inspection Tags: - A o M T s C E R S N I T L E T S Al);) Z VE-.D 1, SUBSTRUCTURE AREA See lA & 1B IN ACqORDINC : WI H 7HE I ITY 108 2. STALL SHOWER See 2A thru 2G I CLIER11N0 Q0 S nip IRDIVAN19 1 3. FOUNDATIONS 4. PORCHES...STEPS 5. VENTILATION r 6. ABUTMENTS See 6A ,hl, -- 7. ATTIC SPACES I ti. t. 8. GARAGES See '8A thru 8C Aufu ti 9. DECKS... PATIOS Tis-!Ah- H ".µ 10. OTHER ... INTERIOR See l0A thru 10H I ., u 9-a PLI ait" ax 11. OTHER ... EXTERIOR See 11A thru 11E DIAGRAM AND EXPLANATION OF FINDINGS his report Is limited tostruattirblbrrstrG- rte§ilhaviA 3h idlaa&i) ))roval or the violation of any prov s I ons 11C tt'ftv Ordinance or State Law. 11E 11B lOF 1B 1OF 10E j2F OG lA 1B 2B 2E VW 2D J'/ OC 2A lOC LC � IOD 2C 1B 10H IOD 01U IOB 10 lJ F11A7 6A , / 8BBC 8C8B / GA CAMARADA CT. • RANDY LN. \8A / / Li FRONT Inspectedby Marjo RodricuPz License No, OPRR571_ Signature You are entitled to obtain copies of all reports and completion notices on this property filed with the board during the preceding two years upon payment of a$2.00 search tee to:The Structural Pest Control Board, 1418 Howe Avenue, Suite 18,Sacramento,California 95825-3204. NOTE: Questions or problems concering the above report should be directed to the manager of this company. Unresolved questions or problems with services performed may be directed to the Structural Pest Control Board at(800)737-8188 or(916)263-2533. F-- CITY OF CUPERTINO • OZ o F PERMIT APPLICATION FORM • CUPEII;TINO APN# Date: oa- © a Building Address: Q t7 L . C U?,r r -1 IJ d CA • 5 U y Owner's Name: Phone #: YL.) FN muolkup& C140wJ ontractor:. 10 License#: F RMS 1;k PC- 26 ' Contact: ne#: c' L— (ITIT � ,5I - 6,50 0 Applicant/Contractor: Fax #: Buil in Permit Info: Bldg Elect Plumb ech cription: Residential: " t ommeYci 1 Sq.Ft. Floor Area: I $/Sq.Ft.: Architect/Engineer: Valuation: ' Type of Construction: Occupancy Gro p: Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler>500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M 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<= 1000A ELECTRICAL _ BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V <=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee, BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING lof3 273 .73 OF CUPERTINO CI out Dwc DIVIISSIONPERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 10223 RANDY LA ABLE EXTERMINTATORS INC 02050008 OWNER'S NAME: APPLICgTION S B DATE KUO YU-JEN AND HUNG-CHUN ET L 68 SUNSET AVE 05/ 02/2002 1 PHONE: (408) 251-6500 SANITARY NO. CONTROL NO. t 0-4 OO ARCHITECT11NOINEER: BUILDING PERMIT INFO to— BLDG ELECT PLUMB MECH a U IJ r_U O i._..I �V� FF LICENSED CONTRACTOR'S DECLARATION O '� ction7").fDhifimi3 iccnxdundapr,,dpool...l okCode9(commecense Job ERDescription „=� WATER EHATER/SHOWER ENCLOSURE s_rn won f Dlvisiwn3of the Buanessand Prones:'onsCNe,and in, :,Mn is in full!rte an 1. .�r]C ,.y i �.s o au Duac�ernseCl 5 conn s�l d(� �s 1Je u Ii. •�7 ACT'S DE ATION g 1 under.and my plans shall be umd as public mower ids i S o O Licensed Professional 0 OWNER-BUILDER DECLARATION f 1 hereby aRr that 1 am1. exempt from the Contractor i License Law for Ne t ac< which re massa.(Seaton 7o construct, t,ante.land Proaem li Code:Any city nr roomy $5000 rcx O which requires a posit no conswcl,cher.improve,demolish,or repair any swaum i3= poor to itsalso real thppucvn for such permit to flea stood nmemem that hs"s licensed PuFstoon to the provisions of the Contractors License Law(Chapter 9 a r3 B 4(� 8CR70a,, . z-'rt ;.,4, . . .. .Valuation... (commencing with Section.711(10) f Division 3 of the Business and Prafessons Code) , s or that he is exempt therefrom and the basis for the alleged x1cla wd.Any violation -ofSagion 7071.5 by any applicant for a peril subjects the applicant o a civil Penalty ,,A i�,,,.��, alum moradom five hundred dollars(S500). 502�pNh1uT*P1tL PLUMBIN ENERGYOccupancy Type 0 1.wowri profaM.ormy employees with wages as their sole compensation, 506 GAS TEST _ ;will do rok, work,and the structure is nm intended Li or Offered Law fardoe side(ppe»wa, 507 - FINAL PILU46D d413spections owninof and Professions Code:The Cwes the is License Law domes not apply 10 an sono r of hhisoproperty Who builds or i provided t at such improvements nasi who encs m n work nded or or through his mva employees.provided ghat such ement am not intended or _ cofferedompletion, fon sale.IL howevere the l have t or improvement n sold within nae year of - - - - - - - - - - - -' oprove for the use of ale.).will have the Horden of proving that he did not Wild or improve for purpose of sale.). , °1,asnone!ofthe pmpcny.am exclu,nely moursuing with licensed mmraamsm FIISIAL.E®. Lonswet the pmjca(Sec.70,14,Business and Professions Cade:)The Co.nwin'r icense Law doe,ant apply 1n an corer al pr.,ny who build,or improves thereon, z and who contracts orsuch uch projects,with a evnlmaoc(s)licensed pursoant.m the Contractors License Law. MAY 2 8 2002 °l am exempt under Sea. B&PCfw,hismoron (' . Owner Date' . WORKER'S COMPENSxroN DECLARATION BUILDING I hereby affirm under penalty of perjury one wf the following declarations: ° 1 have and will maintain a Cenifcate of Cons an, to scif-marm for Worker's 0 Compensation, as provided for by Section 3700 of the Labor Cade, for the _ performance of the work for which this permit is issued. 01 have and will maintain Worker's Compensation Insurance,as required by Section 37W of the Labor Code,for the performance of the work for which this permit is iuu d M W s pe y Insura carrier and Policy number we .�r, it��i �OF"hf1fcv ROM 1/KERS*, .l 1 ! ,' 1 . Limit ;''t .i CF.RTIFlCATION'OF EX£M ,ROM WORKERS', _ COMPENSATION INSURANCE`r'4 , (This section need nm h completed if the permit i,for one hundred dollars " W Off or less.) c I mpg than in r pert ince nn the work for which u ctPermit s iu er 1 shall n o employ any person m any manner sat as m become to the Woikers ' Cumicator ioh Laws of California.Data Applicant - . .. . ..._ .. NOTICE TO APPLICANT:eWork 1L iffCompear nsation this provisions te of ofExemption,us., de.You ould Z bcrowith comply the Worker's Compensation perviaionsofthe Labor Code,you must Q Q forthwith comply with such provisions or this peril shall be seemed revoked. z^r CONSTRUCTION LENDING AGENCY - CL > I heathy ams that then is a constitution lending agency for the performance' "I the work for which this posit is issued IS cc.1097.Civ.C:) Nips, Q Lender's Nem •• � •. ...,a_.,a._ .. ._. .ati. z Lender's Address V Q 1 comfy that 1 haveply real this city and on and state that the shove information is �gmE.. cmien.1 agree 1w comply with all city and county ordinances and slam laws miming Q V gIn.aboingcwnatned!prper hereby forinsmction uposenmtives of this city,lw eaterupon y M. Iht abo(Waj agree to property for inspection an k purposes. f[ ZI (Wel agree m save,and a peek hi hamay in the way Com agai against h liabilities,judgments,of and expenses which may in any way accrue against said .s-. �.) .za City in consequence of the g'D5 of this peri[ dP^LIC•w�AN�rT�'U�NOE�RS/TTk1 NDS N WWII .COMPLY SVITN'ALLNON-POINT Issued b f%. Date 5 RE_iM/-atsaes^"� �/i0: Lv / j y t o A I UCrmmaor D� O gra ore Pp tc HAZARDOUS'MATERIALS DI LOSURE Re-roofs ' Will il ppbcal or unim Wildlry«capm gore orhandle haccandow,inintuoid _ Type of Roof.. .. ....-'.. .. as defined by the Corwin ipal Chapter 9.12.a tl the Health ands fay Code: roofs shall�be inspected-priorto-any roof ng material being installed. Will the applicantor form laiiMung occupant use equipment or chovices which If a roof is installed without first obtaining an inspection; I agree:to remove _m hoarom aunt 1 dby theBit Arm A Q I,tyM agement Dirt a all new materials for inspection. Applicant understands and will comply with °Yr °" all non-point source regulations. 7� 1 have read he huzad us,nvmr al requirements under Chapter fi 95 of the California Health& Safety Code,Sections 25505.]SSJI and 255Ja.I understand that II the building does not currently have a tenum,that i1 is my responsibility m notify the use m of the rcquircmene which mush Writer prior m iuuance of a Cenifica¢of °""pa"` W 2V� Signature of Applicant Date 1' All roof coverings to be Class "B" orbetter writ, or euthorisd agent Dow" - OFFICE -