08050030 CITY OF CUPERTINO
BUILDING DIVISION PERMIT COI�ITRACTOR INFORMATIO
BUIL{]I�IG/.JjQ SHELLY DR OAKWOOD ELECTRIC CO. 08050030
OW NMRI'1S ONAME: PERMIT ISSUE DATE
CHEN HUNG AND CHYU LINGLING 974 CHESTERTON AVE 05/01/2008
NE: SANITARY NO. CONTROL NO.
(415) 203-8509
ARCHI ECffENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
u o p LICENSED CONTRACTOR'S DECLARATION
u F 1 hereby air,.Na 1 am licensed under provisions of Chapter 9(commencing Job Description
u withSeNon70(f0)ofDMount 3ofthe,Business and Pmlcuioucode.and myliecueis RPLC EXSTNG 100AMP ELECT PANL W/SQRD 200A
s in fall force mod.(feces
5'qi Licetss 0. Lint SC204OM200C
t„ Da¢ Contractor
`q ARCHITECTS DECLARATION
22 22 1 Understand my pals shall be Used as public nxeNa
6
5 t LWcnmd Professional
y OWNER-BUILDER DECLARATION
cmareel
az 01 1 heresy alarm that I am esempt from the mains,Co e:Any c ty o far tK
yDO fallowingwon.Permit
10313,Busimsand Pmfusimir Cour:Anycity or county
$ which requires a permit rC eo=the alcor.improve,demolish,of e a Sig any stronurt
JOE her toi Hennadp...ELIW require the inions of for Coopesuch rate micas. awdsummem
F I (commencing cJpuacuantWNcofDivioion3of e,BuinessaCucmeldwlsCode) 9 Sq.Ft. Floor Area $ Valuation
YI– (commeaingwith Senion]000)ofDivisionJnftWBusineuand ProfessinaCpde)ter 2500
y 8 at M b..Crept therefrom and the bub for the alleged wmpdaa Any violation of
Section 7031.5 by stry,applicant far a Wall subjects the applicant ro a Civil penalty ofNumber Occupancy
not moa dun five hundred dollars(I= 35911020 . Pane Y Type
0I,uuwtrsofNepmpmywmywploymwithwageuthe4wkle pemdon,
will do Newark,and the he CotranotinU orawclo fm apply
7060,Bev..••
and arty wh oat Cada:The mthen on.Liaise law dm not appy lf rt owner of Required Inspections
Own
property who Wilds providmprovthermrove who daenauchwmk himeelrer through We his
awn employees.provided prowomontsuch mprovemmaartnec yces fcomplind 0cred fWoUrver.
r.
Walsh'
Ne W d Car a impmvemant b hold within one Wild
ofimproe farn.tla pose of
Wilder will Ww the buNan of proHng that W did rot build or improve far purpose of
gale.).
lyf'1,u owner of the propenN am asslum,ely ccouacti.1 with licenced conwctas b
cautruct the Project(Sec.7000,Basins and Profestiau Code:)The Contractor]Li.
cave Law dm not apply to an owner of property who Wilda or improv thereon.and.
who contracts far etch proms;witha canuacmr(h)licensed pursuant to the Contractors
Lleetae Law.
❑l am eaempt modest ,B&P/C/fm this rtasot
Ownu Date S
!/ W OMPENSATION DECLARATION
1 hereby ul rm under penalty of perjury arc of tW following declaramme
1 haw and will maintain a Cenifrca a of Couent W self-insert fm Weasee,CamPen-
satioa,u provided for by genian P/IIO of the Labor Cade,far the parrearra a of the
work(or which this permit b issued.
❑I have and will maintain Workers Compensation Insurance,as toquiaed by Section
3700 of the latmr Code,far Ne performanceafthe wart for which this Permit Is issued. "
My WOrkers Compeuauon Insurance cavies sad Policy number am:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(ITB seNot toed Out W completed if the permit is fora.hundrtW do0ars(5100)
a leu)
I Certify that in the performance of the weak for which this Permit b issued,I shall not
employ any peace.in any master so as Or Wm subjm a the Wo ri eompewtlan
Laws of Cnifomia.Data tea/ I
ApPBcana ! T} —�
NOTICE TO A P A ,.af¢ffiafung tTtT's COtiGetc of Eumpuon,you smuW
become sub to tIF.V,'a s Campcwtion provision of the lobar Code,you mut
., z faMwith comply witl(such prpvihiou or Nb permit shall W lamed rtwkcd.
z O CONSTRUCTION LENDING AGENCY
[–t l hereby aRrm that Vert is a contraction lending agency for the Performance of
LY.> the work for which this Permit b issued(Sa.7097,Ci,C)
C A Lenders Nene
7 z Lenders Address
U Q I molly that I haw reed this application and sato dw the aWve information is
tL Comm I agree m Comply with all city and county ordinances and state laws re1W ng to
.� Wilding convection,and hereby auNarire rtprtsmuuv of this city to cater upon the
Ud
above-mentioned property a fa inspectionipurpav
H a (We)agree to gave,indemnify and trop humkss the City of Cupertim agaiut
y incoiueeconon of
and of
Wait. may in arty,wyacmuc again.said City
U z in cptuequeax of the granting of Nb porntit. '
APPLICANT UNDERSTA DS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE EGUL ONS/
S ( ° Re-roofs
Sign ofA t/Cantracmr p,no
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
/pliena or future Wilding occupant score or handle,hma rdou maorial
not de0ad by the Cuperum Municipal Code.Chapter 9.13.and the Health and Seat,
Cotla,genion 333324)7
❑Yrs All roofs shall be inspected prior to any roofing material being installed.
PWill dm applicant or future Wilding occupant use equiPmenL or devices,which -If a roof is installed without first obtaining an inspection,I agree to remove
.c 't air cmamitmu u dc0rmd by the Bay Arca Air Quality Management all new materials for inspection.
annUYe -<No
I have mad the havardmn meoriab tequimmenu underCWpmr6.95 e(thc Califor-
meHelth&SafctyCodc,Seen.255(15.255]3 am125714.lundmtand thatifdo Wilding
does retcurrently havea octan thn it' my rapauibithy W ratify the occupant of the
mquirtmcZTwC:' use be issuanaofa CC Ua,nof(kmpaay.
( Signature of Applicant Date
owns ar attharitca agcpi
Data All roof coverings to be Class';Iy'or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: .Sub: Blk: Lot:
APN . . . . . . . . : 35911020 . 00
DATE ISSUED. . . . . . . : 05/01/2008
RECEIPT #. . . . . . . . . : BS000004650
REFERENCE ID # . . . : 08050030
SITE ADDRESS . . . . . : 20609 SHELLY DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CHEN HUNG AND CHYU LINGLING
ADDRESS . . . . . . . . . . : 20609 SHELLY DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2923
RECEIVED FROM . . . . : MR HUNG CHEN
CONTRACTOR . . . . . . . : JEFF SANTA LIC # 29925
COMPANY OAKWOOD ELECTRIC CO.
ADDRESS . . . . . . . . . . : 974 CHESTERTON AVE
CITY/STATE/ZIP . . . : REDWOOD CITY, CA 94061
TELEPHONE . . . . . . . . : (415) 203-8509
• 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
1EPERMITFE FLAT RATE 1 . 00 40.79 0. 00 40.79 0. 00
ITRAVDOC FLAT RATE 1 . 00 40 .79 0. 00 40 .79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 82 . 08 0 . 00 82 . 08 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 82 . 08 VISA
---------------
TOTAL RECEIPT 82 , 08
•
_ �go5 000
SON,- CITY OF CUPERTINO
•
CITY OF
GENERAL BUILDING
PERMIT APPLICATION FORM
APN # : .S // o a eDs O o Date: S - r .,o ( / 2 O O g
Building Address: Z p S ( (z L L Y u R J Ct t it R T( hl 0
C?S'-0 /
Mailing Address (if different from building address):
Owner's Name: Phone#:
HUNG LIIJgL- IXJ Cif tA 6
Contractor. J E F�- S N T Phone: /' S-o _- 3C>/ 7 _ 76 e 3
OykW0o _fj c-LrC . Co Fax: b ( b
Contractor License#:
Cupertino Business License#:
• Contact: l� uN e r'� /I Phone: /S_ �? I - ( 2 I
V Fax:
Residential N Commercial F1
c
Job Description: j� 2 p / acre Q IC ; S' 1 , iA 4 ( 0 0 GI„�r e L/
e C G l ca I
PC"%-Q. 1 W/ ' C`LcQVe1) Z0 ` (4 S-C10(40 � D00
Is the project in the Wildland- Urban Interface DFire Area? Yes ❑ No
Building Permit Info:
Bldg ❑ Elect Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
I-A, I I-B ❑ 11, 111, V-A ❑ 11, 111, IVV-13 IZ-3
Valuation: Square Footage:
Project Size: Standard ❑ Large ❑ Major ❑
Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it
• to the application or if applicable, include in plan set & the sheet index.
Points Achieved:
For help, contact Build it Green at www.buflditgreen.org
arve. CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1BTEMPPER Temporary Building Permit (good for B
30 days)
1 BBOILERI For the installation or relocation of ea M
boiler/compressor to & including 3
horsepower, or ea absorption sys to &
incl 100,000 Btu/h (29.3kw).
1 BBOILER2 Installation/relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption ss over 100,000 Btu/h
1 BBOILER3 Install ation/relocation of ea M
boiler/compressor over 15 horsepower
to & incl 30 horsepower, or ea
absorption sys over 500,000 Btu/h to •
& incl 1,000,000 Btu/h
1 BBOILER4 Installation/relocation of ea M
boiler/compressor over 30 hosepower
to & incl 50 horsepower, or for ea
absorption sys over 1,000,000 Btu/h to
& incl 1,750,000 Btu/h
1BBOILER5 Installation/relocation of ea boiler or M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
1 BAPPLOTH For ea appliance or piece of equip M
regulated by this Code but not classed
in other appliance categories, or for
which no other fee is listed in this
code.
1 ELECINSP Other Electrical Inspections (per hour) 4E -
IMECHfNSP
Other Mechanical Inspections (per
hour)
1PLMBINSP Other Plumbing & Gas Inspections P
er hour
1MEETINGIHR Application Meeting B
CCS CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEI�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1 CHIMNEY Chimney B
1CHIMNEYR Chimney Repair B
FENCES
1 FENCE>6FT Non-masonry, over 6 ft in height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1 FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1 FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
I PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete
3of5
SUM CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEf�TINO
FEESCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1RETSTN Standard (up to 50 ft) B
1 RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSPIO Special Design, over 10' high(up to B
50'
1RETCRB< Gravity/Crib Wall, 0-1 O'high (up to B
50 ft
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft
SIDING
1SIDEST/BK Siding, Stone & Brick Veneer B •
(interior/exterior)
1SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<l0 SF Skylight less than 10 sf B
1 SKYL>1 OSF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'l B
STORAGE RACKS
1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B
1 SRACKS>8 Storage Racks over 8' high (up to 100 B
st
1STUCOAP Stucco Applications (up to 400 s1) B
additional stucco application
E:::
4of5
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
• CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck fee)
1 IEPERMITFEE Electrical Permit Fee E
/ 1 MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
low 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1 PLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
/ 1BSEISMICR Seismic Residential B
1BSEISMICO Seismic Commercial B
1TRAVDOC Travel & Documentation B
1BUSLIC Business License B
•
5of5
Community Development
10300 Torre Avenue
F✓ Cupertino CA 95014
^~ Telephone(408) 777-3228
CITY OF Fax(408)777-3333
6UPEI�TINO
Building Department
JOB ADDRESS: 2 060 ' H& -or P R PERMIT # _
0020
OWNER'S NAME: H C,(/L) PHONE # /S - 2 7
GENERAL CONTRACTOR: p Q/! — AX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical Del k �J 0 0 D
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
er/Contractor tgnature Date