02030083,4
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CITY OF CUPERTINO
BUILDING DIVISION PERM116
CONTRACTOR INFORMATIS:
BUILDING ADDRESS:
PERMIT N0,
7408 STANFORD PL
JOSEPH J CHEN
02030083
OWNER'S NAME:
APPLICATION SUB DATE
,JOSEPH J CHEN
03/18/2002
I PHONE:
SANITARY NO. CONTROL NO.
ZO ARCHITECf/ENGINEER:
BUILDING PERMIT INFO
p
BLDG ELECT PLUMB MECH
i LICENSED CONTRACTOR'S DECLARATION
Job Description
O I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing
with Section 4000) of Division 3 of the Business and Pmfessinm Code. and my license
KITCHEN & BATH REMODEL.
is in full to. and rffecr
enre Gl sec Lie..
a Conuaor,
FINALE®
Date n
D
tin ARCHITECTS DECLARATION
g 1 understand my shall be used as records
plans public
MAR 5 7 2002
o Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 em exempt from be, Conwaor's License Law for the
a following meron. (Section 7031-5, Business and Professions Cade: Any city or county
BUILDING $15000
o which requires a permit to construct, alien improve, demolish, or repair my structure
- poor to its usiume , LLso requmes be applica d, for such permit to fit... orvd staremrnt
0, �td�p[Q�
- i3 7 �'�L[y ,':U,�;:: i tI,•�
Valuation
- be, 0ii is lie Fd pdi..of to the previsions of the ContmctoraLicense Low (Chapter 9
(comrr�eliciog with Section7WO)Pf Division Sof be Business add Professions Code)
or that he is rami therefrom and be basis for the alleged exemption. Any violation
of Section 70315 by any applicant for a pemdt subjects the applinnt to it civil penalty
or did more than five hundred ddlan(s5N).
lO]kPNqP8ftDATION
Occupancy Type
❑ 1, as owner of the propemy, or my employees with wages as their sole compensation.
'-x111 do the work, and the xWctud isnot intended! or offered for sole (Sec: 7064,
Business avid Professions Code: The Contractor's License Law does not apply to on
- - -
103 - UFER Required Inspections "
owner of property Who Wilds or improves thereon, mil who does such work himself
104 - REBAR
or throesph his own employees. provided that such improvements are not intended or
"affcmd for salt. If, however: the bmldmg of impios<namt is sold within oneyear of
105 — ANCHOR BOLTS '
dompletion, the owner -Wilda will have the burden of proving that he did not build or
improve forpmposeofsale.).
106 — SEWER & WATER
OL.asownciofch. progeny, amexciusiv.lycontracting with licensed contnctoort to
202 — UNDERFLOOR PLUMBING
commucl be project (Sec. 7060, Business mil Professions Coe:) no Contramor's
License Law does not apply to an owner of property who builds or improves thereon,
t ,
203 - UNDERFLOOR MECHANICAL '
.am who contrazts. for such ryujects vise asomwor(s) licensed vureu.nt Io.the.
- --. --204'- '= "'UNDERFLOOR FRAME
Cotnneact limbe. law. .
❑IameaemptunderSec. '.B&PCforthisrtason
205 — UNDERFLOOR' `-INSULATION
- Ownit
301 - ROUGH PLUMBING
WOR;MR.SCOMPENSATIONDECLARATION
302 — TUB & OR SHOWER
-thereby .rrnnunder p"[!yofperjury one orbit following declarations:
303 — ROUGH MECHANICAL
❑ 1 h;aa and wHP maintain a CanireHe of Conaeut "ro self -imine for Worke a
3 04 — ROUGH ELECTRICAL
Compensation. as provided for by Section 37M of be labor Code, for the
_ performance of the'work for which this permit is issued.
3 05 - FRAME
Olhave'erid:ill tminiein Wohv'aCompensaiion lnsurinitt.'aa requirM by Section
306 — HOLDOWNS
37M of the Labor Cod, for be performance of the work for which this permit is
'swi
3 0 7 — INSULATION
iaidrd My Work h Compensadon insPolity number arc
..,. ..N .L ...
Caner gi' ': I'•.t i "f Policy No .I::,
._..._.
-, . 3Q8;-=. i:S$E TROCK;
r.
:'. •: •C'1':: CERTIFICATION OF EXEMPTION FROM. WORKERS•.,.'..
'•
•'• t •.. ._. ,E
""t'309''-"EXTBRTOR•'LATH
'•' ;•,...:•_ COMPENSATION INSURANa..-''.•"�
..._,.. ......,_..;.... .
_._...__._._. -
3 10, i ;INTERIOR`-TIATH------ ::--'.— -:r:: —.._._ .....__.._......._.
" '' •Tl11ie idniohneed not be compleed if de, permit is for one hmdmd tlollars
311 SCRATCH COAT
(Sloo)onar.>
T .til ewfy b -I in be perform cit f rte oWfor which this pemul I, ssncd, l
so as to coe subject to Workers'
shall not employ any pe io any c mthe Work
Compen V f CW son Tom Dat + v '
Appled9��
-313 - ROOF °-NAIL - =- ". - : ' v '• ' •-
501 — FINAL ELECTRI CAL-'1;NERGY
502-- FINAL -PLUMBING ENERGY -
NonC'E'10APP f aft eking th s Ce fcatc of Exe pt on r should-
becomeaubjenmt'. filo, dgomun
503 FINAL MECHANICAL ENERGY
Iel'itsCompcnseuonprovmord 'Cyo
forbwith comply with such provisions or Chia perm it shall be deemed revoked.
,_-,- •_504... -. FINAL BUILDING. ENERGYI...
.Jr'-Irr rn•t_.-, :. CONSTRUCTION LENDING Y'" „•.:•..•.
a. S
'1
505 — FINAL ELECTRICAL
„..
a.e affimi this perm is a construction lW7, C agent,.C.)for she performance
,.
wheretiy
., orineworkrmwmanwspe�nitiainneelsm..?o97,civ.c.).',.,
506 - GAS TEST
Lend Addre
_. _ _... .... .: . _ .. _...
507 — FINAL PLUMBING:...
c u hatlhee udec sepplicamneMxuu u h iso f ....is
508 — FINAL MECHANICAL
.R corr8i. pagree3o comply with QI city and county ordinances and stare lawa othding
509 - FINAL GRADE
m Wilding mnstroaion; and herttiy euborize rtpru mutirru obis city w enterupon
the above-mentioned property for inspection purposes.
510 - FINAL PLANNING
y' (We)lgree to save.tndoommy and keep harmlaas the Cry of0dicrund against
O liabilities, judgments, costs and.,..a which may in am way accrue!goon avid
City in be '
514 — F INA PU I C WORKS
/
e of ming of this p�rm�C'-'
consuencgm
eq
8 'APPLICANT UNDERSTAND AND WILL'COMPL%WMIALI.NON INT
F
l
SOUR REGInAn ""' -
Issued by: Date
�...: lip!
t o< inn r-
USMATERIALS DISCLQSUkE
.,.,...,....,;.�N
an:.. ... Heard :mvaial
-Y � llIh<syplifentoefutuUWildingoccmpsnts mtlle
_ _ ... .. .. _
...,Type
Type of Roof.. .. _.. _.. ...... - -
'
fi Co'tro Mumci C Chapter 9.12, erM be H end Safety-
n ode,
4 ed by the pw. P4..
'. .: '..' ..
Code sect ov 155371g7f :. t _� ' , . :.1 .
•. ,i /QYcs ir. t`.rP 1' pN°::. ( r 3' •�!
•"
P
All. roofs shall be inspected' rior to any; roofing material being installed,_
n Will theipplicentorNttuebuilding occupant use equipment or devices whkh
- _
If a roof is installed without first obtaining an inspection, I'agree'to remove
.trot harardous ev contnnuninu ns d fi ed by Ne B y A n Au Quallry Management
Dnsme7
all new materials for inspection. Applicant understands and will comply with
Dy. ❑rvo,,-,
all non -point source regulations. t.
Mhos; read be baa em ova materials requtremrnts under Chapter 495 of be
Califobie Health B Safety Coda Seedom 25505;15511 oral 25534. 1 belauurd bed
if the,WOding Coes trot q.Oy have a twm; thal it is on, raponsibiliyos rrotify the
alupan.t of the regoirtments xhkh'm.at 4 mel prior m issuance of a Cenikirte of
Copan
y '° • •-
of Applicant Date
3!
.aySignature
Ail roof coverings to be Class "B" or better
-OFFICE.._._. ._. .. _ .. _.. ... .. ._.... _. ..._.... ..._ ._._ ....
0 •
CITY OF CUPERTINO
Item 1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # : 3
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35932028.00
DATE ISSUED.......: 03/18/2002
RECEIPT #.........: 17663
REFERENCE ID # ... 02030083
SITE ADDRESS .....
SUBDIVISION ......
CITY .............:
IMPACT AREA ......
1►L[Is�ylil�iRi�i�7
CUPERTINO
OWNER ............: JOSEPH J CHEN
ADDRESS ..........:
CITY/STATE/ZIP .... ,
RECEIVED FROM ....: JOSEPH CHEN
CONTRACTOR .......: LIC # *OWNER*
COMPANY ..........: JOSEPH J CHEN
ADDRESS ..........:
CITY/STATE/ZIP ...: ,
METHOD OF PAYMENT
-----------------
OTHER
TOTAL RECEIPT :
0
AMOUNT
------------
701 90
701 90
NUMBER
------------------
AMEX
TELEPHONE
........:
FEE ID
UNIT
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
----------
BPERMFEE
-------------
VALUATION
----------
15,000.00
----------
207.00
----------
0.00
----------
207.00
----------
0.00
BPFIXTURE
UNITS
6.00
49.98
0.00
49.98
0.00
BPLANCHK
PERMIT FEE
207.00
175.95
0.00
175.95
0.00
BPSEWER
SEWER SYSTEM
1.00
19.98
0.00
19.98
0.00
BPTRAP
NO OF TRAPS
1.00
8.33
0.00
8.33
0.00
BENERGY
PERMIT FEE
207.00
62.10
0.00
62.10
0.00
BREMFIXT
NO. FIXTURES
5.00
5.55
0.00
5.55
0.00
PPERMITFEE
FLAT RATE
1.00
35.52
0.00
35.52
0.00
BREMINHOOD
NO UNITS
1.00
8.33
0.00
8.33
0.00
BREMRECEPT
NO. OUTLETS
8.00
8.88
0.00
8.88
0.00
BREMVENFAN
NO UNITS
2.00
47.74
0.00
47.74
0.00
BSEISMICRE
VALUATION
15,000.00
1.50
0.00
1.50
0.00
.EPERMITFEE
FLAT RATE
1.00
35.52
0.00
35.52
0.00
MPERMITFEE
FLAT RATE
1.00
35.52
0.00
35.52
0.00
----------
TOTAL PERMIT
----------
701.90
----------
0.00
----------
701.90
0.00
METHOD OF PAYMENT
-----------------
OTHER
TOTAL RECEIPT :
0
AMOUNT
------------
701 90
701 90
NUMBER
------------------
AMEX
OF
CITYBULDING
DIIVISIONNOPERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO,
7408 STANFORD PL
JOSEPH J CHEN
02030083
MhVNIER'S
NAME:
APPLICATION SUB DATE
JOSEPH J CHEN
03/18/2002
irONE:
SANITARY NO. CONTROL NO.
-
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
�w
BLDG ELECT PLUMB MECH
LJ L__I
i
LICENSED CONTRACTOR'S DECLARATION
Job Description
=°
1 herby ofloo that 1 am licensed under provisions or Chapter 9lro armoring
withSeclion]001ofDivisionioftheBusinexsandProfessiuroCode.andmylicense
KITCHEN & BATH REMODEL.
Sis
in full fiance and effect.
no V
Liar Class Lic. a
Date Contractor
of.
¢
ARCHITECT'S DECLARATION
,�
}
1 underhand my plans shall he used as public records
C' p Rw pie
5 Y-- P,,,o
p 0
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Li Bused I'mm,sionul
o
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 •m exempt from the Convector's License Low for the
MAR 2
? <
Z
io
(Section IDnstr Business andProfessionsCale: Any city or county
following time
O
improve. demolish. or repair
whih permit de
which requires aPermit strmat
cunxwn, alter, nt
13�
for h permit t ed
prion t a la q' sche applicant lorsuch perm norile a
requires
n e
-_ - --.--
p
�'I,F\ .3'.,vj•Qj �!�.,�,�?'}1 t •,;
1' hl''`
0''11 p'� pp,�pu��auaion
I t
-
icerse ina(Chemem.
thnth IR ydP m:nt-the pm sof the Conuixmrsand Pr Lewons Cod)
(commn og'thS iia,`?") fU sionlafitheBusneuarWProcessomCode)
or that He ix exempt thcrefror and the baxis for the alltgM caempt on. Any violation
x C ) l� f.
;wl TM
of Sachem 7031.5 by any applicant for a permit subjeets the applicant to a civil penalty
of More than five hundred dollars ($500),
l O jIkPN qVi8lbffDAT I ON
ft°'•"" ^ Occupancy Type
Lax rat the pmscri' my employee won wage, us their cum'—finn,
O owne
_
is intended Li en offered Law for salt (slily Coto,
-win a the work;'and ps Coca:
Professions Code: The Convanoro License law docs not apply In an
Bosineof
i - - - - -
103 - UFER Required Inspections -' • - •
(wne poi or impress and was ease such wank himself
r ofh his
10 4 - REBAR
ow emu loybuilds or
at such,
or through his own employee:. Wildring or such improvements fun not intended or
-oRlied'6r xdlf il'; howeoeC th'<buildin __-. 2m is sold within one -e.. of
Wild
105 - ANCHOR BOLTS �`t�t'�• ':''»h'�"
completion, the owner builder will have the burden or proving that he did not or
improve for Purpose of sale.).
106 - SEWER & WATER
----..._.._..- eper_._h.. ----
Ol:uawnerof the PmpcnXamex<lusivelymmraningwonlicenxdrommnorsm
-.. -- -
-- - _:___UNDERFLOOR
202 PLUMBING. ___,r:.,.r'.'.'t•,.,:-
-
construct the project (Sec. 70U, Business and Professions Coall The Contractor':„
License Law does not apply to of owner ofproperty who wadsorimproves nco e,
203 - UNDERFLOOR MECHANICAL'_`.'
.i S
.and who contracts for.cuch.projects with . .convacmr(s) licensed. pursuant. or. the........_._._..
Contractors License Law.
_..2.04-... —UNDERFLOOR -FRAME
•,d[I. .,
alai exemptneets .” a'&ren,rmisrcas°t205
- UNDERFLOOR 'INSUL'ATION
. nJ
dna,"Dii=" """''
301 - ROUGH PLUMBING
WORKER'S COMPENSATION DECLARATION
302 - TUB & OR SHOWER
-Iherebyoffvnunder pTnit!Yofpviju;yot�ormefollowing declarations:
303 - ROUGH MECHANICAL
I n :e o o will: mmn ni d certiB<61c tt Consent io v-nsart for Worker's
304 - ROUGH ELECTRICAL
ompensation; as pmvfded for by Section 3000 of the Labor Code: for the
1.�37,00
rformance of lieworkforwhichthispeoul,isissued
305 - FRAME
I have and'sillmaintain Worker's Corpensaiton Insurance, hs required by Setion
306 - HOLDOWNS
0! the labor'Code, fbi the pedoimance of the work frn which this permit isued
307 — INSULATION:n;
My Workers Cnnp'wunnsumnctemted Policy number iter ,.
r- f ser:3 3e.,^PmcrN ...
- ._..,_.-310,8`.= _-SHEETROCK . .+.. _.. ...._
e. 1..: ,.
�
CERTIFICATION OF EXEMPTION MOM WORK ,;'
3.ei•
I >�� 1 ��309" ='''EXTERIOR' LATH
"' COMPENSATION INSURANCE " ' '
- _........_ __._..,._,_.---310
--,''INTERIOR-*LATH-- -_.._-
(Thrs sm,16 nkd not be completed of the .hit is for one hundred dollars
311 - SCRATCH COAT a
HI00) files )
' e 1 ti fy th t n th ped rat ce pf he ork'f r h h th pe t
Him n t pl y a y pc o y ma 1 er so as t eco < b) t to the W rkdrsl
Comps Le f C l f Datg 1
Appl-
313• =^ ROOF° -NAIL- - -- ' - -
-. -
ACI
501 - FINAL ELECTRICAL ENERGY
502 ---FINAL PLUMBING ENERGY -- --- -
.Nem APP r n -ak gmxcnirm<fE<mptonyoushould
Me
503 - FINAL MECHANICAL"ENERGY
became sbblen m t c Worker s Conpenseeo p vrnons of Lahor Code you muu
rnnaintomplywitn.xucnorowsiatsntmixP mitxhanxd reercvakee.
50.4....-_ FINAL _BUILDING ENERGY.._. .._
r-
,tv •lie ":ICONSTRUCTIONLENDMGAGENCrY ',"'
505 - FINAL ELECTRICAL,,
'.7
�..,
n -I 1h 'by which that themrss issued(Se lending ogeneyf th perfom,ence
oiohn',sunit mrwnromiepemtitiKjssaeatsea.Bn9"I,efv.Gd'„', .,,-:..,
o.. -
506 - GAS TEST ....... ..._.____..- ..- -. .._
Lanae Achim;"-,
507 - FINAL PLUMBING:_,
3 Z
)�
I comity that l have read this application and 'state thin the clauserrnurnis
508 - FINAL MECHANICAL'
- : F.r
cuRedt. I agree to comply With an city and county ordinances and state laws reining
to building conswctioWimd hi eutnotitt represenativei of His citym enter upon
509 - FINAL GRADE
V
W
meahove.menfiamol froetryfnat,ceuanpmpmes.
510 - FINAL PLANNING
%:L,
Vd
I Wel ag im to save indemnify and keep humnicas the City of Cupert oo against
liabilities. judgments, cru ad capture,which may iany way, - c li inset said
,,
514 - F INA PU IC WORKS nL�/
/S
Zcity
e genre of the g granting fttispe t
pp••
APPLICA\T UYDFR$TANDIS AND WILL COMPLY kTfH ALL hpg: YNT"`
O
2-1
v
:
SOul REGULATi � ^ wi -_ ,(/;
Issued by: Date
Y
$i�n'trtofApplinnd t to Z'---�+ 1 Da/':'
H 1,RDOUS MATERIALS DISCLOSURE "'
Re -roofs
frac W II th ppl¢am a future W Id' g occupy t lad or Handle nauNw material
.'definedby
- o •n_ .. _ . -
.. Type of Roof... - -
ch C pert M "pal,C a Chapter 912 and theH int dSafety
Code: 5 t r 255t21aln
ott ❑Na "; A ,
h
s be inspected nor to -any roofing matenal being installed,__ _
All roofs shall'p
W II the applicant future W Id' gacupa t use equipment devices which
If a roof is installed without first obtaining an inspection; Itagree to remove
emit toser coniaminart.Z as defined by the 'RoyArea A coal ty Management
3 stn t
';
all new materials for inspection. Applicant understands and will comply with
❑Yes' .-; oN
allnon-06int-s6urce"regulations:
have mad the linizardenualmadertbIs requirements under Chapter 6.95 of the
California Heahb &Safety Code; and 25534. I underhand shot
25505:2it
asc.le I, the
ifimponildingdocsnmmemndreh.unitN,ohm it is my responsibility
-
enificfr
pa' gbirem p ri .
u t l the u h h a be et m ssua Y C of
1
OcCYPa ty 'I vJ ,.t ...
"
,Signature of Applicant Date
3 t
a _
All roof coverings to be Class "B" or better
.' 1
-OFFICE