The URL can be used to link to this page

04050149CITY OF CUPERTINOx- BUILDING DIVISION PERMIT CUNTRifiCTOR=INFORMATION `° Ae` s .,• )+ , .,$ , r <, 8... BUILDING ADDRESS: 20101 ,5' PERMIT "04050149 00 4.0 5 0 14 9 OWNER'S NAME: PERMIT ISSUE DATE CHARLES LEE & YUEN-CHUN YPIG Z25 /20 SANITARY N0. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO ij BLDG ELECT PLUMB MECH 0 LICENSED CONTRACTOR'S DECLARATION 1 hereby salon Thal I am licensed under Provisions of Chapter 9 (commencing Job Description with Section 7") of Division 3 of Iha Business And Pmfessian Code, and my heame is z LicClass tic.♦ easntlercea License L KITCHEN REMODEL/REPLACE FRONT DOOR a DateConvector ARCHIECI-S DECLARATION I umlenstand my plans A.11 he used as public records LteenuJ Pmfcsstonel I OWNER -BUILDER DECLARATION i 1 bunchy all that 1 am exempt from dw Coneenors Lima. Law for the O following reagen.(seedun 903 1.5, Business and Pofosduu Cale: Any city or county �i which req -m" a permit m construct. elle', Improve, dcmulLah, ar repair any stmctun Y prior, Yl i4 iEetanW,Blxualm3'beapPlicanl forret pennillaf.c..imedmou,ncnl tha,ha is littnud Nursuenuolbe Provisions of Ne Conlfuar's License Law (Chapter 9 Sq. Ft. Floor Area Valuation $ (commencing wish Section 7M)or Division 3 of the Business and Profession, Code) or he u that exempt dtemfmm and the basis for the Alleged exemption. Any violation of Section 7031.5 by AOy Applicant for a permit subjects On Applicant w a civil perchy of $18000 APN Number Occupancy Type not mom Nan Ow hundred dollars (M). ❑ I. u owner of dk pmpeny, m my mploycu with mW u N hole compcnudon, will da the wah, and dk eWMurt i, not inkrlded err AReletl falfele ($CC.70U, Busitk8f and Professions Code: The Conmmnmr, License Law -does at Apply In A. Owner of Required Inspections property, who builds mrimpmws dkmon, and who das,uch work himalforlheaugh his ownemPloyeca, pmvided Nn such impmwmenu Am net intended oranened farssle. IL howewq the ng or improvementg sold within one year of comole far the owner, have s builder will haw the burden of proving that he did not build or improve for pugoxe of ask.). 1. as Owner of the properly, Am exclusively contracting with licensed com acorn re olutmct the 7061, 11-1O pmject (Sec. Business and Professiaru Code:) The COMommrs Li.com who LawMass not Apply Imowner O(popeny, who edprsimptothe Comma and whocontractsLa ts for such Projects with a contncwr(s) Iicenud pursuant to the Convu,orH License law. / Lt/ ❑ Isom exempt under Sec. . B k P C for this reawn 0�w�j / Dam V- D V SATION DECLAR�AT.I..O�.N./ hemby alarm under Preuly of perjuryone of the folteswn(tle .1i.u: caw and will mainuin a CeNOcaw of Conum mul6imum for Wm,ue,Compere .01 . As provided for by Section 3700 of the labor Code. for the performance of Ne work for which this Pamir i. issued. ❑ 1 have and will maintain Workers Compensation luunnce, As required by Section 3700 of the labor Coda. for the Peofornsutt of the work forwhich this permit is issued. My Worker, CmnPenssfion last.. carrier And Policy number Am: Came,.. Policy No.: ' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE section need nm be completed if she Nonni, is for one hundred dells¢ 1$ 100) or less.)less.)(Mb 1 certify Nal in the performance of the work for which this permit is issued,, shall not employ any person in my manneno As w become mbjea to the Worse. Cmmpcasman Laws of California. Dam Applicant NOTICE TO APPLICANT: IL after making this Cenifsca a of DcmPlion. you should become subject in the Worker's Compensation provisions of Ilse labor Code, you mus, forthwith comply wit such pmvbiom of this Permit shall be doomed mwkcd. CONSTRUCTION LENDING AGENCY 1 hereby affirm that then its coml Octinn lending.gene, for Ne performanceof the wufk for which Mug Permit H wood (Sec. 3697, Civ, G.) Lender's Haw lander. Address I certify that I haw read Nis application and show IM Ne -bow information 1, correct. I agree to comply with all city and county ordinamrts and slate laws misting to building cuulmnion, and hereby amhorim mpmsenutiws of thirdly on enter upon Ne above-mentioned property for inspectionxsr; purpowhich ms (We agree Io sew, indemnify And kap booming, the City of Cupertino against coots And expenses which may in any way once against said City �Y _ C in consequence encs Of to in cmnsegucnce o(Nc gaming of this Permit. AND WILL COMPLY WITH ALL NON -POINT SOPLICANT C� Issued by: uUNDE NANDS Date Re -roofs ��3 ti SI Ap Itla Cane e xAZAR� s TERIAIS DISCLOSURE Type of Roof Will the applicant or future building acupanl gore err handle h onnim. romauj As tle0ncd by IN, Cupertino Muni At Code. Chapter 9.12, And the HaaM And Safety Calc. Section 25532(,)? ❑Yrs Nu All roofs shall be inspected prior to any roofing material being installed. Will the Virileanl Or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove I w1mdm.s air conaminants as fined by the Bay Area Air Quality Management s all new materials for inspection.„,Jet? ❑ Ycs I have mAd the hammms malcrialsmquimments under Chapkr6.95 of thc Califon ria HUM hSafcly Cmde SaVaas 25505.25533 and 25534.1 undersand Ihut if the bolding dao not curmmly hew A tenant, thg it H my easponsihility w notily the mcupenl of the _ reyuimm ts which mug be mel poi 'ssuance of A Cenilcate roc e ty. Signature of Applicant Date All roof coverings to be Class "B” or better Own ooredAgent Daw I :ore L� n 1-u 3Wy wo_ pC Xm� Y�v -Z> f�C CITY OF CUPERTINO '. BUILDING DIVISION PE yv.�.,.��T C6d TRACTORIll� A�.kS'F 1\yam; BUILDING ADDRESS: PERMIT ND04050149 20101 SISUN DR OWNER'S NAME: PERMITiSSUEDATE CHARLES LEE & YUEN-CHUN YANG ONE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTORS DECLARATION - 1 hereby affirm that I am licensed under provisions of Chapter 9 (comma ■ Job DOSCTIpIIOn with Section 7")of Division Sof NC Busineasand Procession, Code, and my lice in full three sad effect `Ar`��■] DEL/REPLACE FRONT DOOR License Class Lic. % Dam Contractor ARCHITECTS DECLARATION I understand my shall he used as records L OCT ZUU4 plans public Licensed Professional OWNER -BUILDER DECLARATION 1 hmhy .[Sero 1 em exempt from the Contractor's e's License Law r I L®I N G on II and Professions Col a: Any city followwhich ermii t a which requires a permit to cnnsvuct, alae improve, demolish, or repair any x requires nsametualter, n its issuance also mqui the applicant (Grsuch Contrermit m likeLicense Laed stammcm Sq. Ft. Floor Area Valuation he Nat widpSesuammthcprovisionsoftheContractor'sndProeLew(Chapter9 that I rvisio 70 of Division 3 of the Business and (commencingcarpN vi Cndc) or $18000 1 8 0 0 0 rurefon and aged on. Any Nat he is exempt Nem[mm and Ne bash far to alleged exemption. Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the epplicenfto a civil penalty of .at more than five hundred dollars (5500). ❑ 1, as owner of Ne property, or my employees with wages "their sole compensation, Required Inspections will do the work, and the swmue is not intended or offered for sale (Sec. 7044. Business and Professions Code: Thtori e C.anou License Law doesnot apply N an owner of property who builds or improves thereon. and who does such work himself or through his own employees, provided thatsuch improvements are netimended or offered forsale. If. however, the building or improvement is sold within one year of completion, the owner- , builder will have the burden of proving that he did not build or improve for purpose of sale.). I, as owner of the property, am exclusively contracting with licensed convectors to consvum the project (Sec. 7644, Business and Professions Code:) The Contractors Lt. cone law does not apply to an owner of property who builds or improves daemon, and. who comment for such projects with a conuaclor(s) licensed pursuant to the Comeacmr's License Law. ❑ l am exempt under See. Bh PC far Nis..an w .,> / 1�7J Data — �5.* - ...yyy� y— iRl SATION DECLAR�AT��ION// T. I hereby aRrm under penalty of perjury one of the fonoawg aede afions: 1 have and will maintain a Certificate of Consent toself-insum for Workers Compen- sation. as provided for by Section 3700 of the labor Code. for the performance of the work for which this permit is issued. ❑ 1 have and will maintain W hobo's Compensation Insurance, ss required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance, carrier and Policy number am: Carries Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This Section reed nathecomplemd if the permitis foeanc hundred dollars (51 W) Or less.) 1 certify that in Ne performance of the work for which this permit is issued, l shall not employ any person in any mannersn as N become subject to the Worker Compensation Laws of California. Dam Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to thc Worker's Compensation provisions of the Labor Code, you must ' forthwith comply with such provisions or this permit shall be deemed rooked. CONSTRUCTION LENDING AGENCY I hereby affirm Net em is aconstruction nding agency for the Performance of ' hewurk far which this permit is issued (Sec. N7. Civ. CJ Landers Name 1<nders Addmus 1 certify that 1 have read this application and sum that the above information is correct I agree to comply with all city and county ordinances and some laws relating to building conswctien, and hereby authorise repremmativm of this city wrote, upon the above-mentioned Property for inspection purposes. ve (We-) agree to saw indemnify and keep harmless the City or Cupertino against j liebilimias, judgmcnls, costs and expenses which may in any way accrue against said City I. consequence or the granting of this permit. ' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT_ Issued by: Date SO GULATI N � lugCE RF, -h')'%/� �_ ��/� Re -roofs Try' e of Roof •Jp s Apr c HAZARDOUS TE RIALS DISCLOSURE Will the applicant or future building occupant Store9.1 or handle a ty as defined by de Cupertino Municipal Code, Chapter 9.13, and the Health end Safety Health ad Safety Code, Section 25532(a)? Nn All roofs shall be inspected prior to an roofing material beinginstalled.❑Yes If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future buiidinF occupant use cyuipmcnt or devices which emit havarch us air contaminants as defined by the Bay Arca Air Quality Management District? all new materials for inspection. ❑Yes 1 have read the handousmaerials requirements under Chapt06.95 ofthe Celifor, nis Hca11hA" SodcLYCbdc Sectors 25505,25533 and 25534.1 undertmnd thamif the building does not cuocntiy have a Manna, that it is my responsibility w notify the occupant Of the requirem u hmhmoslbemetpd twaseatleenraCerllIII cuse Tac cy. Signature of Applicant Date All roof coverings to be Class "B" or better r coed ascot Date CITY O • CUPERTINO 4tITY OF CUPERTINO0 PERMIT APPLICATION FORM o Y 0s /1�1 APN #36 2Y o Fee Description Date: Building Address: ing r om ulding address): MECHANICAL BBLDGFEE Bldg Permits . foot Owner's Nam BB01LERI Ph fne #: MECHANICAL BBOILER2 Boiler > 100K to 500K Btu Contractor: 2Q BBOILER3 cense #: MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu Contact: Phone: Cupertino Business License#: MECHANICAL Fax: Construction Tax Buildin Permit Info: BCONSTAX Ind/Off/Comm/Quasi BlElect Plum Mech Job Description BUILDING BCONSTAXH Residential ❑ BUILDING 1 . Sq.Ft. Floor Area: BUILDING $/Sq.Ft.: Cost of Projec ELECTRICAL Occupancy Group: Elec 600V > IOOOA ELECTRICAL, BELEC200 Type of Construction:. ELECTRICAL Please check this box if the project is a Energy BUILDING second -story addition: ❑ Project Size: Standard ❑ Laze ❑ Major ❑ BINVESTIGA Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BB01LERI 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 > IOOOA ELECTRICAL, BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 jF�', Sm""; CITY OF CUPERTINO JfITY OF CUPERTINO PERMIT APPLICATION FORM IrQuantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCONV M New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTWE Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING i BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerMackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfin MECHANICAL BREN AIltHAN A/C Units <=10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL 2 of 3 CIN O CUPERTINO IBITY OF CUPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmd] Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING, BTEMPSVCS Temp Dist Svcs ELECTRICAL . BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL' • - MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Change BUILDING 3 of 3 • n U City of Cupertino I Um 4 Plan Check Transmittal Permit# Project Address Owner 04050149 Control# 13234 Plancheck# 1 FileDate 5/25/2004 RES. KTCHN REMODEL/ 20101 SUISUN DRIVE YANG/LEE Description RES. REMODEL Plan Check Status (attach comments and return to Building with plan set) Dept Plan check# Date Due Date Staff Comment Date Approval? 1 5/25/2004 6/8/2004 5/25/2004 l7 Building 1 5/25/2004 6/8/2004 5/25/2004 Assessor 1 5/25/2004 6/8/2004 5/25/2004 Additional Plan Check Fee U Hours Planning Fees Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount APPRO N AC&MAKE VT'l VE CUFFRf1N0 CODES ANDORD?"GES: c, )ATE SIGNED specifications M -tans 2n ec phis set of 20 t US De kept on the job ?t all times Inc" is laonialnt any Chan ads omission alteiati0r, Without V4. tte tr, ission tro—., ;11 3fiMt ip, Of Cupertino. .,e t - Dept., ne L; -Ods ,e tuilding i of &S plan and ' clicIt Che Ste I p 119 per or to be W, Off be hat ;HALL 01 theviolaloll Of y PO'0�0 any city La cp & GG�ep�.R\�� .41 t APPRO N AC&MAKE VT'l VE CUFFRf1N0 CODES ANDORD?"GES: c, )ATE SIGNED specifications M -tans 2n ec phis set of 20 t US De kept on the job ?t all times Inc" is laonialnt any Chan ads omission alteiati0r, Without V4. tte tr, ission tro—., ;11 3fiMt ip, Of Cupertino. .,e t - Dept., ne L; -Ods ,e tuilding i of &S plan and ' clicIt Che Ste I p 119 per or to be W, Off be hat ;HALL 01 theviolaloll Of y PO'0�0 any city La cp & GG�ep�.R\�� 0 77�7. w 46 • 0 0 \ i • ,I :' Ifi I♦ 11, rl i l �f ;1