08020164 (2) CITY OF CUPERTINO - .�. pf' �T�w>p�,� °�'`y'��at
BUILDING DIVISION PERNUT C�1-]i�l, �TOR�jtfl'ONY�TSIIJlV'.�,
BUIL INC A4ORESS: PERMIT NO.
0767 LINDA VISTA DR SOIL ENGINEERING 08020164
OWNER'S NAME: PERMIT OUR DATE
WILLIAM TONG 927 ARGUELLO ST. 02/26/2008
NE: SANITARY NO. CONTROL NO.
(650) 367-9595
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
o p LICENSED CONTRACID0.'S DECLARATION O O O O
yFF 1 hereby affirm that I am Ikermal under provisions of Chapter 9(commencing Job Description
S with Section 700(y)of Division3ofdsBusinesssetaPmfadmlaCode,setamylicense's FOUNDATION STEMWALL CRACK REPAIR
SS In mU roux and cIT
License clan Lk,g
Dote ConusmECLr S.v/ F_ enrr �s /wry'
e ARCHrIECrSDARATION ��
0'
t I understand my plans sitall be used as public records
wted Licensed Professional
Ost I Am UII.DERDECLARATION
v� I hereby M.om 11. exempt fs an the G.ons o{License taw for the
00 followingreran.(Section Icon1.5,Busiam and ere.deaonst,Or Any city or county
which its is u•permit ro comma,alar.improve.h Permit
er it t ri=psis any structure
that heor M its issuance.also pre inions of formcthe Contractor',
permit=Ne see signedstatement
that he it licensed pursmam 70th)of Division
of the Gantrinessa Lkelwalaw(Chapter ,Sq.Ft. Floor Area Valuation
s (cat he is(commencingwithSection and
tit, iaiis for of the Business and Prolmiovi Cnde)of $3000
33 Soe io h 31 J b themfmm and the beau for bj ctsAllthe appliccasampant
n.to Any violins on of
SoHo 70han five
any red applicant for•pemtlt subjects the applkannoacivil penalty of Number Occupancy
nm mom than fins hundred dolWs(5500). 35607013 . T�pe
0 1.u awns of ds,prop",a my employees with w@ga as their sole ompewuon,
will do dte wiry.and the structure 4 rot intended at offered for sale(Sec.704/,Business
And Profassioss Cade:The Caau gimes License Law dons not apply in an owner of Required Inspections
property who bulldsor improves thereon,and whod=aechworkMmselfor through his
awn employ=,provided that such improvements Are,not in.nded ata@red fwssie.If.
however.the building or improvement is veld within ora year of ompletion,the owner.
builder will law de bmdnn of proving that he did not build er improve for purpose of
sakJ.
0 I.As owner of the property,w esGwlwly canuuting with licensed cummemn an
construct the project(Sec.7044.Business and Pmfesdues Cede:)The Comrnors U. .
awe taw d=nil apply In an owner of property who bind or impmw talon,and.
who contracts for such projects with a eonuactor(U licensed pursuant in me Conlratoh
Linens law.
0 lumaemptunder See ,Bk PCfmthismawn
Owner Data
WORKER'S COMPENSATION DECLARATION
1 thereby affirm under peoaity of perjury rn of the following amboations,
❑Ihaw and will..Irwin a Certificate of Cason I.sel6Wu.for Werkres Campm.
salon,u povidad for by Section 3700 of the labor Code,for to performance of the
work for which this permit is isssd.
D 1 Mve and will maintain Worgefs Compensation Insurance.a requlmd by Section
3700 of the laher Code,for the performance of the wart for which this permit l.issued '
My Workees Compecaution bwrua anis aM Policy num am: 7
Grtlen S�e><
policy
L
Fl8936
CERT GTE OF EXEMPTION FROM WORKEllx
COMPENSATION INSURANCE
(The,.(I..sed m,tbecampiend if the permit la faranc hundmddrellm GUOM
or leu)
1 unify that in the performance of me wart for which this permit is bound,I"I not
employ any person In my manner an As in become subject in the Workers'Compensadan
laws of Califomis.Dau ,
Applicant
NOTICE TD APPLICANT.If,afar making this Certificate of Eaemption.you should
become subject in the Workee,Compensation provisions of me labor Cede,you must
.J O foMwith comply with such provisions or this permit shall be dcemed revoked.
CONSTRUCTION LENDING AGENCY
ti
[—� 1 hereby M.
that mem e,s ed(Sm.nn lending agency for Ne per(urmanec of
dte wort for which this pewit u issued(Sec.3091,Civ,C)
D�Q Lcndcfs Name
2 IxndeYa Adder..
V Q 1 certify Nat I haw read this application W suer that the @how Informadun Is
IL catrect.l @[rex m comply wire all city and county ordinances and sum las relating to
0 Wilding construction,and hereby militarist,representative ofthis city m enter upon the
W ahowms.judgd ntm secrty for inspection purpose
C (We)agree w,indemnify and keep lumutee m City of Cupertino against
Iiaoiuequema s .fftS suml and expensesMandl.
APPLICANT
In Any way assts Against said City
Z in c of this
^' UNDERSTANDS AND WILL COMPLY WITH ALL NON POINT Issued by:
SOURCE
RE Date —Z
SOURCE REGULATIONS. n
� '''c � �g Re-roofs
Signrtu Applicants im.lor Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the Applicant or future building oa,upanlnom or Amem houdow=aurid
u denncd by the Cupertino Municipal Code.Chapter 9.13.and the Health and Safay
Code.Section 2553x.)7 /� All roofs shall be inspected prior to any roofing material being installed.
41 DYns W4.
Will Ue APPIkIAL ser future building occupant use equipment or devb=which If a roof is installed without first obtaining an inspection,,I agree to remove
call havtdmw air couminanu s defined by the Bay Area Air Quality Management all new materials for inspection.
District? /
DYo AK-
1 haw mad the hoard=m.uriae,se9uiremem s under Clupterti.95 of me Csiifor.
.to Health h Safety Ceda,Sass=2550525533.W 25534.1 understood m.ifun building
d=of cumendy Mw @ mtant,that it is my resposibilily to redly me mc.pant of the
requirements which must to mel prior to ism o Ccttificau of Oamp ncy.
,�� Signature of Applicant Date
1— 0Owner m eriud ogee Date. All roof coverings to be Class"B"or better
• CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35607013 . 00
DATE ISSUED. . . .. . . : 02/26/2008
RECEIPT #. . . . . . . . . : BS000004028
REFERENCE ID # . . . : 08020164
SITE ADDRESS . . . . . : 10767 LINDA VISTA DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : WILLIAM TONG
ADDRESS . . . . . . . . . . : 10767 LINDA VISTA DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4019
RECEIVED FROM . . . . : GEORGE DREW
CONTRACTOR . . . . . . . : ROBERT MAHONY LIC # 24529 '
COMPANY . . . . . . . . . . : SOIL ENGINEERING CONSTRUCTION
ADDRESS 927 ARGUELLO ST.
CITY/STATE/ZIP : REDWOOD CITY, CA 94063
TELEPHONE (650) 367-9595
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT I THIS REC NEW BAL
---------- ------------- ------- -------- ---------- ---------- ----------
1BSEISMICR VALUATION 3, 000. 00 0 .50 0. 00 0.50 0. 00
1BUSLIC FLAT RATE 1 . 00 110. 00 0. 00 110.00 0. 00
1FOUNDREPA EACH 1 . 00 734 . 00 0. 00 734 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 844 .50 0. 00 844 .50 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 844 . 50 MC
---------------
TOTAL RECEIPT 844 . 50
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IDENTIALT-ROJIF,
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'Assessor's Parcel Number:
Name of owner. .!nt7nf- --Ey W' A,e,," Feh%c/
Project address. 107,-7 Z;,,Y,
Contact person. 6 cokge OreAl Phone. �e 9 MY- 34121
Fax. 6)—e5 3V7-0132
Net square footage of lot. 4 '
Existing Proposed
Square footage: First floor:
Second floor:
Garage:
TOTAL:
c there at least two 10 foot by 20 foot clear spaces inside t h
Is privacy protection planting required for the project? Y7
On what floor(s) is work being done?
Brief description of work. clariclr ;6,,r,4 i,cvy -"4eof
Code editions: 2008tqp
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aITOF
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
Fax(408)777-3333
UPEI�TINO
Building Department
All Cupertino building permits must meet certain conditions related to maintaining
environmental quality and public peace and safety. The two most common
conditions are described below.
STORMWATER POLLUTION CONTROL
State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and
the Santa Clara Valley Water District control stormwater pollution. Educating local
residents and businesses and enforcing stormwater pollution control laws are key parts
of the City's compliance efforts.
Stormwater pollution prevention: It's up to us
In northern Santa Clara Valley, storm drains flow directly to local creeks and San
Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife
dependent on our waterways, for people living near streams and baylands, and for the
local water supply. Common sources of stormwater pollution include:
• Dripped oil, fuel, and antifreeze from vehicles and heavy equipment;
• • Construction debris, including dirt, concrete and paint;
Landscaping runoff containing pesticides or weed killers; and
• Any material dumped or spilled into streets or storm drains
The property owner and the contractor share ultimate responsibility for activities
occurring at a construction site and will be held responsible for any environmental
damage caused by subcontractors or employees.
For more information on construction-related stormwater requirements, see the
Stormwater Quality Regulations section of the City of Cupertino web site at:
htto://www.cupertino.org/city government/departments and offices/
environmental services
COMMUNITY NOISE CONTROL
The basic noise control requirements for construction sites are as follows:
• Typical construction work hours are:
- Weekdays - 7 a.m. to 8 p.m.
- Weekends - 9 a.m, to 6 p.m.
• Construction other than street construction is prohibited on holidays.
• Residential daytime noise levels from complaint site - 60 dBA
• Nonresidential daytime noise levels from complaint site - 65 dBA
For more information on noise control, please see Chapter 10.48 of the Cupertino
Municipal Code, which can be accessed at http://www.amlegal.com/cur)ertino ca/
•
Greg Casteel
Building Official
o�oa o (oLlCdJ CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN# � / 3 ,
O O Date: 2
Building Address: /
10767 ` ioW�
Mailing Address (if different from building address):
Owner's Name: Phone#:
w lkoo Tn9 yo e> 3 9
Contractor: Phone: Gro 367�r 97
Fax: 650 3(7'8/3 9
Contractor License#: ZGga 2-
Cupertino
Cupertino Business License#: 011
J5a, n
• Contact: G��ye Dr e� 7 7 Phone: qag S89-jYZL
Fax: e169' 39�Y37��
Residential Commercial F]
Job Description:
/=-c�nd4 fin sfPW,,,w/�crcc/t nPti,'r
Building Permit Info:
Bldg D--' Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type: �
1 FR, IIFR❑ 11, 111, V-IHR [I11, 111, 1V V-N Y /e �s�,/ CP ;�-�- j" 3
Valuation: 3QDQ Square Footage:
iU CY
Project Size: Standard ❑ Large ❑ Major ❑
•
, 4
CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1 GENCOM
1BTEMPPER Temporary Building Permit (good for B
30 davs)
1BBOILERI 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
1BBOILER2 Installation /relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption ss over 100,000 Btu/h
1BBOILER3 Instal lation/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
1BBOILER4 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 ca absorption sys over
1,750,000 Btu/h
1BAPPLOTH 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.
IELECINSP Other Electrical Inspections (per hour) E
1MECHINSP Other Mechanical Inspections (per M
hour)
IPLMBINSP Other Plumbing& Gas Inspections P
(per hour
1MEETINGIHR Application Meeting B
G�. CITY OF CUPERTINO
y
• CUPERTINO GENERAL BUILDING APPLICATION
FEESCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWUDuplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1CHIMNEY Chimney B
1 CHIMNEYR Chimney Repair B
FENCES
1FENCE>6FT Non-masonry, over 6 ft in height B
1FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
IFOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concrete B
1PILEDRN Pile Foundation Driven(steel, pre- B
stressed concrete
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CITY OF CUPERTINO
CUPEf�TINO GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1 GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1RETSTN Standard (up to 50 ft) B
IRETSP310 Special Design, 3-10' high (up to 50 `) B
IRETSP10 Special Design, over 10' high (up to B
50'
1RETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 ft
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft
SIDING
1 SIDEST/BK Siding, Stone & Brick Veneer B •
interior/exterior
I SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>IOSF 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 so B
1 SRACKS>8 Storage Racks over 8' high (up to 100 B .
st
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
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Gds CITY OF CUPERTINO
CUPERTINO GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group IGENRES 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
IEPERMITFEE Electrical Permit Fee E
1 MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit Fee P
lELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1PLMPLNCK 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
/ 113SEISMICR Seismic Residential B
1BSEISMIC0 Seismic Commercial B
1TRAVDOC Travel &Documentation B
/ IBUSLIC Business License B
•
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