06100060 CITY OF CUPERTINO PERMIT ITt�Tf�N.
BUILDING DIVISION
BUILDING ADDRESS: DIANLI CHEN CONSTRUCTION PERMIT"°. 0 610 0 0 6 0
10700 LA RODA DR PERMIT ISSUE DATE
OWNER'S NAME: 10/10/2006
JUNE YANG & YONG T IAN 951 COVENT SANITARY NO. CONTROL NO.
NE:
(4 08) 888-2898
BUILDING PERMIT INFO
ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH
0
O p LICENSED CONTRACTOR'S DECLARATION Job Description
m i- t hcrcby affirm that I am licensed under provisions of Chapter 9(commencing
Z� with Section 7000)of Division 3 of the Business and Professions Code,and my license is
!'Cy in full force and effect. ADDING RECESSED LIGHTS AND DIMMER TO LIVING
,Zz License Class co
Date actor ROOM, DINING ROOM, AND BEDROOMS
Lo ARCHITECTS DECLARATION
i a a 1 understand my plans shall be used as public records
iyU
u.H Licensed Professional
y; OWNER-BUILDER DECLARATION
>. I hereby affirm that 1 am exempt from the Contractor's License Law for the
:m O following reason.(Section 7031.5,Business and Professions Code:Any city or county
b RE which requires a permit to construct,alter,improve,demolish,or repair any structure
~fin prior to its issuance.also requires the applicant for such permit to rile a signed statement $ Ft.Floor Area Valuati0 2 4 0 0
?< that he is licensed pursuant to the provisions of the Contractor's License Law(Chaptcr 9 q
t= (commencing with Section 7000)of Division 3 of the Business and Professions Code)or
that he is exempt therefrom and the basis for the alleged exemption.Any violation of Occupancy Type
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number
not more than fire hundred dollars(M). 36934043 . 00
❑1,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,Business Required Inspections
and Professions Code:The Contractor's License Law does not apply to an owner of
property who builds or improves thereon,and who does such work himself or through his
own employees,provided that such improvements are not intended or offered for sale.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 contractors to
construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li-
cense Law does not apply to an owner of property who builds or improves thereon,and
who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's
License Law.
❑I am exempt/s�oder$ec. B&P C for this reason
Owner iy�� Date Q O 6
7141,
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury one of the following declarations:
L]I have and will maintain a Certificate of Consent to self-insure for Worker's Compen-
sation,as provided for by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑I have and will maintain Worker's Compensation Insurance,as 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 are:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(chis section need not be completed if the permit is for one hundred dollars($100)
or less.)
I certify that in the performance of the work for which this permit is issued,I shall not
employ anyperson in any ter a jt�so to become subject to y✓grkC 'Compensation
m— pensation
Laws of Califomi a.
Applicant
NOTICE TO AT'PLICAI If,aftcTTtfaliing Oiis ertrGcate of Exemption,you should
become subject to theWorker's Compensation provisions of the Labor Code,you must
Z forthwith comply with such provisions or this permit shall be deemed revoked.
z CONSTRUCTION LENDING AGENCY
(.�r.. I hereby affirm that there is a construction lending agency for the performance of
p;> the work for which this permit is issued(Sec.3097,Civ.C.)
L4 Q Lender's Name
az Lender's Address
O I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating to
O U building construction,and hereby authorise representatives of this city to enter upon the
above-mentioned property for inspection purposes.
a (We)agree to save,indemnify and keep harmless the City of Cupertino against
CA liabilities,judgments,costs and expenses which may in any way accrue against said City / r
V Z in consequence of the granting of this permit. Date
►4 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:
SOURCE ONS.
Re-roofs ���
Signature of Applicant/Contractor are T of Roof
j HAZARDOUS MATERIALS DISCLOSURE Type
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes ❑No
If a roof is installed without first obtaining an inspection,I agree to remove
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes ❑No
I have read the hazardous materials requirements under Chapter 6.95 of the Califor-
nia Health&Safcty Code,Sections 25505,25533 and 25534.1 understand that if the building
does not currently have a tenant,that it is my responsibility to notify the occupant of the
requireMegts wh1a must be met prior to i ince of a Certificate of � cy./ Signature of Applicant Date
Lam` o — All roof coverings to be Class"B"or better
Owncp1t5rautborized agent Date
CITY OF CUPERTINO
im 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN 36934043 . 00
DATE ISSUED. . . . . . . : 10/10/2006
RECEIPT # . . . . . . . . . 36366
REFERENCE ID # . . . : 06100060
SITE ADDRESS 10700 LA RODA DR
SUBDIVISION
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JUNE YANG & YONG TIAN
ADDRESS . . . . . . . . .
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : YONG TIAN
CONTRACTOR . . . . . . . : DIANLI CHEN LIC # 27577
COMPANY . . . . . . . . . . : DIANLI CHEN CONSTRUCTION
ADDRESS . . . . . . . . . . : 951 COVENTRY CIR
CITY/STATE/ZIP . . . : MILPITAS, CA 95035
TELEPHONE . . . . . . . . : (408) 888-2898
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---- -------- - - ------ --- ---------- -------
BPERMFEE VALUATION 2, 400 . 00 83 . 16 0 . 00 83 . 16 0 . 00
BENERGY PERMIT FEE 83 . 16 39 . 92 0 . 00 39 . 92 0 . 00
BREMFIXT NO. FIXTURES 23 . 00 24 . 39 0 . 00 24 . 39 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
BREMRECEPT NO. OUTLETS 5 . 00 6 . 00 0 . 00 6 . 00 0 . 00
BSEISMICRE VALUATION 2 , 400 . 00 0 . 50 0 . 00 0 . 50 0 . 00
-- -------- ----- - ---- ---------- ----------
TOTAL PERMIT 192.. 34 0 . 00 192 . 34 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
- --- - -- -- - ------ - ------------ -- ---- -----------
OTHER 192 . 34 VISA
TOTAL RECEIPT 192 . 34
Y
�;•�: - � x RESIDEl�1TT��,PROJ�CT��C O�� , �� ��, ,
�y. "y iS t � u' L N A '. .x( & ✓^( t 1 R rr 1 L{ �4 �` t� ,t..
Z k e i f
cuPEkTINO Y
Assessor's Parcel Number:
Name of owner. �CjvL
o
C. ol 4
Project address.
Contact person. 1 c ��� Faax.
Net square footage of lot.
Existin Proposed
Square footage: First floor: i`-s �'
-.__-)iN ACCORDANCE WITH THE CITY Q�
Second floor: VOURTIND CODES AND OROINANI. .`
Garage:
TOTAL: -
SIGUD
Are there at least two 10 foot by 20 foot clear spaces inside the gar •set o ans end �pe�ii�cati ns �.
De kept on tha joh at all times and it i,
ltera
Is privacy protection planting required for the project? Y� l &ful e wi!;, any ,i!,3nges or Tion
p on same ��tiht::ut v�'itta��t permission t;
the built'ing Dept., City of CUN, no.
On what floor(s) is work being done? �'� c'�`` The stamping of this p;zn %.nd S IiEC3tlfa
SHALL NOT be hald to permit�r t��b2 z
Brief description of work. ! approval of the violatk)n,of arty provislrr
"F
7-1
`� s 2001 CFC (Y -N)2001 CMC (Y-N)
Code editions: 2001 CBC f Y -�
2001 CPC (Y -N)2001 NEC (Y -
Effective 11/l/02
0FF1r,T Apy
f�
Plan Review Process Work Book Page-8-Revised 8/22/05
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2nd Floor Lighting Plan
Remodel notes:
45in.
3-
2.Bedrooms:install recessed
lights.
3. Hallway&bedrooms:all M
recess lighting are using 4 inch
white baffle trim with 4"IC
housing with incandescent lights
on dimmer switch.
Master
_ Bedroom
Closet
36in. 96in. _ 41 in.-----------------------------------------
o
r I t+ti2 J`�
c 107in. O
+
M +
----"
R} abin t
i ff
Existing 3\Nay
switch o
0
Existing 3 way
switch
D DM"
--- -----------' c E
(p (Ll
M M
i
R ------------------------- R ----------------------------------
E
--- -------- ------------------
;Baby bedroom Guest bedroom
24in.
62in. 24in. 361n 80in. 36in.
.........................
- ---- -------------- T T ---- -------- ------------------ T
...
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CITY OF CUPERTINO
ccs i a)o(PO
Cin of PERMIT APPLICATION FORM
CUPEkTINO
APN# �_ .,
LAAddr4es (if
e:
�6 �Z o�� 3 06
Building Address: Mailing different from building address):
p c� q Y iCA
Owner's Name: Phone#:
�% �4 G s
Contrac or: License#:
Contact: Phone:.4g g8$ 18 7$ Cupertino Business License#:
e. Fax: 2
Building Permit Info: /
Bldg ❑ Elect LV' Plumb ❑ Mech ❑
i \ i
Job Description: N& �, (� s5e� ��ti� Wit.r( w.inle W �-ct, -
Residential b e owes Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: Occupancy Group:
2, -+
Type of Constniction: Please check this box if the project is a
second-story addition: ❑
Project Size: Standard ❑ Large ❑ Major ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to IM Btu MECHANICAL
BBOILER4 Boiler> IM 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 <= IOOOA ELECTRICAL
BELEC1001 Elec 600V > IOOOA ELECTRICAL
BELEC200 Elec Svcs 600V<= 200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
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