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09070104 77777777. CITY OF CUPERTINO �'[r}� T . h �t BUILDING DIiISION PERMIT BUILDING ADDRESS: PERMIT NO. 7855 FESTIVAL DR ROBIN SUNG NEWS NAME: PERMrr ISSUE DATE PHON S A CONTROL NO. (408) 99.3-8642 ARCHn'ECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 a o u0o LICENSED CONTRACTORS DECLARATION Job Description m I hereby 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 r`- in full force and effect. REMODEL 49 SQ FT TO BATH, KITCHEN COUNTER TOP & tt Z License Class Lic.fh F,p Dae Contractor SINK ONLY NON-STRUCTURE ARCHrmcrS DECLARATION 1 understand my plans shall be used as public records �C6 CH Licensed Professional y 3 OWNER-BUILDER DECLARATION 1 hereby affirm that It exempt from the Contractor's License Law for the p O following reason.(Section 7031.5,Business and Professions Code:Any city or county E4 m Pi which requires a permit to construct,alter,improve,demolish,or repair any structure Zy prior to its issuance,also requires the applicant for such permit to file a signed statement < that he is licensed pursuant to the provisions of the Contractor's Lieronse Law(Chapter 9 3)q.Ft.Floor Area Valuation X F (commencing with Section 7000)of Division 3 of the Business and Professions CodC)or $4000 0 0 0 y that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type not more than five hundred dollars(S504 36214001 . 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 q p property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements arc 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.). gr 1,as owner of the property,am exclusively contracting with licensed contractors to co wet the pmject(Sec.7044.Business and Professions Code:)The Contractor's Li. cense Law docs 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 dee Contractor's License Law. ❑I am exempt under Sec. B&P C for this on ner �� -s C — Date O c WORINWS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑1 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 am: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section teed not be completed if the permit is for one hundred dollars(S 100) or less) I certify that in the performance of the work for h*It this emit is issued,I shall not employ any person in any manner so as w j t t W rkers'Compensation Laws of califomiale Applicant NOTICE TO APPLI. :If,a g this Cenir to of emption,you should become subject to Worker's Compensation provisions of the Labor Code,you must Oforthwith core with such provisions or this permit shall be deemed revoked. Z~4 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of (x.7 the work for which this permit is issued(Sec.3097,Civ.C.) W A Under's Name z Leader's Address U 0 I certify that I have read this application and state that the above information is LL� correct.I agree to comply with all city and county ordinances and state laws relating to 0 U building construction,and hereby authorize representatives of this city to enter upon the W above-mentioned pmpary for inspection purposes �y (We)agree to save,indemnify and keep harmless the City of Cupertino against p..4 y liabilities,judgments,costs and expenses which may in any way accrue against said City �7 U Z in consequence of the granting of this permit. Date ►^+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOURCE REGULATIONS. C" _7111CXRe-roofs Signet f Applican on for Date/ Type of R sof HA'MMOUS MATERIALS DISCLOSURE /Will the applicant or future building occupant store or handle hazardous material lcflncd by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety c.Section 25532(x)? All roofs,hall 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 hazardtxus materials requirements under Chapter 6.95 of the Califor- nia Health&Safcty Codc,Sections 25505,25533 and 25534.1 understand thatif the building does not currently have a tenant,that it is my responsibility to notify the occupant of the require nes w ' must be met prior to of a Certificate of o< parry. Signature A Applicant Date a All roof coverings to be Class'}`'or better Ow r authorized ager Date e _ RETDENTIAL �Rt1,T � COEl SHEET Assessor's Parcel Number: Name of owner. � �' i (y Project address. Contact person. w�(v L D6C6 Ph one. f f f -6 (4 ) C4,pt) Fax. Net square footage of lot. Existing Proposed Square footage: First floor: '"': Second floor: Garage: TOTAL: _kre there at least two 10 foot by 20 foot clear spaces in;,ide the g�arag N Is privacy protection planting required for the project? On what floor(s) is work being done? Brief description of woric. `'"�� -�11� TI)le 0 y M ipe- X14, Code editions:2008 CBC (0-N)2008 CFC 6'-N)2008 CMC ON) 2008 CPC C �-N) PE -•s PN��W\P��pR� Effective 1/1/0818MV SHEET S �� � on ,hg aMe ��L04 ne b Plan Review Process Work Book Page-B-Revised 1/1/08 r`=y a I VqK+ I i i x r _ _ 9E-6- Li E-°._.Li sic .. Y _V L` T II /V o { i F A I C(p- Cl) J CITY OF CUPERTINO 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blh: Lot: APN . . . . . . . . : 36;,14001 . 00 DATE ISSUED. . . . . . . : 07/ 10/2009 RECEIPT #. . . . . . . . . : BS000008176 REFERENCE ID # • • . : 09070104 SITE ADDRESS . . . . . : 7855 FESTIVAL DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : GWIiN-LING DENG ADDRESS . . . . . . . . . . : 7845 FESTIVAL DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4116 RECEIVED FROM . . . . : GWhN LING DENG CONTRACTOR . . . . . . . : ROBIN SUNG LIC # 26088 COMPANY ROBIN SUNG ADDRESS 498 JEROME ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95129 TELEPHONE . . . . . . . . : (408) 993-8642 FEE ID UNIT QUANTITY 1NOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----------- ---------- ---------- ---------- 1BCBSC VALUATION 4, 000 . 00 1 . 00 0. 00 1. 00 0 .00 1BSEISMICR VALUATION 4, 000. 00 0 .50 0. 00 0. 50 0 . 00 1PPERMITFE FLAT RATE 1. 00 42 . 00 0 . 00 42 . 00 0 . 00 1REMRESBAT SQ FEET 49. 00 570 . 00 0 . 00 570 . 00 0 . 00 1TRAVDOC FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00 ----------- ---------- ---------- ---------- TOTAL PERMIT 655 .50 0. 00 655. 50 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 655 .50 MASTER CARD --------------- TOTAL RECEIPT 655 .50 Community Development 10300 Torre Avenue .r a Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 CUPEkTINO Building Department JOB ADDRE ?�/ q PERMIT # �s�- 1-1e-5t -k,4 0 (-, o d OWNER'S NAME: C?C 1v- L ,V,' Pz;eV6 PHONE # 6 S4 22--- GENERAL ZGENERAL CONTRACTOR: 9. I13 Q , FAX # 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 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 Owner Contractor Signature Date CITY OF I-7UPERTINO ADDITION/REMODEL CUPEI�TINO PERMIT APPLICATION FORM .e7/ 6 70% APN# �OZ �`� (� � • �� Date: Is a 2" unit being added? Yes ❑ No'EK If yes, please fill out the permit application for 2" unit. Building Address: I,, F, Mailin A&Wress (if different from buildin address): 6 - S , v Owner's Name: Phone# : 2— Contractor: Contractor: Phone#: 3 d e3 V1, SLA_ Fax #:<°PJ� l e-2- Contractor License#:C, 8 Z g 8` Cupertino Business License#: Contact: p�b y� Woo 3 dr o 3 Phone#: (tsd/ ) �;iZZ Building Permit Info: Bldg. '�fl Elect. Plumb.70 Mech. Hillside Job Description: Addition-What is being added?(Be Specific): r'ev\oc�Lt1,, 0 h� ( K11-h� 4 What is being remo Bled (not including addition)? Remodel Includes Re-Roof: Yes ❑ No Pf If yes list number of squares Remodel Includes Structural: Yes ❑ No -�J Do you have the pre-application planning apF roval? Yes ❑ No If yes, please provide a copy of your planning approval letter. Planners name: Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen Bath Other Type of Construction (Usage Class): Occupancy Type: --7 II/III/V-A IUIII B IV-HT V. S (NN ik FC�Wily ` _ J 1-A, 1-B ❑ ❑ '� Valuation: 0 4f, r` check this box i the project is a .�{._ o ,. tip== k��-I��(� �,, Y- i,;<.-�. _7�lease ,500 second-story addition ❑ Project Size: Express ❑ Standard ❑ Large ❑ n2ajor❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if appli-.able, Green Building Points Achieved: include in plan set& the sheet index. ***For Office Use Only*** Over-the-Counter ❑ Revised 06/10/09 CITY OF C.UPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Descripi ion Fee Group Permit Type Sq Ft DECKS 1R3SFDADD OR 1R3SFDREM 1 DECKWOOD Deck(Wood)-Each B (Each) 1DECKRAIL Deck Railing-Each B (Each) GARAGES 1R3SFDADD OR DETACHED 1R3SFDREM 1 GARDTW<=1 K Wood Frame u)to B 1,000 SF (each I 1 GARDTM<=1 K Masonry up to 1,000 SF B (each) BCONSTAXR Construction T ix Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame u.) to 300 B SF 1 PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Meta.up to 300 B SF 1 PATIOENCLO Other Enclosec Patio up B to 300 SF 1 COVPORCH Porch Covered-Each B (Each) REMODELS 1R3SFDREM 1 REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan 300 SF check 1REMRESBAT Bath Remodel up to 300 B 66 —J SF 1 REMREOTH Other Remode: up to 300 B SF CITY OF CUPERTINO ADDITOISIREMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1 REMRES2 Remodel Resid-,ntial B Greater than 1000 sq ft IREMRES3 Remodel Resid-,ntial B Greater than 2500 sq ft. 1REROOFRES Residential Re-roof Each B 100 SF REMODEL PLNCK ISTPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE remodel) COUNTER PLAN CKS. WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1 WINREP Replacement windows B (ea 8 windows) 1WINNEWNSTR New Window(non- B structural 1WINMEWSTR New Window (Structural B Shear Wall/Masonry) 1 WINBAYSTR Bay Window(;structural) B SKYLIGHTS 1R3SFDREM 1 SKYL<10 SF Skylight less than 10 sf B 1SKYL>10SF Skylight greater than 10 B sf or structural 1STAIRS Stairs-first flight/ea addt'I B 1 EPERMITFEE Electrical Perrr it Fee E IMPERMITFEE Mechanical Pe:-mit Fee M 1PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone EJ ectric Pln E Ck(hourly) CITY OF CXPERTINO ADDITONIREMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1 MECPLNCK Stand Alone M-1chanical M Pln Ck (hourly 1PLMPLNCK Stand Alone Ph rnbing P Pln Ck(hourly) 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fe e 1BSEISMICRE Seismic Residential B 1 TRAVDOC Travel &Documentation B 1 BUSLIC Business Licen>e B