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10040097CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10038 JUDY AVE CONTRACTOR: TBD - TO BEPERMIT NO: 10040097 DETERMINED OWNER'S NAME: MATTHEW R NANCY KIM DATE ISSUED: 04/152010 OWNER'S PIIONE: 4085373556 PHONE NO: JOB DESCRIPTIO\: RESIDENTIAL ❑ COMJIERCIAL11 LICENSED CON\ TRAcTOR'S DECLARATION lk Lic. ills: 3 REMODEL- WINDOW REPLACEMEN, MINOR DRYWALL ,License Class ICS REPAIR, ContmctorA"A'k seo em/s!;-' Date 73 /z' HVAC INSTALL NEW GRAVITY WALL FURNACE & 1 hereby affirm that I am licensed under the provisions of C art9 EXHAUST (commencing with Section 7000) of Division 3 of Business & Professions ELECTRICAL: OUTLETS & SWITCHES, MINOR ROOF Code and that my license is in full force and effect. REPAIR 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $19400 1 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37511014.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICA,r1ON I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter r r 180 DAYS FROM LAST CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino aelimst liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issue d b y: Datepermit. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: All roofs shall be inspected prior to any roofing material bring installed. If a roof is 9.18. �y Signature Date %L �s v installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATIO\ Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Laefor one of the following two reasons: ALI, ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 (Sce.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to IIA•LARDOUS MATERIALS DISCLOSURE construct the project (Sec:7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code. Sections 25505, 25533. and 25534. 1 will I hereby alum under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Hcalth & Safety Code, Section 25532(a) should I store or handle hazardous 1 have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air QualiyManagement District I performance of the work for which this pemtit is issued. "ill maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safeq' Code, Sections 25505. 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Ohyner or authorized agent:/ *E" -F C'OHr?Jq Date: permit is issued. 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, 1 must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work'sfor which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICAN r CERTIFICATION Lender's Address 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 building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date Ie' J En 1 CITY OF CUPERTINO i CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM la]44o�7 APN # Date: to - Building Address: I CU O-3 Mailing Address (if different from building address): N A Are Hazar ous Materials being used as part of this project? -,Yes, No HOA:(Exterior work only Yes ❑ No ❑ If yes, provide letter from HOA Owner's Name: - Phone #: N(a,-rH� � +�A,.��Y Ki�-<t �•08� 53`1-355iv Contractor: Phone: I ffioo `14q - o502 - �• T 1 �21CT Cp N��if2,�CC I ON I nIL Fax: 925, g p� 08 Contractor License #: 55 201 3� _ 6,S2-13 Cupertino Business License #: Contact: Phone: �T'z5 • 25 0 • 2145 ��N� CSS I^1oc Fax:. ' Residential Ly Commercial Job Description: —WINDo� pe-EPLI^C� .,MH R�-TT• Flr �.. M,r...oR arLY J6uL �P+�IRS • Grls4v,TY wA�a.. QuFr+4LFs' �rXe-�AuCT FLuE —' NV AC ' CL6GT rt�C4L '. RlPA, A� Ta OwTt ET3 34, ITCHES M1 (��>•=r^-'� Mlrue(t GoHP P4•f�fi ES PtvH O,i-+6 P-JE� $r...1c LAS Y' DPMI .f ETL.. . Building Permit,lnfo: Bldg Elect Lyl Plumb d Mech C� Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B. ❑ 11/111/V -A ❑ 11/111 B, IV -HT, V -B Valuation: 1 Square Footage: ---'Standard rprOjectze: Express M ❑ Lar •e ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index'. Points Achieved: I For help, contact Build it Green at www.builditgreen.org Revised 07/14/09 11 RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: Nameofowner. p. -+e -`t Ktr✓\ Project address. Contact person. R-`'`'` Phone. O1zs - -0- f 9-S Fax. ?25 - `I'F9 x`108 c� i Net square footage of lot. N/A• �Z Existing Proposed� Square footage: First Floor: _ oyv �� ` $ i0 or Sdo�a2 �` 18 Second floor: z—��o �oYzv Garage:Rr p TOTAL: `'m g Y$ m o° u f c d 4 m C Are there at least two 10 foot by 20 foot clear spaces inside the garage? Y N °v m Is privacy protection planting required for the project? Y Build it Green Total Points g o On what floor(s) is work being done? wlNnoc.... —(toof Brief description of work. : -'�PPLY � ,- tEs br � H—t- uP e K -rr-Hr. d anrrfa.or,. I-IVAG'. fjejW brcgv l T`r � f-ri r"RGE exH,,-.6T- PI -U Ea.ecTFlcs c. TzcrAor� �-r-Lc-rs Lt DRY�h�� '1"11Nor D2Y.�4��, i2EPA�2s Swrcr-r�5 Code editio : 200 �- N 2 C _ N)2007 CMC ®- N) 007 CP )2007 NEC Effective 1/1/08 r-- z erg N o � o yet r.....3 1 1 CI f_i GI V Plan Review Process Work Book Page -8-Revised 8/05/08 ` n r .x PAARK SCOTT c•Iu-1 �'lv: n1' 4 ilii . 1 2 a , C bD _2�> 4 Df P•�rz-.-a .T 21 lA e. t Mark Scoti Colestrucnon, Inc... ra Remvobn Teaaq (D 0) FC' M, 2110 ISonry: Pesch, pep, repatr gaps and vada to RCIYa lmtllp. haze. See Oen (d PCR re0orl. 1Nh mR la Ndutlm N Ne LLem ID, ream! 1pl. ling: ReteirieOlace pmwRfmm done, on garage. Sem. for men hoose 6 tenet nonage dee by mlRrvmm a to ea, rKU mempeK. (6ce PCR 11 F. I IG. 111.) Ste 16 W plc0. IDCrSR)dn lSpcL Pro.WeMReO nem,Metal scentless courk d ao,00 e,te ntlllmm Od"I Ine,. II, included n IJne U. Roof iof: Rm,rMnr4e Jwr,de(v NCleq Le . epv iml peCawm1 mantlary repo%moieee Nr Le . Rtoneto, 6I "t'.I1G,11RIII.) YQCS: NorewYmlmlz terbr5: Rrngc rear patocavM totlump, rtpev/seal eM Eenmpe el Nh arae. Ranwe el na5e d hent pmt. EII, spnJ d I+aIn1. 11CR ilan 0y� nee INe pg, fa repos iltm eml: Ilkr PelWrepair nism dedsamewn sldawNF ohml mNywey,wvxw-ays. paeFNO Ier mel may lx trq naiEtCs ones anhR Plydapalhrolomemyne. Seewo"FO 6t MMayS PatWseal mcKdzeperalbnz Nlhe drvlvaytlhrtlnating arty fa0vmp teem Ion (Mncn.ty Punt a m. Ruem, wom R¢rp remr I(eN Mme a, 6nawn mrimuns. hldq all pm, WMin HW IWe mhY wbtlNes(P temp 11 F. 1 IG. 1 I H. I Im It 1114 gIdRB: Gadx Nope Wlgs,m(xz,Idnunmv Cu16n0 emeNpe 1prmim at holm. see INe s9. m patrM ry Bem mR. =Ig: Repetdepam nRSNO.l.nn9l.et calls, Ratsv EmrRs. Repay wom g0t< nn0 mechadsm. Remwe me true woad Ode el Wvom,ay aging: Rem We peNSanE gNUClewlnA me spumue.Nm ga6e me sdl to Reye ey e.m Uv lune entlgemge ez needm Inrmw an. ndows: Repeurtegece Oemaged McM rm ire, buN ltp winos 113 bel) v h new VIC o f4 Wal pMre 6 tenet any tlher window es lume0 (PCR tivw, 1OE 11 M.11N,110) g01MSblp -No action or6(FAC1Mr(: Repehaeplaceindor +emedtnchml7aa,a (PCR4me 660)Repet Ueleumryrovh dov en0 shdfg OoarNdnnp Brea. ys5(Irgosiflr): PrwMAryav Maly Oms Ntlutlnploo6sds6�9dlvsazn dS udmp (4)Rtl 3y ld. 4tvs 6 m 6 pend W. dovz Y 26 x 66 1DOn Wall: Re kmdRllremmegm VWO Uothe MAbemneuazMMldmtl m same rypv OemOga Ig me Rgtl vents n Ne gemge (PCR ¢ems BE 1001 Sc! 1ne H Ip cent 19MlOrywall: R.d install dy n 1, hptd, topped d to W rm..h In the itch., or Me committed lhwgh M hone. (M3t Ile. ILIA 61001 COI'dlpg 111E Paln[(: Rimtpeinl wlN2�15 peiN fo Nl. velli, ttltlngsd Nlwml Mm uw pal hone. same HUD paint Rvnoalm and ptmuetM rl9 Ind Tnm: Fronde new0lmn wom base madnw draudr .Ihamein ell Mvio roves Lim Nplewret eats (SCIS: Nprtwrmcaz iOd Floors: Rahe me Omg toom Mod m RCtpas vim 7%6, 16 m.OC ant Ye N. a0dg, ready for neo toning. \ I F N n n 61Md Fldom e9.0laminate gamng voolghat (ens¢p RaagelhUY lru 21 1`Ir�.(��1`) m)6 repo He fl. R hW entry lmie Tlle'/ R.eilnM1m rr m ins Wks b Ne Mtlumn Nb mtluW le. front muy Is udltmf In fimsn Moors. p. Ib ACQssdnes: No rcouvmceNz ,�1 mDing: Aa sOppyWa.INN mdhodups to Mptsd eepatraMinryraliss fau¢is llnWe OW hen., gee Jm sperJStld ream (am ,doh IA tlNm 1]2!/09, gee 27 b NO pWlmmp'OeW GriW: RgeMepace 1pv v.. mdvz. yrlvMz. n10dsam svNhtlles as named Jm saeAia rePreR lvm. deb b Wlm 1?28r09. Me 20 b 0A tlemiarl Dial Sting: Bootle 6 nRan ne. steely vent Nmace am Intent Woe itemom c, ewal"nIa 00BTUumL Rwarme N-Mwc=NgcH uRfmlowmtleprapmy. I. labor N,,telmet $000 50.00 $0.00 sow $000 Sora $1.200.00 507000 $1,87000 SZ29D.OD $1,500.00 $3,750.00 $000 . $0.00 $000 $37500 $000 $375.00 5000 50.00 $000 $90.00 535.00 S125.00 51,800.00 $900.00 SZ700.00 5000 5000 8000 S575.00 $300.00 $875.00 557500 $0.00 $575.00 SZ90D.00 $2100.00 SS,000Do $0.00 5000 S000 $75000 S`v000 $1,30000 $650.00 570000 $1,35000 50.00 '5000 S0.00 'i $1.200.00 58]0.00 SZ000.00 SZ200.00 $800. Do $3,000.00 S82SOO 5400.00 $1,22500 50.00 $0.00 $0.00 5000 $0.00 $000 S7(lO.OD $50000 $1,200.00 56,50000 53.00000 $9.50000 $250.00 $50.00 5300.00 5000 $000 5000 53,40000 $1,600.00 $5,000.00 $1.90OD0 $400 DLI SZOOO 00 5700.00 $1,000.00. $1,700.00 $000 a) 1 t > Wjnmjafion; 17.31 CabIncty: loolooiind inetm d0w, & loot. Woltt, SIVo Is tanem Ubodl e,uel w3. gentle too N wa.. aI.— . to m . (Se. MIR a. lW 6t m) 32Applianice: Applin .Woide Wft...CaNranuI-nmx-P� -Pltrbta 33 Basement No reauacmrnta 3 Clean -op: NolopdaMnlz 35 Mi-dtwm-: PCoPotl Clafadod ItY Mo mo 16lmm0 ams ne tone mtpleol fa, HIM MnuIePn PmPody Stott s, 1) Ge .l w m a." (— MR It. 0SH& 1013) 2) CA .l r k- Mein maze(sea MR itn 910F) t Gmp Ado 1 ltarasubtdal $150.00 550.00 $3.500.00 $2,80000 SOOD SODD Saw $ow sow $000 $2,04000 $0.00 5370.00 58,30000 $000 $000 sow szO 00 $52,315,130 552,315.00 D SR 0 OFFCoopw r-1 v' U 31VDS 01 ION � F� 9 N une9rs Bl - .9 9t -----i z =o yy,, NorJnnz�Jc! �o�SW 'a SOS -Z /Vcf lar 8rc00 ~ 9 Or W ' Jhl �Ivc+L1-�n�J�-SNc� J.1o�s 71-21,7 V L-14; 1 -J r-4 I� 1- t Q Ir 0 I _L- � SSOzI � � �®D� -2 no 4i In 1•-�ios c-,oi��d� �4 "O v'N ZV4J3 �I �c 2+F /M 3av�% ("Lo E�v'i5 C.3� Zama 4'JV"�S �yrrJ7,v o7 ��' CN) S�trL*tisacj0 N 1.LE .Lt dL N �Pl 1 �y VL W I 1 i K � � yyGAd y li � 'QIeH Qvn5S(4D 4JV'1R '11�l LV Of QN) ,vv IT 31VOS Ol ION Mi .B J2Aa'[ IIIRW J_.c e- / O fv 1 -i--a3d' J �n✓✓� ;,an -CN err 001 gor wig ' �fyl � t�Oly7M11Sh10� 11o7c' �f�w 01, 19ry ISIA38 �-- w sora, 'vim a �� Yl Hg LL[- i sd,H yxz L -ziA4, �N? 9 I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10038 JUDY AVE PER'S NAME: MATTHEW & NANCY KIM CONTRACTOR: TBD - TO BEI PERMIT NO: 10040097 DETERMINED DATE ISSUED: 04/15/2010 OWNER'S PHONE: 4085373556 I , I PHONE NO: LICENSED CONTRACTOR'S DECLARATION License Class 12!S Li,. #5S Z� 3 ContractorX4AAIIk ScoTT G4I-4S T! /"'` Dater * I hereby affirm that I am licensed under the provisions f C 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, 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 provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION 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 building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. � ature �ti� C��NA Date ¢/6 L a ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, 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 provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 iilding construction, and hereby authorize representatives of this city to enter i the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL REMODEL- WINDOW REPLACEMEN, MINOR DRYWALL REPAIR, HVAC INSTALL NEW GRAVITY WALL FURNACE & EXHAUST ELECTRICAL: OUTLETS & SWITCHES, MINOR ROOF REPAIR Sq. Ft Floor Area: I Valuation: $19400 APN Number: 37511014.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent:!*&^z 457- q Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional