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10040093 - DEMOCITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20874 HANFORD DR CONTRACTOR: K & M DEVELOPMENT INC PERMIT NO: 10040093 OWNER'S NAME: MARTHA KANG 10387 MIR,% VISTA RD DATE ISSUED: 08268010 OWNER'S PHONE: 4083905127 CUPERTINO, CA 95014 PHONE NO: (408)253-9787 ❑- LICENSED CONTRACTOR'S DECLARATION r r r - ��/�/� License Class �Lia H BUILDING PERMIT INFO: BIAC ELECT PLUMBR . _ MECII r RESIDENTIAL r COMMERCIAL (J !Contractor 2L%%tel t/G%97l Date hereby affirm that I am licensed under cprovisio of CI pter9 JOB DESCRIPTION: SFDWI- DEMO (1008SQFI) (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penally of perjury one of the following two declarations: 1 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. Sy. Fl Floor Area: Valuation: $9000 I have and will maintain Worker's Compensation Insurance, as pmvided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 32630059.00 Occupancy Type: permit is issued.->' :. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is correct. l agree to comply with all city and county ordinances and state lawsrelating PERMIT EXPIRES IF WORK IS NOT STARTED to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR indemnify and keep harmless the City of Cupertino against liabilities, judgments, 180 DAYS FROM LAST CALLED INSPECTION. 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 souse regulations per the Cupertino Municipal Code; Section Issued by�/�/ Date:�� -� 9.18. c"- Signature Date RE-ROOFS: ❑ O\VNER-BUILDER DECLARATION All roofs shall be inspected prior to any roofing material being installed. If a roof i5 installed without first obtaining an inspection, 1 agree to remove all new materials for hereby affirm that I am exempt from the Contractor's License Law for one of inspection. the following two reasons: 1, as owner of the property, or my employees with wages as their sole compensation, Signature Of Applicant: Date: will do the work, and the structure is not intended or offered formic (Sec.7044, Business & Pmfessions Cale) I, as owner of the property, am "elusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER construct the project (Sm.7044, Business & Professions Code). I hereby alarm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain a Certificate of Consent to self-insure for Worker's California Health & Safety Code, Sections 25505, 25533, and 25534. 1 %rill maintain Compensation, as pmvided for by Section 3700 ofthe Labor Code, for the compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & performance of the work for which this permit is issued. Safery Code, Section 25532(a) should 1 store or handle hazardous material. I have and will maintain Worker's Compensation Insurance, as provided for by Additionally, should 1 use equipment or devices which crit hazardous air Section 3700 of the Labor Code, for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District 1 will permit i5 issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Worker's Owner or nut 'xed agent` 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 mus forthwith comply with such provisions or this permit shall be deemed revoked. CON RUCTION LENDING AGENCI' I hereby affirm that there is a construction lending agency for the performance of work's APPLICANT CERTIFICATION for which this permit is issued (Sec. 3097, Civ C.) 1 certify that I have read this application and state that the above information is Lender's Name correct. I agree to comply with all city and county ordinances and sate laws relating to building construction, and hereby authorize representativea of this city to enter Lender's Address upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilitics,judgments, costs, and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit. Additionally, the applicant understands and will comply I understand my plans shall be used as public records. with all non-point souse regulations per the Cupertino Municipal Cade, Section 9.18. Licensed Professional Signature Date CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Tone Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOBADDRBSS: Zoe f//��/�p -T� BUSINESS NAME PL'RMIT# L(U�Q OWNER'S NAME: iy/q �f_ ,tl/d ✓�� PI -IONS # -;gG� 3%O. S/Z GENERAL CONTRACTOR: Cement Finishing BUSINESS LICENSE # ADDRESS: /yj ✓/1 /� /�. CITY//_IPCODE: 50I-eA *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR .FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date Owner / Con !�/S/-// C; > ate SUBCONTRACTOR BUSINESS NAME 13USINESS LICENSE # Cabinets & Millwork - Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Con !�/S/-// C; > ate 04:, Pacific Gas and I Electric Company' City of Cupertino 10300 Torre Avenue Cupertino, Ca. 95014 To Whom It May Concern: 10900 No. Blaney Avenue Cupertino, CA 95014 SUBJECT REMOVAL OF GAS AND / OR ELECTRIC FACILITIES The gas and electric facilities have been removed and / or abandoned at: do 3 11f HqK-y�kwck Dr Cx k pQ6 ✓\e> on 9/9-5110 If you have any further questions, please contact me at (4080725-3325 Sincerely, Service Planning DECEIVED AUG 25 2010 BY:____, FROM :MARK CUNHA FAX NO. :4088680426 Aug. 06 2010 03:41PM P1 COMPLIANCE & atom BAY A{ EA ENFORCEMENT AiRCLUAII-l"i DIVISION 6M ENT Y> 1, S T X I C T Mark Cimha's Paving 15 100 Montebello Road Cupertino, CA 95014 - Regulailon 11, Rule 2 Acknowledgement of Notification and Payment of Fees 8/5/2010 Job No; 3L287 Invoice No: 2MX00 The Bay Area Air Quality Management District (BAAQMSD) acknowledges receipt of your payment and y6ur Asbestos Removal or Demolition Plan described as: Demolition Site aduicss 20574 Hanford Dr Cupertino, CA 95014 Start Date Augaust 17, 2010 Completion Date October 17, 2010 Removal amounts of friable. ACM 0 linear feet 0 square feet 0 cubic Saet Should it become necessary to revise this plan, please do so in the spaces provided below and immediately copy the District by fax or by mail. REGULATION1.1-2, REVISION. E:;AAQMD-J#3L287 REVISION# START DATE CONDLETION DATE NOTE: This form is not intended as a verification of either the completeness' ofyour original notification or of its compliance with BAAQMD Regulation 11-2. ifyou have any questions about this acknowledgment, please call our � �z7cq at (415)749- 4762. i • CITY OF ` Building Department 10300 Torre Avenue Cupertino, CA 95014 Phone (408)777-3228 Fax (408) 777-3333 CUPERTINO PROCEDURE FOR DEMOLITION PERMITS The demolition application should be applied for before or at the same time as the new construction permit application (these are separate permit applications & fees). Plan check fees are due at the time of application/plan submittal. The new construction permit will not be issued until the demolition permit is issued. BEFORE DEMOLITION PERMITS CAN BE ISSUED, THE FOLLOWING STEPS MUST BE COMPLETED: SIGNATURE/DATE 1. A demolition/plot plan will be required showing any trees 10 inches in diameter at 3 feet above grade on the subject property, and what means will be taken to protect same. Three copies of this plan are required for review by the Planning Department. These need to be submitted at the time of permit application, to the Building Department. — 'G.& E. must be contacted AS EARLY AS POSSIBLE prior to demolition to schedule the abandonment. Contact P.G.& E. at (408) 725-3325. A letter from P.G.& E. shall be provided 11 to the City, stating that all gas and electric has been disconnected. (This step can be time consuming, so it is important to begin the process immediately) U 1Provide a current preliminary title report, which shows ownership of property, open deeds of trust, any liens, taxes, and a legal description. All taxes must be current and paid in full. OW—)Any liens (This excludes mortgages) must be taken care of. This report is to be issued within G%thirty (30) days prior to issuance of the demolition permit. Allow 5 working days for review. 11 out the Demolition Request Form(s) with the names and addresses (correspondence address) /i of any lending institutions, banks, lease holders, partnerships, lines of equity, or any other persons having entitlement to the property. We will send the form(s) advising interested parties that there is a request for demolition, and they have 15 business days to respond to our fice if they object to the demolition. rovide a letter of inspection, tests, and abatement of any Hazardous Materials. Letter to be v initiated by person(s) certified in asbestos, mercuryand/or hazardous material examination. 6. Check to see if the building is considered an historical landmark. Obtain clearance from the Commun ty Development Planning Department. Allow 10 working daLs. Provide a letter of clearance of all vermin from a licensed pest control contractor. Important: Prior.to the issuance of the demolition permit, the applicant must call the Public Works Department at (408) 777-3104 and arrange a "habitable dwelling" inspection. $"tel 9. Debris bin and Recycling sheet: read, sign and date. The sheet will remain in the project's building permit file for the duration of the project. 10. Prior to issuance of the demolition permit (commercial only), the Fire Department must review the plans for fire suppression/ alarm systems that shall remain in service or be modified during Demolition or that shallbe replaced with the new construction. Revised 06/10/09 i WNW PESTCONTROL April 19, 2010 To Whom It May Concern: RECEIVED APR 19 2010 BYL The property at 20874 Hanford Drive, Cupertino, California, 95014, i was inspected today for any infestation of rodents. No active infestation was found. Mike Stadmiller, Field Representative 4AC —I &d11 41 408-866-6609 I Pacific States Title Services William E. Le Roy, owner Martha Kang 20874 Hanford Drive Cupertino, CA 95014 465725ondahrood Drive Plensovon, Cd 94588 (925) 989-7509 1925) 846-6658 tax pacstSet,aol.coni Updated Report This report is based upon a review of -the public records that impart constructive notice of the matters herein. It is not a guaranty nor is it any form of title insurance and in issuing_ this report no liabilit%• is assumed. expressed or implied thereby. If a _uaranty or title insurance is desired. please contact: Chicago Title Company 675 N. I" Street. Suite 300. San Jose. Ca. 951 12 (408)283-3500 Real Property commonly known as: 20874 Hanford Drive, Cupertino, CA. Effective Date of this report: April 9, 2010 at 7:30 A. M. The land herein is vested in: Martha Shan Ping Kang as Trustee of the Kang Revocable Trust dated September 16, 1994 The estate or interest reported covered by this report is: a fectr,�, &p gPRIs 0�� j0 ENCU,MBFtANCI,S 1) Real property taxes for the fiscal year 2009-2010, as follows: Assessor's parcel Number: 326-30-069 Land: S 1:026:000.00 Improvements: S 63;000.00 Ist Installment: S 6.462.00 PAID 2nd Installment S 6.462.00 PAID Code Area: 13-003 2) The lien of supplemental taxes, if any, assessed pursuant to Chapter 35. commencing with Section 76 of the California Revenue and Taxation Code. 3) Special Tax for Santa Clara County Library District Joint Powers Authority Community Facilities District No. 2006-1. Under the Mello -Roos Conununity Facilities Act of 1982 as disclosed by a Notice of Special Tax Lien Recorded ,lune 24. 2006, Instrument No.. 18438676. Official Records, payable in c011tinuin0 installments collected with real property taxes. 4) Covenants, Conditions and Restrictions, but omitting any covenants or restrictions. if any; including, bat not limited to those based upon race, color, religion, sex, sexual orientation. familia status. marital status. disability, handicap, national origin. ancestry or source of income. as set forth iu applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law, Recorded: September S. 1960, Book 2049. page 637 of Official Records. And as modified b_v instrument Recorded: September 22. 1960; Book 2101; page 146. Instrument of encumbrances----------------------- City of Cupertino Public Works Department 10300 Torre Ave. Cupertino CA 95014 (408)777-3354 Debris Bins Debris from a project in Cupertino can be collected and disposed of in either: 1. a Los Altos Garbage Co. bin (call 725-4020 to order), OR 2. a bin owned by the project's general contractor or demolition contractor, and hauled by a vehicle owned and registered to that contractor (contractor should be prepared to prove ownership), OR 3. a private truck with a bed, but no bin The Los Altos Garbage Company is the only debris bin service provider franchised to do business in Cupertino. Bins from other leasing companies may not be used in Cupertino. Please check all that apply: ❑ I will use a Los Altos Garbage Company bin ❑ I will use a bin and truck owned by the general contractor or the demolition contractor. I will use a private truck, and not drop a bin. Recyclable Materials Recyclable materials may be collected in private debris bins or containers leased from ANY company, as long as the materials are both: 1. separated by type of material into separate containers, AND 2. are not contaminated by garbage. Separated recyclable materials are materials that are separated into individual containers, each containing just one type of recyclable material. Typical examples of recyclable materials include: metal, wood, concrete, steel -reinforced concrete, asphalt, tree trimmings, white goods, toilets (hardware removed), rocks and clean fill dirt. Separated recyclables must ultimately be recycled or otherwise reused, and not disposed of in a landfill. Contractor should be prepared to provide the name and phone number of any recycling companies being used on the project. A list of local recycling companies can be found at: www.recyclestuff.org. .............................................................................................. Signature: Name (printed): APR 15 2010 Title: Phone: �� 90• S /Z Project address: This form to remain in the project's building permit file for the duration of the project. Revised 1/03 CITY OF CUPERTINO ' rml-e- DEMO OF CUPERTINO PERMIT APPLICATION FORM APN# 3a J Q S v -t7 Date: Building Address: 20,F74 'D °2 . Permit Type Mailing Address (if different from building address): 1DEMORES /o3d' /'�1i2� ✓rs � •e.� B Owner's Name: Phone: 1`1192Jti19 .Kl9rvr- B 1SFPOOL-DENT Contractor: 1BCBSC Phone: B ALL PEFAUT TYPES 1BSEISMICRE Seismic Residential Fax: Contractor License #: P/ Cupertino Business License #: Contact: Phone: 3,9o. S/ Z17 J Fax: lfv J'. Z53. 9�crl Residential X Sq Footage Commercial ❑ Sq Footage Job Description: Valuation: Project Size: Express ❑ StandardX Large ❑ Major ❑ Please complete relevant portions of the Green Building Checklist & attach it to the application or if applicable, include on the plan set & the sheet index. Quantity Fee ID Fee Description Fee Group_ Permit Type 1DEMORES Demo -Residential B 1SFDWL-DEM 1DEMOPRES Pool Demo Residential B 1SFPOOL-DENT 1BCBSC Cal Bldg Standards Commission Fee B ALL PEFAUT TYPES 1BSEISMICRE Seismic Residential B Revised 01/07/09 N_ I TIP. POST EL Eva TION' NOTES' 1. THE DEVELOPER SMALL INSTALL THE TREE -PROTECT ION DEVICES - PRIOR TO. THE START OF GRADING OR CLEARING WORK• CITY RESERVES THE RIGHT TD ISSUE A STOP WORK' NOTICE IF 2. THE THE TREE PROTECTION' DEVICES ARE NOT INSTALLED OR IF THE DEVICES ARE NOT MAINTAINED PROPERLY. S• E THE POJECT GRADING PLAN FORIC TREES THAT OUHtE f ' pPRROTECTIONR ALL SPECIMEN REQUIRECIFPROTECTION UNLESS .' OTHERWISE NOTED. THE TREE PROTECTION AREA- ARE ALLOWED {• NO EXCAVATIONS WITHIN A REGISTERED TREE SERVICE COMPANL UNLESS UNDER. THE SUPERVISION OF TREE PROTECTION AREA' SMALL BE DONE IN ' S. ANY FILLING WITHIN THE IM PROVE PLAN APPROVED BY THE CITY. »� ACCORDANCE WITH A DETAILED 6, NO THINNING, CUTTING,OR PRUNING OF DESIGNATED TREES CAN OCCUR s WITHOUT A REGISTERED TREE SERMCE COMP"r' . _ ' 7. CONSULT ORDINANCE 7TS OF THE CITY OF CUPERTINO FOR PERMIT ' REQUIREMENTS AND EXCEPTIOML ' TEMPORARY CHAIN LINK FENCING IS AN ACCEPTABLE SUBSTITUTE TO ' THE WOOD CONSTRUCTION. TREE PROTECTION STANDARDS • I , ----- ---- - -- NVId MIS I � 99a YW414 'IH*7 uk1t11 a44. / _ Ie7 L. _ a'sar N l •I xy / � to N cn co dD N ` / Z f � 0S a oma ,1. y � rm_. f• ) / A°ed �0�3��•Q,Z _D Zig • � '�S"3 i<°rJ¢I MVI•? a ,cis -z n o oRoo WD OR _.I N V nn Woll .9l'8L-.&OLLLo99N: _HOTd9 oa um3 eojH,9ao wnM