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CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22256 S DE ANZA CIR CONTRACTOR: RATTS CONSTRUCTION PERMIT NO: 13020006 OWNER'S NAME: CHAN KINKWAN AND YANG XIAODONG 49 MARTINS BEACH RD DATE ISSUED: 02/04/2013 OWNER'S PHONE: 4084464758 HALF MOON BAY, CA 94014 PHONE NO: (650) 492-5901 Q" LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lic. # (O REMOVE & REPLACE FURNACE W/95% EFFICIENCY FURNACE Contractor RnS ate TO UNDER HOUSE, CONVERT UTILITY ROOM TO NEW I hereby affirm that I am licensed under the provisions o Chapter 9 1/2 (commencing with Section 7000) of Division 3 of the Business & Professions BATH W/SANIFLO GRINDING TOILET & CONNECT TO (E) 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 acertificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $16000 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 APN Number: 35602020.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DA PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY ST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, - costs, and expenses which may accrue against said City in consequence of the ,J granting of this permit. Ad 'tionally, the applicant u tends and will comply ed b Date: with all non -point sour r ulations per the Cuperti o nicipal Code, Section 9.18. 0,/,/, RE -ROOFS: Signature Date 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS 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. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: - Health & Safety Code, Section 25532(x) should I store or handle hazardous I 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 AreaAir QualityMana emen t District I performance of the work for which this permit is issued. will maintain compliance with the Cup Lino Municipal Co hapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by e the Health & Safety Cod, Sections 5, 25533, and Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorizeagent: Date: d 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I 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's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 1 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 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION IlaADDRESS: 22256 S. De Anza Circle DATE: 02/04/2013 REVIEWED BY: jsg PC FEE ID pPN; Bp#; 'VALUATION: $16,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD Or Duplex 2nd Unit? 0 Yes No ©Yes ©No PENTAMATION 1R3SFDADD PERMIT TYPE: USE: OTC. WORK Remove and replace furnace in new location in crawls ace. Install maceratingtoilet sink and electrical SCOPE circuit for new bathroom. OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IVN-B 0 $0.00 dlech. Insp. Fee.: $0.00 Elec. Insp. Fee: $0.00 PME Plan Check: $0.00 F-1-1 # $45.00 Plumbing 1 IPREPPIPE Piping, Drainage Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 1 his $0.00 2 # Plumbing $20.00 IBPF=RE I Fixture set on One Trap PME Unit Fee: $0.00 PME Permit Fee: $90.00 TOTALS: 0 $0.00 $0.00 rr MECH, HOURLY'' Mech. Plan Check 0.0 his $0.00 OYes ORW ;EHEC, HOURLY ,: ,:O Yes 1Q Plumb. Plan Check 0.0 his $0.00 Elec. Plan Check - Mech. Permit Fee: I.NPERMIT Plumb. Permit Fee: IPPERMIT Etec. Permit Fee: Other Mech. Insp. 1 0.0 his $45.00 Other Plumb Insp. 0.0 his $45.00 Ocher Elec. Insp. dlech. Insp. Fee.: Plumb. Insp. Fee: Elec. Insp. Fee: NOTE: This estimate does not includefees due to other Departments fLe Planning, Public works, Fire, Sanitary Sewer District, Scauut _ -__- _ _•___a.....r......,.n...:».....:»! . nan» n nanhle rind oro nn)v nn acXmato_ Contact the Deal for addn7 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =# $133.00lM;R=<1oo Mechanical Furnace, Forced -Air Suppl. PC Fee: Q Reg. Q OT0.0 his $0.00 PME Plan Check: $0.00 F-1-1 # $45.00 Plumbing 1 IPREPPIPE Piping, Drainage Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 1 his $0.00 2 # Plumbing $20.00 IBPF=RE I Fixture set on One Trap PME Unit Fee: $0.00 PME Permit Fee: $90.00 7771 Construction Tay: Administrative Fee: O E) Work Without Permit? O Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 Travel Documentation Fee: ITRAVDOC $45.00 Strong Motion Fee: - IBSEISMICR $1.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $137.60 $198.001.,`1 k `,4TOT,ALFEE, $335.60 3 0 Revised: 01/01/2013 CUPERTINO bb CONSTRUCTION PERMIT APPLICATION op COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION OT 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 M (408) 777-3228 • FAX (408) 777-3333 • buildingOcuDertinG.ora ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT H PROJECT ADDRESS APN# 36802 -FA 22256 S. De An= Circle, Cupertino, CA D Z — p 7-0 OWNERNAML Kinkwan Chan and Xladong Yang PHONE 406.16.4756 &MAH. ken0410806yahoo.wm STREET ADDRESS 22256 S. De Anza Circle CITY, STATE,ZIP Cupertino, CA 95014 FAX CONTACT NAME Tom Waugh PHONE 650.291-9861 E-MAIL tomorattsconstroctlon.Cem STREET ADDRESS CITY, STATE, ZIP HaHmoon Bay, CA 94019 FAX #49 Martina Beach ❑ OwNER ❑ OwNER-BUILIIER ❑ OwNERAGENT DTCONmACTOR ❑ CONTRACrORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVatopm ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSETYPE BUS.LIC# Tom Waugh 951631 B 7 O COMPANYNAME &MAIL FAX Ratts Construction Tom Oratteconstruetion.eom STREET ADDRESS CITY, STATE, ZIP PHONE 9 Martins Beach HeHmoon Bay. CA 94019 SSG -492-5901 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME &MAH. FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK Remove and replace furnace with 95% furnaced, move furnace under house, convert utility room to bathroom install Seattle arinding toilet and connect to existina sewer. Add new 20 A electrical circuit for bathmoom. Lower coiling In bathroom to r v. EXISTMGUSE PROPOSEDUSE CONSTR.TYPB I #STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM str OTHER REMODELAREA 22sc REMODEL AREA REMODELAREA PORCHAREA DECKAREA TOTALDECKIPORCHAREA GARAGEARFA: DETACH ❑ATTACH I I N DWELLING UNITS: MASECOND UNIT VES SECOND STORY OyES 1 REMGADDEDr O ADDITION? ffNO PRE -APPLICATION OYES IF YES, PROVIDE COPY OF ISTREBLDGAN [I YES RE Y: TOTAL VALUJA(�TION�: AMOAPPL# []NO PLANNMO APPROVAL IErrIDt PLNN Ercm.ERHOMET [3 NO I / 4 ` v By my signature below, I certify to each of the foll n I arathe property owner or autho ' agen o act a property owner's behalf. I havc read this application and the information I have provi ' co I. I have read the Descriptio 0 ork an v it i c te. I agree to comply with all applicable local ordinances and state laws relating to buildin ction. [ au tiv f Cupert to enter the above -id led p perty for inspection purposes. Signature of Applicant/Agent: Date: / 3 SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP vRR-THE-COUNTER ❑ BUILDING PIAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is requited prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNINGPLANREVIEw —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ElSTANDARD ❑ PUBLIC WORKS Tom if any Hazardous Materials are being used as part of this project ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ M"OR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp2011.doc revised 06121111 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST *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($) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: ✓ SUBCONTRACTOR BUSINESS NAME 'B.USINESS LICENSE # Cabinets & Millwork '••' •r'!/..f' •• *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($) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: ✓ SUBCONTRACTOR BUSINESS NAME 'B.USINESS 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 -------------------- I r-- --------------- w� waw waw—� w/w — I I ,. W of g N I \ H/AC H/AC ! N y<,,, New High —1121 AR I Efficiency Furnace I a Bryant 95% 2'HVA£ I 'd I I L— — — — — — — — — — — — — — — — - I O ------------- Existing 4" WM line I I c1FFICE COPY " rna (71 P W NSC) NNp . . N=cS 1NNNNcae p 3 3 3 > 40 O O O O N —n _ 3 i N C-- O D O 0 0 O w X S p A n 3 ? N tl1 3 D W W —' ———m c m m K: 3 � r-7 IS, Oo 1 r (wo mJ yi p n RO _ _ T�71 d fa C () n N O V O �0 0- W LG ®FE o �i C7m.O•. 1.N 1 c� 3 t � _ mCID :0 N O '* I l � - - O 2668 < c1FFICE COPY " rna Co 0 d RESIDENTIAL REMODEL FOR: Kinkwan Chan and Xiaodong Yang a ~ APN:356-02-20 m 22256 De Anza Circle South s Cupertino, CA 95014 TK Waugh & Co. 650-291-9861 General Contractor C.L. #894653 22293 N De Ann Circle Cupertino, CA 95014 Designed by: o TK Waugh & 0 --1. l.UpeLlno, GA `JU 14 C, JW CA 950 14 11 L � (71 P W NSC) V07 C31n . . N=cS 1NNNNcae p 3 3 3 > 40 O O O O N _ 3 i N O 0 0 O w n 3 ? N tl1 3 D 0 (Op ° c m m K: 3 IS, Q N 3 3 11 7 3 `� n RO _ _ y, — < d fa C () n N O V O �t <G 3 O z p tz W LG T 9 o �i C7m.O•. 1.N 1 c� 3 t � _ mCID N O '* O �- o cn 3 Co 0 d RESIDENTIAL REMODEL FOR: Kinkwan Chan and Xiaodong Yang a ~ APN:356-02-20 m 22256 De Anza Circle South s Cupertino, CA 95014 TK Waugh & Co. 650-291-9861 General Contractor C.L. #894653 22293 N De Ann Circle Cupertino, CA 95014 Designed by: o TK Waugh & 0 --1. l.UpeLlno, GA `JU 14 C, JW CA 950 14 11 L � N V N O 0 —� N A C C- 11 w/w w/w– I I.I -----------------� — — — — — — - — — - - � w / W Existing 4" W/W line F -I I — — — — — — — — — ` — — — — — — — — — — — — — — — — — — — — — — — - -------------------- w/ w/W w/w—� w/w— Existing 4" WAN line 04 of I H/AC H/AC I H/AC I �'=.,c New High — 12^12^ cAR CAR ,2"° N � cc Efficiency Furnace \ 5 I d r Bryant 95% 12'11VA4 \ N I N00 , I £ NN —------------------ — IIi V uN�o C:)y X ip 0 IOU �---wm Qr— m T7 C� _ N A T 14'-11' II p • � O A L — — 2°68 R 1_I Co 0 cr f a RE5IDENTIAL REMODEL FOR: TK Waugh & Co. Designed by: a� W ,- -n – Kinkwan Chan and Xiaodong Yang 650-291-9861 TK Waugh & Co. 0 D �" X General Contractor N 22256 De Anza Circle South C.L. #894653 Wm Cupertino, CA 95014 P 22293 N De An>a Circle F 60 Cupertim, CA 95014 y4 1 x� _ -- C 00 0 4.n• St zeas 9 T ao,ms aaas 3oss 44�s 4aas — — — — — — — — — ` — — — — — — — — — — — — — — — — — — — — — — — - -------------------- w/ w/W w/w—� w/w— Existing 4" WAN line 04 of I H/AC H/AC I H/AC I �'=.,c New High — 12^12^ cAR CAR ,2"° N � cc Efficiency Furnace \ 5 I d r Bryant 95% 12'11VA4 \ N I N00 , I £ NN —------------------ — IIi V uN�o C:)y X ip 0 IOU �---wm Qr— m T7 C� _ N A T 14'-11' II p • � O A L — — 2°68 R 1_I Co 0 cr f a RE5IDENTIAL REMODEL FOR: TK Waugh & Co. Designed by: a� CD m� Kinkwan Chan and Xiaodong Yang 650-291-9861 TK Waugh & Co. 0 D �" APN: 356-02-20 General Contractor N 22256 De Anza Circle South C.L. #894653 Cupertino, CA 95014 P 22293 N De An>a Circle F Cupertim, CA 95014 CD � � N N • N N N (iJ) 20.86 "_ 10 E (N} 20. P D D CO) 101 ; " tom - ;v� m2'-7.. d� i tS—_ - N to A IJ A) .P 11 II -n Al �3 4' rn w o -nn — 7 < 68 2 68 y;io Cf 1 W 0) W i co ---------------------- Ir— ------------------ d CD I w/ W w/ W w �W Existing 4" W/W line M W 0 I ms p.w zr 1 H/AC H/AGC - 90 New High — ;�'�"„R \ I Efficiency Furnace ' I Bryant 95% +z^ HVAC a� Is, � I yN GSA mC I I �- wI ------------ II fl. E f-- -Ui //DMZ _< bD p_ Cov n Ar- oTX x N �® —0 IQ'11• p j_ rc gg < y r 4..S ts1.. aae t'nr 4'-+- 4aas ta. i d o d RESIDENTIAL REMODEL FOR: TK Waugh & Co. Designed by: per° m m Kinkwan Chan and Xlaodong Yang 650-291-9861 TK Waugh & Co. w o D APN: 356-02-20 General Contractor w ; 22256 De Anza Circle �vouth C.L. #894653 -, s Cupertino, CA 95014 22293 N De Ama Qrde pp Lupe Vrio, CA 95014 C s 0 10117,12 FLOSFA grow My Project Trn'".„aa Product Catalog <0.2. SANISTARS Pro cuct tlmai s'or SAN STAR D.mensians (H.,ght r V;ic'•h x Depthl Discharge P,K Da,va, (ant Dscharge Rate at Max. Height ;gran) Electrical Supply IV) Horizontal Dlscharge(fi) Hnrnlp rer Maximum Tempemlure ('F) Min. Gamy Fall on Horizcnlal Run Mo!cr Speed (RP6l) Vertical Discharge (R) . Water Codsanl hon (ga:lons) Detail 1 wrele .o, I?.' 'I.' c,ura:r: x,.,. :It n-,_.-I-ll-, 16-3'8' x 15%' x 20/,- 19 115 too 04 95 VA, per!cot 3600 9 I Detail 2 WALL MOUNT Comer Lavatory 1 01350 1 15 314' x 15 314' 15718” a O N I meati �4 \ 11`p WALL MOUNT Comer Lavatory 1 #1350 1 17 314"X 17 314" Revision By Original TMW al- CHEVVIOT PRODUCTSINC- 1 800 4445969 Q U. U J LLIt U e L � S � Lo S W 04 I a1 3N R�Zg E N W =I Y CO i � N d N C3 L Z C',> i De ' Y3Y Complete product list' � F t �n Q U. U J LLIt Detail 3 L O S � Lo = 7 W 04 0 Q 3N R�Zg E N W =I Y CO �Nn J V U N d N C3 L Z C',> i De ' Complete product list' t � k � Half Bathroom Complete Bathroom Kitchen or Laundry Room Entire Homes 8 Condensate Removal Commercial Bryant Legacy 95 Se14Containetl Units External Macerators Gay Water Pumps Applications Condensate PumpL+--"' Key Features SaVGRPaQ=.• ;alAQY6E]i. ;Nwiip:^ Packaged Ginding Solems SAYCC\'M1�f. GVSIAY- a\3YYSL °'l4 1. Tremendous energy savings -up to 95%AFUE a\aus_ H„1 ”^Oi12` 2. Fan On Plus TM technology External Macerators 3. Sealed combustion system M ..unillo.wrWhomeoxnersisfa-product-linels nistar-8 1,2 4. Stainless steel secondary heat exchanger 5. Pilot -free PerfectLightTM ignition 6. 10 -year parts and 20 -year heat exchanger limited warranty Q U. U J LLIt L O S � Lo = 7 W 04 0 Q 3N R�Zg E N W =I Y CO �Nn J V U N d N C3 0 U. J LLIt O } = 7 W 04 0 Q ft E N W taaQU C6 8 L Z C',> i De x°dNC) Date Drawn T. Waugh Job Scale Page A-4