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12120095CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 21270 RAINBOW DR I SHENG ACTOR:ND W LG STEVE KUANG- I PERMIT NO: 12120095 I OWNER'S NAME: WANG STEVE KUANG-SHENG AND LESLIE L 121270 RAINBOW DR I DATE ISSUED: 12/18/2012 I OWNER'S PHONE: 4088919488 I CUPERTINO, CA 95014 I PHONE NO: I B LICENSED CONTRACTOR'S DECLARATION License Class 0-210 Lic. # U c" Cr Contractor 42�% v_ Date Zi i I /Js/ I hereby affirm that I am licensed under the provisions of Chapter 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 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 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. -.n x ---//L Signature Z, e Date Z g '2/ ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 & 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 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. Signature Date BUILDING PERMIT INFO: BLDG I— ELECT F PLUMB r— MECH r— RESIDENTIAL COMMERCIAL r— JOB DESCRIPTION: REMOVE AND RELOCATE FURNACE TO ATTIC AND REPLACE DUCTS; REMOVE AND REPLACE AIR CONDITIONING Sq. Ft Floor Area: I Valuation: $14200 APN Number: 36651012.00 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 uthorized ager 6,4.,A - w _ Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Wrk's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina(alcuoertino.org F] PLUMBING 06HANICAL ,ELECTRICAL ❑MISCELLANEOUS MEP M Isc 2 J V��, PROJECT ADDRESS -7,12.70 �j ` tIIN APN # � � v � ✓/ l OWNER NAME C-I� PHONE 44 0 V kL O E MAa. STREET ADDRESS/ ti r� CITY, STATE, ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSEE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS 4ZZ'.S Q ,, y �� GG44 CITY, STATE, ZIP C -A %3 { T PHONE � O/r�� "}, �' ` iG ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME ' E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or DUPLEX ❑ MULTI -FAMILY BUILDING: ❑ COMMERCL4L PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA NO PROJECT IN YES FLOOD ZONE NO IS THF BLDG AN ❑ YES EICHLER HOME? NO DESCRIPTION OF WORK +•�_ TOTAL VALUATION: RECEIVED BY: /1 By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ze representatives of Cupertino to enter the above-identifiedproperty for inlspection purposes. ordinances and state laws relating to buil onstruction. IIZI Signature of Applicant/Agent: "' PA ie -, A Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY w OVER-THE-COUNTER L r F- Y EXPRESS U U ❑ STANDARD a ❑ LARGE ❑ MAJOR MEPMiscApp_2011.doc revised 06121111 CITY OF CUPERTINO rm-7, FEE ESTIMATOR —BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 21270 Rainbow Dr DATE: 12/18/2012 REVIEWED BY: Sean UNITS APN: BP#: *VALUATION: 1$14,200 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # PENTAMATION FURN/AC I PERMIT TYPE: WORK Remove and relocate furnace to attic and replace ducts; remove and replace air conditioning. SCOPE Supp/. lllsp hze APPLIANCE / EQUIP TYPE FEE ID , QTY UNITS BP FEES k7cc. 1"! snit 1""e: Furnace, Forced -Air 1MFR=<100 Orh� i� �;Iec.1nsp, Li 1 # $133 A/C Units (<=10K cfm) 1BREMAIR Supp/. lllsp hze 1 # $67 PME Unit Fee: $200.00 PME Permit Fee: $45.00 (.1onstruction TaX. Administrative Fee: 1ADMIN $42.00 Work Without Permit? 0 Yes (F) No $0.00 TOTALS: Travel Documentation Fee: 1TRAVDOC $200.00 Strong Motion Fee: IBSEISMICR NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the prelimmina information available and are only an estimate Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Ejf. 71'1!12) Mech. Plan Check0.0 hrs $0.00 , tf'ho? c`h'ck Mech. Permit Fee: 1MPERMIT k7cc. 1"! snit 1""e: Lt,her Mech. Insp. 0.0 hrs $45.00 Orr;c�r P`rrfnh 7 ,�-�� Orh� i� �;Iec.1nsp, Li lrzsp. 1��'e: t'hrrrib. 1i-s��. FeC��: t-lcc lnsp. F"rv": NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the prelimmina information available and are only an estimate Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Ejf. 71'1!12) FEE QTY/FEE MISC ITEMS Plan Check hire: Suppl. P(_` FCC PME Plan Check: $0.00 Supp/. lllsp hze PME Unit Fee: $200.00 PME Permit Fee: $45.00 (.1onstruction TaX. Administrative Fee: 1ADMIN $42.00 Work Without Permit? 0 Yes (F) No $0.00 ,Idvallecd P/al'milgt. 1`ccs: Travel Documentation Fee: 1TRAVDOC $45.00 Strong Motion Fee: IBSEISMICR $1.42 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $334.42 $0.001 TOTAL FEE. Revised: 10/01/2012 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC Climate Zones 1 and 3 - 7 Site Address:_ �� :?—t Enforcement Agency: Date: Permit #: Conditioned Duct insulation Equipment T el List Minimum Efficiency 2 Floor Area requirement Thermostat P ckaged Unit Furnace n � ® COP Served by Over 40 ft of ducts Setback �50oor Coil EER HSPF system ^ added or replaced in (If not already present, must be ondensing Unit _ EER 13 Resistance sf un nditioned space R installed) 0 Other 6 (CZ 1, 3-S) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPF for typical residential systems. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Signature: �( Company: �} , _ Q4✓L vWw- L Date: `2 t,$ L -Z Address:h License: City/State/Zip:?)41- Phone: 9N-%-12, 2008 Residential Compliance Forms Alarch 2010 County of Santa Clara Office of the County Assessor County Government Center, East Wing 70 West Hedding Street San Jose, California 95110-1771 FAX (408) 208-0446 www.scc-assessor.org Page 1 of 1 Public Information - APN:356-06-028 Printed on: 11/14/2012 3:08:10 PM APN: 356-06-028 TRA: 13-026 Title ID: 91984587 Doc No: 21048786 Name: CHEN, PING AND DU, JUN Last Trnsf. Date: 1/14/2011 Situs: 22064 BAXLEY CT CUPERTINO, CA 95014-4744 PUB: N Mailing: 22064 BAXLEY CT CUPERTINO, CA 95014-4744 Appraiser: AARON FELDMAN (5320) Use Code: 01 Assessee Type: Owner Type: I (Individual) Sales Conf Code: 1SA District: 1 LAND: 1,068,960 IMPR: 267,240 EXEMPT: 7,000 NET VALUE: 1,329,200 Values Value Type CTR HR1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 (2012) (2011) (2010) (2009) (2008) (2007) (2006) (2005) (2004) LAND 1,068,960 24,324 24,143 24,201 23,727 23,262 22,806 22,359 21,921 IMPROVEMENT 267,240 106,711 105,914 106,166 104,085 102,045 100,045 98,084 96,161 TOTAL VALUE 1,336,200 131,035 130,057 130,367 127,812 125,307 122,851 120,443 118,082 HO EXMPT 7,000 7,000 7,000 7,000 7,000 7,000 7,000 7,000 7,000 OTHER EXMPT 0 0 0 0 0 0 0 0 0 TOTAL EXMPT 7,000 7,000 7,000 7,000 7,000 7,000 7,000 7,000 7,000 NET VALUE 1,329,200 124,035 123,057 123,367 120,812 118,307 115,851 113,443 111,082 EXEMPT TYPE1 7 7 7 7 7 7 7 7 7 EXEMPT TYPE2 EXEMPT YR 2012 1997 1997 1997 1997 1997 1997 1997 1997 Characteristics Property Type: SF Building No.: 01 Total Rooms: 6 Dining:0 Family: 0 Bedrooms: 3 Bathrooms 2 Utility: 1 Model No.: 1922 Quality: D070C Area of Mod: 1922 Usable SQFT.: 12768 1st Floor: 1922 2nd Floor: 0 3rd Floor: 0 Basement: 0 Basement Factor: 0 Addition:0 Addn Factor: 0 Garage: 440 Garage Fac: 0.43 Acres: 0.29 Year Built: 1965 Effective Year: 1965 Condition: A Special Prop: N Property Type: 1 Zoning: R1 Neighborhood: 204 Sub Neigh: 599 The Information contained in this report has been extracted from Assessor records which are not continuously updated. For that reason, neither the Assessor nor the County of Santa Clara accept any responsibility or liability for errors, omissions, or approximations which may exist in the information. The user expressly accepts the information contained herein with the knowledge that errors and/or omissions may exist. 11/14/2012 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 'Ll; V70 L. r•PERMIT # i �-' OWNER'S NAME: PHONE # GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: *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. ` I am not using any subcontractors* ,4_� " g l Z Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS 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 / Contractor Signature Z g r' Date SANTA CLARA COUNTY RESIDENTIAL UNIT PROPERTY RECORD 7, ADDRESS Z I-Oel 'y _61_ST�_ICT No. TRACT No, LOT BLOCK DESCRIPTION Of BUILDING R 0 FIREPLACE 12 ROOM AND FINISH DVAIL rLaORS ROOM FINISH INTERIOR FINISH a I I MATERIPIP WALL$ T CEILINGS OfMARKS --------------- GAOL IF CARR E CIUE At 1, RECORD DATA 21 co-op zi TRACT No 23 AREA 26 BUILDING DATA 6 COST DATE I to I DESIGN it TAR AND OAV(t WALL GRAVITY 14 PERIM )5 CONC Rf I f (11c CEILING 13 KITCHEN DETAIL jb j CONDIYION I I Ili I RADIANT 6511D KI U."I'll N CAD ROCK 1`1111ERM, DWROSCANIOP I CA I� SPLASH HANU CAB IT 39 107 AL ROOMS 1,A cc, 14 BATH DETAIL OOR FIN III FIX TUR ES 40 FAM-RUMPUS,DEN 44 41 CEIIIIIAL HEAT No t5 MISCELLANEOUS STRUCTURES 1 46 CENTRAL COOLIK IS ADORE v I r I'm (NO CON txy ROOF I, k 11my SIZE UNII (OSI R! 41 GAR. ADEQUATE No �v I's 1. IGH TING MANY 001) IfEc FIX COST DATA SUMMARY %�411 COST LEVEL BASE YP IIEM TAJ,,'l AIKA UNIT COSY cost ijulf COST COST UNIT COST COST N?$ 7 FLOOR 55 QUALITY CLASS No AREA FON MOD GARAGE IIEATING !I$ /NO f L 010 AR LA PORCH vv JRD FLOOR AP FA 6h ADDITION AREA 0"ll WOOD 110% ADDITION FACTOR 70 GARA61 AREA I VR� PORCH TOTAL COST BUILDING PERMIT ACTIVITY J19 f I AT WORA AREA TVISC COST 41 POOL COST 44 DISHWAS11IR REMARKS HIRIAKtAfil MAR rod s VACUUM (A (ANI It WTI 0 AR k~ L wl }� d— |t LAND VALUE COMPUTATIONS N 5 y [At? UNIT VALUE FRONT FT VALUE Siff VAI.Uf VALUE LAND ATIF0801s 110 IOU I 4;t4AH Nil YES 1116 CIll DI 'iAl. No J, TOTAL PROPERTY SUMMARY ;11�11 Ail[Y ASSESSMENT YEAR 19 19 19 19 11 LISTED SALE PRICE EW MARKET DATA INOICATOP t PA TOTAL PROPERTY j PERSONAL PROP VALUf I-OPOGRAPHY r— — — ^— ^— -- — ^— -- -- — -- —� PLAT OF BUILDING 14,4 LAND VAI Lit 141 iFhf' VALUE Value Ratins 1�1 OW 1,01 VAL10 NEIGHBORHOOD10 AIN11 rM PI dit r 14,4 LAND VAI Lit 141 iFhf' VALUE Value Ratins 1�1 OW 1,01 VAL10