09090207I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 10544 JOHNSON AVE I CONTRACTOR: DWK CONSTRUCTION I PERMIT NO: 09090207
OWNER'S NAME: GANG ZENG
f 'ER'S PHONE: 6263211646
❑ LICENSED CONTRACTOR'S DECLARATION
License Class_ Lic. # Q;W 0>?
Contractor xk (M5TgLLCTI W
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
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.
L 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 stricture 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).
1 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
ind---,nify and keep harmless the City of Cupertino against liabilities, judgments,
C, ad expenses which may accrue against said City in consequence of the
gra..,.ng 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
18665 LOREE AVE I DATE ISSUED: 10/09/2009
CUPERTINO, CA 95014 1 PHONE NO: (408) 996-1186
BUILDING PERMIT INFO: BLDG F ELECT I— PLUMB i
MECH I— RESIDENTIAL r— COMMERCIAL I—
JOB DESCRIPTION: DEMOLITION OF SFDWL & CARPORT (I 120SQ)
Sq. Ft Floor Area: I Valuation: $6000
APN Number: 37528036.00 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 1 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: D
Date:�� •T/,
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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
CITY OF
CUPEkTINO
CITY OF CUPERTINO
DEMO
PERMIT APPLICATION FORM
moq O-�a-�
APN#
-75"?- Po 3 b. o 0
Fee ID
Date:
Building Address:
Permit Type
iGs�_a aohmsm 4w.
1DEMORES
Mailing Address (if different from building address):
B
Owner's Name:
Phone:' >6) 3
CAA6 ZE A�67
B
1SFP00L-DEM_
Contractor:
DiJ K C 01,1sTRUe T1 a[/
1BCBSC
Phone: 996 — o 8
B
ALL PERMIT
TYPES
Fax: 4(8 —tt 86
Contractor License #:
Seismic Residential
Cupertino Business License #:
Contact:
Tull',e HE
Phone: 4(-o8)
Fax:
Residential RJ Sq Footage Commercial
❑ Sq Footage
Job Description: ht a�l
Valuation:
�6 tet,
Project Size: Express Standard ❑ 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
1SFP00L-DEM_
1BCBSC
Cal Bldg Standards
Commission Fee
B
ALL PERMIT
TYPES
1BSEISMICRE
Seismic Residential
B
Revised 01/07/09
�xJ
CITY Of
CUPEI�TINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:_ / /
PERMIT # 7
SUBCONTRACTOR
BUSINESS NAME
OWNER'S NAME: 64,V& 2F-,ALj
PHONE #
GENERAL CONTRACTOR: PtVK c' CRVfT CW
FAX #
y l
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
Owner/ Contractor SignatuW Date
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 SignatuW Date
September 30, 2009
City of Cupertino
To whom it may concern,
We write this letter to explain, all the joint owners of 10544 JOHNSON
AVE, CUPERTINO, CA, Gang Zeng, Tie J Zeng and Zhonghua Zheng,
agree to knock down the old house on the address and rebuild a new
house.
We appreciate your work.
Your sincerely,
Gang Zeng
Tie J. Zeng
�CEIVED
CC -i 0 g 2009
BY:
Zhonghua Zheng
Pacific Gas and
Electric Company'
10900 No. Blaney Avenue
Cupertino, CA 95014
City of Cupertino
10300 Torre Avenue
Cupertino, Ca. 95014
To Whom It May Concern:
SUBJECT REMOVAL OF GAS AND / OR ELECTRIC FACILITIES
The gas and electric facilities have been removed and / or abandoned at:
t o Lt'A -:5�JL\1't SU -x Ac on 0114-1/01
If you have any further questions, please contact me at (4080725-3325
Sincerely,
v/Z &iv;
Service Planning
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. __ _-.... IrX rte`.
OCT 0 8 2009
Recyclable Materials BY:
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: Date: D C
Name (printed): prV!
Title:es��2e
Phone:
Project address:
This form to remain in the project's building permit file for the duration of the project
Revised 1/03
WESTERN
EXTERMINATOR COMPANY
Family Pride In Excellence Since 1921
COMPLETE PEST AND TERMITE CONTROL
It
NAME
ADDRESS
CITY IN f1 STATE Lj&,_
ZIP Q HOME PHONE
BUSINESS OR DAYTIME PHONE ( ) 1 (EXT)
CROSS STREET
P.O. NO. STORE # DIST/REG
INITIAL TARGET PEST AND GENERAL AREA tr1 �,N(i_l ctx1t^i T�ifyi'
BUSINESS TYPE: (circle one)
NAME
PEST CONTROL
SERVICE
AGREEMENT
/()/ 9 /7v--1
Service Center Date
ADDRESS
t`
CITY `Vv' f A. STATE
ZIP-PkiONf'(r ) (EXT)_
BUSINESS OR DAYTIME PHONE ( )
WORK ORDERED BY:
ESTIMATED BUILDING SQUARE FOOTAGE
A. MULTI -RESIDENTIAL F. FOOD PROCESSING (USDA) O. OFFICE BUILDING E. RESTAURANT/BAR W. WAREHOUSE (FOOD)
D. DRUGSTORE H. HOSPITAL/NURSING HOMEOTHER COMMERCIAL S. SCHOOL X. WAREHOUSE (NON-FOOD)
G. FOOD PROCESSING (FDA) M. MARKET (-R..)3INGLE FAMILY RESIDENCE
I/WE HEREBY AUTHORIZE WESTERN EXTERMINATOR COMPANY TO PROCEED WITH THE FOLLOWING WORK:
AntsAnimal Removal Cockroaches Fabric Pests Gopher round Squirrels Scorpions Sowbugs Wasps
Ants - Carpenter Bees Crickets FleasRcks Mic ats_�ee below) Silverfish Spiders it eT
Ants - Pharaoh Bird Control Earwigs Flies Mites Snails Stored Grain Pests
THIS SERVICE INCLUDES ONLY THE INSECTS AND PESTS CIRCLED ABOVE. IF THE COVERAGE INCLUDES MICE AND RATS, ERADICATION FOR THE INTERIOR OF THE PROPERTY WILL
BE AT NO EXTRA CHARGE, PROVIDED THE CUSTOMER COMPLETES RODENT PROOFING MEASURES (SEALING OF BUILDING AGAINST RODENT ENTRY). IF RODENT PROOFING IS NOT
COMPLETED, WESTERN RESERVES THE RIGHT TO PROVIDE MICE AND RAT TRAPPING FOR AN ADDITIONAL CHARGE. THIS AGREEMENT SPECIFICALLY EXCLUDES THE CONTROL OF
TERMITES, FUNGI, OR WOOD DESTROYING INSECTS. CARPENTER ANTS AND PHAROAH ANTS MAY BE COVERED BUT ONLY IF LISTED ABOVE. SERVICE IS SUBJECT TO THE TERMS
AND CONDITIONS OF THE REVERSE SIDE OF THIS AGREEMENT, INCLUDING YOUR RIGHTS UNDER THE FEDERAL TRUTH LENDING LAW. WHILE THE INTENT OF THIS SERVICE IS TO
PREVENT DAM GE FROM PESTS, WESTERN EXTERMINATOR COMPANY SHALL NOT BE A E IF DJGE SHOULD OCCUR DURING THE PERIOD SUCH SERVICE IS RENDERED.
Service Type )i3O #FLY Initial Charge - .-- Periodic Charge Warranty Months
Frequency
Jan
Feb Mar Apr May Jun Jul Aug
Sep Oct Nov
Dec
--._.—........_.__._....._
Service
.-._.._.........
LICENSE NUMBER
t
NAME
ADDRESS
CITY IN f1 STATE Lj&,_
ZIP Q HOME PHONE
BUSINESS OR DAYTIME PHONE ( ) 1 (EXT)
CROSS STREET
P.O. NO. STORE # DIST/REG
INITIAL TARGET PEST AND GENERAL AREA tr1 �,N(i_l ctx1t^i T�ifyi'
BUSINESS TYPE: (circle one)
NAME
PEST CONTROL
SERVICE
AGREEMENT
/()/ 9 /7v--1
Service Center Date
ADDRESS
t`
CITY `Vv' f A. STATE
ZIP-PkiONf'(r ) (EXT)_
BUSINESS OR DAYTIME PHONE ( )
WORK ORDERED BY:
ESTIMATED BUILDING SQUARE FOOTAGE
A. MULTI -RESIDENTIAL F. FOOD PROCESSING (USDA) O. OFFICE BUILDING E. RESTAURANT/BAR W. WAREHOUSE (FOOD)
D. DRUGSTORE H. HOSPITAL/NURSING HOMEOTHER COMMERCIAL S. SCHOOL X. WAREHOUSE (NON-FOOD)
G. FOOD PROCESSING (FDA) M. MARKET (-R..)3INGLE FAMILY RESIDENCE
I/WE HEREBY AUTHORIZE WESTERN EXTERMINATOR COMPANY TO PROCEED WITH THE FOLLOWING WORK:
AntsAnimal Removal Cockroaches Fabric Pests Gopher round Squirrels Scorpions Sowbugs Wasps
Ants - Carpenter Bees Crickets FleasRcks Mic ats_�ee below) Silverfish Spiders it eT
Ants - Pharaoh Bird Control Earwigs Flies Mites Snails Stored Grain Pests
THIS SERVICE INCLUDES ONLY THE INSECTS AND PESTS CIRCLED ABOVE. IF THE COVERAGE INCLUDES MICE AND RATS, ERADICATION FOR THE INTERIOR OF THE PROPERTY WILL
BE AT NO EXTRA CHARGE, PROVIDED THE CUSTOMER COMPLETES RODENT PROOFING MEASURES (SEALING OF BUILDING AGAINST RODENT ENTRY). IF RODENT PROOFING IS NOT
COMPLETED, WESTERN RESERVES THE RIGHT TO PROVIDE MICE AND RAT TRAPPING FOR AN ADDITIONAL CHARGE. THIS AGREEMENT SPECIFICALLY EXCLUDES THE CONTROL OF
TERMITES, FUNGI, OR WOOD DESTROYING INSECTS. CARPENTER ANTS AND PHAROAH ANTS MAY BE COVERED BUT ONLY IF LISTED ABOVE. SERVICE IS SUBJECT TO THE TERMS
AND CONDITIONS OF THE REVERSE SIDE OF THIS AGREEMENT, INCLUDING YOUR RIGHTS UNDER THE FEDERAL TRUTH LENDING LAW. WHILE THE INTENT OF THIS SERVICE IS TO
PREVENT DAM GE FROM PESTS, WESTERN EXTERMINATOR COMPANY SHALL NOT BE A E IF DJGE SHOULD OCCUR DURING THE PERIOD SUCH SERVICE IS RENDERED.
Service Type )i3O #FLY Initial Charge - .-- Periodic Charge Warranty Months
Frequency
Jan
Feb Mar Apr May Jun Jul Aug
Sep Oct Nov
Dec
--._.—........_.__._....._
Service
.-._.._.........
LICENSE NUMBER
t
Billing
Material Code 0,56
MAP NO.
Does any person living or working Customer Initial Have you or anyone else living or working at Customer Initial
at this address have any known YES NO this address made any pesticide application YES I NO
chemical sensitivities or allergies? to the interior or exterior of the structure?
PETS: A)0 /ti b
If YES, explain:
INITIAL SERVICE INSTRUCTIONS:
SPECIAL INSTRUCTIONS:
CONFIDENTIAL INFORMATION:
DATE OF FIRST SERVICE t Q� �.� O TIME
10
AM/PM SEE
HOW WILL YOU PAY? (CIRCLE ONE) CASH - CHECK -CREDIT CARD (CIRCLE ONE -.MC - VISA- DISC -AE) CREDIT CARD #
FIRST SERVICED BYl<
r
ROUTE
J.
LICENSE NUMBER
FOR MATERIAL CODES, SEE BACK OF PAGE
Material Code 0,56
MAP NO.
Quantity
-
LEAD
EMPLOYEE NO.
CONTACT
EMPLOYEE NO.
SOURCE
CODE
Area Serviced In Out In / Out In / Out In / Out In / Out In / Out
Percentage
Finished Amount
TAIS 154VI - 111TOICE■ ■1111!11111011-FASE READSIGRIXG.■ RECEIPT OF PESTICIDE NOTIFICATION
Customer
CUSTOMER'S SIGNATURE ..SALESPERSON'S SIGNATURE- • Unavailable.
r r L Customer Initial 1:1 Left at location.
no
PLEASE READ TERMS AND CONDITIONS
WESTEI N EXTERMINATOR COMPANY LICENSE # ON THE REVERSE SIDE OF THIS DOCUMENT.
UNDER NORMAL CONDITIONS 7 TO 10 DAYS ARE OFTEN NEEDED FOR CONTROL OF PESTS
PLEASE READ THE ATTACHED SHEET FOR ADDITIONAL SAFETY-RELATED INFORMATION.
The West's Largest & Oldest N
1 -800 -WEST -EXT Family Owned & Operated EXTERMINATOR ERAN .�
(1-800-937-8398) Termite & Pest Control Company www.west-ext.com
FORM 1001CA 4/05 CUSTOMER COPY
THANK YOU FOR CHOOSING WESTERN EXTERMINATOR COMPANY.
PROJECT SCOPE
DEMOLISH EXISTING WHOLE HOUSE
PROPERTY LINE
(E) CARPORT
(E) KITCHEN (E) BATH
(L) BEDRM #3
(E) LIVING
(E) BEDRM #1 (E) BEDRM #2
PROPERTY LINE
TREE PROTECTION STANDARDS
NOTES:
I. THE DEVELOPER SHALL INSTALL THE " TREE PROTECTION" DEVICES
PRIOR TO THE START OF GRADING OR CLEARING WORK.
2_ THE CITY RESERVES THE RIGHT TO ISSUE A "STOP WORK" NOTICE IF
THE "TREE PROTECTION" DEVICES ARE NOT INSTALLED OR IF THE
DEVICES ARE NOT MAINTAINED PROPERLY.
3. SEE THE PROJECT GRADING PLAN FOR SPECIFIC TREES THAT REQUIR
PROTECTION. ALL SPECIMEN TREES REQUIRE PROTECTION UNLESS
OTHERWISE NOTED.
CITY TREE TO REMAIN
J
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0
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ZENG
RESIDENCE
10544 JOHNSON AVE
CUPERTINO, CA
0 CONSTRUCTION
18665 LOREE AVE.
CUPERTINO. CA
(406) 996-1186
4. NO EXCAVATIONS WITHIN THE 'TREE PROTECTION AREA" ARE ALLOWED
UNLESS UNDER THE SUPERVISION OF A REGISTERED TREE SERVICE COMPANY.
5. ANY FILLING WITHIN THE "TREE PROTECTION AREA" SHALL BE DONE IN
ACCORDANCE WITH A DETAILED IMPROVEMENT PLAN APPROVED BY THE CITY.
6. NO TRIMMING, CUTTING,OR PRUNING OF DESIGNATED TREES CAN OCCUR
WITHOUT A REGISTERED TREE SERVICE COMPANY. `
7. CONSULT ORDINANCE 778 OF THE CITY OF CUPERTINO FOR PERMIT
REQUIREMENTS AND EXCEPTIONS.
®. TEMPORARY CHAIN LINK FENCING IS AN ACCEPTABLE SUBSTITUTE TO
THE WOOD CONSTRUCTION.
DEMOLITION PLAN
TYP. POST
ELEVATION