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09100210 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7477 STANFORD PL CONTRACTOR:DIAMOND STONE PERMIT NO:09100210 MARBLE&GRANITE WNER'S NAME: YU-WEN CHANG 325 PHELAN AVE DATE ISSUED: 10/29/2009 OWNER'S PHONE: 4089639888 SAN JOSE,CA 95112 PHONE NO:(408)288-9618 LICENSED CONTRACTOR'S DECLARATION / BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class F2 Lic.# �y fC �d MECH RESIDENTIAL COMMERCIAL Contractor 1 1) G�4y Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REMODEL 140 SQ FT KITCHEN AND (commencing with Section 7000)of Division 3 of the Business&Professions INSTALL NEW Code and that my license is in full force and effect. CABINET,FLOOR,COUNTERTOP&LIGHTING AND UPGRADE I hereby affirm under penalty of perjury one of the following two declarations: SERVICE PANEL 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:$13000 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:35932043 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 DAYS OF 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 DAYS FROM LAST 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 "7 granting ' . � granting of this permit. Additionally,the applicant understands and will comply Issued by: � � Date: l_ ' with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. e- RE-ROOFS: mature --`L 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 four inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL 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(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. 1 will 1 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(a)should 1 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 Area Air Quality Management District 1 performance of the work for which this permit is issued. will 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&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for theerformance of the work for which this e'"., permit is issued. p Owner or authorized agent: / Date:�B� y I 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 Compensation laws of California. If,after making this certificate of exemption,1 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 perfonnance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this pen-nit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT 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 building construction,and hereby authorize representatives of this city to enter in 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 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35932043 DATE ISSUED. . . . . . . : 10/29/2009 RECEIPT #. . . . . . . . . : BS000009079 REFERENCE ID # . . . : 09100210 SITE ADDRESS . . . . . : 7477 STANFORD PL SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER YU-WEN CHANG ADDRESS . . . . . . . . . . : 7477 STANFORD PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5814 RECEIVED FROM . . . . : KITCHEN & BATH CONTRACTOR . . . . . . . : BRUCE LAU LIC # 28907 COMPANY DIAMOND STONE MARBLE & GRANITE ADDRESS . . . . . . . . . . : 325 PHELAN AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 288-9618 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 13, 000. 00 1 . 00 0 . 00 1. 00 0 . 00 1BSEISMICR VALUATION 13, 000 . 00 1 .30 0 . 00 1 . 30 0 . 00 1EPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00 1ERT<200 UNITS 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00 1REMRESKIT SQ FEET 140 . 00 570 . 00 0 . 00 570 . 00 0 . 00 1TRAVDOC FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 698 .30 0 . 00 698 . 30 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 698 .30 visa --------------- TOTAL RECEIPT 698 .30 CITY OF CUPERTINO SR`_._0 ADDITION/REMODEL CUPEkTINO PERMIT APPLICATION FORM CC 2-10 APN # ` Date: /D _ as '35 q3 2. �.3 �v l I .� Is a 2" unit being added? Yes ❑ No If yes, please fill out the permit application for 2" unit. Building Address: �4i-+ PL�� Mailing Address (if different from building address): Owner's Name: a YO vim Phone# , c c M . �5_q-zfe, Contractor: Phone#: `(o? -74,' - IX P1&nV1VD SrIC/1F 7r , Fax #: Contractor License#: 13106650 Cupertino Business License#: Contact: - Phone#: q-0 - 7L3 Fax#: Building Permit Info: Bldg. ❑ Elect. [� Plumb. Mech. [S' Hillside ❑ Job Description: Addition-What is being added?(Be Specific): What is being remodeled(not including addition)? �� N i�2w��e� 10,4 ,, Cab ; a f P( � ,IC w ccr u ra Remodel Includes Re-Roo : Yes ❑ No [� f yes list number of squares Remodel Includes Structural: Yes ❑ No Do you have the pre-application planning approval? Yes ❑ No ❑ If yes, please provide a copy of your planning approval letter. Planners name: Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remo: Kitche Bath Other Type ofConstruction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ 11/111 B, IV-HT,V-B12 -3 Valuation: A R&&o Please check this box if the project is a second-story addition ElProject Size: Ex ress ❑ Standard � Large F1 Major F1 Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: include in plan set& the sheet index. -C__ ***For Office Use Only*** ❑ Revised 07/06/09 Over-the-Counter CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft DECKS 1R3SFDADD OR 1R3SFDREM 1 DECKWOOD Deck(Wood)-Each B (Each) 1 DECKRAIL Deck Railing-Each B (Each) GARAGES 1R3SFDADD OR DETACHED 1R3SFDREM 1 GARDTW<=1 K Wood Frame up to B 1,000 SF (each) 1 GARDTM<=1 K Masonry up to 1,000 SF B (each) 1 BCONSTAXR Construction Tax Res (new detachedgarage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1 PATIOWOOD Wood Frame up to 300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1 PATIOENCLO Other Enclosed Patio up B to 300 SF 1 COVPORCH Porch Covered-Each B (Each) REMODELS 1R3SFDREM 1 REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan 300 SF check 1 REMRESBAT Bath Remodel up to 300 B " SF 1REMREOTH Other Remodel up to 300 B " ISF CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1 MECPLNCK Stand Alone Mechanical M Pln Ck(hourly 1PLMPLNCK Stand Alone Plumbing P Pln Ck(hourly) 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Residential B / 1 TRAVDOC Travel &Documentation B 1BUSLIC Business License B RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: Name of owner. APPRC}}/ED �-�,n IN ACCORDANCE VJVYR THE CITY OF Project address. J��l/T- � L�C. CUPERtINO CODES AND ORDINANCES Contact person. � Jrr- tAA Phone. 6 Fax. This s.a 01 Diane and ra--ifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations Net square footage of lot. on same without wrifta permission from, the Building Department,C- of Cu ino. The stamping of this plan and specifications Existing Prop6NOT be held to permit or to be an approval of the violation of any provisions Square footage: First floor: Gify or State Law. Second floor: Garage: TOTAL: re there at least two 10 foot by 20 foot clear spaces inside the garage? Y Is privacy protection planting required for the project? Y =; N On what floor(s) is work being done? --� Brief description of work. W I Code editions:2008 CBC 6�)-N)2008 CFC -N)2008 CMC ( N) " 2008 CPC OP-N) N) `.`. CD Effective 1/1/08 Apo Owfth 0 � Plan Review Process Work Book Page-8-Revised 1/1/08 1 64 +V 144„ v L .n 24.,E 24 75" F Q" 3 T ------------ nil, f-I'n�'11Y V,�."°°F36B L'VG.�36B � ��t:3B L+`Y'W24,.r6—L 44171 i �nOSB;'3B �_ ��3GEBPS B15WB A��B = �._ uu� s 3(,r 3 #bbd-' _____..______ ._ r i t ---fir-- , D ° -1 S1 c , N \ mi 9 _ o I m ---------------- 9 90cesos zap tea Zai a3lj s F 1 y r rE I r Kitchen At least 50% of the total wattage is high efficacy: Fixture Type High efficacy Relamping x Quantity = High-efficacy or Low-efficacy (y/n) wattage wattage wattage — — — - x `� _ _ � or x or x - or x - or (Complies if A_> B) Total: A: B: Compliant? YES NO ❑ Additional requirements YES N/A NO Recessed fixtures installed in insulated ceilings are rated ICAT and certified ❑ Or ❑ ASTM E283 or equivalent. Installation is airtight(caulking, gaskets). High-efficacy and low-efficacy fixtures are switched separately. ❑ ❑ Gd Bathroom(s) YES N/A NO All light fixtures are high efficacy. ❑ B'_ ❑ Incandescent fixtures are switched with manual-on/automatic-off occupancy sensors. ❑ ❑ Recessed fixtures installed in insulated ceilings are rated ICAT and certified ASTM E283 or equivalent. Installation is airtight(caulking, gaskets). ❑ ❑ High-efficacy and low-efficacy fixtures are switched separately. [313 Laundry Room / Utility Room YES N/A NO All light fixtures are high efficacy. ❑ ❑ .9 Incandescent fixtures are switched with manual-on/automatic-off occupancy � sensors. ❑ ❑ Recessed fixtures installed in insulated ceilings are rated ICAT and certified ASTM E283 or equivalent. Installation is airtight(caulking, gaskets). ❑ ❑ 0') High-efficacy and low-efficacy fixtures are switched separately. 1313 c o� Garage YES N/A NO 13 Incandescent N All light fixtures are high efficacy. v Incandescent fixtures are switched with manual-on/automatic-off occupancy 13sensors. 13 47 i Recessed fixtures installed in insulated ceilings are rated ICAT and certified ASTM E283 or equivalent. Installation is airtight(caulking, gaskets). ❑ ffT13 n� High-efficacy and low-efficacy fixtures are switched separately. ❑ ❑ a