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11010011 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10582 LONNA LN CONTRACTOR:T.W.Y.INC. PERMIT NO: 11010011 OWNER'S NAME: HSIEH-HO CHU 864 ARCTURAS CIR DATE ISSUED:01/03/2011 OWNER'S PHONE: 6506251586 FOSTER CITY,CA 94404 PHONE NO:(650)571-1728 LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB e License Class Lic.# r r r MECH RESIDENTIAL COMMERCIAL Contractor � � ��� Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REMODEL KITCHEN 99 SQ FT,228 SQ FT THROUGH OUT, REPLACE 5 WINDOWS NON-STRUCTURAL (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. Sq.Ft Floor Area: Valuation:$2000 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:35919015.00 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 WITIIIN 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 DAY FR 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 /,, 3 _ / I granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. V�,, ( RE-ROOFS: SignatureDate ( 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) I,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 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(a)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 Area Air Quality Management District I 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 the performance of the work for which this 1,4 �� Owner or authorized agent: Date: 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 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, ARCHITECT'S DECLARATION sts,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. anting 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. Signatur Date RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: Name of owner. f`4;eA- wy C- Cl� Project address. ���Z L_6�t�•t� 1. Q.y1� ``'� Contact person. U Phone. 7 S-78 q� Fax. t.. IL Net square footage of lot. ' Existing Proposed r:'y Square footage: First floor: Second floor: Garage: TOTAL: Are there at least two 10 foot by 20 foot clear spaces inside the garage? Y N -ivacy protection planting required for the project? '--Y N Build it Green Total Points On what floor(s) is work being done? Brief description of or �� �� �� !' Code editions 2 07 CB - N)2007 CFC -N) N CMC 2007 CP N)2007 NECAPP-N) 007 IN ACCORDANCE ITT ftp HE CITY 0, CUPL RTINO CUD S AND ORUINANCE7 Effective 1/1/08 UATE_ f SIGNE This set of plans and specifications MUST he kept on the fob at all times and it is uniawfui to make any changes or alterations + :$ on same without written permission from the BuildingDe &r The stain in o Department, Ctity of Cupertino. p g f P a;3specifications SHALL NOT be held to permit or to be an approval of the violation of an of aY Provisions ny City Ordin,ince ur �tti aw. Plan Review Process Work Book Page-8- Revised 06-15-10 ii Sl � z OO I n � m Aj Z -- 1 -- T m � m m n r _ lj < b 4, CA Co _ %4..... ,.* Ulu C Cly �� . A N Z O z D 30- t 8- 30"' - r- z z IN3W30V-T 3N w3HD11 �4Ov eo T *oe D cr IAP 96XLS (N ) —4 W pp—44 b p rO O - r - X r �� r n -n a cn Cn C Z -moi m o- =j D c C ,. s cA z tart �y vm rn o x OD ....o o C -1 c rm Cy N OO I n Z _ m Frr�q ON Cal tA m n r b 4 O s w cc) ---� (31 OC QO .'(?11 0 N t-' 0 0 0 . z r z . m x' 4�1 iN3W30V-Td3N WJ3 H DI 1 �4 oe L.7- D (� Ipm ` ISO Nl_ ♦ J�J NO T 496 >440 (N 1 �� ()'�o� r0 - p n m6�n n -n a cn Cn cZ > °, r o axm ) sy c i N --i m •vrn -.� -I C 7 .1 r' ,� vert o n dTjm p .R c x co C -� m 0 CITY OF CUPERTINO 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . . 35919015 . 00 DATE ISSUED. . . . . . . : 01/03/2011 RECEIPT #. . . . . . . . . : BS000012372 REFERENCE ID # . . . : 11010011 SITE ADDRESS . . . . . : 10582 LONNA LN SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : HSIEH-HO CHU ADDRESS . . . . . . . . . . : 10582 LONNA LN CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : TUNG SHENG SHO CONTRACTOR . . . . . . . : TUNG-SHENG SHO LIC # 31032 COMPANY T.W.Y. INC. ADDRESS . . . . . . . . . . : 864 ARCTURAS CIR CITY/STATE/ZIP . . . : FOSTER CITY, CA 94404 TELEPHONE . . . . . . . . : (650) 571-1728 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 2, 000 .00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 2, 000 .00 0 .50 0 . 00 0 .50 0 . 00 1REMRESKIT SQ FEET 99 .00 570 . 00 0 . 00 570 . 00 0 . 00 1REMRESOTH SQ FEET 228 .00 380 . 00 0 . 00 380 . 00 0 . 00 1WINREP EACH 8 5 .00 380 . 00 0 . 00 380 . 00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 1331 .50 0 . 00 1331 .50 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 1, 331 .50 visa --------------- TOTAL RECEIPT 1, 331 . 50 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10582 lonna lane DATE: 01/03/2011 REVIEWED BY: bobs. APN: BP#: *VALUATION: 1$2,000 q*PERMITT'YPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex ��(17.3I, PENTAMATION 1 R3SFDREM USE: 1 1 C�OIJ.1 �£ z. PERMIT TYPE: WORK kitchen remodel and patio repair non structral 5 window and door replacement non strucural all SCOPE lighting to meet 2011 title 24 energy standards. 1""(:h. Plan Ch,( 7-1 k f h(mh, 1'k-w E`trc/" FFi..or C.`tzc-k 14"cil. 11"t-mil 0,icr Akch. htsp, (Y� LJ I 17 rh, Itsu 1 I'Ir,rit<r}. Ja i;. F 1'17('( lnap, FCC, NOTE: Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addn 7 info, FEE ITEMS (Fee Resolution 09-051 Ef. 1711,140FEE QTY/FEE 1 MISC ITEMS Plan Check Fee: $0.00 99 s.f. Remodel,Kitchen(<=300 sf) Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $570.00 REMRESKIT I PME Plan Check: $0.00 = s.f. Remodel,Other Permit Fee: $0.00 $380.00 IREMRESOTH Suppl. Insp. Feed Reg. ® OT 0.0 hrs $0.00 0 # Window/Sliding Glass Door PME Unit Fee: $0.00 $380.00 1 WINREP Replacement PME Permit Fee: $0.00 C011S11-11CtiW7 1 ZL Acoustical Fee. 0 Yes (E) No $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: $0.00 7i'cti'e'1 L)oc trrrr rztutr«rr l c '.s: I Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS. $1.50 1$1,330.00 TOTAL FEE: $1,331.501 Revised: 12/07/2010 CITY OF CITY OF CUPERTINO ADDITION/REMODEL CUPERTINO FEE SCHEDULE APN# Date: Is a 2" unit being added? Yes ❑ No I yes, please fill out the permit application for 2" unit. Is this a 2"d story Addition? Yes ❑ No Is this house an Eichler? Yes ❑ NoIf yes, needs Planning approval. Building Address: , Mailing Address (if differ nt from b ' d' g ad ess): t�0 OS Owner's Name1*e: Phone# Sid Contractor: Phone#: U'U C cy'Y! Fax/e-mail: �� (s 79 S Cupertino Business License: State Contractor License #: Contact: Phone#: Fax/e-mail: 67 S- 7 9-9 Landscape brdinancel Compliance: rr � Landscape area in sq. ft. (includes all irrigated areas): If 2,500 sq. ft. or less, compliance with the Landscape Water-Efficiency Checklist is required. If more than 2,500 sq. ft., a complete Landscape Project Submittal is required. Compliance Method: ❑ Plant Type ❑ Water Budget Building Permit Info: Bldg. ' Elect. -lumbing chanical Hillside LJ Project Size: Counter ( x ress ❑ Standard ❑ Lar e ❑ Major ❑ Job Description: , CAYP � raW'e' -Flu V'r rA_v _ f Addition-What is being added?(Be Specific). L 1117 All Uv -t Le-j What is being remodeled (not including addition)? � Remodel Includes Re-Roof. Yes ❑ No �If 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 Remodel: Kitchen Bath Other. ��b Type of Construction(Usage Class): Occupancy Type: fL` 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT,V-B Valuation: ill 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.