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10110074CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10368 NORMANDY CT I CONTRACTOR: LIGHTHOUSE ELECTRIC I PERMIT NO: 10110074 OWNER'S NAME: TY TOMIMATSU `VNER'S PHONE: 408433-266 ❑ LICENSED CONTRACTOR'S DECLARATION License Class ��! L<ic. Contractor !" Date at am licknsed under the provisions of Chapter 9 AWI I hereby aff,ir (commencihg 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 th' permit is issued./ APPLICANT CERTIFICATION v 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, t icant understands and will comply with all non -point so*e rSgulations rgbrtino Municipal Code, Section 9.18. 1\ Signature Date — 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 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 "demnify and keep harmless the City of Cupertino against liabilities, judgments, Ls, and expenses which may accrue against said City in consequence of the _anting 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 236 BURNING TREE DR DATE ISSUED: 11/12/2010 SAN JOSE, CA 95119 PHONE NO: (408)590-7565 JOB DESCRIPTION: RESIDENTIAL u COMMERCIALU INSTALL 6 NEW LC /A.T RECESSED LIGHITS @ LIVING. REMOVE 2 EXISTING SURFACE & INSTALL 5 I.0 Sq. Ft Floor Area: I Valuation: $1200 APN Number: 36929027.00 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 Ba Area Air Quality Management District I will maintain compliance with the Cu ertino Munici I Code, Chapter 9.12 and the Health & Safety Code, Sections 4505, 25533, a4. Owner or authorized agent: Date: l 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cu rtino 10300 Torre ��enue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: Z03 "a/ / t- PERMIT # OWNER'S NAME: 7K PHONE # C44 GENERAL CONTRACTOR: _-L / USI' l�'C{c x%71 /C 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 SUBCQNT]RAC -HAVF� OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date r Signature Date 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 r- -- r Signature Date 1. Use Low/No-V©C.Paint 11AQ/Health pts y=yes 2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes 3. Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 5. Use Engineered Sheet Goods with no added Urea 4 Resource pts y=yes Formaldehyde 61AQ/Health pts y=yes 6. Use Exterior Grade Plywood for Inferior Uses 1 IAQ/Health pts y=yes 7. Sed aJIf PosW *PaiWetxsard or MDF 4 IAQ/Hsalth pts y=yes B. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes 1 D. Install Whole House Vacuum System 3 IAQ/Health pts y=yes N. Flooring 1. Select FSC Certified Wood Flooring B Resource pts y=yes 2. Use RapidayRenewable Flooring Materials 4 Resource pts y=yes 3. Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 4. Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 6. Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes Total Points Available: Total Points Project Received: 1401 1301 57 0 01 0 n t G:data/progs/greenbuildingguidelinesIremodelers/greenpointsfina1212.D4protected.zls 19 CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 10368 normandy ct. DATE: REVIEWED BY: UNITS APN: BP#: "VALUATION: 1$1,200 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex r> : I Z, l � „{�Ii, PENTAMATION 1REAP11 PERMIT TYPE: WORK Perjnill"cc.- SCOPE Sillo ,/. his/1, 111 APPLIANCE / EQUIP TYPE FEE ID QTY/FEE QTY UNITS BP FEES Elec. Permit Fee: IEPERMIT Fixtures, Lighting 1BREMFIXT Other Elec. Insp. 0.0 hrs $42.00 11 # $63 Perjnill"cc.- Sillo ,/. his/1, 111 —T— PME Unit Fee: $63.00 PME Permit Fee: $42.00 ( 'f lnsft•iwfion lira Work Without Permit? 0 Yes E) No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC $63.00 Strong>, Motion Fee: IBSEISMICR NOTE. These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 09-051 a.. 10) FEE QTY/FEE Elec. Plan Check 0.0 hrs $0.00 Pluii Check /"CCS Elec. Permit Fee: IEPERMIT Czh , . tf��<_ �d �Y���_>,�,. l,<<.� Other Elec. Insp. 0.0 hrs $42.00 PME Plan Check: $0.00 NOTE. These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 09-051 a.. 10) FEE QTY/FEE MISC ITEMS Pluii Check /"CCS Sr/pp/. I,(' /"('C PME Plan Check: $0.00 Perjnill"cc.- Sillo ,/. his/1, 111 —T— PME Unit Fee: $63.00 PME Permit Fee: $42.00 ( 'f lnsft•iwfion lira Work Without Permit? 0 Yes E) No $0.00 Travel Documentation Fee: ITRA VDOC $42.00 Strong>, Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $148.50 $0.00 TOTAL FEE.T $148.50 Revised: 11/08/2010 CITY OF CUPERTINO GTY F CUPEKT1NO GENERAL BUILDING PERNUT APPLICATION FORM �a/roo2y APN #� / � � � 9 � � � � Date: Building Address: 0 NO 12 Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes ❑ No " HOA:(Exterior work only) Yes ❑ No 2/ es, provWe letter from HOA Owner's Name:7bm m g4-5 Phone #: qs Contra,,t-or: �� �/> S Phone: `BGG,/ ro1'11 ,A-� 6(1 �-[-', ti C; Fax: Contractor License #: —C) j Cupertino Business License #: Contact: Phone: Fax: S C1 _ -7 J- -sidential Commercial Job Description: r7/V 1'vfe1�-GIC✓t -) Zevfl2 'l Building Permit Info: 'Bldg ElElect � Plumb ElMech El Type of Construction (Usage Class): Occupanc T e: 1-A, 1-B ❑ E/DI/V-A ❑ IIJIII B, N -HT, V -B ,� = Valuation: Square Footage: (2 - Project Size: Express Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Dgints Achieved: ,r help, contact Build it Green at www.buildit2reen. Revised 07/14/09 I CITY OF CUPERTINO BUILDING P RMIT BUILDING ADDRESS: 10398 NORMANDY CT CONTRACTOR: PRO TECH POOL AND SPA PERMIT NO: 10100185 OWNER'S NAME: CHIA HORN JIANG PO BOX 61552 DATE ISSUED: 11/16/2010 OWNER'S PHONE: 4088618823 SUNNYVALE, CA 94088x1552 PHONE NO: (408) 735-7665 ❑ LICENSED CONTRACTOR'S DECLARATION r f BUILDING PERMIT INFO: BLDG ELECT PLUMB f License Class C S' 3 Lic. # 8 /0 7 J- r /1 Contractor 4 �o % e 046 t'a # ,� 10< Date 1 1 ' + t. t t0 MECH RESIDENTIAL COMMERCIAL 1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REINSTALL (X I O)SWIMMING POOL SOLAR PANELS, (commencing with Section 7000) of Division 3 of the Business & Professions WATER ONLY, NO VOLTAIC ELECTRIC.WATER FLOW FROM POOL Code and that my license is in full force and effect. THRU SOLAR PANELS & IfETURNS TO POOL -10 PANELS I hereby affirm under penalty of perjury one of the following two declarations: 1 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 Sq. Ft Floor Area: Valuation: $2500 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number: 36929024.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature 1 Date 1 / 1 ` ° I Date�Z/*24J- Issued b I ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) Signature of Applicant:_ Date: 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous' Materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 2553�(a) should I store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, 1 Health & ty ode, Sections 255 , 25533, and 25534. become subject to the Worker's Compensation provisions of the Labor Code, l must forthwith with such or this shall be deemed revoked. ( !. / / ZthorCi Owner d a � / 1 �' /r.0 comply provisions permit Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 1 certify that t 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) upon the above mentioned property for inspection purposes. (We) agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Scction ARCHITECT'S DECLARATION 9.18. I I understand my plans shall be used as public records. Signature Date Licensed Professional