10090089 CITY OF CUPERTIN O BUILDING PERMIT
BUILDING ADDRESS: 20711 GARDEN PLACE CT CONTRACTOR:GREENERBLU JDHM,INC PERMIT NO: 10090089
OWNER'S NAME: LAI HUAN ONG 'O BOX 612048 DATE ISSUED:09/16/2010
ER'S PHONE: 4088719500 3AN JOSE,CA 95161 PHONE NO:(408)418-2000
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT PLUMB r
License Class Lic.# ' ) t0 (3 v MECH r RESIDENTIAL r COMMERCIAL r
ContractoDate 4', k L 4 To 10
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:PERMIT W/FEES FOR ALL 41-SIDING&TRIM REMOVAL
(commencing with Section 7000)of Division 3 of the Business&Professions REPLACEMENT STUCCO REPAIR
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 Sq.Ft Floor Area: Valuation:$1585
permit is issued.
APPLICANT CERTIFICATION APN Number:36230068.00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section /
9.18. Issued by -Date: - X E
Signature CaA Date lr ( U
LJ OWNER-BUILDER DECLARATION RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044, Date:
Business&Professions Code) Signature of Applicant:
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
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
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 I have read the hazardous in
requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Safety Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 255059 25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I or uthor ag
become subject to the Worker's Compensation provisions of the Labor Code,I must t Date: & �'i(1
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
i unify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
I understand my plans shall be used as public records.
9.18.
Signature
Date Licensed Professional
CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # : 7
Sec: Twp: Rng: Sub: Blk: Lot:
APN 36230068 .00
DATE ISSUED. . . . . . . : 09/16/2010
RECEIPT #. . . . . . . . . BS000011487
REFERENCE ID # . . . : 10090089
SITE ADDRESS . . . . . : 20711 GARDEN PLACE CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . . CUFERTINO
IMPACT AREA . . . . . .
OWNER LAI HUAN ONG
ADDRESS 1210 S BASCOM AVE
CITY/STATE/ZIP SAN JOSE, CA 95128
RECEIVED FROM GVH' HOMEOWNERS ASSO
CONTRACTOR . . . . . . . : NA-ASHA VENZON LIC # 32017
COMPANY GREENERBLU JDHM, INC
ADDRESS PO BOX 612048
CITY/STATE/ZIP SALT JOSE, CA 95161
TELEPHONE . . . . . . . . : (408) 418-2000
FEE ID UNIT QUANTITY AMOUNTPD-TO-DT THIS REC NEW BAL
---------- -------------
---------- - --------- ---------- -
1BCBSC VALUATION 1, 585 . 00 2 .00 0 .00 2 . 00 0 . 00
1BSEISMICR VALUATION 1, 585 . 00 4 .80 0 .00 4 . 80 0 .00
1SIDEOTHER SQ FEET 3, 000. 00 1710 .00 0 .00 1710 . 00 0 . 00
1STUCOAPP SQ FEET 1, 800 . 00 571 .00 0 .00 ----571- ------ -- --
TOTAL PERMIT
- --
2287 .80 ------0 . 00 2287 .80 0 .00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- -----
CASH 16 .80
CHECK 2,271.00 #1156
---------------
TOTAL RECEIPT 2,287 .80
CITY OF CUPERTINO
FEE ESTIMATOR--BUILDING DIVISION
DATE: 08/10/2010 REVIEWED BY:
IF ADDRESS:
APN:
BP#: Estimate only *VALUATION: $48,000
*PERMIT TYPE: Building Permit PLE,N CHECK TYPE: Alteration /Addition// Repair
Buildina is APPLICATION 1GENRES
PRIMARY Multi-Family Dwelling >3 Stories Yes No TYPE:
USE:
� W
a,
O O
3 �
1'11.,711. Plcu,(.I'M c:lc
Elec. Plurr('Irc�rk
bic•c.'lr- Plan Cher°l,-
l.ler'.Yermil 1'�c•:e:
P:un1h. Permil Fee:
r�'lc'ctr Pl'Ynrrt 1 Pd:
Other L•IPC. tlZti'lr.
Other Alec h. Incl,,_ Other Plumb h,
NOTE: These ees are based on the relimina in ormatig►n available and are onl an estimate. CMISC ITEMSor addn'1 in o.
<
FEE ITEMS (Fee Resolution 09-051 Eff 7%1;'09) FEE QTY/FEE
Plan Check Fee: $0.00 1,800 s.f. Restucco
Supp/,PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 $571.00 ISTUCOAPP
Siding
PME Plan Check: $0.00 3,000 s.f. g
Permit Fee: $0.00 $1,710.00 ISIDEOTxER All Other
Suppl. Insp. Feer Reg. C) OT 0.0 hrs
$0.00$0.00
PME Unit Fee: $0.00
$0.00
PME Permit Fee:
('onstruction Ta-,c Q
$0
Acoustical Fee:
Yes No .00
F==Work Without Permit? 0 Yes No $0.00 Q
" $0.00 Select allon-Residential
PlanningFee: Building or Structure Q
Tr-uvel Doc•urneutcrtion Fees:
Strong Motion Fee:
IBSEISMICR Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC =jA0
SUBTOTALS: 2,281.00
TOTAL FEE: $2,287.80
Revised: 8/06/2010
CITY CF
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
CUPERTINO FEE SCHEDULE
Quantity/Sf Fee ID Fee Desc ription Fee Permit Type
Group 1GENRES or
1GENCOM
PARTITION WALLS
1PARTICOMM Partition Iiterior Commercial B WARTICOMM
1PARTIR Partition Literior Residential B 1PARTIR<=30
RETAINING
WALL(CONCRETE
OR MASONR
1RETSTN Standard(up to 50 ft) B
1RETSP310 Special DE;sign,3-10' high(up to 50 `) B
1RETSP10 Special D(.sign,over 10' high(up to B
50'
1RETCRB< Gravity/Crib Wall, 0-10'high(up to B
50 ft
1RETCRB> Gravity/Crib Wall over 10' high(up to B
50 ft
SIDING
1 SIDEST/BK Siding, Stene&Brick Veneer B
interior/e:aerior
1 SIDEOTHER Siding all other B goo
SKYLIGHTS
1SKYL<10 SF Skylight 14;ss than 10 sf B
1SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-firs flight/ea addt'l B
STORAGE RACKS
1 SRACKS<=8 Storage R;icks 0-8' high(up to 100 sf) B
1SRACKS>8 Storage Ricks over 8' high(up to 100 B
st
4 of 5
CITY OF
CITY OF C'UPERTINO
GENERAL BUILD'J[NG APPLICATION
CUPERTINO FEE SCHEDULE
Quantity/Sf Fee ID Fee DescAption Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Ap])lications(up to 400 sf) B
additional stucco ap lication
1 WINREP Replaceme nt windows/sliding glass B
door ea 8 windows
1WINMEWSTR New Window-structural shear B
wall/masonry(includes plan ck fee
IEPERMITFEE Electrical I"ermit Fee E
1MPERMITFEE MechanicE.l Permit Fee M
1PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck(hourly) E
1MECPLNCK Stand Aloae Mechanical Pln Ck(hrly) M
1PLMBLNCK Stand Aloie Plumbing Pln Ck(hrly) P
1 STPLNCK-(3 Hr Min Standard Ilan Check(when no E/M/P) B
when not over counter) hourly- id alone
1BCBSC Cal Bldg ,standards Commission Fee B ALL PERMIT
TYPES
1BSEISMICR Seismic Rzsidential B
1BSEISMIC0 Seismic Commercial B
1TRAVDOC Travel&:documentation B
1BUSLIC Business license B
of 5
September 3, 2010
To Whom it may concern:
GYT ((3ardenview Terrace) HOA has contracted with GreenerBlu Inc. to remove
and replace the wood siding and trim for our 41 unit complex. We are replacing
the wood siding with look-a-like prodL ct, Hardi Cement Siding. Both wood and
the cement product will be used on this trim. The contractor has advised us that
there will be numerous stucco repairs required. Your cooperation is greatly
appreciated and it is our hope you Evill be expeditious with permits and the
necessary inspections.
Sinc _
64-1
Jac Boyle
President HOA
09 "1
CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLI(:ATION FORM
#
Date:
APNC) 0� G /
Building Address:C907// 6dj� n Place
Mailing Address (if different from building address):
1a t a S Bas,Lcm A? - Sf?- 22D 5C1)T0-5e- CA
Are Hazardous Materials being used as part of this p-oject? Yes No
HOA: (Exterior work only) Yes [ No ❑ If eE, rovWe letter from HOA
Owner's Name: Phone#:
Lail-lua-n On l
Contractor: Phone: L(v 6-L/ 5-
2v0-�>
' C��ene� flu , 7ID trlM z'nc. Fax:
Contractor License#: /3 Q
Cupertino Business License#:
Contact: Phone: yDi3'lP 11-
C-7re-c t3Q.rdcAy Fax: - 5 SS- 1I$ D
Isidential [l Commercial ❑
Job Description: a n d Tri m r-e m vV�l an ,,,,l rep l d e en7en 2�,
5iu6c,D Repa ,*r
� uLLZ �y
Building Pe it Info:
Bldg D� Elect ❑ Pl-amb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy,/Type:
VIII B IV-HT V-B [►� Res l(l e� f 3- � -3
1-A, 1-B ❑ II/IIW-A ❑ I
Square Footage:
Valuation:
- Ise')
Project Size: Express Standard ❑ Large ❑ Major ❑
Green Building: Please complete relevant portion of the Green Bui ding/LEED Checklist & attach it
to the application or if applicable, include in plan set & the sheet index.
",)ints Achieved:
.,r help, contact Build it Green at www.builditgreei.or
Revised 07/14/09
3