10040035 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10445 WESTACRES DR CONTRACTOR:DIANLI CHEN PERMIT NO: 10040035
CONSTRUCTION
NER'S NAME: ANIL LOHIYA 18824 LOREE AVE DATE ISSUED:04/05/2010
OWNER'S PHONE: 4087504738 CUPERTINO,CA 95014 PHONE NO:(408)888-2898
In LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT r PLUMB
License Class 13 Lic.# f r / MECH f— RESIDENTIAL r— COMMERCIAL
Contractor P C.,La C,nJ, CatjiS�aiat�"`.Date G/ UW(v
JOB DESCRIPTION:REMODEL KITCHEN,TWO BATHROOMS,
I hereby affirm that I am licensed under the provisions of Chapter 9 REROOF(16SQ)ELECT
(commencing with Section 7000)of Division 3 of the Business&Professions PANEL UPGRADE TO 200 AMP,STUCO;NON-STRUCTURAL
Code and that my license is in full force and effect. LIKE FOR LIKE
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:$25000
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is APN Number:35914030.00 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
granting of this permit. Additionally,the applicant understands and will comply WITHIN 189 DAYS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAY OM LAST CALLED INSPECTION.
9.18.
,ture �%`� Dated`� Issued by: '! w Date:
❑ OWNER-BUILDER DECLARATION
I hereby affirm that I 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) Date:
1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant:
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:
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. I 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 25532(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,I Health&Safety Code,Sections 25505,25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or authorized agent:
forthwith comply with such provisions or this permit shall be deemed revoked. Date:Zto
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
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 I hereby affirm that there is a construction lending agency for the performance of work's
to huilding construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
he above mentioned property for inspection purposes.(We)agree to save Lender's Name
ty .mify 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,Section ARCHITECT'S DECLARATION
9.18.
�` I understand my plans shall be used as public records.
Signature w✓— Date__"
Licensed Professional t1
CITY OF CUPERTINO
7 ITEMS OF 7 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 35914030 . 00
DATE ISSUED. . . . . . . : 04/05/2010
RECEIPT #. . . . . . . . . BS000010109
REFERENCE ID # . . . : 10040035
SITE ADDRESS 10445 WESTACRES DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER ANIL LOHIYA
ADDRESS 10445 WESTACRES DR
CITY/STATE/ZIP CUPERTINO CA, CA 95014-2938
RECEIVED FROM . . . . : DIANLI CHEN
CONTRACTOR . . . . . . . : DIANLI CHEN LIC # 27577
COMPANY DIANLI CHEN CONSTRUCTION
ADDRESS 18824 LOREE AVE
CITY/STATE/ZIP CUPERTINO, CA 95014
TELEPHONE (408) 888-2898
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -------------
---------- ---------- ---
1BCBSC VALUATION 25, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 25, 000 . 00 2 .50 0 .00 2 . 50 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
1REMRESBAT SQ FEET 110 . 00 570 . 00 0 . 00 570 . 00 0 . 00
1REMRESKIT SQ FEET 140 . 00 570 . 00 0 .00 570 . 00 0 . 00
1REROOFRES SQ FEET 16 .00 208 . 00 0 . 00 208 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 1435 . 50 0 . 00 1435 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ------------------
CREDIT CARD 1,435 . 50 VISA
---------------
TOTAL RECEIPT 1,435 .50
RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number:
Name of owner.
Project address. ( 0 �
Contact person. ua Phone. 4t00, $ g y 7 U
Fax.
Net square footage of lot.
Existing Proposed
Square footage: First floor:
Second floor: �—
Garage: LFoO ,
TOTAL: _
Are there at least two 10 foot by 20 foot clear spaces inside the garage? N
Is privacy protection planting require for the project? Y
.wild it Green Total Points
On what floor(s) is work being one?
Brief description of work.
Code editions:2007 CBC -N)2007 CFC -N)2007 CMC (Y-N)
2007 CPC N)2007 NEC N)
Effective 1/1/08
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Plan Review Process Work Book Page-8-Revised 8/05/08
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' Community Development
t 10300 Torre Avenue
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_ Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408) 777-3333
tXPEkTINO
Building Department
All Cupertino building permits must meet certain conditions related to maintaining
' environmental quality and public peace and safety. The two most common
conditions are described below.
STORMWATER POLLUTION CONTROL
State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and
the Santa Clara Valley Water District control stormwater pollution. Educating local
residents and businesses and enforcing stormwater pollution control laws are key parts
of the City's compliance efforts.
Stormwater pollution prevention: It's up to us
In northern Santa Clara Valley, storm drains flow directly to local creeks and San
Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife
dependent on our waterways, for people living near streams and baylands, and for the
local water supply. Common sources of stormwater pollution include:
Dripped oil, fuel, and antifreeze from vehicles and heavy equipment;
• Construction debris, including dirt, concrete and paint;
Landscaping runoff containing pesticides or weed killers; and
• Any material dumped or spilled into streets or storm drains
The property owner and the contractor share ultimate responsibility for activities
occurring at a construction site and will be held responsible for any environmental
damage caused by subcontractors or employees.
For more information on construction-related stormwater requirements, see the
Stormwater Quality Regulations section of the City of Cupertino web site at:
httr)://www.cur)ertino.orci/city government/departments and offices/
environmental services
COMMUNITY NOISE CONTROL
The basic noise control requirements for construction sites are as follows:
Typical construction work hours are: _
- Weekdays- 7 a.m. to 8 p.m. H
- Weekends - 9 a.m. to 6 p.m.
• Construction other than street construction is prohibited on holidays.
• Residential daytime noise levels from complaint site - 60 dBA
• Nonresidential daytime noise levels from complaint site - 65 dBA
For more information on noise control, please see Chapter 10.48 of the Cupertino
Municipal Code, which can be accessed at httr)•//www.amlegal.com/cupertino ca/
Greg Casteel
Building Official
CITY OF CUPERTINO
ADDITION/REMODEL
CUPEi�TINO PERMIT APPLICATION FORM
APN # _ Date:
t 12,z
Is a 2° unit being added? Yes ❑ No ❑ If yes, please fill out the permit application for 2° unit.
Building Address: 10
44�- W eirt Ca1rOs V r
Mailing Address (if different from building address):
Owner's Name: Phone# : ,
Contractor: Phone#: g
0 1 an I l Cltq� Fax #:
Contractor License#: �'3 X61_t'Zf
Cupertino Business License#:
Contact: Phone#:
Sta -t`e (,;� Fax#:
Buildi g Permit Info:
Bldg. Elect. Plumb. Mech. Hillside ❑
Job Description:
Addition-What is being added?(Be Specific):
What i$bein remodel d(no�lh addition)?
,'idrl 5'�u-cra(, �i.'"�% JO P.�e�Cu-
�-tC4.0-A, �0 t_r�t� . r f . P '
Remodel Includes Re-Roof: Yes ® No ❑ If yes list number of squares 160
Remodel Includes Structural: Yes ❑ No
Do you have the pre-application planning approval? Yes ❑ No ❑
If yes, please provide a -,opy of your planning approval letter. Planners name:
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen Bath 1! S Other
Type of Construction(Usage Class): Occupancy Type:
1-A, 1-B Up II/III/V-A ❑ IUIII B, IV-HT,V-B ® l 1
Valuation: ,0 Please check this box if the project is a
�� second-story addition ❑
Project Size: Express Standard ❑ Large ❑ Major❑
Please complete relevant portion of the Green Building
Checklist & attach it to the application or if applicable, Green Building Points Achieved:
include in lan set& the sheet index.
***For Office Use Only*** Revised 07/06/09
Over-the-Counter
CITY OF CUPERTINO
C ADDITION/REMODEL
CUPE�TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
ADDITIONS 1R3SFDADD
1PLLONGRNGR Long Range PL
Planning/Residential
1 R31NSP Dwellings Inspections B
1 R3PLNCK Dwellings plan check B
1 R3REPINSP Dwellings Repeat B
Inspection
1 R3REPPLNC Dwellings Repeat Plan B
Check
1 R3HINSP Dwellings Hillside B
inspection
I R3HPLNCK Dwellings Hillside plan B
check
IR3HREINSP Dwellings Hillside B
Repeat Inspection
1 R3HREPLNC Dwellings Hillside B
Repeat Plan Check
1R3ALTINSP Dwellings Alternate B
Materials Inspection
1 R3ALTPLNC Dwellings Alternate B
Materials Plan Check
1 PCESS Cesspool P
1 PPRSEWG Ea. Private Sewage P
Disposal System
1 PRSEWER Sewers P
1BPSPRINK Lawn Sprinkler/Backflow P
1BPWSVCS Main Water Service P
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE SeismicResidential B
l / 1RER00FRES Residential Re-roof Each B
b 100 SF
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
DECKS 1R3SFDADD OR
1R3SFDREM
1DECKWOOD Deck (Wood)-Each B
(Each)
1 DECKRAIL Deck Railing-Each B
(Each)
GARAGES 1R3SFDADD OR
DETACHED 1R3SFDREM
1GARDTW<=1K Wood Frame up to B
1,000 SF (each)
1 GARDTM<=1 K Masonry up to 1,000 SF B
(each)
1BCONSTAXR Construction Tax Res
(new detached garage)
PATIO'S OPEN 1R3SFDADD OR
1R3SFDREM
1 PATIOWOOD Wood Frame up to 300 B
SF
1 PATIOMETAL 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
1PATIOENCLO 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
v 300 SF check
1 REMRESBAT Bath Remodel up to 300 B "
SF
1REMREOTH Other Remodel up to 300 B "
SF
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
1 REMRES2 Remodel Residential B
Greater than 1000 sq ft
1REMRES3 Remodel Residential B
Greater than 2500 sq ft.
1REROOFRES Residential Re-roof Each B
100 SF
REMODEL PLNCK
1 STPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CKS.
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1 WINREP Replacement windows B
(ea 8 windows
1 WINNEWNSTR New Window (non- B
structural)
1 WINMEWSTR New Window (Structural B
Shear Wall/Masonry)
1 WINBAYSTR Bay Window (Structural) B
SKYLIGHTS 1R3SFDREM
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 B
sf or structural
1STAIRS Stairs-first flight/ea addt'1 B
I EPERMITFEE Electrical Permit Fee E
1 MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln E
Ck (hourly)
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
1MECPLNCK 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
f z �
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: (OLF L�(— W e4 6 GrI'e-'� ' r PERMIT#
OWNER'S NAME: PHONE# — ��
GENERAL CONTRACTOR: i v 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 SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
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
Owner/Contractor Signature Date