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10010080 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21044 LAURETTA DR CONTRACTOR:SCL CONSTRUCTION CO. PERMIT NO: 10010080 OWNER'S NAME: YEN-KUANG CHEN 1664 SAMEDRA ST DATE ISSUED:01/20/2010 '4ER'S PHONE: 4082561681 SUNNYVALE,CA 94087 PHONE NO:(650)678-8311 ❑ LICENSED CONTRACTOR'S DECLARATIONF BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# MECH F RESIDENTIAL COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REMODEL KITCHEN,CABINET/COUNTERTOP (commencing with Section 7000)of Division 3 of the Business&Professions &BATHROOM(2-5)COUNTERTOPNANITY/TOILET;SCL CONST Code and that my license is in full force and effect. RNWD BSL 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:$6000 permit is issued. APPLICANT CERTIFICATION APN Number:32654032.00 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, 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 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Issued by:-._ . Date.-// rU Signature Date 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 1,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, Business&Professions Code) Signature of Applicant: Date: I,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 materials 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& 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. 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 25505,25533,and 25534. 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 Owner or uthorizednt: forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 -.mnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address s,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 9.18. 1 understand my plans shall be used as public records. Signature Date ��'� Licensed Professional CITY OF CUPERTINO 9 ITEMS OF 9 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32654032 . 00 DATE ISSUED. . . . . . . : 01/20/2010 RECEIPT #. . . . . . . . . : BS000009587 REFERENCE ID # . . . : 10010080 SITE ADDRESS . . . . . : 21044 LAURETTA DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : YEN-KUANG CHEN ADDRESS . . . . . . . . . . : 21044 LAURETTA DR CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-1656 RECEIVED FROM . . . . : YEN-KUANG CHEN CONTRACTOR . . . . . . . : STEVE LAI LIC # 25726 COMPANY . . . . . . . . . . : SCL CONSTRUCTION CO. ADDRESS . . . . . . . . . . : 1664 SAMEDRA ST CITY/STATE/ZIP . . . : SUNNYVALE, CA 94087 TELEPHONE (650) 678-8311 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- --- 13CBSC VALUATION 61000 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BPFIXTURE NO OF FIXTURE 1. 00 8 . 00 0 . 00 8 . 00 0. 00 1BREMFIXT NO. FIXTURES 1 . 00 63 . 00 0 . 00 63 . 00 0. 00 1BREMRECEP NO. OUTLETS 1 . 00 42 . 00 0 . 00 42 . 00 0. 00 1BSEISMICR VALUATION 61000 . 00 0 . 60 0 . 00 0 . 60 0 .00 lEPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0. 00 1PPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0. 00 1REMRESKIT SQ FEET 100 . 00 570 . 00 0 . 00 570 . 00 0. 00 1TRAVDOC FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 810 . 60 0 . 00 810 . 60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 810 . 60 AMEX --------------- TOTAL RECEIPT 810 . 60 CITY OF CUPERTINO RECEIPT NUMBER: BS000009586 RECEIVED BY: PATRICIAG PAYOR: STEVE C LAI TODAY'S DATE: 01/20/10 REGISTER DATE: 01/20/10 TIME: 09 :23 1 BUSINESS LICENSE TAX RNW #25726 $114 .00 ---------------- TOTAL DUE: $114 . 00 CREDIT CARD: $114 . 00 REF NUM: VISA TENDERED CHANGE $114 . 00 $ . 00 o© Oc��?u CITY OF CUPERTINO ADDITION/REMODEL CITY T CUP �,INO PERMIT APPLICATION FORM APN # Date: Is a 2"dd unit being added? Yes [:] No ® If yes, please fill out the permit application for 2" unit. Building Address: _ Z i o 4 4 LoLaeffa Dy%.. (�k P&If PY7 L) G� IS 0 f Mailing Address (if different from building address): Owner's Name: Phone# : 6 Yeyi-kualt . Contractor: Phone#: TFax #: Contractor License#: Cupertino Business License#: Contact: Phone#: Fax#: Building Permit Info: ❑� Hillside Plumb. Mech. ❑ Bldg. Z Elect. �� [}''� Job Description: Addition-What is being added?(Be Specific): What is being remodeled (not including addition)? kN tc ke n �P W ud&� RatilY-00-01� (2-5) Remodel Includes Re-Roof: Yes ❑ No 0 If yes list number of squares Remodel Includes Structural: Yes [:] No 2r 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 100 5,'& Bath Other Type of Construction (Usage Class): Occupancy Type: 1-A, 1 B ❑ II/III/V-A ❑ IUIII B, IVH T V-B a 1� 1� Valuation: Please check this box if the project is a 6� 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 plan set & the sheet index. ***For Office Use Only*** Over-the-Counter ❑ Revised 07/06/09 _ CITY OF CUPERTINO .. ADDITION/REMODEL CITY OF FEE SCHEDULE CVPEkTIN Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1R3SFDADD ADDITIONS 1PLLONGRNGR Long Range PL Plannin esidential 1 R3INSP 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 1 R3HPLNCK Dwellings Hillside plan B check 1 R3HREINSP 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 1PCESS Cesspool P 1PPRSEWG Ea. Private Sewage P --Disposal System 1 PRSEWER Sewers P 1 BPSPRINK Lawn Sprinkler/Backflow P 1 BPWSVCS Main Water Service P Bldg 1BCBSC Cal Standards B ALL PERMIT TYPES Commission Fee 1 BSEISMICRE SeismicResidential B 1RER00FRES Residential Re-roof Each B 100 SF CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE QuantityFee*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 15000 SF (each) 1 GARDTM<=1 K Masonry up to 1,000 SF B (each) 1 BCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1 PATIOMETAL Metal Frame up to 300 B SF 1 PATIOOTHER 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 Vy 300 SF check 1 REMRESBAT Bath Remodel up to 300 B " SF 1REMREOTH Other Remodel up to 300 B " SF CITY OF CUPERTINO A.DDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee GroupPermit Type S Ft yp 1 REMRES2 Remodel Residential B Greater than 1000 sq ft 1 REMRES3 Remodel Residential B Greater than 2500 sq ft. 1REROOFRES Residential Re-roof Each B 100 SF REMODEL PLNCK 1STPLNCK (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>1 OSF Skylight greater than 10 B sf or structural 1STAIRS Stairs-first flight/ea addt'l B 1 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 GroupPermit Type S Ft yp 1 MECPLNCK Stand Alone Mechanical M Pln Ck (hourly 1 PLMPLNCK Stand Alone Plumbing P Pln Ck (hourly) 1 BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1 BSEISMICRE Seismic Residential B r 1 TRAVDOC Travel &Documentation B 1 BUSLIC Business License B 7-L12 f,' RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: Name of owner. YM 6 ao Project address. 2-1D44 Lauret-K Ar Contact person. "I -�o�. Phone. 64o,V 2S /46 F/ Fax. Net square footage of lot. Existin Square footage: First floor: Proposed 1 Second floor: Garage: TOTAL: Are there at least two 10 foot by 20 foot clear spaces inside the garag N Is privacy protection planting required for the project? N Build it Green Total Points On what floor(s) is work being done? Brief description of work. l7o�—St"nl�rzl�.� t��n rrn� ° qn�►r ` ",���a„ IXo Ce1 Code editions:2007 CBC a-N)2007CFC e-N)2007CMC ON) 2007 CPC LVN)2007NEC APPHO VED IN AC(:OHI JAN(;I VVI TH THE CITY OF CUPE f�TINO C,ODI'SAND ORDINANCES Effective 1/1/08 DATE__) SIGN This set of plans and specifications MUST be kept on the joh at all times and it is unlawful to make any changes or alterations on same without written permission from the Building De ,,irtr .F�nt, C;it of Cu rtino. The stamping o�!t�r, l,Idrl anc spe�if, ations SHAT l N07 bF,hN�,t r,,permit or to he an aPP►oval of tt�t= v�of<tii )f ,)f,any provisionsOf y City fird1rt,10cr()t ,t�ite EaV1!. Plan Review Process Work Book Page-8-Revised 8/05/08 Kitchen (dimension is roughly 10 ft x 10 ft) 1. Upgrade kitchen electrical, install two new 20 amp circuit breakers / •dishwasher,garbage disposal/ -two /S'Zrp 'P C�'r4a 2. Replace existing outlets to GFCI outlets and add new GFCI outlets so that there will be an outlet in every two to four feet along counters in compliance with the City Electrical Code. 3. Replace ceiling light to four 6" recess lights (with fluorescent 4. Install new gas line from meter 5. Replace new range hood vent 6. Replace cabinet and countertop(as shown in the drawing) 2.5 Bathrooms 1. Replace existing toilet(1.6 GPF) d 2. There will be at least 15 inches clearance on each site �. SC��'tG� v,•%// �' re /OrG�'c� �D ���r OCcu�ClnC�' S�-�rs� r 1 41 Community Development - 10300 Torre Avenue Cupertino CA 95014 5ai Telephone(408)777-3228 Fax(408)777-3333 CtTlf�OF .'UPE TING Buildin De artm a nt JOB ADDRESS: PERMIT # O 4�' Dr �v �o/4- 2 0 �r�t�a� C 9' R'S NAME: PHONE # C�� 2SG-168 O� GENERAL CONTRACTOR: T13D Y FAX # jam,_ _ ^ �.............. I am not using any subcontractors: "` _L_ 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile wn ontractor Signature Date