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09110033 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10138 COLD HARBOR AVE CONTRACTOR:TBD-TO BE DETERMINED PERMIT NO:09110033 OWNER'S NAME: KIN HING LEUNG DATE ISSUED: 11/06/2009 ER'S PHONE: 4088732271 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT[_ PLUMB License Class Lic.# MECH RESIDENTIAL COMMERCIAL Contractor Date JOB DESCRIPTION:KITCHEN REMODEL(184SQFT);NON- I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions STRUCTURAL NO RE-ROOF Code and that my license is in full force and effect. 1 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:$25000 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:36909043.00 Occupancy Type: permit is issued. 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 PERMIT EXPIRES IF WORK IS NOT STARTED to building construction,and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, 180 DAYS FROM LAST CALLED INSPECTION. costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Issued = Date�� 9.18. Signature Date RE-ROOFS: OWNER-BUILDER DECLARATION 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 I hereby affirm that I am exempt from the Contractor's License Law for one of inspection. the following two reasons: 1,as owner of the property,or my employees with wages as their sole compensation, Signature of Applicant: Date: 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain a Certificate of Consent to self-insure for Worker's California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Compensation,as provided for by Section 3700 of the Labor Code,for the compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& performance of the work for which this permit is issued. Safety Code,Section 25532(a)should I store or handle hazardous material. I have and will maintain Worker's Compensation Insurance,as provided for by Additionally,should I use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health&Safety, pde,Sections 25505,25533,and 25534. 1 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 Owner or agent: l f/� Compensation laws of California. If,after making this certificate of exemption,I _ Date: 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's APPLICANT CERTIFICATION for which this permit is issued(Sec.3097,Civ C.) I certify that I have read this application and state that the above information is Lender's Name correct.1 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 Lender's Address upon the above mentioned property for inspection purposes.(We)agree to save i- nify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION lnd expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply I understand my plans shall be used as public records. with all non-point source.re_gu)atio er the Cupertino Municipal Code,Section 9.18. � ' �% ns,� f / Licensed Professional Signature ��// Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36909043 .00 DATE ISSUED. . . . . . . : 11/06/2009 RECEIPT #. . . . . . . . . BS000009139 REFERENCE ID # . . . 09110033 SITE ADDRESS 10138 COLD HARBOR AVE SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : KIN HING LEUNG ADDRESS 10138 COLD HARBOR AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-3327 RECEIVED FROM EVA Y PANG CONTRACTOR TBD - TO BE DETERMINED LIC # 00096 COMPANY TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : TELEPHONE . . . . . . . . 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 1REMRESKIT SQ FEET 184 . 00 570 . 00 0 . 00 570. 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 573 .50 0 . 00 573 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 573 .50 AMEX --------------- TOTAL RECEIPT 573 .50 CITY OF CUPERTINO }✓ ADDITION/REMODEL CUPERTINO PERMIT APPLICATION FORM APN # � Date: 5�2 q �` c� -' ' `� l 6 / o9 Is a 2" unit being added? Yes ❑ No Q If yes, please fill out the permit application for 2" unit. Building Address: , (otos coJ H" bof �� L. � �o CA , 15�, Mailing Address (if different from building address): Owner's Name: Phone# k�N i-llN�j !_AWN -4 - �-T3 Contractor: Phone#: L{og 1 D A v Fax #: Contractor License#: 77o a 70 Cupertino Business License#: Contact: Phone#: 4-og POLA5 Fax #: Building Permit Info: Bldg. Elect. Plumb. [ Mech. Hillside ❑ Job Description: Addition-What is being added?(Be Specific): What is being remodeled (not including addition)? K�J cirn " vv..oJ_9_sN Y,� -s''hru C*reA 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 12 Lt Bath Other Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ IUIII B, IV-HT,V-B `l`_7� Valuation: 26-0-0o Please check this box if the project is a second-story addition ❑ Project Size: Express [�andard ❑ Large ❑ Ma'or❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: g include in plan set& the sheet index. ***For Office Use Only*** ElRevised 07/06/09 Over-the-Counter CITY OF CUPERTINO } ADDITION/REMODEL CUPCITY EI�TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type S Ft ADDITIONS 1R3SFDADD 1PLLONGRNGR Long Range PL Planning/Residential 1R31NSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1 R3REPINSP Dwellings Repeat B Inspection IR3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B inspection 1R3HPLNCK Dwellings Hillside plan B check 1R3HREINSP Dwellings Hillside B Repeat Inspection 1R3HREPLNC Dwellings Hillside B Repeat Plan Check 1 R3ALTINSP Dwellings Alternate B Materials Inspection 1R3ALTPLNC 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 1 BSEISMICRE SeismicResidential B 1REROOFRES Residential Re-roof Each 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 IDECKWOOD 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 1,000 SF (each) 1 GARDTM<=1 K Masonry up to 1,000 SF B (each) IBCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1 PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM IPATIOENCLW Enclosed Wood up to 300 B SF IPATIOENCLM 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 G 1 REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan d y 300 SF check 1REMRESBAT Bath Remodel up to 300 B " SF IREMREOTH Other Remodel up to 300 B " � SF M.Indoor Air Quality and Finishes 1.Use Low/No-VOC Paint 1 IAD/Health pts y=yes D 2.Use Low VOC,Water-Based brood Finishes 2 IADJHealth pts y=yes 0 3.Use Low/No VOC Adhesives 3 IAQ/Heaith pts y--yesD 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes D 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6IAQ/Health pts y=yes D 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes D 7.Seal AREW&sW t le�or MDF 4 IAQ/HeaAh pts Y7-yes ____ D B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes D 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0 M Lo 1 i 1 N.Fiaodrig 1.Select FSC Certified 1NoDd Flooring 6 Resource pts y=yes 0 2.Use Rapidly Ranewawe Flooring Materials 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl . 5 IAQ/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 S.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 1 1 b Total Points Available-1 1401 1301 57 Total Points Project Received: 0 51 0 G:data/progstgreenbulicingguidelines/remodelerslgreenpointsfinal2.12.D4proteoted.xls C E v o M O N m o c m O � c) c E e gn 9 C7 O VS y o a c bi 2m , N d (7 E N m � 0 N N v E`o -- --- °o Ir EE -- E ami y - � � I N N ` 7_j C C OHO p� 3� arndcmV C NTm `V !.2a_n vmEmocd� iO oarO) � C a W a O tlm�+m �,[ - uVi Y¢�7 c \ ' �° E 0 ¢o ZI APPF?C D IN AC:COR[iAN(,t THE CITY OF E CUPERTINO COUF D ORDINANCES Q DATE t l o SIGN This set of plans and sp E cifications MUST be kept on the lob at I times and it is �- unlawful to make any charges or alterations d on same without writ-fer, Dermission from 4- the Building Department ity of Cupertino. The stamping of this plan nd specifications � 2)'SHALL NOT be held to rmit or to be an E approval of the vinldtion, f any provisions � of any Crty t"hdin.uu m`;Yate!aw ? 0)LL a U 80 CD dCL 2 \� Sao V a in LOP EtT 96"x 80"patio door 60"x36" 8 in F GFI $$� _'- $� - ,' Sink Dish Washer', GENERAL NOTES i.__ + GFI Termination of all environmental air ducts shall be a min.of 3' from any opening into the bldg.per UMC sect.504.6 -A ll smoke detectors shall be installed per NFPA 72 requirements. -All switches are to be of the grounded type as per CEC(380-9) Vent Kitchen Electrical Requirements T to 5'spacing -All counter receptacles shall be GFI protected and located so that I Gas Range no point is more than 24 inches from an outlet. 1. All new outlets shall be on a new 20 amp circuit. JJJJJI ` Islands shall have at least one outlet. Minimum of 50%of total rated lighting wattage shall be high efficiency lighting fixtures. Island y -For cooking units,the conductor wires w/an insulated neutral& four-prong outlet are required. GFI C "to'I5'spacing--,ODCedicated 20 AM rcuit i�) _ Microwave Oven/ Steam Oven _ 220V 3'to 5'spacing Refrigerator 48"x80" i SunTunne) - v, 3 ' 43"x80.5" --WQ s';ii" Opening 31 � 3 0 o z C14 � � Q 1r w 3 3 3 3 w >, o o N W CD `� 0 w LL, N lr� >,� °C. _ °' O -0 .5II II II II II w � E ° xcl C kn is w C13r' C> N N h*I •�•� ,c � I I I I on U t ° v x € z � C4 x Z E a� ° Qx ° a � Q U o w00 rTl M C J CD �i - Ar Q � w Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �MkTINO Building Department JOB ADDRESS: PERMIT # D%-5J2 .fid( Df- OWNER'S NAME: fk IN H►tufa PHONE # 4 - 7 3 1277 I GENERAL CONTRACTOR: .D& 'CANA FAX # 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile ner/Contracto 'gnature Date