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09080425 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8099 PRESIDIO DR CONTRACTOR:ROY CHEUNG'S PERMIT NO:09080425 CONSTRUCTION COMPANY OWNER'S NAME: 1-HSING TOM 3616 CARICK PLACE WAY DATE ISSUED:08/31/2009 L ER'S PHONE: 4089968771 SAN JOSE,CA 95121 PHONE NO:(408)489-5988 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT PLUMB License Class Lic.# MECH F RESIDENTIAL r— COMMERCIAL Contractor Date JOB DESCRIPTION:REPLACE WINDOWS FOR ENTIRE HOUSE/W I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions LOW EGRESS WINDOWS,TEAR OFF SIDING AT FRONT WINDOW,APPLY Code and that my license is in full force and effect. STUCCO AT FRONT HOUSE,INSTALL STUCCO TRIM ON 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:$11500 permit is issued. APPLICANT CERTIFICATION APN Number:35611079.00 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. - Date: Signature Data Issued ❑ OWNER-BUILDER DECLARATION RE-ROOFS: 1 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: 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: 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 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. 1 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 orai i e gent: / 0 forthwith comply with such provisions or this permit shall be deemed revoked. Date: d i 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.1 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 u� ^the above mentioned property for inspection purposes.(We)agree to save nify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address c... .,,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 re lations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. 0 l Signature - Date �/ Licensed Professional 0JC>R oq�2-1t;o CITY OF ("'UPERTINO CUPEi�TINO GENERAL BUILDING PERMIT APPLICATION FORM APN# Date: Building Address: Mailing Address (if different,from building address): Are Hazardous Materials being used as part of thi;,, project? Yes No HOA: Exterior work only) Yes ❑ No ❑ If yes, provide letter from HOA Owner's Name- Phone#: 7�7•Si-Z 7,q—rl F:� �Lc — l6 �'7�7 . Contractor: / Phone: 4a R 5;2�9_S � � t© � Fax: Contractor License#. /?po j N'm-4 Cupertino Business License#: Contact: Phone: Fax: Residential Commercial El Job Description: /� / ,PeI4 l✓I���dxfJs - z�r p�/ire /�vI!!P �// 7 2. Thar blf <i'di14 gfA/)f A✓1'17dv trih� ars �✓j.�l� of �i-ate}_ Buildirl?�- Bldg JM Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: I-A, I-B ❑ IUIII/V-A ❑ II/III B, IV-HT, V-:3 ip- e7 Valuation: Square Footage: 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. Points Achieved: IFor help, contact Build it Green at www.buflditgrcen.org Revised 07/14/09 CITY OF CUPERTINO Carr OF GENERAL BUILDING APPLICATION CUPEI�TINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) B additiona. stucco application 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1 WINMEWSTR New Window-structural shear B wall/mase (includes plan ck fee) IEPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanical Permit Fee M 1 PPERMITFEE Plumbin€;Permit Fee P 1 ELCPLNCK Stand Alone Electric Pin Ck(hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck(hrly) M 1PLMBLNCK Stand Alone Plumbing Pln Ck(hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check(when no E/M/P) B when not over counter) hourly-stand alone ' 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES / 1BSEISMICR Seismic'.Zesidential B 1BSEISMICO Seismic Commercial B 1 TRAVDOC Travel & Documentation B 1BUSLIC Business License B 5 of 5 INPUT ReMurzes Energy 1ADIHealth M.Indoor Air Quality and Finishes 1.Use LowMo-VOC Paint 1 I.NQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 I NQ/Health pts y=yes 0 3.Use Low/No VOC Adhesives 31 NQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 614Q/Health pts y--yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 14Q/Health pts y=yes 0 7.Seal aM ip2osad Par6oleboard or MDF 4 I AQ/Health. ats - es Di- B.Use FSC Certified Materials for Interior Finish 41�esource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 3esoume pts y=yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0 ■ 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring B Fesource pts y=yes 0 2.Use Rapidly Renewable Flooring Materials 4 F esource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 F esource pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl 5 I%Q/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 F esource pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 F esource pts y--yes D ■ 1 1 so Total Points Available: 130 57 Total Points Project Received: f 01 0 0 L G:datalprogslgreenb iildngguidelineslremodelerslgreenpot;nt�12- rote d.yJs4 / 7/71si„y 1��2, e7 y /" � �i/"7�D� ypy lnG�i�IPI�� S�'�-�Z /�/ �L'•I f �)��jL' Downstairs 96" x 80" 70" x 31.5" 72" x 41.5" AL AL Dining Window Door Patio door g Kitchen , �s 24' Living room Family room and Kitchen` Q Living rooDoor to garage m/ 94" x 56.5" Q Q o r Y �0 W If p cn ; �'BM _ Office / Q a 0 1 m�,_ 'a Garage �� o Y bedroom Garage door 70" x 49.5" f 13' > -- 19' 31' a Upstairs 4 57.5" x33" 57.5" x31.5" 57.5" x31.5" 69.5" x31.5" r N CO X in Room 4 Room 3 Room 2 ti LO 24' Room 1 - CO CO X in Room 5 M Room 5 Hall way Bathroom Bathroom 53.5" x36" 54 x36 21.5" x36" 21.5" x36" 53.5" x36" 50' Estimated total stucco area (upstairs & downstairs) : 480 ft2 1,15, y 7,-?,?, •' G✓:���y!� y��lt�.�.�yIPE� S�y,�,�` `moi �j L,�-f Downstairs -mss � ir�•-��,� �,i' ��C .3.-0,, 96" x 80" 70" x 31.5" 72" x 41.5" OQ� Patio door Diming Kitchen Window Door G 00 24' Living room Family room and Kitchen Living room/front Entrance door Door to garage 94" x 56.5" Office / bedroom Garage Garage door 70" x 49.5" a 13' _- 19' - Upstairs 57.5" x33" 57.5" x31.5" 57.5" x31.5" 69.5" x31.5" N M X �n Room 4 Room 3 Room,2.. 24' Room 1 ---- M CO X �n Room 5 CO Room 5 Hall way "' Bathroom Bathroom 53.5" x36" 54 x36 21.5" x36" 21.5" x36" 53.5" x36" 50' Estimated total stucco area (upstairs & downstairs) : 480 ft2 Community Development 10300 Torre Avenue a. Cupertino CA 95014 T 'ori Telephone(408)777-3228 CITY OF Fax(408)777-3333 -,UPEkTINO Building Department JOB ADDRESS: yy�s o lir. PERMIT # �� fif��5-�� OWNER'S NAME: 7;-1 PHONE # GENERAL CONTRACTOR: v FAX# 00/.4/�� I am not using any subcontractors: ✓ Si e Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSI14ESS 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 Owner/Contractor Signature Date