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13050191
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22330 HOMESTEAD RD CONTRACTOR:BAY CITY WINDOWS PERMIT NO: 13050191 OWNER'S NAME: YOON JUNG CHO 3030 OSGOOD CT DATE ISSUED:05/28/2013 OWNER'S PHONE: 6508159878 FREMONT,CA 94539 PHONE NO:(510)353-1600 13 LICENSED 'ICONTRACTOR p'S DEC/LAR,gATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALO License Class C , ` Lic.# 0;.7i 2 J d REPLACE(E)12 WINDOWS&(E)3 SLIDING GLASS 2 /? DOORS Contractor Date (ALL WINDOWS WILL MEET EGRESS&BE TEMPERED, I hereby affirm that I am licensed under the provisions of Chapter 9 WHERE (commencing with Section 7000)of Division 3 of the Business&Professions REQUIRED) 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. Sq.Ft Floor Area: Valuation:$15000 Ihave 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:32659001.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED. correct.I agree to comply with all city and county ordinances and state laws relating WITI�N 1 PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter 1iLLED INSPECTION. upon the above mentioned property for inspection purposes. (We)agree to save 180 indemnify and keep harmless the City of Cupertino against liabilities,judgments, (✓ costs,and expenses which may accrue against said City in consequence of the Date: J 13 granting of this permit. Additionally,the applicant understands and will comply slue with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. j Z any r ROOFS: Signature Date 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 inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I,as owner of the property,or my employees with wages as their sole compensation, 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25 O5,25533,and 25534. Section 3700 of the Labor Code,for the perforniance of the work for which this Owner or authorized er Date permit is issued. I 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION 0` COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUp_ t` 1tQ (40,B).777-3228 FAX(408)777-3333•buildinaCa)cupertino.org \ ❑NEW CONSTRUCTION . ❑ ADDITION ❑ALTERATION/-n ❑ REVISION/DEFERRED ORIGIINAL PERMIT# PROJECT ADDRESS .- 2 O 0 m e S 1e a C' { APN# �L I 7 - D O OWNERNAME /0 L) �- P�U SIS HONE E � STREET ADDRESS CITY, STATE,ZIP�n^(,m C C, FAX I CONTGME PHO57 EMAIL � 1 _ q (9vU STREET ADDRESS' ' S• O C,4 CITY,STATE,ZIP YS�q FAX rernOA a I ❑OWNER ❑ OWNER-BUILDER13owNmAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME I ' ( LICENSE NUMBER �2 Ir T=SE TYPE BUS.LIC# COMPANY NAME (� CE-MAIL FAX 3S� STREET ADDRESS J S s70 j G4 CITY,STATE,ZIP 'Grern) I c, ��` y� PHONE ARCHrTECT/ENGINEER NAME GC LICENSE NUMBER t rn J ( BUS.LIC#) COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,2IP PHONE DESCRIPTION OF WORK S Y) � G EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(S). EXISTG. NEW FLOOR DEMO TOTAL AREA AREA AREA. NEr AREA - BATHROOM KITCHEN OTHER . REMODEL AREA REMODEL AREA REMODEL AREA .PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLINGUN1TS:" IsA'sECONDUNrr ❑YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? ❑NO .PRE-APPLICATION ❑YES IF yEs,PROVIDE COPY OF. Is THE BLDG AN ❑YES - i G - -= - -- - -- '. TOTAL VALUATION: ` PLANNINGAPPL#. ❑NO PLANNING APPROVAL LEITER EICHLERHOME? ❑NO _ rDO�,/) By my signature below,I certify to each of the following: I am the property owner or authonzed agent to act on theoperty.owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construauthorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/ Date: S SUPPLEMENTAL INFORMATION REQUIRED New SFD or Multifamily dwellings: Apply for demolition permit for existing buildirig(s):.Demolition permit is required prior to issuance of building permit for new building. s r. _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. Gic _Copy of Planning Approval Letter or Meeting with Planning prior to _ submittal of Building Permit application. twou' . b Eng©. IST - <'rrz Bldgf4pp_2011.doc revised 06/ll/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ' ADDRESS: 22330 HOMESTEAD RD#101 DATE: 05/28/2013 REVIEWED BY: MELISSA APN: 326 59 001 BP#: "VALUATION: 1$15,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: P PERMIT TYPE: WORK REPLACE E 12 WINDOWS & E 3 SLIDING GLASS DOORS ALL WINDOWS WILL MEET SCOPE EGRESS & BE TEMPERED, WHERE REQUIRED) Xfech.Plan Check Phanb.Plan Check Elec. Plan Check Vech. Permit Fee: Plumb.Permit Pee: Elec. Permit lee: Other:Ile ch.Insp, Other Plumb Insp. Li Other Elec.Insp. A17ech.Insp.Fee: Plumb. Insp.Fee: Glee.Insp.lee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Window/Sliding Glass Door Suppl.PC Fee:' (F) Reg. 0 OT 0.0s $0.00 $533.00 IWINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-E) Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction :Tax: _T_T Administrative Fee: Work Without Permit? ®Yes (E) No $0.00 1 E Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Documentation Fees: Building or Structure ®, Strong:Motion Fee: IBSEISMICR $1.50 Select an Administrative Item Bldg Stds Commission Feer 1BCBSC $1.00 $2.50 $533.00 535.50 Revised: 04/29/2013 ; Building Department City Of Cupertino 10300 Torre Avenue -Cupertino,CA 95014-3255 `Telephone: 408-777-3228 C U P E RT I N OFax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR_,LIST JOB ADDRESS: zZ.33 O 1 Aome 4,z d 2 d 1 b l PERMIT# OWNER'S NAME: PHONE.# GENERAL CONTRACTOR: Re.v C J W UtJ 3 BUSINESS LICENSE# ADDRESS: 3 o Q G+ rtmo'A CC plyE CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a Cityof Cupertinwbusiness 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: S ' 2 g 3 Signature Date Please check applicable subcontractors and complete the following information: - j/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE# Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing 011 Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/ ntrac'*VZ Signature Date A l ` �O 4 r oo m s m i c e s ocEe 5 v , Via&+z� G C . , 3 � �►esa PLOT PLAN CHECKED - xo SV51 -MMqNING DPT. bC Z DATE a10 slksl j RT 111: t�rrT � � f fats w(T�'S '1'�''1 � -� xts y d4 n,n C� 4- )(0(-T) 11 x 15 BUILDING DIA SIOv-CUPERTINO 4 p w 33 5 APPROVED x Thisset of plan---s-a-nd'speciff&ations MUST be-kept t the �. Job site during construdtion. It is unlawful to mak, any i chances or alterations on same,or to deviate CUPERTINO therefrom,without approval from the Building Off ;!al. Ruilding Department i ''rr The stamping of this plan and specifications'SHALL NOT a t �7� $ Z��3 bs field to r o an approval of the viola on L" V),\5 X-u S" x 5'1 o ' provis ity finance or St w. Lv�S. �w(T) 5 1xL5 E1/I tL[, r � CODECMLIANCE Z3reviewed By PERMIT NO. � O/ C. co -OFFIC 2 v�,n�� r e F c�c,en-c-it owr BY,