13060227CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10266 PLUM TREE LN
CONTRACTOR: GOLDEN GATE FENCE
PERMIT NO: 13060227
INC
OWNER'S NAME: SHIH HSN -MEI ET AL
P O BOX 610578
DATE ISSUED: 06/28/2013
OWNER'S PHONE: 4088572123
SAN JOSE, CA 95161
PHONE NO: (408)272-7400
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALU
❑ LICENSED CONTRACTOR'S DECLARATION
License Class G -- 1. _'� Lic. #_.�, !& If ?k ID
CONSTRUCT BOARD ON BOARD 7FT FENCE
*SEE NOTES
Contractor 6- 6 �2K %cam elate Com'' 2g [
V
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
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
Sq. Ft Floor Area:
Valuation: $6275
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
APN Number: 31633012.00
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
WITHIN00 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DA OM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
{`3
Issued b Date:
granting of this permit. Additionally, the applicant understands and will comply
y:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature t 2 C / Date. G, 2 V^ i 3
RE -ROOFS:
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 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: ��� Date: = i
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
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTtt 0 (408) 777-3228 • FAX (408) 777-3333 • building(aDcupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS -Z LNw� L � -
APN Al 1 (P 33 0 � 2—
OWNERNAME 1iPHONE
E-MAIL
STREET ADDRESS
Ce L
CITY, STATE, ZIP
FAX
e e e�
CONTACT NAME
PHONE E-MAIL,
STREET ADDRESS
CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER-BUJLDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRA NAME
LICENSE NUMBER LICENSE TYPE
BUS. LIC #
Ce
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHTTECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK `
EXISTING USE
PROPOSED. USE CONSTR.
TYPE
# STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: JJ DETACH
❑ ATTACH
I
#DWELLINGUNITS:
IS A SECOND UNIT []YES
SECONDSTORY OYES
BEING ADDED? []NO
ADDITION? []NO
PRE -APPLICATION [:] YES IF YES, PROVIDE COPY OF
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES
EICHLER HOME? NO
6-R-ECEI .;_$
_
TOTAL VALUATION:
❑
_ x
_ ..
By my signature below, I certify t0 each of the following: I am the property owner or authorize ag t to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and 6ferify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. ,
Signature of Applicant/Agent: Date: ^ - It
SUPPLEMENTAL INFORMATION REQUIRED
y" -
omL
New SFD or Multifamily dwellings: Apply for demolition for
_ permit
existing building(s). Demolition permit is required prior to issuance of building
4 UE�i=THECO, _ �E
� BUILDILIGPL StE _
permit for new building.
s
_"
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure$T
tilaLrcl�
_
form if any Hazardous Materials are being used as part of this project.
"
Copy of Planning Approval Letter or Meeting with Planning prior to
�
submittal of Building Permit application.
��MA3SR �-;' `
��;`;; ARYSE
B1dgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
II Jail FRF F.CTIMATnR — RITILDING DIVISION
Mech. Plan Check
iLlec:h. Permit Fee:
Other lllech. Insp.
Plumb. Plan Check
Plumb. Permit Fee:
Other Plumb Insp.
Elec. Plan (.heck
Flee. Permit Fee.
Other Elec. Insp.
_llech. Insp. Fee: I Plumb. Insp. Fee. I Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School
n:-...:... .. 7Z,...,. s:.,... ,. 1... ,.d .... sa,....,.nw.:.,,....:.,f r n/:na nvn;tnhlo ..nd nro nsily nn aetimnty_ Cnntart the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12)
ADDRESS: 10266 plum tree In
DATE: 06/28/2013
REVIEWED BY: mendez
APN:
BP#:
*VALUATION:
1$6,275
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
p
0.0 Ihrs
PENTAMATION
1 GENRES
USE:
PME Plan Check:
MIT
PERTYPE:
WORK
construct board on board 7ft fence
SCOPE
$0.00
Mech. Plan Check
iLlec:h. Permit Fee:
Other lllech. Insp.
Plumb. Plan Check
Plumb. Permit Fee:
Other Plumb Insp.
Elec. Plan (.heck
Flee. Permit Fee.
Other Elec. Insp.
_llech. Insp. Fee: I Plumb. Insp. Fee. I Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School
n:-...:... .. 7Z,...,. s:.,... ,. 1... ,.d .... sa,....,.nw.:.,,....:.,f r n/:na nvn;tnhlo ..nd nro nsily nn aetimnty_ Cnntart the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
234 l.f.
$534.00
Fence
IFENCE>6FT Fence, Non -Masonry >6'
Suppl. PC Fee: (E) Reg. ® OT
0.0 Ihrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:(E) Reg. ® OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
NO OR
r x
Mech. Plan Check
iLlec:h. Permit Fee:
Other lllech. Insp.
Plumb. Plan Check
Plumb. Permit Fee:
Other Plumb Insp.
Elec. Plan (.heck
Flee. Permit Fee.
Other Elec. Insp.
_llech. Insp. Fee: I Plumb. Insp. Fee. I Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School
n:-...:... .. 7Z,...,. s:.,... ,. 1... ,.d .... sa,....,.nw.:.,,....:.,f r n/:na nvn;tnhlo ..nd nro nsily nn aetimnty_ Cnntart the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
234 l.f.
$534.00
Fence
IFENCE>6FT Fence, Non -Masonry >6'
Suppl. PC Fee: (E) Reg. ® OT
0.0 Ihrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:(E) Reg. ® OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: -T-1
Administrative .Fee:
1 1
E)
Work Without Permit? ® Yes (E) No
$0.00
Advanced Planning Fee.
$0.00
Select a Non -Residential
Building or Structure
•'
0:
1 ravel Documentation Fees
Strong Motion Fee: IBSEISMICR
$0.63
Select an Administrative Item.
Bldg; Stds Commission Fee: IBCBSC
$1.00
$1.63
$534.00
.
$535.63
Revised: 04/29/2013
I
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JUN 2 8 2013
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DAU
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UNITY D �cLO.lrlcsdT Dr1,ART1\11ENT
COMM plvi ,iON - C�JPERZiNO
BUILDING �� n��
`' p,C Z
k,e,rht
ecifi
chis set of plans and spcation
llE
� (�1t.�ST
tt is uniawf�!I tr,• rr��;«:.. <:.. �,
GOn struGflGn. Or t0
Job site during Oisivia;.
changes or alte„ati ravel from the Buitdln°
there eu;ficat2,;n
of this plan and sP h
e s+ 1,nping ;a ;rOvat os
Th
be held to permit or to hP �n
rovisions Of any City Ordinance
of any p ��.•.�
BY f IVUL A.3
DATA
PERMIT NO.
'STREC T
i
S
Z
II
L
2
�u
bK-
GOLDEN GATE FENCE
Specializing: Fences, Decks, Retaining Walls, Chain Links
License # 668090
P.O. Box 610578 • San Jon r n i a 95161 0§78�
Tel. (408) 272-7400 �,} 8) 272-9101
UAI EA
ALES ESTIMATOR
REFERRED BY ;• a�Ti?R
H..,'
PROPOSAL TO L 1,
DIRECTIONS TO J(A SITE
Lt
b Jd'
WARRANTY IF APPLI ip
d
+
+ t
" %
tt
HOME PHONE � ` �` 21 BUS. PHONE
` UTILITIES
CHECK
JOB > IF DIFFERENT FROM ABOVE
SITE /��g .. v—e-
TYPE OF TERRAIN
OBSTRUCTIONS REMOVAL BY
/
ADDR.
(L—,,
SPE0.EQxUP. NECESS ACCESS TO JOB
LABOR AND MATERIALS
WE PROPOSE TO DO ?RETE , AS PER DIAGRAM
FENCE LINE MARKED
j
E p }� E e�
ELECTRICITY WATER CUST AVAIL EST R AVAIL
RI ORDERLY
DESIGN
AND GENERAL DESCRIPTION OF PRODUCT PURCHASED
HEIGHT
NUMBER
OF
STYLE
STYLE _/ �� Py
`-fie
y-`
GATES t
W ` `yam C
�#] 1 A
COMPLETE C
INC.TAX $ �l r��
REVISION IF NECESSARY
$
L k 'Y (,\ US
DEPOSIT $
$
2iL p�Z`C
s�
BALANCE $ G�
$
R
TERMS OF PAYMENT. PAYMENT UPON COMPLETION
OF CONSTRUCTION OR LATE FEES MAY APPLY.
(�*ALL MATERIALS REDWOOD CONSTRUCTION *ALL POSTS SET IN CONCRETE
GRADE EXCEPT AS OTHERWISE NOTED. FEET EXC PT AS OTHERWI E NRTED
i `o" - � jJ VY
—7 PQ% Z� -2-1G/ /� -��e�
100%1r
Vol ''e -e-
G �3,
_t6;�r
COMMENTS
BECAUSE OF THE ESCALATING COSTS OF MATERIALS THIS PROPOSAL
PURCHASER
EXPIRES ON
ORDER CONFIRMED BY O PHONE O MAIL O IN PERSON
CONDITIONS
ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH STANDARD PRACTICE. PROPERTY LINES. MUST BE MARKED BY PURCHASER AND
-
DATE CONFIRMED BY
SELLER ASSUMES NO RESPONSIBILITY FOR LOCATION OF PROPERTY LINES OR ANY CITY OR COUNTY ORDINANCES REGARDING HEIGHT
AND OR SET BACKS. ALL AGREEMENTS BETWEEN PURCHASER AND ESTIMATOR MUST BE IN WRITING HEREON AND APPROVED BY SELL-
ER'S MAIN OFFICE BEFORE WORK COMMENCES . PURCHASER IS AWARE AND AGREES THAT UNDERLYING ROCK CONCRETE SHALE
ESTIMATORS
HARDPAN HIDDEN PIPE, ELECTRICAL WIRING OR OTHER SUBSTANCE THAT WILL REQUIRE JACKHAMMERING, DRILLING OR IF ANY OTHER
UNIQUE CONDITION IS UNKNOWN TO THE SELLER INVOLVING EXTRA LABOR COSTS WILL RESULT IN ADDITIONAL CHARGES APART FROM
SIGNATURE
THIS AGREEMENT. SELLER SHALL HONOR RECISSION BY PURCHASER UNDER SUCH STATE OR FEDERAL LAWS PERTAINING TO SUCH
ACTION IF TAKEN BY PURCHASER GUARANTEES OR WARRANTIES SHALL BE HONORED BY SELLER ONLY IF IN WRITTEN FORM OR CER-
TIFIED. NO VERBAL ASSURANCE OF GUARANTEES AND WARRANTIES SHALL HAVE ANY VALIDITY AT ANY TIME. NOT RESPONSIBLE FOR
COMPANYS
.DAMAGE TO TREES, PLANTS OR SHRUBS. THE ABOVE CONDITIONS ARE BINDING TO THE ABOVE CONTRACT.
ACCEPTANCE
TM
,iAy- 0(_ 0
CUPERTINO
s:
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: 0Y
PERMIT # ^ 0 00
OWNER'S NAME:
PHONE # d' Q
GENERAL CONTRACTOR: '
BUSINESS LICENSE:# ..
ADDRESS:CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City `of.Cupertdio.vlusiness license;
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE .SCIEDULED 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
V SUBCONTRACTOR BUSINESS NAME : BUSINESS LICENSE #
Cabinets & Millwork144 09 V
l
Cement Finishing
Electrical ;
Excavation
IVA
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating —
Insulation
Landscaping IV
Lathing
Masonry
Painting / Wallpaper
.-PIPaving
Plastering,.— A J