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13100006
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18811 ARATA WAY CONTRACTOR:GRAND NEST PERMIT NO: 13100006 CONSTRUCTION OWNER'S NAME: XU HONGFEI 13428 CHRISTINE DR DATE ISSUED:10/01/2013 OWNER'S PHONE: 4087726380 SARATOGA,CA 95070 PHONE NO:(408)891-8059 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALU 7L ,.se Class Lic.# r DEMO(E)814 S.F.SFD(BP#13040083) Contractor mate �( l I hereby affirm that;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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$9000 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:37512030.00 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 WITfIIN 180 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 DAYS F T 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 granting of this permit. Additionally,the applicant understands and will comply Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. -ROOFS: Signature Date All All roofs shall be inspected or 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: f 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 Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY 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 DEMOLITION PERMIT APPLICATION its COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(�!_)cupertino.org �00 3ayo 083 PROJECT ADDRESS gs— _ f a APN# ^ /� � /ti 3 0 OWNERNAME l PHONE44 T�'y+o E-MAIL (i/ n UUTO 42, YL (� V L U STREET ADDRESS j C4`� CITY,STATE,ZIP �� FAX CONTACT NAME ,` PHONE ® E-MAIL _"% I� (� • r STREET ADDRESS CITY,STATE, ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME r /j G LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX r• � STREET ADDRESS �\ ( CITY,STATE,ZIPPHONE DESCRIPTION OF WORK RESIDENTIAL d #DWELLING * OFFIC£Sul. ILY FLOOR AREA .(� UMTSSE, O TYPE Rn Vr VALUATION COMMERCIAL FLOOR AREA °" ±t TYPE OF CONSTRUCTION #STORIES AQMD JOB NUMBER TO ALUATION: J#: a� By my signature below,I certify to each of the following: I am the property owner or authorized agent to act9pilroperty 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 ccurate. 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: // SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY Provide Job Number from Bay Area Air Quality Management District www.baagmd.org @ 415-749-4762. PLAN CHECK TYPE _Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" ❑ EXPRESS in diameter or more at 3'above grade. STANDARD Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. ❑ LARGE El Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by person(s) MAJOR i certified in asbestos,mercury and/or hazardous material examination. Planning Dept clearance to verify building is not considered an historical landmark.Allow 10 business days. Provide letter of clearance of all vermin from a licensed pest control contractor. _Applicant shall call the Public Works Department at 408-777-3104 and schedule a"habitable dwelling"inspection. Provide signed Debris Bin and Recyclable Materials form. DemoApp_2013.doc revised 02/13/13 CITY OF CUPERTINO D FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 18811 ARATA WAY DATE: 10/01/2013 REVIEWED BY: MELISSA APN: 375 12 030BP#: *VALUATION: 1$9,000 *PERMIT TYPE: Demolition Permit PLA.kl CHECK TYPE: PRIMARY SFD or Duplex PENTAMATION 1 SFDWL-DEM USE: PERMIT TYPE: WORK DEMO E 814 S.F. SFD SCOPE FEE ID FLR AREA s.f. 1DEMORES 814 Ltech. Plan Check Phcrnb.Platt Check Elec.Plan Check 61ech.Permit Fee: Plumb.Permit Fee: I 7:lec. Permit Fee: FOther Alech.Insp. Other Plumb Insp. Other Elec.Insp. Lj ilech. Insp.Fee: Plumb. Insp.Fee: flee.Insp.Fire: 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 Eff' 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppi. PC.Fee Plum h.%i1 tc lee Permit Permit Fee: $557.00 Suppl. Insp.Fee-.0 Reg.. 0 OT Q,Q hrs $0.00 Plumh.l t%fechJFlee Plumb.lMechJFlee Permit Fee: Construction Tax: Administrative Fee: Mork. Without Permit? Advanced Planning Fees. Travel Documentation Fees: i Strong Motion.Fee: IBSEISMICR $0.90 Select an Administrative Item Bldp-Stds Commission Fee: IBCBSC $1.00 6-- $558.90, .:_ n, $558.90 $0.00 •�, $558.90 wrie Revised: 08/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 ',Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST r : JOB ADDRESS: PERMIT# 3 10 04 OWNER'S NAME: vz� PHONE# 3 GENERAL CONTRACTOR: BUSINESS LLCEISE# ADDRESS: ^ CITY/ZIPCODE:: a ; *Our municipal co4e requires all businesses working in the city to have a City of Cupertino busi ess license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL, BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED aA<CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information %/ SUBCONTRACTOR BUSINESS NAME "SINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation _T Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature ' ,: Date Ar P ` OH OH / 7' "E OH OH JP WOOD FENCE 5'P.U.E. J RNOW (E)TREE, REMOVE(E)TREE, (APPLE)__F APPLE) \ / (CYPRES�`\ a REMOVE(E)TREE,(PRINDT)J LOT 3 a a ui COMM`! IITY DEVELOPME T D PARTMENT Sul DING DIVISION- UPERTiNO SO.FEET=5,187.0+/- APPRONJ ®l 1 STORY w This set of plan and specificat' r is MOST be kept at MJ@PD HOUSE joie„iie during ,onstruction. I i unlowful to make anAR. 101.15.so' M 1" MFF=101.15' ch,;,,:o,s o•alterations on g e,for to deviate I �, therefr()m,wit,iout approval fry thc-�Building Official — GM_ __ __ — J Th. s;,=mm72,i„n of this plan and sp ifications SF L(E T� CUPEF?.rJ JV© luildi o n ar roval of the violation na [)4z of @ i inance or State Law. Dt ' 4013 Vf WELT FOIR PEVItvl1 T i10. erviewed gy. DE COMPLIANCE d'a kEE FROM N �(E)DRNEWAY, 0grinkTL StAa TO RE REMOYED� SSCO go L (� Q d � 57.00 S76°07'00'W ❑WM YJ 30"T. LAMP OCT 01 2013 SID D CRET RB J� KEN/UPUFrED S. D SUNKEN RB/OUM WORK TO BE R AND REPLACED. FEW VERIFY LARD,N SEE SITE BENCHMARK: P LUT PLANS AC PROPOSED SRE PIAN FOR ADD'L NOTES. SROL SETEMAG NAIL CHECKED BY ELEVATION=100.00' 415.30 (ASSUMED DATUM) t VAONNI / 3 S76°07'00"W lEXISTING SITE SURVEY/DEMOLITION SITE PLAN -1 DEP . DATE OFFIC"' E CVJ* P1�"`, Ri,nc,. DEPT.