13100128 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20280 PACIFICA DR CONTRACTOR:BROTHERS HOME PERMIT NO: 13100128
IMPROVEMENT
OWNER'S NAME: YUFEN WANG 2510 DOUGLAS BLVD DATE ISSUED: 10/18/2013
OWNER'S PHONE: 4082575446 ROSEVILLE,CA 95661 PHONE NO:(408)295-0680
LICEEj,N,SSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class Lic.# REMOVE AND REPLACE 3 WINDOWS TO MEET EGREES
(`7 IN
Contractor Date BEDROOMS
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
performance of the work for which this permit is issued.. Sq.Ft Floor Area: Valuation:$3000
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:36944015.00 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 WITHIN I89 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 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 Date:
granting of this permit. Additionally,the applicant understands and will comply Issued by:
with all non-po' a ns p the Cupertino Municipal Code,Sec'on
9.18.
RE-ROOFS:
Signatu 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.
R-BUI R DECLARATION
Signature of Applicant: Date:
I hereby affirm tl 't I xempt 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 notintended 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 Cupe nicipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Se ' s 25 25533 nd 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized a — Date 164,111
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 becorie subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CO TRU ON 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
CONSTRUCTION PERMIT APPLICATION
12 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 1
CUPERT(NC7 (408)777-3228• FAX(408)777-3333•buildinga-cupertino.or4
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINA,LL PERMIT#
PROJECT ADDRESSI)f--'^ APN# G( J S
OWNER NAME (t,'3 PHO !2-5 o5tNl E-MAIL
ro
L2 A
STREET ADDRESS CITY,STATE,ZIP� FAX
CONTACT NAME PHONE EMAIL
V
�
STREET ADDRESS CITY,STATE,ZIP gA7{
�OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME k3hmv,
LICENSE NUMBER r�„/� O LICENSE TYPE,rte /1 BUS.LIC#
f�� 441,, 621uld
COMPANY NAMEfkaE-MAIL �J�� D (/ FAX
i� uffimA
STREET ADDRESS IIy &U r,) - CITY,STATE,ZIP-44 j�J`W IPA q � PHONE V� n 5 77
ARCHTTECT/ENGI TEER NAME LICENSE NUMBER G� BUS.LIC# I/
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK G
Wtks�lv
EXISTING USE PROPOSED USE CONSTR.TYPE I #STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
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 I GARAGE AREA: DETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT OYES SECOND STORY [TY--ES
BEING ADDED? 0 N ADDITION? ONO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES REGELVE r� F : y 3; TOTAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? NO -i `� ^E" � � r +
� d
By my signature below,I certify to each of the following: I am the property owner or authorized agen 140act on the property owner's behalf. I have read this
application and the information I have provided is ct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relatep building con ctio . I authorize representatives of Cupertino to enter the abo//v��e-id ntifed ope for inspection purposes.
Signature of Applicant/Agent: Date: V
SUPPLE NT ORM TIO REQUIRED �` „ : n"ovINc sLrn ,'
}fir r _kIIAt!? CK;TdE
New SFD or Multifam1 y d elli s: A ply for demolition permit for
RTHT�GO 1 ER 'UIr DY]Vl3PL 4N VIEW} , ;
existing building(s). Demolition it is required prior to issuance of building., I fi
permit for new building. " �� '
- EXPRESS LANNIN( PLANREV�W_ �-
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sT_ �_ 'pl.,tJBt ie�yptzlrs _
form if any Hazardous Materials are being used as part of this project.
_Copy of Planning Approval Letter or Meeting with Planning prior to r
submittal of Building Permit application. AOR , 4 � s, aRsEw>R. ISTatI
�C1 ''I�IVIRONINTAHiaLT�¢[ a
BldgApp_201 1.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
4 ADDRESS: 20280 PACIFICA DR DATE: 10/18/2013 REVIEWED BY: mendez
APN: BP#: EVALUATION: $3,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction
PRIMARYCommercial Civil/Religious activities PENTAMATION 1 GENCOM
USE.: Building in BQ zone? ® Yes �No PERMIT TYPE:
WORK REMOVE AND REPLACE 3 WINDOWS TO MEET EGREES IN BEDROOMS
SCOPE
VM NMI
NMI '3a...� POOM;..,�I:4 11M �ill as
Xfech. Plan Check Plumb. Plan Check Elec.Plan Check
lfi>r,;h.Pertnil Fee: Plumb.Permit Fee: I Elec. Permit Fee:
C>ther�l9ech.IrssP. CJzhc�r Plumlr Insp. 0
Other h ,,,Imp,
1lech, Insp.lee: P1umh. Insh Fee: FElec.Insp,lee:
NOTE.This estimate does not include fees due to other Departments(La Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). Theseees are based on the prelfinina information available and are only an estimate. Contact the Dept or addn'1 info.
FEE ITEMS(Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 F 3 # Window/Sliding Glass Door
Suppl.PC Fee: E Reg. ® OT 0.0 hrs $0.00 $418.00 1WINREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee-0 Reg. ® OT00 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction Tax: 1BCONSTAXC $0.00
Administrative.Fee:
Work Without Permit? ®Yes (E) No $0.00 1 1 G
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Building or Structure
1 ravel Documentation Fees: i
Strong Motion Fee: IBSEISMICO $0.63 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
$1.63 $418.00 ��' . 9 .. $419.63
—
Revised: 10/01/2013
WTk("� po �-Txowe-
Y5
W;e)d0LV qvr-*,-, owl-"- plcf
,!CW41+ //Gr4br)
Ft oo �s (0/m/3
5� CItitso
C Wd��� a Zr�1�1 lltN'd3d
31\YG
XG
CUp
Isw fur,10
ld . ��3 cq ol,10 llwliE'd C-' pp"',
4"pat4 Lulalls C"Al
used SIL11 bo 6W
OCT Dn
8 13LA
REVIEWED
jo sob M-10
FOR CODE
Reviewed By: COMPUANCE
*44
pule sued 0
. f3Ai-/+
PLOT PLANS
CHECKED 13y,
VATS i"
0
PLANNING D
T, C)
q��s"�y
IL
OFFICE CU"rl " T VA 13 � �y
am
COMMUNrFY MANAGEMENT SERVICES
July l 1,2013
Yufen Wang
20280 Pacifica Drive
Cupertino,CA 35014
Re Villa Pacifica Homeowners Association
The Villa Pacifica Board of D eetors has approved your architectural request to install dual pane
windows and sliding doers,subject to:
1. The install on being performed by a licensed contractor.
2. Furl compliance with 41 current may,state and federal codes and any necessary City of
Cupertino pm*Ls being obtained. _
3. Any damage or€ainWaaace resulting from the window inst0alion being, our
r.span bbl y tb
4. The instaa don of mo*Bro*,ers windows with bronze v yl&arnes. �
5. Dual t m tued LU o
6. Tempered M�W must be used where the code requires it(s_*Q glos d4 windows
near dooms long VAndowa near fir,etc. U , � w 0"
7. The sate panel diV!Sions must be followed;no d designs,Rc 4
$. The glass wW:cit r match the existing color of the original0
whjdWvs or be low-e glass,
no reflood"nth%ispermitted. ® o w
9. The glass must tneet the minimum"California Building Energy EffiicibncOtaridards„
(e.g NFRC rate,mw&aum U,Factor, SHOC value,etQ
10 Any touch up paWag being;completed to snatch the e �Q cQ)
Thank you for subi�liig your architectural request to the As-facia . t istsuggested that you
keep this letter with your other important real estate documents.
Sincerely,
Community Management Services,Inc.
Bob Soares,Senior Association Manager
Villa Pacifica Homeowners Association
BS/S
cc: Board of Directors '
i
i
1035 Dry Creek Road, 3tiite 203 0 Campbell,,C-A■95008-3.631 ■voice (408)589-1977■fax(408) 559-1970