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13100178 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10721 JOHNSON AVE CONTRACTOR:DWK CONSTRUCTION PERMIT NO: 13100178 OWNER'S NAME: WANG FENG WEN AND CHANG HUI-FEN 18665 LOREE AVE DATE ISSUED: 10/28/2013 OWNER'S PHONE: 4085673014 CUPERTINO,CA 95014 PHONE NO:(408)996-1186 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Li..# �`200� DEMO(E)1048 S.F.SFD W/220 S.F.GARAGE Contractor--Df✓k- Date G 13 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 Valuation:$8000 performance of the work for which this permit is issued. Sq.Ft Floor Area: I ve and will maintain Worker's Compensation Insurance,as provided for by tion 3700 of the Labor Code,for the performance of the work for which this APN Number:37531054.00 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 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We)agree to save JA180 DAYS indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the —"mate: lv 2j� granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. D � 13 RE-ROOFS: Date Signature DatAll 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 Date: Signature of Applicant: 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 1,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) HAZARDOUS MATERIALS DISCLOSURE I,as owner of the property,am exclusively contracting with licensed contractors to 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. 1 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 the Health&Safety Code,Sections 25505,25533,and 25534. 1 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 thisOwner or authorized agent: Gffn Date:�0 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 work's for which this permit is issued(Sec.3097,Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. 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 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 I b CUPERTIN0 (408)777-3228•FAX(408)777-3333•buildingC@cupertino.org Se /P ('710015-6 PROJECT ADDRESS /0 .y, Johnson Ove , APN# -37S-- OWNERNAME ''__!/I►��`` PHONE �ag e 6F E- IL STREET ADDRESS O �/ v hS�N CIT , STATE,ZI C* .01 74FAX CONTACT NAME PHONE E-MA r 0MOUS ch C4c�' 30 -� .� v �JAdohst�tc�-�'�oQ�ic/ies STREET ADDRESS La CITY,STATE, ZIP FAXw AV 6 „�►6 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ACONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N �k ��hg�, LICENSE NUMBERR2 0Z LICENSE TYP BUS.LIC# COMPANY NAME - /_ E-MAIL��L I s ` yo L� FAX STREET ADDRESS /(� /OcEe CITY,STATE,ZIPIC('Q� Dy�( , r' wM/ HONE t - ^ d W-7'18 j DESCRIPTION OF WORK ^ - / r / ' 0 �,� � � � 5 C7�` 7 /p d RESIDENTIAL #DWELLING OFFICE USE ONLY FLOOR AREA /Z4�0X0 , `�t+ UNITS USE TYPE SO.FT. VALUATION COMMERCIAL FLOOR AREA TYPE OF CONSTRUCTION #STORIES Q AQMD JOB NUMBER RE TOTAL VALU TI J#: 4e-,777 d� By my signature below,I certify to each of the following: I am the property owner or authorized ag o 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 verify 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: I!R t♦ SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY _Provide Job Number from Bay Area Air Quality Management District www.baacinid.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. D STANDARD _Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. ❑ LARGE Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by person(s) MAJOR certified in asbestos,mercury and/or hazardous material examination. ,tl� _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. DernoApp_2013.doc revised 02/13/13 CITY OF CUPERTINO D FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10721 JOHNSON AVE DATE: 10/28/2013 REVIEWED BY: MELISSA APN: 375 31 054 BP#: 13100156 'VALUATION: $8,000 PERMIT TYPE: Demolition Permit /'t.-1A C]/1"CK t 71,/ PRIMARY SFD or Duplex PENTAMATION 1SFDWL-DEM USE: P PERMIT TYPE: WORK DEMO E 1048 S.F. SFD W/220 S.F. GARAGE SCOPE FEE ID FLR AREA s.f. 1DEMORES 1,048 Llr I'lUm('beck Plrtnr!> 1'larr Chc�<t f it :. Pi< it C'nex'k 1&a.h_ Pef-rntil lire; 1'?unt/=- Perrnil F�z�; Iilrrc. Per�trrt F�a Oi;'tcr;1/�t . Irt�p Oti;e; 1'it m&Ir1i- Uthtr l;idc_Iny, Alec{t. In.n�. J�c F'?rrruh. I��st3. l=e (ax. Imh. tax NOTE. This estimate does not include fees due to other Departments(i.e.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 Dept for addn7 info. FEE ITEMS(Fee Resolution 11-053 EfT 7/1!13) FEE QTY/FEE MISC ITEMS Plan Check T'ot'e' Slippl. PC 1 Fey f'lratalz.: 11er Ele c, Permit Fee: $557.00 Suppl. Insp. Fee-0 Reg. Q OT 0,0 hrs $0.00 Plrrztzh.%ahrclt.'I;Ccc Pltrrnh::�teclr.-1'Cec I'c�rttrit 1�'t>c:: ("onstrrrcti0ra 7'41X., rldmitzLttrative Fee: 14"ork llt'ithout M?rrnit:' 1dv0)1c•01 P1( ning Fces: 7i-o vel 0ocizrz1cnt<:ation h`ces: Strong Motion Fee: 1BSEISMICR $0.80 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $558.801 $0.00 TOTAL FEE: $558.80 Revised: 10/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST c JOB ADDRESS: �;Z S PERMIT# 3 ,(o O D OWNER'S NAME: f v/ PHONE# ceU7,S6}—3 o✓ GENERAL CONTRACTOR: -�D,�4jK ( BUSINESS LICENSE# ADDRESS: J' rhe /71.<2 cfihaCq` o ITY/ZIPCODE: cf- *Our municipal code requires all businesses w rking in the city to have a City of Cupertino business 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: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting YP Linoleum/Wood Glass /Glazing Heating i Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date SCOPE OF WORK LEGEND: TOTALLY DEWLWE0 TIE MST iNG I SE AND BIIIID NEW Z2-2-STC—NO TOU6E 1 -�_�; p NG WINOOWB TO BE IEM D �wAusTOBE DWK CONSTRUCTION 18865 LOREE AVE. Z�MQPERT — y CUPERnNO.CA 85014 ^ - — — — — — — TEL.(408)886-1186 f('wVj1 T v O 1w w 0 - �VERGREEN EVERGREEN EVERGREEN EVERGREEN EVERGREEN EVERGREEN EVERGREEN EVERGREETI lS ; dwkWMT1 tio1eyahw.c= No ATTACHMENTS R11PLIN z, a I GE U a 4"a 4" PLAN ) I LANDSCAPING LAN CA ING a 4 SIDES ITYPI TO BE KEPT -T Z CL AM t - acz M ° V ' o Z EXISTING GROUND S 2 Q" .' ":IT I Ali/ O fib', .�� a r=�-=�1 .. O/) �� Lnu 1h ROCK OR EQUAL � �_ �L JL_ I- 12" .. COC TYP.POST ELEVATION ---i II I I I sT I r a E f^ ,r...-.--v. II (E) I I (E) I I f 1 �'� V7 LU ��// / __ �• I I� BEDROOM-1 II BEDROOM-2 II K.I; "^ H W NOTES; ^•+* LIVING ROOM II II II . ----- 1. THE DEVELOPER SHALL INSTALL THE TREE PROTECTION DEVICES li If PRIOR TO THE START OF GRADING OR CLEARING WORK. I li L=====_� S11 r======JI 2. THE CITY RESERVES THE RIGHT TO ISSUE A "STOP WORK" NOTICE IF jj LL- TOILET R, THE "TREE PROTECTION" DEVICES ARE NOT INSTALLED OR IF THE � DEVICES ARE NOT MAINTAINED PROPERLY. II -�r ==---=II W U1 I " !� 'I I I; I I n !�__II 14 It i V � (E) IE) --JI II II G Z W 3. SEE THE PROJECT GRADING PLAN FOR SPECIFIC TREES THAT REQUIRE ? I DIN NG KIfCNEN I� ___JI II I LLJ PROTECTION. ALL SPECIMEN TREES REQUIRE PROTECTION UNLESS (E) IE Ir -" > 0 I I BEDROOM-3 I I Q OTHERWISE NOTED. � � � ENTRY �� TOILET -nIt Z U it 4. NO EXCAVATIONS WITHIN THE ~TREE PROTECTION AREA" ARE ALLOWED I ii r■r. II II II I- O Z Z UNLESS UNDER THE SUPERVISION OF A REGISTERED TREE SERVICE COMPANY, — —ri III UI 2 I- 5. ANY FILLING WITHIN THE "TREE PROTECTION AREA" SHALL BE DONE IN LL--- '�� Pip z Z 0 W ACCORDANCE WITH A DETAILED IMPROVEMENT PLAN APPROVED BY THE CITY of Lu 3 N � 6. NO TRIMMING, CUTTING,OR PRUNING OF DESIGNATED TREES CAN OCCUR ZI ii ii �w o U WITHOUT A REGISTERED TREE SERVICE COMPANY. �II� Lu M ti a� II T. CONSULT ORDINANCE 778 OF THE CITY OF CUPERTINO FOR PERMIT GARAGE , REQUIREMENTS AND EXCEPTIONS. 11 1 t A�II�� REVISIONS BY 8. TEMPORARY CHAIN LINK #W&GPl�`WACCEPTASLE SUBSTITUTE TO I ii h G I +� I I S THE WOOD CONSTRUCTIOIBUSH TO CKED BY a I BE CUT OFF UdAl M. PLANNING DEPT. LANDSCAPING I - $ 2013 PATE I (E)CONCRETE �L�'�'!; I DRIVEWAY 4. _ I --- ---_._ uawN A.R.A. BLDG. I)VVT, # Q NE`"n A.R.A. TREE PROTECTION STANDARDS ° " �" (E)°'TYTR/I -- �� IAI O TO REMAIN BER 14,2013 y I ;'�,, _ I Iia°=r-o^ 107311 �— 10721 10711 soo 000-013 — — — — — — PROPERT �_ 55.0' _ CITv OR CUPERTINO- �, APPROVED BY : DATE : �d EXISTING/DEMOLITION PLAN SCALE: 3/16" = 1'-0" A3 STANDARD DETAILS CI E IN -- '� -- ---- - DE II SHEETS