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14020085 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19964 PORTAL PLZ CONTRACTOR♦'DD 4 BE PERMIT NO: 14020085 D OWNER'S NAME: XUGUANG BU&YINGYING ZHANG e p DATE ISSUED:02/13/2014 OWNER'S PHONE: 4085405429 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑ FOUNDATION REPAIR TO FRONT PORCH /. License Class yV, Lie.# /�75 Contractor / 't I"/CG/✓w ' Date �- l 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 erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$2000 d will maintain Worker's Compensation Insurance,as provided for by S t' n 3700 of the Labor Code,for the performance of the work for which this APN Number:36945031.00 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 upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS F AST 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/l granting of this permit. Additionally,the applicant understands and will comply Issued by: Date. with all non- source regulatiot s per the Cupertino Municipal Code,Section 9 18. RE-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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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 thff25505,fandl icipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Se 25534_,. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 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 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 Gt!o:E R"t'TI+IO (� (( _:._.:-. (408)777-3228•FAX(408)777-3333•buildingcuper ino.org It4 O� ❑NFW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS `6(a J Po ( 72N R OWNER NAMF �N, a� � PHI` U! �C)'5/ I E MAII STREET ADDRESS CITY,STATE,ZIP 7 FAX CONTACT NAME PHONE E M°J STREET ADDRESS CITY,STATE,ZIP FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME r LICENSENUMBE LICENsETYP BUS.LIC � Cit. GU•� �� COMPANYNTAME V 1�� E'M� � ' ('! FAX STREET ADDR . • jv� C l/�ATEc C/L (` PHONE ESS•J ARCHITECT/ENGINTEERNAME' ' ( LICENSENUMBER t BUS.LIC 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE . DESCRIPTION OF WORK j r -l6r5 an IJ J0a,5 /I f�C'S,7G-�� c �tsl .�t.►[J ,�_^� G C�f GVcc — G!1 5�k. fp /�'nl � ��'< < �� //�—G �.t_r1� C-P lel r- EXISTING USE PROPOSED USE CONSTR TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) v EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NSr AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA - PORCHAREA -DECK AREA TOTAL DECKIPORCH AREA GARAGEAREA: DETACH []ATTACH m DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEINGADDED? - ❑NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YESN: PLANNING APPL 9 FlNO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO s_`J'"` By my signature below,I certify to each of the following: I am the property owner or authorized agent to actn th erty 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 t g cons tion: I authorize representatives of Cupertino to enter the above—I nti2fied-Aroperty for inspection purposes. Signature of Applicailt/Agent: Date: f 1T•` SUPPLEMENTAL INFORMATION REQUIREDr� Ixs,- cuIGL New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building _ T permit for new building. - Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part ofthis project — - - - _Copy of Planning Approval Letter or Meeting with Planning prior to - - _- - submittal of Building Permit application. RldgApp_2011.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 19964 PORTAL PL DATE: 02/13/2014 REVIEWED BY: Mendez APN: I BP#: *VALUATION: 1$2,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION 1 GENRES USE: SFD or Duplex PERMIT TYPE: WORK foundation repair to front porch SCOPE w 1,fceJt, i'laat f:�cck f'/rut,h, flan t.'Ftnz.k titic'.�'':rte ch.,c?� :1lurim lee f r i'�,•itr`°r�: 0111 r Plumb Irt p. E1_L_ CI!/Wc �l,�°<. x s; Lj l'.htrith /i%sp' Fee: Insp,i' 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 addn'l info. FEE ITEMS (Fee Resolution 11-�53 Eff.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ®Yes (F) No $0.00 I J hours Plan Check,Hourly Suppl.PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $139.00 ISTPLNCK PME Plan Check: $0.00 Permit Fee: Hourly Only? ®Yes Q No $0.00 Suppl. Insp.Fee-(F) Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? ® Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure 0 Tra�;e/ 00"ifincyaotion Fees: L- 'A Stroh Motion Fee: IBSEISMICR $0.50 1.0 hrs Inspections Bldg Stds Commission Fee: 1BCBSC $1.00 $139.00 ISTINSP Inspection,Hourly If $1.50 $278.00 TOTAL FEE: $279.50 - , Revised: 01/15/2014 rr Gm. .. a*1 Pp2 Mike Bloeman <mike@raycomail.com> Wed, Feb 12, 2014 at 9:05 AM To: "miketb022@gmail.com" <miketbb22@gmail.com> W& OVI 0 ID c G� �u�� tll-e, GtOeAf (moi&hC,,7 ADCC (IF 11ece s sqe-k) '�- d- VL,-- `YcY an LL/ ... Nide Bio->e en '. c Q. "> Pp3 Mike Bloeman <mike@raycomail.com> Wed, Feb 12, 2014 at 9:07 AM To: "miketb022@gmail.com" <miketb022@gmail.com> � e w € ; s,. r l 9 rt;i",cr, s ��'�rF Sa- sR- uVg iz✓.b 3m � _ ca Mike Bloemen Project Manager M: (925) 330-4321 E: mike@raycomaii.com www.raycopainting.com In an effort to service our clients in the fastest manner possible, this message was sent from my mobile phone. Please excuse typing errors and brevity. lea &y. FC r' Mike Bloemen Project Manager M: (925) 330-4321 E: mike@raycomaii.com www.raycopainting.com In an effort to service our clients in the fastest manner possible, this message was sent from my mobile phone. Please excuse typing errors and brevity. f^, r Q CO�p i� s u a M Y4*j t� �c�