14020084 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19980 PORTAL PLZ CONTRACTOR:TQI T- �E PERMIT NO: 14020084
1�FTF�MD
OWNER'S NAME: NAM&HYUN CHO A p DATE ISSUED:02/13/2014
OWNER'S PHONE: 4085405429 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL ❑
REPAIR DRYROT ON TRELLIS AND FOUNDATION
License Class 6- Lic.# �I�"t��y REPAIR TO
Contractor � L e-7-0"IDate �- FRONT PORCH
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
ve and will maintain Worker's Compensation Insurance,as provided for by
lection 3700 of the Labor Code,for the performance of the work for which this APN Number:36945002.00 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 DA 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 FR LAS 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 13 �c.I
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-poi t source regulations 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. 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
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectio.4 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized agent: Date:,_ I
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" O�A
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 I, O
(408) 777-3228•FAX(408)777-3333•buildincia-cugertino.org
C U P.lr EST` t+[d 1
❑N11W CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT 4
PROJECT ADDRESSn0 L^�� f I�� APN#
W
ONERNAMF h 1 [ v/1�/I�r(7J l PHr7 f�� I E-MAIL
STREET ADDRESSC STATE,ZIP FAX
ehdf
CONTACT NAME PHONE &MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑ OWNER ❑ OWNER-BUIIDER ❑ OWN6RAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT 11 ARCHITECT El ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NULICENSE TYP BUS.LIC#
Co.
COMPANY NAME ( _ E-MAIL � FAX
STREET ADDRES ;q CR STATE,ZIPr� PHONE
ARCHITECT/ENGINEER NAME ` LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
t +" A >
de�A C11 19 JOC
Fs,en- nf _c�-� y �lck, c� ca.(C)rdL 01-7 sex.
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA _ NETAREA
BATHROOM KITCHEN OTHER'
REMODEL AREA REMODEL AREA REMODELAREA
PORCH AREA -DECK AREA TOTAL DEC.K/PORCH AREA I GARAGE AREA: LJDETACH
[]ATTACH
#DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY [:]YES
BEING ADDED? [:]NO ADDITION? [:]NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES
' -r _
T TION:
�Nmx PLANNING APPL# ❑NO . PLANNING APPROVAL LEITER EICHLER HOME? ❑NO �
By my signature below,I certify to each of the following: I am the property owner or authorized agent to—acrtm 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 t ing cons tion. I authorize representatives of Cupertino to enter the above-I ntified roperty for inspection purposes.
Signature ofApplicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED - w"
_New SFD or Multifamily dwellings: Apply for demolition permit for . oITenvrsrrEx_ s _ ;
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. s tG E -•
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure p;ID;� oxlFs
form if any Hazardous Materials are being used as part of ih s project. ;
_Copy of Planning Approval Letter orMeeting with Planning prior to -
submittal of Building Permit application. rsxlu,
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
W'PERMIT
DDRESS: 19980 PORTAL PL DATE: 02/13/2014 REVIEWED BY: Mendez
PN: BP#: EVALUATION: $2,000
PE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1GENRES
USE: PERMIT TYPE:
WORK re air dryrot on trellis and foundation repair to front porch
SCOPE
w -
Ti
o
�1 ��r t'Ir�f C�crk E'ftitnh I'Irnr(:'fleck I ,._, P'<an L.'I7ac%
"(Jl r' ,rrriFee: Pif=mC. 1'crnx{tTt:: I;f<.r. Peart ( ::
,`Jrir�F t �r• . Irt,tOrWr•phimb lav" 0111('rP", Im"),
,tr.�l). Pcc' 31t7110. hisp. Fee
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 De t or addn'l info.
FEE ITEMS (Eee Resolution 11-053 Eff. 711/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: Hourly Only? ®Yes 0 No $0.00 1 hours Plan Check,Hourly
Suppl. PC Fee: (2) Reg. ® OT 0.0 1 hrs $0.00 $139.00 ISTPLNCK
PME Plan Check: $0.00
Permit Fee: Hourly Only? ®Yes Q No $0.00
Suppl. Insp. Feer Reg. ® OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C.,7�f11a:S'!7'acrion ,Ta.v:
r[f ll'11f1d.4'Yf`(7si 4v'C:'Fee:
Work Without Permit? 0 Yes (F) No $0.00 1 G
Advanced Planning Fee: $0.00 Select a Non-Residential
Building or Structure
7'1-ai til �Ocrumne,�tfalion Fees: 1 �
Strong Motion Fee: IBSEISMICR $0.50 2.0 hrs Inspections
Bldp_ Stds Commission Fee: IBCBSC $1.00 $278.00 ISTINSP Inspection,Hourly
$1.50 $417.00 TOTAL FEE: $418.50
Revised: 01/15/2014
Aa
r
Pp2
Mike Bloeman <mike@raycomail.com> Wed, Feb 12, 2014 at 9:05 AM
To: "miketb022@gmail.com" <miketb022@gmail.com>
uor✓ (moi 1I l0 � G'P. �u��� �-� G��.,�-- �e�ic��,�� �1���
q^y c �� Com - f �"�cc� 0(-)
. Gmafl
Pp3
Mike Bloeman <mike@raycomail.com> Wed, Feb 12, 2014 at 9:07 AM
To: "miketb022@gmail.com" <miketb022@gmail.com>
g�
„tet b z� WEs ,.• 4 ���k, F ,.; �""�z' 7p, �
Ilk
}
t
1
m
3
.� a1
1(,
a}•
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.
r
1
Mike Bloemen
Project Manager
M: (925) 330-4321
E: mike@raycomail.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.
. . . . :v . �
* \ »
\ \
( :