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14040164 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10582 ESQUIRE PL CONTRACTOR:DI LI CONSTRUCTION PERMIT NO: 14040164 CO INC OWNER'S NAME: THOMAS HWANG&YAPING JOYCE LIAO 18533 COX AVE DATE ISSUED:04/23/2014 OWNER'S PHONE: 6507148151 SARATOGA,CA 95070 PHONE NO:(408)316-8698 ( LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL REMODEL HALL&MASTER BATH(120 S.F.) License Class _/�Li,.# Contractor L ��I , Co. l NC Date �0� 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:$8000 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:32644030 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 P 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 AST CA 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: 7 Z3 granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,S1- 9 18. RE-ROOFS: Signature Date q 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 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 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) 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,Sections5505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: 2 I 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 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 CUPERT[ht0 (408)777-3228• FAX(408)777-3333• building Qcupertino.ord ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS t �W� 2 i � � APN it � 2� � r,/L4 030 OWNERNAME }' ^ PHONE �1/� r' A 7E-MAIL l STREET ADDRESSCITY, STATE,ZIP FAX '�' CONTACT NAME 1��yu�i��( �N� PHONE � E-MAIL I ;c�vv STREET ADDRESS CITY,STATE, ZIP FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NA ,,\ \ LICENSE NUMBER LICENSE TYPE BUS.LIC 4 t (/�rI v COMPANY NAME ^/s \ E-MAIL r ` \ FAX STREET ADDRESSA CV ' CITY,STATE,ZIP ^ PHONE!!!h&-9-66 -4238 ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC n COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK ' EXISTING USE PROPOSED USE CONSTR.TYPE s STORIES USE TYPE OCC. SQ.FT. VALUATION(5) OBA�THROOM NEW FLOOR DEMO TOTAL AREA AREA N'ET AREA KITCHEN OTHER EL AREA OLO REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA I GARAGE AREA: ❑DETACH []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 11 YES = TO L V�I UATION: PLANNING APPL 9 ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO - ;� - a o o By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on t 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.' urate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to eng,the above-i entified property for inspection purposes. L � Signature of Applicant/Agent: Date: a cp SUPPLEMENTAL INFORMATION.REQUIRED � Pi� yPEm ,T y oUTinG s%P ; New SFD or Multifamily dwellings: Apply for demolition permit for rt; � r UNTEI2 3 D g BU73 DII�G PLAN REVIEF�T existing building(s). Demolition permit is required prior to issuance of building r �r xr permit for new building. PUAIN' mmLAN V- j _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure _ "� g p s. sT .nARD L7 BUBLIc4 DICKS form if any Hazardous Materials are being used as part of this project. _Copy of Planning Approval Letter or Meeting with Planning prior to REMAIN submittal of Building Permit application. �_ x A�IT9ItYSEiy�RDISTRICT �� c� �s� �� .,'EIV3'IROI�'AfENTAL-HEALTH' BldgApp_2011.doc revised 06/21/11 i .4 CITY OF CUPERTINO iciFEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10582 ESQUIRE PL DATE: 04/23/2014 REVIEWED BY: MELISSA APN: 326 44 030 BP#: *VALUATION: $8,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION 1 R3SFDREM USE: SFD or Duplex I PERMIT TYPE: WORK REMODEL HALL & MASTER BATH 120 S.F. SCOPE �,t,;�; 1;: >3 tJfner I'larrt:ialr.•.t;. t.1ie'rc>r 1,i<�.1<-��;. 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 preliminary in ormation available and are only an estimate. Contact the Dept-for addn'l info. FEE ITEMS (Fee Resolution I 1-053F,ff. 7,!1/.13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 120 s.£ Remodel,Bath(<=300 sf) Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $626.00 1REMRESBAT PME Plan Check: $0.00 Permit Fee: $0.00 Supp/. Insp.Fee-.0 Reg. Q OT o 0— =hr $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 T__= Work Without Permit? ® Yes (j) No .$0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure 0 � Strong Motion Fee: IBSEISMICR $0.80 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 Aw R iS $1.80 $626.00 TOTAL FEE:: $627.80 Revised: 04/01/2014 ZF L-qljp F30 in4 D oMPLIA 0 7ReViewled y. Q -r l � 1al5N ENT DEPARE CUPERTiNO TMT�A/(., 2PY T4cE Qaznna�o_ 1 - \ �� °�m�� 1 '�=-I��y'1�V fV job Sitarc'�i lans and specifications MUST be kept ing construction. pt atIt -E SAM ,��- chas or alterations on same,lawftfl to m�,l<e an therefrom, without a or to deviate y approval from the Building Off+'cial. The stamping of this lan be held to p and soecif o. s SHALL NOT . n �t the v;O!<<tion nce or state Law. DATE PERMIT No. G YJ v 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 JOB ADDRESS: ; �a Z ' per ; PERMIT# OWNER'S NAME: :70 -F I PHONE# AX^ _ 7/ V — l-' GENERAL CONTRACTOR: L` r C,0 , IN BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working 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: .�f Signature Date Please check applicable subcontractors and complete the following information V SUBCONTRACTOR BUSINESS NAME 'BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation 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