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14040195 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 821 STENDHAL LN CONTRACTOR:ALL IN ONE PERMIT NO: 14040195 CONSTRUCTION OWNER'S NAME: NIEH DAVID Y AND HUANG JAMIE C 5425 FRASCHINI CIR DATE ISSUED:04/29/2014 OWNER'S PHONE: 4082420500 SAN JOSE,CA 95136 PHONE NO:(408)561-8597 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL /� r CREATE(N)POCKET DOOR FROM BEDRM TO BATH License Class Lic.#I 6p2 C b f &REMODEL (E)MASTER BATH(WINDOW NEEDS TO BE TEMPERED, Contractor AV c� �S�tn-n_t_�tc(' (etnDate �� VERIFY).REMODEL(E)HALL BATH.(KITCHEN WORK I hereby affirm that I am licensed under the provisions of Chapter 9 DOES (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:$11600 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:37542044 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 WO RI S NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DA + IT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above men tio d property for inspection purposes. (We)agree to save 180 DAYS ED INSPECTION. indemnify and keep h less the City of Cupertino against liabilities,judgments, costs,and expenses w is a accrue against said City in consequence of the granting of this perm. A nally, appltcant understands and will comply Is Y at with all non-point so cc ul 'ons a the Cupertino Municipal Code,Section 9 18. 2G /� RE-ROOFS: Signature Date J l 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. ❑ OWN -BUILDER ECLARATION Signature of Applicant: Date: I hereby affirm that I am exemp m 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 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(2) hould 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 a ipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by th#BAir ality Management District I performance of the work for which this permit is issued. will maintain compliance with thMu iparCode,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectio3, d 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 CONSTRUCTIO NDIN 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 l68 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 ( O CUPI=RTINO (408)777-3228• FAX(408)777-3333•building0-cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS APN k x /kc OVRIERNAMt-t. PHO 0P2J'4j 05-(!o E-MAIL n STREETADDRESS J CITY, STATE,ZIP ems 'u�t Cl h-G�7�(� FAX CONTACT NAME �(JLQ J W x>(�,t g PHON I cpv`Z r2 EMAIL) C .�C W1nLt GO�� STREET ADDRESS iSt3 2 CL CITY,STATE,ZIFAX ❑ OWNER ❑ OWNER-BUII,DER ❑ OWNER AGENT ❑ CONTRACTOR 8 CONTRACTORAGEw El ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAM-�I_ •t �G�( LICENSE NUMBER�'!1 ! LICENSE TYPE BUS.LIC k COMPANY NAME j Y�\1l`co Q � p n t E-MAIL pt' t FAX STREET ADDRESS '5l{ n lTi C _/ ��. {Ct(�+C CITY.STATE.ZIP 145&e ����� PHO ��t ARCHITECT/ENGINEER NAME (iu• LICENSE NUMBER BUS.LIC 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK \1 SCA, Q�Jew— EXISTING USE PROPOSED USE CONSTR.TYPE I R'STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR - DEMO TOTAL AREA AREA AREA NET AREA BATHROOMKITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA T PORCH AREA DECK AREA TOTAL DECK/PORCH ARE I GARAGE AREA: DETACH []ATTACH #DWELLING UNrTS: 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 TOgL yALUATION�__ PLANNING APPL 9 ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of a following: I am the property owmer or authorized agent to act property owner's behal. I have read this application and the information I have pro Wed' correct. I have ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil ng ction. I auth rize representatives of Cupertino to enter the abooyee-i entified p op[errty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION. QUI D00% �� x... �� g ? PE._ GHEC%TYPES , aAPWISG;SLTP, w ... New SFD or Multifamily dwellings: Apply for demolition permit for �� 1' �= � ���,g �� �� IM�Y'v-� '� O�'ER�H1+iC0>: E'ER .� �' BUTLDIi��P1;AIa REVIEW z'c existing building(s). Demolition permit is required prior to issuance of building pen-nit for new building. pE •Ross PLIC ZkGPLAN:RE qKw �, _Commercial Bldgs: Provide a completed Hazardous Materials DisclosureI]�s D �L oxxsy f form if any Hazardous Materials are being used as part of this project. �q � _Copy of Planning Approval Letter or Meeting with Planning prior to \lAJO 3A1�TI9RYSEVVRDISTRICT submittal of Building Permit application. '« #.'z�"'. 3_ ;s'+ 'wENYIRO 1EnTAL-.'HEALTHY �a:.. BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 821 STENDHAL LN DATE: 04/29/2014 REVIEWED BY: MELISSA APN: 375 42 044 BP#: *VALUATION: 1$11,600 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE WORK CREATE N POCKET DOOR FROM BEDRM TO BATH &REMODEL E MASTER BATH WINDOW SCOPE NEEDS TO BE TEMPERED, VERIFY). REMODEL (E) HALL BATH. (KITCHEN WORK DOES NOT = ZEN a a fi �Ie,h. F"iarf. rz:c� 1'(rur,h. P.r.,n C:'x:ck 17ec:, Mon C%acs f~c/r. P,,;-wit Fee: Numb, Permit Fee: I Ir:c .rear ,FA,. (?;Ix F ,llec i.Irrsir. 0,her Ph+rnh Irnp. Ll Ot;rer E'k,'€'_I stJ. Li 1}<;;cFa. /rzs/. ae: Plurrrh. hrsp. Pea: Glec.lush, 1,""0: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the relimina information available and are only an estimate. Contact the Dept or addn7 in o. FEE ITEMS (Fee Resolution 11-053 Ef.. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = s.f. Remodel,Bath(<=300 sf) Suppl. PC Fee: Q Reg. 0 OT Fo.0 I hrs $0.00 $626.00 IREMRESBAT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. Q OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 �..�fl.2Stt'Zlt'c`Z£Jrf 1`LIXI Work Without Permit? Yes No $0.00 E) Advanced Planning-Fee. $0.00 Select a Non-Residential G Travel 0oc;urraenfatior't F'e s: Building or Structure 0 i Strong;Motion Fee: IBSEISMICR $1.16 Select an Administrative Item Bldg-Stds Commission Fee: IBCBSC $1.00 •o $2.16 $626.00 $628.16 TOTAL FEE• Revised: 04/01/2014 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: PERMIT# IV99 110M OWNER'S NAME: le-h PHONE# qQ3 Ly Z OSOU GENERAL CONTRACTOR: 1W ok ©w� CtJv�sc cce' ® BUSINESS LICENSE# 33 ADDRESS: �- SCLM Cc . Cts 'JS 136 CITY/ZIPCODE: 'Z� i3C *Our municipal code requires all businesses working in the city to have a City of Cupertinobusiness license. NO BUILDING FINAL OR FINAL OCC U ANCY I S ECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL S C TRA TORS HAVE OBTAINED-A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: �complere natur Date Please check applicable subcontractors ae following information 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 sd e v�cc�„ (co, CTL g +ie- uL m ., cr o0 a 0 0 0 � 3 (0:3 o ID ° z -o �o d oz o � L9 L -v CL z vo :3n Or o •' p - W o � ( (�' IWD C7 5j7 MM-MO ° o W --1 1:1 ' \ e o 5N a ° - 0 n o I CD o' D p ni rn lV1 rr 5; ° 0p milk- � � S+e�,Ac�vicl- \ yx �c� PJ) '�' mac- �XL{ C1-0s�-- � T eOb ivoa� 'CGO� est CO /q kG 0 C c-t C V 9'�C� � o � " c� 9-�vvok "LCA,. Ccs � C►'� � �� 4�,,ceJ 6 i ► r a. -o CIO ���.�v^ `Zc�ovh ° 1 obi �J 1 \ o �� 0