14070076E
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10660 CULBERTSON DR
CONTRACTOR: DWK CONSTRUCTION
PERMIT NO: 14070076
OWNER'S NAME: WEI -XIONG LIAO & WEI HONG SIAO
18665 LOREE AVE
DATE ISSUED: 07/17/2014
OWNER'S PHONE: 4089306892
CUPERTINO, CA 95014
PHONE NO: (408) 996 -1186
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL
DEMOLISH (E) SFD (1048 S.F.)
License Class 8 Lie. #
._/
Contractor JiN Date 7 //7
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
APN Number: 37534027 00
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
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 FROM D 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
ate:
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Sec
9 18.
7 7
Signature Date / `7
All roofs shall be inspected prior to y roofing material being installed. If a roof is
any roofing
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
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 the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
Labor Code, for the of the work for which this
the Health & Safety Code, Sections 25505, 25533, and 25534.
7 / r
Section 3700 of the performance
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
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
CUPERTIINO
DEMOLITION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • building(ftuaertino.org
ao�oo�e
D
PROJECT ADDRESS D j p �►^ ` TAPN# Z Q t OWNER NAME (�. s� PHONE A 2O� L Q E -MAIL
STREET ADDRESS 0 �L7V„,I.��.vn 'j�y. CITY, STATE, ZIPjj 7 � ' a - / FAX
CONTACT NAME � CA ✓.� / J ®� PHONE 4�8 3O 3 /(�E -MAII. ,1jli'7tSY i[�`�/ ' ✓' `V
STREET ADDRESS CITY, STATE, ZIP J M l✓�l� 4d X
❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME l f4V /�! ` �� LICENSE NUMB O� LICENSE TYPE BUS. LIC #
COMPANY NAME / /� S E-MAIL
STREET ADDRESS ree /L 1, CITY, STATE, ZIP /+.. h & � /� O
DESCRIPTION OF WORK
I
RESIDENTIAL. I #DWELLING
COMMERCIAL
I TYPE OF CONSTRUCTION I # STORIES
DemoApp_2013.doc revised 02113113
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CITY OF CUPERTINO
rw--_W FFF, FRTII%/FATOR - BUILDING DIVISION
ADDRESS: 10660 CULBERTSON DR
DATE: 07/17/2014
REVIEWED BY: MELISSA
APN: 375 32 017
BP#:
*VALUATION: 1$8,000
xPERMIT TYPE: Demolition Permit
PIAN CHECK IT11k,
PRIMARY SFD or Duplex
USE:
14,"11, 1"Ur, C"wcA
PENTAMATION 1 SFDWL-DE M
PERMIT TYPE: A
WORK
DEMOLISH (E) SFD (1048 S.F.
SCOPE
I
FEE ID FLR AREA
1DEMORES 1,048
NOTE: This estimate does not include fees due to other Departments (i.e. rianning, FuPtie worKs, rzre, Samiaty 3ewerulsinct, acauut
I-awart thp Dpnt fnr addnl info.
FEE ITEMS (&e Resolution 11-053 ffL 711113)
3, 07
QTY/FEE
MISC ITEMS
Phin Check !"("T:
k
.04, ils 15a ,
M1e,
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11111wh. Plan Check
Permit Fee:
$574.00
P an Ch4>ck
0.0
hrs
$0.00
711""roO Fee:
Permil Pee:
1 1,11"
F-1
Other Plumb fnsP,
Oiber
A
T 11 , (,wel
, Oocu"ywwaliorl FC'1?8:
Strong Motion Fee: IBSEISMICR
$1.04
Select an Administrative Item
flhwib. hup, Fee-
$1.00
NOTE: This estimate does not include fees due to other Departments (i.e. rianning, FuPtie worKs, rzre, Samiaty 3ewerulsinct, acauut
I-awart thp Dpnt fnr addnl info.
FEE ITEMS (&e Resolution 11-053 ffL 711113)
FEE
QTY/FEE
MISC ITEMS
Phin Check !"("T:
Permit Fee:
$574.00
Suppl. Insp. Fee-.(j) Reg. 0 OT
0.0
hrs
$0.00
"Flec Pernfil 1`ee:--FT
A
T 11 , (,wel
, Oocu"ywwaliorl FC'1?8:
Strong Motion Fee: IBSEISMICR
$1.04
Select an Administrative Item
Bldp, Stds Commission Fee: IBCBSC
$1.00
$576.04
$0.00 TOTAL FEE:
$57 L.OJ4
Revised: 07/10/2014
Building Department
City Of Cupertino
10306 Torre Avenue
Cupertino, CA 95014-3255
CUPERTINO Telephone; 408-777-3228
Fax: 40.8-777-3333
CONTRACTOR SUBCONTRACTOR LIST
JOB ADDRESS: 104be, ce-J
OWNER'S NAME: PHONE# E)
GENERAL CONTRACTOR:
BLTSMSS LICENSE R 1
ADDRESS: CITY/7TPCODE:
*Our municipal. code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL 'OR FINAL- OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTTT, THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
lam.not using, any subcontractors: �A'A�
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
Lin.ole-um./Wobd
Glass Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor'SignatuYe
DAte
TO/TO 39-Vd 3H -1 31-inf 98TT96680pi 05 :60 VTOZ/6Z/60
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TYPICAL BARK PROTECTION
tier TO SCALE
4 -FOOT ImMGH FENCFY
IYPT_CAL TREE PROTECTION FENCING
NOT TO SCALE
1. Prior to any construction operations contractor shall construct and maintain, for each protected tree on a construction site, a protective fencing
which encircles the outer limits of the critical root zone(CRZ) of the tree to protect it from construction activity. The CRZ is calculated 1.25 feet
times the diameter of the trunk measured in inches 4.5 feet above the natural guide).
2. All protective fencing shall be in place prior to eonunena -mint of any site work and remain in place until all exterior construction activity atthe,
site has been completed.
3. Protective fencing shall be at least six (6) f et high, clearly visible, and shall have a tree protection sign affixed to the fence every twenty (20)
feet in such a manna to be clearly visible and legible to workers on the site at a distance of twenty -five (25) feet. The sign(s) shall. read "tree
Protection Zone Keep out.
4. The owner shall cause the required fencing and signage to be installed and maintained for the duration of the construction.
5. In situations where a protected tree remains in the immediate area of intended construction and the tree may be in danger of being damaged by
construction equipment or other activity, the contractor or subcontractor shall protect the tree with TV" lumber encircled with wire or other
means that do not damage the tree. The intent is to protect the trunk of the tree against incidental contactby large conduction. equipment.
6. Material Storage: No storage or placement of materials intended for use in construction or waste materials accumulated due to excavation or
demolition shall be placed within the limits of the critical root zone of any protected tree.
7. Equipment Cleaning/Liquid Disposal: No equipment shall be cleaned or other liquids, including, without Hinitation,psiat, dip, solvents, asphalt,
concrete, mortar or sinu7ar materials deposited or allowed to flow into the critical root zone of a protected tree.
8, Tree Attachments: No signs, wires or other attachments, Other than those of a protective nature, shall be attached to any protected five.
4. Vehicular Traffic: No vehicular and/or construction equipment traffic or }narking shall take place within the criticalsaet zone of any protected
tree other thmt on existing street pavement
10. No heavy equipment, including but not limited to trucks, tractors, trailers, bulldozers, excevatom 41cd steer tractors, trenchers, Compressors,
and hoists, shall be allowed inside the drip -line of any protected tree on any construction site.
X11, Grade Changes: No grade changes shall be allowed within the limits of the erid al root zone of any protected tree unless adequate protective
con or%aethocls are approved in advance in writing by the city.
ID 12. ftd No pa with asphalt, concrete or other impervious materials shall be placed within the limits of the critical root zone of
W � ,@pecfed�eaQrriexpr bythepubficwDrksDept
3. Pd`l roots es Iarger in diameter which are exposed as a result of treaching-matherexcavadon shall be cut offsquare,
#Z a w as 'Ve tooth ca ed with natural fiber burlap witlri o -hours 6f nitial exposure.
R � VeAll p�H d Iks sh in free and clear for public access, unless closure is permitted by the Public Works Deparhnent
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°� ® m _ TREE PROTECTION STANDARDS
REVISED 5113
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c O APPROVED Bi DATE: -7 6-4
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CITY TREE PROTECTION:
11,'103 i1
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FRUIT TREE: TO BE CUT OFF
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SCOPE OF WORK
LEGEND:
TOTALLY DEMOLISHED THE EXISTING HOUSE
AND BUILD NEW 2-STORY HOUSE 1— _ EXSTING WINDOWS TO BE REMOVED
EXISTING WALL S TO BE
REMOVED.
— — PROPERTY LINE ,
30.91'
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BE CUT OFF
17.38' — —
FRUIT
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R:-:VIEWED FOR CODE COMPLIANCE
------ Reviewed By.
LANDSCAPING
TREE TO ILE
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(E) CONCRETE I j jut
DRIVEWAY I
(E)CITY TREE NORTH
TO REMAIN I.
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10660 1 10672
PROPERTY LINE -
- — 37.60' 17.38'
DEMOLITION PLAN SCALE: 3/16 " =1'-0"
9 01-W
DWK CONSTRUCTION
18885 LOREE AVE.
CUPERTINO, CA 95014
TEL: (408) 996-1186
dwkwmtruction@y&m.wm
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REVISIONS IBY
1wnwN A.R.A.
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A.R.A.
DAre7AN. 22, 2014
S-z 1/4" = V -0"
JOB No.
007-013
_..._.
A2
OF 0 SHEETS