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14080189CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10707 PINOLE CT CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080189 CO OWNER'S NAME: SAN LEANDRO, CA 94577 PHONE NO: (510)639-0853 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ LICENSED CONTRACTOR'S DECLARATION REMODEL LAYOUT OF MASTER BATH W/ CLOSET, I/2 License Class Lic. # �� n ^®`� BATH 200 SQ FT; INSTALL TANKLESS WATER HEATER, �c Date Contractor ril" rg/70 RELOCATE FURNACE IN ATTIC, 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 C erformance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $35000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36934017 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 D 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 MLA 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 Issued by: Date: /�/� granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. RE -ROOFS: being installed. If a roof is Signature Date__�t?� All roofs shall be inspected prior to any roofing material 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 the Health & Safety Code, Sections 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 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 CITY OF CUPERTINO ORE FEE ESTIMATOR — BUILDING DIVISION kalADDRESS: 10707 pinole ct Mech. Plan Check T0.0 hrs $0.00 DATE: 08/18/2014 REVIEWED BY: Mendez Mech. Permit Fee: IMPERMIT APN: BP#: rther Mech. Insp. 0.0 hrs $48.00 *VALUATION: $35,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex $0.00 PENTAMATION 1 R3SFDRE USE: 2 # $431.00 Window / Sliding Glass Door 1 1WINREP Replacement PERMIT TYPE: WORK remodel layout of master bath w/ closet 1/2 bath 200 sq ft' install tankless water heater, relocate SCOPE furnace in attic, $0.00 3R Mech. Plan Check T0.0 hrs $0.00 Plumb. Plan Check 0.0 hrs $0.00 =°-h'c' Mech. Permit Fee: IMPERMIT Plumb. Permit Fee: IPPERMIT $0.00 rther Mech. Insp. 0.0 hrs $48.00 Other Plumb Insp. 0.0 hrs $48.00 f)tlror' l�a`<cc-,��F:,El r •,ice; t>'ci' I''!`tZttt!l. fJiSj1. F€'t': NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary sewer District, Scnoot D'strict etc These ees are based on the relimina information available and are on1v an estimate. Contact the Dept for addn'l info. r , FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F 200 s.f. $431.00 Remodel, Other 1REMRESOTH Suppl. PC Fee: (F) Reg. ® OT r070 hrs $0.00 PME Plan Check: $0.00 2 # $431.00 Window / Sliding Glass Door 1 1WINREP Replacement Permit Fee: $0.00 Suppl. Insp. Fee -.(F) Reg. Q OT 0,0 hrs $0.00 = # Mechanical $143.00 IMFR=<100 Furnace, Forced -Air PME Unit Fee: $0.00 PME Permit Fee: $96.00 # Plumbing $29.00 1PRWHEATR Water Heater Administrative Fee: IADMIN $45.00 G Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 1 0 i Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $4.55 Select an Administrative Item Bldg Stds Commission Fee IBCBSC $2.00 %° SusoTAis$195.55 $1,034.00 TOTAL FEE: $1,229.55 Rev /2014 01 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10707 PINOLE CT CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080189 CO OWNER'S NAME: SAN LEANDRO, CA 94577 PHONE NO: (510)639-0853 ][ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL REMODEL LAYOUT OF MASTER BATH W/ CLOSET, 1/2 License Class Lie. # 7y9 BATH 200 SQ FT; INSTALL TANKLESS WATER HEATER, / ` Contractor Date 41101-1A RELOCATE FURNACE IN ATTIC, I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions 10/10/14 - REVISION #1: KITCHEN REMODEL (100 SQ FT). ISSUED Code and that my license is in full force and effect. 10/10/14 SEAN. ` 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: $35000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36934017 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 LAST 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 �/ Issued by: J � ZALGH Date: A2 • �� %� granting of this permit. Additionally, a applicant understands and will comply with all non -point source reg ulatio r the Cupert��1unicipal Code, Section 9 18. RE -ROOFS: Signature Date QD / % t 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 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 the Health & Safety Code, 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 CITY OF CUPERTINO o P U � 1V1VU Uc9r7n4 A mnu _ "RITIT .D11VC IIIVICION S ADDRESS: 10707 Pinole Ct DATE: 10/10/2014 REVIEWED BY: sean 191 APN: BP#: *VALUATION: 1$10,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex 0-"Ck PENTAMATION 1 R3SFDREM PERMIT TYPE: / USE: $0.00 PME Plan Check: iao..--."'- P2F'I7NC Fee: -L- Permit I''E'--�: WORK Revision #1: Kitchen Remodel 100 sq ft). CI (hirer Plumb 7rtsp_Ll SCOPE Suppl. Insp. Fee:Q Reg. ® OT S —I •. –I.----._-_ FEE ___ _ QTY/FEE ____ ._- MISC ITEMS Plan Check Fee: $0.00 100 s.f. $645.00 11hu0. Puri Chet f; El"ec. 0-"Ck k7o hr's $0.00 PME Plan Check: iao..--."'- P2F'I7NC Fee: -L- Permit I''E'--�: CI (hirer Plumb 7rtsp_Ll Od!,T Suppl. Insp. Fee:Q Reg. ® OT 1`Cc, Phi€I7b. htup. Fee: 1:/c,". ,r it. PME Unit Fee: $0.00 NOTE: This estimate does not include fees due to other uepartments i.e. rianning, ruouc rrvrn3, ,uIre, rclsury mac., �- ��••�� LJtstrlct, eta . lreeae I eea ule V"aO — L/ic .e.eu .— FEE ITEMS ,(Fee Resolution 11-053 Eff 7/1/13) —I •. –I.----._-_ FEE ___ _ QTY/FEE ____ ._- MISC ITEMS Plan Check Fee: $0.00 100 s.f. $645.00 Remodel, Kitchen (<=300 sf) 1REMRESKIT / Suppl. PC Fee: (D Reg. ® OT k7o hr's $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. ® OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 {-,(>13,911'1;!C'li{ISI L iia": ��i.t:?1J?1 tl t:C iY"cI t v c' .•'i:,(' . 1 C) E) Work Without Permit? ® Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure I I G 0 / 11'itt'E't t7)CtL'F-ir7-c'3ZIGi(7liYl F{?l'S: Strome Motion Fee: IBSEISMICR $1.30 Select an Administrative Item Bldg, Stds Commission Fee: IBCBSC $2.30 $645.00 TOTAL FEE: 30 Kevisea: uwzuzu i4 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10707 PINOLE CT CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080189 CO OWNER'S NAME: DATE ISSUED: 08/18/2014 OWNER'S PHONE: SAN LEANDRO, CA 94577 PHONE NO: (510)639-0853 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ REMODEL LAYOUT OF MASTER BATH W/ CLOSET, 1/2 License Class /' Lic. # 70 Z BATH 200 SQ FT; INSTALL TANKLESS WATER HEATER, Contractor '� Hate /AP " �� RELOCATE FURNACE IN ATTIC eCe9�lsvy-t REV # 2 - UPGRADE (E) EL PANEL TO 200 AMP, SAME LOCATION - I hereby affirm that I am licensed under the provisions of Chapter 9 ISSUED 10/15/14 (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 Sq. Ft Floor Area: Valuation: $35000 performance of the work for which this permit is issued. 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: 36934017 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 F IT 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 T 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 granting of this permit. Additionally, the applicant understands and will com y Date: 40115-11 with all non -point source regulations per the Cupertin icipal Code, Section 9 18. _- RE -ROOFS: Signature '/ Date /410 - �S'' �� 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 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 the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: "�/'�i1� ��' Date:/D> -/4- - 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 eeONSTRUCTION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 CITY OF CUPERTINO FM -7 FEE ESTIMATOR - BUILDING DIVISION APPLIANCE / EQUIP TYPE FEE ID QTY UNITS Services 1ERT<200 200 Amps $48 TOTALS: $48.00 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 nreliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) 10707 PINOLE CT DATE: 10/15/2014 REVIEWED BY: MELISSA JimADDRESS: APN: 369 34 017 BP#: 14080189 *VALUATION: Iso *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex PME Plan Check: PENTAMATION PERMIT TYPE: 1 REAP WORK REV # 2 -UPGRADE E EL PANEL TO 200 AMP SAME LOCATION -ISSUED 10/15/14 SCOPE APPLIANCE / EQUIP TYPE FEE ID QTY UNITS Services 1ERT<200 200 Amps $48 TOTALS: $48.00 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 nreliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Clwck S1,,'[q)1, I C" If,c r PME Plan Check: $0.00 PME Unit Fee: $48.00 PME Permit Fee: $48.00 ("Onsfrucl on TOX., F-1 Administrative Fee: IADMIN .00 Work Without Permit? ® Yes 0 No $0.00 'l llt.-mi g Fees: A Travel Documentation Fee: ITRA VDOC .00 Strong Motion Fee: $0.00 Select an Administrative Itenv- Bld.g Stds Commission .Fee: $0.00 _ $189.00 $0.00 TOTAL FEE: $189.00 Revised: 08/20/2014 i