14090127 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10391 MENHART LN CONTRACTOR: E PERMIT NO: 14090127
ML1FabdWED
OWNER'S NAME: YINGHE AND YUGEN HU ` DATE ISSUED:09/19/2014
OWNER'S PHONE: 4082093308 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
SFDWL DEMO 814 SQ FT,GARAGE 225 SQ FT
License Class_ Lic.# �fT////
Contractor " PDate 2112 Z
I hereby of hrm 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:$6000
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:37515048 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 DAY-Q,-,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 DAY OM LA
ST 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 qi
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date.
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
RE-ROOFS:
Signature .� Date C< -./-94Ztc 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. 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,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Dat
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 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
DEMOLITION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
cuPERTINa
(408)777-3228•FAX(408)777-3333•building cupertino.org
t�C
PROJECT ADDRESS 03 I LA,�,, a lane
APN 11
OWNER NAME ` J ` �f�'(V`*hkt1 ` PHONE /, LV E-MAIL/LyI / `VO f�J �•(�"�r{
STREET ADDRESS CITY STATE,ZIP FAX
$23 r � A
CONTACT NAMEH NE _Z� �. E-MAIL col
• dA
STREET ADDRESS CITY,STATE, ZIP FAX
*"R ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME ® •_ , !��f LICENSE NUMBER LICENSE TYPE BUS.LIC#
COMPANY NAME V/` E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
]fie+v&0 Q x-V-S, �v c�
#DWELLING + OFFICE USE ONLY
RESIDENTIAL - 3 VALUATION
�� UNITS G SE /r ".TYPE� � FTS
FLOOR AREA
COMMERCIAL. =. _
FLOOR AREAn 71111,11
TYPE OF CONSTRUCTION #STORIES 7 --�
Ole
'rpTAj„YhL}JA?IO�
AQMD JOB NUMBER
11 yI�1
J •
By my signature below,I certify to each of the following: I am the property owner or authoritzed t t n 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 an verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: l! Date:
SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICEUSEONLY
_Provide Job Number from Bay Area Air Quality Management District www.baagmd.ore @ 415-749-4762. PLAN CHECK TYPE
Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" ❑ EXPRESS
❑ STANDARD': c
in diameter or more at 3'above grade.
❑ LARGE
Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected.
❑ MAJOR
_Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by person(s)
certified in asbestos,mercury and/or hazardous material examination.
_Planning Dept clearance to verify building is not considered an historical landmark.Allow 10 business days.
_Provide letter of clearance of all vermin from a licensed pest control contractor.
—Applicant shall call the Public Works Department at 408-777-3104 and schedule a"habitable dwelling"inspection.
Provide signed Debris Bin and Recyclable Materials form.
DemoApp_2013.doc revised 02/13/13
CITY OF CUPERTINO D
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 10391 menhart In DATE: 09/19/2014 REVIEWED BY: Mendez
APN: BP#: "VALUATION: 1$6,000
xPERMIT TYPE: Demolition Permit
PRIMARY PENTAMATION 1 SFDWL-DEM
USE: SFD or Duplex PERMIT TYPE:
WORK �sfdwl demo 814 sq ft garage 225 sq ft
SCOPE
FEE ID FLR AREA
s.f.
1DEMORES 1,039
j
k h P"vPq Ch"',"',n P/u;A Plan E'n?z°',
Fee.- Plumb. Permit
OtI,E e ji<•ft. ,:�.�- (Maar Plae_rrtlr frts;).
Ea--t- Li
a:1t,c t 1; - 1':. Plttrr:,}. tiiS77. 1•€,c' 1 lt.'i;'-Iv st r°t'e::
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 onLyan estimate. Contact the Dept./or addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/131 FEE QTY/FEE MISC ITEMS
Pht"mh.
Permit Fee: $574.00
Supp/. Insp. Fee:Q Reg. ® OT Q,Q hrs $0.00
--F=
Pe rnfii flee:
A Jin,
Fees: �
Strong Motion Fee: IBSEISMICR $0.78 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
° $575.78 $0.00 TOTAL FEE $575.78
a
Revised: 08/20/2014
yAme: At ben �tq
,tVpA)EFS5 = /0391 �I�n { 1_rn Cym-tTho CA mkt
4
5
E COPY
97,7.0'
I SHR OVE. SHRU 'R OVE BHRU R'EM[7VE j ,B' PRIVET
... .` REMOVE i.
I` TO REMAI
SHRUB REMOVE. SLI I I II
SHRUB.REM!) 14' PRI
TO REMAf T
W ,^. LI I I
Z SHRUB REMO`4E ; II EXISTING 8.14 IQ, FT., TO _BEI.REMOVED- I� I
SHRUB REMOV�ES - -- - j 2` PRIVE
TO.REMAIN
Q LCA SHRUB.REMUVE
^I� �o
2 ^ I�� — 0' EUGINI
W ,� SHRUB REMOVEi I jI I TO REMAI
— — —
Lr)
�,^.jpvlli 31TY � - vc
EiT B ERART-NI F1�I.T— — ———
r :i'YIS DN - CUPERTINO
Li D l i� - -
B HOGS
,s gat pla,,, ' sped icationoVED
APP
s PvtUST be kept at the II IN LANTE
:b site r : structi n. It is unlawful to make any
T REMAIN
ngF
Of all e,ration on same,-Ina or to deviate � L
nerefro �, w�t,C a appro al from the Building Official. __^I
pin nd specificat ons SHALL NOT
re
a held o PerT,t :r b n approval of the violation '
;? any (ViS10 3 Of ny 'ty Ordinance or a B':F16 �REMN SHRUP REMOVE
SHR�B gEMOVE 24' LIQUID.AMB R i`
TO REMAIN
SY — — — — !97,70 —
�.�_-; �✓
DATE ;:>: ? _ oriino DPnarbrnent,
DERE, iT #
SITE DEMOLITION PLAN , ,(:,I)E COMPLIANC
s
Review