The URL can be used to link to this page

15030003CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10416 PRUNE TREE LN CONTRACTOR: AC LIU PERMIT NO: 15030003 CONSTRUCTION, INC OWNER'S NAME: LIU ALEXANDER C AND DOROTHY 10416 PRUNE TREE LN DATE ISSUED: 03/02/2015 OWNER'S PHONE: 6504920857 CUPERTINO, CA 95014 PHONE NO: (650) 492-0857 9 LICENSED CONTRACTOR'S DECLARATION nn Q/ / -7 BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class /> Lic. # (& 6 z-9-/ r r- Contractor Contractor ,� C- ZA u C >/ n~�� . Ii x-Date 3 y S� MECH RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: INSTALL TEMP POWER (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: $500 performance of the work for which this permit is issued. I have and-will maintain Worker's Compensation Insurance, as provided for by Section 3760 of the Labor Code, for the performance of the work for which this APN Number: 31633119.00 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 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 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 3 Z granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: l with all non-point source regulations per the Cupertino Municipal Code, Section 9 18. 01 RE-ROOFS: Signature Date 3 Z 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 Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, Sections 25505, 25533, and 25534. L 1 S 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 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 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 918. Signature Date CUPERTINO GENERAL PERMIT APPLICATION MMEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION dj 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 buildinaCab-cupertino.org \� F] PLUMBING ❑ MECHANICAL [KELECTRICAL ❑ MISCELLANEOUS MISIC PROJECT ADDRESS 10*16 pRuu6 TREE L A7lE_ APN # 3I4 -33 -- t t OWNER NAME X 4/4,J ADRDiti� L I U PHONE65O-4�L�� pmt 7 ii �l EMAIL Q /� � I t'u V j,ev• cyy" STREET ADDRESS tv�/6 PRunl� TREE La,v� CITY, STATE, ZIP FAX -r�nlo CA S I CONTACT NAME �I�K c. l u PHONE 6sv -�FqZ- o&s-1 E-MAIL a (e _ (►u add, STREET ADD Z CITY, STATE, Pto �LT/A/CU CA 13-01 FAX OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINTEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME AL -Ex L w LICENSE ER LICENSE TYPE BUS. LIC # Z Q -73 Z i COMPANY L I u cows-r&,yv%/v v t/v L E MAILt7a fQ /` _ I r (i A 0.0 -(.eu, FAX STREET ADDRESS 14 AuvE /lgf Lr{x1E CITY, STATE, ZIP �u c- --►i�� C �1 gS'at� PHONE 5u-4QZ-01k7 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WI DLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: ❑ COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK INsr*t4- 7E�P OWE -9- Pope /ov A*4P TOTAL VALUATION: } ' By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on roperty o er's behalf. I have read this application and the information I have provided is correct I have read the Description of Work and verify it is a b e to comply with all applicable local ordinances and state laws relating to building cons tru on. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Z___ Date: S/ SUPPLEMEJEAL INFORMATION REQUIRED oic% IJSEoa�> i xfi i- OVER TiiE CBOT ER 3a+ }}�77x EXPRFS0 ��"r"a 16- & s��a v STAi�i)ARD rk-' L z N�'� LARGE MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FF.Ti. F.Q9r11MATf1R —RITII DING DIVICION La,ADDRESS: 10416 prune tree In DATE: REVIEWED BY: 111ctn Check P'ee: APN: BP#: *VALUATION: $500 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: p $0.00 PENTAMATION 1 REAP14 PERMIT TYPE: woRK install temp power SCOPE APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Temporary Power 1ERT<200 100 Amps $48 TOTALS:RM$48.00 Mech. flan Check aleck Permit Fee: Oiheir Alech. Insp- 1le(h. Insp, Fee: Plumb. Placa {'heck Plumb. Permit Fee. 011ier Plumb Insp. Plumb, Insp. Fee: Elec. Plan Check 10.0 1 hrs $0.00 Elec. Permit Fee: IEPERMIT Other Elec. Insp. 0.0 hrs $48.00 I lec. INsp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public works, iwe, ,anuary newer visrricl, acnooc r._..._a�s .. TL--- .r - .. L......d -- IAn non/:n,:nn..r infinns.nfinn mrailahla and ora anhi an owimaty_ Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS 111ctn Check P'ee: suppl..I'("' 1,'ee PME Plan Check: $0.00 Permit Fee: 1g)pl. Insp P'ee PME Unit Fee: $48.00 PME Permit Fee: $48.00 CorrNlruction 7'(/.V- Administrative Fee: IADMIN $45.00 Work Without Permit? ® Yes (E) No $0.00 Adti,miced /'/caning Fees: Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $190.50 $0.00 b TL> M $190.50 Revised: 02/14/2015 OFICE F n_ NEYI SGREET11N6 7R�POR SECOND OP, DRAW FLOOR WINDOYS -SEE LANDSCAPE I QNEW b' HIGH PENCE 1 (E) UTILITY POLE 77.00' F \ PLANTER Q d € d DIA. FRUIT ai OVERHEAD ELECTRICAL SERVICE I � / \ z TCi.EPHONE/DATA n ,A >� �_. SERVICE � �,y � / � � .. .. ■. \/C PCW NEW ELEC. METER Y Y T(� 4 MAIN PANEL Y/ Z T' /- Y • MIN M^!j `10D �T FL. / v � (FJ b' H16H WOOD\( ... --L 1 S : ACK Q FENCE MYP) �/ SECOND FLOOR I W_SO; AGTU t�1N b' HI6N FENCE Vc ' 1 l otj WINDOWS I :1\5 1# 41c 1 TTREESI(TIrp. L �. BAY WINDOW I T ( IT TREES A. 'a'L PROFILE OP �",1N6`,F ACK SECOND FLOOR I ABOVE i M+i :,na Dep i9aA.C. UNITS C0 aQL��LLJ%'pLn✓ � �h- 2015 ------ 0�fv�/� 2y� EW '0" Gs))DINipa- 7v� - Clu)UE COMPLI n,;� st�# P!il� APPROVED�7 � viewed a s ani s� fi I I y,, Y site cur ;,a Cl strue Icaliol�s mus 6 1 1, at t1 a BAY WINDOW chanes or i f tt;arefrarn r I L' Jk) `� AND 6 I to ,aT' any r illi �:flUi a"I or ta7 r� ti -1 COVERED POROH C LC f tll L. f 4, Y ;`••HEN b' HI6H E� (E) 50" DIA. f= .. ., f WALKWAY I DEODAR CEO Y �.� U EXTERIOR STEPS Q « v 1 4 • t'".. ` , TO BE 7-S/4a MAX AS METER TEMAORARY RISE TYP. NEW FRONT YARD CHAIN HAIN LINK TREE, ry / TIO 24.80x Pm n MINIMUM AS (E) DRIV€WAY .PLANtER . -. REQUIRED / WIDEN (E). ` \ ARBORIST n N n N DRIVEWAY REPORT - �� 77A0' iE) 51DEN(ALK - .. 0 WATER —,� O PLANTER METERS (E) CURBGUT i APRON RAI -33—/ °IC- PNE TREE LANE _ PLANNING REVIEW 4.10.14 PLANNING REVIEW 5.27.14 OWNER REVIEW 07.13.14 REVS. FOR PLANNING 7.15.14 TO TITLE 24 10.20.14 PLAN CHECK 12.3.14 PERMIT 2.10.15 I a N 9 1 rim nF 0 U H �•� rl oU :-I ' ended for um bYaquahfid, upenessced .b. mvt .usingqualilD expersnced wbconsra" and wppwliera. Dende, <nals, sy.eewa, and . bnG nn .p«iRed I�rarcm arc fully sh<rapovsihihry o(rhe GMl— Sheet—Title <nl Conrraaor, hu.wbconsrecsors and Sheet Title SITE PLAN Project No. 1401 Date 3.10.14 Drawn By Ce ~M a� Y T W O �W NO w y fL • ;o GN tment I a o' \� oo 9 1 rim nF ' ended for um bYaquahfid, upenessced .b. mvt .usingqualilD expersnced wbconsra" and wppwliera. Dende, <nals, sy.eewa, and . bnG nn .p«iRed I�rarcm arc fully sh<rapovsihihry o(rhe GMl— Sheet—Title <nl Conrraaor, hu.wbconsrecsors and Sheet Title SITE PLAN Project No. 1401 Date 3.10.14 Drawn By Ce