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14100156 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 880 E ESTATES DR CONTRACTOR:ALL CONSTRUCTION PERMIT NO: 14100156 OWNER'S NAME: L1M JUDY TRUSTEE&ET AL 2971 NEAL AVE DATE ISSUED:03/11/2015 OWNER'S PHONE: 4088320322 SAN JOSE,CA 95128 PHONE NO:(408)605-1212 �� LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL � COMMERCIAL � `r CONSTRUCT A ONE STORY ADDITION(636 SQ FT); License Class � Lic.# �'��1 T 3 INTERIOR REMODEL(400 SQ FT); PANEL UPGRADE(200 Alr�QaS�'/v�'';,'vr Date `Z—Z�.S AMP)�RELOCATE FURNACE. Contractor REV#1-REMOVE 3 SKYLIGHTS,RELOCATE BEDROOM WINDOW& I hereby affirm that 1 am licensed under the provisions of Chapter 9 CREATE(N)EXTERIOR GARAGE DOOR-ISSUED 7/2/15 (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 deciarations: 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:$279000 � 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:36924007.00 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 wIT�iIN 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 FRO ALLED INSPECTION. � indemnify and keep harmless the City of Cupertino against liabilities,judgments, � .� i��/ costs,and expenses which may accrue against said City in consequence of the — Date: granting of this permit. Additionally,the applicant understands and will comply S with all non-point source regulations per the CupeRino Municipal Code,Secti 9.18. RE-ROOFS: Signat Date �— Z�� All roofs shall be ected prior to any roofing material being installed.If a roof is installed wi[hout 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 f'or 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). [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 2 3,and 4. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized ag Date:�'�2^� 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 Califomia. 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 perfottnance 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 � COMI��UNITY DEVELOPMENT DEPARTtV1ENT • BUILDING DIVISION � 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 � (408)�77-3228 • FAX(408)777-3333• buildinq a(�cuper�ino.ora. ��" CUP�RTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ AL�"ERATION/TI REVISION/DEFERRED ORIGINAL PERMTT� �! I O O I S� PROJECf P.DDRESS �� ^' � I APN� L . OWNERNAME �� t �v� �IM I PHONE �� p�2-�� &MAIL '�T' O STREET ADDRESS h CITY, S7'.4TE ZIP /J I FAX V ^. �Y'E'� `� COMACT N,SME PHOnTE I E-M.4IL d ?�S 7 2 STREET ADDRESS CITY,STATE, ZIP FAX � OWNER ❑.OWNER-BUII.DER ❑ 0�1TTER AGENC ❑ CONTRACTOR �CONI"RACTOR AGENT � ARCHITECT �ENGL��EER ❑ DEVELOPER ❑ Tct�AtrT CONTRACTOR NAME � LICENS 'U1�13ER 10ENSE'I'YPE BliS.LIC k A L; , 3 � r,� 3s 2 CO1�IPANY NAME E-MA1L � FAX On �t�t.' l�n �I ICan�t�ut-t:Dn .Ce+� STP.EET ADD�.SS CITY,STATE,ZIP PHONE rt 4 �P 1 I�►�t• t c /28' 0 2 Z ARCHITECT/E1tiG�'E:R?d?1vIE LICE\Sc I��Jv.BER I BUS.LIC: CUMPA.'JY nAA4E E-1.4AIL FAX STREET P,DDR.ESS CTfY,STATc,ZIP PHOTIE DESCRIPT[ON OF WURIC feVY�cJM��l � � _ ��,��ns '�o r.v.`n�a.✓ �^�'c�-F�'vn �T�.� � �r � S � ' ti t�_ C�C�[�Y' 'f d �.,,-,.�r;!— ��-r� . E�S']II�IGUSE PROPOSEDUSE CONSTRIYPE �'STORIES USE TYPE I OCC. SQ.FT. I VALUATION(S) EXLTG NEW F�.00R DEr40 TOTAL A.REA AREA AREA 1�'ET AFt�..4 BATI-IILOOM YSTCIiEt�I OT'r'.E.R I R.EMODEL AREA RET40DEL P.REA REMODEL F3.EA PORCH AREA DECK AP�EA TOTF.L DECf:/PORCH eJtzA G.=.RAGE AREA: DEThCH I ❑ATIACH �D\1'ELLAG lJ!�TIS: IS A SECO?�D U1�rI' ❑1`ES SECO�D STORY �YES BEITGADDED? �1.'0 ADDITION? �NO PP.E-.4.°PLICATION ❑1 tS IF YES,PROVIDE COPY OF I IS THE BLDG AN ❑Y-t5 ,Z; '�-r - ��TAI. , PLA',T'TI�G?.PPL R �NO PLAM�'lNG APPROYP.L L'cTTER EICHLER HOM1tE? �?�O �,, ,,� '' �-''�y�� " � By my sianature belo�v,I ceRi."y to each of the feflowing: I am the properiy o or a_..`�,:� : _.- i.�!i. read thi zppiication and the information I have provided is correct. I have read escription of�T�'ork znd ver� �i :��e. I a�-ree.o co; - all a le loczl ordinances and state la��,�s relating to building cor.struction. I authorize representatives of Cupe.rtino to enter the above-identified prop ' pection purposes. SignatureofApplicanUAgent: _r J•�• /�"-- Date: ��Z-�' (� SUPPLEMENTAL II�'FORi�1.ATI0N REQUIRED _Pi��,�,c�cxT�� ouri�c sr:�� -- I�'ew SFD or Multifamily d��ellings: Apply for demolition permit for [] o��R ra�cou�.rLx � �vTt�D�c PL lr.�«�v existing buildinQ(s). Demolition permit is required prior to issuance of building ' : _ permit for new buildin�. 1� E�r;E,� ❑ Pi ��-��.c�Ln��-�« Commercial Bldgs: Provide a completed Hazardous I��Saterials D',sclosure � �T,��zD- ❑ PLt�i_re«oRi.s form if any Hazzrdous Materials are being used as part of this project. - ' = �'�.�, L.�GF .`❑ FIFE_PF.PT� �- Copy of Plannin�Approval Letter or Meeting with P12nning prior to �j �,L�J�F; - []_,,,,.�nrr.�zr�E�tirxDlsTFtrcr: submittal of Buildin�Pernit applicztion. - =_ _ - - - � �L1-E?�"YIhO�\.NiE,?�7'AL FiEALTH: - BldgApp_2011.doc revised 06/21/l1 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION - ADDRESS: 880 e estates dr DATE: 07/02/2015 REVIEWED BY: melissa APN: 369 24 007 BP#: 14100156 �VALUATION: $0 -� *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION 1 GENRES USE: PERMIT TYPE: i WORK REV# 1 - REMOVE 3 SKYLIGHTS RELOCATE BEDROOM WINDOW& CREATE N EXTERIOR SCOPE GARAGE DOOR - ISSUED 7/2/15 �l re��:�. 1'icrr:f'i�r�c��n i'/n,��;� P!ai:�(�h��;�(.� t�Jc�'. f"c�n!�hec/i llrtcrl� 1'cr�irtit h�,'�> Pltririb I'c'rnru 1 i°t.: ?i'�r Y�-r�ni�l�'c��' t)t/1�'r l�/c�•rr. h2,r� <>r'ae�•Y1rar,�t7�Ir��;�� il�:�t ':�l��:c. li��t�- > l.7ac li�s�7. !�'r': ,},1<<clz I�ts�'�. 1��:: /�!u�u��. );;s�z I'�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 ees are based on the relimina in ormation available and are onl an estimat� Contact the De t or addn'1 in o. FEE ITEM5 jFee Reso[ution 11-053 Eff 7.%1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? �Yes Q No $0.00 2 hours Plan Check, Hourly Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $286.00 1s7'PL1vCx PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT p,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t:�:��isl�•uctiorr .I u.r: �Iti'!Y(l7ll��t1"txllt'c' f'c'E': � Work Without Permit? � Yes � No $0.00 � Advanced Plannin�Fee: $0.00 Select a Non-Residential � Building or Structure � ��r-�;,�.�1 1?�:��,.��,<<�,rJuri�� 1��:�.��. I Stron� Motion Fee: $0.00 Select an Administrative Item Bld�Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL FEE: $286.00 Revised: 07/01/2015 CITY OF CUPERTINO BUILDING PERMIT SUILDING ADDRESS: 880 E ESTATES DR CONTRACTOR:ALL CONSTRUCTION PERMIT NO: 14100156 OWNER'S NAME: LIM JUDY TRUSTEE&ET AL 2971 NEAL AVE DATE ISSUED:03/]1/2015 OWNER'S PHONE: 4088320322 SAN JOSE,CA 95128 PHONE NO:(408)605-1212 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL � COMMERCIAL � � CONSTRUCT A ONE STORY ADDITION(636 SQ FT); License Class � Lic.#� � INTERIOR REMODEL(400 SQ FT); PANEL UPGRADE(200 Contractor � �/ �r��r✓'c' Date 3 ��fS� AMP); RELOCATE FURNACE. I hereby aftirm that I am licensed under the provisions o 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 perjary 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:$279000 � 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:36924007.00 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 M 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• < Date'3�� 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: Si Date �� 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 Date: Signature of Applicant: I hereby affirm that I am exempt from the Contractor's License Law for one of the tollowing hvo 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) HAZARDOUS MATERIALS DISCLOSURE I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under C6apter 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 CeRificate of Consent to seif-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 the Health&Safety Code,Sections 25505,25533,and 25534. I have and will maintain Worker's Compensation Insurance,as provided for by � ��f�- 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 Califomia. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby a�rm that there is a construction lending agency for the performance of work's for which this permit is issued(Sec.3097,Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. 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.I 8. Signature Date � . I � \`� CONSTRUCTION PERMIT APPLICATION U� COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISIO \ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 � (408)777-3228• FAX(408)777-3333 • buildinq aC�cupertino.orq ` CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS ,: ` n � N� 'z� �— .— � '� ��J FC. J (�� {�'` `1 ' PHONE q"'� E- AIL ON'NER NAME -7''��V� �OVU' �,,J V�� ^ �Z / J r � STREET ADDRESS � /� � y��-}.�' � CITY, STATE,ZIP �4 �/� �� F.AX �+� V G'7 ��t r� �� CONTACT NAME �,n ,�An� , 1}-�� (� PHONE ':�� "��)��j��J E-MAIL � :n�� '�I n) �rA`� f; �V�f'S w V r �i�l �f � i�� p' � �ovy W STREET ADDRESS CITY,STATE, ZIP FAX � OWNER ❑ OWNER-BUILDLR ❑ OWNER AGEM � CONTRACTOR �COMRACTOR AGENT ❑ ARCHITECT �ENGIIJEER � DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BU5 LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS • CITY,STATE,ZIP PHONE ARCHIT6CT/ENGINEER N E LICENSE NUMBER BUS LIC# � ��,� COMPANYNAME � � E-MAIL �S� 'r� Ir ��I' FAX V 'Y�NI L� STREETADDRESS PHONE �� }��Z2 �� /�� I " C1TY,ST ,ZI � . �� y DESCRIPT[ON OF WORK ^ ^� � /J �� I I'�1 t, '�'c- " S i / w r�1� �J L J l nl` � � U�'�►�� '�- 1 a �t�� rvi' ��.� EXIST[NG USE PROPOSED USE CONS/TR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(�) ,�C..Iv 1�/]V IL�JI `� i-� AREAG'.2(_.�� AREA LOOR � �� i^O �T AREA �3 ; .� .�C � ! BATHRO M KiT HEN ,.i OTFIER REMODEL AREA REMODEL AREA i G'l� REMODEL AREA ,j G� v� ✓ PORCH AREA DECK ARFA TOTAL DECK/I'ORCH AREA GARAGE A DETACH � , �ATTACH !!DWELLING UNITS�. IS A SECOND UNIT ❑YES SECOND STO Y ❑YES BEING ADDED? �NO ADDITION? �NO PRE-APPLICA"CION ❑YES [F YES,PROVmE COPY OF IS THE BLDG AN ❑YES RECEIVED BY: TOTAL VALUATION�. PLANMNG APPL# �NO PLANNING APPROVAL LE'ITER EICHLER HOME7 �NO '� By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on 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 and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildi constructior�. I authorize representatives of Cupertino to enter the above-identified roperty for nspection purposes. Signature of ApplicanUAgent: �1 Date: I b `� �� SUPPLEMENTAL IN ATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-TH�COUNTER UILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. � Exr s n ING PLAN REVLEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD 'PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE Fix� Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.c1oc revised 06/21!ll CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 880 e estates dr DATE: 10l27/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: $279,000 PERMIT'TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY 2nd Unit? ' Yes ' No PENTAMATION 1 R3SFDADD uSE: SFD or Duplex OTC? �Yes �No PERMIT TYPE: � WORK 646 s ft addition to side of sfdwl to include master suite & livin room� remodel 400 s ft throu h out SCOPE panel upgrade 200 amp, relocate furnace. OCCUPANCY TYPE: TYPE OF FLR AREA pC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. R-3 (Custom) It-B,III-B,IV,V-B 646 $2,654.00 IR3PLNCK $1,666.00 IR3INSP TOTALS: 646 $2,654.00 $1,666.00 MECH,HOURLY � Yes '� No PLUMB,HOURLY � Yes � No ELEC,HOURLY � Yes Q No Mech.Plan Check 0.0 hrs $0.00 Elec.Plan Check 0.0 hrs $0.00 Mech.Permit Fee: IMPERMIT - ' Elec. Permit Fee: IEPERMIT Other Mech.lnsp. 0.0 hrs $48.00 Other Elec.Insp. 0.0 hrs $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. . Tliese ees are based on the relimina in ormation availab[e and are onl an estimate. Contact the De t or addn'l in o. FEE ITEMS (Fee Resolution 11-053 Etf: ii7%'13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 400 s.f. Remodel, Other Suppl. PC Fee: Q Reg. � OT 0.0 hrs $0.00 $503.00 IREMRESOTII PME Plan Check: $0.00 200 amps Electrical Permit Fee: $1,666.00 $48.00 1BELEC2oo Services Suppl. Insp. Fee:Q Reg. � OT Q,Q hrs $0.00 �� # Mechanical PME Unit Fee: $0.00 $143.00 1ft�1FR=<loo Furnace, Forced-Air PNIE Permit Fee: $96.00 _ _ � , . ;; � Work Without Permit? � Yes � No $0.00 Advanced Plannin�F'ee: IPLLONGR $90.44 Select a Non-Residential � Building or Structure � Travel Documentation Fee: 17'�vooc $48.00 � Stron� Motion Fee: 1BSEISMICR $36.27 Select an Administrative Item B1d�Stds Commission Fee: 1BCBSC $12.00 SUBTOTALS: $4,602.71 $694.00 TOTAL FEE: $5,296.71 Revised: 08/20/2014