Loading...
14090141CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18705 LOREE AVE CONTRACTOR: QUALITY GENERAL PERMIT NO: 14090141 CONSTRUCTION OWNER'S NAME: LIN CHEYU ET AL 138 NIAGARA AVE DATE ISSUED: 03/09/2015 OWNER'S PHONE: 4088591258 SAN FRANCISCO, CA 94112 PHONE NO: (415) 336-5657 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] 1-7D Z CONSTRUCT A ONE STORY ADDITION (498 SQ FT). License Class Lic. # (SUNNYVALE SANITARY) Contractor l REV # 1- CHANGE WALL FURNACE TO CENTRAL t Date�/pter FORCED AIR -ISSUED 7/22/15 I hereby affirm that am licensed er the provi (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: $55000 rflormance of the work for which this permit is issued. Fe 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: 37519013.00 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 WITIIIN 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 S FROM LAST CALLED INSPE TIO . indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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 Issued by: with all non -point source regula ions per the Cupertino Municipal Code, Section 9.18. `% RE -ROOFS: Signature Date ` 23 All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust 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. for by will maintain compliance with the Cuperlino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25 5,25 nd 25534. I have and will maintain Worker's Compensation Insurance, as provided Section 3700 of the Labor Code, for the performance of the work for which this % Date: l permit is issued. Owner or authorized agent: 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISI+ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTING (408) 777-3228 • FAX (408) 777-3333 ^ building(a,)cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION . P*,ALTERATION / T n REVISION E ERRED ORIGTNAT- PF.RMTT ; PROJECT ADDRESS ' p 7C� �Q F= F r f ­ V 7PN R (`l ^ C) OWNER NAME rCJ a E-MAIL C Y \V `> r V l O� �4� (%1 PHONE ' � -Z--S %, � � (� 114 STREET ADDRESS r\ CITY, STATE, ZIP FAX, CONTACT NAME PHONE� E-MAIL GDi�ciG�'T'CU STREET ADDRESS (026p— �Cac-)c(I- �• ',eo7Cfl.1 7Y, STATE, ZIP etv'�cla FAX OWNER ❑. OWNER -BUILDER ❑ VANERAGENT ❑ CONTRACTOR ❑ CONIRACTORAGENT X ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME LICEATSENU1,4BER LICENSETYPE BUS. LIC 9 COM?ANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEERNAME ( LICENSENUMBER BUS. LIC COMPANY NAME E-MAIL �✓Y=�F9Sti��-rad �z=s� in c�� o� (� JM(6i.CC,� FAX C4����9G STREET ADDRESS.7'I CITY, STATE, ZIP PHONE DESCRIPTION OF WORK EXISTINGUSE PROPOSED USE CONSTR.TYPE 4STORffS S .� I 1 ^ p 1 lz'EXLSTGNEW USE TYPE OCC. I SQ.FT. VALUATION (S) FLOOR DEMO TOTAL AREA , C Z 7 AREA/, AREA NET AREA •- BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA (J (A REMODEL AREA A �I t v PORCH AREA DECK AREA I TOTAL DECK/PORCH AREA GARAGE AREA: DETACH /UNITS: Y�ATTACH R DWELLIN` G IS A SECOND UNIT ❑ YES SECOND STORY []YES BEING ADDED?NO BEING ADDITION? 0 PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑'YES may.- VALUATION•PLANNINGAPPLR R10 PLANNING APPROVAL LETTER EICHLERHOME? N 7C By my signature below, I certify to each of the following: I am the propertyo�jmer or authorize ent to act `e property owmesbella I have read this application and the informatio 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 ilding construc ' I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/A-ent: a Date: ~(— —Z,.j SUPPLEMENTA INFORMATION REQ-; c>cxs N. siirn° x: F oR rcoxRF'�IIDING� �- "Y K : R New SFD or Multifamily dv.,ellings: Apply for demolitio%—P,--- for existing building(s). Demolition permit is required prior to issuance of building GV permit for new building P ifbildio ss _ AziTII�CrEie �N�REJW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure � OS i" �I.DAxn 'y r r�Gvo _ form if any Hazardous Materials are being used as part of this project.. _ F� a )� BEERWin Copy of Planning Approval Letter or Meeting with Planning prior to�r�»� kSRGE . _ submittal of Building Permit application .©�R«t` ySERDTsTulcr ��EIIYSR0IaME�T4LHEAY3TJir. BId,-App_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 1AADDRESS: 18705 LOREE AVE DATE: 07/22/2015 REVIEWED BY: MELISSA UNITS APN: 375 19 013 BP#: 14090141 *VALUATION: Iso *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex # PENTAMATION PERMIT TYPE: *URN/A WORK REV # 1 - CHANGE WALL FURNACE TO CENTRAL FORCED AIR - ISSUED 7/22/15 SCOPE Suppl. h7s7> Fee APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan ("'he 1, QTY UNITS BP FEES Flee. Perrnir Fee: Furnace, Forced -Air 1MFR=<100 Other Elec. Imp. EIF 1 # $143 Permit Fee: Suppl. h7s7> Fee PME Unit Fee: $143.00 PME Permit Fee: $48.00 Consiruction Tax: T -T - Administrative Fee: ]ADMIN $45.00 Work Without Permit? 0 Yes (E) No $0.00 TOTALS: _ $143.00 Strong Motion. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Mvfrirf m., 1 Th—f— oro h—d nw 1ho nro/i.»iannr infnrmadnn nvni/nhiP and or,- aniv an P timate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) Mech. Plan Check 0.0 hrs $0.00 Plumb. Plan ("'he 1, Elec..Plun Click Mech. Permit Fee: IMPERMIT Plumb. 1'erini7 Fee: Flee. Perrnir Fee: Other Mech. Insp. 0.0 �rs$48.00 Other Plumb Imp. Other Elec. Imp. EIF ji4ech. lisp. Fee: Plumb. his}). M:e: L lec. 1nsE). Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Mvfrirf m., 1 Th—f— oro h—d nw 1ho nro/i.»iannr infnrmadnn nvni/nhiP and or,- aniv an P timate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: stippl. PC' Fee PME Plan Check: $0.00 Permit Fee: Suppl. h7s7> Fee PME Unit Fee: $143.00 PME Permit Fee: $48.00 Consiruction Tax: T -T - Administrative Fee: ]ADMIN $45.00 Work Without Permit? 0 Yes (E) No $0.00 rtc: wneed Planning Feces: Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion. Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTUTALSi- $284.00 $0.00 _TOTAL FEE $284.00 Revised: 07/02/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18705 LOREE AVE CONTRACTOR: QUALITY GENERAL PERMIT NO: 14090141 CONSTRUCTION OWNER'S NAME: LIN CHEYU ET AL 138 NIAGARA AVE DATE ISSUED: 03/09/2015 OWNER'S PHONE: 4088591258 SAN FRANCISCO, CA 94112 PHONE NO: (415) 336-5657 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL CONSTRUCT A ONE STORY ADDITION (498 SQ FT). License Class Lic. # t7 9 (SUNNYVALE SANITARY) Contractor r Dat5 ' I hereby affirm that I m licensed n er the pro ' ions 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 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: $55000 erformance of the work for which this permit is issued. Tave 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: 37519013.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION ertify 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 WITBIIN 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: /GSI A�14 Date: 125 granting of this permit. Addition , the applicant understands and will comply with all non -point sou ce reg tions per the Cupertino Municipal Code, Section 9.18. 3 �/s­ RE -ROOFS: installed. If is Signature Date All roofs shall be inspected prior to any roofing material being a roof 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) 1, 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 r Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the unicipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by X255, the Health & Safety Code, Sections3, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent Date: rj 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, l 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 CONSTRUCTION PERMIT APPLICATION�A\ wmml�, COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 \ \�,i Lj 408 777-3228 • FAX 408 777-3333 • build in cu ertino.or, CUPERTINO ❑ NEW CONSTRUCTION VADDITION ❑ ALTERATION/ Ti ❑ REVISION / DEFERRED ORIGINAL PERMIT # TF1 N"t' PROJECT ADDRESS 18'�7q�� Lc��t�� i�IUJ:- APN # � OWNER NAME eJ 27 7' �� •5'. � CZ 5`l � PHONE Z _ n 2 r O E-MAIL STREET ADDRESSr- CITY, STATE, ZIP c;� L� FAX CONTACT NAME�a J . JI T., PHONE L (-4.02 q-(6_-7-l5G E-MAIL G' S I' 1,1 6, QY STREET ADDRESS CITY STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT XARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEd; I �7I ( LICENSE NUMBER p� 12, LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL qU 71 FAX L� Ac / p PHO ST7y PaDDRE�S� 4 CITY, ST AT ARCHIT(SCT/EN/GGIINEERNAME . LICENSENUMBER ,2 1 -t BUS. LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE (ai-4 -7 DESCRIPTION OF WORK U b l i 7 ifl c� cl c ti i V'z� a L-1 EXISTING USE PROPOSED USE CONSTRTYPE #STO�R/IES USE 7TYP7E7OCF7SQ.FT. VALUATION($) EXISTG 26 3j L?7�1EW FLOOR't DEMO TOTAL {{�� AREA I y 1 Li Ca AREA �+[� AREA � - � 6 -1- 26;.L BATHROOM KITCHEN OTHER REMODEL AREA mo U REMODEL AREA O REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: ETACH ❑ ATTACH # DWELLING ,UNITS: IS A SECOND UNIT ❑ YES BEING ADDED? NO SECOND STORY ❑ YES ADDITION? 0 PRE -APPLICATION El YES IF YES, PROVIDE COPY OF IS THE BLDG AN El YES D B,Y i "' TOTAL VALUATION: fI PLANNING APPL it PLANNING APPROVAL LETTER EICHLER HOME? XO _` y - -^� By my signature below, I certify to each of the following: I am the property owner or aut ed to on property owner's behalf. I have read this I agree to comply with all applicable local application and the informati - e provided is correct. I have read the Description of Work and ver' accurate. inspection ordinances and state laws relating bultrl+ conl1g struction. { thorize representatives of Cupertino to enter the above -identified property for purposes. \\�,_- Date: SignatureofApplicant/Ageiat� _-. SUPPLEMENTAL INFORMATION REQ I D rLaiv cHECKiYPE , iiouTuvcsLIP New SFD or Multifamily dwellings: Apply for demolition permit for ovER THE couiyTER ❑-BiJILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building ; permit for new building. EXPRESS :YLAxxINGPLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Ot sTAIvnAIiD ❑ PusLlcwoxxs, r - form if any Hazardous Materials are being used as part of this project. Z ARGE ❑ : FIl2E DEPT = r _ Copy of Planning Approval Letter or Meeting with Planning prior to 0, MAro l 7 ❑ `-sANITA$ksEwER.DISTRICT. submittal of Building Permit application. t I ❑; _ EN VIRbNMENTAI :AEALTB ; `- B1dgApp_201 Ldoc revised 06/21/11 CITY OF CUPERTINO 1 "Yd► l IP'PIP 1P.CT11MATnR — RTTTT,DTNG DIVISION OCCUPANCY TYPE: ADDRESS: 18706 LOREE AVE DATE: 09122/2014 REVIEWED BY: MELISSA PC FEE ID APN: 37519 013 BP#: �� `VALUATION: $55,000 ,'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex 2nd Unit? Yes G No OTC? 0 Yes E)No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK 1 ADD 498 S.F. TO CREATE N MASTER SUITE AND FAMILY ROOM. SCOPE Suppl. Insp. Fee:' Reg. 0 OT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,N,V-B 498 $1,626.00 1ADDPLCK $1,323.00 1ADDINSP Imp, 1'ec $1,323.00 Suppl. Insp. Fee:' Reg. 0 OT V. -S Y Sewer District School hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 CC,,7. WLIC 'LOOP 0 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: 498 $1,626.00 Do Lr rrearJc $1,323.00 Strong Motion Fee: IBSEISMICR MECH, HOURLY Yes: �,. No PLUMB, HOURLY 0 Yes' No ELEC, HOURLY Yes No ('heck PiIu;I., Plan C:11c efi E:ie . Plan Select a Misc Bldg/Structure or Element of a Building A Pltonh Perim,-1''c'e;. li7rr. f'<:rmhP1 ;e. l* r ?tle, Flarb trrp. 0 Other IIF':•. h?,.l.-cr. h 112.,T) tc ct 11111w"5'. htsp. Fee: Imp, 1'ec $1,323.00 Suppl. Insp. Fee:' Reg. 0 OT V. -S Y Sewer District School NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, e, ani dry , __�__-- ,. ,.;/,.LI,. ,..,.d — n i., .. nct;m.7t,,_ unntact the DeDt for addn'1 info. District, etc.. These fees are based on theprehimnary FEE ITEMS (Fee Resolution 11-053 a.. 7.%1/131 in urrnu tun [tvuauu— FEE ".� �• QTY/FEE �••- -- -- MISC ITEMS Plan Check Fee: $1,626.00 Select a Misc Bldg/Structure or Element of a Building A Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,323.00 Suppl. Insp. Fee:' Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 CC,,7. WLIC 'LOOP 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee. IPLLONGR $69.72 Select a Non -Residential G Building or Structure 0 Do Lr rrearJc Strong Motion Fee: IBSEISMICR $7.15 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS; $3,028.87 $0.00 TOTAL FEE:. $3,028.87 Revised. uarl-uwl-014