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15070203as 0 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22347 STEVENS CREEK BLVD CONTRACTOR: JIANSHE HE PERMIT NO: 15070203 OWNER'S NAME: JIANSHE HE 22347 STEVENS CREEK BLVD DATE ISSUED: 07/29/2015 OWNER'S PHONE: 4084807342 CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] REPAIR (E) BALCONY, INCLUDING RAILING & DECK License Class Lic.# JOISTS Contractor Date 1 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. 1 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: $3000 , 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: 32650010.00 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 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 granting of this permit. Additionally, the applicant understands and will comply Iss Date: 2=- with all non -point source regulations per the Cupertino Municipal Code, Section 00' - 9.18. RE -ROOFS: Signature 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 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, usiness & Professions Code) 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 1 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 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 a nd I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sec' ns 2 505, 533, an 5534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent Dater ermit 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- oint urce regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Sign a Date I r 191, Ed Ulm T CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPa`RTIhlO (408) 777-3228 • FAX (408) 777-3333 • building(d)cuDertino.org /��iS �Lo 2,03 ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT n PROJECT ADDRESS a2.1,4-7 5'Te v (SNS C.eZ6 K W. APN 9 3 Z(, 5 a- D( 0- On OWNER NAME '4� N CALL tA � I PHONE�6� 3 ( E-MaIL � ` Ill sLL kjL @ d&c O . C STREET ADDRESS , STATE, ZIP C n 1 E ��'(� �� / I FAX Y CONTACT NAME t�i (x C wk G %t -kV PHONE ©/' J ro - q/GS� f (? j� E-MAIL e� Lo U� 7zo6 61 QZ . STREET ADDRESS CITY, STATE, ZIP 1Q(�T�L N O C VFAX ED OWNER ❑. OWNER -BUILDER ❑ OV.TcR AGENT 1:1 CONTRACTOR ❑ CONTRACTOR AGENT (`"CHI ECT ❑ ENGD.EER ❑ DEVELOPER ❑ i NkN7 CONTRACTOR NAME .� LiSE NUMBER LICENSE TYPE BUS. LIC # COI,IPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHrIECT/ENGA'EERHAME 5 k'LC 0S �� (TENSE NUMBER /' �/ I / G 1" L BUS. LIC R COMPANY NAME E-MAIL • FAX STREET ADDRESS C[ u A G �� ��G� CITY, STATE, ZIP"l PHONE DESCRIPTION OF WORK To .e ep `/� o:E- 6Q�-� c �J /� L t ��"�'�� j �'�1�I` �f� L ll"N 07 ��CSTS. EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA - BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCHAREA DECKAREA TOTAL DECKIPORCHAREA GARAGE AREA: DETACH ❑ ATTACH T Dli'ELLI1.'GUN1TS: !S A SECOND UNIT ❑ YES SECOND STORY OYES BEING ADDED? ONO ADDITION? ONO PRE-.4PPLTCATI0N OYES IF YES, PROVIDE COPY OF IS THE BLDG AN A ': TAL VALUATION: PLANNING ADPL : ❑ NO PLANNnQG APPROVAL LETTER I M EICHLER HOE? [E:) NOso- -- - - By my signature below, I certify to each of the following: 1 am the property owner or authorized int to act perty owner's behalf. I have read this application and the information I have provided is correct. I have read the D cription of Work and verify i5§ accurate. I agree to comply with all applicable local ordinances and state laws relating to bui g nstruction. I authorize re r tives'of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 7 — 21— SUPPLEMENTAL 1—SUPPLEMENTAL INFORM ION REQUIRED�" If a rLAI. CHEcx PE s 'UT N' . _ .. New SFD or Multifamily d%vellin s: Apply for demolition permit for OSER THE COUNTER BUIIDLr\G _ - existing building(s). Demolition permit is required prior to issuance ofbuilding perTrTit for new building �• EXPRFss PIAS, GrirL,riu ' _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure LnRD form if any Hazardous Materials are being used as part of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior to� submittal of Building Permit application.l]aa R l Bld.-App_2011.doc revised 06121/11 L1% CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION iaADDRESS: 22347 STEVENS CREEK BLVD DATE: 07/29/2015 REVIEWED BY: MELISSA /leek Permit Nee. l APN: 326 50 010 BP#: "VALUATION: 1$3,000 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: I Plumb Ins; ,'-,:e: PENTAMATION 1GENRES PERMIT TYPE: WORK REPAIR E BALCONY INCLUDING RAILING & DECK JOISTS SCOPE 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 preliminar information available and are onan estimate. Contact the De t or addn7 info. FEE ITEMS (Fee Resolution 11-053 El.. 7/1/13,) ,llech..Plan ('heck 1'Ir:jrtb, Plan Checl, Flee. Phin Cheek /leek Permit Nee. 1'111mb. Permit /'ee: Elec. Permit Fee: Other illech. Insp. Other 1111tm"/, Other flee. Insp. � i c P Insp. Fee Plumb Ins; ,'-,:e: Elea lnsp, FC.T 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 preliminar information available and are onan estimate. Contact the De t or addn7 info. FEE ITEMS (Fee Resolution 11-053 El.. 7/1/13,) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? © Yes (F) No $0.00 1 hours $143.00 Plan Check, Hourly ISTPLNCx Suppl. PC Fee: (j) Reg. O OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes 1E) No $0.00 Suppl. Insp. Fee:Q Reg. © OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 onstruction Tax: A(lministrative Fee: Q 0 Work Without Permit? © Yes (F) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential E) Building or Structure A Travel Documeruation Fees: Strong Motion Fee: IBSEISMICR $0.50 2.0 hrs $286.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $1.50 $429.00 TOTAL FEE: 1 $430.50 Revised: 07/02/2015 t CUPERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building d)cupertino.org — Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS 3Z6 ' s� " L� _ b [� BP# 5- 3 OWNER NAME (-r c� 1 OWNER ADDRESS S DESCRIPTION OF WORK: P L fl,< G X /� ST A- D TC7 • L%� �``n k X71 NIN C We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) 111. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. O. I understand building permits are not required to be signed by property owners unless they are responsible for econstruction and are not hiring a licensed Contractor to assume this responsibility. -A3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the t I value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. Ueral I understand if I am considered an "employer" under state and federal law, I must register with the state and government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 4idential .I understand under California Contractors' State License Law, an Owner -Builder who builds single-family structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is rformed under contract with a licensed general building Contractor. -I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 04/14/10 'I understand I may obtain more information regarding my obligations as an "employer" from the Internal enue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 4th 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I e party legally and financially responsible for proposed construction activity at the site address listed above. 11 1. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. �12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the or,mation l have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you -to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 2-O --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessarryy to obtain an Owner -Builder Permit for my project. 12E � -C G)c P �5-T ��� t --El Scope of Construction Project (or Description of Work): �� ea1 oeaj F-A-tL_( nNh ao tSTS Project Location or Address: �U5 Name of Authorized Agent: U (Q(E t4 Tel No 6S 0 — �i 6 5_ (P& / Address of Authorized Agent: Z 3 S( 4- 6 P,,k� U0, -U, G C— R, Gy P ER7 t�) O r (A I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 7 ? ho 11 OwnerBuildeYForm 2010.doc revised 04/14/10 !00.12• (E) 5EOMC£ ISHED , i (E) SmRNm SHED ANT d RMUNITY DEVELOPMEN DEP • • _ BUILDING DIVISION - C PE r ^' kept t 110E ecifications UST b , This A of tans and spec awfiul m,` 1' ` Job sits d ring construction. It is or to evia h es o` alterations on sa 'e Bui! Ing G' � A c, an roval from theref ro , without app xication SHAL NOT The stm ing of this plan and sr` of he viol on ba tk� "d o permit or to k e f ( r Stat ' 20 3 •_ I l ' SmNm SHM (E) MOOD DECK (E) HOUSE (1 -STORY) i I ' CUPERTINO Building Department SOL 292015 REVIEWED FOR CODE COMPLIANCE Reviewed I B (2,� .,4u"4�^- (E) ORIVEMVIT i WA4- t1-%- D 2 s 54 I -e- fw-( /? 0 s,F 1 AWO 2gl'3 C2G 2el(� (---z 4f ARCS * �C-221p91_9/ N S – Q RENEWAL DATEQ•�\/ A OF Cptt _<560r 100.41 WM SLE - — STEVENS CREEK BLVD. SITE PLAN —1-0 SCALE: 1/9" = 1'-I' i I .I (Q 2W UWT I M/ Paw i ;(E) CNE CAR! GWAM 1 1 n7 it (E) 2ND FL EWLCD- 1111 (E) O vmy (E) HOUSE (2 -STORY) I ' - : (E) Wm- -<560r > q (S star t 'I �-:! 5— 1 517=I o�•1�.J (S star t 'I �-:! 5— * C-21919 N� 11- 0-1 ,Q RENEWAL DATE Q. OF CALF 7- 27 _(5 �I I /.9-.f ci ¢ / z I O I No i j U Jq N m x � N Z 7 � N1 CUPERTINO Building Department JUL 2 9 2015 REVIED FOR CODE COMPLIANCE R iewed By: I I I I I Q � W J W W 3 op S O1 2X6 REDWOOD (OR P.T.) HANDRAIL W/ (3)16d ® EACH POST O4X4 POSTS ® 4'-0" O.C. MAX. O3 2x4 BLOCKS WITH A34 CLIP AT EACH END O4 2x DECKING SCREWED TO JOISTS W/ (2) 8gx3" ® EACH BOARD OR PLYWOOD NAILED W/ 10d ® 6" O.C. AT EDGE & 10" O.C. IN FIELD O2X JOIST, SEE PLAN O2X RIM BOARD + 2x BLOCK OR BEAM + BLOCKS, SEE PLAN O7 (2) 5/8" DIA. M.B. OS L4X3X1/4 EACH SIDE Og (2) 5/8" M.B. AT POSTS W/ 2 X 2 X 3/16" PLATE WASHERS AT BOTH ENDS 10 4X BLOCK 11 (2) 10d 0 EACH BOARD 12 10d ® 2" O.C. U BEAM, SEE PLAN 14 2x2 01>f O.C. (MAX. SPACING BETWEEN 2x2 = 4") NOTE: DDE & HANDRAIL LUMBER SHALL BE D.F.P.T. OR REDWOOD. DECK GUARD RAIL DETAIL * C-21919 RENEE EAL OF t. OBEARING WALL O 1 1/2" MIN. WITH HEADER, AS OCCURS 2O FLOOR FRAMING, SEE FLOOR PLAN 10 BEAM WITH POST BEYOND, SEE PLAN O3 PLYWOOD SHEATHING, 11 EDGE NAILING O4 SEE PLAN NOTES DECK JOISTS, SEE PLAN 12 IRON RAILING O2X LEDGER W/FLASHING 13 1/2" DIA. M.B. ® 8" STAGGERED O DOUBLE RIM JOIST (DECAY RESISTANT) 14 DECKING MATERIAL :t1 m JOIST + 2x BLOCKING ORIM 7 (DECAY RESISTANT) ;U m (D OS PLYWOOD NAILED W/ C'rmn 10d ® 6" O.C. AT EDGE & 10" O.C. IN FIELD CL O c. W � r C7 o =c 13 m N _ C 11 11 o O CR csl R 2 SLOPE g 7 8 �— 14 3 r D 2 1/2 C) 2" m 10 4 2 5 1 DECK CONNECTION TO BUILDING aDa�1dO jp� A8 Pannaina�i 1VM N d � 03M3In32� _ SJS1� rJ' 30NVI-IdWO0 340 �1O_ 6 LW-0 Z Inr r y � .• 9N3�� }uau.giedaa buippEl ti��v ass N1183dno f QZ kl )-j2 0 -til 2-� c C? v L -4-v ( ( a N1 2v 3L��. 2' x 2' x 12" DEEP FTG. W/ 3-#4 EA. WAY ® BOT. FIL � 6'-0" 11'-0" 2'-10" 77 — J (E) 6x6 POST POST 6x6 (N ) LINE OF BALCONY I ABOVE I OFFICE 8OPY 0 f—cu c l D . 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