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15010184CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18930 BARNHART AVE C0NTR s rToR: ' (_�_ PERMIT NO: 15010184 I OWNER'S NAME: DING BIAO ET AL 9 CXb Ir KLON417 DATE ISSUED: 06/04/2015 OWNER'S PHONE: 4088289808 ��pf �L R PHONE NO: ' �j LICENSED CONTRACTOR'S DECLARATION l' /� 19 C70 /-7 0 / License Class L1 Lic. # 1 U t it ContractorY VA IduA co I V^' TI'�1�ate 6� 0 (. 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. 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. 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 permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the 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. l Signature Date 0 D' ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the 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. Signature Date. JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL CONSTRUCT 2 STORY SFDWL TO INCLUDE (4) BEDROOMS; (3) BATHS; 2407 SQ FT; ATTACHED GARAGE 443 SQ FT; PORCH 50 SQ FT Sq. Ft Floor Area: I % aluation: $300000 APN Number: 37533007.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 S FROM LAST CALLED INSP C N. Issued by: e D� RE -ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Cod Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 4. I CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name _ Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional /S CUPERTINO VNFW rnNc-rullr• CONSTRUCTION PERMIT APPLICATION , COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 0. C) r (408) 777-3228 ^ FAX (408) 777-3333 • building(cDcupertino.org 6 I (� ^ I-1 I I I ATlr)TTln1.T I I AT TCD ATIn KT/TT I I D rlIT CTnMI ncccn n­T­ DCT,1 PROJECT ADDRESS J Qct j O /J�, /j TAPN # 3 7f — z 3 _ C), C.'7 7 � OWNER NAME L411Y)5/4GT P/u76 PHHOE n E-MAIL b/Lp% k STREET ADDRESS !/1 [�^ _ 2 CITY, STATE, ZIPj' S Je /N C�t� 6T FAX CONTACT NAME rA t `/ PHONE n, p! O�cn/ O 3 E-MAIL /7 STREET ADDRESS CITY, STATE. ZIP FAX Pis., ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR C3 CONTRACTOR AGEN'r El ARCHITECT El ENGINEER ElDEVELOPER E3TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE /, � DESCRIPTION OF WORK 2 .L _ y F Lei h �-� s ,� , '-t-(/ s — j4+ fL. e�t, a1� f , 24 ,.e(A 60 .,t -nom„.. EXISTING USE PROISOSED USE CONSTR, PE # STORIES :5F H /T 'a 2 USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA 7AjCAREA NET AREA �iL •l./� /j !/ BATHROOM KITCHEN OTHER REMODEL AREA REN40DEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH 4! DWELLING UNITS: IS A SECOND UNCI' LJ SECOND STORY [3 YES BEING ADDED? ANO ADDITION? [3NO PRE -APPLICATION ES IF YES, ObEY OFy PLANNING APPL # NO PL G IS THE BLDG AN ❑ YES RECE VE t s e + S °�'” TOTAL VALUATION: P LEITER EICHLER HOME. NO+' %% t By my Signature below, I certify to each of the following: I am the property owner or authorized agent o 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 building const tion. I authorize repr entatives of Cupertino to enter the above -identified operty for inspection purposes. Signature of Applicant/Agent: 1 C- Date: zC' !!;7 SUPPLEMENTAL INFOiMATION REQUIRED.T, !" }. ,/ PLAAI CHECICI YPE .., ; t ">�u b t,nROUTING. SLIP � ns ,? a New SFD or Multifamily dwellings: Apply for demolition permit for existpung Fe C I-EVRµ I`�TO.ER rE Wr ry ,$PIU:+LIehD�rI�rI� s"+l AA Permit for new building. t "U.cLTkrEj EXf,'S RETaSHS t fs " �Oh 1,� GPLAN.REVLEV 'x � i'YN"!" o , _ Commercial Bldas: Provide a completed Hazardous Materials Disclosure .S I.kiLMi wr4�af'.v"r + * s � r Q UBI woRks ` form if any Hazardous Materials are being used as part of this projects:„�i ISTpLDARD k 11��' ,s sx t r r Copy Planning Approval Letter LrAhiGE s� a�°7 a, ¢Ix FIRE EP �+ F r a I _ of or Meeting with Planning Prior to ❑ submittal of Building Permit application.InJOR' `+ e z+ ANITARTS$�1 ERDIST]UCT ` ' x>,`v .rxirApt, wn ',`t x"`:.rENYIR01`'11EN7'TA.`�HEALTHi?�;,.?r .a .r BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO lr/fi! FEE ESTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 18930 barnhart ave DATE: 01/30/2015 REVIEWED BY: Mendez PC FEE ID APN: BP#: *VALUATION: 1$300,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? 0 Yes •' No PENTAMATION 1 R3SFDW PERMIT TYPE. WORK construct 2 story sfdwl to include 4 bedrooms 3 baths; 2407 sq ft; attached garage 443 sq ftporch SCOPE 50 sq ft OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f.) PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 2,900 $3,046.44 IR3PLNCK $2,964.52 IR3INSP $0.00 PME Plan Check: $0.00 Permit Fee: $2,964.52 Suppl. Insp. Fee. -IS Reg. Q OT 0.0 lirs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 2,900 $3,046.44 Construction Tax: IBCONSTAXRF--ynew $2,964.52 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn 7 info. FEE ITEMS (Fee Resolution 11-053 E . 7ff /1/13) .l1ech. I'1ali C h(s it?).feC. 1 `101 i1feeii. Permit Fl:f.': I'trcrr,h, t'r.'rmit Fee I:tec. PCt7?lit Fee: $3,046.44 r F borib InstLl other Elec. Inst! Suppl. PC Fee: Q Reg. 0 OT 0.0 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn 7 info. FEE ITEMS (Fee Resolution 11-053 E . 7ff /1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,046.44 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,964.52 Suppl. Insp. Fee. -IS Reg. Q OT 0.0 lirs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXRF--ynew 1its $670.76 Adnzbii.srra1h;e FeYl, 0 Work Without Permit? o Yes (F) No $0.00 Advanced Planning Fee: 1PLLONGR $406.00 Select a Non -Residential Building or Structure G i Tai,el Doctimentution / eees Strong Motion Fee: IBSEISMICR $39.00 Select an Administrative Item Bldg Stds Corrunission Fee: 1BCBSC $12.00 SUBTOTALS: $7,138.72 $0.00 TOTAL FEE: 1 $7,138.72 Revised: 01/06/2015 CUPERTINO le CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: IYU0 RhANHAkfAW, cu PERMIT # /S`v 0 OWNER'S NAME: 51G�,d nt%, PHONE # GENERAL CONTRACTOR: 7h Ar X;oXf BUSINESS LICENSE # �I ADDRESS: $ p G��-00 S *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT TO HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: l!' Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing o I � `( IF Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masefffy Fra vo a ti d e Z C Painting / Wallpaper Paving Plastering Plumbing Roofing CA L Z Septic Tank Sheet Metal Sheet Rock Tile zol Date J FILEIf-f3-tL2-6- ��bforg'y N.87®39'53" W. 51.00' t t I N t t of to ui CD Io EL=196,18 13 12t EL= 196.42 II 1� �t li ' it NEW RE51DENCE 5 O ,il,, ca 4.111 cN EL=196.05 i b i -EL=196.10 i I t t 1 N.87`39'53"W. 51.00' BARNHARD AVENUE ,, (60' WlW ) EL 195A6 STAKING DIAGRAM E C 2625 MIDDLEFIELD RD #658 TEL: (650) 823-6466 18930 BARNHARD AVENUE r> TPP.RTTKO- r.A $ ASSOCIATES PALO ALTO, CA 94306 FAX: (650) 887-1294 I� t, t' �I �r ti Cof O 1' � 4' -t vi 0 NEW RE51DENCE 5 O ,il,, ca 4.111 cN EL=196.05 i b i -EL=196.10 i I t t 1 N.87`39'53"W. 51.00' BARNHARD AVENUE ,, (60' WlW ) EL 195A6 STAKING DIAGRAM E C 2625 MIDDLEFIELD RD #658 TEL: (650) 823-6466 18930 BARNHARD AVENUE r> TPP.RTTKO- r.A $ ASSOCIATES PALO ALTO, CA 94306 FAX: (650) 887-1294 CONSTRUCTION PERMIT APPLICATION / J COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION vl 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 I (408) 777-3228 • FAX (408) 777-3333 • building cDcupertino.orq �j O CTION ❑ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # BldgApp_2011.doc revised 06/21/11 4101-- PROJECT ADDRESS APN # 3 7 f~ _. 3 _ L� � 7 / /4 OWNER NAME //�7 ©/ I � PHONE fT p L�O — O �•— �t�O� q e E-MAIL /eCp Y• L/ / R O rl (J STREET ADDRESS 14S t J� /� /2 Z L Gfk CITY, STATE, ZIP T S {�l FAX CONTACT NAME PHONE Qr p_ E-MAIL ca eh STREET ADDRESS CITY, STATE, ZIP �^�� —�'X—/ = A FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONIRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENA CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE b DESCRIPTION OF WORK n 5 •JH �� s� -2 407 0 % ,S f- /- 9edr-vc,,,S A,,He s -n7 �S f Lu�2Wit% Qin CN� Lia /t,PJY<�j LI���Gi/n eloi- {CK 60pW. faLYY'YK C-) i �Ajm`'^2, �Qy�j py�►�� �s�, �N iL !L EXISTING USE PR OSED USE CONSTR :5F7 H TYPE l�Q f # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA NEW FLOOR,v 2 AREA O DEMO AREA TOTAL NET AREA .-�,, ^ -Y'� 1' BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA _ POACH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: EIDETACH ❑ ATTACH s DWELLING UNITS: IS A SECOND UNIT ❑ YES BEING ADDED? ❑ NO SECOND STORY ❑YES ADDITION'. ❑NO PRE -APPLICATION ES IF YES, $Y OF, IS THE BLDG AN ❑ 1'ES PIECE VE t. TOTAL VALUATION: PLAN'MNG APPL Al [:]NO PLANN G LETTER EICHLER HOME? / NO By my signature below, I certify to each of the following: I am the property owner or authorized agent o 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 building const tion. I authorize repr entatives of Cupertino to enter the above -identified property for inspection purposes. 1-� Date: Signature ofApplicant/Agent: SUPPLEMENTAL INFO ATION REQUIRED PLAN CHECK T1'PE ROUTING SLIP ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD unuc WORKS _ form if any Hazardous Materials are being used as part of this project. ❑. LARGE FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ ANITARY SEIVER DISTRICT submittal of Building Permit application. ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 4101-- CONS ► RUCTION PERNIIIT APPLICATION K COMMUNITY VELOPMENT DEPARTMENT • BUILDING DIVISION NOR 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPEt2TIN0 (408) 777-3228 • FAX (408) 777-3333 • buildingecuDertino.org ❑ '.7,W CONSTRUCTION ❑ ADDITION ❑ .4LTER4TION / TI REVISION / DEFERRED ORIGB, kL PERMIT 4 PROIECTADDRESS IQ/��/.� irnhuV�-- Avf . I APA# OWNER NAME I PHONE ^d a' E -1441I /]I �DI%t7?!k(q),h �pJ1 /3 4a 2iA' (/O STREET ADDRESS CITY, STATE, ZIP FAX OC4 L&C CONTACT NAME PHONE sTF-EET.ADDRESS CITY, STATE, ZIP FAX ❑ OW'NER ❑ OWNER -BUILDER ❑ OWNERAGEN-r ❑ Com'R."CTOR ❑ CON'TRACTORAGENT ❑ P.Rc .cT ❑ BNGL\mER ❑ DF%ELOPER ❑ izl:A\'T CONTRACTOR NA)AX I LICENSE NLT4BER LICENSE TYPE BUS. LIC # COMPANY NAAS I E-MAIL FAX STREET ADDRESS I CITY, STATE, ZIP PHONE ARCHITECTIENGD,EER NAN,E LICENSE NUMBER BUS. LIC r COMPANY NAA1E I E•?JiAII — FAX - -- STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTIONOFIVORK N6(A 1 (wA l V e ("Oa tJ't1owe � -„� ayv* f bate tw. --- 1 L �`Vl l-1 — --, � Icr hA# mu wl -- --- - EXISTING USE PROPOSED USE CONSTR. TYPE = STORIES USE I TYPE I OCC. SQ.FT. VALUATION (S) E>:1STG NEW FLOOR DEMO TOTAL AREA I AREA AREA XET AREA BAT?iROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK'PORCH ?.REO GPS AGE AREA: Lj DETACH []ATTACH I w DW'ELLTNG LNTTS: 1-S A SECOND LXiT ❑ YES SECOND STORY ❑ 1'ES BELIGADDED. ❑NO ADDITION? ❑NO I PRE-AP?LICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ :'ES TOTAL VALUATION: Fl APPL R NO PLAN\TK-G APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner or authorized aRzr.t to as On the pr ope;7- owner's behalf I have read this application and ibe irfomtation I have provided is Correct. I have read the Description of Work and verity 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 Applicart'Acent: SUPPLENMENITAL INFORIAAT10'\- I LN C.," -;CK n T I New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building for building. 8 � 3 ©QUER THE-COi7\TER a s'?` t EEX7REss��c'p permit new 15j. Conmlercial Bides: Provide a Completed Hazar&us \Materials Disclosure _ form if any Hazardous Materials are being used as p2i L of this project. may {Int ❑ �.ARGE �,�� �- Copy of Planning Approval Letter or 1,1eeting with Planning prior to�. r N ❑ �'t.LaJOR submittal of Building Pemait application. ry �• Bldo 4pp_2011.doc revised 06/21/11