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15050152-CANCELLED i NOV 0 9 2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22673 WOODRIDGE CT CONTRACTOR:T PERMIT NO:15050152 OWNER'S NAME: TUNG TUNG-SUN AND MARIA DATE ISSUED:05/26/2015 OWNER'S PHONE: PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL REPLACE(E)800 S.F.WOOD SIDING WITH NEW License Class Lic.# -7 5 A HARDIBACKER SIDING(800 SQ FT),REPLACE(E)PATIO WALL&REPLACE 10 LF OF(E)6'REDWOOD FENCE(NO Contractor i/!�r- � rL��� Date �'� '' I 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. affirm under penalty of perjury one of the following two declarations: 11 have and will maintain a certificate of consenta -'n.sure f Worker's Compensation,as provided for by Section 3700 oto L e,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$15000 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:34215075.00 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 L D 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 b Dat granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 918. - OOFS: Signature Ift Date All roofs shall be inspected prior to any roofing material being itistalled.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 the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 1)a2&�6 7 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,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 r\\� COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION V 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 r'UPERTINO (408)777-3228• FAX(408)777-3333•building(G),cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT;# PROJECT ADDRESS `-� WQgJd6e, c1 APN# 4� ddd c.� L f OWNER NAME , �N PHONEg0 A S�- g13'$ E�-MCAIL4� _ alUd. C STREET ADD 2ES�1- 01-1 y O.d r'� e,ur CITY, STATE AZIP 16 915,16/y J FAX CONTACT NAMEILLIG 1ti!/de PC(,gj1/jlN� �' 4f,/ f.�. fy1,. /1lG 9,vlitr .i �f`r ST REE ,?D S� JI �h CITY,STJ'h _ /�q SLi A^ /��//� FFAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT [❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR A LICENSE NUMBE LICENSE TYPE BUS.LIC# � 6� C�r� Iw�7 5546 COMPANY N /] �+ E-MAIL /� FAX eta) s Cow-5 I' L;,�,MM1 SJ sre *YC (441"01' C(7M STI&4VDRESSu CIrYLTr�IP�a /_ ^� Pra 3�6';p � ARCHITECT/ENGINEER NAME LICENSE NUMBER CJv C BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIP O O M%^�` WV a D kV e0T W PKdO. J AIMA66P -S)91--O /1 •e' S yr a �— / Xoee /o o`f'/ jc-tt ud STINg USEi�� e4(A CONSTR. E #STGRIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO — TOTAL ue()V AREA AREA AREA NET AREA BATHROOM KITCHEN V OTHER REMODEL AREA REDIODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH []ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? ❑NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑ RE s TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or au age oemon the property owner's behalf. I have read this application and the information I hav !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 t ® _ mtruction, j authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Dater SUPPLEMENTAL INFORMATION REQUIRED SEN.i.._LAh CHECK TY�'E, _- n I20UTII�G;SLIP° t:. _New SFD or Multifamily dwellings: Apply for demolition permit for ; " `t OVER THE-COIJhTER -C� existing building(s). Demolition permit is required prior to issuance of building r k s a f F} r�r z a u zE«�BUILDINGPLANREVIEw,4r ra v permit for new building EXPxEss ,y s � "PLAivnlnGriAivxEEy#Ew tiiGu 4 •'t �i' a �sZ �i _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ry��sTANnARD} r'�h"n g a F+ PUBcwoRicsfi a {L„m � { at 1 w c r",4 r x4u q. form if any Hazardous Materials are being used as part of this project. 0 � r w • ti s®r Y.A�tG'L`�.�� �," �3^�t�� ' � _Copy of Planning Approval Letter or Meeting with Planning prior to �'� MAJOR "`x �'` '-"� DG+SAI�TPARSER'ERDISTRI „ + submittal of Building Permit application. t �t ' t � ,* .O,,ENLYIROTIMEI�.�J.IstIIEAliTPIv" .. '.µ,. B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 22673 WOODBRIDGE CT DATE: 05/26/2015 REVIEWED BY: MELISSA APN: 342 15 075 BP#: *VALUATION: $15,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY SFD or Du lex PENTAMATION 1GENRES USE: p PERMIT TYPE: i WORK REPLACE E 800 S.F. WOOD SIDING WITH NEW HARDIBACKER SIDING 800 SQ FT REPLACE SCOPE (E) PATIO WALL& REPLACE 10 LF OF (E) 6' REDWOOD FENCE (NO PERMIT REQ'RD) Afech. Plan Check Plumb. Plan Check Flec..Plan('heck Mech. Penni!Fee; Plumb,Permit Fec: Rec. Permit Fee: Other A/ech. Insp. Other Plumb Insp. Other Elec.Insp. LJ 11ech.Insp.Fee: Phtrrrb. Insp. Fee: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). These fees are based on the prelimina information available and are only an estimate. Contact the Dept-for addn'1 info. FEE ITEMS(Fee Resolution 11-053 Eff 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 800 s.f. Siding Supp/.PC Fee: Reg. OT 0.0 hrs $0.00 $646.00 ISIDEOTHER All Other PNM Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp.Fee:Q Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure Travel Documenlalion Fees: L I Strong Motion Fee: IBSEISMICR $1.95 1.0 hrs Inspections Bldg Stds Commission.Fee: IBCBSC $1.00 $143.00 1STINSP Inspection,Hourly SUBTOTALS:z $2.95 $789.00 TOTAL FEE: ' Revised: 05/07/2015 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N® Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: ZZ 0 C) V't PERMIT# OWNER'S NAME:(-;Z -Vf Cy,y4,V+14PHONE# 41�71?� GENERAL CONTRACTOR: J rU st" �d,A BUSINESS LICENSE# 5 Q ADDRESS: Cl -e'ww'%Q � �/!� CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. 0 r I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date I rgib9MUNITY DEVELOPMENT TENT NT BUILDING UPERNO OFFIC ,E Copy APPROVED at the This set of plans and specifications MUST be kept job site during construction. It is unlawful to make any e^pGN�M changes or:alterations on same, or to deviate therefrom,without approval fro*, . ilding Official ? o� o xo�q v,sxo $ The Stamping of this pian and s e�'aifL:�fl4%s SHALL NCH be held to ped it or to be an to Law. 5� i of any pi ' BY DA 2 , ` ��0�0 < 'Z- PERMIT PERMI ' s i o -Tz _ I -g s o � Vyy Ile a+ A. r 7,0 i -7 19 x2!D be o CUPERTINO w wilding Department q UZI MAY 6 201 WAO REVIEWED FOR DE COMPLIANCE Reviewed B -- T----T— I'dx-7'n x a (,AZA6r,0,5—,9 (1/1 A46 POOR Nti�t4 7���; L, ��� a") ,fie bRM/�GE1) SiD1Ovl7 GlYG�2 Zl �� Revla6e 1a'or d _ Lv Q2ntin �I w�Cl �enG�r 1—o-q Li�tC ✓P Cdr+ /2-QPlOze `�0� 0�' L�fJw y-�-f_Ct►'r}� e/1 G�c9�Ll^2 f�/� �'/���� ?2(O-T3 \A]noD1:ZINE CT CUKRTIrio, GI\ RT'Otq 7 NVIANV' -rpl All lat AAt R .. ............... M;-, tgr �Z 'M f.R R. 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