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14080006I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18832 TUGGLE AVE OWNER'S NAME: GRAND SUCCESS LLC OWNER'S PHONE: 4083933951 ❑ LICENSED CONTRACTOR'S D�EyCjLARATION License ClasC� iNLic. # Contractor C eP 0 $ MC_ I� 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. I hereby affirm under penalty of perjury one of the following two declarations: i. 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 V erfonnance of the work for which this permit is issued. 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 1 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 �.6 ate ❑ OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: t. 1, 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) 2. 1, 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. 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. 2. 1 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. 3. 1 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 CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080006 COMPANY 10349 LEOLA CT APT 1 DATE ISSUED: 12/04/2014 CUPERTINO, CA 95014 PHONE NO: (408) 726-2956 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ CONSTRUCT (N) 2 STORY SFD (2255 S.F.) WITH ATTACHED GARAGE (437 S.F.) & PORCH AREA (49 S.F.) REV # 3 - RELOCATE WINDOW ON 2ND STORY AND REVISE LANDSCAPE PLAN ISSUED 9-8-15. Sq. Ft Floor Area: 9 Valuation: $405000 APN Number: 37532028.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTIOIN. Issued by: ��% /V Ak/_i Date: ff;�o -1-5 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: 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. I 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 Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. OwnV or authori d agent: f/ Date: 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 1 understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 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 nreliminary information available and are oniv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolulion 11-053 Ef. 7/1/13) ADDRESS: 18832 TUGGLE AVE. DATE: 09/01/2015 REVIEWED BY: PAUL F",h. Penni/ bee: APN: 375 32 028 BP#: 14080006 *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: Plumb. Insp. Fee: PENTAMATION 1GENRES PERMIT TYPE: WORK REVISION #3 -RELOCATE WINDOW ON 2ND STORY AND REVISE LANDSCAPE PLAN SCOPE Suppl. Insp. Fee:(Q Reg. 0 OT 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 nreliminary information available and are oniv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolulion 11-053 Ef. 7/1/13) :Rech. Plan Check Phamh. Plan (.'heck F'ler. Plan Check F",h. Penni/ bee: Phimb. Permit Fee: —I-- filer. Permit Fee: Other ,91eeh. Insp•E17- Other Phv)ib Insp.Lj Other klec. hisp. Ll :14ech. hap. Fee: Plumb. Insp. Fee: E/ec Insp. Fee: 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 nreliminary information available and are oniv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolulion 11-053 Ef. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Yes 0 No $0.00 1 hours Plan Check, Hourly $143.00 ISTPLNCx Supp/. PC Fee: Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(Q Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 _FTConslruciion Tax: ?iclnninistrcrtive Fee: 0 Work Without Permit? ()Yes (D No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential E Building or Structure 0 I Tmrvel.Docurnentulion Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $143.00 TOTAL FEE: F $143.00 Revised: 07/02/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18832 TUGGLE AVE CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080006 COMPANY OWNER'S NAME: GRAND SUCCESS LLC 10349 LEOLA CT APT I DATE ISSUED: 12/04/2014 OWNER'S PHONE: 4083933951 CUPERTINO, CA 95014 PHONE NO: (408) 726-2956 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL CONSTRUCT (N) 2 STORY SFD (2255 S.F.) WITH License Class_Lic. # Clbl ATTACHED GARAGE (437 S.F.) & PORCH AREA (49 S.F.) Contracto.O / N _r REV # 2 - REFRAME & REVISE ROOFING DETAILS - I hereby affirm that I am licensed under the provision of C tapter 9 ISSUED 4/6/15 (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 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: $405000 performance of the work for which this permit is issued. 1 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: 37532028.00 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 tocomply with all city and county ordinances and state laws relating WITHIN ERMIT, 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 I tS FRO INSPEC ION. 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 granting of this permit. Additionally, the applicant understands and will complf Issue Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 'f� R OFS: Signature Date d. All roofs shall be inspecte y roofng material being installed. If a roof is installed without first obtaining an inspection, l agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: 1 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 1, 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 agent: Date: 6 permit is issued. or authorized 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 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 al COMMUNITY DEVELOPMENT DEPARTMENT -BUILDING DIVISION s 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)) 777-3228 - FAX (408) 777-3333 - building4cupertino.org FINEW CONSTRUCTION I rI ADDITION F -1 I ALTERATION / T R1 REVISIO DEFERRED ORIGINAL PERMIT # f q o '% 0®4.10 PROJECT ADDRESS I OWNERNAME ( n ONE -* E-MAIL STREET ADDRESS 7 , CITY, STATE, ZIP el CONTACT NAME J S C PHONE41� p,Q -L76 V E-MAIL : / 11 STREET ADDRESS 2 -O- t�� („ `Sf CITY, STATE, ZIP �$Q '- I ro� C jl �r� / FAX ❑ OWNER 11 OWNER -BUILDER 1" 11 OWNER AGENT ❑ CONTRACTOR 11 CONTRACTOR /AGGjENT V 11ARCHITE (CT, 16d ENGINEER ❑ DEVELOPER ❑ TENANT ,gQNTRAC;rQR N( VX , - _ _ A I LICENSE NUMBER I LICENSE TYPE I BUS. LIC # COMPANY NAME E-MAIL FAX G / STREET ADDRESS CITY, STATE, ZIP � //p^ � � r �p PHONE ARCHITECT/ENGrNEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME `_n i r% q E-MAIL FAX ISTREET ADDRESS I CITY, STATE, ZIP PHONE DESCRIPTION OF WORK t<por IS ASECOND UNIT LJYES SECONDSTORY OYES EXISTING USE PROPOSED USE BEING ADDED? []NO CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NErAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECKPORCH AREA I GARAGE AREA: El DETACH ❑ ATTACH #DWELLING UNITS: IS ASECOND UNIT LJYES SECONDSTORY OYES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES IVE ' TOTAL VALUATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? " =' By my signature below, I certify to each of the following: I am the property owner or auth940ragent to operty owne:r,,m_1e17faT1 this application and the information I have provided is correct. I have read the Description of Work and ve accurate. I agree to ply with all applicabeordinances and state laws relating to building constru i authorize representatives of Cupertino to enter the above-ide tified prrty or inspection purposes. Date: ���� Signature of Applicant/Agent: SUPPLEMENTAL INF ATION REQUIRED rLnivcHEcx,TYrE:'. 'ROUTING SLIP' ❑ OVER -THE -.0 TER` " ❑ `BUILDIIVGPLAN 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. yC1 , ExPxEss - ❑ -PLANNING PLAN. REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑',,STANDARD1, 1, ❑'PUBLICw`ORKS F. , form if any Hazardous Materials are being used as part of this project. LARGE ❑ FLHEpEPr; Copy of Planning Approval Letter or Meeting with Planning prior to ©MAiox ❑ `sArnTsRnlsrxlcr - submittal of Building Permit application,- - 1:14,NVIRONMENTALHEALTJH B1dgApp2011.doc revised 06/21111 CUfPE[P70NO CONTRACTOR / SUBCONTRACTOR LHST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: M2- C PERMIT # 14,0 9 0V 06 OWN1ER'S NAME: 6jd �' L„ cPHONE # J GENERAL CONTRACTOR: Q �/ BUSINESS LICEVSE # -6 ADDRESS: A'w sod-? .e 64 , CITVZIPCODE: t�, *Our municipal code requires all businkes working in the Ly to have a City of Cupertino business fleense. NO BUILDING ]FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCON RACTORS HAVE OBTAINED A CITE' OF CUPIERTINO BUSINESS LICENSE. I am not nnsloDg any subcontractors: 01 0 g z --2C Signature Date Please check applicable subcontractors and complete the following information: d 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 L CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18832 TUGGLE AVEI CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080006 OWNER'S NAME: GRAND SUCCESS LLC OWNER'S PHONE: 4083933951 ❑ LICENSED CONTRACTOR'S DEECLARATION License Classn Lic. # 1-q V �oq J Contractor C�� S ��JWC 1 fl✓1 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. I hereby affirm under penalty of perjury one of the following two declarations: 1. 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 lerformance of the work for which this permit is issued. Y 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. Signature_ 64 ate (� �U g D ❑ ' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. 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: 1. 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. 2. 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. 3. 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 10349 LEOLA CT APT 1 I DATE ISSUED: 12/04/2014 CUPERTINO, CA 95014 I PHONE NO: (408) 726-2956 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ CONSTRUCT (N) 2 STORY SFD (2255 S.F.) WITH ATTACHED GARAGE (437 S.F.) & PORCH AREA (49 S.F.) REV # 3 - RELOCATE WINDOW ON 2ND STORY AND REVISE LANDSCAPE PLAN. ISSUED 9-8-15. Sq. Ft Floor Area: i Valuation: $405000 APN Number: 37532028.00 1 Occupancy Type: PERMIT EXPIRES IF WORD IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by:I%ji/ A' ' Date: �? � -Z 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. I 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 Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. OwnV or authorVid agent: / Date: 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 Ad ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 , building(okupertino.org A- w CONSTRUCTION n ADDITION n AT.TF.R A TTC)M / TT Z'PC11 / TIAFT .11.711 e T 131:1111171 PROJECT ADDRESS ( � 'T" 4- �n APN N i% 7 z Z —D a i OWNER NAME f �• C L !/ PHI (7 r E-MAIL 7 6 2G2. STREET ADDRESS CITY, STATE, ZIP FAX s CONTACT NAME C '� ' PHONE *d � � % i /re- E-MAIL jG.1_1C6d , —C-a!�' Se STREET ADDRESS ;ftjl CITY, STATE, ZIP C,syd jJy� FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT LWEONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT WEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME C CENSE NUMBER L-I LICENSE TYPE BUS. LIC # �' �� COMPANY NAME �jE-MAIL /� t FAX STREET ADDRESS CITY, STATE, ZIP PHONE ," / 'g ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC H COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF W ORK P, /� �G i /. I d py ON �JLt%® I� t� I /a (�C1(JP d !, �f�( j!� e/`l a�6� 1 n d e EXISTING USE PROPOSED USE CONSTR YPE 777—F7 k 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 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH i'DWELLINGUNITS: ISA SECOND UNIT ❑YES SECONDSTORY E3 YES BEING ADDED? ❑ NO ADDITION? ❑ NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF PLANNING APPL 9 NO IS THE BLDG AN ❑ YES VED BY q - � •` a - -' TOTAL VALUATION: ❑ PLANNING APPROVAL LETTER EICHLER HOME? ❑ NOy y 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 building constru tion. I authorize, epresentatives of Cupertino to enter the above -identified property for inspection purposes. Signature ApplicanUAgent: of Date: SUPPLEMENTAL INFO ATION REQUIRED ROUTIIjG, SI New SFD or Multifamily dwellings: Apply for demolition permit for y + �t 3 r t°REVIE}V� F z ❑ existing building(s). Demolition permit is required prior to issuance of building OVERTBE_COUNTERt F s A $IiII+ DINGPLANW permit for new building. „ EPiiEss n ❑' PLANrTJ1vGrLAiv X ltEVlEw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure l:' f - D `sTANnnRD ' �� ❑ PUBLICWQR�CS h z 5,1z r form if any Hazardous Materials are being used as part of this project. k �c s " ❑� T.ARGE �- � X ❑ F7RE,DEPT"', eta � `4 ` Copy of Planning Approval Letter or Meeting with Planning prior to � f _ submittal of Building Permit application. ❑= Mt1JOR. f ❑t SANTPARXSEWERPISTRICT - ' !1,- 0 �-ENVIRONMENTAI:HEALTB:. BldgApp_2011.doc revised 06/21/11 CITE' OF CUPERTINO R M77, FEE ESTIMATOR - BUILDING DIVIgI0N l ADDRESS: 18832 TUGGLE AVE. DATE: 09/01/2015 REVIEWED BY: PAUL Dec. Platt Check APN: 375 32 028 BP#: 14080006 *VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex Usher•laee. hisp. Li PENTAMATION USE: Elee. Insp. Fee: PERMIT TYPE: 1GENRE WORK REVISION #3 - RELOCATE WINDOW ON 2ND STORY AND REVISE LANDSCAPE PLAN SCOPE NUIE. I Ills estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the vreliminary information availahlp and aro nn[v an ocnmato_ Conlan the nt far add" 'i i"M FEE ITEMS (Fee Resolution 11-053 Ef. 7/1/13,) alech' I'lan Check Phinib, Ilan Check Dec. Platt Check rblech. Permit Fee: Plumb, Permit Fee: lace. Pe1•rrrit Otiter•..14ech..hisp• Uther.l'11tn1h.lasp.Li Usher•laee. hisp. Li Much. hisp. Fee: Phimb. Imp. Fee: Elee. Insp. Fee: NUIE. I Ills estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the vreliminary information availahlp and aro nn[v an ocnmato_ Conlan the nt far add" 'i i"M FEE ITEMS (Fee Resolution 11-053 Ef. 7/1/13,) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (j) No $0.00 hours Plan Check, Hourly $143.00 ISTPLNCK Suppl. PC Fee: (j) Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. Q OT F0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C"onsiruction Tax: ldrrrinislrrrtivc 1 cc : 0 Work Without Permit? 0 Yes (D No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 i Trurel Documentation Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 -SUBTOTALS: $0.00 $143.00TOTAL`.FE Et $143.00 Revised: 07/02/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18832 TUGGLE AVE CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080006 COMPANY OWNER'S NAME: GRAND SUCCESS LLC 10349 LEOLA CT APT I DATE ISSUED: 12/04/2014 OWNER'S PHONE: 4083933951 CUPERTINO, CA 95014 PHONE NO: (408) 726-2956 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LICENSED CONTRACTOR'S DECLARATION CONSTRUCT (N) 2 STORY SFD (2255 S.F.) WITH ATTACHED GARAGE (437 S.F.) & PORCH AREA (49 S.F.) License Classes Lie. # Contractor��I REV # 2 - REFRAME & REVISE ROOFING DETAILS - I hereby affirm that I am licensed under the provision of C aptcr 9 ISSUED 4/6/15 (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 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: $405000 1 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37532028.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN ERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 1�A�'A S FRO INSPEC ION. 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 Issue Date: granting of this permit. Additionally, the applicant understands and will comp1r, with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. ROFS: Signature Date r (o� All roofs shall be inspecte 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 (Sce.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 as defined by the Bay Area Air Quality Management District I Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which this permit is issued. 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: Date: uAZA 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 Code, I I hereby affirm that there is a construction lending agency for the performance of become subject to the Worker's Compensation provisions of the Labor must 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 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO I (408) 777-3228 • FAX (408) 777-3333 • building(a).cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TIF REVISION> DEFERRED ORTC;INAL PERT # I q 0'00 0001116 PROJECT ADDRESS O - clV Igibc il i/ /¢ 2 7 OWNER NAMEf q 6� 1. Ig,) 0r VIt ONE E-MAIL 71 STREET ADDRESS j, 2) i / CITY, STATE, ZIP / , �'�� ! �J / CONTACT NAME C L � � I g(/vi PHONE4� 2 76 E-MAIL STREET ADDRESS '^�� �J • („ _, `Sr �p �f�^ CITY, STATE, ZIP� a , I 0 Sk- CA �r�, /AGE�NTS, `S❑ FAX 1:1 OWNER ElOwNER-BUn.DER OWNER AGENT AGENT❑ CONTRACTOR 1-1 CONTRACTOR ARCHITECT 2 ENGINEER ❑ DEVELOPER ❑ TENANT NTRACTOR N VELICENSE NUMBER LICENSE TYPE BUS. LIC # COMP NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP n „p ' J l PHONE •r ��� �% (/ ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME �/ O E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK 00F (. 1 /� V1 S ( O f4 EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES 1 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 PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH I ATTACH I k DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑ YES BEING ADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION [I YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ' By my signature below, I certify to each of the following: I am the property owner or authppitM agent to operty owner's beha this application and the information I have provided is correct. I have read the Description of Work and ve accurate. I agree to comply with all applicab e ordinances and state laws relating to building constru i authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: -1& SUPPLEMENTAL INF TION REQUIRED TYPE 1NQ SLd PLAN;caECK ,._ . ,; : . _:,... RO New SFD or Multifamily dwellings: Apply for demolition permit for ❑ THE COUNTER ❑ BUII DINGPLANREVIEW existing building(s). Demolition permit is required prior to issuance of building _OVER r { permit for new building. 1]'ExPREss ❑ PLANNINGPLANREVIEw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ LLSTANDARD ❑ IIJBLrcwoRILS _ form if any Hazardous Materials are being used as part of this project. Copy of Planning Approval Letter or Meeting with Planning prior to []' ❑° sAxrrATiY'$EwERDISTRrCi submittal of Building Permit application. n7A7ox + _ - �.:EIYVIROlY1VIENTiAL-HEALTH .:- BIdgApp_2011.doc revised 06/21/11 .�V �--,,�� CITY OF CUPERTINO �� la►V'_wA1 FF.F. F.QTTMATnR — BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public works, fire, Janlrary fewer LPwcrLu, UULOVL Contact the Dent for addn'l into. Lrsrrf' etc.!. mese ura ure Ouacu V.L L/LG /GLL........----- FEE ITEMS (Fee Resolution 11-053 E . 7ff 11113) 18832 TUGGLE AVE DATE: 04106/2015 REVIEWED BY: MELISSA ILEADDRESS: APN: 375 32 028 BP#: 14080006 "VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: p Elec. leap. Pee.: PENTAMATION 1 GENRES PERMIT TYPE: i WORK 4/6/15 - REV # 2 - REFRAME & REVISE ROOFING DETAILS SCOPE F070 1 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public works, fire, Janlrary fewer LPwcrLu, UULOVL Contact the Dent for addn'l into. Lrsrrf' etc.!. mese ura ure Ouacu V.L L/LG /GLL........----- FEE ITEMS (Fee Resolution 11-053 E . 7ff 11113) ,/tech. flan ('heck P1un1h. Plan (.,he Elee,.Plan Check Ltech. Permit Fee: Plumb. Permit Fee: I Isle. Permit Fee: Other rllerit. trarp.E1__1_ Other Phtmh Tns'p.E171- Other Iaec. Insp. A•lech. l'i'e: Phaub. /usp. Fee: Elec. leap. Pee.: Permit Fee: $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public works, fire, Janlrary fewer LPwcrLu, UULOVL Contact the Dent for addn'l into. Lrsrrf' etc.!. mese ura ure Ouacu V.L L/LG /GLL........----- FEE ITEMS (Fee Resolution 11-053 E . 7ff 11113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Yes (D No $0.00 21 hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -(E) Reg. Q OT F070 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 T7 (:Onstr•uc•tion Tits: T_ AI hninistrative P"ce: 0 E) Work Without Permit? 0 Yes (2) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential E) Building or Structure 0 � Travel Doc•u7nentatiort Foes: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS:,. $0.00 $286.00 TOTAL FEE: $286.00 Revised: 02/14/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18832 TUGGLE AVE CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080006 COMPANY OWNER'S NAME: GRAND SUCCESS LLC 10349 LEOLA CT APT 1 DATE ISSUED: 12/04/2014 OWNER'S PHONE: 4083933951 CUPERTINO, CA 95014 PHONE NO: (408) 726-2956 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ �o7 CONSTRUCT (N) 2 STORY SFD (2255 S.F.) WITH S.F.) License Class rJ Lic. # ATTACHED GARAGE (437 S.F.) & PORCH AREA (49 Contractor [� (� . C.t/hS� le I hereby affirm that I am licensed under the provisions o Chapter 9 revision #1- revise shear wall location (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 1�:S� `4 Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $405000 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37532028.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. /'' ` , V l/' 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 180 DAYS FROM LAST CALLED INSPECTION. 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 Issued by:, Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. t f 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 Date: Signature of Applicant: 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 1, 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: Date: —1 P permit is issued. \�f— 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 RM -7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.a 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't info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) ADDRESS: 18832 tuggle ave DATE: 03/10/2015 REVIEWED BY: Mendez Flecla. 11er111it Fee: APN: BP#: ,yU 67060k "VALUATION: $0 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du USE: Duplex Elec. Insp. Fee: PENTAMATION PERMIT TYPE: 1GENRE WORK revision #1- revise shear wall location SCOPE 0,0 NOTE: This estimate does not include fees due to other Departments (i.a 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't info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) Flec:h. Plan ( heck Plrutib. Hurn (7heek Elec. Plafi Chen! Flecla. 11er111it Fee: Phamb. Permit Pee: lilec•. Permit Fee: Other ;Wcc•h. lnsrzLi Other Plumb 1nsp. Other Elec. Insp. ET ;11sch. hasp. Yet- Phimh. hasp. Fee: Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (i.a 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't info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? O Yes (9 No $0.00 0 hours Plan Check, Hourly $143.00 ISTPLNCK Suppl. PC Fee: (D Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 construetion Tax: .4clininistrative Fee: Work Without Permit? 0 Yes (D No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure 0 A %PCtI'Pl Documentation rttrzlion Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS.;- $0.00 $14:3.00j ­TOTAL I+'F,E�t $143.00 Revised: 02/14/2015 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CCUPERTINO " (40)) 877..7-3228 • FAX(408) 777-3333 • building ancuoerdno.org FI NFW CnNCTRTIC-rTnm rI 1 I AnTln7n-,j I I I AT TFRATM0N /TT V RFV /TIFFFRRFT) nRItrTNAT.PFRMTT;U 140AC%C!OIp PRCIECr ADDRESS APN 4 OWNER NAME �L I / PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP. FAX CONTACT NAME 5 T PHONE Z � j �b E-MAIL STREET ADDRESS-` CITY, STATE, ZIP dos C,�3f/ FAX _ •. -, 11OV,TIER ' ❑ ONRER-BUILDER." ` ' 11O'AgMAGENT: ElCoNTRACTOR.: El CONTRACTOR AGENT . ' ❑ .ARC=CT . IN ENGINEER,.• -E DEVELOPER....0, TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGLNEER NAME LICENSE NUMBER BUS. LIC 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK r i "LL e `-st� C't. L-0 CAT)6?� EXISTING USE PROPOSED USE CONSTR TYPE y 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 PORCH AREA DECK DECK/PORCI-I AREA GARAGE AREA: ❑ DETACH ❑ ATTACH R DNVELLrNG UNIUS: ITOTAL SECOND UNIT ❑ YES SECONDSTORY ❑YES NG ADDED? El NO ADDITION? E]NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF I PLAXNINGAPPL-� ❑NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑YES EICHLERHOME? ❑NO ,,-� �' •r iZTIONf-- h`�„� _x .�ti3'y jr , By my signature below, I certify to each of the following: I am the property owner or authorized agen 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 Vdork and verify 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 Applicant/Agent: Date: II SUPPLEMENTAL RMATION REQUIRED{ �, `'7"� t a�u SLaP` Wi r_ *.rr ' Y CHECI�,TYPEin rs., cc. �" x New SFD or Multifamily dv� ellin s: A 1 for demolition permit for — y g Apply p = ¢ H � O) '!THE 86 H �,si Mom "V. M 'VN'X ' BiJIII �� G YL�AI� RE SE1Y existing buildings . Demolition permit is required prior to issuance of building .TER 2a,1J1'Ns'1i�¢Ni'l,�t e � w / permit for new building.M EXPRESS sX Rpt§+`�e,'i� �LP%AING PAIS 'iE{\ i b It 'x'4'3 L Commercial Bldgs: Provide Hazardous Materials Disclosure s'+-�s"4su,-' `�x nEA' RDE_ tt�i+r B�I�,,��-�E'fpt7v•n-Tr�tres„ a completed `; ��''�`,� ��-'a•`+'i �.�„'PE�I�7, form if anHazardous Materials are being used as part ofthis project. rL G -v s; UNION D�® `'. Copy Planning Approval Letter Meeting Planning of or With prior to �ti�TOR �sy�.rrx�tE�n\ll's7eaicFy��' submittal of Building Permit application. r }��r BldgApp_201 1. doc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18832 TUGGLE AVE CONTRACTOR: CHEN'S CONSTRUCTION PERMIT NO: 14080006 COMPANY OWNER'S NAME: GRAND SUCCESS LLC 10349 LEOLA CT APT I DATE ISSUED: 12/04/2014 OWNER'S PHONE: 4083933951 CUPERTINO, CA 95014 PHONE NO: (408) 726-2956 y LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL L] License Class Lie. # c;,7( CONSTRUCT (N) 2 STORY SFD (2255 S.F.) WITH ATTACHED GARAGE (437 S.F.) & PORCH AREA (49 S.F.) Contractor I hereby affirm that I am licensed tinder 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 Sq. Ft Floor Area: Valuation: $405000 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: 37532028.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 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 FROM indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Iss Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Sectionl 9.18. Signature_( (-4A2,__= Date z, 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. ❑ 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 1, 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: Date: 1� 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 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 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. PERN111T APPL[CAT[ON COMMUNITY DEVELOPMENT. DEPARThAENT •BUILDING DIVISION 10300 TORRE AVENUE • CUPER T INO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildino(cDcuoertinc.ora 0 EUPERTINO E lF-NkI CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORiGn\1AL PER -1\41T PRorcr ADDRESS � a' T (i l le- A-41�e -"�7 1� _ 32— 0 g -k 7 OFlTER NP.D E PHONE E-MAIL STREET ADDRESS j, �- �I CITY, STATE,ZIP , , C� j/ I Frx n I PHE o F E-hip.II 'i-4 � a:, &� L.Aco e-,5ip coNTrAa NAI✓r ON � II STREETADDRESS 6 ca J!,� A CITY, STATE, ZIP � � , &A NY I rA'x ❑ ov,'N:x ❑ ow�m-at,-rZDER ❑ oaTzRAGm.-r ❑ CONTIR.ACroR ❑ CONTI? 4CTOR AGEN ❑P.RC�CT ❑ ENGD\'— ❑ DEVELOPER ❑-Nf?.Tr COI\'TRACrORNAAE I LICE SEYuhOER I LICENSE TYPE I BUS. LIC 9 C0110PANY NAIME I E-1✓WL I FAX STREET ADDRESS I CITY, STATE, ZIP I PHONE ARCHI ECTrENGINTEER Nf ME Te a LICENSE KMOER I BUS. LIC R COMIPANYNAMEgC L)' /� E-MAIL ; �$SG gZ ��� SC a�, FAX p STREET ADDRESS V6-0 0 (C 'C,,0 11 K�s CITY. STATEJZIP PHONE �r�- ®/�2 7 6 DESC?a,noN OF WORK 6\1) 2 5-rciz-f i'I � y U U c'ci �� y (f �/� �/"�• E)USTINGUSE I PROPOSED USE CONSTRTYPE -�STORL-S USE TYPE OCC. I SQ -FT- I VA-UATION(S) EXLSTG p I NcIV FLOOR r /Dy^.0 � TOTP3- AREA 1 L� 1 AREA rJ AREA I NET AREA f.P - BATHROOM I�KITC-� Ori l I REMODEL AREA REAQODEL AP.EA I R-- V ODEL AREA PORCH AREA I DECK AREA TOTALDECK/PORCH AREA GARAGE AREA: 03n•A H 91) CLUNG .7TS: IS.4SECONDL!NrS ❑YES SECOND STORY 16 1=s BEING ADDED? rgNO ADDITION? ❑NO -Pi`-rl- ?L-iC-Ati"X01:--[�1'-ESOT--cS.3A0]+IDELOPL'OFj _LS THE BLDC AN rl1rS OT.A-L, 174LU-4 AI\'TIOh�: PLNINGAPPLR A-1\TIN 'PNO PLGAP?ROVAL1-E TER I EICHLERHOME? By my signature below, I certify to each of the follo\ving: I am the property owner or Put horized agent to act on property owner's-tco behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verity it is accurate. I agee to comply with all applicable local ordinances and state laws relating to building co tructior). 1 authorizeatives of Cupertino to enter the above -identified p ope t� for inspection purposes. Signature of Applicant/Agent: �� Date: �� `;'�-,w':»''x::.�'--'�:�I�"�4{� SU-PPLE? 4EI-TAL IN�TF . 1`4ATION REQUIRED MI. I :L ��, c �dk: f � 4- �-,x. iR 1�, � ROUTII3Ga Lf$ �� zx = s;s 1M1 New SFD or Multifamily d-wellings: Apply for demolition permit for�� oul.iER I�BLTII"D GPY,�'RE�JE<? 4. existing building(s). Demolition permit is required prior to issuance of building Mm r - � � E q �.m t M INIZ G L RE permit for new building. �EaPRESSrt � s ` _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure i� sxARn, F��o� is form if any Hazardous Materials are being used as art of this roJ ect, s� mere r p P _ Copy of Planning Approval Letter or Meeting With Planning prior to�4[zyEIV pis. c; submittal of Building Permit application. P-1 = {`w� f; �r�. ttRV IIA'i.TFh B1dg9pp_2011.doc revised 06121/11 CITY OF CUPERTINO „_ , FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 18832 TUGGLE AVE DATE: 08/01/2014 REVIEWED BY: MELISSA PC FEE ID APN: 375 32 028 BP#: / 7 t��o� *VALUATION: 1$405,000 *PERMIT TYPE:. Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? Yes `•• No PENTAMATION 1 R3SFD PERMIT TYPE: A WORK CONSTRUCT N 2 STORY SFD 2255 S.F. WITH ATTACHED GARAGE 437 S.F. & PORCH AREA SCOPE (49 S.F.) 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 2,304 $2,942.82 IR3PLNCK $2,700.74 IR3INSP U (Private Gar/Ag Bldg) II-[3,111-B,IV,V-B 437 $0.00 IUIPLNCK $1,290.00 IUIINSP Permit Fee: $3,990.74 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 2,741 $2,942.82 Construction Tax: IBCONSTAXR $3,990.74 # new NOTE: This estimate does not include fees due to other Departments (i.e. 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 Deptfor addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 711.113) 19r� J; i''ar! r �'•r.�, P1111;71'. No;/ (•.ie, "'heck Pt'.rwh't"('C: 11117111). 1 'i777i11' c. 171e'C !'c'rgiii i•Cc' (i11i y I•!.. j� (J(i7E'!' Pfl1t11i) Irl;?"'.ED 1 (hei' 1: lcc. A /Cf.,1 117.ti7 r. l'�'.�': Nwilh. 111.!'1). i'8d: 1L icli'. ti11;17. 1'�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 fees are based on the Preliminary information available and are only an estimate. Contact the Deptfor addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 711.113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,942.82 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee:) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,990.74 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR Flunits # new $667.63 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: IPLLONGR $383.74 Select a Non -Residential Building or Structure 0 0 A Strong Motion Fee: IBSEISMICR $52.65 Select an Administrative Item BldgStds Commission Fee - $17.00 SUBTOTALS: SUBTOTALS: $8,054.58 $0.00 TOTAL FEE: $8,054.58 Revised: 07/10/2014 d"Vrg„3/ I/lHn ir4VT'n1n"r911r11�T/rh NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the oreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef : 7/1,113) 14.AA R N.rB SVA d.Jd®AAl`7%LY FEE ESTIMATOR --BUILDING DIVISION Plan Check ADDRESS: 18832 TUGGLE AVE DATE: 04106/2015 REVIEWED BY: MELISSA 1'errrril Fev APN: 375 32 028 BP#: 14080006 -VALUATION: $0 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PEN'TAMA'TION 1GENRES 'TYPE: USE: PERMIT Q Q hrs WORK 4/6/15 - REV # 2 - REFRAME & REVISE ROOFING DETAILS SCOPE $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the oreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef : 7/1,113) ttech. flan C heck1'hunh. Plan Check LJec. Alan CheckAfeeh. 1'errrril Fev F1111- h. Permir Fee: 1 lec. Permir hire: OXfrer AUech. Insp.Lj Other Plumb Insp. Other Ii1ec. Irup, Mech, Insp. hire: Plunrh. lisp. Fee: Liec. Insp. f ee NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the oreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef : 7/1,113) FEE QTY/FEE MISC 17EMS Plan Check Fee: Hourly Only? ® Yes 0 No $0.00 2 hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: Q Reg. OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fees. Reg. OT Q Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constractlon Tax: Administrative Fee: Work Without Permit? Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure Truvel Duc��nrenl�xlirwr Fees:� Strong; Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL FEE: $286.00 Revised: 02/14/2015