15050028 (3) CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7661 BERLAND CT CONTRACTOR;:' / PERMIT NO: 15050028
OWNER'S NAME: HO ERIC AND LE DANG TRUSTEE DATE ISSUED:05/06/2015
OWNER'S PHONE: 4088889069 PHONE NO:
{ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL
REPLACE 28(E)WINDOWS& I (E)SLIDING GLASS DOOR,
License Class � Lic.# Z LIKE FOR LIKE(WILL MEET EGRESS& BE TEMPERED
WHERE REQUIRED BY CODE)
Contractor-oz�tJ x� �Al i N 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.
hereby affirm under penalty of perjury one of the following two declarations:
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
erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$14800
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:36225043.00 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 DAY PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter LLED INSPECTION.
upon die 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 sued Date:
granting of this permit. Additionally,the applicant understands and will comp)
with all non-point source regulations per the Cupertino Municipal Code,Section
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,
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 25505,255333,�,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: SfL:l�
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
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
CUPERTiRlQ (408) 777-3228• FAX (408)777-3333•buildinga-cupertino.org
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS 7661 BerlandCt APN# �' !i , _ O L( 3
L�
OWNER NAME Eric & Le I lO PHONE (tog<M. l{'O 67 E-MAIL
STREET ADDRESS 7661 Berland Ct CITY, STATE,ZIP Cupertino, CA 95014 FAX
CONTACT NAME Yanek Poryes PHON EMAIL
W,
STREET ,
STREET ADDRESS CITY,STATE, ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT IN CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER 1:1DEVELOPER ElTENANT
CONTRACTOR NAME Yanek Poryes LICENSE NUMBER 695262 LICENSE TYPEB,C-1 7 BUS.LIC#
COMPANY NAME DELUXE WINDOWS E-MAIL deluxwindows@gmail.com FAX650-461-4446
STREET ADDRESS 105 22 AVENUE CITY,STATE,ZIP SAN MATEO, CA 94403 PHONE650-461-4446
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
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
#DWELLING UNITS: ISA SECOND UNIT ❑YES SECOND STORY ❑YES
BEING ADDED? ❑NO ADDITION? ❑NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIV TOTAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑N
By my signature below,I certify to each of the following: I am the property owner or aut11 ed agent t ton 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 construction. I authorize representatives of Cupertino to enter the above-identified
7property for inspection purposes.
Signature of Applicant/Agent: � Date: "V. S
SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for ❑`, OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
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 ❑'; sTANDnizD ❑ :PUBLIC 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 ❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp 2011.doc Devised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 7661 BERLAND CT DATE: 05/06/2015 REVIEWED BY: MELISSA
APN: 362 25 043 BP#: `'VALUATION: 1$14,800
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY SFD or Du lex PENTAMATION 1 GENRES
USE: p PERMIT TYPE:
WORK REPLACE 28 E WINDOWS & 1 E SLIDING GLASS DOOR LIKE FOR LIKE WILL MEET EGRESS
SCOPE & BE TEMPERED WHERE REQUIRED BY CODE)'
;leech. Plan Check Plumb. Plant Check Elec.Plan Check
:heel. Permit Fee: Plumb. Permit Fee: Elcc. Permit Fee:
Other Rlech. Insp.
Other Plumb Insp. ET Other Elec.Insp.
Vlech,Insp.Fee: Plurub. htsp. Fee: Elec.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 prelimina information available and are only an estimate. Contact the Dept-for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7111131 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 29 # Window/Sliding Glass Door
Suppl.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $860.00 1WINREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee-(j) Reg. Q OT 0.0 1 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction Tax:
Administrative Fee: 0
Work Without Permit? 0 Yes (j) No $0.00 G
Advanced Planning Fee $0.00 Select a Non-Residential
Building or Structure 0
Trcn,el Documeniation Dees: I A
Strong Motion Fee: IBSEISMICR $1.92 Select an Administrative Item
Bldg,Stds Commission Fee_ IBCBSC $1.00 , L I
SUBTOTALS: $2.92 ; $860.00 TOTAL FEE: $862.92
Revised: 04/01/2015
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M L X 60 trap. 16. 57 X 48 trap. 19 20 21
2. 2-�6 X 33 trap. 1.7. 33 X 15 XO
L 3. 47 X 56 XO 18. 38 X 18 Arch
4. j7 X 56 XO
U 19. 20 X 45 S.hung
0
�_
:'T� 5.X 56 XO 20. 36 X45 Casement 13
> Garage
.! 6 93 X 56 XOX 21. 20 X 45 S.hung
i 64 X 42.XO22. 69 X 45 XO
8. 15 X 45 FIX 23. 26 X 45 S.hung QELUXE LdIP3D0liS
t 9. 45 X 45 XO 24- 57 X 15 YO Address:7661 Berland Ct, Cupertino
10. 15 X 45 FIX 25- -21 X 33 S.hung
�
6. i5 X 45 FIX Replace 28 tvindaivs and isliding door.
-
11. 6.016.8 OX Boor.
12. 57 X 56 XO 27. 45 X 45 XO Same size and location.
13. 21 X 33 S.hung 28. 15 X 45 FLk
14. 25 X 45 S.hrurg Front 29, 69 X 45 XO All 2013 CA Binding codes apply.
15. 57 X 45 XO
OFFIC
L Y
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/SUBCONTRACTOR LIST
JOB ADDRESS: c PERMIT# OSC�O Z8
OWNER'S NAME: PHONE#
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: 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 INSPECTIONS) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors: �` 4
Signature Date
Please check applicable subcontractors and complete the following information:
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 1 Contractor Signature Date