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15100014 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19910 PORTAL PLZ CONTRACTOR:PHILLIP ISAACS' PERMIT NO: 15100014 CONSTRUCTION INC OWNER'S NAME: CHIA-FU&YEW-CHING CHEN 7705 MOUNTAIN AVE DATE ISSUED: 10/02/2015 OWNER'S PHONE: 4082576151 ORANGEVALE,CA 95662 PHONE NO:(916)852-8132 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ 113" !!-- REPLACE LIKE-FOR-LIKE OF 4 WINDOWS AND 2 SLIDING License Class t G 17 Lic.# U L 7 7 7 DOORS. Contractor Date v Z 1 hereby affirm that 1 am licen ed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: Sq.Ft Floor Arca: Valuation:$6400 t 1 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 APN Number:36946008.00 Occupancy Type: performance of the work for which this permit is issued. ave and will maintain Worker's Compensation insurance,as provided for by tion 3700 of the Labor Code,for the performance of the work for which this pe itis issued. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR I certify that I have read this application and state that the above information is 180 DAY M LAST CALLED INSPECTION. 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 C} Z / upon the above mentioned property for inspection purposes. (We)agree to save Issued b Date: 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 under ds and will comply with all non-point source regulations per the Cupertino tcipal Code,Section 9.18. y roofing ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is Signature Date t installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ ONN N E I.DER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the('onI ractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE sale(Sec.7044,Business&Professions Code) 1 have read the hazardous materials requirements under Chapter 6.95 of the 2 1,as owner of the property,am exclusively contracting with licensed contractors to California health&Safety Code,Sections 25505,25533,and 25534. I will maintain construct the project(Sec.7044,Business&Professions Code). compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(x)should 1 store or handle hazardous material. I hereby affirm under penalty of perjury one of the following three declarations: Additionally,should 1 use equipment or devices which emit hazardous air t. 1 have and will maintain a Certificate of Consent to self-insure for Worker's contaminants as defined by the Bay Area Air Quality Management District I will Compensation,as provided for by Section 3700 of the Labor Code,for the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code,Sections 25505,25533 and 25534. performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance,as provided for by Owner or author' Section 3700 of the Labor Code,for the performance of the work for which this Date: �U Z 5 permit is issued. 3. 1 certify that in the performance of the work for which this permit is issued,I shall CONSTRUCTION LENDING AGENCY not employ any person in any manner so as to become subject to the Worker's I hereby affirm that there is a construction lending agency for the performance of work'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 for which this permit is issued(Sec.3097,Civ C.) Lender's Name must forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Address APPLICANT CERTIFICATION ARCHITECT'S DECLARATION I certify that I have read this application and state that the above information is I understand my plans shall be used as public records. 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 licensed Professional 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 CONSTRUCTION PERMIT APPLICATION Ila COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(a)-cupertino.oro 15 lO b Q ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT N PROJECT ADDRESS f / G Z-T7 I Z A APN# t II r t 1 L 00 ? OWNER NAME I e 0`'�1 I')6 PHONE Z j/ E—M:AIL STREET ADDRESSCITY, STATE,ZIP �j FAX I99�o e-A Sol CONTACT NAME PHONE E—MAIL STREET ADDRESS CITY,STATE,ZIP FAX IO62 C- - vHr Lnl ;-t ih�7 i4 ` `fs �O 7 /04 / ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR .0 I CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENAN I !LICENSE NUMBER YII L/ V LICENSE PE BUS LIC#6 ] E1 COMPANY NAME E—MAIL FAX n1 eJ�6 Y cd,05dl���� I I r`��l c,'�-fH t-r t 72J It't'S (Ve; 2� le STREET ADDRESS CITY,STATE,ZIP PHONE 7/6' 2 6 —t,2-4,96- C-'n»6-Z D 2 R A-*14-f0 vA U+ 1S 7 z 1�Z ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTIONOF WORKI .Z I ('I o S1Z' G A- tNWICO . 1 71 r c2 , EXISTING USE PROPOSED USE CONSTR.TYPE I #STORIES USE [)III tuc till! ! \ VIi VII�iAitis 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 s DWELLING UNITS: IS A SECOND UNrr ❑YES SECOND STORY OYES BEING ADDED' ❑NO ADDITION! ❑NO PRE-APPLICATION OYES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES 1 D TQQQTAL VALUATION PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME! O-WO / L( < ' By my signature below,I certify to each ofthe following: I am the property owner or auth ag t to, n 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 vert it is accurate. 1 agree to comply with all applicable local ordinances and state laws relating to building construction. I au esenta es of Cupertino to enter the above-identified property for inspection purposes. Signature of Appl icant/Agent: Date: SUPPL ENT ORMATION REQU PLAN CHECK TYPE ROUTING SLIP —New SFD or Multifamily dwellings: Apply o ition permit for Cl OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is req Ired prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ 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 Planting prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 19910 Portal Plaza DATE: 10/02/2015 REVIEWED BY: Phuong APN: 369-46-008 BP#: "VALUATION: 1$6,400 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION 1GENRE USE: PERMIT TYPE: A WORK Replace like-for-like of 4 windows and 2 sliding doors. SCOPE Li LJ-L--- 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 preliminarl information available and are onh,an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11-053 E,(: 7;7113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 © # Window/Sliding Glass Door Supp/. PC Fee: 0 Reg. Q OT 0.0 Frs $0.00 $431.00 1 WINREP Replacement PME Plan Check: $0.00 Permit Fee: _ I $0.00 Suppl. Insp. Fee-0 Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ,,! 1,,, it('Itot I It Ithnitli.�IriIfivc Fk'cr: 0 Work Without Permit? 0 Yes (F) No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential 0 Building or Structure 0 7rrnr'/ 1)()(.111)1( l'���r.c: A Stronp,Motion Fee: IBSEISMICR $0.83 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.83 $431.00 TOTAL FEE: $432.83 Revised: 07/02/2015 Portal Plaza Homeowners Association c/o Associa Northern California 2542 South Bascom Ave.,Suite 170 Campbell,CA 95008 408.540.5050 Phone/408.371.5130 Fax emily.ramirez@associa.us September 17,2015 Chia-Fu&Yew-Ching Chen 19910 Portal Plaza Cupertino,CA 95014 REF: Architectural Application Approved 19910 Portal Plaza Dear Homeowner(s): We are pleased to inform you that your application to replace all the windows and the glass sliding door to double pane windows, work done by California Energy Consultant Service has been APPROVED by the Portal Plaza Homeowners Association Board of Directors. Any additions or modifications to the above referenced work will require a new application. Please be sure that your modifications comply with any applicable municipal codes and that you receive any additional approvals as necessary. Please contact me at emily.ramirez@associa.us if you have any questions or comments. Thank you for your cooperation. Sincerely, Emily Ramirez,CCAM,CMCA on behalf of: The Board of Directors Portal Plaza HOA cc: Property File:00187-9638 Architectural Committee Board of Directors APPL2—Architectural Application Approved m < Mmn2 t . ` m -- CD -n71 OL n e o C 0 n C 1 C rN C= -0 m F ZJ 0 'D x yZ 0 J zo m O m o • o c ., :+ S J -� o (A C Z S0 N o f r Z _ Q � a m Quo. 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WATER-CONSERVING PLUMBING FIXTURES wFll ~a' OWNER CERTIFICATE OF COMPLIANCE191 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333• building a�cupertino.org Owner Name A lU—G� �� /�7 Permit N Address — ( l I V �A �r T 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. K No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 110 1.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. ?rNo Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 'Er No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. NYes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1.101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017, all non- compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or irmprovernents shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). I,as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: Date: Upon completing and signing this Certificate,please returnit to the Building Division in order to final your building permit. SB407 2015.doe revised 08/26/15