15110157CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1630 ASTER LN
CONTRACTOR: JEMICO LLC DBA
PERMIT NO: 15110157
RENEWAL BY ANDERSEN
OWNER'S NAME: CHANG NEIL AND VERA TRUSTEE
30800 SANTANA ST
DATE ISSUED: 11/20/2015
OWNER'S PHONE: 4084068271
HAYWARD, CA 94544
PHONE NO: (510) 263-3178
s LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E]
REPLACE 3 WINDOWS IN KIND
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LicenseClassed��`pL'i�c.#_}1� Jr��'�'
C
Contractor= ( {��,�,VII d^I 1 y 'pl Date IaLpJ
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 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: $5451
performance 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
APN Number ."�� I (� f3
Occupancy Type:
permit is issued.
1
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
WITBIN 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 LAST CALLED 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
P�'P
Issued by:%Xw�aDate:
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.
jDate
Signat�urre l %, IJ J
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, 25533, 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
�nd
11 `
Owner or authorized'.a ent: �.
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
'Ui
CUPERTINO,
CONSTRUCTION PERMIT APPLICATION
COMMiiUNI IY DEVELOPAViEN T DEPr',R i hViENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 55014-3255
(408) 777-3228 - FAX (40B) 777-3333 • buildino(acuDerlino.ora
❑ NEW CONSTRUCTION L_1 AMMON . ❑ AL i ERATION / T I ❑ RE -V ISION / DEFBRRBD ORIGIKAJL PERMIT
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PHONE
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1 PHONE
DESCR?TION OF WORK 1 �^ N A 1 nkW S inKt) `J
F�j-T1�(j USE PROPOSED USE CONSTR TYP3 4STORIES
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USE I
TYP... I OCC.
SQ.fT. I
VALUATION (s)
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ALW FLOOR
DE1,40
TOTAL
AREA
AREA
f?tEA
I 1�-T AREA
T
BATI•ROOM
I ETCN
OTS R
REMODELAREA
-EMODELAREA
?�A.ODEL.tR .4
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PORCH AREA
DECK ARRA
TOTAL DECKi?ORCH A nA
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❑ ATTACH
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4 DtiELLTNG LNUTS:I
ISA SECOND UNIT'❑ YES
SECOND STORY ❑Yzs
BEING ADDED? ❑NO
ADDITION? ONO
PR -e I`Pr ICATIO?! YES IF Y`S, PROVIDE COPY OF
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IS THE BLDG AN 2 a
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TOTAL V. SLU.4TION:
PLf 1NGAPPLm ❑ PLANh°T2 GAP?ROVf.LLETR
EICHLERHOME?
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By my s=nature below, I cerify to each of the following: I am the property owner or authorized agent to act onthe prop--, , owmer's behalf. I have read this
:.=application and the information I -have -provided is corect,, I -have read=the=Descriptioa of -'Work -and a erify itis accurate: -I 2gree=to�omply;;ith-al] applicable ]oI-
H
ordinances and state 1a;;s relating to b'iding co tru ion. I authorize representatives 'of Cupertino to enter the ed Property for inspection purposes,
11above-identi-
Si_Cmature of ApDlimant/Agent:__..
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SL`PPLE?�lb?\TA L7\rOR�4A1101I REQUIRED—
_ _ __ ___ ______ `.L•= __pyL_,_
_�-_:_—fir—= ___ �_ _ _
_
l;ew = or Milhifarnily du elli gs: Apply for demolition pe .lit for
O��R }2
z -1
existing buildi g(s). Demolition pennit is required prier to issuance of building.
SCOL STT
BLTIIDL'�GPLA� Ra�?tS{rF 4
permit for new building.
E7�AESS _
D PL4
��L\GPLd?t PZFF�
_
_ Corn._.ercial Bldgs: Provide a completed Ha ardo!s Materials Disclosure
�L�Iacotu�
for . -in if any Hazardous Materials a .- being used as part of this project.
— —5V=
RGI s
Jl sxnE��PT t
— Copy of Planning Approval Letter. or Meeting with Planning prior to
y NL470R'�Tfa�YS�iiRDISId2ICT
ittal of Build pa P -.,—,nit application.
submQ
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Bldg:.�ap_2011.aoc revised 06121/11
CITY OF CUPERTINO
FF.F. F.CTI<MATOR - RITII,DING DIVISION
im,ADDRESS:
1630 Aster Lane
DATE: 11/20/2015
REVIEWED BY: Phuong
APN; 366-16-037
BP#:
'EVALUATION: 1$5,451
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
p
0.0
PENTAMATION 1 GENRES
USE:
PME Plan Check:
PERMIT TYPE:
WORK
Replace 3 windows in kind
Permit Fee:
SCOPE
Suppl. Insp. Fee -(E) Reg. Q OT
Afec•1r. 1'irn (.heck
r V.tqei'y
{...her L..tiisp.
.:'Meth, ]r.;q). I'Tef.':
F>r?,ii7? 7•. �'ilift � `�iii'L.'n:
C ;her 1'lunv')
PhZnit1. favp. Fee,
1"le"'. 11"on Check
is ec. Penwi€ Fee,:
0"her Elec.
Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, P.1re, Sanitary Fewer District, scnoot
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for aadn't info.
FEE ITEMS (Fee Resolution 11.-053'E f 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
0 #
$431.00
Window / Sliding Glass Door
I WINREP Replacement
Suppl. PC Fee: (j) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee -(E) Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
C,SoFisiruclion T2 :
flthninislrulive fee:
0
''
Work Without Permit? 0 Yes No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
i
'.1� l(lvel.��r�cunientation /'a�.➢�;s
Strong Motion Fee: IBSEISMICR
$0.71
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS
$1.71
$431.00":
_ TOTAL FEES:
$432.71
Revised: 10/01/2015
Project name: 44_15_8959 - CHANG, Vera Renewal
1630 Aster LnbyAndersen
CU,J�h1t)P,I'Y DRf;=LC?HENT DEPARTMENT � �I
Cupertino, CA 95014 BDiLDING DIVISION - CUPERTINO � :��ll
Backyard/Rear Setback 20 :cations MUST be kept '
.it.At' unlawful to
b: gJter 4JtigcJs oh 4me, or to de
val ifrom the Euildin
i ns S
ro al f ttje
in c or
Street/Front Setb'iCk (DUPERTINO
Su;iding Department
_.� 1°i13V 2 0 2015
REVIEWED F` R CODE COMPLIANCE;etback 34
Reviewed 8v�
�11C
Uf'"—T
Setback 6
Room Description
Floor
Plan
113#
Style
I-Overfit, I-Ltrim ,
NF=FFrame, or
Stock Door
Handing
Current
Opening
Width
Current
Opening
Height
Exact Order
width
Exact Order
Height
Livingroom
101
DB
CEO
Equal
203/4
563/4
203/8
563/8
Livingroom
102
PW
CEO
563/4
563/4
563/8
563/8
Livingroom
103
DB
CEO
Equal
203/4
563/4
203/8
563/8
PF P I 'H :ICKED BY
DATE t o
P ING DEPT
CUPERTINO
Scope of work: 3 replacement windows like for like sizing and operation
ECETV EY