Loading...
14090049-F PUB11052 BEL AIRE CT 14090049 F LIN AN-CHUNG R AND HSIU-MEI A SCANNED BOX #663 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11052 BEL AIRE CT CONTRACTOR: TIMELfNE PERMIT NO: 14090049 CONSTRUCTION OWNER'S NAME: LIN AN-CHUNG R AND HSIU-MEI A 14401 BIG BASIN WAY DATE ISSUED: 11/06/2014 OWNER> PHONE: 4082537380 SARATOGA, CA 95070 PHONE NO: (408) 741-3000 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ DEMOLISH EXISTING RESIDENCE AND GARAGE TO License Class 7/ Lie. # ir % ((fl SUBFLOOR Convacto�r'vh Fc(. iw /S ��OArS/ 12Date '7 • �� (2059 SQ FT); REBUILD RESIDENCE (1567 SQ FT) AND GARAGE (492 SQ FT); CONSTRUCT ONE STORY I hereby affirm that I am licensed under the provisions of Chapter 9 ADDITIONS (commencing with Section 7000) of Division 3 of the Business & Professions DEF # 1 - TRUSS CALC'S - ISSUED 518/15 Code and that my license is in fall force and effect. I hereby affirm tinder 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: $500000 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: 35616059.00 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 1 T 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 D INSPECT O 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 sour ,re ion p t Cupertino Municipal Code, Section 9.18. Signatu Date `i - O ` h $ 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 wise 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 bode, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the health & Safety Code, Sections 25 0 ,i2 33, nt17,) M. Section 3700 of the Labor Code, for the performance of the work for which this ///`�'/` g , 11 permit is issued. Owner or authorized agent: - Date:6' 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. worles 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 slate 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, ARCHITECT'S DECLARATION 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 9.1& Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION oe COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildincl G(�,cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION ./TI & REVIS �RIGINALPERMIT# 6 y" [ eo �� PROJECT ADDRESS ^ �` APN# � 7 I5 T' OWNERNAME 1 �)f.l QI P NE �, % E-MAIL 1J0\3 1 d STREET ADDRESS �A-V L ,9 „Zr1 V CITY, STATE, ZIP FAX CONTACT NijM L E-MAIL , STREET ADDRESS ' / �FFS/i! CITY, STATE, ZIP FAX 0 1 1 �r✓1 CA 4�D7n ❑ OWNER ❑ OWNER-BuFmR ❑ OWNERAGENT O CONTRACTOR ❑CONI'RACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT T�O CONiR NAMEt_r LiCE�$E. UMB�oER LICENSETYPE BUS. LIC# t5' I?. i ou S COMPANY NAME E-MAIL FAX CIDY.1 S?(2- STREET ADDRESS � LN01 1E3a � C TY, STATE, ZIP 'gn7.o PHONE tl 74I- cnn ARCPDTECTIENGINEERNOME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE l DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTRTYPE MSTORIES I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEWFLOOR DEMO TOTAL AREA AREA AREA NET AREA - BATHROOM MCIEEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECKAREA TOTALDECKMORCHAREA GARAGE AREA: LJDETACH ATTACH #DWELLINGLRETS' IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ENO ADDITION? ENO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF ISTURBLDGAN El YES RE BY -,.. ,. -. TOTAL VALUATION: PLANNINGMPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ENO -I -have By my signature below, I certify to each of the following: I am the property owner orau[horized a e er's behalf read this application and the information I have provided is correct. I have read Description of Wa verify it ccurat agree to comply with all applicable local ordinances and state laws relatin. Igo bri ldi c s ru f r$ I autho i epresentatives of Cupertino o - nlifed property for inspection pines. �/ Signature ApplicanVA—gen—l: / Date:.4. z' l -� -"--- of SUPPLEMENTAL INFORMATION REQUIRED nxc''� c a'YrE =sue ,.r Ro_ylNc, sL't -£ New SIT) or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ,a THE-cowJ.TEx ,BvnDIN�tAN YIEwF permit for new building. ❑ Ezexess, s� ,;v,❑kPI,An'INrGP Commercial Bldgs: Provide a completed Hazardous Materials Disclosure L7�sTANnARD-'°`PuattcwoxTcs ti form if any Hazardous Materials are being used as part of this project. ❑ —Copy of Planning Approval Letter or Meeting with Planning prior to LARCsE' #01 f�� >HA'oRAlvrrAxY s�EwERVlsxmc I° ` submittal of Building Permit application. B1dgApp_2011.doe revised 06121111 ���,�,,-�,� CITY OF CUPERTINO @►! -07 FFF, ESTIMATOR — BUILDING DIVISION 1 ADDRESS: 11052 BEL AIRE CT I DATE: 04I16/2015 REVIEWED BY: MELISSA 0 APN: 316 56 059 BP#: 14090049 `VALUATION: $0 xEERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex p PENTAMATION 1GENRES USE: PERMIT TYPE: i WORK DEF # 1 - TRUSS CALC'S SCOPE Mech, flan Check f'Irnnb. Plan Check Ead lee. Plan Ch, Mitch. Perron Fee.. Plumb. Permit Pee: Elec. Permit Pee: Other rklech. Insp. Other Plumb Insp.L-1 01her Elec. Insp, Li 1vlech. Insp. Fee: Plumb. hisp. Fee: Iilec. Insp. Fire: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Pare, sanitary sewer District, school n:...a,.. ,..,. 1 T1...o2 .,,r:,,,t.,a-, :afarr»ahan avatlnhle and are nnly an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 LYI: 7/1113Z FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $286.00 Deferred Submittal IDEFSUSM Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. ® OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Adrninistiwi ve Fee: E) Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G 0 Travel Documentation Vees: 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: 04/01/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADD 9`S: 11052 BEL AIRE CT CONTRACTOR: TIMELINE PERMIT NO: 14090049 CONSTRUCTION OWNER'S AMC: LIN AN-CHUNG RAND HSIU-MEI A 14401 BIG BASIN WAY DATE ISSUED: 11/06/2014 OWN 'S PRONE: 4082537380 SARATOGA, CA 95070 PHONE NO: (408) 741-3000 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ DEMOLISH EXISTING RESIDENCE AND GARAGE TO License Class T?L Lic. SUBFLOOR (2059 SQ FT); REBUILD RESIDENCE (1567 SQ FT) AND Contractor riMeUl CO� I�RTIk� Date IS 6 1 GARAGE (492 SQ FT); CONSTRUCT ONE STORY I hereby affirm that I am licensed tinder the provisions of Chapter 9 ADDITIONS (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 tinder 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 Floe' Area: Valuation: $500000 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 AI'N Number; 35616059.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS T CALLED INSPECTION. indemnity and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 48S Date: / granting of this permit. Additionally, the applicant understands and will comply a with all non -point sourcc regulations per the Cupertino Municipal Code, Se ' n 9.18, RE -ROOFS: Signature Date I1 Z7 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, 1 hereby affirm flat 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 (See.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 nuclei, 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 at, handle hazardous I have and will maintain a Certificate of Consent o self -insure for Worker's material. Additionally, should I use equipment at- devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the stir contaminants as defined by the Bay Area Air Quality Management District 1 performance of the work for which this permit is issued. will maintain compliance with thA Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Secti s 255U5 33, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent: Dace: 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,1 must 1 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.) Leader's Name APPLICANT CEWFIF'ICATION 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 ordinunces 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 but the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 CUPERTINO 13INFW CnNSTRI ICTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (40Y88)){777-3228 • FAX (408) 777-3333 • buildingidicupertino.ora I�al ADDITION —I ALTERATION / Tl 7 REVISION / DEFERRED ORIGINAL PERMIT # PROTECT ADDRESS bP�/ �p �IAyye faN �` �j'�r/�J (•/� APNN ���.� B/ � C) {OE-MAILI/ 52 OWNERNAME 6� Y�(�lP Li 0 v1j0157 PHO � STREET ADDRESS 166 A10C /sp CITY, STATE,ZIP � � FAX CONTACT NAME tlwra TUNE �4 FI PHONE IJq ® E-MAIL Z CITY, TA�TE, STREET ADDRESS I� Y� N � FAX LilD '- ❑ OWNER ❑ OWNER -BUILDER OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT El ARCHITECT El ENGINEER El DEVELOPER El TENANT CONFBAcLOR NAME Cr,rAs M LICENSE NUMBER LICENSE TYPE BUS. TIC 11 G COMPANYNAME E-MAIL c o� FAX STREET ADDRESS 1 1 1^iwj l q3 V �`"1 1 CITY, STATE, ZIP PHONE Bs ARCHITECT/ENGINEER NAME LICENSENUMBER BUS. LICK COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK tXkO � 05 U"t' - a.1 ` (�(3L-II. (f�i aqj � Ai I W ' s y y �Il ( +�1'j ffnWe 2 uqAAn a M%t.-- K4 5 EXISTING USE {-�� Gi($) GikoiLeEXISTG huh ANEW PR POLSEIDUSE �1_ CON TRTYPE #STORIES USE TYPO OCC. SQ.FT. VALUATION FLOOR AREA '� AREA .P0f:a DEMO AREA dJ.l�'I J_ �Q/WHHEER TOTAL /� NETAREA 279 BATHROOM KITCHEN REMODELAREA + REMODELAREA G REMODELAREA ✓� Jl./ PORCHAR DF.CKAREA TOTALDECKIPORC1[ REA GARAGEAREA: DETACH LI ^ — Q I M IRTTACH #DWELLIN UNITS: ISASECONDUNIT ❑Y S SECONDSTORY []YES BEING ADDED? ADDITION? 1>l'FO r❑YCs PRGAFPLICATRrs ❑YES IF YES, PROVIDE COPY OF ISTIIEBLDGAN E I D TOTAL VALUATION: PLANNINGAPPL# ❑NO PLANNING APPROVAL LETTER EICHLERHOME? fBH By my signalurcbclow, l 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 relatin to building conshnction. I aathorizerepresenlatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: ski SUPPLEMENTAL INFORMA NREQUIRED PLAN CHECK TYPE ROUTING SLIP ZN,w SFD Or Multifamily dwellings: Apply for demolition permit for ❑ OVER -TILE -COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ElEXPRESS ElPLANNING PLAN REVIEW ACommercial 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 of Meeting With Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT [Submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgAl2p_2011.doc revised 06121111 � �CITY OF CUPERTINO I N',- AI FEE ESTIMATOR - BUILDING DIVISION DDRESS: 11062 Bell Aire Ct. DATE: 09/09I2014 REVIEWED BY: larrys PN: 316-16-059 L BP#: VALUATION: $500,000 ^PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex 2nd Unit? 0 Yes No PENTAMATION 1 R3SFDW USE: PERMIT TYPE: ! 1 WORK demolish existing house to subfloor 2058 s build new with 9 ft 6 in. to top plate. Add 68-8 s ft.(524 SCOPE to front, 153 to rear,14 to garage). Remove two liquid amber trees. OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 3,179 $3,108.27 IR3PLNCK $3,107.41 IR3INSP TOTALS: 3,179 $3,108.27 1 $3,107.41 .L1edr Phunh. Mon C'hned Tiler, Plan Check Meeh. Permh ree Plumb Permv l,ee Fltc PermitVice Oth * U".11 IrAp Odeer Phnnb Insp. O,i er l k:c. Insp.Ll 11"'h. Lazy. he, Numb. hrsp. Fee iclec. Irttp. Pee NOTE: This esiitmate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitmy Sewer District, School nLqrirt rtr )_ Theca Foos oro haven on tho nrelirninary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff: 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,108.27 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: � Reg. C) OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,107.41 Suppl. Insp. Fee:G) Reg. ® OT 0.0 ins $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 # new units $667.63 .{tJrrittistraf/rc Fee: G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: IPLLONGR $445.06 Select a Non -Residential 0 Building or Structure 0 A I'nwel Dttculnewaliun F v+ Strong Motion Fee: IBSEISMICR $65.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $20.00 SUBTOTALS: $7,413.37 $0.00 TOTAL FEE, $7,413.37 Revised: 08/20/2014 CUPERTINO Gi 5r W CONTRACTOR /SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax:408-777-3333 JOB ADDRESS: (45Z \ J ( PERMIT # N OCI D OL49 OWNER'S NAME: Bob \r� PHONE # L[C! Lf GENERAL CONTRACTOR:— 1, 6e Qesk BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: CN a pZ 'Our municipal code requires all businesses working in the city to have a City of Cupertino bikiness license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation }moo�zzo vt�e r 2- Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation ` �� S ZlOL7gs Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile ot/0 /zC)(c- Owner / Contractor Signature I Date