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B-2016-1874 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1874 22767 SAN JUAN RD CUPERTINO,CA 95014-3934(342 22 030) THD AT-HOME SERVICES INC ATLANTA,GA 30339 OWNER'S NAME: CHEN DON AND XU JUANJUAN DATE ISSUED:05/03/2016 OWNER'S PHONE:408-307-9966 PHONE NO:(770)779-1423 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C.C-39 C-13.C-17 Lic.#836021 Contractor THD AT-HOME SERVICES INC Date 04/30/2018 X BLDG _ELECT _PLUMB _MECH X RESIDENTIAL_COMMERCIAL 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. JOB DESCRIPTION: REPLACE 3(E)RETROFIT WINDOWS(NO SIZE CHANGE).WILL I hereby affirm under penalty of perjury one of the following two declarations: MEET EGRESS REQUIREMENTS AND BE TEMPERED WHERE 1. I have and will maintain a certificate of consent to self-insure for Worker's REQUIRED BY CODE. Compensation,as provided for by Section 3700 of the Labor Code,for the erformance 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 perfonnance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$2087.00 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 42 Number: Occupancy Type: 3 and state laws relating to building construction,and hereby authorize 342 22 030 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9. 180 DAYS FROM LAST CALLED SPECTION. Sii:naturex- Date 5/3/2016 Issued by:Alex Vallelunea `J Date:05/03/2016 ER-B ILDE E L I hereby of am exempt from the Contractor's License Law for one of the RE-ROOFS: following o reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is t. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:5/3/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER t. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the s. I certify that in the performance of the work for which this pennit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revolted. J wTTf or, APPLICANT i7 r f APPLICANT CERTIFICATION Date:5/3/2016 I certify that I have read this application and state that the above information is N *iis A E Y correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there iss ct' lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this pers d(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Code,Section 9.18. Licensed Signature Date 5/3/2016 Professional CONSTRUCTION PERMIT APPLICATION is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(cDcupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS L L7` 7 R JL) ^ 6 APN# I i�L- ;/z, 0,50 OWNERNAME `t j, C I PHONNEq ' N 66, E-MAIL go STREET ADDRESS` v 1 /v CITY, STATE,ZIP y FAX Z'Z7 6, 7 �A �J J t)�Al �� GcJ Pr-Te--7 W 6 CA cf �5 d l'! CONTACT NAME ,JEFF RAINEY PHONE510-427-4260 E-MAILJEFFREY.RAINEY@ATT.NET STREET ADDRESS 1069 EDGEMERE LANE CITY,STATE,ZIP HAYWARD, CA 94 5 4 5 FAX 510-783-1041 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 13 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC 9 q !J 1 7Z 836021 B,C39,C13,C17 t D U COMPANY NAME E-MAIL FAX THD AT HOME SERVICES 510-357-3750 STREET ADDRESS CITY,STATE,ZIP PHONE 2456 VERNA COURT SAN LEANDRO,CA 94577 510-877-4550 ARCIETECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORKI r 1 .� l�+ 1 I► 'rZ-t-"�� 1�-E71�r�t=i'T nJ �Jo f r2 �GiC�r i nr�uy:S EXISTINGUSE PROPOSED USE CONSTR TYPE #STORIES Z USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEWFLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN FIYES RECEIVEDBY ! T TAL VALUATION: PLANNING APPL# E]NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO ,r 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., en it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize represent at�veSb Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: � Date: 5 SUPPL ME,NTL Y`INFORMATIW"RP_ ' RED rLAN:cHEexTYPE "ROUTIivGSLIP �• A i1- lJ _New SFD or Multifamily dwellings: plus emolition permit for ❑" 0VER THE COUNTER BUILDING YL x REVIEW. existing building(s). Demolition permit i equlred prior to issuance of building 1��, permit for new building. i ExPREss PLANNING PLAN xEVIEw' _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑'sTAlvnnzD , ❑ rusLlc.woxus form if any Hazardous Materials are being used as part of this project ❑;,LARGE"'1 ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. D„MAJOR` ❑, SANITARY SEWER DISTRICT ENVIRONMENTAL`HEALTH BldgApp 2011.doe revised 06121111 LEGEND: SCOPE OF WORK:INSTALL(3)RETROFIT VINYL,DUAL ^ ® = RETROFIT WINDOW/PATIO DOOR/ENTRY DOOR LOCATION GLAZED,LOW E WINDOWS.NO(N)CONSTRUCTION, �_-- (PW) = PICTURE/FIXED WINDOW FRAMES WILL NOT BE DISTURBED. O ti (XO) = SLIDER WINDOWLO NOTE;WINDOWS/PATIO/ENTRY DOORS; w 1 � U-FACTOR =0.30 FF . SHGC =0.25 OU v oC BEDROOM 1 BEDROOM 2 . w Q 0 WINDOW(XO) WINDOW(XO) C/),�CC 71"w x 47"h/ROUGH OPENING 71"w x 47"h/ROUGH OPENING z 23.2 sq ft.ROUGH OPENING 23.2 sq ft.ROUGH OPENING Q PLAT PLA ED BY33"w x 43"h/NET CLEAR 33"w x 43"h/NET CLEAR Lo I d_ 9.9 sq ft,NET CLEAR 9.9 sq ft.NET CLEAR Q N Q DATE 6 c/) PLANNING DEPT LIVING ROOM CUPERTINO z ��<< lk 1p RE -CEIVED KITCHEN rk ENTRY � '� �2�' ,�" f 40 'C p � d GARAGE DINING ROOM = c) COMMUNI TY DEVELOPMENT DEPARTMENT WINDOW(PW) z z BUILDING DIVISION-CUPERTINO 71"W x 47"h = � v zo ppry CD < .s Tblsot of plans and specifications MUST be kn t at he O Cn F- FIRST STORY O Cc Job sitz_du:inO construction. Ills unlawful to ma ce a-iy SECOND STORY w c! ng-es or alterations on same, or to devia'e FLOOR PLAN (FRONT YARD) FLOOR PLAN ((� (FRONT YARD) � w tiharelronl,',Without approval fYJnl the Building+v f�'icl£1.NOTE: N C..J The,tamping of this plan and 4,pe:-ifications SFIA_L 1' CIS.SMOKE DETECTORS:WHEN A BUILDING PERMIT IS REQUIRED,SMOKE DETECTORS SHALL BE INSTALLED;(a)IN EACH SLEEPING ROOM,(b)OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE 'AE bc, ctid to pts. is o 1 or'to o he an approval of the vic!otic-1 BEDROOMS,(c)ON EACH ADDITIONAL STORY OF THE DWELLING,INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS.(CRC 314) 04.29.16 of any provisions 'f ar t'',yr;;:`ding nce orS:'atE Lw i• scAE NTS 2) CARBON MONOXIDE ALARMS:WHERE A PERMIT IS REQUIRED FOR ALTERATIONS,REPAIRS OR ADDITIONS EXCEEDING$1,000.00,EXISTING DWELLINGS OR SLEEPING UNITS THAT HAVE ATTACHED GARAGES OR FUEL BURNING ORAWNBY DKW APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS;(a)OUTSIDE OF EACH SEPARATE DWELLING UNIT SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOM(S),(b)ON BY —EVERY—EVERY LEVEL OF A DWELLING'UNIT INCLUDING BASEMENTS.(CBC 420.4,CRC R315). JOB 9197199 DATEIto PERMIT NO. �' U�� ,N�(HOME OWNER TO PROVIDE BEFORE FINAL INSPECTION). sREU A-1