The URL can be used to link to this page

14050012-D CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10660 CULBERTSON DR CONTRACTOR:DWK CONSTRUCTION PERMIT NO: 14050012 OWNER'S NAME: WEl-XIONG LIAO&WEI HONG SIAO 18665 LOREE AVE DATE ISSUED:08/11/2014 OWNER'S PHONE: 4089306892 CUPERTINO,CA 95014 PHONE NO:(408)996-1186 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑ CONSTRUCT(N)2 STORY SFD(1732 S.F.)WITH License Class Lich# ATTACHED GARAGE(474 S.F.) Contractor:mk�.1f7/j r yT� V�'� Date I hereby affirm that I am licensed under the provisi�MRf 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: 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$300000 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:37534027.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 DAY 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 DAY M I LLED 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 / granting of this permit. Additionally,the applicant understands and will comply ed b te: with all non-point source regulations per the Cupertino Municipal Code,Sect' 9.18. RE-ROOFS: Signature Dat _ <<` g All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,1 agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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) 1,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 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25 33,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this I r )fir Owner or authorized agent: Da 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 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.) Lender's Name APPLICANT CERTIFICATION Lender's Address 1 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 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 9.18. Signature Date CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10660 CULBERTSON DR DATE: 05/01/2014 REVIEWED BY: MELISSA APN: 375 34 027 BP#: �� EVALUATION: 1$300,000. *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY 2nd Unit? 0 Yes E)No PENTAMATION SFD or Duplex 1 R3SFDW USE: PERMIT TYPE: A WORK CONSTRUCT N 2 STORY SFD 1732 S.F. WITH ATTACHED GARAGE 474 S.F. SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. R-3 (Custom) II-B,III-B,IV,V-B 1,732 $2,737.24 IR3PLNCK $2,191.00 IR3INSP U (Private Gar/Ag Bldg) II-B,III-B,IV,V-B 474 $0.00 IUIPLNCK $1,252.00 IUIINSP TOTALS: 2,206 $2,737.24 $3,443.00 All Xfuh. Plan Check phifllh. N0'7(.'hecl,- Elec:,I'lein Check Fti1c/t. PernriiFee: I'lra>r.f,. Pertnir ee: l lec. penwi1 Fee: Other 12ech.Iris/). 'Other-Phimb Insp. Li 01her Vec.Rasp. Li 11ech,Insp.Fe. Phtmh. hisj).1'W; £slce.Inst'.P'ee: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info, FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,737.24 Select a Misc Bldg/Structure Suppl. PC Fee: ) Reg.. Q OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $3,443.00 Suppl. Insp.Fee:Q Reg. Q OT 0.0 1 hrs $0.00 PNIE Unit Fee: $0.00 PME Permit Fee: $0.00 # Construction Tax: IBCONSTAXR 1 units new $659.99 Work Without Permit? 0 Yes E) No $0.00 19 Advanced Planning Fee: IPLLONGR $308.84 Select a Non-Residential G Travel Documentation tees: Building or Structure 0 i Strom Motion Fee: 1BSEISMICR $30.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $12.0.0 SUBTOTALS $7,191.07 $0.00 TOaTAL $7,191.07 Revised: 04/01/2014 CONSTRUCTION PERMIT APPLICATIONt COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION h O\ 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �J CUPERTII\IO (408)777-3228•FAX(408)777-3333•buildingna.cupertino.org ❑NEW CONSTRUCTION ❑ ADDTTION ❑ALTERATION/TI ❑ REVISION/DEFE'RRE'D ORIGINAL PERMIT# PROJECT ADDRESS 10b,�(c)� �/ _�jey�C Cn APN# 3 79 OWNERNAME - PHONE 3® /Q�Z E-MAIL STREET ADDRESS(N,ggo /� t 1 _.a on j�r CITY, STATE ZIP /�_ s �,a�© 1 ctrl �`v� AX CONTACT NAME J- (tn( e ry PHONE�(.t� �i�l`�O�j E �(�kI s CI>,I S!/ �Un 1.4f� cm STREET ADDRESS ,3bCftorep .I. 4p CITY,STATE,ZIP e # / �jj FAX 4 QEL 916-� ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR N TO/I p /° ,bar r A1,1�� LICENSE NUMBIe, //�vZ�}-p2��L/I�C¢E�NSE TYPE Q BUS.LIC# COMPANY NAME a 4� m5 i- ft,�r E MAB _QtAlkeew !,/ i" `1 ' � Y1 FGO7" PSTREIETADDRESS `�P/ ) wro��J'f-y�p. �tl CITY,STA6TEL,ZIP q /-T/ PHONENGINEERNAME ` ilvC LICENSE NUMBER 1✓ BUS.LIC# ME E-MAIL - FAX STREET ADDRESS p / CITY,STATE,ZIP PHONE / V DESCRIPTION OF WORK FW iwe5E r l EXISTING USE PROPOSED USE CONSTR TYPE #STORIES USE TYPE OCC. S^Q.FT. VALUATION(S) EXIST AREA 91 $ AREA 2-2c" -2c J AREA ]0,$ NET AREA r�2 BATHROOM KITCHEN 1 OTHER l ✓ \\\ REMODELAREA REMODELAIL REMODELAREA I PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: UDETACH pp /i ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND ST YS tie- BEING ADDED? NO ADDITION? ❑ 0 PRE-APPLICATION YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES I�rED gy TOTAL VALUATION: PLANNING APPL#_01.1b PLANNING APPROVAL LETTER EICHLER HOME? By my signature below,I certify to each of the following: I am the property owner or aug orize ent to act on,the rty owner's behalf. I have read this application and the information I have provided is correct:I have read the Description of Work and v curate. I agree to comply with all applicable local ordinances and state laws relating to building construction. II authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: UcT� Date: I �� SUPPLEMENTAL INFORMATION REQUIRED PLAN CI�CK Tl PE. ROUTING SLIE. New SED or Multifamily dwellings: Apply for demolition permit for [] ovER TIIF,CotJNER ❑ Bvu DINq PL tiN RCVIEw existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN B1 vDE W _Commercial Bldgs: Provide a completed Hazardous Materials DisclosuresTANDAin ❑ rusLtc�opixs form if any Hazardous Materials are being used as part of this project. ❑ LARGE � ❑ FSE nEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ti ❑ SANTfARYSEWERDTSTRICT submittal of Building Permit application. ` ❑:`ENYIIIalI*NIENTAr;HEALTH .. BldgApp_2011.doc revised 06121111 b1/1b/11717ti 1b:45 14'17tiyyblltib JULlt L ht h'Aut 171/171 Building DepartmeAt City Of Cupertino 10300 Tot-re Avenue Cupertino,CA 9501.4-3255 Telephone: 408-777-322$ C tJ P E RT I P! Fac: 408-777-3333 CONTRACTOR f SUBCONTRACTOR LIST TOIL ADDRESS: 10660 a.lhPERMIT it p9c>0/Z, OWN ER•'SNAME:6 S'rhe PIiOn# GENERAL CONTRACTOR: K Gansttu�t7 BUSINESS LICENSE ADDRESS: CITY/ZIPCODE: �i�►o *Our municipal code requires all businesses working in the city to knave a City of Caperk io business license. i NO BUILDING (FINAL OR FINAL OCCUPANCY .INSPIECTION($) WILL BE SCHEDULED JJNTrt, THE GENERAL CONTRAC'T'OR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO i BUSINESS LI.CENS.E.. ; I am not using ally subcontractors: Signature Date Please check,applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAAA& BUSINESS LICE�e1SE 91 Cabinets & Millwork I Cement Finishing s Electrical Excavation Fenciaib Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating losulatio.rt Landscaping Lathing Masonry Painting./Wallpaper Paving Plastering Pro •[dem 023 Plumbing Roofing rr'w l,e r S Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature date