The URL can be used to link to this page

12040126 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 901 SAGE CT CONTRACTOR: =_ _________.___.__ PERMIT NO: 12040126 OWNER'S NAME: GAO ZHENYU AND ZENG RONG � ��I JAI�� I( DATE ISSUED:06/12/2012 OWNER'S PHONE: 4086664483 . �AC� PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT RN O: BLDG r— ELECT r PLUMB F License Class_ 8_ Lic.# _:O�O �`o utU >,-k,, MECIfI F RESIDENTIAL F c®li9IVIERCIAL� Contractor C 1Date /0—11 I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPT[ON:CONSTRUCT 1 STORY ADDITION(708 SQFT)-KITCHEN (commencing with Section 7000)or Division 3 of the Business&Professions REMODEL 208 SQ FT 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. 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 Sq.Ft Floor Area: Valuation:$79500 permit is issued. APPLICANT CERTIFICATION APN Number:35906004.00 Occupancy Type: I certify that l have read this application and state that the above information is correct.1 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 PERMITEXPI IF FORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FR AST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section SignatureDate 6—11�ZD I z Issued by: L" Date: ❑ OWNER-BUILDER DECLARATION RE-ROOFS: [hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should 0 store or handle hazardous material. Additionally,should[use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. 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 must Owner or authori a gent: —L 1'2V(Z forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that l have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. l understand my plans shall be used as public records. Signature Date Licensed Professional C,,,�,j P �-) 0 1 :�, 14 CONSTRUCTION PERMIT APPLICATION F. COMMUNITY DEVELOPNIENT DEPARTMENT^ BUILDING OMSION 10300 TORRE AVENUE^CUPERTINO,CA 950143255 (408)TTT-3228^ FAX(408)TTT-3333^ building(cDcuOertInO.Of CI�PERTIidO � — 0�0 ❑NEW CONSTRUCTl0N 'SLADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT* PROJECT ADDRESS ! VN APN 0 ;96110 U 9 o ql'J OWNER NAMET- o& PHONE 448--a � E-MAM STREEC ADDRESS ® / CITY. STATE. CONTACT NAME n 1n/1, PHONEC��N��4®� M.�� Q s.r,,slJ Q J► �n�+ 0� STREET ADDRESSed / � CITY.STATE.Z�, j�d� FAX c ❑OWNER ❑ OWNER-9UILDER JYOWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCE=cr ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBIIt LICENSE TYPE BUS.LIC 0 C (� COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC I CQMPANY NAME, E-MArr FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CDNSTR.TYPE R STORIES fin{9 1 P7 f — lA e USE TYPE OCG SQFT. VALUATION(S) ARRA /3v D�[B�� 1 cCa�� BATHROOM (KITCHEN OTI�R REMODEL ARFA REMODEL AREA 234 ODEL AREA V', 5 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ' ATTACH /! rt DWELLING UNM LSA SECOND UNIT YES SECOND STORY ❑YES BEING ADDED? NO ADDITION? f0 TT� 0 FRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVM TOTAL VALUATION: PLANNING APPL a ❑No PLANNDYG APPROVAL LETTER EICHLER 110mz? T`NO �4 _ By my siguamrc below,I certify to each of the full I am the property owner or authorized agent to act on the prgerty.owner'.s behalf..I have read this C/ application and the inform-Wou I have provided' c have read the Description of Work and verify it is accurate. I ag_me to comply with as applicable local ordinances and state laws relating to building .,c' I o' e renresetes of Cupertino to enter the above-idealZed property for' ection proposes. Signab=of Applimrit/Agent Date: J SUPPLIIVN UAL UNTO , TION REQUIRED PLAN CHECK TYPE ROUTZ.TG M2 New SFD or Multifamily dwellings: Apply for demolition permit for ❑ ov=-THZ COW= EIMMING PLAN RE IEW existing building(s). Demolition permit is required prior to issuance(of building permit for new building. ❑ i R>ss TA PLAMWG PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD 'OKPUBLIC WORM fo_rm if any Hazardous Materials are being used as part of this project. ❑ LARGE x»aI n>o'r Vr _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MAJORY sAxrrARY s> Ta aISTRIcr ❑ EN'71RONMENTAL E EALTH. BldgApp ZOl1.doc revised 06/21/11 MY OF (SUP EIE UNO FEE ]ESTMA TOER- HURLING DM8RON ADDRESS: 901 Sage Court DATE: 04/23/2092 REVIEWED BY: Sean APN: 369-06-004 1BP#: �l� "YALUATIION: $79,500 #PERM IT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD Or Du lex 2nd Unit? Yes QNo PENTAMATIION 1 R3SFDADD USE: P OTC? C)Yes E)No PERMIT TYPE: WORK Construct a one story addition 708 sq ft and a 208 sq ft kitchen remodel. SCOPE OCCUPANCY TYPE: TYPE OF 1FLR AREA PC PEES PC FEE IIID IBP PEES IBP 1FEE ID CONSTR. s.fi R-3(Custom) II-B,111-B,IV,V-B 708 $2,420.00 IR3PLNCK $1,519.00 IR3INSP TOTALS: 708 $2,420.00 $1,519.00 MEGA,HOURLY C) Yes No PLUMB,HOURLY 0 Yes (E) >?10 EL]EC,HOURLY 0 Yes (E)No uwb.1'iCli r'(�/rdCn L.`.ICC. ;'.,l,�r.Chec; it-1,.Ch. Permi'I�'er<�: Pii+lr?i'3.1'�rn i!hee: i:'7�'t:.!'rr;!;it 7- OFh'e'- LlEl } au=i.Also. f'-: C?dlilIrs}. free. NOTE: This estimate does not include fees due to otter Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These fees are based on the prelimina information available and are only an estimate. Contact the Det or addn'1 in o. ]FEE ITEMS Lee Resolution 11-053 Fff. 7/1/1.1) FEE QTY/]FELE MISC ITEMS Plan Check Fee: $2,420.00 E2Tl s.f. Remodel,Kitchen(<=300 sf) Suppl.PC Fee: E) Reg. C) OT0.0 hrs $0.00 $588.00 IREMRESKIT PME Plan Check: $0.00 Permit Fee: $1,519.00 Supp]. Insp.Feer Reg. C OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes E) No $0.00 0 Advanced Planning Fee. PLLONGRNGR $92.04 Select a Non-Residential Q ;?7 rr�:C I��ncirr,serr't�zl'ii ri Bees: Building or Structure Strong Motion Fee: IBSEISMICR $7.95 Select an Administrative Item Bldg;Stds Commission Fee: IBCBSC $4.00 SUBT®TAB.- $4,042.99 $588.00 TOTAL FEE: $4,630.99 Revised: 04/01/2012 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 I Fax(408)777-3333 CUPEkT O TD JOE ADDRESS: qo I s,aSQ co u r4 Ci4, tj vo, o-A PERMIT # OWNER'S NAME: TOS `3cl�o PHONE # ° GENERAL CONTRACTOR —Soi- a1 FAX # 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 Fencing Flooring. Carpeting Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile � .- It-Zorn Owner/Contractor Signature Date I