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09120076 - PUB I I ISI 10 $1 I-i, 11":,d Nzl 1r-;,I Iu1 I1I I AI lioll 1, :l Iml �dl z 0X H a) F H H W D FP4 E-4 pq x a V '4i W � Wni a v m a Q NCD 1 0 0 U L9CD a H p Lf) I a 07 Pu O X O 1!i O z H W u x z _ H 0 U a O U. H u P'i N v a Id [7 Oz OD = J '0 O F H � p O U W 'O W W m O W >[ p Ol H to U to e a T O +o a W a w w �_ w l O o cz a .ai o Z a Z v L r' 1 W O E. W cr, - a) w a) O 0 - W cn i aC o o '� E a .i co W LU _ " ,t 2 ❑ u a a a 3 �i W W k M rU M = z --- -- - - - - - ---- - - - -- -- - a ar a r l E 3 �J N T i:J N .p _ CO — U Q O _i O Q U I is Idl Au�—Q7 _0 Cl LO O U ~ � v, O Q) (L) U $ a s a a a v _ O O O i �dl p vui CZ- LID LO cn JLU ti LU LU Jz CL X S �.� LL_ C3 p w w z _ o c m O o ; < � LO ar LO _ cn ''i Q) o o w o , � w w; rt o o cn — °O O OZ C U N c� , — — IL CL a U U7 W O _ O O U C d O rt 4) -Q Q1 4) 4) n C o, w , x (L) m r a . Q) +o a u7 c a`r =5 a E O xy 3 } a) w x-0IL OL Cl rlj a) z v > w a+ v .- cn O b 3 3 =5y a) () a) �_ U ip CD LL- C c Z x p 2 iD iD �p �• v d 3 �' U (D y ti ay v x.. o a O Q V .�' ^n. O a- �y -T +o o a a` ` ` r ar ar d d O Q cn U O R. -� ar a- cn Q Q a. U U U 4 i L +r d LL CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1141 S STELLING RD CONTRACTOR:TBD-TO BE PERMIT NO:09120076 DETERMINED OWNER'S NAME: MR&MRS MARK CHU DATE ISSUED:02/05/2010. OWNER'S PHONE: 4082213589 PHONE NO: El LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ElCOMMERCIALE] License Class Lic.4 ADD NEW AREA FOR LIVING ROOM& FAM ROOM& PARTIAL Contractor Date BEDROOM(466SQFT)& KITCHEN REMODEL& 1 1/2BATH 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: 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:$130000 1 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:36222014.00 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 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 granting of this permit. Additionally,the applicant understands and will comply Issued b(.-_ �— Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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) 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. 1 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 T have and will maintain Worker's Compensation Insurance,as provided-for by- --- -the Health-&Safety-C-ode,-Sections-25505;2 533,and--25534.�- - Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized 1 certify that in the performance of the work for which this permit is issued,1 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 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 ofthe 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/ ��n,��� ; §1: 4.Aate CITY OF CUPERTINO ADDITION/REMODEL CUPEi�TVNO PERMIT APPLICATION FORM APN # / Date: 6a22 (71t, o c� 1,7-//4 /2001 Is a 2"d unit being added? Yes ❑ No [K If yes, please fill out the permit application for 2 nd unit. Building Address- Mailin Address if dif rent frm buildi g ad ess): Q �w Tone 2Owns Name: Z1r I id Contractor: Phone#: 91 Fax#: Contractor License#: Cupertino Business License#: V Contact: Phone#: z1 Qg5-- -IA O� 2111-11-1-46Fax#: Building Permit Info: Bldg. M Elect. Plumb. 'S Mech. Hillside ❑ Job Description: Addition-What is being added?(Be Specific): 1�rJ 4/4!�-,`M A401 tw--� p1//`/Y yvpi r 9 AA)%ly What is being remodeled (not including addition)? jCi' G awd I %2 b afh Remodel Includes Re-Roof: Yes EJ No ❑ If yes list number of squares Z S� Remodel Includes Structural: Yes No ❑ Do you have the pre-application planning approval? Yes ❑ No [2� If yes, please provide a copy of your planning approval letter. Planners name: Square Footage: Addition: Porch: _Deck: Garage: Detached Attached Remodel: Kitchen 1 7 Z Bath / �7 Other Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ IUIII B, IV-HT, V-B Cr Valuation: Please check this box if the project is a 36160 second-story addition ❑ Project Size: Express 9 Standard ❑ Large ❑ Major❑ Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, Green Building Points Achieved: include in plan set & the sheet index. ***For Office Use Only*** Over-the-Counter ❑ Revised 07/06/09 5r CITY OF CUPERTINO C. X ADDITION/REMODEL CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft ADDITIONS 1R3SFDADD 1PLLONGRNGR Long Range PL 6 Planning/Residential 1R3INSP Dwellings Inspections B 66 1R3PLNCK. Dwellings plan check B 1R3REPINSP Dwellings Repeat B Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B inspection 1R3HPLNCK Dwellings Hillside plan B check 1R3HREINSP Dwellings Hillside B Repeat Inspection 1 R3HREPLNC Dwellings Hillside B Re eat Plan Check 1R3ALTINSP Dwellings Alternate B Materials Inspection 1 R3ALTPLNC Dwellings Alternate B Materials Plan Check 1 PCESS Cesspool P 1PPRSEWG Ea. Private Sewage P Disposal System 1 PRSEWER Sewers P 1BPSPRINK Lawn Sprinkler/Backflow P 1BPWSVCS Main Water Service P 1BCBSC Cal Bldg Standards ' B ALL PERMIT TYPES Commission Fee 1BSEISMICRE SeismicResidential B 1RER00FRES Residential Re-roof Each B 100 SF Community Development 10300 Torre Avenue { Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 CUIPEkTINO Building Department JOS ADDRESS: PERMIT # S. , def , ���� d 7/Zcb7-6 OWNER'S NAME. k PHONE # !gyp 7J-J-- S- GENERAL CONTRACTOR FAX # 2Z/ I am not using any subcontractors: - Signature Date Cc> 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 .�k z/s� Owner/Contractor Signature Date CITY OF CUPERTINO BUILDING PERMIT 1C1 BUILDING ADDRESS: 1141 S STELLING RD CONTRACTOR:TBD-TO BE PERMIT NO:09120076 DETERMINED OWNER'S NAME: MR&MRS MARK CHU DATE ISSUED:02/05/2010 I OWNER'S PHONE: 4082213589 PHONE NO: i ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL0 License Class Lic.# ADD NEW AREA FOR LIVING ROOM&FAM ROOM& PARTIAL Contractor Date BEDROOM(466SQFT)& KITCHEN REMODEL& 1 1/211ATH I hereby affirm that 1 am licensed under the provisions of Chapter 9 3/15/10-REVISION#I- RAISE EXISTING WALL (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 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:$130000 1 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:36222014.00 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 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 granting;of this permit. Additionally,the applicant understands and will comply Issued by: Date: l with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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 I hereby affirm that 1 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) 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. 1 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(x)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 1 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,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:C_27Date: permit is issued. � 1 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 CITY OF CUPERTINO CITY OF C:UPERTINO REVISION/DEFERRED PERMIT APPLICATION FORM APN # _ A Date: Original Permit #: n f C2b7 Building Address: Mailing Address (if different from building address): Owner's Name: Phone #: Contractor: n�.w(� Y (�i Phone: Fax: o 3 a 3 J Contractor License #: Cupertino Business License #: Contact: LAL �� �� Phone: ( c,Fo,f) 3 2 Z,Y 3 Fax: 3�� -39�� Building Permit Info: Bldg 1� Elect ❑ Plumb ❑ Mech ❑ Residential W1 Commercial ❑ Job Description: ,'J)Nh �AU� '11, AT i ON JOM 8�/ T(2 ` AWIV1 q Is the project in the Wildland-Urban Inter ace Fire Area? Yes ❑ No Q Type of Construction (Usage Class): * Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B 4a Valuation(cost of project): Project Size: Express 0 Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.buildit reen.or Revised 01/07/09 Ira-- r CITY OF CUPERTINO Cin or REVISION/DEFERRED CUPERTINO PERMIT APPLICATION FORM FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1BCBSC Cal Bldg Standards Commission B ALL PERMIT Fee 'TYPES 1 REVCOMNEW Revision Commercial New B 1 1REVCOMTI Revision Tenant Improvement B 1* TI a 1REVSFDWL Revision SFDWL B 1R3SFDW 1REVRESADD Revision Addition B 1R3SFDADD 1REVRESREM Revision Remodel B 1R3SFDREM 1DEFINSP Deferred Submittal not R-3 B IDS Inspection 1DEFPLNCK Deferred Submittal not R-3 Plan B IDS Check IDEFR3INSP Deferred Submittal Inspection B 1DSR3 1DEFR3PLNCK Deferred Submittal R-3 Plan Chk B 1DSR3