15110045-DPCITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10364 STERLING BLVD
CONTRACTOR: CRISANTO'S QUALITY
PERMIT NO: 15 110045
CONSTRUCTION INC
OWNER'S NAME: HAPPY OCEAN LLC, ET AL
37110 SYCAMORE ST
DATE ISSUED: 11/09/2015
OWNER'S PHONE: 4082184090
NEWARK, CA 94560
PHONE NO: (510) 713-8770
r-- /
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
<-D
License Class Lic. # 929
DEMOLISH EXISTING RESIDENCE (1527 SQ FT) AND GARAGE (264 SQ
FT).
ContractorOv, Liandn' 11.. tA iA
I v 4,
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:
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: $12500
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
APN Number: 37524010.00
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
Issued by: Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non point regulations per the Cupertino Municipal Code, Section
2,
4tuc,
RE -ROOFS:
Signatu
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)
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
I have and will maintain Worker's Compensation hisurance, 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
4r Owner or authorized agent. Date:
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
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
9.1&
Signature Date_
vmlmfth
DEMOLITION PERMIT APPLICATION ormwqw
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
0 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 Lj
CUPERTINO (408) 777-3228 - FAX (408) 777-3333 - building 0cuoertino.ora
PROJECT ADDRESS APN I
IN A 4 OWNERNAME �—/ttA , XIE PHONE E-MAIL x
is S5- CM O�W; (-IV4A
STREET ADDRESS �;2C 1--07 CITY, STATE, ZIP 1514YA2,�fsek ew�
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP FAX
1:1 OWNER 0 OWNER -BUILDER 13 OWNER AGENT 4-CONTRACTOR 13 CONTRACTOR AGENT 11 ARCHITECT 13 ENGINEER 13 DEVELOPER 13 TEiwrr
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS, LIC
4:�60mb fi*'7Z, I
COMPANY NAME, I E-MAIL
S &(j&jrq COAAzway
STREET ADDRESS -AP(40 CITY, STATE, ZIP
C 1�6 �7_ 'r y --
=
DESCRIPTION OF WORK f I
RESIDENTIAL # DWELLING
FLOOR AREA r,26 UNITS 4�
COMMERCIAL
V511
FLOOR AREA
TYPE OF CONSTRUCTION 4 STORIES
AQMD JOB NUMBER TOTAL VALUATION:
j #: 1A120L) 0�111
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 lhave 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 relating to building construotion/l-ahorize representatives of Cupertino to enter the above-identjfied property for inspection purposes.
Signature ofApplicant/Agent: Date: -)4
SUPPLEMENTAL INFORMATION REQUIPRIOR TO ISSUANCE OF DEMOLITION PERMIT
7,
Provide Job Number from Bay Area Air Quality Management District NvwNv.baaQmd.ors,, @ 415-749-4762.
-*"Provide three copies (Residential) or six copies (Commerical) of site plan showing protection for any trees 10"
in diameter or more at 3' above grade. STANDAAD
—
./Provide letter from PG&E (408-725-3325) stating all gas and electric has been disconnected. ❑ARG❑E
-Mxjokl
%./Providea letter of inspection, tests, and abatement of any Hazardous Materials, Letter to be initiated byperson(s)
certified in asbestos, mercury and/or hazardous material examination.
Planning Dept clearance to verify building is not considered an historical landmark. Allow 10 business days.
wl Provide letter of clearance of all vermin from a licensed pest control contractor.
Applicant shall call the Public Works Department at 408-777-3104 and schedule a "habitable dwelling" inspection, ly
Provide signed Debris Bin and Recyclable Materials form.
DemoApp_,2011doc revised 02113113
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
FADDRESS: 10364 STERLING BLVD
DATE: 11/09/2016
REVIEWED BY: SEAN
A p
PN:
*VALUATION: 1$12,500
*PERMIT TYPE: Demolition Permit
PIAN
PRIMARY SFD or Duplex
USE:
I
PENTAMATION 1SFDWL-DEM
I PERMIT TYPE: A
WORK
DEMOLISH EXISTING RESIDENCE (1527 SQ FT) AND GARAGE (264 SQ FT).
SCOPE
FEE ID FLR AREA
(S.f.)
1DEMORES 1,791
"ch. Plan (.,'heck
ChecA
F-1,,-,1 Tenvil Fee:
FPIN�-nbPernu," Fee:
11"'Iec Permit Fee:
otiler "kh"ch. frup
f,hl"nb InYP,
()her 1"Jec- 1rup.
Vech, hwp, &-..
1", UP11), hup, Fee:
lnsyv. Fee:
NOTE. This estimate does not include fees due in other Departments (4 e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the Preliminary information available and are only an estimate- Contact the Dent for adda 11 into.
FEE ITEMS (Fee Resolution 11-053 Eff 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check F'ee:
suppl. PC Tee
Permit Fee:
$574.00
Suppl. Insp. Fee-.0 Reg. 0 OTF6.61
hrs
$0.00
Plumb614ech-,`Elec
(...'Onslrbiction Tav:
,ldministrative F'ee,'
Withoyd.Permil?
Advanced Nary iing 1,ees:
TrOvel Doew-nenialiuw
Strong Motion Fee: IBSEISMICR
$1.63
Select an Administrative Item
Bldg St ds Commission Fee: IBCBSC
$1.00
SUBTOTAL ;
$576.63
$0.00 TOTAL
' ).63
Revised: 10/01/2015
U-MME3MT0=
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: I 0'21G 4%L'\Jt
RMIT #
1 1
OWNER'S NAME: tVewqA
ONE#
GENERAL CONTRACTOR: �-wvSa. IA14Z
BUSINESS LICENSE #
ADDRESS:
CITY/ZIPCODE:
-cur municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL TH
H
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTIN
BUSINESS LICENSE. r?L -L Jt— Zo i I am not using any subcontractors: —I L —
Signa&fe--:� Date
Please check applicable subcontractors and complete the following information:
G/
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
111, 1 J
City of Cupertino
1011,
Public works Department
Environmental Programs Division
2171-aas
�� �g
qIlk—&
10300 Torre Ave
CUPER7'1NOCAr:EN
Cupertino, CA 95014
Program
(408) 777-3354
Construction and Demolition Recycling Diversion
Requirements and Instructions
Covered projects, or all construction, demolition and renovation projects that are 3,000 square feet or more
are required. to complete a Waste Management Plan for the City of Cupertino demonstrating that 60% of the
material generated is recycled, in compliance with ordinance CMC 16,72.050.. At the conclusion of the project
a Construction Recycling Report must be filed with the Public Works Depaitment/Envixonmental Division
showing the tons recycled and disposed by material type. Use tonnage information from weight tags provided
by facilities to quantify total estimated waste and percentages for materials. Weight Tags of all material
recycled and disposed must be submitted with the final report in order to receive a Final Building
Inspection.
....... . ......
service provider fran
Debris from a project 3,000 square feet or more in Cupertino can be collected and
disposed by using:
Ple check all that apply:
ae I am not using a Recology debris bin, however, the project is less than 3,000 sS, e.g. buildings, patios,
sidewalks, driveways.
0 1 will use a Recology debris bin. By Agreement with the City, Recology will prepare my required
Waste Management Plan & Recycling Report, Contact Recology: (408) 725-4020.
0 1 am not using a Recology debris bin. I will provide the following submittals to the City's Public
Works Department, showing that I have recycled at least 60% of all construction demolition material:
Ask for the Construction & Demolition Recycling Packet from the Building Department and
complete the following:
V Submit a Construction and Denzolition ff'aste Alanagement Plan with your building permit
application, ATOJeOfiOr this plan. Forms are available at the BuildinglPublic TYorks counter and online
at ii,x,i4,.ctiperii77.o.or-gleiii,ironine77tal. Report the tonnage recycled and disposed, by Material type,
Recycling facilities inust be selectedfroni. the City's approved Hit o .f Recycling Resources,
V Subniit a Construction Recycling Report form. The report is required before the Building
Department will schedule afinal inspection. The repOrtfOrnl is available at the BuildinglFuhlic
T,-Vorks Counter and online vvi-vwxyl2ertino, ore-lenvironinental.
Signature:
Name: (printed)
Title: A9
Phone: WaWY
Project Address- Z&f
This forma to"remain in I the p rqJ1 ec t . 's bu , ild in- permitI file for the duration of the project.
Revised 317112
Date:—Zk::_ �01 J
613
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AC
ASPHALT CONCRETE
BC
BUILDING CORNER
BW
BACK OF WALK
CB
CATCH BASIN
CMP
CORRUGATED METAL PIPE
CO
CLEAN OUT
CRN
CROWN
DW
DRIVEWAY
EC
EDGE OF CONCRETE
EM
ELECTRIC METER
EP
EDGE OF PAVEMENT
FCOR
FENCE CORNER
FD
FOUND
FF
FINISHED FLOOR
FL
FLOW LINE
FH
FIRE HYDRANT
FW
FRONT OF WALK
G
GROUND
GC
GARAGE CORNER
GF
GARAGE FACE/FRONT
GFC
GROUND AT FENCE
GM
GAS METER
HCR
HANDICAP RAMP
INV
INVERT
IP
IRON PIPE
JP
JOINT POLE
LG
LIP OF GUTTER
O/H
OVERHEAD
PC
PROPERTY CORNER
RW
RETAINING WALL
SL
STREET LIGHT
SSCO
SANITARY SEWER CLEANOUT
SSMH
SANITARY SEWER MANHOLE
SDMH
STORM DRAIN MANHOLE
TBC
TOP BACK ROLLED CURB
TC
TOP OF CURB
TOB
TOP OF BANK
TOE
TOE OF BANK
TP
TOP OF PAVEMENT
TRC
TOP OF ROLLED CURB
TW
TOP OF WALL
U/G
UNDERGROUND
VCP
VITRIFIED CLAY PIPE
WV
WATER VALVE
WM
WATER METER BOX
-CTV-
CABLE TELEVISION LINE
-E-
ELECTRICAL LINE
-G-
GAS LINE
-SS-
SANITARY SEWER LINE
-SD-
STORM DRAIN LINE
-T-
TELEPHONE LINE
-W-
WATER LINE
THE BEARING, S2745'00"E, OF THE CENTER
LINE OF STERLING BLVD, AS SHOWN ON
THAT CERTAIN MAP FILED IN THE OFFICE OF
1 THE RECORDER OF SANTA CLARA COUNTY,
STATE OF CALIFORNIA, IN BOOK 44 OF MAPS
AT PAGE 12, WAS USED AS THE BASIS OF
BEARINGS SHOWN ON THIS MAP.
BASIS OF ELEVATION.
TBM 7�.aa TBM ELEV = 179.00 (ASSUMED)
EL=179.00 1
1
LML" NOTE:
t UNDERGROUND UTILITIES. SHOWN PER
SURFACE EVIDENCE AND RECORD MAPS.
! MAY BE DIFFERENT THAN AS SHOWN.
BEFORE EXCAVATION, CALL UNDERGROUND
SERVICE ALERT (USA) 1-800-642-2444.
r LEG& CrESCRI
PLOT r
P NS BY LOT 263, TRACT NO.1183, MAP REF: BOOK
44 PAGE 11 12 AND 13
DATE w
r NNING EPT NOTE:
r CUPERTINO
1. MEASUREMENT OF BUILDING LINE IS TO
THE FACE OF STUCCO OR SIDING
SPA 'TtA
r C 1 x't.JNl TY 10P,
A ROVE 0
�-� ;f '1, ;;�2 -fin 3 3r)�� k, e .'rC�+� ,
; kept at the
a e � a a
yak any
ialte
or to dev
3 #of, 'riwa
3
,»the, e 6 pan and spe SHALL NOT
f >I> violas ior!
;. i^`^OFFICE, COPY
1
1
"AVE E
& A S S O C I A T E S
i►ST11101 !'! :
RECEIVED
LICENSE STAMPS AND SIGNATURE
DATE:
OCT 2412014
SCALE:
1"-10'
DRAWN:
BG
TOW
10078
SHEET TITLE:
we] Woll "Mo, !
® WEC