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14030043I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10690 MERRIMAN RD I CONTRACTOR: HBDT CONSTRUCTION, I PERMIT NO: 14030043 I OWNER'S NAME: % SANTA CLARA, CA 95054 1 PHONE NO: (408) 803 -8863 1 CJ LICENSED CONTRACTOR'S DECLARATION License Class Lie.# ?, A13 Contractor 1JEC CO, PJM7%ZVCTC0lJDate 0 ®p°J f 114 1 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 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 permit is issued. 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature � Date O - Iq ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm tinder penalty of perjury one of the following three 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 performance of the work for which this permit is issued. 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Si Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL 0 CONSTRUCT SECOND DWELLING UNIT (586 SQ FT) WITH COVERED PORCH (308 SQ FT). REV # I - RESIZE & RELOCATE KITCHEN & BEDROOM WINDOWS (5 WINDOWS TOTAL) - ISSUED 10/7/14 Sq. Ft Floor Area: I Valuation: $117200 I APN Number: 34216148.00 I Occupancy Type: PERMIT E S IF WORK IS NOT STARTED WITHIN 1 AY PERMIT ISSUANCE OR 180 DAY R LAS ALLED INSPECTION. Issued by: Date: 10 (-, RE- ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections and 25534. Owner or authorized agent: Date: _W_;147 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION understand my plans shall be used as public records. Licensed FEE ]ESTE1D ATOR - BUI LMNG DffVRSffON NOTE: This estimate does not include fees due to other Departments (i.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 Deptfor addn'l info. ]FLEE ITEMS (Fee Resolution 11 -1153 E(J.' 7/1.!13) ADDRESS: 10690 MERRIMAN RD DATE: 10/07/2014 REVIEWED BY: MELISSA Wc� 1, Pernti( Fees APN: 342 16 148 BP #: 14030043 `VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: I "lunti,. hasp. Fee PENTAMATION 1GENRES I PERMIT TYPE: WORK REV # 1 - RESIZE & RELOCATE KITCHEN & BEDROOM WINDOWS 5 WINDOWS TOTAL - SCOPE ISSUED 10/7/14 NOTE: This estimate does not include fees due to other Departments (i.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 Deptfor addn'l info. ]FLEE ITEMS (Fee Resolution 11 -1153 E(J.' 7/1.!13) IA'('h. /Tura ('/Y, 4 Phloth. Plan ('rice l ,.., /",1,1 r "���rk Wc� 1, Pernti( Fees Piurnh Perr,�ia l•ec. r "cr ", P". Onc�r Ucc,'a. h�si�. Omer /ml U,; , . '.', t,�;�, i /"0 1. Im"i I e'( ". "lunti,. hasp. Fee NOTE: This estimate does not include fees due to other Departments (i.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 Deptfor addn'l info. ]FLEE ITEMS (Fee Resolution 11 -1153 E(J.' 7/1.!13) ]FEE QTY /]FETE MISC ITEMS Plan Check Fee: Hourly Only? () Yes Q No $0.00 hours Plan Check, Hourly $143.00 ISTPLNCK Suppl. PC Fee: E) Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee.E) Reg. (D OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C.(l)is /luctir)ri Tux: �cll7iltll�(Y,.it7C� Fee: O 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning; Fee: $0.00 Select a Non- Residential E) Building or Structure d, l awvel Docalnen/ation Fees: Strom Motion Fee: $0.00 Select an Administrative Item Bld.a Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $143.00 TOTAL FLEE: $143.00 Revised: 08120/2014 I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10690 MERRIMAN RD CONTRACTOR: HWANG WIN TSUANG PERMIT NO: 14030043 AND LIN YUHING OWNER'S NAME: CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIAL E] CONSTRUCT SECOND DWELLING UNIT (586 SQ FT) WITH License Class Lic. # COVERED PORCH (308 SQ FT). Contractor Date 1 hereby affirm that 1 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. 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. 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 permit is issued. 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Sign Date -R ' OWNER - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 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 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, aftet making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. n 1 Date_ _� --t 41 Sq. Ft Floor Area: I Valuation: $117200 I APN Number: 34216148.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 1WDAYS OF PERMIT ISSUANCE OR 180 DAYS O LAST CALLED INSPE TIO1�Y. Issued by: Date: � �� RE- ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534, 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.1Z and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: ° Date: �� �S I CONSTRUCTION LENDING AGENCV I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Profess CITY OF C'UP EllBTINO FEE IE�']I'�l�IA']COIIB - I��.JI[lLID)�IVO Il������OIV ADDRESS: 10690 merriman rd DATE: 03/06/2014 REVIEWED BY: Mendez APN:__ BP #: �� OQ *VALUATION: $117,200 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex 2nd Unit? ° Yes O No PENTAMATION 1 R3SFD2ND USE: PERMIT TYPE: WORK construct qranny unit 586 sq ft to include m e 's SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R -3 (Custom) II- B,III- B,IV,v -B 586 $2,577.00 IR3PLNCK $1,617.00 lR3INSP Permit Fee: $1,617.00 Suppl. Insp. Fee: Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: iBCoNST, 1 # new units $652.28 ,'Idwinisi! -otiCv Fef— Work Without Permit? 0 Yes No $0.00 TOTALS: 586 $2,577.00 Travel Docvone!itulion Fe'e.s: 1 $1,617.00 Strong Motion Fee: 1BSEISMICR NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District eta 1_ These fees are haled an the nreliminary infnrmatinn availahle and are nnly an estimate_ Contort tho Dent for addn'l info- FE E ITEMS (Fee Resolution 11 -053 Eff 7/1113) Vech. Phun (',heck Pliant, P!afl Chc<l, ;_ic;. Pl. yr Ch „k %let: /!. P.,rn?h Foe. P111,77h. Permit Fec: I "o P,.!nt! let Other lb'v h. lisp. L1 O:hcr Plurah lash Orh, I:Ycr. Irish. 1 /rch. hap. i ix "t: Phuuh Fce: L!sp, 11-e'. NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District eta 1_ These fees are haled an the nreliminary infnrmatinn availahle and are nnly an estimate_ Contort tho Dent for addn'l info- FE E ITEMS (Fee Resolution 11 -053 Eff 7/1113) FIFE QTY/FEE IY ISC ITEMS Plan Check Fee: $2,577.00 Select a Misc Bldg /Structure or Element of a Building Suppl. PC Fee: Q Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,617.00 Suppl. Insp. Fee: Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: iBCoNST, 1 # new units $652.28 ,'Idwinisi! -otiCv Fef— Work Without Permit? 0 Yes No $0.00 Advanced Planning, Fee: IPLLONGR $82.041 Select a Non - Residential 0 Building or Structure Travel Docvone!itulion Fe'e.s: Strong Motion Fee: 1BSEISMICR $11.72 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $5.00 SUBTOTALS: $4,945.04 $0.00 TOTAL FED: $4,945.04 Revised: 01/15/2014