Loading...
D-2017-0034CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: D-2017-0034 10636 WUNDERLICH DR CUPERTINO, CA 95014-3652 (375 27 018) CNE CONSTRUCTION OWNER'S NAME: LI HAOJIANG TRUSTEE & ET AL OWNER'S PHONE: 408-393-3951 License Class a Lic. #1011892 Contractor CNE CONSTRUCTION INCORPORATION Date 03/31/2018 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: r. 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. r 2. 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 Cupertino Municipal Code, Section 9.18. //V\-/ Signature Date 6/7/2017 OWNER-BL4/DER DECLARATION INCORPORATION SAN JOSE, CA 95130 DATE ISSUED: 06/07/2017 PHONE NO: (408) 726-2956 BUILDING PERMIT INFO: —BLDG —ELECT —PLUMB MECH X RESIDENTIAL COMMERCLAL JOB DESCRIPTION: DEMO (E) SFD (814 S.F.) Sq. Ft Floor Area: I Valuation: $9000.00 APN Number: Occupancy Type: 37527 018 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ay Date: 06/07/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is t. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, 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: r. 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. 2. 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. 3. 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. Signature Date 6[7/2017 Signature of Applicant: Date: 6/7/2017 "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. I 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 9.12 and the Health &Safety Code, Ser` � 25505, 25533, an�25534. Owner or authorized agent: Date: 6/7/2017 CONSTRUCTVON 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO DEMOLITION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinqCcDcupertino.org PROJECT ADDRESSO / APN # _ 2�-- Q ��n r J� OWNER NAME_ / L PHONE �V�05 -Wn '/ E-MAIL/ 5� ^7m 1. Q! I d 7 (-/ '{ ( L✓',, 7`7 Iola; STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME -- / /� V) CLk, t/\ �i-IFNI , PHONE 4O / 3.xE-MAIL nnQ eon 5© �,�, CRY" l• ADDRESS l+s %no W CIT}, STATE, ZIP Sal h C A S�, FAX -Se ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT IN CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME `-� {,V L 01&VLICENSE NUMBER l // LICENSE TYPE / BUS. LIC # /,O \ ` GC! L S COMPANYNAME � C, -VE nSfyu-cion 1,e) C, E-MAIL CneCons(g r�� Coin FAX SI RFE:I ADDRESS CITY, STATE, ZIP n 1r��.0 PHON E �S ,,,Z l h O i� J DESCRIPTION OF WORK ` exI*l,.I 014 S kL7V-54 a va/"7�� cvAo,tta- Fv%uex, RESIDENTIAL # DWELLING OFFICE USE ONLY USE OCC. TYPE SQ. FT VALUATION - FLOOR AREA UNITS COMMERCIAL FLOORAREA TYPE OF CONSTRUCTION # STORIES ER AQMD.[oB NUMBJ #: RECEIVED B v� Wim- 7 nL LUATI moN: By my signature below, 1 certify to each of the following: I am the property owner or authorized agent to act on the pro er[y owner's behalf. I have read this application and the information I have UU)i4tIctri7 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 relati g o `buildingvInstruction. I au ize representatives of Cupertino to enter the above- identiIii ed property for inspection purposes. Signature of Applicant/Agent: Date: 2 SUPPLEMENTAL 110KORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOL1TIO PERMIT OFFICE USE ONLY PLAN CHECK TYPE Provide Job Number from Bay Area Air Quality Management District www.baagmd.org (cu 415-749-4762. 4Provide three copies of a site plan showing protection for any trees 10" in diameter or more at 3' above grade. El EXPRESS Provide letter from PG&E (408-725-3325) stating all gas and electric has been disconnected. ❑ STANDARD SiC ❑ LARGE Planning Dept clearance to verify building is not considered an historical landmark. Allow 10 business days. --- ❑ letter from licensed MAJOR ,/ Provide of clearance of all vermin a pest control contractor. Applicant shall call the Public Works Department at 408-777-3104 and schedule a "habitable dwelling" inspection. JProvide signed Debris Bin and Recyclable Materials form. Commercial Buildings Only: Provide Fire Dept clearance for fire suppression / alarm system review. DemoApp_2016.doc revised 03/29/16