13010125CITY OF cCUP ERTI NO BUILDING PERMIT
BUILDING ADDRESS: 1152 CANDLELIGHT WAY
CONTRAC'T'OR: CKW CONSTRUCTION PERMIT NO: 13010125
INC
OWNER'S NAME: JERRY CHEIN-WEI LU
10280 STERLING BLVD DATE ISSUED: 04/12/2013
OWNER'S PHONE: 4083219988,
CUPERTINO, CA 95014 PHONE NO: (408) 393-0188
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL U COft9 MERCIAL
License Class_ Lic. #
4�0
211SQ F'1' ADD. TO ENTRY, KT CHN,1POWIDER RI`Yi1,
FAMILY
Contractor Date — `' (
RM & PORCH. REMODEL (E) ]LAG RIYi1,1FIM[]LY RM, K'1'CIH N,
I hereby affirm that II am licensed under the provisions of Chapter 9
IVi1ST'R B ElIDRM & BT H1 & 41 (ISI) WINDOWS, ADD 1 (j)
(commencing with Section 7000) of Division 3 of the Business do Professions
Code and that my license is in full force and effect.
REVISION #1- C ANGE FOOTING FIELD CONDITION- OTC
5/2/2013
1 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
q. F loor Area:
Valuation: $85320
performance of the work for which this permit is issued.
1 have and will maintain Worker's Compensation Insuranc
'"
Section 3700 of the Labor Code, for the performance of
APN Number: 36229032.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES 11F WORK IS NOT STAILB')<'IEIlD
correct. I agree to comply with all city and county ordinances and state laws relating
WIT '80 ���� ®� PERMIT ISSUANCE ®�
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 llDA IF M LAST CALLED INS? UON.
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
IIssued by: Date:
with all non -point ce regulations per the Cupertino Municipal Code, Section
—
9.18:
v s l
Signature Date_
RE -ROOFS:
All roofs shall be i ected 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. I 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 Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
the Health & Safety Code, Se ' ns 25505, 25533, and 25534.
Owner or authorized a nt: 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, 1
CONSTRUCTION TENDING GENCb
become subject to the Worker's Compensation provisions of the Labor Code, [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 deeed revoked.
m
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
4.18.
Signature Date
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1152 CANDLELIGHT WAY
CONTRACTOR: CKW CONSTRUCTION PERMIT NO: 13010125
INC
OWNER'S NAME: JERRY CHEIN-WEI LU
10280 STERLING BLVD DATE ISSUED: 04/12/2013
OWNER'S PHONE: 4083219988
CUPERTINO, CA 95014 PHONE NO: (408) 393-0188
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL
License.Class Lic. # _ 5 Ls -4 rr
211 SQ FT ADD. TO ENTRY, KTCIIN, ]POWDER Rl�[i ,
nn ^ �, `—
FAMILY
Contractor l' (� �I lvet). /IJ(Date r
RM & PORCH. REMODEL (E) LVG RM, FMLY RM, KTCH N,
I hereby affirm that I am licensed under the provisions of Chapter 9
MSIR BEDRM & BTH & 4 (N) WINDOWS, ADD 1 (N)
(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: $85320
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
APN Number: 36229032.00 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 F PERMIT ISSUANCE OR
building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 D +R ST CALLED INSPEC AON.
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
granting of this permit. Additionally, the applicant understands and will comply
sued Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
l
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(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 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 Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
the Health & Safety Code, Section 25505, 25533, and 25534.
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
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 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
CUPERTINO
❑ NEW CONSTRUCTION
CONSTRUCTION G UCTIION pERMIT APP LUCA 1110
COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION
10300 TORRE AVENUE e CUPERTINO, CA 95014-3255 o
(408) 777-3228 ^ FAX (408) 777-3333 ^ buildincl(cilcupertino.org �®
M( ADDITION ❑ ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS
MAY
APN #
932 -OWNER
NAME �/J�
PHONE�� - n�
E-MAIL
STREET ADDRESS /e%� 9, f�
CITY, STATE, ZIP
FAX
CONTACT NAMEN2/Z'
PHONE�e—'.1- —�E-MAIL
LL'
STREET ADDRESSCITY,
s-® Con 1A 4e a-. t
STATE, ZIP
S
FAX
FAX -off-
11OWNER ElOWNER-BUILDER El OWNER AGENT11CONTRACTOR ❑ TT
CONTRACTOR AGENT ARCHECT 11 ENGINEER 11 DEVELOPER El TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREETADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAMER� l� . ^p LICENSE NUMBER �—
1�V A�Y�
BUS. LIC #
COMPANY NAME
(i4''
E-MAIL /may
��G l.� ��Lli4
[� �r
FAX40 �-J PR
Vd"(y��•
"��q
STREET ADDRESS -ap /� /�, -*�
CITY, STATE, ZIP /yf(^ ��
PHONE�� ! U
C,i17rp Lai 1.4Y/���� Q� 0'.
l Bf� (/J7
DESCRIPTION OF WORK / (
t W 4 L� i
A�
(F-0 A-, �44 A.
EXISTING USE / y
(es 9' (
PROPOSED USE CONSTR.
-� �, v�
TYPE
�!8
# STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
AREA 7!!, g O
NEW FLOOR
AREA /
DEMO
AREA _tNET
TOTAL
AREA
BATHROOM KITCHEN
OTHER
REMODEL AREA REMODEL AREA `o-�
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA:DETACH
- ®XrIrACH
60
99
Z)
p-
# DWELLING UNITS:
ISA SECOND UNIT I] YES
SECOND STORY ❑ YES
BEING ADDED? 'ONO
ADDITION? fiErNO
PRE -APPLICATION OYES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEIV
TOTAL VALUATION:
PLANNING ADPL# ANO PLANNAlG APPROVAL LE: TrER
EICHLER HOME? j-] NO
C-11 XC
By my signature below, I certify to each of the following: I am the property owner or authorized agent act oe pr erty owner's behalf. 1 have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is adNnvre. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
�d 'Ar Date: ®� �'<4— ;->v1--31
Signature of Applicant/Agent:
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK TYPEROUTINGROUTING SLIP
❑ OVER -THE COUNTERLfl BU]LDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
/
permit for new building.
❑ EXPRESS ,. PLANNING PLAN REVIEW_ .
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
TANDARD ❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
�-❑' LARGE ❑ -FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_201 1. doe revised 06121/11
CITY OF cCUP'IEIEBTI NO
imADDRESS:
1152 CANDLELIGHT WAY
DATE: 01/24/2093
REVIIEWED IBY: MELISSA
PC ]FEE IID
APN: 362 29 032
IBP#: Q f 0/69\
`YAILUATIION: 1$85,320
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE:
2nd 'nit? Yes o No
OTC. 0 Yes (DNo
PENTAMATIION 1 R3SFDADD
PERMIT TYPE:
WORK
211SQ FT ADD. TO ENTRY KTCHN POWDER RM FAMILY RM & PORCH. REMODEL E LVG
SCOPE
RM, FMLY RM, KTCHN, MSTR BEDRM & BTH & 4 (N) WINDOWS, ADD 1 (IV) SKYLIGHT & 1 (N)
OCCUPANCY TYPE:
TYPE OFFILR
CONSTR.
AREA
s.P
PC ]FEES
PC ]FEE IID
RP FEES
IBP PEE IID
R-3 (Custom)
II-B,III-B,WN-B
211
$1,014.00
IADDPLCK
$983.00
IADDINSP
Elec. Insp. Fee:
0,0
hrs
$0.00
180 1 s.f. Remodel, Other
$400.00 1REMRESOTH
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Gonswuction Tax:
riL/7111/7l.Sh'llt7VL'..iC'C?:
Work Without Permit? : Yes No
$0.00
Advanced Planning Fee: 1PLLONGR
$27.43
TOTALS:
211
$1,014.00
Strong Motion Fee: IBSEISMICR
$983.00
Select an Administrative Item
MECH, HOURLY Yes (F) No
PLUMB, HOURLY 0 Yes (E) No
ELEC, HOURLY 0 Yes (E) No
Mch. Plan Check
Phunb. Plan Check
Eley. Plan Check
:Llech. Permit Fee:
Plumb. Permit Fee:
('lee. Permit Fe.,
C)rher .11ech. Imp.
other Plumb Insp.
01her° Elec, Imp. a
Ihwh. Insp. Flrc
Plunrb. hrs)). Fee:
Elec. Insp. Fee:
NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These fees are based an the nreliminary information available and are only an estimate. Contact the Dent for addn'l info.
EEE ITEMS (Fee Resolution 11-053 E . 711.112)
]FLEE
QTY/]FEE
MIISC ITEMS
Plan Check Fee:
$1,014.00
= # Window / Sliding Glass Door
$400.00 1WINREP Replacement
Suppl. PC Fee: (F) Reg. ®OT O.Q hrs
$0.00
PME Plan Check:
$0.00
= # Skylight
$800.00 1SKYL<I0SF <= 10 s.f.
Permit Fee:
$983.00
Suppl. Insp. Feer Reg. Q OT
0,0
hrs
$0.00
180 1 s.f. Remodel, Other
$400.00 1REMRESOTH
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Gonswuction Tax:
riL/7111/7l.Sh'llt7VL'..iC'C?:
Work Without Permit? : Yes No
$0.00
Advanced Planning Fee: 1PLLONGR
$27.43
Select a Non -Residential
Building or Structure �
4
Travel Docwmientation Fees:
Strong Motion Fee: IBSEISMICR
$8.53
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$4.00
SUBTOTALS:
$2,036.96
$1,600.00
TOTAL EEE:
$3,636.96
Revised: 10!01!2012
W � .
CONTRACTOR / SUBCONTRACTOR LEST
Buiiiflling Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: �'s�jfj��
��pfF� f�/Fye %'"'�.'^1_ 6,
�'ERMIT # JO (Q 1
OWNER'S NAME: V4'
l
PHONE #C
GENERAL CONTRACTOR: ,f /;J
r/'i,,,,/ p /�
BUSINESS LICENSE #
ADDRESS: L6,2 /j, —kh ,t VP
' `,L4 , e !
CITY/ZIPCODE:
*Our municipal code requires all bausinessA working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPIERTINO
BUSINESS L110ENSlE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the Te low Lng infformation:
V
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork-
` c
I ��
Cement Finishing
y1W 6y, 4LX ,oh ;-Oc-
Electrical��%�,,�-y
Excavation
Fencing
Flooring /Carpeting
Linoleum / Wood
h,, t
Glass / Glazing
t , 4 '
Heating
Insulation
2 0���
Landscaping
Lathing
C l�S'1 Y (A Zvi
Masonry
Painting / Wallpaper
Paving
PlasteringSi'y��cfi3Ot1
Plumbing
ej \A%
Roofing
A�fl
Septic Tank
IA -
_Sheet
Sheet Metal
ID -0 n c
1
Sheet Rock
,( 1 i !� , ". �' ;%'; "� ��
���59
Tile
KW
Owner / ontractor Signature
Date
curer FZT ir�o
CONTRACTOR / SUBCONTRACTOR LRST
]Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS:
&&� C&kVfERMIT # (�
'
OWNER'S NAME: R . Z a
PHONE # 4�
GENERAL CONTRACTOR:
p BUSINESS LICENSE #
ADDRESS:
CITY/ZIPCODE:
*Our municipal code requires all businessA working in the city to have a City of Cupertino lousiness license.
NO BUILDING ]FINAL OR FINAL OCCUPANCY ENSPECTfON(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE 03TAINEDD A CITY OF CUPERTINO
BUSINESS Lff CENSE.
I ane not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
d
Owner / ontractor Signature
/ 2-
-�(3
1(Date
SUBCONTRACTOR
BUSINESS NAME
R1UKNESS 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
Owner / ontractor Signature
/ 2-
-�(3
1(Date