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13080017CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10446 PLUM TREE LN CONTRACTOR: G.L. PERRY PERMIT NO: 13080017 CONSTRUCTION, INC. OWNER'S NAME: HSU CHIA-CHANG & HO SHIH-WEI 623 STOCKTON AVE DATE. ISSUED: 11/15/2013 OWNER'S PHONE: 4089048955 SAN JOSE, CA 95126 PHONE NO: (408) 287-3779 [ tQ LICENSED CONTRACTOR'S DECLARATION p Z �j�j BUILDING PERMIT INFO: BLDG ELECT { PLUMB License Class_ Lic. i{ / 1 9 , / Contractor G . L .- �g 1^ Yj' 5t • Date 0 7 MF.CH RESIDENTIAL COMMERCIAL LOB DESCRIPTION: CONSTRUCT A 697 SQ PT ADDITION W ff11 A 694 SQ FT INTERIOR REMODEL; UPGRADE MAIN ELECTRICAL. PANEL TO I hereby affirm that I am licensed under the provisions of Chapter 9 100 AMP. (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 Sq. Ft Floor Area: Valuation: 5180000 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: 31633086.00 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: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. SignatureDate 124 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant Date: 1 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. 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 1 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 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 ;l d ",<�� Date: 0;7 Owner or authorized agent: a permit is issued. z• , 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 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 h� CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10446 PLUM TREE LN CONTRACTOR: G.L. PERRY PERMIT NO: 13080017 CONSTRUCTION, INC. OWNER'S NAME: HSU CHIA-CHANG & HO SHIH-WEI 623 STOCKTON AVE DATE ISSUED: 11/15/2013 OWNER'S PHONE: 4089048955 SAN JOSE, CA 95126 PHONE NO: (408) 287-3779 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ CONSTRUCT A 697 SQ FT ADDITION WITH A 694 SQ FT License Class Lie. # 3 1,?-- 33 Ll— INTERIOR REMODEL; UPGRADE MAIN ELECTRICAL Contractor &. L . i!Je ✓a (o`17`t5ate 07 0 1 i ' �" AV PANEL TO 200 AMP. REV # 1 - REMOVE ROOF STRUCTURE FROM AT ENTRY - I hereby affirm that I am licensed under the provisions of Chapter 9 ISSUED 7/1/14 (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: 5180000 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: 31633086.00 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 Igo 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: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ` 2!% 07 ` RE -ROOFS: Signature Date C)i I f All roofs shall be inspected prior to any rooting 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 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 1 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: Date: o;17&1/4 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 9.18. Signature Date G CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10446 PLUM TREE LN CONTRACTOR• UD _ I RE B£+E14hfR+ PERMIT NO: 13080017 OWNER'S NAME: HSU CHIA-CHANG & HO SH[H-WEI -� DATE ISSUED: 11/15/2013 V 4 OWNER'S PHONE: 4089048955 PHONE NO: in ^zi a —4� X LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL License Class B Lic. # a 14'3 J Z CONSTRUCT A 697 SQ FT ADDITION WITH A 694 SQ FT INTERIOR REMODEL; UPGRADE MAIN ELECTRICAL Contractor QO RT l'TThLI Pr Cw�IY�6ate l l ' l S-- PANEL TO I hereby affirm that I am licensed under the provisions of Chapter 9 200 AMP. (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: 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: $180000 e ormance of the work for which this permit is issued. ve 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: 31633086.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 80 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 DA F M 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 C / /1/J granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. (� Signature `���+"r� Date 1 S 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. ❑ 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) 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 1 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 the Health & Safety Code, Sections 25505, 2553 and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: ( 3 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, [ CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must 1 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. 1 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 CUPERTINO ❑ NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCcDcupertino.org �-y� SI ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRTI)q q 6 nr , ' K �/`_, AP1 O NAME ,� 1`1102 0 r O� ( eA;F711 -MAIL d✓'m sG �t,� . D !2mlm �p tf •/� STREET VDtEC CONT T E PHONE ' 4�1 . !{ ST T ADDR SSCIT , TATE, ZIP I FAX CID rA 1 K- _kJ ❑ OWNER ❑ OWNER -BUILDER EOWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CO R N E LICE N LICENSE TYPE BUS. LIC # MP Y - AILS 4i � � FAX STREET ADDRESS CITY, AT ZI ARCHITEC Gae, NAME I pJ LICENSE NUM$ / $ BUS. LIC # COMPANY NAME 1�11�, J E-MAIL c FAX ST T SS C A E PLtE b DESCRIPTION O�a .. 1414y► FAI EXIS[Z:GUSE PROPJ,�f CON T$ R.�1'1'PE V #STONES USE TYPE OCC. SQ.FT. VALUATION (S) AREA AREA NEW F`Wg AREA DEMO AREA TOT,�L _ NET �(J/' r/J 1/CJ BATHROOMKITCHEN REMODEL A REMODEj/�.F OTHER REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH # DWELLING S: IS A SECOND UNIT YES SECONDS TORY YES BEING ADDED. O ADDITION. O PRE-APPLJCA ON JgitiS IF YES, PROVIDE COPY OF is THE BLDG AN C1 YES EIVED BY`= A I P NG PL k [] NO PLANNING APPROVAL LETTER EICHLER HOME? By my signature below, I certify to each ofthe following: I am the property owner or authorized ag act o e property owner's be I have 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 u 'ngo st cf n I a thorize representatives of Cupertino to enter t a ve-' ntified property for inspection purposes. Signature of Applicant/Agent: Date suPPLEmENTALRW16RMArON REQUIRED p dMIT;; ROUTsNGiL P; . " _OVER-T,RF "UNTIER RtJLR1r4pts 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 STANDARD �PITBLICWORKS _ form if any Hazardous Materials are being used as part of this project. LARGE: EIREDEPT .; _ Copy of Planning Approval Letter or Meeting with Planning prior to MAtOR St �$ mi submittal of Building Permit application. I� ENVIRONMENTAL HEALTH ,. BldgApp 2011.doc revised 0621/11 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(c cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION EFER.RED ORIGINAL PERMIT # 130da 1 �- ` PROJECT ADDUSSq,46 _L''� APN�' 3I 6 _ V��y 6 �jV /y - 73 ONVN[ERpNAME PHONE dy '90(-/ � MAIL !!!/// r" ,. ✓I ' y 1 "Q l lJ tC `L L/C1 "� &` l tI/ fF' V V STREET ADDRESS CITY, STATE, ZIP FAX _ f CONTACT NAME ii 2r el4't1 PHONE E-MAIL 461`J .. E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ O\\NER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRA OR NE 4' f; i f' e v' V, D SE NUMBER LICENSE TYPE BUS. LIC R COMPPNY NAI` E-MAIL FAX STREET ADDRESS CITY, STATEZIP J PHONE " 5 fac it k oA A v z 15O'n c �,e G ti 4to -� - 3 7% ARCHrMCTIENGINEER NAME LICENSE N ER BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK V R6,"v L,✓ c- Ure EXISTINGUSE PROPOSED USE CONSTR TYPE M STORIES USE TYPE OCC. SQ.F7. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM OTHER REMODEL AREA REMODEL AREA PORCH AREA DECK ARK/PORCH AREA GARAGE AREA: DETACH LBEirNGADDED? []ATTACH DVJELLING UNITS: E] -ITS SECOND STORY []YES ❑NO ADDITION? E] NO - PRE -APPLICATION AYES -- -- IF YES, PROVIDE COPY, OF, -. - - --1S THE BLDG AN _ ❑ YE �rE '_ `•; TOTAL VALUATION: PLANTNING APPL k ❑ NO PLA_MNT'QG APPROVAL LETTER m �, EICHLER HOME? �' - " --- --- - ----- --- _ --- _--- - - - r By my signature below, I certify to each of the follow' Ig: I am the property owner or a gent to act on the property ommer's behalf, are read this application and the information I have provided is cc ect. I ve read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b ' e const n. rize representatives of Cupertino to enter the above -id ntified p pe � for inspection purposes. f Date: Lil Signature of Applicant/Agent: Ae SUPPLEMENT IMF 4ATIONREQUIRED - PicxEcrcTiPE..}.,. RorJTINciIP,r t New SFD or Multifamily d-ovellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building VER THE COUnTERBUIL�II�GPLA� REFTEW y permit for new building. > !� EaPRss $ H.. ©-:PLAiQNIRGPLRItEVI1 W - - Commercial Bldgs: Provide a completed Hazardous Materials Disclosure C7 sTA1*nnitD - �` ;rusLlewoRxs _ form if any Hazardous Materials are being used as part of this project,y3 t r �ARCF � , £ ❑.FIRE DEFT � _ Copy of Planning Approval Letter or Meeting with Planning prior t0 ❑�11fAJ0I2-�. '� �- ��SA-`M1ITARYSER�RDISTRICT- submittal of Building Permit application. ,a- �.. s 7s r�� z mart : BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FM7,00 FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10446 PLUM "TREE LN DATE: 07/01/2014 REVIEWED BY: NIELISSA APN: 316 33 086 BP#: 13080017 'VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: hours Plan Check, Hourly $278.00 /STPLNCK PENTAINATION 1GENRES PERMIT TYPE: WORK REV # 1 - REMOVE ROOF STRUCTURE FROM AT ENTRY - ISSUED 7/1/14 SCOPE $0.00 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 Dept for addn'l info. FEE ITEMS (Fee Resolution II -05.3 Eff 7!111.31 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 hours Plan Check, Hourly $278.00 /STPLNCK Suppl. PC Fee: (j)Reg. 0 OTJ 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 i Strom Motion Fee: $0.00 Select an Administrative Item B1d�_, Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $278.00 TOTAL FEE: $278.00 Revised: 07/01/2014 CITY OF CUPERTINO FM_7 FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10446 PLUM TREE LN DATE: 08/02/2013 REVIEWED BY: SEAN PC FEE ID APN: ✓�� - �✓ 7 BP#: / a S-OOl � 'VALUATION: 1$180,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: god Unit? 0 Yes Q No OTC. 0 Yes O No PENTAMATION 1R3SFDADD PERMIT TYPE: 19 WORK CONSTRUCT A ONE STORY ADDITION 697 SQ FT • INTERIOR REMODEL 694 SQ FT). 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,111-B,IV,V-B 697 $2,577.00 IR3PLNCK $1,617.00 IR3INSP $0.00 PME Plan Check: $0.00 Permit Fee: $1,617.00 Suppl. Insp. Fee.S Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 Permit Fee: TOTALS: 697 $2,577.00 $1,617.00 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 haled an the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/12) Q��Gn l3 R4 0 L { 1 FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,577.00 L_tL4j s.f. $558.00 Remodel, Other IREMRESOTH Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,617.00 Suppl. Insp. Fee.S Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 Permit Fee: $0.00 //PME 7 E) Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: IPLLONGR $97.58 Select a Non -Residential Building or Structure 0 0 Strong Motion Fee: IBSEISMICR $18.00 Select an Administrative Item Bl� Stds Commission Fee: IBCBSC $8.00 SUBTOTALS: $4,317.581 $558.00 TOTAL FEE:._1 $4,875.58 evised: 07/01/2013 1 ( I 01 CUPERTINO Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin4acupertino.org Address Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: 0( No Go to Question 2. Date: 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? Jk Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner' Signature: ❑ No Go to Question 3. Date: 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: IV Yes My real property is built and avai able or use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. ❑ My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB407 2014.doc revised 03/18/14 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or 1ppoyqs)• Uwe owners of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced witirW5t""-tffA1M"ng plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing, fixtures c9mvly with the requirements asiadicated in the table below. Owner's (or Owner Agent's) Signature: (( 2 �/` �, Date: Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2014. doc revised 03/18/14 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 si Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2014. doc revised 03/18/14 CALIFORNIA CIVIL CODE SECTIONS 1101.1-1101.8 Civil Code Division 2. Property Part 4. Acquisition of Property Title 4. Transfer Chapter 2. Transfer of Real Property Article 1.4. Installation of Water Use Efficiency Improvements ........ 1101.1 — 1101.8 1101.1. The Legislature finds and declares all of the following: (a) Adequate water supply reliability for all uses is essential to the future economic and environmental health of California. (b) Environmentally sound strategies to meet future water supply and wastewater treatment needs are key to protecting and restoring aquatic resources in California. (c) There is a pressing need to address water supply reliability issues raised by growing urban areas. (d) Economic analysis by urban water agencies has identified urban water conservation as a cost-effective approach to addressing water supply needs. (e) There are many water conservation practices that produce significant energy and other resource savings that should be encouraged as a matter of state policy. (f) Since the 1991 signing of the "Memorandum of Understanding Regarding Urban Water Conservation in California," many urban water and wastewater treatment agencies have gained valuable experience that can be applied to produce significant statewide savings of water, energy, and associated infrastructure costs. This experience indicates a need to regularly revise and update water conservation methodologies and practices. (g) To address these concerns, it is the intent of the Legislature to require that residential and commercial real property built and available for use or occupancy on or before January 1, 1994, be equipped with water -conserving plumbing fixtures. (h) It is further the intent of the Legislature that retail water suppliers are encouraged to provide incentives, financing mechanisms, and funding to assist property owners with these retrofit obligations. 1101.2. Except as provided in Section 1101.7, this article shall apply to residential and commercial real property built and available for use on or before January 1, 1994. 1101.3. For the purposes of this article: (a) "Commercial real property" means any real property that is improved with, or consisting of, a building that is intended for commercial use, including hotels and motels, that is not a single-family residential real property or a multifamily residential real property. (b) "Multifamily residential real property" means any real property that is improved with, or consisting of, a building containing more than one unit that is intended for human habitation, or any mixed residential -commercial buildings or portions thereof that are intended for human habitation. Multifamily residential real property includes residential hotels but does not include hotels and motels that are not residential hotels. (c) "Noncompliant plumbing fixture" means any of the following: (1) Any toilet manufactured to use more than 1.6 gallons of water per flush. (2) Any urinal manufactured to use more than one gallon of water per flush. (3) Any showerhead manufactured to have a flow capacity of more than 2.5 gallons of water per minute. (4) Any interior faucet that emits more than 2.2 gallons of water per minute. (d) "Single-family residential real property" means any real property that is improved with, or consisting of, a building containing not more than one unit that is intended for human habitation. (e) "Water -conserving plumbing fixture" means any fixture that is in compliance with current building standards applicable to a newly constructed real property of the same type. (f) "Sale or transfer" means the sale or transfer of an entire real property estate or the fee interest in that real property estate and does not include the sale or transfer of a partial interest, including a leasehold. 1101.4. (a) On and after January 1, 2014, for all building alterations or improvements to single-family residential real property, as a condition for issuance of a certificate of final completion and occupancy or final permit approval by the local building department, the permit applicant shall replace all noncompliant plumbing fixtures with water - conserving plumbing fixtures. (b) On or before January 1, 2017, noncompliant plumbing fixtures in any single-family residential real property shall be replaced by the property owner with water -conserving plumbing fixtures. (c) On and after January 1, 2017, a seller or transferor of single-family residential real property shall disclose in writing to the prospective purchaser or transferee the requirements of subdivision (b) and whether the real property includes any noncompliant plumbing fixtures. 1101.5. (a) On or before January 1, 2019, all noncompliant plumbing fixtures in any multifamily residential real property and in any commercial real property shall be replaced with water -conserving plumbing fixtures. (b) An owner or the owner's agent may enter the owner's property for the purpose of installing, repairing, testing, and maintaining water -conserving plumbing fixtures required by this section, consistent with notice requirements of Section 1954. (c) On and after January 1, 2019, the water -conserving plumbing fixtures required by this section shall be operating at the manufacturer's rated water consumption at the time that the tenant takes possession. A tenant shall be responsible for notifying the owner or owner's agent if the tenant becomes aware that a water -conserving plumbing fixture within his or her unit is not operating at the manufacturer's rated water consumption. The owner or owner's agent shall correct an inoperability in a water -conserving plumbing fixture upon notice by the tenant or if detected by the owner or the owner's agent. (d) (1) On and after January 1, 2014, all noncompliant plumbing fixtures in any multifamily residential real property and any commercial real property shall be replaced with water -conserving plumbing fixtures in the following circumstances: (A) For building additions in which the sum of concurrent building permits by the same permit applicant would increase the floor area of the space in a building by more than 10 percent, the building permit applicant shall replace all noncompliant plumbing fixtures in the building. (B) For building alterations or improvements in which the total construction cost estimated in the building permit is greater than one hundred fifty thousand dollars ($150,000), the building permit applicant shall replace all noncompliant plumbing fixtures that service the specific area of the improvement. (C) Notwithstanding subparagraph (A) or (B), for any alterations or improvements to a room in a building that require a building permit and that room contains any noncompliant plumbing fixtures, the building permit applicant shall replace all noncompliant plumbing fixtures in that room. (2) Replacement of all noncompliant plumbing fixtures with water -conserving plumbing fixtures, as described in paragraph (1), shall be a condition for issuance of a certificate of final completion and occupancy or final permit approval by the local building department. (e) On and after January 1, 2019, a seller or transferor of multifamily residential real property or of commercial real property shall disclose to the prospective purchaser or transferee, in writing, the requirements of subdivision (a) and whether the property includes any noncompliant plumbing fixtures. This disclosure may be included in other transactional documents. 1101.6. The duty of an owner or building permit applicant to comply with the requirements of this article shall be postponed for one year from the date of issuance of a demolition permit for the building. If the building is demolished within the one-year postponement, the requirements of this article shall not apply. If the building is not demolished after the expiration of one year, the provisions of this article shall apply, subject to appeal to the local building department, even though the demolition permit is still in effect or a new demolition permit has been issued. 1101.7. This article shall not apply to any of the following: (a) Registered historical sites. (b) Real property for which a licensed plumber certifies that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible. (c) A building for which water service is permanently disconnected. 1101.8. A city, county, or city and county, or a retail water supplier may do either of the following: (a) Enact local ordinances or establish policies that promote compliance with this article. (b) Enact local ordinances or establish policies that will result in a greater amount of water savings than those provided for in this article. Sap# /3og-ooi -�L- I Chri S M o re.�l(c) t W 4k PO V" -'t k-d�, l a CvC.fi.0H r 1h �jU`� v t Qd �-,,� �.p,,,,%IA- I neucv- w&Ou e -d Dov w kr d 4iA 2 h om .e �-e Irgo� r hd T a S Ca Cc ¢ �p� ah� (�$ pe Ovr +k2 y�eSt cuhC-2 . .L r e IVR 5�— c owl e5 111 e S ve�A w.x r e Gen e&- o.' CO ac +z,�io kt,n S T 0 \ 2 C + •S . . p S Y, a vv1 e OLP "tom' V,\ 0, S O.rre � v %_J w OI ` \\ 4''1 2 ✓ Cor. �✓'ac }Or/ . a ret{gIm +c> V- nor' o�uArr,►,}-ee tih W -0v oC re V\'\'\ S . GNRIS Ma2C-LLIo P or t; ICS coot -,l Y%, L j on Lt co-" fie g IL�312 .8 . CITY OF CUPERTINO COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION April 27, 2014 RE: PERMIT NO. 13080017 - CHANGE OF CONTRACTOR To Whom It May Concern: We would like to inform you that we have changed our general contractor from Portitalia Construction to GL Perry Contrucf�on on March 4, 2014. Portitalia Construction was not able to continue on our project as they originally promised due to schedule conflict. Some of their existing projects were delayed by months; we just could not wait indefinitely at that point. Thus we hired GL Perry to start the project in March 2014. Should you have any question, please contact us. Sincerely, House Owner - Chiachang Hsu C � Building address: 10446 Plum Tree Lane, Cupertino, CA 95014 RECEIVED 'JUL 01 2014 BY 1yeA0* Fly=* PROJECT DATA - RESIDENTIAL COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • bUddina at cu ertir10,or PRO.ILC'I AQ) li. 1p VV K9;t- Al 1 6 — -% J6 O LI N MI: P ION1�, AIL s] Rif I ADDRIISs � CRY,Z1P�� FAX AIT1 ICAN'1 NAMI. PHOW. F -MAIL. S I i I MWRL,s��P�}� j CI TY, STATI ZIP I AX ❑ 0A6'NI-R ❑ OWN[ R-RUILI)FIi ❑ OWNISR AGI.NI' ❑ CONTRACTOR ❑ CONTRA("FOR AGENT ❑ ARCIIITFCT ❑ FNGIN1+R ❑ DFVH OPI R ❑ Il N 1N 1 DF T!(IN l; WORK'.LD (% I XISIINU'I S)O T I Pf s 1)U'1 I OCCIIP NCY(S). IYPIT, OF CONSTRUCTION: PARCI.I, ARCA MRI Y N SPRINKITRS WUI AREA: Y N FLOOD ARBA: Y N _ SII:SMIC ARIA Y N Existing Proposed Floor Area: First Floor: �s.f. 2200 S.f. Second Floor: K/i� s. f. s. f. Garage _ s. f. ��J s.f. TOTAL: s.f. ���� s.f. Are there at least two 10 feet by 20 feet clear spaces inside the garage? 0 N Is privacy protection planting required for the project? Y ( 0 Governing Codes: 2010 California Building Code (based on the 2009 International Building Code) 2010 California Residential Code (based on the 2009 International Residential Code) 2010 California Plumbing Code (based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code (based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code (based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Municipal Code Project[)rrlci-Re.trdeulirrLduc revised 03 09 11 AA CUPERTINO July 8, 2013 SK Designs Attn: Shelley O'Toole 1121 Lynhurst Wy San Jose, Ca 95118 OFFICE OF COMMUNITY DEVELOPMENT CITY HALL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3308 • FAX (408) 777-3333 • planning(a)cupertino.org SUBJECT: MINOR RESIDENTIAL PERMIT ACTION LETTER - Application RM -2013-22: This letter confirms the decision of the Director of Community Development, given on July 8, 2013, approving a Minor Residential Permit to allow portions of a ground floor addition to encroach approximately 5 feet into the required 20 foot rear yard setback, located at 10446 Plum Tree Lane, with the following conditions: 1. APPROVED PROTECT This approval is based on a plan set entitled, "The Ho Residence, 10446 Plum Tree Lane, Cupertino, CA" consisting of six sheets labeled "1.0 to 3.1", dated Received June 7, 2013, except as may be amended by conditions in this resolution. 2. ANNOTATION OF THE CONDITIONS OF APPROVAL The conditions of approval set forth shall be incorporated into and annotated on the building plans. 3. ACCURACY OF THE PROTECT PLANS The applicant/property owner is responsible to verify all pertinent property data including but not limited to property boundary locations, building setbacks, property size, building square footage, any relevant easements and/or construction records. Any misrepresentation of any property data may invalidate this approval and may require additional review. 4. CONSULTATION WITH OTHER DEPARTMENTS The applicant is responsible to consult with other departments and/or agencies with regard to the proposed project for additional conditions and requirements. Any misrepresentation of any submitted data may invalidate an approval by the Community Development Department. 5. EXTERIOR BUILDING MATERIALS/TREATMENTS Final building exterior treatment plan (including but not limited to details on exterior color, material, architectural treatments and/or embellishments) shall be reviewed and approved by the Director of Commlunity Development prior to issuance of building permits. The final building exterior plan shall closely resemble the details shown on the original approved plans. Any exterior changes determined to be substantial by the Director of Coirununity Development shall require a minor modification approval with neighborhood input. Minor Residential Permit Action Letter RM -2013-22 Page 2 6. INDEMNIFICATION To the extent permitted by law, the Applicant shall indemnify and hold harmless the City, its City Council, its officers, employees and agents (the "indemnified parties") from and against any claim, action, or proceeding brought by a third party against the indemnified parties and the applicant to attack, set aside, or void this ordinance or any permit or approval authorized hereby for the project, including (without limitation) reimbursing the City its actual attorneys' fees and costs incurred in defense of the litigation. The City may, in its sole discretion, elect to defend any such action with attorneys of its choice. J 7. COMPLIANCE WITH PUBLIC WORKS CONFIRMATION FORM The project shall comply with the requirements indicated on the Public Works Confirmation form dated 4/29/2013, including, but not Iimited to, dedications, easements, off-site improvements, undergrounding of utilities, all necessary agreements, and utility installations/relocations as deemed necessary by the Director of Public Works and required for public health and safety. The Public Works Confirmation is a preliminary review, and is not an exhaustive review of the subject development. Additional requirements may be established and implemented during the construction permitting process. The project construction plans shall address these requirements with the construction permit submittal, and all required improvements shall be completed to the satisfaction of the Director of Public Works prior to final occupancy. 8. PRIVACY PLANTING The final privacy -planting plan shall be reviewed and approved by the Planning Division prior to issuance of building permits. The variety, size, planting distance shall be consistent with the City's requirements. 9. PRIVACY PROTECTION COVENANT The property owner shall record a covenant on this property to inform future property owners of the privacy protection measures and tree protection requirements consistent with the R-1 Ordunance, for all windows with views into neighboring yards and a sill height that is 5 feet or less from the second story finished floor. The precise language will be subject to approval by the Director of Community Development. Proof of recordation must be submitted to the Community Development Department prior to final occupancy of the residence. 10. LANDSCAPE PROTECT SUBMITTAL: Prior to issuance of building permits, the applicant shall submit a full landscape project submittal per sections 14.15.040 A, B, C, and D of the Landscaping Ordinance if more than 2,500 square feet of landscaping area is proposed. The Water -Efficient Design Checklist (Appendix A of Chapter 14.15), Landscape and Irrigation Design PIans, and Water Budget Calculations shall be reviewed and approved to the satisfaction of the Director of Community Development prior to issuance of building permits. 11. NOTICE OF FEES, DEDICATIONS, RESERVATIONS OR OTHER EXACTIONS The Conditions of Project Approval set forth herein may include certain fees, dedication requirements, reservation requirements, and other exactions. Pursuant to Government Code Section 66020(d) (1), these Conditions constitute written notice of a statement of the amount of such fees, and a description of the dedications, reservations, and other exactions. You are hereby further notified Minor Residential Permit Action Letter RM -2013-22 Page 3 that the 90 -day approval period in which you may protest these fees, dedications, reservations, and other exactions, pursuant to Government Code Section 66020(a), has begun. If you fail to file a protest within this 90 -day period complying with all of the requirements of Section 66020, you will be legally barred from later challenging such exactions. Please note that if this permit is not vested within a year, it shall expire on July 8, 2014. Staff has made all the findings that are required for approval a Minor Residential Permit as required by the of Cupertino's Municipal Code, Chapter 19.28.140 (A). Also, please note that an appeal of this decision can be made within 14 calendar days from the date of this letter. If this happens, you will be notified of a public hearing, which will be scheduled before the Planning Commission. Sincerely, y Stephen Rose anner City of Cupertino 408-777-3286 stephenr@cuperth-to.org Enclosures: Approved Plan Set CC: Mr. or Mrs. Ho, 10446 Plum Tree Ln., Cupertino CA 95014