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B-2017-0634 • CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0634 20617 PARADISE DR CUPERTINO,CA 95014-2915(359 15 012) JONATHAN WEI CHIH SU CUPERTINO,CA 95014 - • OWNER'S NAME: LEE JONG KYOO AND JUNG AH DATE ISSUED:07/25/2017 OWNER'S PHONE: PHONE NO:(408)255-8999 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#681633 Contractor JONATHAN WEI CHIH SU Date 12/31/2017 X BLDG X ELECT _PLUMB MECH X RESIDENTIAL_COMMERCIAL ' 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. JOB DESCRIPTION: ' REBUILD(E)SINGLE FAMILY DWELLING(1416 S.F.);(N) I hereby‘affirm under penalty of perjury one of the following two declarations: ADDITION(1322 S.F.);REBUILD GARAGE(465 S.F.);(N)PORCH(43 i. I have and will maintain a certificate of consent to self-insure for Worker's S.F.);(N)DECK(92 S.F.);PANEL UPGRADE(200 AMP).(NOTE: Compensation,as provided for by Section 3700 of the Labor Code,for the EXISTING FOUNDATION AND FLOOR TO REMAIN) performance of the work for which this permit is issued. DEF#1 -TRUSS CALCS-ISSUED 11/29/2017 I have and will maintain Worker's Compensation Insurance,as provided for by REV#1 MODIFY KITCHEN LAYOUT;REMOVE FIREPLACE AND L,. Section 3700 of the Labor Code,for the performance of the work for which this ENLARGE MASTER CLOSET;ADD FULL BATH AT CLOSET(49 SF) / permit is issued. ISSUED 10/9/2017 • APPLICANT CERTIFICATION I certify that I haveread this application and state that the above information is correct.I agree to comply with all city and county ordinances Sq.Ft Floor Area:2738 Valuation:$450000.00 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 APN Number: Occupancy Type: City of Cupertino against liabilities;judgments,costs,and expenses which 359 15 012 R-3(Custom) may accrue'.against said City in consequence of the granting of this permit. • Additionally,Ithe applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR Si••e" re ' Date 11/29/2017 180 DAYS FROM LAST CALLED INSPECTION. OWNER-BUILDER ECLARATION Issued by:Kim Dunbar I:hereby affirm thatiI am exempt from the Contractor's License Law for one of the Date•07/25/2017 following two reasbns: • 1.' I',Ias 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 RE-ROOFS: i . All roofs shall be inspected prior to any roofing material being installed.If a roof is sale(Sec.7044,Business&Professions Code) installed without first obtaining an inspection,I'agree to remove all new materials for '2. bias owner of the property,am exclusively contracting with licensed , inspection. Ong-actors to construct the project(Sec.7044,Business&Professions Code). 1 I'hereby raffrm under penalty of perjury one of the following three declarations: Signature of Applicant: • 1.'I' I'have and will maintain a Certificate of Consent to self-insure for Worker's Date:11/29/2017 ' .; Compensation,as provided for by.Section 3700 of the Labor Code,for the performanice of the work for which this permit is issued. ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 2. I have andl 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. HAZARDOUS MATERIALS DISCLOSURE 3. Icertify that in the performance of the work for which this permit is issued,I I have read the hazardous materials requirements under Chapter 6.95 of the shall pot employ any person in any manner so as to become subject to the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Worker's:Compensation laws of California. If,after making this certificate of i Health&Safety Code,Section 25532(a)should 1 store or handle hazardous exemption,I become subject to the Worker's Compensation provisions of the material. Additionally,should I use equipment or devices which emit hazardous Labor Code,I must forthwith comply with such provisions or this permit shall air contaminants as defined by the Bay Area Air Quality Management District I ' be deemed revoked. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and ' the Health&Safety Code,Sections 25505,25533,and 25534. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is �/ icorrect.I agree to comply with all city and county ordinances and state laws O : or authorized agent: /' ' relating to building construction,and hereby authorize representatives of this city ,. e:11/29/2017 • to enter,upon the above mentioned property for inspection purposes. (We)agree CONSTRUCTION LENDING AGENCY • ' to save'indemnify and keep harmless the City of Cupertino against liabilities, ` I hereby affirm that there is a construction lending agency for the performance judgments,costs,and expenses which may accrue against said City in of work's for which this permit is issued(Sec.3097,Civ C.) consequence of the granting of this permit. Additionally,the applicant understands Lender's Name 11 • and will;comply with all non-point source regulations per the Cupertino Municipal Code,Sectibn 9.18.' Lender's Address ' ARCHITECT'S DECLARATION Signature Date 11/29/2017 I understand my plana shall be used as public records. CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0634 20617 PARADISE DR CUPERTINO,CA 95014-2915(359 15 012) JONATHAN WEI CHIN SU CUPERTINO,CA 95014 OWNER'S NAME: LEE JONG KYOO AND JUNG All DATE ISSUED:07/25/2017 • OWNER'S PHONE: PHONE NO:(408)255-8999 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#681633 Contractor JONATHAN WEI CHIN SU Date 12/31/2017 X BLDG X ELECT —PLUMB MECH X RESIDENTIAL_COMMERCIAL 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. JOB DESCRIPTION: REBUILD(E)SINGLE FAMILY DWELLING(1416 S.F.);(N) I hereby affirm under penalty of perjury one of the following two declarations: ADDITION(1322 S.F.);REBUILD GARAGE(465 S.F.);(N)PORCH(43 t. I have and will maintain a certificate of consent to self-insure for Worker's S.F.);.(N)DECK(92 S.F.);PANEL UPGRADE(200 AMP).(NOTE: • Compensation,as provided for by Section 3700 of the Labor Code,for the EXISTING FOUNDATION AND FLOOR TO REMAIN) .erformance of the work for which this permit is issued. REV#1 MODIFY KITCHEN LAYOUT;REMOVE FIREPLACE AND I have and will maintain Worker's Compensation Insurance,as provided for by ENLARGE MASTER CLOSET;ADD FULL BATH AT CLOSET(49 SF) Section 3700 of the Labor Code,for the performance of the work for which this ISSUED 10/9/2017 permit is issued. • APPLICANT CERTIFICATION • I certify that I have read this application and state that the above Sq.Ft Floor Area:2738 Valuation:$450000.00 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 APN Number: Occupancy Type: inspection purposes. (We)agree to save indemnify and keep harmless the 359 15 012 R-3(Custom) 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 PERMIT EXPIRES IF WORK IS NOT STARTED source regulations per the Cupertino Municipal Code,Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. (S',•na.ti re Date 10/9/2017 WNER-BUILDER DECLARATION Issued by:Kim Dunbar Date:07/25/2017 I hereby:affirm that I am exempt from the Contractor's License Law for one of the - following two reasons:• 1. 'I,as owner of the property,or my employees with wages as their sole RE-ROOFS: compensation,with do the work,and the structure is not intended or offered for All roofs shall be inspected prior to any roofing material being installed.if a roof is sale(Sec.7044,Business&Professions Code) installed without first obtaining an inspection,I agree to remove all new materials for 2.' I,as owner of the property,am exclusively contracting with licensed inspection. contractors to construct the project(Sec.7044,Business&Professions Code). Signature of Applicant: I hereby affirm under penalty of perjury one of the following three declarations: Date: 10/9/2017 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER perfonnance,'of the work for which this permit is issued. 2. I.fiave 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 HAZARDOUS MATERIALS DISCLOSURE permit is issued• . I have read the hazardous materials requirements under Chapter 6.95 of the a.' I'certify that in the performance of the work for which this permit is issued,I California Health&Safety Code,Sections 25505,25533,and 25534. I will • shall not employ any person in any manner so as to become subject to the maintain compliance with the Cupertino Municipal Code;Chapter 9.12 and the Health&Safety Code,Section 25532(a)should I store or handle hazardous Worker's Compensation laws of California. lf,after making this certificate of material. Additionally,should I use equipment or devices which emit hazardous exemption,I become subject to the Worker's Compensation provisions of the air contaminants as defined by the Bay Area Air Quality Management District I Labor Code,'I must forthwith comply with such provisions or this permit shall will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and be deemed revoked. : the Health&Safety Code,Sections 25505,25533,and 25534. I;, ,i APPLICANT CERTIFICATION �/ I certify that I have read this application and state that the above information is 0 : thorized agent: '%( correct.I agree to comply with all city and county ordinances and state laws ''• 0 9_0 relating to building construction,and hereby authorize representatives of this city CONSTRUCTION LENDING AGENCY to enter upon,the above mentioned property for inspection purposes. (We)agree I hereby affirm that there is a construction lending agency for the performance to save indemnify and keep harmless the City of Cupertino against liabilities, of work's for which this permit is issued(Sec.3097,Civ C.) d expenses which may accrue against said City in Lender's Name judgment4,:costs,an consequence,of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Lender's Address Code,Section 9.18. ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature. i Date 10/9/2017 Licensed CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0634 20617 PARADISE DR CUPERTINO, CA 95014-2915 (359 15 012) OWNER/BUILDER OWNER'S NAME: LEE JONG KYOO AND JUNG AH DATE ISSUED: 07/25/2017 OWNER'S PHONE: PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor OWNER/BUILDER Date X BLDG X ELECT _PLUMB MECHYt RESIDENTIAL _ COMMERCIAL 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. JOB DESCRIPTION: REBUILD (E) SINGLE FAMILY DWELLING (1416 S.F.); (N) I hereby affirm under penalty of perjury one of the following two declarations: ADDITION (1322 S.F.); REBUILD GARAGE (465 S.F.); (N) PORCH (43 11. I have and will maintain a certificate of consent to self-insure for Worker's S.F.); (N) DECK (92 S.F.); PANEL UPGRADE (200 AMP). (NOTE: Compensation, as provided for by Section 3700 of the Labor Code, for the EXISTING FOUNDATION AND FLOOR TO REMAIN) 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 Sq. Ft Floor Area: 2738 Valuation: $450000.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above Number: Occupancy Typet information is correct. I agree to comply with all city and county ordinances 359 15 012 359 R-3 (Custom)) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may, accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 07-25-2017 Issued by: Kim Dunbar Date: 07/25/2017 OWNER-BUILDER DECLARATION Thereby affirm that I am exempt from the Contractor's License Law for one of the RE ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: r. 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) I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 07-25-2017 I,hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER r. I have and will maintain a Certificate of Consent to self-insure for Worker's Compensatiori, as provided for by Section 3700 of the Labor Code, for the performance of the work for'which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. a. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized auenfl APPLICANT CERTIFICATION Date: 07-25-2017 AUCTIONLEINGAGENCY 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 CON I hereby affirm that there is a construction Vnding agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (S)3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting,of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal AR DECLARATION I understand my plans shal1l1 bbe e used a as public records. Code, Section 9.18. Date 07-25-2017 Licensed Signat Professional