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13050182 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 907 SAGE CT CONTRACTOR:D&D CONSTRUCTION PERMIT NO: 13050182 AND DEVELOPMENT OWNER'S NAME: EDWARD LEE PO BOX 3565 DATE ISSUED:08/29/2013 OWNER'S PHONE: 4089963896 FREMONT,CA 94539 PHONE NO:(510)579-2353 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lic.# 'l CONSTRUCT ONE STORY ADDITIONS(1373 SQ FT)WITH COVERED PORCH(35 SQ FT);UPGRADE(E)MAIN PANEL Contractor C�k Date 2 200 AMP;AND RE-WIRE WHOLE HOUSE. I hereby affirm that I am liicensed under the provisions of Ch9pter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: 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. Sq.Ft Floor Area: Valuation:$250000 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:35906005.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 DA 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 DAY T 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 Date: Z 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. RE-ROOFS: Signature Date A]I 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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). 1 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 I 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: permit is issued. — 1 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 V CONSTRUCTION PERMIT APPLICATION Q COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255Al (40.8)777-3228• FAX(408)777-3333•building(a cupertino.org .cup�ltRTINO NEW CONSTRUCTION ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 7APN# qa1 S0*_�6E OWNER NAME L�� PHON � �! r3�p EMAIL STREET ADDRESS. CITY, STATE,ZIP io 77 FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS (Q C' !J _ f� T1`_. ejQ CITY,STATE,ZIP U v c �� C¢` I S-4 t FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENTaHn-CT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL . FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK ' ' �7� e-��i ( 0tJ{''.tl. VZC:i•» .1 et4� !JI7 t i—vi��i�V- U— �o-vv�,vte . EXISTING USE PROPOSEDUSE CONSTR.ME #STORIES IT USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG -d-; NEW FLOORDEMO TOTAL C13 AREA 1;Q '+.+. .AREA It 3 AREA .•raO NETAREA . BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA .PORCHAREA DECKAREA TOTAL DECK/PORCH AREA GARAGEAREA: DETACH ACH #DWELLING UNITS:" ISA SECOND UNrr ❑YES SECOND STORY c�❑YCES BEINGADDED' NO ADDITION! W . ' PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES �RECEI •. 1 �' TOTAL VALUATION: PLANNING APPL N FIND PLANNING APPROVAL LETTER EICHLER HOME' Y�Yi ta0 R -M IM 07IN By my signature below,I certify to each of the following: I am the property owner or authorize ent tt r erty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and veri is accur e. I agree to comply with all applicable local ordinances and state laws relating to uildin construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Sig nature ofApplicant/Age • Date: -.z;- 2��, SUPPLEMENTAL OR_MATIO QUIRE -I -�u .Pl �h;t^HECKTIIE� � sI20UTIIACySL`i1'datY.r New SFD or Multifamily dwellings: Apply for demolition permit forRAN �D�OT'ERTH1iCOiRYTER�� BIIII.DIl�G L RES'IER''I�„ �,,� �� existing building(s), .Demolition permit is required prior to issuance of building permit for new building. EXPRES � �ri�" w� _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure _a szI�DxD IJBLL woxi�s f; form if any Hazardous Materials are being used as part of this projects _ ® _Copy of Planning Approval Letter or Meeting with Planning prior to t � 011RA70R T 0110W submittal of Building Permit application. EMgRO rNT'AL AYE A�s rf l BldgApp_2011.doc revised 06/21/19 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 907 SAGE CT DATE: 05/24/2013 REVIEWED BY: APN: 359 06 005 BP#: 1350/8_0-- 'VALUATION: 1$250,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex 2nd Unit? 0 Yes .' No PENTAMATION 1 R3SFDADD USE: OTC. 0 Yes (E)No PERMIT TYPE: WORK ADD 1373 S.F. LIVING SPACE FOR N LIVING RM 2 BEDRMS 1 DEN/BEDRM FULL BATH $ SCOPE LAUNDRY RM.ADD (N) FRONT PORCH 35 S.F. UPGRADE (E) 100 AMP PANEL TO 200 AMP & p OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. R-3 (Custom) II-B,111-B,IV,V-B 1,408 $2,563.90 IR3PLNCK $1,892.65 IR3INSP TOTALS: 1,408 $2,563.90 $1,892.65 MECI HOT3RLY Q"Yes ( es I10No PLUMBDOURLY 0 Yes No ELEC,HOURLY Y h. Elec.Plan Check I 0.0 hrs $0.00 g1 1'=fr 77117 Elec.Permit Fee: IEPERMIT Otho.-:,';-�h./i�t� ,;�„ r•v,'=;7:�,.', ED Other Elec.Insp. 0.0 hrs $45.00 NOTE.This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Elf. 7/1/12FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,563.90 200 1 amps Electrical Suppl. PC Fee: (F) Reg. Q OT FO.OThrs $0.00 $45.00 IBELEC200 Services PME Plan Check: $0.00 1 Electrical Permit Fee: $1,892.65 $45.00 IBREMRECEP Recep/Switch/Outlets Suppl. Insp. Fee-0 Reg. Q OTO,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $45.00 Cot�str�rctioYa T�:�: "Idinial'struttvc Fee: 0 Work Without Permit? 0 Yes C) No $0.00 0 Advanced Plannin Fee: IPLLONGR $183.04 Select a Non-Residential Travel Documentation Fee: ITRA VDOC $45.00 Building or Structure 0 i Strom Motion Fee: IBSEISMICR $25.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $10.00 SUBTOTALS: :, $4,764.59 $90.00 TCITALFEE $4,854.59 Revised: 04/29/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 907 SQ, PERMIT# O,S '8 OWNER'S NAME: (Xr PHONE# 02 99 GENERAL CONTRACTOR: —TnKVj Xu C,M ESS LICENSE# ADDRESS: y o„re% -t #-Vr -Lk CITY/ZIPCODE: 4r3 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS 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 x-29- ZOf 3 Owner/Contractor Signature Date Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CU PERTI NO Fax: 408-7773333 CONTRACTOR/ SUBCONTRACTOR LIST r/ JOB ADDRESS: PERMIT# OWNER'S NAME: PHONE# 09 - %1 4 -S e- GENERAL CONTRACTOR: •BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum/Wood Glass /Glazing Heating Insulation Landscaping Lathing ��• �'� w�� k�—?.off$ �` D Masonry Painting /Wallpaper Paving Plastering Plumbing Roofing Septic Tank yet Metal �1)ck Signature Date