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14040128 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10435 STERLING BLVD CONTRACTOR:JACK CHANG PERMIT NO: 14040128 CONSTRUCTION OWNER'S NAME: WU ANDREW AND LU MEI HUI 10220 STERLING BLVD DATE ISSUED:04/21;2014 OWNER'S PHONE: 4084102728 CUPERTINO,CA 95014 PHONE NO:(408)517-8878 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL 0 DEMO(E)SFD(1200 S.F.) License Class_��+�u Lic.#/� ,lD 0 Contractor� � u(��r [P/�/Date T I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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 rf mance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8000 e and will maintain Worker's Compensation Insurance,as provided for by S ion 3700 of the Labor Code,for the performance of the work for which this r1PN Number:37526014.00 Occupancy Type: pe itis 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 MIT 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 F LED 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 Date: with all non-point source regulations per the Cupertino Municipal Code,Section ///1', 9.18. RE-ROOFS: Signature 4�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 DECL RATION 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(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 the Health&Safety Code,Section 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this r 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 GENCY 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(See.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. Date '(1%DEMOLITION PERMIT APPLICATION O� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \�O CU PERTINO (408)777-3228• FAX(408)777-3333•buildinJc(ftupertino.org PROJECT ADDRESS d _ APN# OWNER NAME LAI)a PHON(((OQ) t/lOT2? E-MAIL STREET ADDRESS O CITY, STATE,ZIP FAX CONTACT NAME --�p�,�CT� Id�Tr�� n -� Z �7 E-MAIL STREET ADDRESS y CITY,STATE, ZIP rA4(�J S C FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECTS❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME CEN E NUMBER LICENSE TYPE BUS.LIC# C � 2 v f3 COMPANY NAME E-MAIL FAX STREET ADDRESS 7o CITY,STATE,ZIPS 774 L DESCRIPTION OF WORK C7 RESIDENTIAL /f #DWELLING OFFICE USE ONLY FLOOR AREA (r� UNITS - USE OCC. TYPE so.FT. IAL ATION COMMERCIAL FLOOR AREA TYPE OF CONSTRUCTION _ #STORIES AQMD JOB NUMBER BY: VALUATION: J #: ::::12 C:;P--_4G>. By my signature below,I certify to each of the following: I am the property owner or authorized agent to act onperty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is curate. I agree to comply with all applicable local ordinances and state laws relating to buil 'ng construction. I authorize represe ' sof Cupertino to enter the above-identified pro/perry for inspection purposes. Signature of Applicant/Agent: Date: / SUPPLEMENTAL INFORMATION REQUIRED PTO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY Provide Job Number from Bay Area Air Quality Mana ent District www.baagmd.org @ 415-749-4762. PLAN CHECK TYPE _Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" ❑ EXPRESS in diameter or more at 3'above grade. ❑ STANDARD _Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. ❑ LARGE _Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by person(s) ❑ MAJOR certified in asbestos,mercury and/or hazardous material examination. Planning Dept clearance to verify building is not considered an historical landmark.Allow 10 business days. Provide letter of clearance of all vermin from a licensed pest control contractor. Applicant shall call the Public Works Department at 408-777-3104 and schedule a"habitable dwelling"inspection. Provide signed Debris Bin and Recyclable Materials form. DemoApp_2013.doc revised 02113113 CITY OF CUPERTINO D FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10435 STERLING BLVD DATE: 04/21/2014 REVIEWED BY: MELISSA APN: 375 26 039 BP#: 14010104 `VALUATION: $8,000 KPERMIT TYPE: Demolition Permit PRIMARY SFD or Duplex PENTAMATION 1SFDWL-DEM USE: PERMIT TYPE: WORK DEMO E SFD 1200 S.F. SCOPE FEE ID FLR AREA s.f. 1 DEMORES 1,200 Li 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 prelimina information available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 11-053 Eff' 7'1/13) FEE QTY/FEE MISC ITEMS Permit Fee: $557.00 Suppl. Insp. Fee:Q Reg. Q OT O.o hrs $0.00 A Strong Motion Fee: IBSEISMICR $0.80 Select an Administrative Item Bldg,Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $558.80 $0.00 TOTAL FEE: $558.80 Revised: 04/0112014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: j PERMIT# D O l OWNER'S NAME: U PHONE# D 20 GENERAL CONTRACTOR: 1^ BUSINESS LICENSE# CYXIO Z 2 ' ADDRESS: 0 h 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. A' I am not using any subcontractors: 41-11 � 44121 Signature Date Please check applicable subcontractors and complete the followi /nformation: 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 Owner/Contractor Signature Date Pacific Gas and I'M Beddic Company January 21,2014 We received your application for service. Here are the next steps and additional information we may need from you. MEI-HUI LU RECEIVED 10435 STERLING BLVD CUPERTINO, CA 95014 APR 2 12014 BY Dear MEI-HUI LU, Thank you for submitting your application with Pacific Gas and Electric Company.We appreciate the opportunity to assist you in evaluating your gas and/or electric service request for the following project: 10435 STERLING BLVD 10435 STERLING BLVD, CUPERTINO, CA 95014 If you have any questions about this project please feel free to discuss them with your representative during the call. During the discussion, your PG&E representative will evaluate the type of service being requested, the process flow, and if an engineering advance will be required for your project. Engineering advances would cover PG&E's time and costs associated with visits to your site, travel and preparing job estimates and a contract for your project. If we do require an advance, we will apply it against the costs of your project and will either bill you for any additional amounts or refund any excess you pay.We also want you to be aware that we may need to cancel your application if: It is incomplete and we do not receive the supporting documents and project data we request within 120 days of submitting your application We do not receive your engineering advance, if required,within 90 days of when we sent your invoice We do not receive a signed copy of your contract with the required payment within 90 days of when we mailed the contract to you Customer Connections Online(CCO)makes it easy to manage your project, 24 hours a day, 7 days a week. If you haven't already enrolled, you can sign up at www.pge.com/CustomerConnections to access your application. Our online tool offers additional features to help manage your project.Just use the Application Number and Security Code below to link to your application: Application Number: 107739527 Security Code:A7934108 Again,thank you for your application for service with PG&E. We are proud to be your energy partner and look forward to serving you. If you have any questions, please don't hesitate to contact the Building&Renovation Service Center, Monday through Friday,from 7:00am to 6:00pm at(877)743-7782. Sincerely, Pacific Gas and Electric Company Page 1 of 1 ID:107739527 PROCEDURE CHECKLIST FOR DEMOLITION PERMITS COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333• building@cupertino.org PURPOSE The demolition application should be applied for before or at the same time as the new construction permit application(these are separate permit applications and fees). Permit fees are due at the time of the application/plan submittal. The new construction permit will not be issued until the demolition permit is issued, unless a letter obtained from the Building Department is submitted stating that"The existing house will not be demolished until the new construction pen-nit is issued". The letter needs to be signed by both the property owner and general contractor. REQUIREMENTS To obtain a demolition permit in the City of Cupertino, please complete a Demolition permit application along with each of the following requirements as it applies to your specific project. 1. Three copies of a Site (Demolition) plan for Residential or six (6) copies for Commercial will be required showing any trees 10 inches in diameter at 3 feet above grade on the subject property, and what means will be taken to protect these trees. 2. PG&E must be contacted AS EARLY AS POSSIBLE prior to demolition to schedule the abandonment. Contact PG&E at(408) 725-3325. A letter from PG&E shall be provided to the City, stating that all gas and electric has been disconnected. (This step can be time consuming,so it is important to begin the process immediately) 3. Provide Job Number from Bay Area Air Quality Management District www.baagmd.gov @ 415-749-4762. -t 4. Check to see if the building is considered an historical landmark. Obtain clearance from the Community Development Planning De_�artment. Allow 10 working 7 days. 5. Provide a letter of clearance of all vermin from a licensed pest control contractor. 6. Important: Prior to the issuance of the.demolition permit, the applicant must call the Public Works Department t (408) 777-310 d arrange a"habitable dwelling" inspection. 7. Debris bin and Recycling sheet: read,sign and date. The sheet will remain in the project's building permit file for the duration of the project. 8. Commercial only-prior to issuance of the demolition permit,the Fire Department must review the plans for fire suppression/alarm systems that shall remail in service or be modified during Demolition or that shall be replaced with the new construction. DemoPro cedure.doc revised 2113113 i STRUCTURAL ENGINEER 0 1001-011U Ln N doo - Q� 0 0-) o � PROPERTY LINE _ _ C) U � o - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - o - - (E) FENCE - 22'-8" —I 4 ; -- --------------------- ' W ^ � r- -i---------------------- ---� I o 0 I I I 0 �-- 0 ELn I I / I 1 I 1 1 1 I I 1 I 1 i I I I i i I t --------- PROJECT -- ----- (E) MASTER BEDROOM I { I I 1 I I � i I I I I I ® 1 I (E) BEDROOM I I I z N 1 I I I I I I CD f I O 1 I I I I 0 t CD 1 w i i I w / " :2 M L I zl z WW —' U ��J 07 f w (E) BEDROOM j j F— U W z Q — U wr---- --------------- wl iw —I n- I ' _ i i n w i 0 ry w W0 � 0 1100 I I— I 00 E KITCHEN I I (E) FAMILY ROOM I I I I 0 �r- N u I I 1 I I I I I I 1 I I I 1 I (E) LIVING ROOM i 0 I to --------------------------------------------------------- i I 1 n 7, f L-----------------------i--- I i ,:i iJ PROJECT NO 1 I I `y 308 i I � 1 / T L----- -------------------------- ---------------------- f r� c, I -� N i (E) GARAGE NO A / f I i _.. 1 1 0 KN 4 k 44 AT P s I I 28'-10" /. DEMOLITION NOTES: - .�� 1 . ALL EXISTING ROOF SHINGLE, WOOD FRAMING TO BE REMOVED. 2. ALL EXISTING EXTERIOR AND INTERIOR WOOD FRAMING WALLS TO BE REMOVED. P� 3. ALL EXISTING CONCRETE SLAB AND WALL FOOTING TO BE REMOVED. PLANNING SUBMITTAL 4. CAP ALL ELECTRICAL & PLUMBING FIXTURES WHERE APPROPRIATE SHEET CONTENTS / ' I I 9 I j LZECEIVE z / APR 2 12014 —� �� Y t �`•v t" F l -- :fi r• 1 l Tly t/ 1 DEMO PLAN w SCALE: 3/16" = 1'-0" SHEET NUMBER I IL D v