14060097 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10408 JOHNSON AVE CONTRACTOR:DWK CONSTRUCTION PERMIT NO: 14060097
OWNER'S NAME: TZY JYE CHERN 18665 LOREE AVE DATE ISSUED:06/16/2014
OWNER'S PHONE: 4085592882 CUPERTINO,CA 95014 PHONE NO:(408)996-1186
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E]
License Class 13 Lic.#
SFDWL DEMO 1048 HABITABLE,264 GARAGE
�/ .(� r7�
Contractor �!� l� S �c ` ate L16
1 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:
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
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8000
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:37526051.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PE S RK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating ITHIN Igo DAY 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 AST 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 �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.
y/ z ROOFS:
l.�}
Signature G�Zy'7 L � � Date /6 � All roofs shall be inspected prior to anyny 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
1,as owner of the property,or my employees with wages as their sole compensation,
wil l 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). l have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 2.5505,25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(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 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this 6
permit is issued. Owner or authorized agent: Date:
I certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Date
DEMOLITION PERMIT APPLICATION
is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 I n
CUPERTINO (408)777-3228• FAX(408)777-3333• building(1cupertino.org �b
1
PROJECT ADDRESS /C ,ioy TZ)
Q
OWNER NAME Y L, ^ ,� PHIONE/��t E-MAIL T.?yi1/Y
STREET ADDRESS I / CITY, STATE,ZIP (- G 1 FAX
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY,STATE, ZIP FAX
OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME u LICENSE NUh"""^ LICENSE TYPE BUS.LIC#
� '
COMPANY NAME -n E-MAIL /` FAX
YW ® VA q YkC 1 �01A' Rkl CE r'!SfYu eVor,
STREET ADDRESS CITY,STATE,ZIP
l 6 (^ owe AQP 2 ,YL PHONE
DESCRIPTION OF WORK �0 1 l�� � �,S 1 V 1l O
RESIDENTIAL #DWELLING OFFICE USE ONLY
FLOOR AREA UNITS USE OCC. TYPE SO.FL VALUATION
COMMERCIAL
FLOOR AREA
TYPE OF CONSTRUCTION #STORIES
AQMD JOB NUMBER RECEIVED BY: TOTAL V U
By my signature below,I certify to each oft e following: 1 am the property owner or authorized agent to act on the property 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 accurate. I agree to comply with all applicable local
ordinances and state laws relating to building constluion. I authorizer sentatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: — --- Date: v Y�
SUPPLEMENTAL INFORMA IO QUIRED PRIOR TO ISSUANCE OF DEMOLI ON PERMIT OFFICE USE ONLY
Provide Job Number from Bay Area Air Quality Management 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: 10408 johnson ave DATE: 06/16/2014 REVIEWED BY: Mendez
APN. BP#: 'VALUATION: $8,000
'PERMIT TYPE: Demolition Permit
PRIMARY SFD or Duplex PENTAMATION 1 SFDWL-DEM
USE: PERMIT TYPE:
WORK sfdwl demo 1048 habitable 264 garage
SCOPE
FEE ID FLR AREA
s.f.
1DEMORES
Lj
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 Dept for addn'l info,
FEE ITEMS (Fee Resolution l l-053 Elf 7 /'131 FEE QTY/FEE MISC ITEMS
Permit Fee: $557.00
Suppl. Insp. Fee:Q Reg. Q OT TO.Ohrs $0.00
i
Strop, Motion Pee: IBSEISMICR $0.80 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $558.80 $0.00 TOTAL FEE: 1 $558.80
Revised: 04101/2014
.? r.:.r:
Regulation 11, Rule 2
�O COMPLIANCE &
ENFORCEMENT Acknowledgement of
B A Y A i� F A Notification and
AIRQUAIITl DIVISION
Payment of Fees
MA t�ALM I a
I? F, i
6/11/2014
DWK Construction Job No: 4G548
18665 Loree Avenue Invoice No: 3JP32
Cupertino, CA 95014
The Bay Area Air Quality Management District(BAAQMD) acknowledges receipt of your payment and
your Asbestos Removal or Demolition Plan described as: Demolition
Site address 10408 Johnson Ave
Cupertino, CA 95014
Start Date June 20, 2014
Completion Date July 5, 2014
Removal amounts of friable ACM 0 linear feet 0 square feet 0 cubic feet
Should it become necessary to revise this plan, please do so in the spaces provided below and immediately
copy the District by fax or by mail.
ff REGULATION 11-2 REVISION BAAQMD J# 4G548
fU;V[SION # START DATE, COMPI.,F,TiON DATE
2 -- --- -
3
4 ---
5 — --- -
NOTE: This form is not intended as a verification of either the completeness of your original notification
or of its compliance with BAAQMD Regulation 11-2. If yott have anY questions about this
acknowledgment, please call our office at (415) 749-4762.
Pacific Gas and
Electric Company 10900 No.Blaney Avenue
1- " Cupertino,CA 95014
DATE:June 9, 2014
CITY OF CUPERTINO
10300 TORRE AVE
CUPERTINO CA 95014
SUBJECT: REMOVAL OF GAS SERVICES (CUT 0) MAIN IN THE STREET) ON:
JUNE 6" ,2014 @ 10408 JOHNSON AVE CUPERTINO CA 95014
SUBJECT: ELECTRIC SERVICES WAS CUT AT POLE ON :
MAY 6T",2014 @ 10408 JOHNSON AVE CUPERTINO CA 95014
If you have any question contact us at (408) 725-3325
Sincerely,
John Gambucci
Pacific Gas & Electric Company
DeAnza Service Planning Dept.
SOS PEST CONTROL
214 Christich Lane #103
Campbell, CA 95008
Rodent Inspection Clearance
Date : April 28, 2014
Re: Property Address: 10408 Johnson Ave., Cupertino, Ca. 95014
To whom it may concern:
The property at the above location was inspected today for any infestation of rodents. No
active infestation was found. If you have any further questions, please call our office at
(408) 866-6609.
Thank you,
'44
"),(� t4'
Mike Stadmiller
Branch II Field Representative
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t.ri t ry rl�s•s3Jtf•5„r.0}'1?•'t'�4.Sr l� ti4}i jt�ki F} t �y ti•f-.f.A• h.f 7• N Al ,,, 5 P�.A{ as�icce . ice—d--' _ :__ �_� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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olttfn',t'+•aSyX fi•d-r tf!1 t? }: r. tett:iijil�,.7,JSrru:.,r.,t.,,,Jr.,l^Rin�jJL ,,5`.0^,,Shit., tf a a
.+.,} ha 4:u'`•,,^si,]+'d,��:.i itn, ,}^h�t4 I di.rt.,s , r 1 1 f }• ,` try:,u,s'c;••t-.r �:f'.'a r r:A: � r a a-�--a_
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>H r• r•t..euT„i..r..,s,s.,;:,i,.,i,.ii,;u:.si.,.};-sl.,r dn4,; ,un1+•vir :a, s n n.J•.r' ,i,n.r oma •`'i•n•.r,r`-.n•A.r a r f t•�r t m,n q R” ` 5 RUZ ` \�i { r —,
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Si lZn N+� +r 7"•l ^r. •i,t vLY,•rL, tp,y.,t,}�t t.• ' �:55 M f� n \ Q O
:�.st...' n:+..•�•'nr, :X.rv,,•r. n,n•1. r._..� SFED � x
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„;gr•�iL n; �'�:`N;'x`.'' v,r= t', 3 ' , I I g i i REMOVE (E) i CONC i i COLIC Chern's Residence
,tv: l: t• .n r•.r.f•rr»J+n,� r n A.d•
t`; a,'�n,r-S i� ii• •.,3u}.t to} w�,iL nu
8” PLUM TREE
tj•, �. Q New Custom Homes
I I uwl l y t t ,�
ti_- __ -__--J--, 10408 Johnson Ave
UJ I \ Nil x I - Cupertino, CA 95014
REMOVE (E) t I
wreE ( iv I CONC. PAVER REMOVE E
I I + SHED
° A licant/Owner:
�j� 4--- ---------------------------- -- ----- �ry�k Mr. Tzyjye Chem
•-.�—” 4•FOOTHIGHFENCING I I IoGO�GI 4 ti p� ( °
TYPICAL TREE PROTECTION FENCING I I I ,ov a �ov�o oti�o ' ryo X
___ --4 ________ 10408 Johnson Ave.
TYPICAI. BARK PROTECTION NOT TOSdALZ ____________ 1 I I �° Cupertino, CA 95014
NOT TO SCALE i +
7'T l7'"7-77'777—T- i i Tel. 415.559.2882
1• Prior to any construction operations contractor shall construct and maintain,for each protected tree on a construction site,a protective fencing I
which enoircles the outer Iinits of the critical root zonc(CRZ)of the tree to protect it from construction activity.The CRZ is calculated 1.25 feet I j 17 1
'+/ I u�' Email: Tzyjye@Yahoo.com
times the-diameter of die trunk ineasurod in.inches 4,5 feet above the natural grade). I °
�------'I I + ISG REMOVE (E)
2,All protective fend shall be in lace prior to commencement of an site work and remain in lace until all exterior construction activity at the 1
sitehasbean completed n p Y p 1. + CONC. PAVER
Architect:
3.Protective fencing shall be at least six(6)feet high,clearly visible,and shall have a tree p oteetton sign affixed to the fence every twenty(20)
feot.in such ii manner to be clearly visible and legible to workers on the site at a distance of twenty-five(25)feet,The sign(s)shall read"Tree STUDIO 1
_ STU 0 6 ARCHITECTS, Inc.
Protection Zone Keep out”, ;( j I 1 1.__i tih 1 �S”
CUPERT N012480 Saratoga Ave.
�4.Tiie ownm•shall cause the required fencing and signage to be installed and maintained for the duration of die constructton. 0 1 � � �°°`' �°°�' 4yP
-------------
S.In situaflonswhere a protected tree remains in fire immediate area of intended construction and the tree may be in danger of being damaged by f � j '� � � t'--- '�G a Building D@pe+Saratoga, CA 95070
construction equipment or other activity,the contractor or subcontractor shall protect the tree with 2"x4"lumber enoiraled with wire or other S T: (408) 892.5020
means that do not damage the tree.The intent is to protect the trank of the tree,against incidental contact by large construction equipment. I I Y 1 + + gJUN
6.Material Storage:No storage or placement of materials intended for use in construction or waste materials accumulated due to excavation or r + 6—�—i1/ /' 1 jt F: (408) 871.6923
demolition snallbe laced within the limits of rotectedtree. II 1 + j ' � - C�mail: FRANKLHO YAHOO.COM
n any I 102 /i t i REVIEWED FOR LODE COMPLI N @
7.Equipment Cleaning/Liquid Disposal:No equipment shall be cleaned or other liquids,i iolud ng,without limitation,paint,oil,solvents,asphalt, UJ/
concrete,wortar or similar materials deposited or allowed to flow into the critical root zone of a protected tree, Y I Reviewed By:
S.Tree Attaciuments:No signs,wires or other attachments,other than those of a protective nature,shall be attached to any protected tree, I" + r---,I/ /'r-�A-L_, 1 SES ARC
9.Vehicular Traffc:No vehicular and/or construation equipment traffic or parking shall take place within the critical loot zone of any protected I I I I j /'a G�,G 1 CaVFRED PA1n0 D 1
tree other thimonexisting street pavement. ( X°�°o BU D REMVE (E)
1 O,No heavy couipment,including but not limited to trucks,tractors,trailers,bulldozers,excavators,skid steer tractors,trenchers,compressors, I• I 1 +� r_.1
1
and hoists,shall be allowed inside the drip-line of uny protected tree on any construction site, l 1 l°���G �� +°�o�'° O �C N C29889 �r
11,Grade Changes:No grade changes shalt be allowed.within the limits of the critical root zone of any protected tree unless adequate protective G° tI/ /1 `x4l e R 2/28/15
construction methods are approved in advance in writing by the city, /
12,Impervious Paving:No paving with asphalt,concrete or other impervious materials shall be placed within tlhe limits of the critical root zone of 'ti`?�
f___-____ °� ADJACENT F
a protected tree,unless expressly permitted by the public works Dept X o�' I '/ I -- G�oh F OFF'
�
13,Root Pruning:All roots two inches or larger in diameter which are exposed es aresult of tmnehing or other excavation shall be cut off square (` j t e,9 i PAV9 I ; x CA�-
widi a sharp medium tooth.saw and covered with natural fiber burlap withln two hours of initini exposure, I +OGo�° 1 STORY WOOD HOUSE
��I +
14,All public sidewalks shall rerhain open,free and clear for public access,unless closure is pertnitted by the Public Works Department, � i I t� FF=102.5 I,QP� I t
(• RIDGE=112.7 /� i ;_ -i STRU .T EER:
TREE PROTECTION ST DARD I }i t =� . ;
:, 4
REVISED 5/13 ( I I I /t t REMOVE (E) I i J F nLmBUIDING '
CITY OF CUPERTINO L ell
STANDARD DETAILS APPROVED BYr' ,` DATLO: 1"3 5-4
city girreer I j ;eG
�-------------------------------- - I 1 1 UNrTY DEVELOPMENT DEPARTMENT
BUiLDING DIVISION-CUPERTINO
z L_----__.��C_-------------�G° 1 I
APPROVED
I oaac GARAGE i ��o This of pians and ifications UST be kept at the
Am
hG I job during construction. It is unlawful to make any
--------- —:f-----m-------------' � -------�ti .-- i i I c an or alterations on same, or to deviate
TREE PROTECTION STANDARDS DETAIL �,° �-.T2/ �, ______°• °�� theref m, without approval from the Building Official.
The mping of this plan and specifications SHALL NOT
N.T.S. I x0, x i �o� ; I ot'-----xs+_....__J j I Ike mel t0 per or to be an approval
REMOVE (E) I P �o�`I + _
REMOVE (E) CONC. PAVER of an prov' i of ny Diy
2 DIA DRIVEWAY AND
BOUGAINVILLEA SIDE WALK °`' �° tf°tib 1°° ' h r~ kTa
NOTE: ; 1 I couc
% 26
1. EXISTING STRUCTURE TO BE REMOVE u /�° ,
I + + 1 1
MAIN WATER, ELECTRICAL AND GAS SHALL BE SHUT OFF. 26Yi ! v Y
2. REMOVE (E) DRIVEWAY PAVER UP TO PROPERTY LINE, DRIVE WAY ,; �° + I 1' 1* i
CURBCUT AND SIDE WALK OUT SIDE OF PROPERTY LINE SHALL __��_. __�tia_ __ __ ___ _;_ __.fes__
REMAIN IN PLACE t tl SO'20'15"E j 57.00'
PP°�' •.'1 ter,/ lob ( l / 1 � ® ov
°9 �h 6' �° 13-
"I
First Bld. Comment 4.21.14
5� 5� 5� ey
NO. Revision Date
x� Drawn By: Date:
RELOCATE (E) 15 GALLON, 1" DIA., FRANXINUS HUDEI o`1
(SHAMMEL ASH) NEWLY PLANT BY CITY OF CUPERTINO. THIS x� File:
TREE TO PROTECTED DURING CONSTRUCTION.
CONTRACTOR/OWNER SHALL CONTACT JONATHAN FERRANTE
AT 408--777-3343 TO ARRANGE FOR CITY CREW TO DIG UP
THE STREET TREE. SEE ALSO DETAIL 1 FOR TREEe 0` H N S 0' N, AVEN'T"UE
PROTECTION. Issue:
D1
61, Date:
X$
��� ._.... _...�.� 3,12,2014
x PG
Sheet Title:
DEMOLITION SITE PLAN
T � ,
Sheet No.:
_ ---' DEMOLITION SITE PLAN
Dtl*ah - _ ---� A
v1/811=1'-011 D
0