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13100156
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10721 JOHNSON AVE CONTRACTOR:DWK CONSTRUCTION PERMIT NO: 13100156 OWNER'S NAME: WANG FENG WEN AND CHANG HUI-FEN 18665 LOREE AVE DATE ISSUED:02/13/2014 OWNER'S PHONE: 4085673014 CUPERTINO,CA 95014 PHONE NO:(408)996-1186 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] c� CONSTRUCT 2 STORY SFDWL,2,161 SQ FT OF LIVING License Class / Lic.# �l�C'�� SPACE,ATTACHED GARAGE 427 SQ FT-SUNNYVALE Contractor.-W6 Cis Date Z 13 I JURISDICTION I hereby affirm that 1 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$300000 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:37531054.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is PERMIT EXPIRES I + RK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 1 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 S F ALLED 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 2 granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Sect 9.18. RE-ROOFS: Signature ZG�*- �—T/ Date 4 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 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 Owner or authorized agent: GGA C Date: permit is issued. I certify that in the performance of the work for which this permit is issued,1 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 1 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 CONSTRUCTION PERMIT APPLICATION 12 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 ��Q (408)777-3228•FAX(408)777-3333•building@cupertino.org I c CUPERTINO 9LNEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 072-1 OhA5eO Ihe 7 APN# -3 Z s_2/ _ O5� OWNER NAME r` C7/, Et 1 A/ ,r_ PHONE( 0A -6�-301� JE-MAIL STREET ADDRESS FEV I`t/GT�J" �l��/(� CITY, STATE,ZIP � FAX D �l 0`111Sc� 6A SL CONTACT NAME PHONE E-MAIL c C it`e L.. He (�t;�)`��6_"i1�� ��4"Ik_c�orlStrztQ-t�v>~�Y�� o.fa`u1 STREET ADDRESS (y/ [- ( ,ri/) /L CITY,STATE, ZIP " eklrIA. , � '1 Gj�fes{ hA7�,�j.f,�,���n�—/ ❑OWNER ❑ OWNER-BUILDER 4❑�JO/CWNER AG/E7NTT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT/ /❑ENGINEER [❑'-fi-DEEVFSLOPER ❑TENANT CONTRACTOR NAME <vI K /I�J ,, `�,� LICENSE NUMBER LICEN TYPE BUS.LIC# Mr COMPANY NAME E-MAIL �`� 71$/ /Girt. (*"'Cf at FAX//;6U) Z/CJ '--Y/O'U STREET ADDRESS 18 f[{- ` k6 f Z j;T'- CITY,STATE,ZIP t PHO(N�4�� ��—/`W f�(�J (� G /7''G E`�'j/�t,°�, C� ���f- ( 077 ARCHITE GINEER NAM J LICENSE NUMBER "L BUS.LIC# S'• S2� COMPANY NAME J O E-MAIL FAX E'- j l �G� �dryllaSLF.�� STREET ADDRESS/ f�D �k�y�i{.�p{C",,/ . 43�.,/ CITY,STATE,ZIP C���j PH(NF� DESCRIPTION OF WORK /'\'I l VW Z�+' �"-` AAV d gt1 a� EXISTING USEQ 7 PROPOSED USE CONSTR.TYPE #STORIES r d4 U .2 16 /B 2 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG U/ NEW FLOOR DEMO V TOTAL AREA /J 7[� AREA>r R AREA �{,� NET AREA/,32 LAv,w b BATHROOM KITCHEN O •1 REMODEL AREA REMODEL AREA REMODEL AREA rt /. I #/ PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA DETACH C 4-66 S e4Z -9 }�ATTACTI #DW LING UNITS: IS A SECOND UNIT YES SECOND TORY VIES ane BEING ADDED? QI NO ADDITION? ❑NO PRE-APPLICATION��`YES IF YES,PROVIDE COPY OF` IS THE BLDG AN YES RECE B • / TOTAL VALUATION:— PLANNING APPL# TINO PLANNING APPROVAL LETTER EICHLER HOME? NO By my signature below,I certify to each of the following: I 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 construction. I authorize representatives of Cupertino to enter the above-identified for inspection purposes. Signature of ApplicandAgent: t Ii Date:�/>Y / ` SUPPLEMENTAL INFORMATION REQUIRED PLAN CRECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building ,9 permit for new building. ❑ EXPRESS PLM KING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE 'FHIE.DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. 11 MAJOR SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10721 johnson ave DATE: 10/24/2013 REVIEWED BY: mendez APN: BP#: � *VALUATION: 1$300,000 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex 2nd Unit? •Yes No PENTAMATION 1R3SFDW USE: PERMIT TYPE: WORK construct 2 story sfdwl 2,161 sq ft of living space, attached garage 427 sq ft SCOPE 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 2,588 $2,897.01 IR3PLNCK $2,739.24 IR3INSP TOTALS: 2,588 $2,897.01 - $2,739.24 E3 ' ✓ir,,,""t"'! Jf?7t�. El b r ,c y7 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 I info, FEE ITEMS (Fee Resolution 11-053 E ff.. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,897.01 Select a Misc Bldg/Structure Suppl. PC Fee: E) Reg. 0 OT0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $2,739.24 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 #flewunits $650.84 Work Without Permit? Yes E) No $0.00 0 Advanced Planning Fee: IPLLONGR $362.32 Select a Non-Residential 0 If."v�l l;'�7et�iirc°iifrrlrF�;; cr.,. Building or Structure A Strong Motion Fee: IBSEISMICR $30.00 Select an Administrative Item Bldg_Stds Commission Fee: IBCBSC $12.00 SUBTOTALS: $6,691.41 $0.00 TOTAL FEE: $6,691.41 Revised: 10/01/2013 ...,.....,_...r.,.-we,__ _._. :z.:,�._...^..3t �..:;,...,..-•r::,..:«.eGT.�. .>.. , ':r,: 'acV.. ��?:,ce 7 w �a^.vr, •'.i.... x{ Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 C U P S RT I N O Telephone. 408-777-3223 Fac: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: f � . 1 ;!, s fix-�'r , PERMIT# I S/ J IS' OWNER'S NAME: �y2c" 1%�•a• riles. PHONE# GENERAL CONTRACTOR: 7,;.r. ; '.<..- ;�, -�.:<:fa y BUSINESS LICENSE 9 ADDRESS_ J t 1 L 19C-`'� CITY/ZTPCODE: *Our municipal code requires all businesses workagg in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL. OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIT, THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS RAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. , I am not using any subcontractors: 7_4 -� Signature Date Please check applicable subcontractors and completc the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE# Cabinets&Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linolcum/Wood Glass /Glazing hleatinJ Insulation Landscaping Lathing Pro oy",`gyp(-, Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing ri ItG► �2 Ro Septic Tank Sheet Metal Sheet RockPM Tile 1y I 9 X14 Owner/Contractor Signature t)ara 2010 CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPAR7MENT- BUILDING DC`JISION CUPERTtNO ALBERT SALVADOR. P.E.. C E.O . BUILD?NG OFFICIAL 030C TORRE AVENUE •CUPERTINO CA 950':4-3255 {408; 777-3228 •PAX 408; '77-3333 ' PURPOSE: The 2010 CalGreen Code applies to all newly constructed hotels, motels, to houses, dwellings, dormitories, condominiums, shelters; congregate residences, employee ho -built housing and other types of swellings with sleeping accommodations and new accessoIdin ssoc ted with such uses. Existing site and landscaping improvements that are not otherwise c rboare no ubject to the requirements of CALGreen. Project Name: �V R SI O .A C� � � Project Address: ] v72-1 ©h'15 e ,s CtssV1 4 Project Description: �— S'�Y 5- , Instructions: 1. The Owner or the Owners agent shall empl censed professional experienced with the 2010 California Green Building Standards Codes to verify Cdjgwre that all required work described herein is properly planned and implemented in the project_ 2. The licensed professional, in collaboration wi2,1it-Mrification r and the design professional shall initial Column 2 of this checklist, sign and date Section 1 - at the end of this checklist and have the checklist printed on the approved plans for the piaat 3. Prior to final inspection by the Building Departmesed professional shall complete Column 3 and sign and date Section 2 - Implementation the end of this checklist and submit the completed form to the Building Inspector. 4240 Column 2 Column 3 MANDATORY FEATURE OR MEASURE I Project Verification Requirements PLANNING Planning and Design-Site Preservation 4.104.1 A site plan and inventory of the site is developed and used to minimize j site disturbance in order preserve desirable existing natural resources and minimize future adverse effects on the proposed structure. Planning and Design -Site Development 4.106.2 A plan is developed and implemented to manage storm water I ® ! ❑ drainage during construction. 4.106.3 The site shall be planned and developed to keep surface water away I from buildings. Construction plans shall indicate how site grading or a drainage ' ® j system will manage all surface water flows. E Page 1 of 5 CalGreen_7010.doc revised 0n,27-11 A4.2 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. A4.3 WATER EFFICIENCY AND CONSERVATION Indoor Water Use i 4.303.1 Indoor water use shall be reduced by at least 20 percent using one of the follow methods. j j ® 1 Water saving fixtures or flow restrictors shall be used per Table 4.303.2. As of 7/01/2011 I A 20 percent reduction in baseline water use shall be demonstrated per Table 4.303.1. i 4.303.2 When using the calculation method specified in Section 4.303.1. multiple showerheads shall not exceed maximum flow rates. I As of 7/01!2011 4.303.3 Plumbing fixtures(water closets and urinals) and fittings (faucets and showerheads)shall comply with specified performance requirements. j As of 7!01/2011 Outdoor Water Use 4.304.1 .Automatic irrigation systems installed at the time of final inspection shall be weather-based. A4.4 MATERIALCONSERVATION Enhanced Durability and Reduced Maintenance 4.406.1 Joints and openings.Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar imeti iod acceptable do the ei{or Ciiy ----- Construction -- -Construction Waste Reduction, Disposal and Recycling 4.408.2 Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. Building Maintenance and Operation 4.410.1 An operation and maintenance manual shall be provided to the building occupant or owner. Page 2 of 5 CaiG-reen_1 Ji O.doc revised 08,2`11 A4.5 RO FWeplaces 4.503.1 Install only a direct-vent sealed-combustion gas or sealed wood- burning fireplace, or a sealed woodstove. ® 1 El Pofhdwd Control 4.504.1 Duct openings and other related air distribution component openings ® ❑ shall be covered during construction. I 4.504.2.1 Adhesives, sealants and caulks shall be compliant with VOC and ® ❑ other toxic compound limits. 4.504.2.2 Paints, stains and other coatings shall be compliant with VOC limits. ! ® I ❑ 4.504.2.3 Aerosol paints and other coatings shall be compliant with product ® ❑ i weighted MIR Limits for ROC and other toxic compounds. 4.504.2.4 Documentation shall be provided to verify that compliant VOC limit finish materials have been used. ® ❑ 4.504.3 Carpet and carpet systems shall be compliant with VOC limits. ® ❑ 4.504.4 Fifty(50) percent of floor area receiving resilient flooring shall comply with the VOC-emission limits defined in the Collaborative for High Performance ® ❑ Schools (CHPS) Low-emitting Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. i 4.504.5 Particleboard, medium density fiberboard (MDF), and hardwood plywood used in interior finish systems shall comply with low formaldehyde ® ❑ emission standards. w Interior Moisture Control 4.505.2derii v aNu� retarder and iaNivai y break-is II IJta11Cd at slab UI I grade foundations. ® ❑ i 4.505.3 Moisture content of building materials used in wall and floor framing is ® ❑ checked before enclosure. i Page 3 of 5 Ca!Green_ZOIO.doc revised 08.-,711 Iedw Air Qua!"ity and Exhaust 4.506.1 Exhaust fans which terminate outside the building are provided in { every bathroom. i Erniro vitimm f Comfort 4.507.1 Whole house exhaust fans shall have insulated louvers or covers which close when the fan is off. Covers or louvers shall have a minimum insulation value of R-4.2_ i i 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: I 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. 2. Size duct systems according to ACCA 29-D (Manual D)or equivalent. 3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent. I i INSTALLER ♦ , SPECIAL INSPECTOR QUALIFICATIONS 1 . Qualifi .-Mms 702.1 HVAC system installers are trained and certified in the proper installation of HVAC systems. i 702.2 The Licensed Professional responsible to verify CALGreen compliance is qualified and able to de-mnn$tratP r nmpptPnr.P in the discipline they inspect and verify. t i Verifications 703.1 Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing agency which show substantial conformance. Implementation verification shall be submitted to the Ica El Building Department after implementation of all required measures and prior to final inspection approval. Page 4 of 5 CaiGreen_20?0.doc revised fA 7 1' CALGREEN SIGNATURE DECLARATIONS Project Name: S1- En r-& Project Address: t o?,L I J /1s" /ive , CcrtA V, C 9s V/�}- Project Description: le ftt' SECTION 1 - DESIGN VERIFICATION Complete all lines of Section 1 —"Design Verification"and submit the completed checklist(Columns 1 and 2)with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2010 California Greer, Building Standards Code as adopted by the City of Cupertino. Owners Si ature Date -- .inn G Owners Name (Please Print) Design ofessional's Signature Date e Design Professional's Name (Please Print) lewo—,- c Signature of License Professional responsible for CalGreen rompliance Date Name of License Professional responsible for CalGreen compliance(Please Print) Phone wk cm.5htc e-ti�-M e, ,�-hvo , Cul"'i Email.Address for License Professional responsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION Complete, sign and submit the competed checklist, including column 3,together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection.. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2010 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance(Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CaiGree.n_2010.doc revised 08:'7"%11 EIL [ty� lq Rl?�_ _4 CALGREEN SIGNAL IRE_OFCLARATIONS Project Name: �1AA)6-7 kE51VC,1',/C.E v '" Project Address oI72-1 „JnAiisUn Project Description: AL 2— 5*L3 Si Gt0tLP!-tq (-Low SECTION 1 - DESIGN VERIFICATION Complete all lines of Section 1 —"Design Verification"and submit the completed checklist(Columns 1 and 2)with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2010 California Green Building Standards Code as adopted by the City of Cupertino. Owner' ignature Date Owner's Wame (Please Print) Depdn Professional's Signature Date i<...1lr'e LP Design Professional's Name (Please Print) . e- Signature of License Professiona responsible for CalGreen compliance Date --ri4v ,14-8 ( 4U 1G, ( Q oq)3Cq_39 S 7 Name of License Professional responsible for CalGreen compliance(Please Print) Phone dwkew-7s rrLt'h2-" Y«Ace, ,&--, Email Address for License Professional responsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION Complete, sign and submit the competed checklist, including column 3,together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2010 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance(Please Print) Phone LtI ( 5 G�f'1�90, C elf Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen_2010.doc revised 08,/27111