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14080084 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10457 S DE ANZA BLVD CONTRACTOR:HTX PERMIT NO: 14080084 OWNER'S NAME: BDC HAYWARD LP 3088 AUTUMNWOOD CT DATE ISSUED:08/12/2014 OWNER'S PHONE: 4089662275 SAN JOSE,CA 95148 PHONE NO:(408)966-2275 S LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] /� HONGYUN ART; COMM.TI TO INCLUDE WALL License Class P2 Lic.# "l �Z�7 DIVIDERS, �-exuNEW FINISHES.., o � Contractor _ d 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. 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 erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:525000 ave 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:35917019.10457 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRESJE—WPRK IS NOT STARTED correct. I agree tocomply with all city and county ordinances and state laws relating WITHIN 18 Y�OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter Al upon the above mentioned property for inspection purposes, (We)agree to save 180 DAYS FROM L ST 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 granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-pcoD re tions per the Cupertino Municipal Code,Section 9.18. ]� RE-ROOFS: Signatu Date ' f L'14 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(See.7044. Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(See.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 Cu e ' o Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Secti 550 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Lf permit is issued. Owner or authorized a t: DatX1.1 'f 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. Signature Date CONSTRUCTION PER110HT APPLICATION �K CCOMMUNITY DEVELOPMENT DEPARTMENT r BUILDING DIVISION V� 10300 TORRE AVENUE r CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX(408)777-3333• building rOcuDertino.ora CUPERTINO � [I NEW CONSTRUCTION ❑ ADDITION �,II�-11;LTERSTION/11 ❑ RFVIS10N/DEFERRED ORIGINAL PERMIT'-' PROJECT.ADDRESSI[) 'l . PPN ' Gi q4(/ Ou'NERXAIE �nLl`1 E-)JAIL STREErADDRESS /f y CITY, STAT'rVZiiP FAX C0N7ACT NP WEPHO vz E-MA r/T� .A C— S _ STREET ADDRESS; �U t✓C�fC �l et l�.`IC7- C TY,STATE, ZI C 4- 47 S/2-2— FAX ❑ OV.ER ❑ O'A-M" BLTI.DER AGENf Q CCAiRACTOR UcoNr-RAc-roRAG=Ti ❑ P-RCITcCT DE\BIA?ER ❑ --NA?N'r COMRAC T OR NAh!E {1 LICTSE T�^_R LICA'c'TYPE I BUS.LIC COMP.AI.'Y N.a-r,1E �/_ E-!JAIL STREET. D � S F+-/�3 Jail STATE,ZIP 0- 9 r /Z 2- PH ) } 6 M'0 L.e+'C fiAve 7 C .�_7 .4RCHI i ECT/ENGNEER N.4,;,6£ ?CENSE NUM3ER BUS.LIC," COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP I PHONE DESCRIPTION OF WORK �f 1e1 E>LISTING L'SE PROPOSED LSE CONSTR.TYPE STORIES t Re b- r f� r liSE TYPE OCC. SQ.FT. VPLliATION(S) EXISTG 1 NEW FLOOR f DE1140 TOTAL AREA AREA AREA NET AREA r r BATMOOM1UTUMN I 07F.-ER REMODEL AREA REMODEL AREA REMODEL AREA r � PORCH AREA DECK AREA TOTAL DECIUPORCH AREA GARAGE AREA: LJ DETACH I ❑ATTACH DR ELLINGUNiTS: IS A SECOND UNIT ❑YES SECOND STORY []17.S BEING ADDED? E3 NO ADDITION? ED NO .—N --PsZ-'-r�3Pt-IC.aTION-01'-ES :r-�cS,3A0]�H.cOP.1.QF _IssLDG.4N f11=5 CFl,3'EDBY f -- TOTAL PLA1WINGA?PL: ❑NO ?L.S.�T'LkGAPPROVALLETT:R EICHLERHOhfE? ❑NO ' r - -- {'" r _T By my signature.below,I certiry to each of the following: I am the property owner or authorized aeent to act on fee.propem o\�mer's behalf. I have read this application and the information 1 have ovided is correct. I h --read the Description ofWoric and verify it is accurate. I agree to comply with all applicable local ordinances and state laws,-elating Ia wilding constructs orize re sentatiVes Of Cupertino 10 enter the abov 'dentifi�propel for inspection pu poses. Signature ofApplicanUAge Date: SUPPLEME?vTAL INFORMATION REQUIRED r �u ga � M-0-R-14" s New SFD or Multifamily dwellings: Apply for demolition permit for �� _ �� MM OVER�HFrC0U1lTEft ❑ BU2LDLNGPLA�REiTJ -. existing building(s). Demolition permit Is required prior' issuance of building _ � � lk _�� Ma S. permit for near building. 1� S� ❑ p NL �E�PRESS LFM r ,AMM' ' ' -. ' Commercial Bldgs: Provide a completed Hazardous Materials DiSelosure ST DAT�z � PUBLIC L;OTtkS form if any Hazardous Materials are being used as part of this project. "' t �•`��.�I�tE �- _Copy of Planning Approval Letter or Meeting with Planning prior to y rfl - moi DRi sE�ER nisrxrcr�� submittal of Building Permit application. %E?�3IROA74EhrAZHEAiT13 �� ' Bldo4pp_2011.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION :IlaADDRESS: 10457 s de anza DATE: 08/12/2014 REVIEWED BY: Mendez PN: BP#: 'VALUATION: 1$25,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1B TI USE: PERMIT TYPE: WORK comm. ti to include wall dividers new finishes.. SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA pC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. B (Tenant Improvements) II-B,III-B,IV,V-B 1,715 $2,204.38 IBTIPLNCK $1,649.93 IBTIINSP TOTALS: 1,715 $2,204.38 $1,649.93 MECH,HOURLY 0 Yes 0 No PLUMB,HOURLY Q Yes ) No ELEC,HOURLY Q Yes Q No Ll NOTE: This estimate does not include fees due to other Departments(i.e. Planning,Public Works, Fire,Sanitary Sewer District,School District,ete.). Thesefees 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 E(f 71,13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,204.38 Select a Misc Bldg/Structure Suppl. PC Fee: (j) Reg. ® OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $1,649.93 Suppl. Insp. Fee:Q Reg. Q OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? ® Yes E) No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure Strong, Motion Fee: 1BSEISMICO $7.00 Select an Administrative Item Bldg* Stds Commission Fee: 1BCBSC $1.001 1 SUBTOTALS: $3,862.31 $0.00 TOTAL FEE: 1 $3,862.31 Revised: 07/10/2014 Hongyun Art Page 3 of 5 challenge students to always push for improvement in these and other areas. News VT Coming Soon- HYA for Parents&Teams Hongyun Art Is a leader in creative art education for kids in the Bay Area! We have students that come from as far as San Mateo and Sari Ramon! One request we've been getting from parents For years is'I'd Ilke to take classes too!" Well,coming this fall,we are opening a new center just to,adults! Click!mage above to read more— Aug 6,2014 � a Mindy Camp Photos are Up! Jul 6,2014 v IAI Winner- Cupertino City 2014 Reusable Bag Art Contest Ird,)A.Age 9 vcllew<,IOLM Jun 15,2014 http://hongyunart.com/ 8/12/2014