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14080003 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19722 BIXBY DR CONTRACTOR:DE ANZA BUILDERS PERMIT NO: 14080003 OWNER'S NAME: TAI FENG JOHNSON 1129 LITTLE JOHN WAY DATE ISSUED:08/01/2014 OWNER'S PHONE: 4088887967 SAN JOSE,CA 95129 PHONE NO:(408)865-0222 0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL 3 ZREPLACE(E)MASONRY&WOOD SIDING WITH(N) License Class Lic.# q Z STUCCO. Contractor>e. Date 9— 1 REPLACE WINDOW& DOOR TRIM. 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:$25000 1 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:36909020.00 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 DAYS OF 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 saveT CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgmen costs,and expenses which may accrue against said City in consequence of Q granting of this permi Additionally,the applicant understands and wi �ss ee�� l 41 with all non-point so rc regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 0— - t- 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 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(See.7044, Business&Professions Code) 1,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. 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 Cup ino Municipal Code,Chapter 9.12 and I have and will maintain Workers Compensation Insurance,as provided for by the Health&Safety Code,Section 25 25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Qu—t- I�k 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,1 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the l 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 COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408) 777-3228 • FAX(408)777-3333• buildinc(c)cuoertino.org CUPERTINO ❑NER%CONSTRUCTION ❑ ADDITION fiLTERAT]ON/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT 4 PROJECTADI)PMS AYN 4 a J d 0,0 0"AWER NP.ME o��SO PHO E t-MAIL STREET ADDP.:.SS Z Z 1611/)DIA I CITY, STATE,ZI? ^�L�O ^ ` I FAX X CON TACT NA-VE PHONE IIOYb LkAck-S 34 \ LII• �k \10�S. STREET ADDRESS C71 -Y,STATE, ZIP FAX El OV,^,,ZR ❑ OW, M-BTMMER ❑ 0W11FtR AGF1,T ❑ CONTRACTOR ❑CON-I- _SCTOR AGc1,i ❑ P.RC:.''_CT ❑ENGLn=it ❑ DEVFLCPZ ❑ inNP?\? CONTTRACTOR NAM= LiCETSE NTTLI1,g: Z'1 LICENSE TYPE BUS.LIC M'Ic-er ,e. CONP.AI.'YNAME E-I�A�L JJ l FAX ^Z6- l STREET ADDRESS C=1-1y'STATE,Zi PHONE <<z .ARCFY i cCT/cNGiT'EER NA'`4E llCE1SE NU1�:3ER BUS.LIC' Zell o -t ,l COMPANY NAME E-MAIL FAX �'64.A, H.oOs r -Ca. 06 STREET ADDRESS CITY,STATE,ZIP P OI\TF DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTIL TYPE .'STORES liSE iYPF. OCC. SQ.FT. Va.LliAT10N(5) EXISTG 1"EtV FLOOR Dada TOTAL AREA AREA AREA N.ET AREA BATMOOM KITC!--_N OTrI R R`^MODEL AREA REMODEL AREA REMODEL AREA PORCHAREA DECK AREA T07ALDBCK/PORCH AREA GARAGE A A: DET.aCH ❑ATTACH ie D11-ELINC-I'MTS: ISA SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? No ADDITION? [3NO —PR-A�Pr�Ear�oN pa=�s— ars,P�o���cooF _IsrI SLDc.ati Fi�_E � - TOTAL VALUATION: PLANNINGAPPL-A ❑No PLAN LNGAPPRCVALL=1E. EICHLERHONI Z95O 01D By my si=nature below,I certify to each of th lloNving: I am the property aeent to operty owner's e hzve read this application and the information I have provide �co7---ct. Ihzve read the Description ofWork I Isaccurate. Iagreeto conply with all app icable local ordinances and state laws relating to bui dine c . 1 authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature ofApplicant/,' ` Date: SUPPLEMENTAL II�rFORN ATION RE LZRED QLA3 CEECK.TIPE;...>.r x... 5Y:_ ROITLR'G�LIP New SFD or Multifamily dwellings: Apply for demolition permit for � �`� _ � OVE42TFL1rC0UI<TER Bt�IL�LIGPL'�FE�TE\Tl ` existing building s), Demolition permit is required prior to issuance ofbuilding `' permit for new building. �E�REss 51 �C-1 z- 11 GYL I1�iET7 x5 c WON- N _Commercial Bldgs: Provide a completed Hazardous Materials DISCIOSUre 51 STwpg— DARD PL?BL3�\VORkS �� s for n if any Hazardous Materials are being used as part of this project. ; 3 �c _Copy of Planning Approval Letter or Meeting with Planning prior to � �� ,z 'Y - z ❑ i4ASOR r �41 I SERD RDISTRICTc pgg submittal of Building Permit application. �l?ROKI�Y&NT:P.HEi4'iTA .' Eldg4pp_2011.doe revised 06.11/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 19722 BIXBY DR DATE: 08/01/2014 REVIEWED BY: MELISSA APN: 363 09 020 BP#: $(� `VALUATION: 1$25,000 ''PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: 1 PERMIT TYPE: WORK REPLACE E MASONRY &WOOD SIDING WITH N STUCCO. REPLACE WINDOW& DOOR SCOPE TRIM. E17- Li 7__ Lj _L_ 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 addn7 info. FEE ITEMS (Fee Resolution 11-053 EFEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 2,000 s.f. Restucco Supp). PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 $647.00 ISTUCOAPP PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes (D No $0.00 E) Advanced Plannin-1 Fee: $0.00 Select a Non-Residential E) Building or Structure 0 i Stron�,, Motion Fee: IBSEISMICR $3.25 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $4.25 $647.00 TOTAL FEE: $651.25 Revised: 07/10/2014 Architecture Planning Consulting RHA . 690 W. Fremont Ave . # 9C Sunnyvale . CA 94087 admin@rha-ca.us T 408.738.8618 F 408.503.0888 1 ® 2 2 B I X B Y D R I V E C U P E R T I N 0 C A PROJECT DESCRIPTION BUILDING DATA TEAM OWNER: ARCHITECT: GENERAL CONTRACTOR: 1. REPLACE EXISTING MASONRY AND WOOD SIDING WITH STUCCO — TO MATCH EXISTING APPLICABLE CODES: OCCUPANCY: R3 MS. TAI CHENG RHA DE ANZA BUILDERS 2. INSTALL NEW ADVANTAGE PINE 1X4 TRIM — AT WINDOWS AND DOORS 2013 CALIFORNIA CODE CONSTRUCTION TYPE: VN 19722 BIXBY DRIVE 690 WEST FREMONT AVE., SUITE 9C LITTLE JOHN WAY OF REGULATIONS — ONE STORY CUPERTINO, CA SUNNYVALE, CA 94087 SAN JOSE, CA 3. INSTALL NEW CRAWL SPACE ACCESS DOOR IN REAR WALL. TITLE 24, NON—SPRINKLERED 408.738.8618 admin@rha—ca.us PARTS 1 THRU 12 OMAI")NiITY pEltri.-C p2nSN�'DEPARTMENT BUILDING%'IViSIC;,d-CUPERTINO Thiss' of Phans and sPevi°;cation E,�l.IST e tea s �.at the L I 7 C C1lS rL ?:Ion. It is i1s1E z4t'1 f C si zte any C Or It��:::r.C�i3s on S- - or to duv;- V I C I N I T Y P L A N 1huruE n Vtlhou i t fr©m the Bui?t.:ii c t tticiai. f 7 of $'iS pian ahtl��ti ri`nn c[ F I t � mit or t� - JT u ;iome�iie, r3nlex e Rd H � � 'ir �a1 ? H : t� o ai � o. y rov _ 1 err. CS OrSiG_,. IV !1: DATE -,n „axe. T-•'4`t - iYRI�PES- ...., ,r.az .�uvice.rn�.. Ul yPortal Park Otto a C e side -, .; Perk N D ARCy�T Ranch Park ' .iQIII ' REMOVE DECORATIVE WOOD REMOVE SHUTTERSHEADER AND INSTAL! STUCCO TO MATCH(E) rk _ �� E . /31/15 \� 1X4 ADVANTAGE PINE AT - Y Dcy E STUCCO ALL WINDOWS. TYP. CA r` OF CA1.\ O REMOVE DECORATIVE WOOD n HEADER AND INSTALL STUCCO TO MATCH(E) • : 19 / ZZ BIXBY :_.:: . : :.: ..• :. :. _ S A T E L L I T E I M A G E REMOVE SHUTTERS RIVE FACADE REMOVE AND RE–PLACE (E) STUCCO --- LIGHTS AS DIRECTED BY (E) STUCCO UPGRADE . > OWNER 1X4 ADVANTAGE PINE AT IN ALL WINDOWS. TYP. :- �' UP�- 'T rNV +311 I r ew REMOVE MASONRY VENEER z REMOVE WOOD SIDING AND � CUPERTINO, CA AND INSTALL NEW STUCCO INSTALL NEW STUCCO TOw MATCH EXISTING EVIEVVED Fof� _ ��P� @V!�' Lt�kt`�C N O R T H E L E V A T f O N 2 E A S T E L E V A T 1 0 N �� �` SCALE:118"=1'-T SCALE:118"=1'-0" REV DATE DESCRIPTION – 07.30.14 CITY SUBMITTAL --------- - v . . . . . . ... . . . . : ., 1X4 ADVANTAGE PINE TRIM - s AT WINDOWS AND DOORS •-•: REMOVE AND RE–PLACE .,•. . .. . . .,. _ _.• �` � �1 WINDOW AWNINGS AS CTED B OWNER WNER DIRE (E) STUCCOREMOVE µ z WOOD SIDING AND C0VER G,$jjFpET :. :.. -. ' '' "• _ INSTALL NEW STUCCO TO " • • MATCH EXISTING eLo' ' 13 : . C1IEK1u CDl — CRAWL SPACE ACCESS 1 L1 PANEL. (16" X 24" MIN.) t)ATE 3 S 0 U T H E L E V A T 1 0 N 4 WEST ELEVATIO N LAN G DIEPT. t v SCALE:1/8"=1'-0 SCALE:118"=f-0° DATE DRAWN BY: HA SCALE: NOTED CHECKED: RHA PROJECT: 14-015 DEPT- Ir 19722 BIXB DRIVE FACADE UPGFADE NTP: A JUL . JULY 25, 2014