14080263 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19070 MEIGGS LN CONTRACTOR:BABEL CONSTRUCTION PERMIT NO: 14080263
OWNER'S NAME: JOHN AND CONNIE WANG 3939 ARDEN FARMS PL DATE ISSUED:08/28/2014
OWNER'S PHONE: 4088918059 SAN JOSE,CA 95111 PHONE NO:(408)561-7041
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL
_ DEMO(E) 1529 S.F. SFD
License Class____ Lic.#
Contractor �f 1 Coni ' Date
1 herebyaffirm that I am licensed under the provisions of Chapter 9
P P
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
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:$10000
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:37535051.00 Occupancy Type:
permit is 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 D RMIT 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 D rMOM L ED 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 b . Date:
with al I non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date �I 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.
❑ WNER-BUILDER DECLARATION
Signature of Applicant: Date:
1 hereby a rrm 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)
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
1 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
1 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: 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,1 C RUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,1 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 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 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
DEMOLITION PERMIT APPLICATION
IM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 h
(408)777-3228 •FAX(408)777-3333 •building@cupertino.org
CUPERTINO
PROJECT ADDRESS ' `y t� r J 7AN
# Os I
OWNER NAME INnv/ C PH E ^)n E--MAIL
STREET ADDRESS CITY, STA ,ZIP FAX
At) Mel SV
CONTACT NAME PHONEE-MAIL
ov�, , F
STREET ADDRESS CITY,STATE, ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT *CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME �- ` LICENSE NUMBER .1 0A Mell�;`77 AQ LICEN TYPE BUS.LIC#
y
COMPANY NAME a, E-MAIL b
FAX
STREET ADDRESS CITY,STATE,ZIP LONE
C7( l
DESCRIPTION OF WORK
RESIDENTIAL �' A #DWELLING OFFICE USE ONLY
v
FLOOR AREA UNITS USE OCC TYPE S .FT. V L ATI N
COMMERCIAL
FLOOR AREA
TYPE OF CONSTRUCTION ,Vr #STORIES
AQMD JOB NUMBER �� _ TOTAL VALUATION
J#.
By my signature below,I certify to each of the following: I am the property owner or authorize agent to a e property�ie ehalf. 1 have read this
application and the information I have provided is correct. I have read the Description of Work and verify agree to comply withal]applicable local
ordinances and state laws relating to building cons1ruction. I authorize representatives of Cupertino to enter the above-i ntifie property for inspection purposes.
Signature of ApplicanUAgent_ Date:
SUPPLEMENTAL INF ATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMI OFFICE USE ONLY
_Provide Job Number fro ay Area Air Quality Management District www.baagmd.ortr c7 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 Ietter 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 02/13/13
CITY OF CUPERTINO D
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 19070 MEIGGS LN DATE: 08/28/2014 REVIEWED BY: MELISSA
APN: 375 35 051 BP#: 14050143 'VALUATION: j$10,000
'PERMIT TYPE: Demolition Permit
PRIMARY SFD or Duplex PENTAMATION 1 SFDWL-DEM
USE: PERMIT TYPE: A
WORK DEMO E 1529 S.F. SFD
SCOPE
FEE ID FLR AREA
s.f.
1DEMORES 1,529
FT
NOTE: This estimate does not include fees due to other Departments(i.e.Planning, Public Works, Fire,Sanitary Sewer District,School
District,etc. . Theseees are based on the preliminar information available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS (l,-ee Resolution 11-053 E-ff 7;1 `l3/ FEE QTY/FEE MISC ITEMS
Permit Fee: $574.00
Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00
A
Stron�4 Motion Fee: 1BSEISMICR $1.30 Select an Administrative Item
Bld.,Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $576.30 $0.00 TOTAL FEE: $576.30
Revised: 08/20/2014
Pacific Gas and
Electric Company 10900 No. Blaney Avenue
1 Cupertino, CA 95014
DATE: August 22, 2014
CITY OF CUPERTINO
10300 TORRE AVE
CUPERTINO CA 95014
SUBJECT: REMOVAL OF GAS SERVICES (CUT @ MAIN IN THE STREET) ON:
August 22, 2014, @ 19070 MEIGGS Ln, CA
SUBJECT: ELECTRIC SERVICES WAS CUT AT POLE ON :
July 16,2014 @ 19070 IVIEIGGS Ln, C4
If you have any question contact us at (408) 725-3325
Sincerely,
John Gambucci
Pacific Gas & Electric Company
DeAnza Service Planning Dept.
10900 N BLANEY AVE
CUPERTINO CA 95014
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Project:
13 r:�' I WANG'S RESIDENCE
19070 Meiggs Lane
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// / I Cupertino, CA 95014
T"POST
a 6 1 VA T1 2-.N Applicant/Owner:
INSConnie Wang
1. TKE DEVELO€`tO SHALL TFIE *TREE FRDtECT I" �EvtL:E3 I : .---_, , 19070 Meiggs Lane
PAIOR TO TIME SWT Of CRADP40 00 CLEAVdNa WORIL I i ,�-"-� \--------
2- THE CITU RfSERVES THE I`aI8'KT TO EMP, A 'STOP WORK' NOTICE IF Cupertino, CA 95014
rMIE -TREE PROTECTION' DEVtCES ObE NOT INSTA1„= CA IF THE oe
bEvv=S AK NOT FA . +QED PROPERLY. r
S, SEE PROJECT GRADING PL F*R SPECtRC TREES THAT REOVIRE
PR07EIMCK ALL 5ft0mEN TREES REQUIRE PROTECTtON URLEZ
OtHERWISE NOTED,
10- I ; Architect:
4, w ExcAvATt wirMW THE "TPEE PKMECTIO+ ARE 4" E>9
LA&ESS WIDER THE 5UP %rMlI*1 Of A NEWSTCRED rOff W"CE MV .
i
ANT >rI<II� lT it! T�tE `TREE PROTECTtD� AREA' SMALL BE DOME IN v i 12- ill 6 �� STUDIO 61 ARCHITECTS, Inc.
ACcarera"Cl wI7 A DETAILLD ts+P$IOWfUEr �s.A�I APPROVED ®r c1T , I Y;• ; — ':I 12480 Saratoga Ave.
#, No TAlm*ll", GUTTING OR Mid% D ATEP TREES CA D 1 1 i ,i `\I i
WI��UT A � C �� ,� ^ � „_ , Saratoga, CA 95070
.' ',� + 24 '� J i T: (408) 892.5020
7 E LT ORDINANCE TTS OF THE CITY of CLVERTINCI FOR PE IT d
OLRIREMtkTS AND EXCMIONS, I � ; . , � I �� I f F: (408) 871.6923
a. TEMPOWY CHAtN LINK SNC M Aft ACCEPTA*LE $U8 TIT UTE TO �'�', ','�) �,�� ► Email: FRANKLHO@YAHOO.COM
l
THE 'WOOD C)ORS"UCTIOX � 0t\ I �
O I /,i ,� /' �` 1 015 C3 , D ARi
I �
REMOVE (E) �',�,� /G �� : ��'�SANK
Y / 1,249SF L�-'
I
I r�/ EXISTING LIVING
AREA N0. C298$9
'; '�
REN 1
TREE PROTECTION U 0 RQ 'r'�'
CAS-`CUPERTINO
4
/ IE;
IT 1P `EI Y / ' I REMOVE (E) / ,I r B:lil�iinq ec ar�rlenx
ls1yR0DBy l +" -® I �', ',/�,'I ��/ 2$OSF CARPORT STRUCTURE ENGINEER:
STANDARD DET IL
REVIEWED 1 0Fc COD ; c0 � ��IGN & ENGINEER
I Reviewed B�: % 1578 MISSION AVENUE
: : i (�' % �' �' �'�' `i''- - MORGAN HILL, CA 95037
T: (408) 605-8859
TREE PROTECTION DETAIL F: (408) 351-7463
1/411 1 1-011
CtvlP✓+, l;Ty L,n;�
L-------1 I I I J eta i C! r -ti e�0rrt/ic,
NOTE: 17 i REMOVE (E)
CONC. DRIVEWAYS I �.__.._ X l\ ra S,;U�T
I l I ,. � , :,�by Kept
1. EXISTING STRUCTURE TO BE REMOVE. MAIN WATER, ELECTRICAL a�the
I l I _;,
AND GAS SHALL BE SHUT OFF. 0" or ����Y
2. THERE ARE (5) TREE TO REMAIN AND PROTECTED DURING I I\ fy <i T J ry 7 e&1`J""�V
CONSTRUCTION PER DETAIL ' I ' i `
1 I C.O. ' '
TyP.
1V �ry c�tutt 1` 7
3. REMOVE (E) DRIVEWAY PAVER UP TO PROPERTY LINE, DRIVE WAY 55.00' P.L. sn
CURBCUT AND SIDE WALK OUT SIDE OF PROPERTY LINE SHALL Wy.
REMAIN IN PLACEMo
1 2
A DEMOLITION SITE PLAN _ NO. Revision Date �^�,
1/8"=1'-0" Drawn By: Date: )
DEMO KEY NOTES: PLOT P N I e-:
O
CHECKEDBY
(E) SIDE WALK TO REMAIN
O (E) WATER METER - SEE FIRE SPRINKLER PLAN DA'T'E I y
FOR MORE INFORMATION. Issue:
Q3 REMOVE (E) OVER HEAD UTILITIES LINE M +-V-:-V-:-7%-
11.
;,.
�4 REMOVE (E) ELECTRICAL PANEL
REMOVE (E) CONC. PAVER
Date:
6 REMOVE (E) MODESTO ASH, MULTIPLE TRUNK
�-� 01.08.2014
�7 REMOVE (E) 6- PLUM TREE, V.I.F.
® REMOVE (E) 8- MANZANITA TREE Sheet Title:
O REMOVE (E) 4- LEMON TREE
lO (E) 12' LOQUAT TREE TO REMAIN AND DEMOLITION SITE PLAN
PROTECTED DURING CONSTRUCTION. 0 P-4
11 (E) 18- PRIVET TREE REMAIN AND PROTECTED ci
DURING CONSTRUCTION. r
12 REMOVE (E) 7- MAGNOLIA TREE Sheet No.:
13 REMOVE (E) 5- LEMON TREE Z�k �Qf
14 (E) 4- WHITE PLUM TO REMAIN AND
PROTECTED DURING CONSTRUCTION.
15 (E) 7- WHITE PLUM TO REMAIN AND
PROTECTED DURING CONSTRUCTION.
16 REMOVE (E) 9- PINE TREE D
17 (E) NEIGHBOR TREE TO REMAIN