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13080143
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7593 WATERFORD DR CONTRACTOR:STONE CITY CORP. PERMIT NO: 13080143 OWNER'S NAME: JING WING 2830 OLIVE AVE DATE ISSUED:08/20/2013 OWNER'S PHONE: 4086851160 FREMONT,CA 94539 PHONE NO:(510)219-3632 0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL License Class_ Lic.# 0 7 ADD NEW FULL BATH AND RELOCATE STAIRS REV# 1 -MOVE STAIRCASE TO(N) LOCATION-ISSUED Contractor -n-i ts/ L„L Date I 9/27/2013 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. 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:$15000 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:36617032.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXP RK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WIT DA PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter j upon the above mentioned property for inspection purposes. (We)agree to save AYS 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 Date: L3 with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature /�, E Date 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 I I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: i 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(Sec.7044, j 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). 1 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 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: / n Date: a- i 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 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 f CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION �) 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• building(8-cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISIO)/DEFERRED ORIGINAL PERMIT# 130'%,0 1 T3 PROJECT ADDRESS 7 593 r �' APN# / / / "] OWNER NAME J JA/ 1 a er- or PHONE t V40� E-MAIL[$S_/`b AXSTREET ADDRESCITY, STATE,ZIP73 C e r-6 CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX ❑ OWNER ❑ o%VNBR-BUILDER ❑ OWNER AGENR' ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME i� LICENSE NUMBER$S C7113- LICENSE TYPE BUS.LIC N COMPANY NAME C�dh Q p�� ! E-MAIL FAX J 4� C• , sfonec�� ( roc of :�.c. ws STREET ADDRESS z4 3 Q ,r� 've Ove CITY,STATE,ZIP�,reM O A f 9 is 3 PHON�70) ),IV _3 6)1. ARCHITECT/ENGINEER NAME Yu ri'll- 1-4 /h E� LICENSE NUMBER .� 7 6Z BUS.LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS %J D ! RD n 5 y CITY,STATE,ZIP /- C n y q _3 G PHONE 5(0) 6f ^M3 q DESCRIPTION OF WOE 17 C / / J C �ev,s:o Move sfatr cn egudpi ba , �Q EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES 2 USE "TYPE OCC. SQ.FT. VALUATION(S) EXISTG 14EIN FLOOR DEMO TOTAL AREA A AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODELAR-EA PORCH AREA DECKAREATOTA L DECK/PORCH AREA GARAGEAREA: U DETACH F]ATTACH 4 DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEINGADDED? ®NO ADDITION? U]NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES REC- TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or authorized age n the pro ner's behalf. ]have read this application and the inlonnation I have provided is correct. I have read the Description of Work and verify it is aczurae 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 property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION EQUIRED PLAN CHECK 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 pen-nit for new building. ❑ EXPRESS ❑ PLANNING 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. ❑ URGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ EN'VIRONAIEN7:9L HEALTH BldgApp_2011.doc revised 06/21/11 - CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION ADDRESS: 7593 waterford dr DATE: 09/27/2013 REVIEWED BY: melissa APN: 366 17 032 BP#: 13080143 `VALUATION: Iso xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: PERMIT TYPE: WORK REVISION # 1 - RELOCATE STAIRCASE TO NEW LOCATION - ISSUED OVER-THE-COUNTER ON SCOPE 9/27/2013 Tech. r Plumb. Plan Check Elec.Plc Mech. Permit Fee Plunih. Permit Fee: Flee. Permir Fee Other beech.Insp. Other Plumb Insp Ll Ober Elec.Insp. .11ech.lnsp. Fcr: Plumb, Insp. Fee: l:lec_Insp. Fcce: NOTE. This estimate does not include fees due to other Departments(Le.Planning,Public Works, Fire,Sanitary Sewer District,School P District,etc). These ees 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 . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? C)Yes (F) No $0.00 2 hours Plan Check,Hourly Suppl. PC Fee: Q Reg. (:) OT 1 0.0 1 hrs $0.00 $278.00 ISTPLNCK PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT O.O hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ConsfMction Tax: T Administrative Fee: Work Without Permit? Yes Q No $0.00 G Advanced Plannin Fee: $0.00 Select a Non-Residential E) b1civel Uoctementation Fees: Building or Structure i Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $278.00 TOTAL FEE: $278.00 Revised: 08/01/2013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7593 WATERFORD DR CONTRACTOR:STONE CITY CORP. PERMIT NO: 13080143 OWNER'S NAME: DING WING 2830 OLIVE AVE DATE ISSUED:08/20/2013 j OWNER'S PHONE: 4086851 160 FREMONT,CA 94539 PHONE NO:(510)219-3632 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r— ELECT r– PLUMB r License Class 73 Lic.# D .r r r MECH RESIDENTIAL COMMERCIAL Contractor�L J�Q�/�/c�T U&( Date d % JOB DESCRIPTION:ADD NEW FULL BATH AND RELOCATE STAIRS 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: 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:$15000 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:36617032.00 Occupancy Type: permit is issued. !APPLICANT CERTIFICATION I certify that I have res4 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 save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harpless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the y: �� / l�9TG2�7 Date: granting of this permit. Additionally,the applicant understands and will comply Issued b . – with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. J� J n RE-ROOFS: Signature _.l /� '� Date ��J 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 1 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 ft 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 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(x)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 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and s 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: Date: permit is issued. ?�J 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 j APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is i 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 z f CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• building cDcupertino.org /5+ 6 /,�rJ©/yg ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED . ORIIGIINAL PERMIT# PROJECT ADDRESS 75q3 q J? 'r,JCL- e/.- ;v'I APN 1 //�Y✓Y l / OA . 9,0 OWNER NAME : J Yv PHONE (-(�:'L E-MAIL �Ihc uV� 5, 6?5 - r160 STREET ADDRESS CITY, STATE,ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUB-DER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME L i ! 1 / LICENSE NUMBER J LICENSE TYPEn BUS.LIC N � 1104) COMPANY NAME��i"'S� 5�0�7F �,Ly c-flrp E-MAIL D FAX STREET ADDRESS -.,�3j Q fi V e Ave. I lno CITY,STATE,ZIP �Ye J GQ Q I{S 3 PHONE(5-id) ,�q _3 6tl 3 J� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIChl COMPANY NAME EMAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK IXdr 1! c l i4rucm keo)za d-el an ,/ al " e a m0VIF J W N CPO )vat1 F w7' EXISTV USE PROPOSED USE CONSTR TYPE N STORIES iL �j USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOG DEMO r TOTAL �}� AREA AREAr--�— AREA NET AREA Sh F V O BATHROOM KITCHEN OTHER L AREA O REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA UDETACH ❑ATTACH N DWELLING UMTS IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ONO ADDITION? ONO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES C I Y TOTAL VALUATION: PLANNHN APPLN ONO PLANNING APPROVAL LETTER EICHLER HOME? 0 N 41 15, c C 0: o . By my signature below,I certify to each of the 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 buil ing construction. I authorize representatives of Cupertino to enter the above-idenlifi d property/or or inspection purposes. Signature of Applicant/Agent: Date: yO SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK 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 permit for new building. ❑ EXPRESS ❑ PLANNING 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 ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc]-evised 06/21,11 I, CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 7593 waterford DATE: 08/20/2013 REVIEWED BY: larry s APN: BP#: 'VALUATION: iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE i WORK remove half bath. add full bath new location remove existing stairs add new stairs in new location SCOPE n_ Permit Fee Plnmh. Permit lee: lalec Permit Fee. Other;llc'ch. lrlsp r Plumb Insp (filter Elec.Insp. Me'ch.Insp, Fo Phanb. Iusp. Fee: Caec.Insp.Fee.- NOTE. ee'NOTE.This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l into. FEE ITEMS (Fee Resolulion 11-053 Ef. 711112) FEE QTY/FEE MISC ITEMS ' Plan Check Fee: $0.00 F-40-1 s.f. Remodel,Bath(<=300 sf) Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $626.00 1REMRESBAT PM.E Plan Check: $0.00 F1 # Stairs Permit Fee: $0.00 $349.00 1[STAIRS (Specify#of Flights of Stairs) Suppl. Insp. FeeS. Reg. Q OT To.0 hrs $0.00 PME Unit Feer $0.00 PME Permit Fee: $0.00 Construction TF-F � t . A(linirtistrutive Fee: ` I' Work Without Permit? C) Yes 0 No $0.00 j Advanced Plannin Fee: $0.00 Select a Non-Residential Q i Building or Structure 0 Trcn,el Du: � ��Irttinrt Fees: II Strop Motion Fee: 1 �� Strong $6'b0 Select an Administrative Item Bldg Stds Commission Fee: SUBTOTALS: $0.00 $975.00 TOTAL FEE: $ 0 Revised: 07/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 76M Wader i PERMIT# /3 d O/ OWNER'S NAME: I i k Aq W""-n q PHONE# GENERAL CONTRACTOR: r . BUSINESS LICENSE# ADDRESS: 2830 QV g Ave. CITY/ZIPCODE: F efipvo C,f C/Vf *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: �O Y l Signature Date Please check applicable subcontractors and complete the following information: ✓ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing 1 Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank E i Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date - 3: