14060196aa
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10716 LINDA VISTA DR
CONTRACTOR: Z & Y CONSTRUCTION
PERMIT NO: 14060196
OWNER'S NAME: CARLISLE JIM L AND SUZANNE F T
41913 ALBRAE ST
DATE ISSUED: 07/23/2014
OWNER'S PHONE: 4084803800
FREMONT, CA 94538
PHONE NO: (510) 676-2174
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL ❑
LICENSED CONTRACTOR'S DECLARATION
REMODEL KITCHEN 217 SQ FT, BATHROOM 79 SQ FT
i
MASTER SUITE 267 SQ FT, PANEL UPGRADE 200 AMP,
License Class Lic. #
NEW
Contractor Date ,]
HVAC
I hereby affirm that I a er the provisio s of C
ter 9
(commencing with Section 7000) of Division 3 of the usine
& 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 f
r 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:
N it l it a tion: $44600
I have and will maintain Worker's Compensation Insurance, as
rovided for by
APN Number: 35608020.00
Occupancy Type:
ection 3700 of the Labor Code, for the performance of the wo
k for which this
o 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 ai
id state laws relating
WITIDN 180 DAYS 95XIEBPET ISSUANCE OR
to building construction, and hereby authorize representatives or
this city to enter
180 DAYS LLED INSPECTION.
upon the above mentioned property for inspection purposes. (
e) agree to save
indemnify and keep harmless the City of Cupertino against liab
lities, judgments,
costs, and expenses which may accrue against said City in cons
uence of the
ate: 7i /
granting of this permit. Additionally, the applicant understand
and will compl
e
with all non -point so rce regulations per the Cupertino Municipal
Code, S
9.18.
RE -ROOFS:
Signature Date _%
All roofs shall be inspected prior to any roofing material being installed. If a roof is
T
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 lic
nsed 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
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 C
de, 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 Cupertupo Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as
provided for by
the Health & Safety Code, Sections 255 , and 25534.
Section 3700 of the Labor Code, for the performance of the wok
for which this
Owner or authorized agent: Date:
permit is issued.
I certify that in the performance of the work for which this pe
riit is issued, I shall
not employ any person in any manner so as to become subject
to the Worker's
CONSTRUCTION LENDING AGENCY
Compensation laws of California. If, after making this certificate
become subject to the Worker's Compensation provisions of the
of exemption, I
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
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
CUPERTINO
r_1 NEW CONSTRUCTION
CONSTRUCTION PERMIT APPLICATION r,\RU
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION , 0
10300 TORRE AVENU , CUPERTINO, CA 95014-32551 b
(408) 777-3228 • FAX (A08) 777-3333 • building a@cupertino.orcl
(-I ADDITION X ALTERATION/T1 F� REVISION/DEI` ORIGINAL PERMIT #
PROJECT ADDRESS 10716 LINDA VISTA DRIVE
APN# Sia () ? ( )2d •�
OWNERNAME YONGHUI CHENG
PHONE 408-480-3800
E-MAIL chengh@outlook.com
STREET ADDRESS 10716 LINDA VISTA DRIVE
CITY, STATE, ZIP CUPERTINO CA 95014
FAX
CONTACT NAME KYLE CHAN
PHONE 510-396-9731
E-MAIL kyle@kylechan.com
STREET ADDRESS 5205 PROSPECT ROAD #135-120
CITY, STATE, ZIP SAN JOSE, CA 95129 T;A;
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑
CONTRACTOR ❑ CONTRACTOR AGENT El ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAME KYLE CHAN ARCHITECT
LICENSE NUMBER C-31616
BUS. LIC #
COMPANY NAME KYLE CHAN ARCHITECT
E-MAIL kyle@kylechan.com
FAX
STREET ADDRESS 5205 PROSPECT ROAD #135-120
CITY, STATE, ZIP SAN JOSE, CA 95129
PHONE 510-396-9731
DESCRIPTION OF WORK REMODEL OF EXISTING MASTE
BEDROOM. REMODEL OF EXISTING KITCHEN. REMODEL OF EXISTING BATHROOM.
REMOVAL OF EXISTING WALLS IN LIVING ROOM. INSTALL
NEW 200AMP ELECTRICAL SERVICE, INSTALL NEW LIGHTS AT EXISTING AREAS.
INSTALL NEW HVAC CONDENSER.
I \ 1 STING USE
PROPOSED USE CONST
R.
TYPE
# STORIES
RESIDENTIAL
RESIDENTIAL
-B
1
I
use
TYPE
OCC.
SQ.FT.
VALUATION (S)
FXISTAREA 2,469 SF
AREAFLOOR O
DEMAREA 296 SF
TOTAL
NET AREA 2,469 SF
KITCHEN
217 SF
$21,700
BATHROOM
REMODEL AREA 79 SF
KITCHEN
REMODEL AREA 217 SF
OTHER
REM
DEL AREA 267 SF
BATHROOM
79 SF
$7,900
PORCH AREA
DECKAREA
TOTALDECK/PORCHAREA
ARAGEAREA: DEITTACH
MASTERBEDR
M
267 SF
$SOOQ
(E) 115 SF
(E) 265 SF
I
(E) 380
(E) 434 SF
(N) DR & CLOSET
a DWELLING UNITS:
IS A SECOND UNIT []YES
SECOND
STORY ❑YES
LIGHTING
$10,000
1
BEING ADDED? ®NO
AD
ITION? ®NO
ELEC., HVAC
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS
HE BLDG AN ❑ YES
RECEIVED BY:
TOTAL VALUATION:
PLANNING APPL # ®NO PLANNING APPROVAL LETTER
EI
HLER HOME? ®NO
$44,600
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 buil construction. I authorize
representatives of Cupertino to enter the above -i entified property for inspection purposes.
Signature of Applicant/Ageni
Date:
SUPPLEMEN FORMATION RE
UIRED
PLLN CHECK TYPE
ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition
permit for
_
existing building(s). Demolition permit is required prioz
to issuance of building
OVER -THE COUNTER
do
1,13BUILDING PLAN REVIEW
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 I
f this project.
❑
❑
LARGE
FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with
tanning prior to
❑
❑
submittal of Building Permit application.
MAJOR
SANITARY SEWER DISTRICT
❑ ENVIRONMENTAL HEALTH
B1dgApp_201 Ldoe revised 06/21/11
F�� CITY OF CUPERTINO
& �'` . I FEE ES IMATOR - BUILDING DIVISION
Wd,
ADDRESS: 10716 linda vista ave
DATE: 06/30/2014
REVIEWED BY: Mendez
PC FEE ID
APN:
BP#:
"VALUATION: $44,600
„PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY
USE: SFD or Duplex
2nd Unit? 0 Yes • No
OTC? Yes No
PENTAMATION
1 R3SFDREM
PERMIT TYPE:
WORK
remodel kitchen 217 sq ft b throom 79 sq ft master suite 267 sq ftpanel upgrade 200 amp,new hvac
SCOPE
OCCUPANCY TYPE:
TYP OF
CON TR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
II-B,III-B,IVY-B
0
$0.00
Other Elec. Insp.0.0 �hrs�$47.00
$0.00
mb. Insp. Fee.
$0.00
PME Plan Check:
$0.00
F-7-97 s.f.
$626.00
Remodel, Bath (<=300 sf)
1 IREMRESBAT
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. 0 OT
p 0
hrs
$0.00
267 s.f. Remodel, Other
$418.00 IREMRESOTH
PME Unit Fee:
$0.00
PME Permit Fee:
$94.00
0 # Mechanical
$70.00 IBREMAIR A/C Units (<=10K cfm)
TOTALS:
0
$0.00
1
$0.00
9/rniiu.etratir> f`tze�
MECH, HOURLY 0 Yes 0 No
PLUMB, HOURLY Q Yes Q No
ELEC, HOURLY Q Yes Q No
Mech. Plan Check 0.0 hrs $0.00
111n1h. Ptun Che(
Elec. Plan Check 0.0 hrs $0.00
Mech. Permit Fee: IMPERMIT
$0.00
Elec. Permit Fee: IEPERMIT
Other Mech. Insp. 0.0 hrs 1 $47.00
T.Ll I
Other Elec. Insp.0.0 �hrs�$47.00
FO,p
mb. Insp. Fee.
$0.00
NOTE: This estimate does not include fees duel to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the vreliminary information available and are only an estimate Contact the Dept for addn 7 info.
FEE ITEMS (Fee Resolution 11-053 ff ?:1:"13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
MT71 s.f.
$626.00
Remodel, Kitchen (<=300 sf)
IREMRESKIT
Suppl. PC Fee: (j) Reg. Q OT
FO,p
I hrs
$0.00
PME Plan Check:
$0.00
F-7-97 s.f.
$626.00
Remodel, Bath (<=300 sf)
1 IREMRESBAT
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. 0 OT
p 0
hrs
$0.00
267 s.f. Remodel, Other
$418.00 IREMRESOTH
PME Unit Fee:
$0.00
PME Permit Fee:
$94.00
0 # Mechanical
$70.00 IBREMAIR A/C Units (<=10K cfm)
7-1-
9/rniiu.etratir> f`tze�
200 amps
$47.00
Electrical
IBELEC200 I Services
Q
E)
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
O
i
Travel Documentation Fee: ITRA DOC
$47.00
Strong, Motion Fee: IRSEISAKCR
$4.46
Select an Administrative Item
Bldg; Stds Commission Fee: IB BSC
$2.00
SUBTOTALS:
$147.46
$1,787.00
TOTAL FEE:
$1,934.46
Revised: 04/01/2014
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: p 1
` i'ot, ��° PERMIT
OWNER'S NAME:
PHONE D� Y90—O
GENERAL CONTRACTOR:
!? BUSINE LICENSE #
ADDRESS: :::i`- 6t
CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino busine§s 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. -;A177-�
I am not using any subcontractors:
Signature Dat
Please check applicable subcontractors and complete the following information:
Owner / Contractor Signature
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
zor
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
Date