D-2018-0031 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:D-2018-0031
18850 BARNHART AVE CUPERTINO,CA 95014-3602(375 33 015) CNE CONSTRUCTION
INCORPORATION
SAN JOSE,CA 95130
OWNER'S NAME:HOU YUNFENG AND SUN HUAQIN DATE ISSUED:05/21/2018
OWNER'S PHONE:650-889-8643 PHONE NO:(408)726-2956
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#1011892
Contractor CNE CONSTRUCTION INCORPORATION Date 03/31/2020 _BLDG_ELECT—PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH x RESIDENTIAL_COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is In full force and effect. JOB DESCRIPTION:
DEMO 1-STORY SIT)(841 SF);ATTACHED GARAGE(255 S.F.)
I hereby affirm under penalty of perjury one of the following two declarations:
r. 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.
I 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
permit is issued. Sq.Ft Floor Area: Valuadom$8000.00
APPt.ICAPT CERTIFICATION
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 375 33 015
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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulationr-t a Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 5/21/2018 Issued by:Abby Ayendc
Date:05/21/2018
DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS
following two reasons: All roofs shalt be inspected prior to any roofing material being installed.If a roof is
r. I,as owner of the property,or my employees with wages as their sale installed without fust obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sce.7044,Business&Professions Code)
z. I,m owner of the property,am exclusively contracting with licensed Signature of Applicant
contractors to construct the project(Sec.7044,Business&Professions Code). Date:5121/2018
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
r. 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 Cade,for the
performance of the work for which this permit is issued, HAZARDOUS MATERIALS DISCLOSURE
Z I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534.I will
permit is issued, maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
s. I certify that in the performance of the work for which this pemrit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in anymanner so as to become subject to the material.Additionally,should I use equipment or devices which emit hazardous
Worker's Compensation laws oFCali£omia,If,atter making this certificate of air contaminants as defined by the Bay Area Ali-Quality Management District I
P g will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534,
Labor Code,I must forthwith comply with such provisions or this permit shall
be dammed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION Date:5/21/2018
I certify that I have read this application and state that the above information Is U TON LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to bullding construction,and hereby authorize representatives of this city of work's for which this permit is Issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for Inspection purposes.(We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
Judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit.Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Signature Date 5/21/2018 Licensed
Professional
DEMOLITION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
[MEE 10300 TORRE AVENUE-CUPERTINO.CA 95014-3255 D
CUPERTIt,0
(408)777-3228-FAX(408)777-3333-b Ailding qqnqr[Inoorg
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Dy nn=ogannov b,l,,,,,I certify It,(,;tell,I'll 1 lowing: 11m:Po.I,(!,(y...... or Pall—i—t RLU.1a 10 nc1(111 the IVOPCI(y OW11cr'S bchlflC I haVC real](111HApplication and Ilse i"Roarool I Iow,:)P.4' read IIIDe.,cription oC Work and verify it is omaraw. I rgm,to comply,III,All opplm,bl,focal
ordinance.,mad mate lar's m-lotiatt Itmaildint.;7. c,-amio,or cape'th'.It,enter the ob—,kit,oli 11td plOporly lot blIiP00d0a Paajloscs.
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SUPPLEMENTAL]NrVMATION REQUIRED PRIORTO ISSUANCE Or DEMOLITION PERMIT —OFIFICKI)SEONLY
Provide Job Number florn Ilay Area Air Quality Management District w- .....
y.b_�L�4m o,,(0415-749-4?02. CHECKT)TE......
Provide three:copies of a site plan showing protection to]'ally trees 10"in diameter or[NUI-0 813'above grade. 0 EXPRESS
0 STANnARD
Provide letter from PG&E(408-725-3325)slating all gas and electric has been disconnected. 0 I.Aum
Planning Dept clearance tovei-ifybiiii(iiiigig tiolconsidered an historical landmark.Allow 10 buslnessdays. El MAJOR
Provide leperol'cleirance orall vermin front a licensed 11cm collool contractor.
Applicant shall call dic Public Works Departniont at 408-777-3104 and schedule a"habitable dwelling"inspection.
Provide signed Dcbiis Bin laid Recyclable.M ateritniq form.
Commercial Buildings Or)ly: Provide Fire DOPI ClUlalloCC for fire suppression/alarm system review.
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