12040134 I
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CITY OF CUPERTINO BUILDING PERMIT E
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BUILDING ADDRESS: 10140 BYRNE AVE CONTRACTOR:ZV CONSTRUCTION INC PERMIT NO:12040134
OWNER'S NAME: YU-JEN WANG 909 SAN RAFAEL AVE DATE ISSUED:08/27/2012 j
OWNER'S PHONE: 7343899563 MOUNTAIN VIEW,CA 94043 PHONE NO:(650)213-6512 i
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALS
License Class Lic.# NEW 2 STORY HOUSE 2,113(INCL PORCH),BASEMENT
1,126'ATTACHED GARAGE 425'-TOTAL SQ FT 3,664
Contractor Date
I hereby affirm thatl am licensed under the provisions of Chapter 9 REVISON#)kADD DETAIL FOR SUMP PUMP-CLOSET,
(commencing with Section 7000)of Division 3 of the Business&Professions BATHROOM,WALL&LIGHTING ADJUSTMENTS-ISSD 1/10/13
Code and that my license is in full force and effect.
I hereby affirm under peinalty of perjury one of the following two declarations: UCG /�Gl
I have and will maintain a certificate of consent to self-insure for Worker's 1"y
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:$549600
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:35716046.00 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 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 harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the pf
granting of this permit; Additionally,the applicant understands and will comply Issued by: Date: // ,/z , 3
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18:
RE-ROOFS:
Signature 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
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,
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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 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
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 f
Owner or authorized agent: Q�� t 2!� �t�2�ti� Date: j O
permit is issued.
I certify that in the performance of the work for which this permit is issued,I shallr
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
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 t e Date % i t
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CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 10140 Byrne ave DATE: 01/10/2013 REVIEWED BY: Mendez
APN: BP#: 12040134 *VALUATION: Iso
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1GENRE
WORK Revision# -add detail for sump pump, revise closet bathroom walls & lighting ad'ustments
SCOPE
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Plan Check Phuub, Plcm Check Elec.Plan Check
tlfech.Per•mil Fee: Plumb. Permit Fere; Dec. Permit Ree:
Oilier,dlech. Insp. Othcr Plumb hasp. Other Elec.Insp. Li
Heck Insp.Fee: Plumb, harp. Fee: Elec.hasp. ree:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Seiver.District,School
District,eta). These ees are based on the preliminar information available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: Hourly Only? ®Yes (j) No $0.00 hours Plan Check,Hourly
Suppl.PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 $133.00 ISTPLNCK
PME Plan Check: . $0.00
Permit Fee: Hourly Only? ()Yes Q No $0.00
Suppl.Insp.Fee:Q Reg. OT F0,0Thrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Cons.In1ction Tax.-
Aclministralive Fee.,
Work.Without Permit? ® Yes G) No $0.00
Advanced Planning Fee: $0.00 hours Inspections
Trcrvel Docutnenlution-Fces: $266.00 ISTINSP Inspection,Hourly
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Strom;Motion Fee: $0.00 Select an Administrative Item
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Bldg Stds Commission Fee: $0.00
SUBTOTALS:` $0.00 $399.00 TOTAL FEE $399.00
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Revised: 10/01/2012
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CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10140 BYRNE AVE CONTRACTOR:ZV CONSTRUCTION INC PERMIT NO: 12040134
OWNER'S NAME: YU-JEN WANG 909 SAN RAFAEL AVE DATE ISSUED:08/27/2012
OWNER'S PHONE: 7343899563 MOUNTAIN VIEW,CA 94043 PHONE NO:(650)213-6512
❑ LICENSED CONTRACTOR'S DECLARATION r r
BUILDING PE O,
License Class � Lie.# � � - MECH rf—RESIELECT
RESIDENTIAL COMMERCIAL�
Contractor LtiMCf tD-Xu Date 32,72-
Ihereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:NEW 2 STORY HOUSE 2,113(INCL PORCH),BASEMENT
(commencing with Section 7000)of Division 3 of the Business&Professions 1,126'ATTACHED GARAGE 425'-TOTAL SQ FT 3,664
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.
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 Sq.Ft Floor Area: Valuation:$549600
permit is issued.
APPLICANT CERTIFICATION APN Number:35716046.00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-po'nt sourc egulations per the Cupertino Municipal Code,Section
9.18. t �1
Signature Dates Issued by: lgy lfl�' Date: -c;27,�
❑ OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date:
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
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 I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this
Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must Oner or ItT�Sitec agent:
forthwith comply with such provisions or this permit shall be deemed revoked. Date: 96 7 Z m
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of vmrk's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipa!Code,Section
9.18. I understand my plans shall be used as public records.
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Signature Date Licensed Professional
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CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION j
ADDRESS: 10140 Byrne Ave+ DATE: 04/25/2012 REVIEWED BY: RDW
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APN: BP#: *VALUATION: $549,600
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*PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction
PRIMARY 2nd Unit? 0 Yes (F)No . PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1R3SFD
WORK Construct new SFD 2515 sq/ft including 425 sq/ft attached garage + 1126 sq/ft basement+ 23 sq/ft
SCOPE porch.
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
R-3 (Custom) II-B,111-B,IV,V-B 3,664 $2,927.48 IR3PLNCK $3,050.04 IR3INSP
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TOTALS: 3,664 $2,927.48 $3,050.04
! Ph'y1£'1iF'(:1,' f?72d;f't�3 ft7Ji(,*fwcIf
Fee: ��ta�f}f.'). S'K'I J.II f '.'{?: Elec,Pe?-mif l ei':
E3ET
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). These ees are based on the prefindna information available and are only an estinrate. Contact the De t or aildn'1 in o.
FEE ITEMS (Fee Resolution 11-053 Eff 7'1/11 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,927.48 Select a Misc Bldg/Structure
Suppl. PC Fee: (E) Reg. 0 OTT0.0 lu-s $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $3,050.04
Suppl. Insp.Fee:Q Reg. Q OT 0.0 his $0.00
PME Unit Fee: $0.00
PME Permit Fee:
$0.00
#new
Construction Tax; IBCONSTAVR 1 units $590.16
i(I;�rta�i,�frc€lrtc Yet"
Work Without Permit? 0 Yes 0 No $0.00
Advanced Planning Fee: PLLONGRNGR $476.32 Select a Non-Residential
't1., Building or Structure
x t .'s:}('1t'11Jrtt'77PfdtFt,3?'l t`t.'t,':S:
Strong Motion Fee; IBSEISMICR $54.96 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $22.00
SUBTOTALS; $7,120.96 $0.00 TOTAL FEE: $7,120.96
Revised: 04/01/2012