The URL can be used to link to this page

13100161 CITE' OF CUPIERTINO BUILDING PERMIT BUILDING ADDRESS: 22345 MCCLELLAN RD CONTRACTOR:ATLANTA PERMIT NO: 13100161 CONSTRUCTION INC OWNER'S NAME: HONG LIANG LUO 2625 MIDDLEFIELD RD#164 DATE ISSUED: 10124/2013 OWNER'S PHONE: 4154200595 PALO ALTO,CA 94306-2516 PHONE NO:(408)518-0132 LJ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class(_`! Lic.# �?j� �$ DEMO(E)SFD(1,120 S.F)BP# 13090118 Contractor (LA N 7A z,;�� io,) (o 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:$10000 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:35705005.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 WITIIIIV 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 I+ 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 Date: ld Z /� with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date d� 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. 0 OWN R-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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, 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). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 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(x)should I store or handle hazardous 1 have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 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 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 05,255 nd 25534. Section 3700 of the Labor Code,for the performance of the work for which this l0 pennit is issued. Owner or authorized agent: Dake. 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 CONSTRUCT 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 certify that 1 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 CRTV OF CU P]ERTINO D FEE ESTIMATOR- BUR LDING DIVISION .ADDRESS: 22345 MCCLELLAN RD DATE: 10/24/2013 REVIEWED BY: MELISSA Al 357 05 005 BP#: 13� *VALUATION: $10,000 *PERMIT TYPE: Demolition Permit PLAN CIIECK T}'I'E: PRIMARY SFD or Duplex PENTAMATION 1SFDWL-DEM USE: PERMIT TYPE: WORK DEMO E SFD 1 120 S.F BP# 13090118 SCOPE FEE ID FLR AREA s.f. 1 DEMORES 1,120 hfech. flan Check Plrrnrh. 1'lcrn Chr:cti Elec. Plan Cherk Mech. Pernril Feer: Plumb. Pelmir rec.- F.lec•. Pennit Fee: Olber Affech. Insp. L] Ocher Plumb Insp. L1 Usher Dec. Insp. Alech. Insp.Fee: Plumb. Insp.Fee: Elec. Insp.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc . Thesefees are based on the relimina information available and are ons an estimate. Contact the Dept for addn'1 info. FLEE ITEMS(Fee Resolution 11-053 f. 711113) FEE QTY/FEE MISC ITEMS Man Check Fee: Suppl. PC Fee Phanzb.1 tech./Elec Permit Fee: $557.00 Suppl. Insp. Fee Reg. O OT p p hrs $0.00 PItunh.I.Wech.lElec Plunih.lMech.lElec Permit Fee: Consrruction lira-: Administrative Fee: Work 61'ithoul Permil? ,ldvemced Planning Fees: Travel Documentation Fees: Strong Motion Fee: IBSEISMICR $1.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $559.00 $0.00 TOTAL FEE: $559.00 Revised: 10/01/2013 DEMOLITION PERMIT APPLICATION �` COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �`O CUPERTIFdO (408)777-3228• FAX(408)777-3333•buildinclAcupertino.org �� 1 30 lolr � PROJECT ADDRESS 223Y-5- APN# s Q '5 0 C S OWNER NAME O da o PH l7 �O✓ E-MA STREET ADPRES V TY, ST_A,TE,ZI c14 F4 CONTACT NAME ` 1 PHONE[�,d�/ryo 13^ E-MAIL ST ET ADDRESS r v / CIPJ TE�(ZI�P 37) ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRA R AME LICEN NUMBER LICENSE TYPE BUI # COM ANYNAN 7 I FAX -11 STREET ADDRES CIT ST TE,ZIP /V 2- P ONE57 ��O DESCRIPTION OF WORK r r 7� ' r � RESIDENTIAL / / #DWELLING / OFFICE USE ONLY FLOOR AREA fl r UNITS ! USE occ, TYPE SO.FT. VALUATION COMMERCIAL FLOOR AREA TYPE OF CONSTRUCTION #STORIES AQMD JOB NUMBER IV TOTAL VALUATION: J #: o O VV By my signature below,1 certify to each of the following: 1 am the prope caner or authorized agen to a the property owner's behalf. I have read this application and the information I have provided is correct. l have read the Description of Work and verify it is accurate. 1 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 INFORMATIO IRED PRIOR SSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY Provide Job Number from Bay Area Air Quality Management District www.baagmd.org @ 415-749-4762. PLAN CHECK TYPE _Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" ❑ EXP"SS 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) 1:1 MAJOR' W 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 letter of clearance of all vermin from a 1 icensed 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 fonn. DemoApp_2013.doc revised 01/13/13 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 dyUPERTINO Fax: 408-777-3333 JOB ADDRESS: _" PERMIT# 31-00# r,>9" OWNER'S NAME: LA� PHONE# GENERAL CONTRACTOR: c, C > BUSINESS LICENSE# ADDRESS`.�)L--d ,i;�;, -� �� -0 C1TY/ZIPCODE: P0s& *D 3 *Our municipal code requires all �usinesses 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 CITE' OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Mease check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cg�nets & ork Cern shingIL Lan, 6- Rfffzp ' ectrical QA Excavation Fencing Flooring/Carpeting Linoleum /Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting /Wallpaper Paving Plastering Plumbing f Roofing Septic Tank Sheet Metal Sheet Rock Tile D Q- 09 O n e r/C t ractor ignature Date Faccific One& Company' 10900 No. Blaney Avenue G Cupertino,CA 95014 City of Cupertino 10300 Torre Avenue Cupertino , Ca. 95014 To Whom It May Concern: SUBJECT REMOVAL OF CAS AhlD/Ci'R ELECTRIC FACILITIES The gas and electric facilities have been removed and/or abandoned at: - Gas service cut at main in street on: 10/07/13 at 22345 MCCLELLAN RD CUPERTINO CA 95014 - Electric service cut at pole on: 10/01/13 at 22345 MCCLELLAN RD CUPERTINO CA 95014 Sincerely, A: �0 11(3 Tere a Granados n Pacific Gas & Electric Company DeAnza Service Planning OCT-17-2013 10:36 BAY AREA AIR QUALITY MGNT 1 415 920 0338 P.02 ° w Regulation 11, Rule 2 COMPLIANCE & ENFORCEMENT Acknowledgement of BAY All EA Notification and Att;CttAHTY DIVISION Payment of Fees MANAGEMUN7 !7 i ST k i C r 9/25/2013) Atlanta Construction .i11:40573 2625 Middlefield Road.#164 Invoice No: 3FC14 Palo Alto,CA 94306 The Bay Area Air Quality Management District(BAAQMD)acknowledges receipt of your payment and your Asbestos Removal or Demolition Plan described as:Demolition Site address 22345 McClellan Read Cupertino,CA 95014 Start Date October 7, 2013 Completion Date November 22,201.3 Removal amounts of friable ACM 0 linear meet 0 sgoarc feet 0 cubic feet Should it become necessary to revise this plan,please do so in the spaces provided below stid immediately copy the District by fax or by mail. REGULATION 11-2 REVISION BAAQMD J# 4 573 REVISION # START DATE COMPLETION DATE 3 —_.!._... .........! 4 5 t-- ---- ---t -- NOTE. This jbrm iv not inlendod as a verification ofeither thc completeness of),aur original noliJ;cution qr units compliance wish BAAQMD Regulation 11-2. ff you have any questions about this acknowledgment,please call our offiue at (4/5) 749-4762, TOTAL P.02 City of Cupertino -r Public works Department Environmental Programs Division 10300 Torre Ave Cupertino,CA 95014 CUPERrog GREEN Program (408)777-3354 Construction and Demolition Recycling Diversion Requirements and Instructions Covered projects,or all construction, demolition and renovation projects that are 1000 scluare feet or more are required to complete a Waste Management Plan for the City of Cupertino detnonstrating that 60% of the material generated is recycled, in compliance with ordinance CIVIC 16.72.050. At the conclusion.of the project a Construction Recycling Report must be filed with the Public Works Department/Environmental Division showing the tons recycled and disposed by material type. Use tonnage information from weight tags provided by facilities to quantify total estimated waste and percentages for materials. Weight Tags of all material recycled and disposed must be submitted with the final report in order to receive a Final Building Inspection. Recology is the only debris bin service provider franchised to do business in Cupertino. Debris from a project 3,000 square feet or more in Cupertino can be collected and disposed by using: Pleas check all that apply: I am not using a Recology debris bin,however, the project is legs than 3,000 s.f.,,e.g. buildings,patios, sidewalks, driveways. �. OL, ❑ 1 will use a Recology debris bin. By Agreement with the City,Recology will prepare my required Waste Management Plan&Recycling Report. Contact Recology: (408)725-4020. Oel m not using a Recology debris bin. I will provide the following submittals to the City's Public Works Department, showing that I have recycled at least 60% of all construction demolition material: Ask for the Construction &Demolition Recycling Packet from the Building Department and complete the following: , ✓ Submit a Construction and Demolition Waste Management Plan with your building permit application. No fee for this plan. Forms are available at the Building/Public Works counter and online at www.cupertino.org/environmental. Report the tonnage recycled amid disposed, by material type. Recycling facilities must be selected from the City's approved list of Recycling Resources. ✓ Submit a Construction Recycling Report form, The report is required before the Building Department will schedule a final inspection. The report form is available at the,Building/Public Works Counter and online K,-Ki.v.cupertino.ore%nvironmental. Signature: Date: (O 2,=f3 Name: (printed) 4!;T C- Title: Phone: 0 6 Project Address: 22:35t5-- This ZThis form to remain in the project's building permit file for the duration of the project. Revised 317112 1 0,Po NEW ESIDENCE N.17°59'05"E. 100.12' — — — — — — 22345 MCCLELLAN ROAD .. 1 CUPERTINO, CA E APN: 357-05-005 � 7" APPLE TREE f EXISTING GARAGE TO BE REMOVED ! I EXISTING ! ^ j Em I SHED TO BE ( ( I IW V C REMOVED ! ! ! & A S S O C I A T E S ! nn 2625 MIDDLEFIELD RD#658 PALO AL TEL (650) 823-6466 1 N J N (650) 887-1294 I o I I ! I a I I I I -01 I I l i 0 12"TREE I LICENSE STAMPS AND SIGNATURE I ! I I EXISTING DRIVEWAY-- EXISTING ONE—STORY AND CONC. ! SINGLE—FAMILY PAVEMENT TO BE ! RESIDENCE TO BE CUPERTINO .x uildinq Dep _ e t, 0 REMOVED 1 REMOVED I J A —Ln I — - — ln Reviewed By: <' _ — _ _ _ _ _ _ _ - I o ® EXISTING WOOD FENCE TO BE REMOVED �L r'- ® 3„ ( t APANESE ) _j PRIVET - - - -. .__ _ _._ __ _ _ _L _ _jISSUEDINSTALL 6'H CHAIN LINK ( I 1 FENCE TO PROTECT No. Description Date — — EXISTING TREES. TYP. ! 1 `! ! � 22"PINE LI AT 24 2o13 CHERRY ! 1 , ! LI 24 D2 013 FH _ _ _ L — _ - _ _ — � _ _ _ _ _ _ = . — — _ _ _ _ _ _ _ 1 DATE: ® _ _ _ _ _ _ _ _ _ _ _ _ _ _ FOUND — OPEN OCT. 18,2013 SCALE: N.17°59'05"E. 100.12' 118 —1 0 DRIVEWAY DRIVEWAY DRAB: zap: -- 10078 PLOT PLAms SHEET TITLE: EB"--"100.00 t .. MCCLELLAN Ru"A D . DEMOLITION DATV SITE PLAN OFFICE COF, CB SHEET NO. NORTH DEM091 �, �� $, I�� DEMOLITION SITE PLAN SCALE: 7i8'1=7t-of° WEC