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13110140 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20818 GARDEN GATE DR CONTRACTOR:TRACY HSU PERMIT NO: 13110140 OWNER'S NAME: TRACY HSU 21871 DOLORES AVE DATE ISSUED: 11/21/2013 OWNER'S PHONE: 4084645030 CUPERTINO,CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE] License Class Lic.# DEMO(E)1246 SFD(BP#13100188) Contractor Date 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: 1 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 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:32630037.00 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.1 agree to comply with all city and county ordinances and state laws relating WIT�IIN 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 FRO I ALLED 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 y: 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,1 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 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) 1,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 1 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 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Seed ns 05,25533,and 4. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: permit is issued. 1 certify that in the performance of the work for which this permit is issued,l 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 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 pe t Cupertino Municipal Code,Section Licensed Professional 9.18. r J Signature Date `� ZI CITY OF CUPERTINO D FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 20818 GARDEN GATE DATE: 11/21/2013 REVIEWED BY: MELISSA APN: 326 30 037 BP#: 13100188 'VALUATION: $10,000 *PERMIT TYPE: Demolition Permit PLAN CHECK TYPE: PRIMARY SFD or Duplex PENTAMATION 1SFDWL-DE USE: PERMIT TYPE: i WORK DEMO E 1246 SFD BP# 13100188 SCOPE FEE ID FLR AREA s.f. 1 DEMORES 1,246 MEa:h. !'lun Check Phrnrh, Plun Chock F.lec:. Plan Check rbtech. 11ermil Pee: Phrmh. Permit Tee: /;lee.Permit Fee: Other Afec•h. lnsp. Other Plumb Insp. Li Other Eler..Insp. it k,,ch. Insp. Tee: Phnub. hrsp. Tec:: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info, FEE ITEMS (Fee Resolution 11-053 Ef' 7/1/13) FEE QTY/FEE MISC ITEMS Plein Check Fee: Stipp/. .PC Fee P1umb.11fech./F1ee Permit Fee: $557.00 Suppl. Insp. Feer Reg. © OT0 0 hrs $0.00 Plzen.;"hlech.;Elcc P1umh.;A,tech.%:lec Permit Fee: Constrrtetion Tax: Administrative Fee: Wore 4'ithout.Permit� Advuneecl Planning Fees: Trai;el Documentation Fees: Stroniz Motion Fee: IBSEISMICR $1.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $559.00 $0.00 TOTAL FEE: 1 $559.00 Revised: 10/01/2013