13030083 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10159 RICHWOOD DR CONTRACTOR:KI LEE PERMIT NO:13030083
OWNER'S NAME: KIWOOK KIM 7064 PELICAN RIDGE DR DATE ISSUED:06/04/2013
OWNER'S PHONE: 4088630225 SAN JOSE,CA 95120 PHONE NO:(408)857-9999
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE]
License Class Lic.# ��l `'?' , CONSTRUCT A 820 SQ FT ONE STORY ADDITION; 60 SQ
FT FRONT COVERED PORCH;REMODEL BATHROOM
Contractor I _ �A, Date /J r� � " � (53 SQ FT);REMODEL KITCHEN(140 SQ FT); OTHER
I hereby affirm that I am licensed under the provisions of Chapter 9 REMODEL(256 SQ
(commencing with Section 7000)of Division 3 of the Business&Professions REVISION#1-REMOVE CEILING BEAM&ADD REROOF
Code and that my license is in full force and effect. OF(E)SFD TO MATCH(N)ADDITION-ISSUED 7/22/2013
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:$100000
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 APN Number:36908038.00 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 L LED 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 perm!)k,Additionally,the applicant understands and will comply Issued b
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. g
� RE-ROOFS:
Signature Date �L.._'i All roofs shall be inspected pAr to any roofing material being installed.If a roof is
installed without first obtain' g an inspection,I agree to remove all new materials for
1 inspection.
ElC' R-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 OVIRINGS 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 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. 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(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 Cup`rtino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25 5,2 533 and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this �. 2 2_
permit is issued. Owner or authorized agent: Date:
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 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 Date
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10159 RICHWOOD DR CONTRACTOR:KIWOOK KIM PERMIT NO:13030083
OWNER'S NAME: KIWOOK KIM 10159 RICHWOOD DR DATE ISSUED:06/04/2013
OWNER'S PHONE: 4088630225 CUPERTINO,CA 95014 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL[]
License Class Lie.# CONSTRUCT A 820 SQ FT ONE STORY ADDITION; 60 SQ
FT
Contractor Date FRONT COVERED PORCH;REMODEL BATHROOM(53 SQ
I hereby affirm that I am licensed under the provisions of Chapter 9 FT);
(commencing with Section 7000)of Division 3 of the Business&Professions REMODEL KITCHEN(140 SQ FT); OTHER REMODEL(256
Code and that my license is in full force and effect. SQ
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:$100000
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 APN Number:36908038.00 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 1 0 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 DAY M 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
474/3
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date.
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,
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
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 Safety and 25534.
the Health&Safe Code,Sections 25505,
.ems
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agent: Date:
permit is issued.
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 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(See.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 regulg' ns per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Z, Date a
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10159 RICHWOOD DR CONTRACTOR: <J CO, PERMIT NO:13030083
OWNER'S NAME: KIWOOK KIM DATE ISSUED:06/04/2013
OWNER'S PHONE: 4088630225 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALF1
License Class Lic.# CONSTRUCT A 820 SQ FT ONE STORY ADDITION; 60 SQ
FT
Contractor ` �22-- Date FRONT COVERED PORCH;REMODEL BATHROOM(53 SQ
I hereby affirm that I am licensed under the provisio of C apter 9 FT);
(commencing with Section 7000)of Division 3 of the Business&Professions REMODEL KITCHEN(140 SQ FT); OTHER REMODEL(256
Code and that my license is in full force and effect. SQ
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:$100000
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 APN Number:36908038.00 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 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/tAdditionally,the applicant understands and will comply s
with all non-point soyrce lations per the Cupertino Municipal Code,Section
9.18. f
P RE-ROOFS-
Signature 9 Date c 13 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
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). 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 thg Cup- lino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectidns 255 5,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date
permit is issued.
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 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 Date
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10159 RICHWOOD DR DATE: 07/22/2013 REVIEWED BY: MELISSA
APN: BP#: 3 'VALUATION: Iso
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F
USE: P PERMIT TYPE:
WORK RE-ROOF E TO MATCH N ADDITION
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,000
lle'c•I.
i;%q>,
r rxt:?6.lnsP.
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 into.
FEE ITEMS(Fee Resolution 11-053 E . 7111/12) FEE QTY/FEE MISC ITEMS
'`dcx '/eco
J r p (
Permit Fee: $160.00
_-Tee
<}c1'Iw t'F Pee:
Work Without Permit? 0 Yes (D No $0.00
L `G'i e•'�) `Liri }f j ,r rEiri I y. s:
Strong Motion Fee: IBSEISMICR $0.00 Select an Administrative Item
B1dQ Stds Commission Fee: $0.00
SUBTOTALS: $160.00 $0.00 TOTAL FEE: $160.00
Revised: 07/01/2013
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10159 RICHWOOD DR DATE: 03/15/2013 REVIEWED BY: MELISSA
APN: 369 08 038 BP#: *VALUATION: j$100,000
xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY 2nd Unit? Yes '• No PENTAMATION
USE: SFD or Duplex OTC? 0Yes 1R3SFDADD
No PERMIT TYPE:
WORK ADDITION OF 820 SQ FT OF LIVING SPACE TO ADD N FAMILY FROOM MASTER BDRM &ADD
SCOPE TO (E) F DD 60 SQ FT COVERED PROCH AREA& REMODEL (E) MSTR BDRM'S p
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
R-3 (Custom) II-B,III-B,IV,V-B 820 $2,468.00 IR3PLNCK $1,549.00 IR3INSP
TOTALS: 820 $2,468.00 $1,549.00
MECH,HOURLY 0 Yes G No PLUMB,HOURLY ® Yes l• No ELEC,HOURLY i ® Yes (2)No
Mach.Plan Check Phcmb,Plun Check Dec.Plan Check
ILSech.Permit Fee: Plumb.Permit Fee: Elec.Permit Fee:
Other A�7ech.Insp_ Cather Plumb Insp. F-1 I 07her Elec.Insp. E3__L_
!Aleck Insp.Fee: Phunh. Insp,Fee: 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'l info,
FEE ITEMS (Fee Resolution 11-053 E . 711/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,468.00 F 56-1 s.f. Remodel,Bath(<=300 sf)
Suppl.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $600.00 IREMRESBAT
PME Plan Check: $0.00
Permit Fee: $1,549.00
Suppl.Insp.Fee-E) Reg. Q OT [0701hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
coi2sovclion Tax:
djnirnsrraC ive Fee:
Work Without Permit? 0 Yes E) No $0.00
Advanced Planning Fee: IPLLONGR $106.60 Select a Non-Residential E)
Txtel Doculncntar7on roes:
Building or Structure 0
A
Strong Motion Fee: IBSEISMICR $10.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $4.00
SUBTOTALS: 1 $4,137.60 $600.00 TOTAL FEE: 1 $4,737.60
Revised: 01/01/2013
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10159 Richwood Dr DATE: 03/28/2013 REVIEWED BY: Sean
APN: BP#: } `VALUATION: j$100,000
PERMIT TYPE: Building Permit PLAN CHECK TYP - Addition
PRIMARY 2nd Unit? Yes "' No PENTAMATION 1 R3SFDADD
USE SFD or Duplex OTC? 0 Yes (j)No PERMIT TYPE: L
WORK CONSTRUCT A 820 SQ FT ONE STORY ADDITION; 60 SQ FT FRONT COVERED PORCH'
SCOPE REMODEL BATHROOM (53 SQ FT); REMODEL KITCHEN (140 SQ FT); OTHER REMODEL (256 S(h
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 880 $2,468.00 IR3PLNCK $1,549.00 IR3INSP
TOTALS: 880 1 $2,468.00 1 1 $1,549.00
MECH,HOURLY 0 Yes E) No PLUMB,HOURLY Q Yes (j) No ELEC,HOURLY Q Yes Q No
Elec.Plan Check 0.0 I hrs $0.00
l'ee 77^. Pc!r„lir I' e: Elec.Permit Fee: 1EPERwT
Other Elec.Insp. 0.0 hrs $45.00
I77,yr..f"�.ce.
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 prellmina information available and are only an estimates Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,468.00 53 s.f. Remodel,Bath(<=300 sf)
Suppl.PC Fee: (F) Reg. Q OT 0.0 hrs $0.00 $600.00 1REMZESBAT
PME Plan Check: $0.00 140 s.f. Remodel,Kitchen(<=300 sf)
Permit Fee: $1,549.00 $600.00 IREAL ESKIT
Suppl.Insp.Fee:E) Reg. 0 OT 0 0 hrs $0.00 256 s.f. Remodel,Other
PME Unit Fee: $0.00 $400.00 IREMRESOTH
PME Permit Fee: $45.00 200 I amps Electrical
a4<:,,_.r,,,< .- x: $45.00 IBELEC200 Services
Window/Sliding Glass Door 0
Work Without Permit? 0 Yes ) No $0.00 $400.00 I WEVMP Replacement 0
Advanced Planning Fee: IPLLONGR $114.40 Select a Non-Residential
Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure 0
e
Strong Motion Fee: IBSEISMICR $10.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $4.00
SUBTOTALS: 1 $4,235.401$2,045.00 TOTAL FEE:' $6,280.40
Revised: 01/01/2013