The URL can be used to link to this page

13040128CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18655 RALYA CT CONTRACTOR: GRAND NEST PERMIT NO: 13040128 CONSTRUCTION OWNER'S NAME::. YICHUNG CHOU 13428 CHRISTINE DR DATE ISSUED: 04/17/2013 OWNER'S PHONE: 4083862465 , CA 95070 PHONE NO: (408) 891-8059 JOB DESCRIPTION: RESIDENTIAL COMMERCIALS ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lie. # DEMO (E)1000 SQ FT SFD Contractor 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 amleffect. 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 Valuation: $7000 performance of the work for which this permit is issued. Sq. Ft Floor Area: I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37525008.00 Occupancy Type: . Section 3700 of the Labor Code; for the performance of the work for which this 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 correeItl. 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 F ROAVLAS ALLED INSPECTION. t City of Cupertino against liabilities, judgments, indemnifyand keep hazmless the may City in of the � C accrue against said consequence costs, and ex enses'yv cc p anon of this pen' hich gr g it. Additionally, the applicant understands and will comply Da b te. r with all non -point source regulations per the Cupertino Municipal Code, Section 9.18 ' n Date___tj�3 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature T'f 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: 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, BusinI 'Iess & professions Code) 1, as owner of the. property; 'am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Se6:7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the 25505, 25533, and 25534. I will California Health & Safety Code, Sections I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the & Safety Code, Section 25532(a) should I store or handle hazardous declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health 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 compliance with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which this permit is issued. will maintain the Health &Safety Code, Sections 25505, 25533, and 25534,. 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 Owner or authorized agent:.' V`� /� 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 CONSTRUCTION LENDING AGENCY Compensation laws,of, California.; If; after making this certificate of exemption, I 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 become' forthwith comply with such provisions or this permit shall be deemed revoked. p y; p work's for which this permit is issued (Sec. 3097, Civ C:) P Lender's Nam. APPLICANT CERTIFICATION Lender's Address I certify, tbat'I have, read this application and state that the above information is correct!,I agree�to,c�.mpl� with all city and county ordinances and state laws relating d herebyy 'authorize representatives of this city to enter to constructjd p 1 huil 1, . f ;,an upont�}e',aboye'.dteritighed propettyfor inspection purposes. (We) agree to save l�azmless the, City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION indemnify and�ikeop costs' ,and, expenses ybich may accrue against said City in consequence of the 7, I understand my plans shall be used as public records. r ,, granting of this'perin t. ;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 UUU Uc9rT1%4A-['"D—i2TTTT.illN(--nIVIQION ADDRESS: 18655 RALYA CT DATE: 04/17/2013 REVIEWED BY: MELISSA APN: 375 25 008 *VALUATION: $7,000 *PERMIT TYPE: Demolition Permit PLAN CHECK T)PE: PRIMARY SFD'or Duplex PENTAMATION 1 SFDWL-DEM PERMIT TYPE: i USE: WORK DEMO E 1000 SQ FT SFD SCOPE FEE ID FLR AREA s.f. 1 DEMORES 1,000 X fech. -Plan Cseck Flumb. Mai Cheek Elect, Plan Chec% illec/t. Permit Fee: Plrrrnb. PermFe.e: Dec. Pei -mil Fee: Other rllech. hhsp. 0(her Plumb harp, Other Elec, Insp. Heck Lisp..f`rie: Plumb. hrap, Fee: Elec, Insp. Fee: NOTE.` This est tnate hoes not inetuae fees aue to other uepur/ritenfa (f.e. _ .fi,.,..,.s, = H...., .. �. •.�, _ •• �, �••••••• _.. _. _ ___. _-_, _ _- - - - .._,_- --_., ___ —I.. ,... f....f fbo t)vnf fnr ndd„'t ill fn_ vistricr, era). Inese fees fire ouseu Ua I . ,c.c......... FEE ITEMS (Fee' Resolution 11-053 E . 7ff 111121 ...... .........,............,... FEE ........-• _ QTY/FEE ---- ---- --------- MISC ITEMS P'lon ,Check Fee: Supyl. PC Fee Phnnh.1 fech./Elec Permit Fee: $534.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 Plun/h./Adech.�Elec, Plurnh./1fec h./Elee Perri it Fee: Consiruction Tay-: Adtnitiistralive Fee: t•Vorl, Without Permit? i4eJvice iced Planning Fees: Travel Doct.unentation' Fees: Strong Motion Fee: IBSEISMICR $0.70 Select an Administrative Item BldL Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $535.70 $0.00 TOTAL FEE; $535.70 I Kevisea: u. wu u/-u io i CUPERTINO DEMOLITION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • Lilding@cupertina.org \ 4 PROJECT ADDRESS 1 Q 6 r 5_ l %I� �`� J 1h �q i APN # OwNERNAME -1 1 ��/V �� GI-�t� STREET ADDRESS t o 6,q- b / 1 /D� � • .r� CITY, STATE, ZIP s FAX CONTACT NAME ✓ i P � kq r g E-MAIL 4/ ( 6% STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT k CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME V\ LICENSE NUMBER / ' �j LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK RESIDENTIAL !� !t %t #DWELLING OFFICE USE ONLY USE OCC. TYPE so. FT. VALUATION FLOORAREA UNITS COMMERCIAL FLOORAREA TYPE OF CONSTRUCTION v # STORIES AQMD JOB NUMBER J �� t u RECE TOTAL VALUATION: '71hWwe= By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the proOrty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I 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 proposes. Signature of Applicant/Agent: : ' Date: 1 SUPPLEMENTAL INFoRmrk'ION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY PLAN CHECKTYPE _ Provide Job Number from Bay Area Air Quality Management District www.baadlnd.org_ @ 415-749-4762. Provide three copies of a site plan showing protection for any trees 10" in diameter or more at 3' above grade. ❑ EXPRESS ❑ sTANDARn Provide letter from PG&E (408-725-3325) stating all gas and electric has been disconnected. _ Provide a letter of inspection, tests, and abatement of any Hazardous Materials. Letter to be initiated by person(s) El LARGE certified in asbestos, mercury and/or hazardous material examination. ❑ MAJOR 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 licensed 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 form. Commercial Buildings Only: Provide Fire Dept clearance for fire suppression / alarm system review. DemoApp_2011.doc revised 03116111 10900 No. Blaney Avenue Cupertino, CA 950111, City ®f Cuper'tzno 10300 Torre Avenue Cupertino, ciao 95014 To Whom 1t May Concern: The gas and clec-rlc facllifies have been removed and_ / or aband-oned a'te on t If you have any fbAlier questions, please contact me at (408 )725-3325 Sincerely, Service Planning Building Department • CKs X"111 1�7L. K17►YY►7: 17►i11(.�I1 City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 18�55 N o, C-L . C�, rzrtkhv tom/\ PERMIT # OWNER'S NAME: \�JCKUJ✓C c HoU PHONE # Le6 jYj ' c GENERAL CONTRACTOR: 'Do INESS LICENSE # ADDRESS: f - j If Y/ZIPCODE: *Our municipal Icode requires'alf businessesworking in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date 024 W4VINCity of Cupertino Public works Department Environmental Programs Division 10300 Torre Ave Cupertino, CA 95014 CUPERTINO GREEN Programogram (408) 777-3354 Construction and Demolition Recycling Diversion Requirements and Instructions Covered projects, or all construction, demolition and renovation projects that are 3,000 square feet or more are required to complete a Waste Management Plan for the City of Cupertino demonstrating that 60% of the material generated is recycled, in compliance with ordinance CMC 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. Debris from a project 3,000 square feet or more in Cupertino can be collected and disposed by using: Please check all that apply: I am not using a Recology debris bin, however, the project is less than 3,000 s.f., e.g. buildings, patios, sidewalks, driveways. ❑ I 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. ❑ I am 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 and 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 www. cupertino. org/environmental. Signature: Name: (printed) Title: Phone: Project Addres This form to remain in the project's building permit file for the duration of the project. Revised 317112 1 Date: (kh7 /2'O / lyr Waste Management Plan Environmental Programs Division Construction Et Demolition Debris 408 777-3354 City of Cupertino environmentat@cupertino.org CUPERTINO GREEN � MUST BE SUBMITTED WITH PERMIT APPLICATION. All projects which exceed 3,000 square feet must recycle 60% of the material generated. Permit applicants that fall within the Covered Project' guidelines are required to complete the following Waste Management Plan for the City of Cupertino. At the conclusion of the project, the permittee must file a "Construction Recycling Report" 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. Ask your hauler, recycler or site cleanup vendor to assist you with this plan. Weight tags of all material recycled and disposed must be submitted once the project is completed in order to receive a Final Building Inspection. Project Name: Location: Prepared By: Company Name: Company Address: Project Type: Permit No: Phone: Email: ❑ New Construction ❑ Demolition ❑ Renovation Project Square Footage: A. Material to Recycle or Reuse. The facility to which the materials will be hauled should be chosen from the attached list of facilities. Alternative facilities, special salvage or reuse options may be requested by the Environmental Programs Division, Public Works. Check all boxes that apply for each material type Q. This is your plan —you can make changes on your final report. MATERIAL °¢ u N f DESTINATION FACILITY W j u a (indicate "to Newby Island Land by Recology" or provide name of ,a O �_ p facility for self -haul) j Mixed C&D Debris I �� j — Asphalt & Concrete Brick/ Masonry /Tile Cabinets, Doors, Fixtures, Windows Carpet -- -- --- Carpet Padding /Foam Cardboard Ceiling Tile (acoustic) _I Dirt / sod- C Drywall (unpainted) i Landscape Debris — Roofing Materials Wood /lumber Other Material (list): j Trash i -- - - ®e _ ❑ Self -Haul ❑ Roll -off Box (franchised w/ City of Cupertino) ❑ Both Approval by the Environmental Programs Division, Public Works of this Waste Management Plan as complying with CIVIC 16.72,050 shall be a condition of any building or demolition permit for all covered projects. NOTE: If you enlist the services of a hauler or clean-up company to take the materials to a facility for you, ensure they are aware of the Construction and Demolition Recycling Program and CMC 16.72.050 and can provide you with the required information. Inform the hauler they must take material to an approved facility and are required to provide weight tickets showing proof of recycle. I understand I am responsible for complying with the requirements of the Cupertino C&D Ordinance. I agree to submit a Final Report for this project within 60 calendar days after completion. Applicant Signature: Date: ' Covered Projects include all construction, demolition and renovation projects that are 3,000 square feet or greater. Applicants seeking building or demolition permits for the above mentioned projects are required by Ordinance 16.72 to recycle or reuse 60% of the material discarded. 2 The City of Cupertino contracts with Newby Island Landfill, owned by Browning -Ferris Industries (BFI) for waste disposal. Revised:2/14/12 Construction Recycling Report Environmental Programs Division Construction %t Demolition Debris 408 777-3354 City of Cupertino environmentat@cupertino.org CUPERTINO GREEN MUST BE SUBMITTED WITHIN 60 DAYS AFTER PROJECT COMPLETION. All projects which exceed 3,000 square feet must recycle 60% of the material generated. Permit applicants that fall within the Covered Project' guidelines are required to complete a Waste Management Plan and at conclusion of the project must file the following Construction Recycling Report to 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 this report in order to receive a Final Building Inspection. Project Name: Permit No: Project Address: Prepared By: Phone: Phone: Signature Attach a copy of the Waste Management Plan that was submitted with the permit paperwork at the beginning of the project. Indicate quantities in tons for each material listed. Include copies of all facility weight tags and/or disposal receipts with report. If necessary, use factors in right hand column to convert volumes to tons. 0 MATERIAL LU a ,,, u J o DESTINATION FACILITY CONVERSION 0 Q UJ 0. N (indicate "to Newby Island Landfill by Recology" or TONS PER CY � p provide name of facility for self -haul) _ Mixed C&D Debris 0.25 Asphalt & Concrete Asp: 0.69 Con: 0.93 Brick / Masonry / Tile 1.51 Cabinets, Doors, Fixtures, Windows 0.15 J Carpet I 0.30 CCarpet Padding / Foam 0.003 Cardboard _ 0.05 i Ceiling Tile (acoustic) 0.09 Dirt / sod 1.00 Drywall (unpainted) — j - 0•20 Landscape Debris I _ - 0.15 Metals 0.45 Roofing Materials I _ _ 0.21 Wood / Lumber 0.15 - - - - Other Material (list): 1 Trash j I n/a 0.19 A. Tons Recycled and Reused: B. Tons Recycled, Reused and Disposed. C. Diversion Rate (A/B): Approval by the Environmental Programs Division, Public Works of this Waste Management Plan as complying with CIVIC 16.72.050 shall be a condition of any building or demolition permit for all covered project. Office Use Only: Final Report ❑ Approved ❑ Not Approved By: Date: 1 Covered Projects include all construction, demolition and renovation projects that are 3,000 square feet or greater. Applicants seeking building or demolition permits for the above mentioned projects are required by Ordinance 16.72 to recycle or reuse 60% of the material discarded. 2 The City of Cupertino contracts with Newby Island Landfill, owned by Browning -Ferris Industries (BFI) for waste disposal. Revised 1110112 uE ti.�U g 6 i 1di'Ia r mr r'r �'_7 o w c .,t Gti3C�0TC]CTC I EXISTING PATIO TO o � EXISTING 3-2"0 BE REMOVED PLOT ♦♦ � � PEACH TREE Tb BE REMOVED � a t �_`/7^1 EXISTING HOUSE ♦ EXISTING�GARAGE TO BE REMOV iCV , TO BE REMOVED DATE EXISTING 41)0 �� ♦♦ �� ♦ T, FRUI E TREE TO BE R MOVED — \ M M 0 - EMD1�TaN.._.ixSITE PLAN S 1=zo,_o„