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10050134 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1475 JAMESTOWN DR CONTRACTOR:YANG'S CONSTRUCTION PERMIT NO: 10050134 OWNER'S NAME: MING SENG LIIM 11831 SOUTHWOOD DR DATE ISSUED:05/17/2010 JER'S PHONE: 4088760241 SARILTOGA,CA 95070 PHONE NO:(408)374-8988 ❑ LICENSED CONTRACTOR'S DECLARATION BUI DING PERMIT INFO: BLDG I— ELECT f— PLUMB� License Class Lie.# MECH T_ RESIDENTIAL I- COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:96SQFT KITCHEN REMODEL;NON-STRUCTURAL (commencing with Section 7000)of Division 3 of the Business&Professions INCL JDES Code and that my license is in full force and effect. MECI I/ELECT/PLUMING&LIGHTING;NO RE-ROOF 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.Fi Floor Area: Valuation:$30000 permit is issued. APPLICANT CERTIFICATION APN Number:36610088.00 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 `VITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 130 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Signature Date Issued b . Date . /7- t OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of RE-ROOFS: 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) Signat(re 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: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have -ead 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. permit is issued. Additic nally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will 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 Ow er a hohaed a e t: forthwith comply with such provisions or this permit shall be deemed revoked. ` Date: ( � 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 work's correct.1 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 it !ify and keep harmless the City of Cupertino against liabilities,judgments, Lender'i Address c, ,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations p the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. Signature Date � ( License('.Professional G CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN 36610088 . 00 DATE ISSUED. . . . . . . : 05/17/2010 RECEIPT #. . . . . . . . . BS000010421 REFERENCE ID # . . . : 10050134 SITE ADDRESS . . . . . : 1475 JAMESTOWN DR SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER MING SENG LIIM ADDRESS 1475 JAMESTOWN DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : MING SENG LIM CONTRACTOR LIAN YANG LIC # 27918 COMPANY YANG'S CONSTRUCTION ADDRESS 11831 SOUTHWOOD DR CITY/STATE/ZIP . . . : SARATOCA, CA 95070 TELEPHONE . . . . . . . . : (408) 374-8988 FEE ID UNIT QUANTITY AMOUI\T PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 30, 000 . 00 2 . 00 0 . 00 2 . 00 0 . 00 1BSEISMICR VALUATION 30, 000 . 00 3 . 00 0 . 00 3 . 00 0 . 00 1REMRESKIT SQ FEET 96 . 00 570. 00 0 . 00 570 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 575 . 00 0 . 00 575 . 00 0 . 00 METHOD OF PAYMENT AMOUNT FEFERENCE NUMBER ----------------- --------------- --- ----------------- CREDIT CARD 575 . 00 VISA --------------- TOTAL RECEIPT 575 . 00 CITY OF CUPERTINO C� ADDITION/REMODEL CUPEY TING PERMIT APPLICATION FORM APN # Date: }^ t �� c. 14 Is a 2" unit being added? Yes ❑ No If yes, please fill out the permit application for 2" unit. Building Address: «I� jw[ � T9 W N Mailing Address (if different from building address): Owner's ame: Phone# N Contractor: Phone#: Fax #: Contractor License#: j� -+Tod � Cupertino Business License#: 1 ` Contact: KkRG L l � Phone#: ��g- Fax#: Building P rmit Info: Hillside Bldg. F Elect. Er Plumb. [� Mech. ❑ Job Description: Addition-What is being added?(Be Specific): What is being remodeled (not including addition)? Remodel Includes Re-Roof. Yes ❑ No I 7 yes list number of squares . Remodel Includes Structural: Yes ❑ No Tannin approval? Yes El [� Do you have the pre-application planning If yes, please provide a copy of your plannin a roval letter. Planners name: Square Footage: Addition: Porch: Deck: _ Garage: Detached Attached Remodel: Kitchen ^- _ Bath Othcr Type of Construction (Usage Class): Occupancy Type: - 1-A, 1-B ❑ II/III/V-A ❑ II/IIIB IV-HT, V-B� Valuation: A,, 3�� ©� Please check this box if the project is a second-story addition ❑ Project Size: Express ❑ Standard E� Large ❑ Major❑ Please complete relevant portion of the Green Buildin g Checklist& attach it to the application or if applicable, Green Building Points Achieved: include in plan set& the sheet index. ***For Office Use Only*** Revised 07/06/09 Over-the-Counter ❑ CITY OF CUPI:RTINO `1 ADDITION/REMODEL CUPEI�TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft ADDITIONS 1R3SFDADD 1PLLONGRNGR Long Range PL Planning/Residential 1R3INSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat B Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1 R3HINSP Dwellings Hillside B ins ection 1R3HPLNCK Dwellings Hillside plal B check 1R3HREINSP Dwellings Hillside B Re eat Inspection 1R3HREPLNC Dwellings Hillside B Re eat Plan Check 1R3ALTINSP Dwellings Alternate B Materials Inspection 1R3ALTPLNC Dwellings Alternate B Materials Plan Check 1PCESS Cesspool P 1PPRSEWG Ea. Private Sewage P Disposal System 1 PRSEWER Sewers P 1BPSPRINK Lawn Sprinkler/Backflow P 1BPWSVCS Main Water Service P 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee / 1BSEISMICRE SeismicResidential B IREROOFRES Residential Re-roof Each B 100 SF CITY OF CU]PERTINO ADDITON/RJEMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD Deck (Wood)-Each B (Each) 1 DECKRAIL Deck Railing-Each B (Each) GARAGES 1R3SFDADD OR DETACHED 1R3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF (each) 1GARDTM<=1K Masonry up to 1,000 SF B (each) 1BCONSTAXR Construction Tax RI-s (new detached garage)PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1 PATIOWOOD Wood Frame up to :300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame up to :100 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered-Each B (Each) REMODELS 1R3SFDREM 1REMRESKIT Kitchen Remodel tip to B (Deduct "$"for ea plan 300 SF check 1REMRESBAT Bath Remodel up tD 300 B " SF 1REMREOTH Other Remodel up to 300 B " SF CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1 MECPLNCK Stand Alone Mechanical M Pln Ck(hourly IPLMPLNCK Stand Alone Plumbing P Pln Ck (hourly) IBCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee IBSEISMICRE Seismic Residential B 1TRAVDOC Travel &Documentation B IBUSLIC Business License B M.Indoor Air Quality and Finishes i.Use Low.No-VOC Pill 1 IAQ/F ealth pts y=Yes D 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/I-salth pts y=yes 0 3.Use Lowlio VOC Adhesives 3 IAQk ealth pts )-yes D 4.Use Salvaged Matedals for Interior Finishes 3 Resoirce pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AWiealth pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAWiealth pts y=yes 0 T.Seal all dosed PatGabaam or MDF 4 IAQ/F lealth. pts y=yes D. B.Use FSC Certified Miaterials for Interior Finish 4 Rescirce pts y=yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 Rescirce pts y=yes 0 10.Install Utrhole House Vacuum System 3 IAQ/­Iealth pts y=yes 0 E � 8 14.Flooring 1.Select FSC Certified Wood Flooring 8 ReSDLrce pts y=yes D 2.!sa Rapidly Renew-able 7boring IMarais 4 Resot,rce pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Re50L rce pts y=yes D 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/t-ealth pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 ReSOL rce pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 ResDL rce pts y=yes 0 � E f Tota! Points AVa711a le. 1 140 130T----571 Total Points Projec 01 O= G:data/proos/greenbuildino guidelines/remodelers/greenpointsfinal212.D4proteoted.xls RESIDENTIAL PROJEC7F COVER SHEET Assessor's Parcel Number: �� — �%— Ok Name of owner. �A ( �L'; ' Project address. 4T5 CA - 5Ta Phone. 4A Contact person. / — Fax. Net square footage of lot. / �— Existing Proposed Square footage: First floor: Second floor: Garage: TOTAL: Are there at least two 10 foot by 20 foot clear spaces inside thf: garage? N Is privacy protection planting required for the project? Y guild it Green Total Pointsj:�;� On what floor(s) is work being done? Brief description of work. tCy�-� � v� -� CZg(�t�wt s: (Y-N)2 7 CFC -f2 O07 (Y-N) Code editio �0 i (Y 2007 /1 ovE '� IN ACCORDANCE- W H T HE Cl OF CUPERTINO CODES AND ORDINANCES Effective 1/1/08 DATE iT� Si � s� __------ - - MAY �'- � s 2010 This set of plans and specifications MUST c� be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Department City of Cupertino. The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any provisions of any City Ordinance or law- Plan Review Process Work Book Page-8-Revised 8/05/08 j Q ;fir � Q �CEIVEIa �'�-�� ----------- ----� SAY 17 �a�a BY� WWI giwa LIN (4T,5 faun--s ToaL- ( CA- at` 111LLAIVI1 ]MUELI VUCl Submittal Requirements Three(3)sets of plans wet-signed by the designer/architect,contract or,or homeowner responsible for preparing the plans. A minimum plan size of 8 1/2"x 11"is required for all submittals. All plans submitted must be legible because they will be microfiched as a permanent record after the project has been completed. Provide copies of the cabinet layout plans if available.Contact the Building Inspection Division at(650)903-6313 if you have additional questions. Basic Code Requirements ❑ Two (2) 20 amp dedicated circuits for counter receptacles. ❑ Every counter space 12" or more in width shall have an,;lectrical receptacle. Counter receptacles shall be installed no more than 4 feet on center, and there shall not be more than 24" to a counter receptacle from any point on the counter. No equipment(such as dishw,.shers, garbage disposals, or vents shall connected to the two 20 amp counter circuits. ❑ All counter receptacles must be GFCI protected. ❑ Islands/Peninsulas greater than 12"depth x 24"width must have at least one electrical outlet. ❑ Dishwasher and Disposal require separate dedicated circuits. ❑ The Residential Lighting Standards require that at least calf the lighting watts installed in a kitchen must be consumed by high efficacy (fluorescent/LED)luminaries. All lighting that is not high efficacy is required to be a dimmer switch. For example: if 150W of high efficacy lighting is installed,no more than 150W of low efficacy lighting can be installed.Lighting installed insile a cabinet(pantry) is NOT considered part of the kitchen lighting for calculating 50%as long as it is belt w 20W per linear foot with a maximum of 360W or 181inear feet. Contact the Building Inspection Division for information. ❑ Electric oven and range require separate circuits. ❑ Garage to kitchen openings-Door to garage required tc be a minimum 13/8"solid core, or 20 minute fire rated self closing/self latching door. Garage side of wall must have a minimum covering of 5/8"Type X sheetrock. ❑ Skylights -operable skylights must be 10 feet from plumbing vents or three feet below the vent termination. Skylight installation must provide a roof framing detail and the ICC listing number for the skylight. Other Related Handouts: 1. Smoke detector requirements Permit fees will be based upon the Building Inspection Division's,,quare footage cost,if there is no new framing construction and/or movement of plumbing fixtures,electrical appliances or cabinets.Projects not meeting these requirements will have fees calculated based on the applicants state d project valuation. 01/01/2010 VIM 17 �G 10 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CUPERTINO CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: l` �•4 PERMIT# OWNER'S NAME: (`( �� ( PHONE# GENERAL CONTRACTOR: ` r� k Ar,tiSNir BUSINESS LICEN E# 0 ADDRESS: (^. CITY/ZIPCODE: CL CA *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. UNTIL THE NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S)S IHAVE OBTAINED AHCITY OF CUPERTINO GENERAL CONTRACTOR AND ALL SUBCONTR (T BUSINESS LICENSE. \ �� I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete th- following information: &/ SUBCONTRACTOR BUSINESS NjiME 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 -51 0 De Owner/Contra c or Signat re