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08080037 CITY OF CUPERTINO �y�k,gT sir-was�• BUILDING DIVISION s PERMIT gCCINTRACTOR INFURMATIN BUILDING ADDRESS: PERMIT NO. 20956 HOMESTEAD RD STE D TBD — TO BE DETERMINED 08080037 OWNER'S NAME: PERMIT ISSUE DATE JOSEPH HUANG 08/05/2008 NE: SANITARY NO. CONTROL NO. ARCHI?ECUEiGINEER: BUILDING PERMIT INFO 'BLDG ELECT PLUMB MECH 0 0 0 0 0Op LICENSED CONTRACTOR'S DECLARATION hOn w I hereby affirm that 1 am liavw umJob DaSCrIkr provisions of Chapter 9(commencing P nU with Section 70M)ol'Division 3 of ft Business and professions Ocale.and my license is INSTL LETTER SIGN In full to=and erfe j License Class Lto. n F p DateConuacthr e "5 ARCHITECTS DECLARATION Y toI understand my plans Nall be used u public nomuds JyV g License)Pmfcsslonal 5 OWNER-BUILDER DECLARATION 1 hereby affirm Thal I sen esempt fraud dac Contractors Cleric law for the O O following mason.(Section 703 1.5,Business and Professions Coda:Any city ar county 3 29 which rtquires a permit he construct,ober,improve,dcmoilim.or repair any sructoin _Z< prior to its issuance.also,ryuires heapplicait for such permit to fileasignad suYment that he is licensed pu mod to he provisions of the Contractor's Licsve Law(Charter 9 Sq.Ft.Floor Area Valuation x5$ (commemingwidsSation?000)ofDivWon3afdwBusin mdPro=iomCodc)w $265 6 r3— dust he is exempt derefmm and Ne basis for 0e alleged exce pdan Any violation of Section 7031.5 by any applicant for a permit subjects time applicant to a civil Wr dty ofumber Occupancy Type nor come thea five buwmd dollms(SSW). 32609061 .' N 1,an owner of he property,or my emplaynes with wages as their sob compensation, will do he.,it.and the mwtum is not intended or Offered far sale(Sec.7 .Busimm and Profession Code The Canu ?mu. s Li.Law don tet apply to an owner of Required Inspections Property who build,w improves hereon.and who dos ouch wok himself or through his awn emplayoa.proNdw that such improvements are otimended oreffemd(.rule If. bwever,the building urimprovemsnt Is sold within one year orcwephoon.he owner. builder will haw he burden of proving that he did Out build or improve for Purpose of isle.). fQ 1,as caner of the property aar exclusively contracting widen licensed emnimsms to construct the projea(See.7044,Business and Professions Code)The Conaramarl U. cave Law dais out apply in an owns of property wbo b ilds m improves daemon,and. who contracts for such projects wih a com uclor(s)licensed pwsumt On de Contractor's Lkeve Law. ❑lam��nem�P�.�.�^dm� BP C far his mason Ow tote 1;5 apj_ KER'S COMPEN ATIO DECLARATION i 1 herby Niro under penalty of perjury me of he fallowing dcdaratimu: 1 ham and will maintain a Cmtifucata of Consents.self-insu ,for Workers Chariton- sadon.an Provided for by Section 3700 of the Labor Code.far he performance of the work for which his permit is issued. 1 have and will maintain Workers Compensation Leman,u rtgdred by Section 3700of tho labor Calc,for he performance Of de work for which this permit is bashed. My WmkW.Compensation Itual.cooler and Polity number art: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE - ("nsisscoano heed mctbu completed Ube Permit Is foronehund ed dollua($1010 or toss) I cerufv that in the performance of he wart for which this permit is issued.I shall nor employ any person in my muncr an as in became subject w de Wmrk Compensation laws of Califomis Due Applicant NOTICE TO APPLICANT.If,after making this cmunae of Exemption,you should bccmme subject he the Worked Co epensatiu provisiorts of he Labor Core you most .J O foMwith comply with such provisions or this permit shall be m deeed invoked. z r7 CONSTRUCTION LENDING AGENCY D4 I heroby Crum dor dert is sued(S construction lending agency for the performance of fY.7 do work for which this Permit is issued(Stt.3(19'!,Civ.C.) W 0 1<Mers Name z I•endersAwrtm U Q 1 calcify dist i have rad this application W sate this the above infomauon u U, cornea.cortex 1 a&=to comply wit all city and county ordinances and sum Ins relating to .0 SV' building consternation.and hereby authorise mpresenudves of his city in now upon de N a alcove-mentiahea Property(a inspection purposes (We)agree to save,indemnify and keep homeless he City of Cupcnirw against Uh in consequence coming ofpeitsumit. may in try wyscerue Against said City U aZ A APPLICANT of thegr�ting SA AND ^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATIONS. /1 ---=�—�� — W�de Re-roofs / Signof App ewnuContracter Date uurt HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building..,ant scrc or handle hmasdous material as defined by he Cupenim Municipal Cade.Copier per 9.12,and the Health and Salety Code,Section 25532(a)7 0Yns ON. All roofs shall be inspected prior to any roofing material being installed. Will he.applicant buildin eau If a roof is installed without first obtainingan inspection,I agree to remove pp g pant taw cyvi it Qu it Mara which P $ I ha'rsrdnw air cuWninun ss defined by the Bay Ana Air Quality Management all new materials for inspection. w a? ❑Yes ❑Nu I have mad dao bvadons romenals mquircmenn under Chapter 6.95 of the Calirm- ninHealth&Safety Core,Sections 25505,25533 and 25534.1 understand ft ifde Wilding does mut cwscntly have a ural dor it h my mapmuibility m IcUr,he nmo wrt of de mquimments which most 1e met prior to itmmce of a Cctdfcau:of Oceuw�� 6� a*7s�g y Signature of Applicant Date Owmror aodaorned agent Data All roof coverings to be,Class'W or better CITY OF CUPERTINO . • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32609061 . STED DATE ISSUED. . . . . . . : 08/05/2008 RECEIPT # . . . . . . . . . : BS000005692 REFERENCE ID # . . . : 08080037 SITE ADDRESS . . . . . : 20956 HOMESTEAD RD STE D SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : JOSEPH HUANG ADDRESS . . . . . . . . . . : 20956 HOMESTEAD RD STE D CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : JOSEPH HUANG CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . TELEPHONE . . . . . . . . : • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- -- - --- IBSEISMICO VALUATION 265 . 00 0 . 63 0 . 00 0 . 63 0 . 00 ISIGNREWRK EACH 1 . 00 306 . 00 0 . 00 306 . 00 0 . 00 -- ------ ---------- ---------- ---------- TOTAL PERMIT 306 . 63 ' 0 . 00 306 . 63 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 306 . 63 #2363 --------------- TOTAL RECEIPT 306 . 63 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -- -------------------------- -------- ---------------------------- 101 FOUNDATION 103 UFER 1.04 REBAR 105 ANCHOR BOLTS 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL • �7-0 0 CITY OF CUPERTINO o�� SIGN • CUPEkTINO PERMIT APPLICATION FORM APN # Date: 2a (o o 610(o Building Address: G 0 9S6 HLV M7Mq Q 41,Eda�i-JD 46 401q- Mailing SD/4Mailing Address (if different from building address): Owner's Name: Phone #: 'TOW/4 Hsi d S� 7v3 363 Contractor: Phone #: fly 2 SS 5912 A AT Acu&t-f/S.4,4 Fax #: ddb'- 7s� S u9 S Contractor License #: Cupertino Business License #: Contact: �j ��,,, +, Phone Fax #: Building Permit Info: , /NS/�tL LZ�Ji2 5163 Bldg [✓j Elect Monument ❑ Mounted on Building ❑ Residential ❑ Commercial Job Description: P'&i ,•LpAce b7 kRYit, c,/" Valuation (cost of project): ��GSI Project Size: Ex ress ❑ Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Revised 6/16/08 CITY OF CUPERTINO ` SIGN CUPEkTiNO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Grou 1 SIGNDIRECT Directional B ISIGN/RF Ground/Roof/ProjectingSigns B 1 SIGNMASCK Master Plan Sign Check B 1 SIGNREWRKG Rework of any existing Ground B I Sign 1 SIGNOTHER Other Sign B 1SIGNREINSP Re-inspection Fee B 1SIGNWNONEL Wall/Awning Sign, Non- B Electric 1SIGNWELEC Wall, Electric E IESIGN Sign, Outline Lighting System E 10EAP5 • or Marquee supplied from one branch IESIGNADD Additional Branch Circuit on E 10EAP6 Same Sign, Outline System or Marquee 1 ELCPLNCK Plan Check Fee E EPERMITFEE Electric Permit Fee E / BSEISMICOM Seismic Commercial B BSEISMICRE Seismic Residential B TRAVDOC Travel &Documentation B BUSLIC Business License B • 0 LEED for Core and Shell v2.0 • Registered Project Checklist Project Name: Project Address: Y. 7 No Prereq 1 Construction Activity Pollution Prevention Required Credit 1 Site Selection 1 Credit 2 Development Density&Community Connectivity 1 Credit 3 Brownfield Redevelopment 1 Credit 4.1 Alternative Transportation:Public Transportation Access 1 - Credit 4.2 Alternative Transportation: Bicycle Storage&Changing Rooms 1 Credit 4.3 Alternative Transportation:Low-Emitting and Fuel-Efficient Vehicles 1 Credit 4.4 Alternative Transportation:Parking Capacity 1 Credit 5.1 Site Development: Protect of Restore Habitat 1 Credit 5.2 Site Development: Maximize Open Space 1 Credit 6.1 Stom crater Design:Quantity Control 1 Credit 6.2 Storrnwater Design: Quality Control 1 Credit 7.1 Heat Island Effect,Non-Roof 1 Credit 7.2 Heat Island Effect,Roof 1 Credit a Light Pollution Reduction 1 Credit s Tenant Design&Construction Guidelines t Y. No Credit 1.1 Water Efficient Landscaping:Reduce by 50% 1 Credit 1.2 Water Efficient Landscaping: No Potable Use or No Irrigation 1 • Credit 2 Innovative Wastewater Technologies 1 PEP Credit 3.1 Water Use Reduction: 20%Reduction 1 Credit 3.2 Water Use Reduction: 30%Reduction 1 Ye ] No Prereq t Fundamental Commissioning of the Building Energy Systems Required Prereq 2 Minimum Energy Performance Required Prereq 3 Fundamental Refrigerant Management Required 'Note for EAcl:All LEED for Dora and Shell prefects registered eller June 26h.2007 are required to achieve at least Iwo(2)points under F ct. ® Credit 1 O timize Energy Performance 1 to 6 10.5%New Buildings or 3.5%Existing Building Renovations 1 14%New Buildings or 7%Existing Building Renovations 2 17.5%New Buildings or 10.5%Existing Building Renovations 3 21%New Buildings or 14%Existing Building Renovations 4 24.5%New Buildings or 17.5%Existing Building Renovations s 28%New Buildings or 21%.Existing Building Renovations 6 31.5%New Buildings or 24.5% Existing Building Renovations 7 35%New Buildings or 28%Existing Building Renovations 6 Credit 2 Onsite Renewable Energy 1 Credit 3 Enhanced Commissioning 1 Credit 4 Enhanced Refrigerant Management 1 Credit 5.1 Measurement&Verification-Base Building i Credit 5.2 Measurement&Verification-Tenant Sub-metering 1 Credit 6 Green Power 1 continued... • LEED for New Construction v2.2 Registered Project Checklist • Project Name: Project Address: Y. 7 No 47 Prereq 1 Construction Activity Pollution Prevention ,Required Credit 1 Site Selection 1 Credit 2 Development Density&Community Connectivity 1 . Credit Brownfield Redevelopment 1 Credit 4.1 Alternative Transportation, Public Transportation Access 1 Credit 4.2 Alternative Transportation, Bicycle Storage&Changing Rooms t Credit 4.3 Alternative Transportation, Low-Emitting&Fuel-Efficient Vehicles t Credit 4.4 Alternative Transportation, Parking Capacity 1 Credit 5.1 Site Development, Protect or Restore Habitat t Credit 5.2 Site Development, Maximize Open Space 1 Credit 6.1 Stormwater Design, Quantity Control t Credit 6.2 Stormwater Design, Quality Control 1 Credit 7.1 Heat Island Effect,Non-Roof 1 Credit 7.2 Heat Island Effect, Roof 1 Credits Light Pollution Reduction 1 Yw i N. I Credit 1.1 Water Efficient Landscaping, Reduce by 50% 1 Credit 1.2 Water Efficient Landscaping, No Potable Use or No Irrigation t • Credit 2 Innovative Wastewater Technologies 1 Credit li Water Use Reduction,20%Reduction 1 Credit 3.2 Water Use Reduction,30%Reduction 1 mum ME= Prereq 1 Fundamental Commissioning of the Building Energy Systems Required Prereq 2 Minimum Energy Performance Required Prereq 3 Fundamental Refrigerant Management Required .Note for EAc1All LEED for New Construction projects registered after June W%2007 are reoulrsd to achieve at least two(2)points under EAo1. ®Credit 1 O timize Energy Performance 1 to to 10.5% New Buildings or 3.5% Existing Building Renovations 1 14%New Buildings or 7%Existing Building Renovations 2 17.5%New Buildings or 10.5%Existing Building Renovations 3 21%New Buildings or 14% Existing Building Renovations 4 24.5% New Buildings or 17.5% Existing Building Renovations s 28%New Buildings or 21%Existing Building Renovations s 31.5%New Buildings or 24.5% Existing Building Renovations 7 35% New Buildings or 28%Existing Building Renovations e 38.5%New Buildings or 31.5%Existing Building Renovations 9 L:J42%New Buildings or 35% Existing Building Renovations 10 ®Credit 2 Onsite Renewable Energy 1 to 3 _ 2.5%Renewable Energy - 1 7.5%Renewable Energy 2 12.5% Renewable Energy 3 4::HCredit3 Enhanced Commissioning 1 4 Credit a Enhanced Refrigerant Management 1 Credit s Measurement&Verification 1 credits Green Power 1 continued... • s I u • ti S2 �� oil N ' q^ cn _ ' 7 Cr ,CD A � Y UIQ cn 'a � a e milli p 1 � N � N D c MICK r"1 (D O O a i • , 1 t� N I 1 1 � N � I N C N_ r N CD �s O a THIS Cz THL JOB AT ALL TIM,UD � =°; cl� A nI(?�-p49 Inti-IFyn 1 i� "1 Community Development 10300 Torre Avenue Cupertino CA 95014 Telepbone(408)777-3228 CITY OF Fax(408) 777-3333 0,UPEf,TINO Building Department JOB ADDRESS: PERMIT6��7 8"9 R Q ,4 D eywi�-v 4 SO/ OWNER'S NAME: 1i6Py PHONE # s,,,3,7Yi-3aff GENERAL CONTRACTOR: Ad-T 0 VWj S/"(n FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood • Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contrac r Signature Date