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12050196 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21020 HOMESTEAD RD CONTRACTOR-`" PERMIT NO: 12050196 OWNER'S NAME: HING ENTERPRISES LIMITED YUE T 11 � /�P ('�, C�� ✓w ATE ISSUED:06/04/2012 �OWNER'S PHONE: PHONE NO: KJ LICENSED CONT'RACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class_ Lic p� 0 . r r r f1� �'�L MECH RESIDENTIAL COMMERCIAL ContractorDated/ / f✓ 1 hereby affirm that I am licensed under the provisions off C apler 9 JOB DESCRIPTION:ADDJ RGCIiPTACLHS ANU J uGHT1NG FI X'fUREs TO (commencing with Section 7000)of Division 3 of the Business&Professions UNIT Code and that my license is in full force and effect. C 1 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 permit is issued Sq.FI Fluor Area: Valuation:$850 APPI.ICANT CERTIFICATION I certify that I have read this application and slate that the above information is APN Number:32607020.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DANS FROM L CAL ED INSPECTION. 9.18. Signature DatIssued by: `Dale: i ❑ OWNER-RUILDER DECLARATION - I hereby affirm that 1 am exempt from the Contractor's License Law for one of RF.-ROOF'S: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1,as owner of the property.or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors m Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). 1 hereby affirm under penult),of perjury one of the following three ALI.ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's ILA'%ARDOUS M ATERIA1 S DISCLOSURE: 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safely Code,Sections 25505,25533,and 25534. I will maintain Section 3700 ohhe Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code.Section 25532(a)should 1 store or handle hazardous material. Permit is Issued Additionally,should 1 use equipment or devices which emir hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Ray Area.Air Quality Management District 1 will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cuperijitto Municipal Code,Chapter 9.12 and the Compensation Imys of California. If,after making this;ccrtiftcate of exemption,I Health&Safety Code,Sections 255 25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must fortMvith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: I �1� Date: L_ APPLICANT CERTIFICATION CONSTRII('TION LF.NDINf.AGENCY I certify that I have read this application and stale that the above information is correct I agree to comply with all city and county ordinances and stale laws relating I hereby affmn that there is a construction lending agencyfor the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabil ities,judgments, costs,and expenses which may aceme against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cuper inn Municipal Code,Section .ARCIIITF.C'1"S DECLARATION 9.18. I understand my'plans shall be used u public records. Signature Date Licensed Professional CUPERTINO .,t ���///jjj+ Building Department OFFICE COP � JUN 0 4 2012 R fANCE (Page 1 of 4) LTG-1C Re IpMt Dale: Fiallpy Haff Salon, TI 06/03/2012 Project Address: Climate Zone: Building CFA : 600 sf 20120 Homestead Rd., Cupertino, CA 3 Unconditioned Floor Area General Information Building Type: Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel ❑Schools Relocatable Public © Schools ❑ Conditioned Spaces E] Unconditioned Spaces Phase of Construction: ❑ New Construction ❑ Addition Alteration Method of Compliance: Complete Building ❑x Area Category Tailored Documentation Author's Declaration Statement • 1 certify that this Certificate of Compliance documentation is accurate and complete. Name: Hayoung Lee - Signature: �— Company: Innovative Space Dat •06/03/2012 Address: COMMLINITI ILfaPpli5#!l NT DEPARTMENT 6601 Owens Dr.,#145 BUILDIt UC�APUON-CUPERTINO CEPE 4 City""nc/Zip Pleasanton, CA 94588 bit '92579 . 011 Principal Lighting Designer's Declaration Statement job site during construction. It is unlawful to make any • 1 am eligible under Division 3 of the California Business and Professions Code'totaeceprrc?;'ponsibilitydartbedighting[designate • This Certificate of Compliance identifies the lighting features and perforin nce°scif e�tld�t�5e�gaill'iorQ�t�l anee�w�th 9 Official. Title 24,Pages I and 6 ofthe California Code of Regulations. The stamping of this plan and specifications SHALL NOT • The design features represented on this Certificate of Compliance are corislsteiii with tlib'in 'ettom provided m' - brit this design on the other applicable compliance forms,worksheets,calculations,plans and�speeifreXtij Njtppso __ nrageocy fog, approval with this building permit application. Name: Hauching Liao ,AIA Signature: DATE , Company: Innovative Space PERMI i NO. Address: 6601 Owens Dr.,#145 License# C28947 City/State/Zip: Pleasanton, CA 94588 Date: 06/03/2012 Lighting Mandatory Measures MM Indicate location on building plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS&WORKSHEETS(check box If worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms,please refer to the Nonresidential Manual published by the California Energy Commission. M LTG-IC Pages I through 4 Certificate of Compliance. All Pages required on plans for all submittals. ❑ LTG-2C Lighting Controls Credit Worksheet Q LTG-3C Indoor Lighting Power Allowance ® LTG4C Pages I through 4 Tailored Method Worksheet ❑ LTG-5C Pages 1 and 2 Line Voltage Track Lighting Workshcet 2008 Nonresidential Compliance Forms July 2010 ECERTIMICATE OF COMPLIANCE (Page 2 of 4) LTG-1C OR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST appy Hair Salon,TI °" 06/03/2012 Certificate,LTG-I-INST(Retain a copy and verify form is completed and Signed,) p Field Inspector Certificates of Acceptance,LTG-2A and LTG-3A(Retain a copy and verify form is completed and signed.) ❑Field Inspector A separate Lighting Schedule Mast Be Filled.Out for Conditioned and,thnconditioned Spares Installed Lighting Power listed on this Lighting Schedule is.onlyjor.El CONDITIONED'SPACE ❑ UNCONDITIONED SPACE El The actual indoor lighting power listed below includes all histo/led permanent and portable lighting with l46 a 8 8 systems in accordance ❑Only for ofces. Up to thefnrst 0.1 watts per squarefoot ofportable lighting shall not be required to be included in the calculation ofarlual indoor lWng power density,in accordance with the Exception to§146(a). All portable lighting in excess o 0.2 watts s are oot is totaled below. Luminaire Schedule Lam s Ballasts Installed Watts A B C D E F G ;4cld How wattage was determined I2 z°' �• Complete Luminabe Description a'� CEC a¢mding F•a v (i.e,3 lamp fluorescent troffer, a shalt to o v - F327'8,one dimmable electronicbellast tape core ' ' .LL 2x4 (2)-F32T8 flourescent, Energy Savings, Elec 54 >< 11 694 scounce (1)-60w Incandescent - 6D x 240 INSTALLED WATTS PAGE TOTAL: 834 Building total number of pages Installed Welts Building Total (Sum of all pages) 834 1. Wattage shalt be determined according to Sedlon 130(d and e. Watt Enter into LTG-1 C P e 4 of 4 2./ Fail then describe on Pa a 2,0 the/ coon Chedd(st Form andt�shall b gcpWdate ae(onf tcorrec( Vert ung q nulbam i necessa . 2008 Nonresldentia/Complhanee Forms July 2010 • J CERTIFICATE'.OF:COMIPLIANCE a e3of4) LTG-1C Project Name: Date: Happy Hair Salon, TI 06/03/2012 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces:a)area controls;.b)multi-level controls, c)manual daylighling controls for daylit areas>250 j, automatic daylighting controls for daylit areas>2;500 f?.d)shut-off controls, e)display lighting controls,J)tailored lighting controls-general lighting controlled separate from display,ornamental and display case lighting and g)demand responsive automatic controls or retail stores>,50,000fit,in accordance with Section 131. MANDATORY LIGHTING CONTROLS- FIELD INSPECTION ENERGY Field CHECKLIST Inspector Number Type/Description of Units Location in Building Pass Fail ❑ ❑ ❑ ❑ ❑ ❑ ❑ El 0 ❑ ❑ El Field Inspector's Notes.or Discrepancies: 2008 Nonresidential Compliance Forms. July 2010 CERTIFICATE OF COMPLLANCE (Page 4 of 4) LTG-1C Project Name: Date: Happy Hair Salon, TI 06/03/2012 Conditioned and Unconditioned s ace Lighting must not be combined for compliance Indoor Lighting Power for Conditioned S aces. Indoor Lighting Power for Unconditioned Spaces Watts watts Installed Lighting 834 Installed Lighting from Conditioned LTG-1C Pape 2 from Unconditioned LTG-IC Page 2 Lighting Control Credit 0 Lighting Control Credit Conditioned Spaces from LTG-2C Unconditioned Spaces from LTG-2C Adjusted Installed 834 Adjusted Installed = Lighting Power LiRhfinp.Power Complies if Installed<Allowed 2 Complies if iostalled f-Allowed V Allowed Lighting Power 834 Allowed Lighting Power Conditioned Spaces from LTG-3 Unconditioned Spaces from LTG-3C Required Acceptance Tests ` Designer: This form is to be used,by the designer and attached to the plain. Listed below is the acceptance rest for the Lighting system, LTG-24 and LTG-3A. The designer is required to check the acceptance tests and list all control devices serving the building orspace shall be certified as meeting the Acceptance Requirements for Code Compliance. /fall the lighting system or control ofa certain type requires a test,list the different lighting and the number of sysmm. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test Since this forrtiwill be parr ofthe plans,completion ofthis section will allow the responsible party to budget for the scope ofwork appropriately.Forms can begrouped by type of Lundrudint eoNroRed Enforcement Agency: 4slems,Acceptance Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in rhe building ar space shall be certified as meeting.the Acceptance Requirements. The LTG-2A and LTG-3A forms are not eoraidered o complete farm and are not to be accepted by the enforcement agency unless file boxes are checked andlar filled and signed In addirim;a Certificate ofAcceptance forms shall be submitted io the enforcement agency that certifies plans. speclJlcations,installation cert fcates,and operating and maintenance information meet the requirements of§10./03(b)of Title 14 Part 6.The field inspector must receive the properlyfdled out andsigned forms before the budding can receive final occupancy. A copy of the LTG2A and LTG-3A or each di erent fighting luminaire control(s)must be provided to the owner of the building w their records. Luminaires Controlled LTG-2A and 3A Controls and 9 Sensors and a m EAutomatic E Y c Daylighling Controls Equipment R uirfu Testis _ Description ° " ° Location Acceptance Dual SwitcO 2x4 flourescent 2 0 orODrea [H] 0anualSwitco Scounce 2 0orDOre@ D 2008 Nonresidential Compliance Forms July 1010 INDOOR LIGHTINGTOWER ALLOWANCE LTG-3C Project Name: - Date: Happy Hair Salon, TI 06/03/2012 ALLOWED LIGHTING POWER Chose One Method A Separate LTG-3C must be filled out for Conditioned and Unconditioned Spaces. Indoor Lighting Power Allowances listed on Otis page are only for: CONDITIONED spaces UNCONDITIONED spaces COMPLETE BUILDINGMETHOD' WATTS COMPLETE ALLOWED BUILDING CATEGORY From §146 Table 146-E PER(ft) X BLDG.AREA = WATTS TOTALS .AREA WATTS AREA CATEGORY METHOD—Part A A B C D WATTS ALLOWED AREA CATEGORY(From.§146 Table 146-F) PER(fi) X AREA(ft) = WATTS Beauty Salon 1.7 600 1,020 Sum of Additional Allowed Watts from Area Category Method—Part B(from table below TOTALS 1 600 1,020 AREA WATTS AREA CATEGORY METHOD—PartB Additional Wattage Allowance(from Table 146-F Footnotes A B C D E F G Additional ALLOWED Watts Wattage Total WATTS Primary Per ft, Allowance Descriptions)and Quantity of Special Design Smaller of Function —Sq Ft Allowed (B x C Luminaire¢T• es in each Primal Funcnion Area Watts Dor F TOTALS—Enter into Arca Category Method—Part A(table above) Additional watts available only when allowed according to the footnotes on bottom of Table 146-F for chandelier or sconce; art,craft,assembly or manufacturing specialized task work;precision commercial/industrial work;or lab specialized task work. ' Special luminaires are light fixtures described in die Table 146-F Footnotes that are subject to an additional wattage allowance. TAILORED METHOD Total Allowed Watts using the Tailored Method taken from LTG-4C(Page I of 4)Row 3 The indoor lighting power allowance using the Tailored Method of compliance shall be determined using the LTG-4C set of forms.A separate set of LTG-4C forms shall be filled out for CONDITIONED and UNCONDI'T'IONED spaces 2008 No nraddenrial Compliance Forms August 2009 CITY OF CUPERTINO 6 ITEMS OF 7 PERMIT RECEIPT OPERATOR: patg COPY # 1 .Sec: ,Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32607020.00 DATE ISSUED. .. . . . . : 06/04/2012 RECEIPT #. . . . . . . . . : BS000016984 REFERENCE ID # . . . : 12050196 SITE ADDRESS. . . . : 21020 HOMESTEAD RD SUBDIVISION . . . , CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . .. . . . . ... . : HING ENTERPRISES LIMITED YUE T ADDRESS . . . . . . . . . . : 3627 DEER TRAIL DR CITY/STATE/,ZIP . . . : DANVILLE, CA 94506 RECEIVED FROM . : KEON K KOANG 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 ---------- ---------=--- ---------- ---------- --------- ---------- --------- lADMIN HOURS =1.00 41.00 0.00 41 .00 0. 00 1BCBSC VALUATION 850 .00 1.00 0.00 1.00 0 .00 .1BREMRECEP NO. OUTLETS 5.00 44 . 00 0. 00 44 .00 0. 00 _ 1BSEISMICO VALUATION 850.00 0.50 0.00 0 .50 0. 00 1EPERMITFE FLAT RATE 1 .00 44.00 0 .00 44 .00 0.00 1TRAVDOC FLAT RATE 1.00 44 . 00 0. 00 44 .00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT 174.50 0 .00 174 .50 0.00 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 21020 homestead road DATE: 06/04/2012 REVIEWED BY: larrys APN: BP#: 'VALUATION: $850 'PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY Commercial Building PENTAM11ATION 10EAP10 USE: PERMIT TYPE: WORK add 1 rete ticale and 4 lighting fixtures SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Recep/Switch/Outlets 1BREMRECEP 5 # $44 TOTALS: $44.00 d r.,:/.. I•loa C'hrck Ph....h. P/.,.Crcr6 Elec. Plan Check 0.0 1 hrs $0.00 b. I',•rnrit Fm,: Vbw,h. 1'c, ,,it Frr: Elec. Permit Fee: IEPERMIT Orho Plu...h It Other Elec. Insp. 0.0 hrs $44.00 ;blr.h, h.,p. h:r: Phnuh, Lap_Farr li le._lno n-P.'e: NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School District,etc. . These joes are based on the Prelimina information available and are only an estimate. Contact the De t or atldn'1 info. FEE ITEMS (Fcc Resolution 11-053 Ell 7/l/l 1) FEE QTY/FEE MISC ITEMS Phur ('/w,lr F(r: S.rppl. 1'C lrr., PME Plan Check: $0.00 1")illi/ /-"c Sn/'pl. hl.s/) /.'r.i. PME Unit Fee: $44.00 PME Permit Fee: $44.00 C'msnwrli.m l<r.s: Administrative Fee: IADMIN $41.00 Work Without Permit? Yes (F) No $0.00 ,I dronted l'lmrnAi, Fens: Travel Documentation Fee: ITRA vDOC $44.00 A St,rong Motion Fee IBSEISMICO $0.50 Select an Administrative Item Bldu Sids Commission Fee: IBCBSC $1.00 SUBTOTALS: $174.50 $0.00 TOTAL FEE, $174.50 Revised: 05/01/2012 GENERAL PERMIT APPLICATION M E P COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE,AVENUE•CUPERTINO. CA 950143255 M I sc CUPERTINO (408)7773 777 228• FAX(408) -3333•building(g)cuoertino.org M0501 / OPLMM UBING MECHANICAL ELECTRICAL MISCELLANEOUS '/ PROTECT ADDRESS O 0%%Q'11VQQ C' AJ3NR 3 --?& 070a0 OWNER NAME _PHONE f E-MAIL STREET ADDRESS r DUD CIrY,.STATE,ZIP FAX 7 I / � !W 1-7 AA CONTACT NAME PHONE E-MAIL 'Q AeR�' STREET ADDRESS CITY,STATE, FAX G2- I l" 't�-O 11 OWNER VAAYOWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTORS ❑CONTRACTO TIR 1'AGENT ❑ AItc=Cr 13IN ENGINEER ❑ DEVELOPER 11 TENANT CONTRACTOR NAME IICENSENUMBER �'19I)� LICENSE TYPE BUS.LIC# AMV Q -C- % iU COMPANY NAME a, ` i/ E-MAB. 9 1 FAX STREETADDRESS - llV CITY,STATE,ZIP O y' JV� ARCHTTECTIENGINEER NAME LICENSE NUMBER BUS.ITC# COMPANY NAME- E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD m DIIPr cr ❑ MULTI-FANILY PROTECT Il WLLDIAND ❑ YFS PROJECT W ❑YES IS THE BIDG AN ❑ YES BUILDING: COMMERCUV. URBAN INTERFACE AREA NO FLOODZONE O EICHLER ROME NO DESCRIPTION OF WORK Q Q TOTAL VALUATION: 6 �- RECEIVED BY: By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read dds application and the information 1 have provided is correcL.l have read the Descfription of Work and verify it is accurate. I agm to comply with all applicable local ordinances and state laws relating to building construction:1 authorize re LIUVCS of Cupertino To enter the above-identified prop erty for inspection purposes. Signanue ofApplimm/Agent: — — Dam: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY OVER-THE-COUNTER t ❑ E\PRESS u m ❑ STANDARD U ❑ LARGE c ❑ MAJOR MEPMacApp_2011.doc revised 06121/11