The URL can be used to link to this page

13030037 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20956 HOMESTEAD RD CONTRACTOR:CALVIN&BROS PERMIT NO: 13030037 CONSTRUCTION,INC OWNER'S NAME: ERIC HUANG&MARGARET YEUNG 1242 ADAMS DR DATE ISSUED:03/07/2013 OWNER'S PHONE: 4089058798 SAN JOSE,CA 95132 PHONE NO:(408)5824988 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Classc%(�—Lic.# 0 7 CODE ENFORCEMENT CASE/T.L:PREP TO REMOVE ALL UNPERMITTED WORK DONE,INCLUDING ELECTRICAL, ContractorDate ( PLUMBING&FRAME WORK 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 and effect. 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:$2500 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:32609061.00 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 WITHEN 180 DAY T 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 ED 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 Issu Date: granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. - RE-ROOFS: Signature OL--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.70441 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 the Cupertino Municipal CodeyChapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2550;;, 533 nd 4. j Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: t Date: ( 7,/ 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 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 cityand 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 orz f l� �� TI RMIT APPLICATION COM TY DEVELOPMENT DEP UILDING DIVISIO Nf\ 00 TORRE AVENUE•CUPERTINO,CA 95014-3255 ��JJ (408)777-3228•FAX(408)777-3333•buildtng(&-cupertino.org CUPERTINO _ (� r/ PROJECT ADDRESS CI J C7 L/� /1d fI G,A(}j� APN# OWNER NAME PHONE,,,e fo� 7 E-MAIL �L Zv7 7AN /_ STREET ADDRESS 2 CITY, STATE,ZIP FAX o 2 /2 CONTACT NAME y A A/ „q,A PHONE( g)�Z_j C7 y� E-MAIL (7 STREET ADDRESS ��"G �Ul�l/V,\� y7✓ CITY,STATE, ZIP}�� v�(J,,.�/H� /;3'2-. FFAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT d'CONTRACTOR ❑CONTRACT OR AGENT ❑ ARCFIITECT [3 EN ❑ DEVELOPER ❑TENANT CONTRACTOR NAME � - 1 _p LICENSE NUMBER 0 7Z� LICENSE TYPE /�O` BUS.LIC# COMPANY NAME �3CM,�/�� /N EMAIL / FAX S REET ADDRESS 12-41 �(IJji'/ vv`> DV�/J(fI CTTY,STATE,ZIP 5�� 4e � PHONEj/��}1? \�x G �l3 DESCRIPTION OF WORK RESIDENTIAL #DWELLING OFFICE USE ONLY FLOOR AREA UNITS USE occ. -TYPE SO.FT. VALUATION COMMERCIAL FLOOR AREA Le TYPE OF CONSTRUCTION #STORIES AQMD JOB NUMBER RECEP✓ED BY: T eaw: 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 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 uildin construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 7 SUPPLEMENTAL INeORNKTIONREQUIREDPRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY _Provide Job Number from Bay Area Air Quality Management District www.baaymd.org @ 415-749-4762. PLAN CHECK TYPE _Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" EL4mmess � e in diameter or more at 3'above grade. STANDARD _Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. El LARGE Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by person(s) MAJOR certified in asbestos,mercury and/or hazardous material examination. 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. DemoApp_2013.doc revised 02/13/13 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 20956 HOMESTEAD RD DATE: 03/07/2013 REVIEWED BY: MELISSA APN: 326 09 061 BP#: *VALUATION: 1$2,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial$uildin PENTAMATION 1TIPREP USE: g PERMIT TYPE: A WORK CODE ENFORCEMENT CASE/T.I. PREP TO REMOVE ALL UNPERMITTED WORK DONE SCOPE INCLUDING ELECTRICAL, PLUMBING & FRAME WORK m .. klech.Plan Check Phimb.Placa Check Eltc.Plan Check �1eeh. Perwit F'"ee: Plumb.Permit Fee: I lec.Permit Fee: Either,11ech.Insp. Other Plumb Insp. Other Elec.Insp, Afech.Invp..Fee: Plumb. Insp.Fee: Dec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District etc). These&es are based on the prelimina information available and are only an estimate- Contact the De t or addn7 info. FEE ITEMS(FeeResolution11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 I ' I # Tenant Improvement Prep Suppl.PC Fee: (j) Reg. 0 OT 0.0 fns $0.00 $388.00 1TIPREP PME Plan Check: $0.00 Permit Fee: $0.00 Suppl.Insp.Fee-.0 Reg. O,OT 0,0 hrs. $0.00 PNM Unit Fee:. $0.00 PME Permit Fee: $0.00 Construction Tax: F71 Administrative.Fee- Work Without Permit? 0 Yes No $0.00 Advanced PlanningLFee- $0.00 Select a Non-Residential E) Travel.Documentut on fees: Building or Structure: i Strong Motion Fee: IBSEISMICO $0.53 Select an Administrative Item Bldg Stds Commission Feer IBCBSC $1.00 $1.53 $388.00'1 $389.53 Revised: 01/01/2013 A e_ Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 C O P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: "V 8 PERMIT'#. {..303 O d 3 :9' OWNER'S NAME: PHONE# 2— GENERAL CONTRACTOR: Ca" � BUSINESS,.LICENSE ADDRESS: / ° CITY/ZIPCODE,t<, �jG aSF T rr v *Our municipal code requires all businesses working 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: 1 i7�' ! 7 If 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