The URL can be used to link to this page

14030002CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20956 HOMESTEAD RD CONTRACTOR: ERIC HUANG & PERMIT NO: 14030002 MARGARET YEUNG OWNER'S NAME: ERIC HUANG & MARGARET YEUNG P O BOX 2383 DATE ISSUED: 08/07/2014 OWNER'S PHONE: 4084465336 CUPERTINO, CA 95014 PHONE NO: JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ LICENSED CONTRACTOR'S DECLARATION T.I. TO MOVE DIMISING WALL BETWEEN UNITS F & G. License Class Lic. # RELOCATE OUTLETS. REPAIR/REPLACE (E) POSTS ON WEST Contractor Date FACING OVER COVERED WALKWAY. 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: $5000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Num bcr: 32609061.00 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 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 WITHIN80 DARMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS OM LAST LLED INSP TION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the .7 / Issued by: 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 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: irm that I am exempt from the Contractor's License Law for one of I htfo thg two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, 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, Business & Professions Code) owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE truct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the ffereby California Health & Safety Code, Sections 25505, 25533, and 25534. I will 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 B rea Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the pertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Secti 505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this ate: Owner or authorized age Date:),- it is issued. -ertify 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 LENDI G 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 c orrect. I agree to comply with all city and county ordinances and state laws relating 1.) 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, o)sts, and expenses whi may accrue against said City in consequence of the I understand my plans shall be used as public records. anting of this permi . Additionally, the applicant understands and will comply v, ith all non-point urce regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Date r Signatur fi CUPERTINO n CONSTRUCTION PERMIT APPLICATION �o o� COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(o1cupertino.orq \ = &-14 n --T InrrrDDTr) nRTf_TVAI AFRMTT.0 L_-1 Nt'.W I.UNJIMUl-I1U1'! LJ 1LL111 V1v --- PROJECTAPN DRES # —a — p 6 f v rWk" ;c1 OR NAPHONE EMAIL STREEI'? 6 6 C i STATE ZIP !! FAX G14 S 9 3 S O ACT NAME AD (� PH �� 3 / fay &MALtCttL q. LiOl /- STREET ADDRESS CITYa., STATE, ZIP AX 3 3 , • ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT I ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT GINEER DAME LICENSE NUMBER BUS. LIC # L, COMPANY NAME E -M _ FAX STREET ADDRESS ��t I:JVZ rj,t CITY, STATE, ZIP J ,ewAtj4 ILUC PHONE / (408)4,0 6� DESCRIPTION OF WOfLKI ' b_ Unit & 6r, ilv2 &YtIAL6CAt c To 1 J2 ;ln; s ,_ /Vc Clla.n a c-'1 EXISTING USE Sc�l a � t4'( 6Y� PROPOSED USE CONSTR. SK�cn r�Ir TYPE V / V Tb # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOORI DEMO TOTAL AREA AREA AREA I NET AREA BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER REMODEL AREA 2. 6-b PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH DWELLING UNITS: IS A SECOND UNrr ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF APPL # NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO , REt',' :BY '' TOTAL VALUATION: PLANNING ❑ k n ✓ 5 - By my signature below, I certify to each of the following: I am the property owner or authorized agen Ion 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 IaWS relating 9 building co�tfru tion. I a ze presentatives of Cupertino to enter the above -identified property for inspection purposes. / / � I C Signature ofApplicant/Agent: �r� '// Date: SUPPLEWNTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-TIIL-COUNT E:K ❑ BLI' DING PLAN RI.N JEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. .XI'RESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC NVORKS form if any Hazardous Materials are being used as part of this project. ❑ ❑ LARGE EIRF DEPT Copy of Planning Approval Letter or Meeting with Planning prior to Ll ❑ SANITARY SLNN ER msriucr _ submittal of Building Permit application. MAJOR - - ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 20956 HOMESTEAD RD F&G DATE: 03/03/2014 REVIEWED BY: MELISSA PC FEE ID APN: 326 09 061 BP#: VALUATION: $5,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: I PENTAMATION 1 B TI I PERMIT TYPE: i WORK T.I. TO MOVE DIMISING WALL BETWEEN UNITS F & G. RELOCATE OUTLETS. REPAIR/REPLACE SCOPE I (E) POSTS ON WEST FACING OVER COVERED WALKWAY OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,111-B,IV,V-B 200 $2,036.00 1BTIPLNCK $571.00 1BTIINSP $0.00 PME Plan Check: $0.00 Permit Fee: $571.00 Suppl. Insp. Fee.e Reg. Q OT O,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 200 $2,036.00 $571.00 MECH, HOURLY 0 Yes 0 No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No MISC ITEMS / NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, rare, sanitary sewer mstrict scnoot These ees are based on the relimina information available and are on1v an estimate. Contact the Dept or addh 7 info. FEE ITEMS Lee Resolution 11-053 E,(f T,%l%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,036.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $571.00 Suppl. Insp. Fee.e Reg. Q OT O,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 E) Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 �)c3c�t,�t�rraturit>,i C,�. Strong Motion Fee: IBSEISMICO $1.05 Select an Administrative Item Bldg, Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $2,609.05 $0.00 TOTAL FEE -T $2,609.05 Revised: 01/15/2014 f CUPERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a1cupertino.org Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS ?O { 6 yiOffea�l APN BP# OWNER NAME %) C l OWNER ADDRESS 3 7 -FeC 3-fS'T . c� 9+1;3f_ DESCRIPTION OF WORK: A10VI N ' 'A I {ev I d✓' waqQ frfi tib We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my _Insurance coverage for injuries to workers on my property. 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may p otect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. . I understand Contractors are required by law to be licensed and bonded in California and to list their license nu bers on permits and contracts. n California licensed Contractors, and the t al value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 46. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and f eral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 'tZ 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. -I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for 4n�yyirancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 04/14/10 T e9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal enue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. lmte0.1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I /�/j�party legally and financially responsible for proposed construction activity at the site address listed above. - 4�j11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by a applicable laws and requirements that govern Owner -Builders as well as employers. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the inf rmation I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS. Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can beZfosuing form must be completed and signed by the property owner and returned to the agency responsthe permit. Note: A copy of the property owner's driver's license, form notarization, or other verificale to the city may be required to be presented when the permit is issued to verifv the property owner's sign Property Owner's Signature: Date: 3 '/ — `U ------------------------------------------------------------------------------ - - - - ------------------- - - - (NOTE: The following Authorization Form is required to be co ed by the property owner only when designating an agent of the property owner to apply for a construction pen mi the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: OwnerBuilderForm 2010.doc revised 04/14/10 ILmoi. rnr s UNREASONABLE HARDSHIP EXEMPTION FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(aDcupertino.org For Tenant Improvements where the Cost of Uonstructlon does not exceed 41J9,964.Uu SITE ADDRESS , APN BP# CITY 1 ; r ;yL' 7 t ZIP S� TOTAL CONSTRUCTION COST A $ .5. gip.' DESCRIPTION OF WORK: 1O 'r��UCA fLlk L�) GLitNl+S%ut waM7 beet 1P�rt_ iiytit. F1�. G7 The following is a list of costs to provide access features in order to comply 100% with the current State Title -24 Disable Access Standards.(AII fc fn he A—.—f-4 by —f—I hi lc nr nfhcr inf—finn nrronforf by tho Ai d1rlinn nffirini ) Accessible Features Complies with If not, list required upgrades in order for Cost to make feature Description of access features to be provided: - rant¢h1 >7 e $ s w current standards? features to fully com I ? fully accessible? 1. Path of travel to accessible entrance. T eS p $ 2. Cost of providing a primary entrance. (Including but 1�,i9nokje not limited to, thresholds, landings, door hardware, $ 40D max. door pull, etc. 3. Cost of providing the primary path of travel to the specific area of alteration, structural repair, or Y,ecf $ addition. 4. Cost of providing accessible restroom facilities.Ah? New ACCetdsibLe yest" m. . $ s;lm 5. Cost of providing an accessible drinking fountain. (If rN/� $ required or if a drinking fountain is provided.) 6. Cost of providing accessible public telephones (if N /p / r , $ provided) 7. Cost of providing other accessible features, including f� �gfjb7vp p(,Qerwts $ 0 but not limited to, parking, storage, alarms etc. TOTAL COST OF ACCESS FEATURES (B): $ ( 6r40 -D Has the same tenant performed work in the same tenants ace within the last three ears? 7[7�j 7: Calculate (B /A) x 100% 2 Description of access features to be provided: - rant¢h1 >7 e $ s w TOTAL COST OF PROPOSED UPGRADE $ 140T PERCENTAGE (20% minimum expenditure is required)Zo p ARCHITECT ORENGINEEROF RECORD INFORMATION: I certithat the above noted information is true and correct. p Name (print): - ` ✓l i u,(7 Signature: } �� e-` Date//: (o 70 Firm Firm address: G 19Az Title: t— Phone:l4c8 d8) I --- �---------------- -------- FOR DEPARTMENT USE ONLY --------_—_—___----------------------------------- ❑ The above named project has been denied an unreasonable hardship exemption under 2010 CBC Section 11348.2.1. ❑ The above named project has been granted an unreasonable hardship exemption from the requirements of the State of California CCR -Title 24 (Regulation for the Accommodation of the Disabled) pursuant to 2010 CBC Section 1134B.2.1. COMMENTS: Building Official Designee (print): HardshipExemptionForm_2012.doc revised 10/17/13