HomeMy WebLinkAboutBLD-2025-2007_SignedPermit.pdfCITY OF
BUILDING PERMIT
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
PHONE 408-777-3228
CUPERTINO WWW.CUPERTINO.ORG
BUILDING ADDRESS:10470 DAVISON AVE APN:369 26 036
PERMIT NO: BLD-2025-2007
OWNER'S NAME: CHAI CHING-CHENG AND CHANG YUNG-HUA TRUSTEE
OWNER'S PHONE:669-224-8064
CONTRACTOR: AMJ QUALITY CONSTRUCTION INC
CONTRACTOR PHONE:510-417-6339
DATE ISSUED: Mar 16, 2026 ISSUED BY: Nick Panlilio VALUATION: 729100
JOB DESCRIPTION: FRONT ADDITION (186 SF); CONVERT (70 SF) OF (E) GARAGE TO HABITABLE SPACE FOR MAIN HOUSE; WHOLE HOUSE REMODEL (1,389 SF) - 2 BEDROOM AND 2'/2
BATH, NEW LAUNDRY ROOM, NEW KITCHEN WITH PANTRY, NEW FAMILY ROOM, NEW LIVING ROOM, DEMO (E) FIREPLACE AND CHIMNEY, NEW WINDOWS AND
SLIDING DOORS; NEW GARAGE ADDITION (429 SF); CONVERT (115 SF) OF (E) MAIN HOUSE TO ADD TO NEW GARAGE; NEW COVERED PORCH (56 SF); REPLACE
WATER HEATER WITH NEW GAS TANKLESS WATER HEATER; REMOVE FURNACE; NEW AIR HANDLER IN ATTIC; NEW HEAT PUMP AC UNIT IN REAR; RELOCATE
ELECTRICAL MAIN PANEL (200A); NEW SUB PANEL (200A); NEW CONCRETE DRIVEWAY; (10) NEW EXTERIOR LIGHT FIXTURES; NEW PROPERTY LINE CLEANOUT;
NEW BUILDING CLEANOUT - (SEE RELATED (E) GARAGE CONVERSION JADU PERMIT #BLD-2025-2010)
LICENSED CONTRACTOR'S DECLARATION:
NO: 1052883 EXP DATE: 10/31/2026
7000) of Division 3 of the Business & Professions
CONTRACTOR: AMJ QUALITY CONSTRUCTION INC LICENSED CLASS: B GENERAL LICENSED
BUILDING
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section
Code and that my license is in full force and effect.
as provided for by Section 3700 of the
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 Compensation,
Labor Code, for the performance of the work for which this permit is issued.
Section 3700 of the Labor Code, for the
not employ any person in any manner so as to
this certificate of exemption, I become subject to
with such provisions or this permit shall be
V I have and will maintain Worker's Compensation Insurance, as provided for by
performance of the work for which this permit is issued.
❑ I certify that in the performance of the work for which this permit is issued, I shall
become subject to the Worker's Compensation laws of California. If, after making
the Worker's Compensation provisions of the Labor Code, I must forthwith comply
deemed revoked.
HAZARDOUS MATERIALS DISCLOSURE
& Safety Code, Sections 25505, 25533, and 25534. I
V I have read the hazardous materials requirements under Chapter 6.95 of the California Health
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or
air contaminants as defined by the Bay Area
Chapter 9.12 and the Health & Safety Code,
handle hazardous material. Additionally, should I use equipment or devices which emit hazardous
Air Quality Management District I will maintain compliance with the Cupertino Municipal Code,
Sections 25505, 25533, and 25534.
EPA LEAD -SAFE DISCLOSURE
No:
❑ An EPA Lead -Safe Certified Renovator will be responsible for this project.
Certified Firm Name: Firm Certification
V No EPA Lead -Safe Certified Firm is required for this project.
CONSTRUCTION LENDING AGENCY
of the work which this permit is issued
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
(Section AV7, Civil Code).
Yes El No
Lender's Name:
Lender's Address:
APPLICATION CERTIFICATION
with all city and county ordinances and state
the above mentioned property for inspection
judgements, costs, and expenses which may
understands and will comply with all non -point
2026
I certify that I have read this application and state that the above information is correct. I agree to comply
laws relating to building construction, and hereby authorize representatives of this city to enter upon
purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities,
accrue against said City in consequence of the granting of this permit. Additionally, the applicant
source regulations per the Cupertino Municipal Code, Section 9.18.
611.11Jzhco- Mar 16,
Signature Date
EVERY PERMIT ISSUED SHALL BECOME INVALID UNLESS THE WORK ON THE SITE AUTHORIZED BY SUCH PERMIT IS COMMENCED WITHIN 365 DAYS AFTER ITS ISSUANCE,
OR IF THE WORK AUTHORIZED ON THE SITE BY SUCH PERMIT IS SUSPENDED OR ABANDONED FOR A PERIOD OF 365 DAYS AFTER THE TIME THE WORK IS COMMENCED.