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11060030 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10631 CARVER DR CONTRACTOR:ECONOMY ROOFING PERMIT NO: 11060030 OWNER'S NAME: GUADALUPE LECHUGA 2988 NEAL AVE DATE ISSUED:06/03/2011 OWNER'S PHONE: 4086903146 SAN JOSE,CA 95128 PHONE NO:(408)866-1800 L LICENSED CONTRACTOR'S DECLARAJION BUILDING PERMIT INFO: BLDG ELECT PLUMB r License Class Lie.# r � / MECH RESIDENTIAL COMMERCIAL Contractorr6a/bi)`. 4o7�-//]C-.Date L.//5(it I hereby affirm that I am licensed undir the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF OVERLAY OF IB TO EXISTING TAR&GRAVEL (commencing with Section 7000)of Division 3 of the Business&Professions CLASS A 20SQFT 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. I have and will maintain Worker's Compensation Insurance,as provided for by \ Sq.Ft Floor Area: Valuation:$8060 Section 3700 of the Labor Code,for the performance of the work for w ch permit is issued. APN Number:37534047.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. 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• Lel I Issued by: �� Date: SignaturL z - Date el/4/// OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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.7044, Signature of Applicant: ✓ Date: 60/4/// Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF OVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I 0• n4, �<% o iz�' ent: (//4/11 l become subject to the Worker's Compensation provisions of the Labor Code,I must ... Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, coand expenses which may accrue against said City in consequence of the ig of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION -. ADDRESS: 10631 carver dr. DATE: 06/03/2011 REVIEWED BY: bob s. /'* APN: BP#: "VALUATION: $8,060 PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: A WORK overlay of!B to existing tar and gravel. SCOPE FEE ID ROOF AREA (s.f.) 1REROOFFRES 2,000 I u i II NOTE: These fees are based on the preliminary information available and are onily an estimate. Contact the Dept for addn'I info. FEE ITEMS (Fee Resolution 09-051 Ell 7/1 10) FEE QTY/FEE MISC ITEMS A Permit Fee: $260.00 Work Without Permit? 0 Yes 0 No $0.00 Strong Motion Fee: IBSEISMICR $0.81 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $261.81 $0.00 TOTAL FEE: $261.81 Revised: 04/29/2011 REROOF TEAR-OFF POLICY ft� COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION �s�,9s� ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• buildingna cupertino.orq PROJECT ADDRESS 1 0 -S 1 r ` „)^ (, APN# OWNER NAME,•(74i-,C rA 1-4 v 2_e,_klL{� Pmt-t-0 2- 1,0 9 j�-3) ^S`fA4C STREET ADDRESS r r_ crry, STATE,ZIP �/ ( --41\tel (J ( u (v 1 C 'i-4—.�� ( ��� t CONTRACTOR NAME 2 �a C( J LICENSE LIC S8YP4) BUS.LIC.# 5.7-,:.<,.. ,,,,,,, cta .v l c,T ,^.y 1[ 7�(-J , I' ��� a�� �'V Cj(33�( COMPANY NAME 6- znb rye , ' n no E-MAIL J M/�p l�o m 'W x "t'V -`e r s [ Q STREET ADDRESS (j1 I �11� /L/I,{'•/,/ j CrrY, A �ZIP�lV PHONE � CIi`b' 1 12 ( o� I qc /c3.1.0•6 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes. 2. An inspection request shall be scheduled the day before the inspection date. Please call (408)777- 3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day inspection. On the day of the inspection, a building inspector will be available within one hour for either a Tear-Off Inspection or Nailing Inspection if you call again on that day between the hours specified. 3. The following inspections are required: a. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either completely knocked-down or removed prior to this inspection. b. If plywood is installed, a plywood Nailing Inspection is required. c. Progress Inspection is required when approximately 50% of roof covering is installed. 4. New roof coverings shall not be applied without first obtaining all inspection and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 5. A final inspection and approval shall be obtained from the building inspector when the re-roofing is completed. To receive a fmal sign-off,the following items will be verified: a. Flat roofs shall have a minimum of I/4" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. • 6. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand ... agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxid; de,-ctors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Cod:. Signature of Applicant/Agent: *LA Date: L ReroofPolicy_201 .doc revised 02/16/11 Building Department City Of Cupertino 10300 Torre Avenue <4, 19 Cupertino, CA 95014-3255 Telephone: 408-777-3228 U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: a <o 3\ C A L LJe/\ 2 PERMIT# /70 SOD 0 OWNER'S NAME: ,�,,.o.��.-1.� L ex.._InviA- PHONE# `fes -6/ 7 1-00 GENERAL CONTRACTOR: ,--,vv-,-1-1._12P"I- BUSINESS LICENSE# 2 -5 3 L ADDRESS: 2_1, 9 N / 4 Gn_ CITY/ZIPCODE: RS!Z *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: 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 \, //. REROOF PERMIT APPLICATION lf,,, COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION �5_,ys� 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildinq(a�cupertino.orq PROJECT ADDRESS Do_ ' c 1`,,,,,,,z_, APN# �---/ 5 3+ 0 ,f -7 OWNER NAME ,)- L e; {it PHONE bei 0.- j yE-MAIL/ E-MAI STREET ADDRESS 1 v S ( l tit'L V-rA 0 2 C I✓c/AT IP fH i C^ ' �G/L FAX APPLICANT NAMEPHO ]2< $- STREET ADDRESS 6. rJ C l iu.,(1_f) ac CAATE,"04.„„e / V^,, ` S/2�✓ F1' CJI - / ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT gt CONTRACTOR ❑CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAMELICENSE NUMBEWI2 57d L ,SE^ BUS. LIC. C.# LL3a, y15-0.ty,' CE.. l ' , .2-- COMPANY NAME .rr � `K . ' ( I F� Cg- /S '- )- -.� STREET ADDRESS�% P � CITY,S IPi,� (__ ? HNE4/0 irl 7,-.21j ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF y SFD or Duplex 0 Multi-Family ROOF AREA:\ #41+ VALUA ON: rSTRUCTURE: ❑ Commercial l,,j�, Si'`.)CC 0 * (-)(-) EXISTING ROOF TYPE: I BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE 0 YES IF NO, PLYWOOD CI '/:" El PLYWD 1:1 OSB PITCH: (.;2 ROOF /,�� O #LAYERS: ` THICKNESS: 0 518" TYPE: 12 CDX _ '12 CLASS:( `a { PROPOSED ROOF TYPE: 0 BUILT-UP ROOF El ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES / IS ���OR.///T/! DESCRIPTION OF WORK: earsiraz 9J )( (ou Q L.1 l _,Q...„,/ L i c:,i 1/. LiJ + 4, ( ._j 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 withall applicable local ordinances and state laws relating to build onstruction. I autlorizerepresentatives of Cupertino tc enter the above-identified p pet;for inspection purposes. Signature of Applicant/Agent: _ CA- 1 (.: Date: U,k' �, --I 1 SUPPLEMENTAL INFORMATION REQUIRED '' ii . .a, ±nqi aWOX- . 1SA - TO ,, x- .gam ,„ E - Ifbuilding is associated with a Home Owner's Association,provide letter 1LAx` ' E; 7"A'-x = 'IZOUTING'SLIP- ' ' '-`'`' of approval from HOA. •cam oz. x3 `° . : 0 k,AN x1��,> " rick ze r x ..°. 1�: .,- :Z ,. r � a _Provide Planning approval to verify if there any restrictions. Cl iXB»ss ❑ ELANNINGPLANtEVIEW r _Provide copy of Manufacturer's Installation Specifications. []:=.LTi �" " ❑ D 'max Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER - r ReroofApp_2011.doc revised 03/02/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20321 CLIFDEN WAY CONTRACTOR:JOSHUA CONSTRUCTION PERMIT NO: 11060034 &REMODELING OWNER'S NAME: HUI WU 10613 GASCOIGNE DR DATE ISSUED:06/03/2011 'NER'S PHONE: 4088067224 CUPERTINO,CA 95014 PHONE NO:(408)725-3692 G LICENSED CONTRACTOR'S DECLARATION r S c� / BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class 8 Lic.# / 0.26 r MECH RESIDENTIAL COMMERCIAL Contractor��` ate / • // I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:SINGLE FAMILY DWELLING KITCHEN (commencing with Section 7000)of Division 3 of the Business&Professio REMODEL(240SQFT) Code and that my license is in full force and effect. NON-STRUCTURAL&UPGRADE MAIN PANEL I hereby affirm under penalty of perjury one of the following two declare[ons: 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 Sq.Ft Floor Area: Valuation:$8000 permit is issued. APPLICANT CERTIFICATION APN Number:36937002.00 Occupancy Type: I certify that I have read this application and state that the above information is 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Date �) Signature /3 /i Issued by r Date: 77 77 f OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner or authorized agent: forthwith comply with such provisions or this permit shall be deemed revoked. nt9 11 V/(l� Date: � A APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address c and expenses which may accrue against said City in consequence of the ig of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION wan all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN • 36937002 . 00 DATE ISSUED • 06/03/2011 RECEIPT # • BS000013657 REFERENCE ID # . . . : 11060034 SITE ADDRESS • 20321 CLIFDEN WAY SUBDIVISION CITY • CUPERTINO IMPACT AREA OWNER • HUI WU ADDRESS • 20321 CLIFDEN WAY CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM • HONGQI HU CONTRACTOR • HONGQI HU LIC # 29352 COMPANY • JOSHUA CONSTRUCTION & REMODELI ADDRESS • 10613 GASCOIGNE DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 TELEPHONE • (408) 725-3692 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL 1BCBSC VALUATION 8, 000 . 00 1. 00 0 . 00 1. 00 0. 00 1BSEISMICR VALUATION 8, 000 .00 0. 80 0. 00 0.80 0. 00 lEPERMITFE FLAT RATE 1. 00 42 . 00 0. 00 42 . 00 0. 00 lERT<200 UNITS 1. 00 42 . 00 0. 00 42 .00 0. 00 1REMRESKIT SQ FEET 240 . 00 570 . 00 0 . 00 570 .00 0. 00 TOTAL PERMIT : 655. 80 0. 00 655 .80 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CREDIT CARD 655. 80 MC TOTAL RECEIPT : 655. 80 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION , ADDRESS: 20321 clifden way DATE: 06/03/2011 REVIEWED BY: bob s. testi°�'f,, APN: BP#: "VALUATION: $8,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1R3SFDREM WORK sfd kitchen remodel non structural L.,preolz cv. ti c c .A SCOPE U LJ � G t) n F-1 n NOTE: These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'I info. FEE ITEMS (Pee Resolution 09-051 Eff. 7, 1'10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 240 s.f. Remodel,Kitchen(<=300 sf) Suppl.PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $570.00 1REMRESKIT PME Plan Check: $0.00 Permit Fee: $0.00 ` Suppl. Insp. Fee€ Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Acoustical Fee: 0 Yes 0 No $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 0 Planning Fee: $0.00 Select a Non-Residential Building or Structure 0 Strong Motion Fee: 1BSEISMICR $0.80 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $1.80 $570.00 TOTAL FEE: $571.80 Revised: 04/29/2011 BUILDING DIVISION-CUPERTINO APPROVED This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any ‘\:‘,,,,,,i I/ PROJECT DATA - RESIDENTIAL changes or alterations on same,or to deviate V therefrom,without approval from the Building Official. , COMMUNITY DEVELOPMENT DEPARTMENT•BUILDINGDIVISION., 10300 TORRE AVENUE•CUPERTINO, CA 9501 roping of this plan and specifications SHALL NOT w5t.,ps` be eld to permit or to be an approval of the violation (408)777-3228• FAX(408)777-3333•building a(7c�i CUPERTINOsions of any City Ordinance or State Law. BY 6(64C;_ 0_.9-r— ,4- it____ _ Mk PROJECT (C4C - T— PROJECT ADDRESS 7 032_ C Qih W oLy (A/VW-1M1 MIT NO. 1/ 7 6)-I OWNER NAME 1-11,61' , PHONE�p, J ` - 77z E-MAIL /1 LC i Inl vl A f o/4ih O°,<<'t STREET ADDRESS CITY, STATE,ZIP / �� FAX 2032-1 C.L1i-dell kJ a/ (M, ) 0 95.7►if �� �c, APPLICANT NAME '! , ( ` u l PHONED d,,t B�2 .4 I E-MAIL J®S L 1_2111.4,/, �,cfnli STREET ADDI�SS f J f-[ CITY,STATE, ZIP "j� FAX ❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT l;itCONTRACIOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT �. � tom% s x a r 6�. .��'��,_�aa� �' �`-� :., ; "k:�f -.. .� ..�-� ,:f.,.;?--;,411 .-�. °�s '',47:0-c:;2-40:07,;.,7:. . %ar k; tt . ,1s ` - '* "'� '=r,. e:V,2- w r - a ', ' N2- .tea . A sR�:.a > _ra; r .4V "FtV!' � �5'' �..>`" a ,, ,A, v::. •:.A ;ar .4 t t44417;'-:"-Te}"- ,"� ,+ :1;ls a yy d. Forq 2-i ._" ' a:Vis`.,"" r.." x e.:.rte "4 "3t „. �- `t` i "e'�C �' ,' EXISTING USE(S): PROPOSED USE(S):r'n� OCCUPANCY(S): i_3 TYPE OF ( PARCEL CONSTRUCTION: ""/-1:C AREA: FIRE Y N WUI AREA: Y N FLOOD AREA: Y ODT I SIESMIC AREA: Y N SPRINKLERS: Existing Proposed Floor Area: First Floor: s.f. s.f. _ Second Floor: . s.f, Garage s.f.--'.` —__.___ _ s.f. - TOTAL: -- s.f. s.f. Are there at least two 10 feet by 20 feet clear spaces inside the garage? > Is privacy protection planting required for the project? Y ,---N7 _ Governing Codes: 2010 California Building Code (based on the 2009 International Building Code) - 2010 California Residential Code (based on the 2009 International Residential Code). 2010 California Plumbing Code (based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code(based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code(based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Municipal Code ,.;, ProjectData-Residential.doc revised 03/09/11 Jr 70 1/2" r' 300 1/2" 11/ 72"x 36" "r- CO C") N 142" e o 0 1 1/16" 4" 193 15/16' Ic°;-- 30" x 80- Existing kitchen floor plan 20321 Clifden Way, Cupertino, CA95014 Property owner: Hui Wu &Xiaolin Li 72 --...._. � o F00 36" 39" N } (A) co 111 30"x 80" 144" New kitchen floor plan 20321 Clifden Way, Cupertino, CA95014 Property owner: Hui Wu & Xiaolin Li Phone # 408-806-7224 7F.51"Si CKT.ai BER.POLE DESCRIPTION CL.!) 0 ,. . c--------- EXISTINGFAN . . 2 40 'p 4 / ACAmp FREE STANDING OVEN(EXISTING WIRING:, 6 20.Amp DISPOSERIEXISTING WIRING) El , : • iL S 20 Amp DISHWASHERINEW WIRING) I / 2G 10 20Amp MICR0WAVE1NEW WIRING KITCHEN COUNTER OUTLET(NEW WIRIGN GFCI , I 12 20Arr p 0UTLE11 KITCHEN COUI4TER OUTLETINEW WIRING GEC' V 6 I ;,..0 i4 20Am p OUTLET) ..-4-^'------ 20 l''''', t , > 16 20Arr p R EFRIGERATOR 0071E71 NEW W IRING'1 \ ,..... -11 EXISTING I' . (.. - 18 15kmp RANGE HOOD(NEW"WIRING) - / p . X ITCH EN&FAMILYROOM RECESSED LIGHTS \/ . (NEW WIRING,LITHTPN ILL BE IC Rated,Laing :;) 6 1 . / (." Eco6mart G U24 10.5-Watt 165W:,LED Down 15 3 * -' 3V-71 , , ,- • 0 ...--) ,< -;; 20 .kivp light Light Bulb) -,... t,... tth ELECTRICAL LEGEND :'... . B o' j 0 RECESSED LIGHT 1111.11 GFC,OUTLET .. .: .„. .. WWI _,-- 'ri. DUPLEX 110VAC / _j. • OUTLET 3,,•:',:, , 144' 1 220V ELECTRICAL / RECEPTICLE New kitchen floor plan . :•. ., SWITCH 20321 Clifden Way, Cupertino, CA95014 Property owner: Hui Wu & Xiaolin Li Phone # 408-806-7224 RESIDENTIAL KITCHEN LIGHTING WORKSHEET WS-5R I �/ (� Project Title ate,. Ili LA 1 S I ..�"1�-i)-en z-111-1)01-4-11 141.--- 431- Date `(C/ j / ?-0 lI At least 50%of the total rated wattage of permanently installed luminaires in the kitchen must be in luminsli +tkiat,are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. Luminaire T .e Hi:h Efficac ? Watts x 1uanti = Hi:h Efficac Watts or Other Watts W l . t ll 24 Yes, No ❑ 10 .C x g _ I or CFL Yes l No .30 x 1 = -3 V or Yes❑ No ❑ x or Yes❑ No❑ x = or Yes No x = , 14 or Total: A: B: 0 COMPLIES IFA>_B Yes IK No of Rules for Determining Residential Kitchen Luminaire Wattage Screw Base Sockets§130(c) 1 (Not containing permanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent factory-installed label (luminaire wattage is not based on type or wattage of lamp that is used). Permanently or Remotely Installed Ballasts§130(c)2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacturer's catalogs based on independent testing lab reports. Line Voltage Track Lighting(90 through 480 volts)§130(c)3 1. Volt-ampere(VA)rating of the branch circuit(s)feeding the tracks 2. For tracks equipped with an integral current limiter,the higher of; • The wattage(or VA)rating of an approved integral current limiter controlling the track system or • 15 watts per linear foot of the track; or 3. For tracks without an integral current limiter,the hig er of; • 45 W per linear foot of the track or • The total wattage of all of the luminaires included in the system. Low Voltage Track Lighting(less than 90 volts)§130(c)4 Rated wattage of the transformer feeding the system, as shown on a permanent factory-installed label Other Lighting§130(c)5 (Lighting systems that are not addressed in§130 (c)1-4)The maximum rated wattage, or operating input wattage of the system, listed on a permanent factory installed label,or published in manufacturer's catalogs, based on independent testing lab reports. EXAMPLE RESIDENTIAL KITCHEN LIGHTING WORKSHEET WS-5R Project Title Date Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. High Efficacy Luminaire T .e /n Watts x Quanti = Hi:h Efficac Watts or Other Watts CFL-1 Yes 26 x 5 = 130 or MR-16 No 55 x 2 = or 110 x = or x = or x = or Total: A: 130 B: 110 COMPLIES IFA>_B Yes El No❑ Residential Compliance Forms December 2005 / Building Department \t City Of Cupertino 10300 Torre Avenue 4, �'s.9 Cupertino, CA 95014-3255 Telephone: 408-777-3228 U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: .2025/ CC-filen V(j" - PERMIT# //0 6 o OWNER'S NAME: Al ii VUu/ £ x a 1iin LI' PHONE# - g —Sc7.2 —40 GENERAL CONTRACTOR: Ho&GMaZ) /-./U BUSINESS LICENSE# .zg 3J ADDRESS: i wS log v1-e Dr. CITY/ZIPCODE: Cupeti't+`h,b *Our municipal code requires afbusinesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: R 720 // 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 t I 0 oc. Z._ `f .\\, 11//, CONSTRUCTION PERMIT APPLICATION "(1.04'.. COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION /-=,. N. 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408) 777-3228• FAX (408)777-3333• buildingacupertino.org CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 7 J 321 `i 1 f aen, L C vl I,ii,Y 11 iv, APN#3! _ ( 3 / 0 0 OWNER NAME H . 'i IA)"A PHONE X o° L` 6 _ -7-t Z (f E-MAIL A I-(i 0 , A j" 6/4-',4,,,(,, 1- JJJ STREET ADDRESS I I CITY, STATE,ZIP ) FAX FAX 2o 3 L l; 4 J h t,.),1 V �d l��rr rt o (,9) , I�F CONTACT NAME / PHONE E-MAIL tt rvle A S �,(7 v e STREET ADDRESS / CITY,STATE, ZIP FAX ID OWNER 0 OWNER-BUILDER 0 OWNER AGENT ON CTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAME f , LICENSE NUMBERLICENSE TYPE BUS.LIC# �� - 2 9e/`'`n) ?q D Z COMPANY NAMEA114 CeN 44� �L `n��1 `J1.E-MAIL 5 j_-, J�fo; ts.1` FAX STREET ADDRESS i-`"N`•, 1e( �f CITY,STATE ZIP , , ®( PHONE //©gam Oa2�{ c-2 iter; G,743tt t‘911-t, t eu p-r fl W It- "[ o �tJ ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESSCITY,STATE,ZIP PHONE `ESCRIPTION OF WORK ;�7 iv. 17 t t,Z. lII� L R JY.0 I h V (-ha*J� G 1 Y J c � .�. wtI>y out .etl s ; ger l✓, EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES �USE-'NLY . TYPE" s____45‘7745, , � 'r XALTJATION(S EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA ;� 7 " BATHROOM KITCHEN 2f/ OTHER REMODEL AREA REMODEL AREA 'I' REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH 0 ATTACH ' ' s r .DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED' ®NO ADDITION! NO PRE-APPLICATION ❑ YES IF YES,PROVIDE COPY OF PLANNER'S NAME: tozczwilosy, •14 1TOTAL v Mr• ' PLANNING APPL M ❑ NO PLANNING APPROVAL LETTER B "�." p.. 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 h:ve 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 building construction.ion.I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: , '��/ `' �� --L Date: 6 / / 2e/! SUPPLEMENTAL INFORMATION REQUIRED CHECK TYPE - • ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for OviR.Tarovszsit , n ')stuvG rLAN existing building(s). Demolition permit is required prior to issuance of building permit for new building. 0 ba.REss .10 ITAIORNG PLAIN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STAR - ., r�-w )rm if any Hazardous Materials are being used as part of this project. LARGE VIRE DWI Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. U •,, t AI 'A tY'S DISTRICT . 1 ENiIKONMEKTAL IST BldgApp_2011.doc revised 03/16/11