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14090165
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19160 TWIG LN CONTRACTOR:MS CONSTRUCTION PERMIT NO: 14090165 OWNER'S NAME: LIN FELIX CHANGMIN AND RUBY C 80 DARRYL DR DATE ISSUED:09/24/2014 OWNER'S PHONE: 4083238473 CAMPBELL,CA 95008 PHONE NO:(408)230-5080 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL /� 9 �n4 � a 5 � SFDWL DEMO 1544 SQ FT License Class / � Lic.# (j Contractor !'/ �B �Y �Date 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:$10000 I have and will maintain Worker's Compensation Insurance,as provided for by Sec'on 3700 of the Labor Code,for the performance of the work for which this APN Number:37508021 00 Occupancy Type: it 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 WITIIIN 180 D ERMIT 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 FRO LAST LLED IN PE 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 granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. q 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: 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.7044, Business&Professions Code) 1,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 Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Dater 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 Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY 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 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 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 DEMOLITION PERMIT APPLICATION R�1 is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \ CUPERTINO (408)777-3228•FAX(408)777-3333•building CcDcupertino.org PROJECT ADDRESS /� /, � APN hl OWNER NAME i� V I 9 E-MAIL b >69 STREET ADDRESS pV ff1 I Oy-✓ l/ 1 CITY, S�T�1TE, IP © � FAX CONTACT NAME / 0_ I� PHONE{ 32-3-N Z3 Q//' E-MAIL I3 1 _" ` p G STREET ADDRESS © r �J „nr6 y CTTY,STATECO, ZIPPab -JLQ _0S� WNER ElOWNERR--BBuiLDER AEl OWNER AGENT/1 El CONTRACTOR 11CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER EEl DEVELOPER ❑TENANT CONTRACTOR NAMELICE E MBE LICENSE TYPEif V4 BUS.LIC# 7 � .. COMPANY NAME/J� d�sw.l•1'p/y' �0 E-MAIL •7orL (�J ` A' STREET ADDRESS ON _ Iry$O � /J 680 0 DESCRIPTION OFWORK RESIDENTIAL - #DWELLING1 " OFFIG`E,TTSE-OhIL'Y' FLOOR AREA UNITS `�.�,� ' � +. ° �C E Fr VALUATION COMMERCIAL FLOOR AREA TYPE OF CONSTR[,I,CTION #STORIES E i V AQMD JOB NUMBER g&CEIVED gyp T V TION: O By my signature below,I certify to each Wthe following: I am the property owner or authorized agent to act on the_pown '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 building constr�n. I authorize resentatives of Cupertino to enter the above-identified property for inspection urposes. Signature of Applicant/Agent: Date: D iProvide SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY Job Number from Bay Area Air Quality Management District www.baagmd.orir @ 415-749-4762. PLAN CHECK TYPE Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" EXPRESS in diameter or more at 3'above grade. STANDARD -V Y�rovide 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 D FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 19160 twig In DATE: 09/24/2014 REVIEWED BY: Mendez AN: BP#: "VALUATION: j$10,000 *PERMIT TYPE: Demolition Permit PRIMARY SFD or Duplex PENTAMATION 1SFDWL-DE USE: PERMIT TYPE: WORK sfdwl demo 1544 sq ft SCOPE FEE ID FLR AREA s.f. 1 DEMORES 1,544 Em N 9 ME IN X11 eir. r Ymrt Fee: Plumb. /i rm,,t 1;ee ?;e tE sn Other I';um.b lris . £J,,wer 11i'!(,Irsp, Phenib, Dish. Tce: 1'161a.Il > 1`1,c. NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 11-053 EfT 7/1/13) FEE QTY/FEE MISC ITEMS Nlmlh Permit Fee: $574.00 Suppl. Insp. Feer Reg. 0 OT0 0 hrs $0.00 Pee. F-71 i'itli77i.�d('..7t' 1,c; Fee: 1t:s'l"clttt'e.'L1 PfC1X?nin Pees: Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $576.30 $0.00 TOTAL FEE: $576.30 Revised: 08/20/2014 ADJACENT PROPERTY-CUPERINO HIGH SCHOOL ATHLETIC FIELD CONC.CURB d FENCE PROPERTY LINE 137.37 FL _- __-__-__-__-__ _-__-_ _ _ _ __ cl) M 102.64 102.60 UNIANDSCAPEO AREA 8 .HIGH VINYL CLAD CHAIN LINK FENCE N P� m � _� pry 101.85 101.98 }-�I 0 0 O 102.74 ELECTRIC SERVICE PANEL '� I I \ GAS METER- 0 ETER 101.88 \II' Q `6 FT.HIGH WOOD FENCE �I `32'DIAM.TREE z�+ z 102.52 m IN ADJACENT PROPERTY 102.78 101.76 10150 101.34 g o .. O m z 102M 101.60 m n 102.72 10104 RRU UNLANDSCAPED AREA ' z j 101.5a &I O 34'ELM f z g 10128 o (TO REMOVE)J EXISTING RESIDENCE 8191 VNfs .��. 18'DIAM.TREE 19160 TWIG UNE IN ADJACENT PROPERTY uN 10250 CONC.SLAB 101.62 '�\ S o 102.70 103,00 102.60 l- 101.14 . UNUNDSCAPED AREA r 102.58 = HU) 56% %50 `'+. 101.36 T 25'OWI. 102 JO TREE TOP OF c1LRe S/W 103.132 101.78 t �p3 10254 /101.1`0T7AY 100.86 �� -� 102.16 CONCRETE 01.2 BACK OF CURB FACE OF CURB METAL SHED = 102.86 10252 6 FT WOOD FENCE � 102.10 101 1�ER UDLNY POLE J �- ` WATER SERVICE LINE of WATER METER 6 FT.HIGH WOOD FENCE GATE 10222 k FAUCET 100.7 PROPERTY UNE 116.60 FT. 3 HIGH CHAIN LINK O 101.00 v`- - - 101.20 101.12 WATER S/W TOP OF CURB 5098 MN/2 WATER VALVE 100.72 GUTIEII 18'DIhM.TREE ADJACENT RESIDENTIAL PROPERTY-19146 TWIG LANE. ' - w 100'-q J 25•_4• Ln fy 4 U_ J C, Z O �1J. ..r 3 U) DD > -0 O _ _u r- O U1 -. �t1 S m Z� �D y O N O �. (N� J••�• 7 N `' �'. Drj7 +W Z�p w 0- � v Y moz DCD C7- rn o � 3 w G ' 'Q A to + Y m+ O W \ 7 N DJD +m n CD O '' .• CMD 6 ( .Zl N D O N Q; r« O yll m0C3 � � 5 O 3 c77 o W D II (� CD tLT ¢ p7 't5 CD 41 OD 0 (Acn CO h � � TI N 105 s.fJ m� G & ,Bfl{4. 4V_7' N Cl �1 TI C` F, r O a' � T�v 0C• l I O = a m D O a, - - -- C z x m V0 0 D QO Tl _ � 0 z A DO Q5D A A AN p cv r n NO.23'1 D O X X p U X z z D y --1 0y n iy y M C O z > m r CD C) I" C) D !� P >1 i IN N N N D r z .ZT T Tm N D O � Z N"0 •1�•3M l!� D < 3 z d O o ga 0 < d 0 G C) O u O /' . cn D O P mala " So $ 0 D / � SO.23'W 116.60' D PROPOSED RESIDENCE AT H.M.C. ASSOCIATES, LLP e N Cy m z 19160 TWIG LANE ARCHITECTURAL AND PLANNING b o� 00 0 CUPERTIIV O, CA95014. 12280 SARATOGA SUNNYVALE RD.#209 * No.G 21230 SARATOGA,CA 95070 .ljJ REN. TEL:408446-8418 FAX:408404-6032 9nl'EN. CAVFO E-MAIL:hmikechen@gmailcom