15050113 (3) CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20705 CELESTE CIR CONTRACTOR:SGK HOME SOLUTIONS, PERMIT NO:15050113
INC.
OWNER'S NAME: LEUNG BEN HON C AND CLARA YIM 3801 CHARTER PARK CT STE B DATE ISSUED:05/19/2015
OWNER'S PHONE: 4088599813 SAN JOSE,CA 95136 PHONE NO:(408)264-6964
❑ LICENSED CONTRACTOR'S DECLA N JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL
REMOVE AND REPLACE(11)WINDOWS AND(1)PATIO
License Class ic.# DOOR.
Contractor Date
I hereby affirm that I am licen ed under the provisions of Chapter 9
(commencing with Section 700 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
Aecti
Valuatio $8902
ance of the work for which this permit is issued. Sq.Ft Floor Area:
and will maintain Worker's Compensation Insurance,as provided for byon 3700 of the Labor Code,for the performance of the work for which this APN Number:32658099 00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
c ect.I agree to comply with all city and county ordinances and state laws relating WITfIIN 180 DAYS OF PERMIT 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 FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, S /!
costs,and expenses which may accrue against said City in consequence of the Issued byy i G Date:
granting of this permit. Additionally,the applicant understands and will comply
with all non- oint so regulations per the Cupertino Municipal C e,Se ion
918. / 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) HAZARDOUS MATERIALS DISCLOSURE
I,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.70441 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 9.1 and
the Health&Safety Code,Sect2550 ,25533,and 25534. _
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 Owner or authorized agent: Date:
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
work's for which this permit is issued(Sec.3097,Civ C.)
forthwith comply with such provisions or this permit shall be deemed revoked. 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
918.
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTfNO (408)777-3228• FAX(408)777-3333-buildinci(@cuipertino.org
❑NEW CONSTRUCTION ❑ ADDITION 15ALTFRATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROTECT ADDRESS I V � APN#��
OWNER NAMECr( ///JJJ P EMAIL
STREET ADDRESS �+&0 4— %/,f-3
CITY, STATE, FAX
CONTACT NAME ) `�� S � PH E-MAIL
STREET ADDRESS �j CITY,STATE,ZIP FAX
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CTOR IWONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAMLS/� /� LICENSE ` LICENSE TXPS� BUS.LIC#
COMPANY NAME J / /J_ � �� E•MAIL J (_ FAX
STREET ADDRESSQJ/�/ C T TE, 9r/3
ARCHITECT/ENGINEFRUUN CCAM//E LICENSE NUMBER J BUS.LIC
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK N
y �
EXITING USE PROPOSED USE CONSTR TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DEMPORCH AREA I GARAGE AREA: EIDETACH
❑ATTACH
14
#DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES
BEING ADDED? []NO ADDITION? [3NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES CE�VED:gy' �
PLANNING APPL# E]NO PLANNING APPROVAL LETTER EICHLER HOME? E]NO - �-
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 h e rovide correct. I have read the Description of Work and verify it is accurate. I agre to comp y with all applicable local
ordinances and state laws relating in nstruction. I authorize representatives of Cupertino to enter the above-ident�d rop for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLE TAL INFO ION REQUIRED
New SFD or Multifamily dwellings: Apply for demolition permit for
�i O VER Tl UUNTER BUS DING 7'LANBEYIER
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. [] ExPis � iArrl;
_Commercial Bldgs: Provide a completed Hazardous Materials DisclosureR$TAIVDARD } ❑
form if any Hazardous Materials are being used as part of this project.
D�1'T � '
_Copy of Planning Approval Letter or Meeting with Planning prior to � � 6 '� �'�`
".Olt - TTAAY.SEWER�IST
submittal of Building Permit application.
_ :.3� � �E1rTVIRO.NMENT�S=HEAI.THt;�o�
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 20705 CELESTE CIRCLE DATE: 05/19/2015 REVIEWED BY: SEAN
APN: BP#: *VALUATION: 1$8,902
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair
PRIMARY PENTAMATION 1 GENRES
USE: SFD or Duplex PERMIT TYPE:
WORK REMOVE AND REPLACE 11 WINDOWS AND 1 PATIO DOOR.
SCOPE
Wch. Plan Check Plumb.Plan Check Elec..Plan Che=ck
mech. Permit Fee: I Plumb. Permit ree: 1 lec. Permit Tee
Other,tdecda, hasp. Other Plumb Iralr. Li L Other l.;lec.Irsp.
Ilecla. Insp. Fee: Plumb. hasp. Tee: 1.11ec.hugs. Fee:
NOTE: This estimate does not include fees due to other Departments(i.e Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.0012 # Window/Sliding Glass Door
Suppl.PC Fee: (E) Reg. ® OT 0.0 hrs $0.00 $574.00 1wINREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Feer Reg. ® OT Q,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
T-71
Construchon Tax:
Administrative Fee: 0
Work Without Permit? ®Yes iq No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
Building or Structure
Travel Documeniation�r Fees: T- I
Strong Motion Fee: IBSEISMICR $1.16 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
Hi
$2.16 $574.00 To L FEE•.' $576.16
Revised: 05/07/2015
De Anza Forge
,Association
5/15/2015
File Reference# A39184-SR1
Ben & Clara Leung
20705 Celeste Circle
Cupertino, CA 95014
RE: Architectural Approval-Windows
Dear Ben &Clara,
At the May 7,2015 Board of Directors meeting for the De Anza Forge Association,the Board reviewed your
request for the installation of eleven(11)vinyl windows and one(1)slider door at your unit, 20705 Celeste Circle.
Please be advised that the Association approved your request as submitted,with the following conditions:
1)The windows and/or slider door are to be installed by the licensed contractor submitted with your request form.
2)The vinyl trim for the windows must be tan in color to the exterior.
3)The glass panes must be the plain glass style or grid glass style as shown on your application and consistent
with the windows in your building. In other words, if the existing window has grids,the replacement window must
have grids.You must replace"like for like".
4) No tinting of the window is allowed. Low"E"glass is allowed.
5)The homeowner assumes sole responsibility for the events creating the improvements(inclusive of any
damage), maintaining the Improvements in good condition and any encroachment these improvements may make
on common area improvements.
6) As the windows will be installed as"new construction",window frame maintenance becomes the responsibility
of the homeowner.
7)All work is to be done during reasonable hours(8:30am-5:00pm). Homeowners are to notify neighbors and
Management of dates of installation.
8) No large construction debris is to be disposed of in the Association dumpsters.The Homeowner will be
responsible if the contractor does not dispose of debris correctly. Charges for hauling any debris will be billed back
to the unit owner.
9)The Homeowner is responsible for any permits required by the City of Cupertino.
10)Upon sale of the unit,these requirements must be disclosed to the buyer by the current homeowner.
Please contact our office,if you have any questions or need additional information.
Thank you for your cooperation with the rules and regulations for the Association.
Si erely,
Jackie McGarry
Association Manager
P.O. Box 320819 Los Gatos,CA 95032-0113
408.866.4537 - Fax 408.866.4619
SGK Home Solutions- Permit Guide
408-264-6964/www.sgkhomesolutions.com
Customer Name: Jurisdiction: ❑ City ❑ County-
Address:
Are Permits Required: es ❑ No Responsible party for obtaining permits: B' K❑ Home Owner(HO)
If SGK, HO responsible for all city fees: HO Initials SGK Permit Pulling Fee: $feo,P"Z HO Initials
HOA: ❑Yes ❑ No If Yes, must be obtained before permits. HO Initials HOA approval: ❑ Yes ❑ No
Floor Plan is generally always required,there are exceptions. Pictures are required for select cities: Call Office
Keep in mind rules and regulations are constantly changing,each city is different.
New Title 24 Energy Package.All windows must meet the new standards of.32 U-Factor and.25 SHGC
SCOPE OF WORK:
#of Window: Retro L N/C #of Doors: Retro _� N/C Material: LZI-)
Are we changing any sizes: ❑Yes 341_0�_ If yes, please indicate original size and new size on f oor plan
If changing sizes you will need Framing Details. --Office Does have Generic Framing details, which generally work.
Are we changing any windows to doors: ❑Yes 111'No If yes, please indicate it on the floo CEi IVE° D
Are we changing any doors to windows: ❑Yes urNo If yes, please indicate it on the flooi plan MAY 1$ 2015
Are we creating/adding any new openings, window or door: ❑Yes❑ t6-�If yes, please indicat on the floor plan
If we are adding openings, depending on where you may need structural calculations and/
Occassionally,a city may require an architectural stamp! Some zones within a city have special requirements!
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