Loading...
HomeMy WebLinkAbout13030111I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10250 S TANTAU AVE OWNER'S NAME: ❑ LICENSED CONTRACTOR''S1 /DECL�A`R(ATION License Class_)) Life. j# 0 6 ( �J Contractor 7�' >/� V 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: 1 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 permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 indemnify and keep harmless the City of Cupertino against liabilities, judgmentsjudgment costs, and expenses which may accrue against said City in consequence of 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. Signature ZI7 ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 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, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 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 permit is issued. 1 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, 1 become subject to the Worker's Compensation provisions of the Labor Code, 1 must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 1 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. CONTRACTOR: TR DEVELOPMENT & PERMIT NO: 13030111 CONSTRUCTION INC 6172 BOLLINGER RD STE 151 DATE ISSUED: 06/07/2013 SAN JOSE, CA 95129 PHONE NO: (408) 329-2831 JOB DESCRIPTION: RESIDENTIAL u COMMERCIAL CONSTRUCT 2 STORY SFDWL, LIVING 3,733 SQ FT, ATTACHED GARAGE 431 SQ FT, FRONT PORCH 100 SQ FT, BACK PORCH 440 SQ FT- SUNNYVALE JURISDICTION Sq. Ft Floor Area: I Valuation: $610000 APN Number: 37508041.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180_I2YS OF PERMIT ISSUANCE OR LAST CALLED INSPECTION. 7!!7�_M Date: RE -ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 255 , 25533, and 25534. Owner or authorized .y Dater Z� CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10250 S TANTAU AVE CONTRACTOR: TR DEVELOPMENT & PERMIT NO: 13030111 CONSTRUCTION INC OWNER'S NAME: SAN JOSE, CA 95129 PHONE NO: (408) 329-2831 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL L1 COMMERCIAL License Class Lic. # CONSTRUCT 2 STORY SFDWL, LIVING 3,733 SQ FT, MAL ATTACHED GARAGE 431 SQ FT, FRONT PORCH 100 SQ FT, Contractor Date BACK PORCH 440 SQ FT- SUNNYVALE JURISDICTION I hereby affir r that I am licensed under the provisions of 6apter 9 (commencing with Section 7000) of Division 3 of the Business & Professions REVISION #2 REVISE MAIN DOOR-ISSD OTC 9/17/2013 Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarQons: I have and will maintain a certificate of consent to self -insure for Wor Compensation, as provided for by Section 3700 of the Labor e Sq. Ft Floor Area: Valuation: $610000 performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as Ifor by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 37508041.00 Occupancy Type: 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 WITHIN 0 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 DA RAM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the �f �� 7 Issued by. Date. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulatio 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: 1 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 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) 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 1 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 Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, Sections 25505, 533, and 25534. Owner or authorized agent: 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10250 S TANTAU AVF CONTRACTOR: TR DEVE1,011M1?NT & PERMITNO: 130301 If CONSTRUCTION INC OWNER'S NAME: ANDY &JULHl KANG 6172 BOLLINGER RD STL lit DATE ISSUED: 06/07/2013 OWNER'S PIIONE: 4086914778 SAN ,IOSE, CA 95129 PHONE NO: (408) 329-2831 ❑ LICENSED CONTRACTOR'S DECLARATION =� ' BUILDING PERMIT IN BLDC ELECT PLUMB License Class_ --,O I,ic. 44 e �} f— % Contractor Y�I���� �� �f Date C � I MECH RESIDENTIAL COMMERCIAL. 1 hereby affix thrh at 1 am licensed under the provisions of Chapter 9 708 DESCRIPTION: srovvt..l.lvl�c ,.�a� s� rr I (commencing with Section 7000) of Division 3 (If the Business & Professions Ov POR(11 0 SQ 1:ORY iA"rTn(I II:D G,AR,AGI; J31 SQ P"r PRO,A"I' PORCI I I u0 SQ FI_ 13 WK PORCH 440 SQ Pr .SUNNYV41_I: I IRIS D I CIIOC RP_Vr*I RI-VISI_ I III: SI/_I.OI' VA'IADOAA IN %I ASul R Code and that my license is in full force and effect. BLDROONI. RCVISI. SI Rl (I I,RAI, rO RI.LI L( rG.AI31 [: INSIl AD OF IIIP TO %1iA "ICllAR( III "I I.( "I I R:AI, PI, AN SII11:1S-ISSD OVCR'II t I,('Ot NII.R S lul�(II 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to Seib -insure for Workers Compensation, as provided for by Section 3700 of the Labor Code, for the REVISION performance of the work for which this permit is issued. I have and will maintain Worker's Compensation ]nsurance, as provided 6or by Section 3700 of the Labor Code, for the pedormance of the work for which this Sq. Ft Floor Area: Valuation: S610000 permit is issued. APPLICANT CERTIFICATION APN Number: 37508041.00 Occupancy "Type: I certil'y that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale 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 ndcmnily and keep harmless the City ofCupertino against liabilitics,judgmcnts' PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City iu consequence of the granting of this peen t. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE Oil with all non -point source regulations per the Cupertino Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9,18, V Signature_ Date_._ Issued by: �✓ !/p ❑ ONVNER-RUILDER DECLARATION — — — — I hereby affirm that I am exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All cools shall be inspected prior to any rooting material being installed. II a roof is 1. as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. I3usinesS & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to Signature ol' ApphcanC _ Date construct the project (Sec.7044, [3usiness & Professions Code). — 1 hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER declarations: I have and will maintain a Certificate ofConsent to Sell' Insure for Worker's IIAZARDOUS .NIATF,RIALS DISCLOSVRE: Compensation, as provided for by Section 3700 of the Labor Code, for tilt performance of the work for which this permit is issued. 1 have read the hazardous materials requirements under Chapter 6Ji of the I have and will maintain Worker's Compensation Insurance, as provided for by California Ilealdu & Safery Code, Sections 2550i, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the I Icalth & 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. permit is issued Additionally, should 1 use equipment or devices which emit hazardous air 1 certify that in the performance of the work for which this pennrt is issued. I shall contaminants as defined by the Ray Area Air Quality Management District 1 will not employ any person in any manner so as to become subject to the Workers maintain compliance with the Cupertino NI unicipal Code, Chapter 9.12 and file Compensation laws of California. If, after making this certilicale of exemption, I Ilealth & Safety Code, Sections 25i05, 25533, and 225534. become subject to the Worker's Compensation provisions of the Labor Code, I nnust forthwith comply with such provisions or this parmil shall be deemed revoked. 01+'ner or a u fhorize4 a L' _ Date: l APPLICANT CERTIFICATION CO\S"TRl'C'fION LENDING AGENCY 1 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 I herebv affirm that there is a construction lending agency for the perfbrnnance of work's to building construction, and hereby authorize representatives of this city to enter for which this permit is Issued (Sec. 3007, Civ C.) upon the above mentioned property for inspection purposes. (We) agrcc to save Lender's indemnify and keep harmless the City of Cupertino against Iiabilitics, ju(lgments. costs_ and expenses which may accrue against said City in consequence of the Lender's Address-__ granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Codc, Section ARCIIITECT'S DECLARATION 9.18, 1 understand my plans shall be used as public records Signature Date Licensed Professional l.11 1 kir I. UrIP ltlll\V FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10250 S Tantau Ave DATE: 08/19/2013 REVIEWED BY: Sean APN: BP#: 'VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: PERMIT TYPE: WORK Revision #1: Revise the size of window in master bedroom; revise structural to reflect gable instead of SCOPE hip to match architectural plan sheets. r f"W's .'t ; a r 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 hosed on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'L info. FEE ITEMS (Fee Resolution 11-053 Eff' 7%1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (E) No $0.00 1 hours Plan Check, Hourly $139.00 isTPLNcK Suppl. PC Fee: Q Reg. () OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes No $0.00 Advanced Planning_Fee: $0.00 Select allon-Residential Building or Structure E) Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 S 7I3T TAL : � $0.00 $139 A0 ` TOTAL FEE: $1.39.00 Revised: 07/01/2013 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10250 S TANTAU AVE DATE: 0312112013 REVIEWED BY: MENDEZ 1.01 APN: BP#: %J61 �?O/ *VALUATION: 1$610,000 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? • Yes No PENTAMATION 1R3SFDW PERMIT TYPE: WORK CONSTRUCT 2 STORY SFDWL LIVING 3,733 SQ FT ATTACHED GARAGE 431 SQ FT FRONT SCOPE PORCH 100 SQ FT, BACK PORCH 440 SQ FT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 4,704 $3,101.52 IR3PLNCK $3,698.28 IR3INSP TOTALS: 4,704 $3,101.52 $3,698.28 ,3�s NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School 1) &A-t otr )_ Thoao foot aro hacod nn tho nroliminary infnrmntinn availahlo and aro anly an ostimato_ Cnntaet the Dent for addn'I info_ FEE ITEMS (Fee Resolution 11-053 Eff.' 7i1112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,101.52 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. O OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,698.28 Suppl. Insp. Fee-.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 , Construction Tax: IBCONSTAXR 1 # new units 9 'Idmi0stva"n"', Fee: Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee. IPLLONGR $611.52 Select a Non -Residential Building or Structure 0 A Ttmvc�l Docrtnt��rafcilirfrt Fats: Strong Motion Fee: IBSEISMICR $61.00 Select an Administrative Item Bldg Stds Commission Fee: 18CBSC $25.00 SCI)TO"ALS; $8,126.61 $0.00 TCJTAI.il+"E�.; $8,1.26.61 Revised: 01 /01 /2013