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