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08080076 (3) CITY OF CUPERTINO - •^s�+ - BUILDING DIVISION PEPdMT t CONTR4CTORxINFORMATI, Lire 3 V,'&3'87e4 InSi'+%'¢k A.Yt`9ait !ii.kA"S'2.. BUILDING ADDRESS: P(AMR NO. 23.836 GARDENVIEW LN TBD — TO BE DETERMINED 08080076 OWNER'S NAME: PERMrr ISSUE DATE KSANG CHIH—HEN AND SHIOW—LING 08/11/2008 PHONE - SANrARY NO. CONTROL NO. ARCHITECI'/ENGINEER: BUILDING PERMrf INFO BLDG ELECT PLUMB MECH • 0 0 0 0 loo LICENSED CONmI.ACIORsDECLARATION Job Description i u C 1 hvcby Jfinn Wet 1 w Hammed under provisions of Chapter 9(rommenrinL ;zu, witsaaat70M)ofoiviaan3oftheB�nee,wPref�nmConn.wmylieensis R&R WINDOWS & PATIO SLIDERS; NON STRUCTURE ;3h Wmnrareead L � -1 Bei—! SGK CONSTRUCTION PD FOR BUS LIC 8/11/8 ,q: uee„m tap —Ci'! Ll.. •r o pate S DECLARATION — ARshallhCJHIJone DECURATION i s 1 understood my Plans JWI he umL u public rmoNa ITU G� Licrnmd P,of,sdonsl ' OWNER-BUILDER DECLARATION f I hereby infirm,but I am essmpt from to Con.amofs License Law for Ne cc following won.(Suwon 703 1.3,Business and Pmfcesi.ns Code:Any city Or county E' which on dins a permit to mnsmct ser.impmve,demolish.nr mind,tiny swcmn: priorWusosuuce.alsumqui=theapplicamforsuchpermittorleasignedrummen, Ft. Floor Area Valuation Mat he o ursuaa Hemmed Promisor to We P-Ashmof the Co surnamri U-ma Lsw(Chapter 9 SQ. Ere' (commencing with Suwon 7000)a Division 3 of Me B udnm and Prefcuiom Cn" 17000 3 9 that he is ewopt therefrom and the basis for the incisingenemptiots Any s,i ho on of Section 70313 by arty sppHnm for. comil bj=to applicanuo a evil penalty of 32619096 Number Occupancy Type. oat most Wan five hundred dollars(53007. 01,u awrcr of Me PI-POM.Or my employe with wago as wlr ml compensation, win do We work.and roe sommose-is and subtitled or anew tbraak(su.70U.BLIamss Required Inspections and Prefesama Cade TL-Convenor.U.ULsw does not apply m an awes of Q P property who h.iNaorimPovea,hrsean,and who docs,ortwork himsu forW,p.gh his owes employees.provided that such improves errs,are not intended proffered for ale If. however.We building or hnpmvement u mid with.ane year of campkaom,to ownsr- buildm win have dm boder of proving that he did rot build or improve for purpose of ask.). ❑I.ea owner of to preparmy,em escluawn[y compering with licensed contrumrs to consumer the pm,ct(Sec 7044.Business and Pmfessiom Code:)The Contramora Li. came Law docs not apply time owner of property who builds m improves Wmrnn.rod, who Contracts for such Pojces withacon.ampt(a)licutactl purmantmsite Conttmols ' Lac Imn Law. ❑Ion awPundo Sec .B APCfor this won Ownv Ihte WORKERS COMPENSATION DECLARATION 1 hucby alliin under pcoalty of perjury rob of tc follawinL dcdwtione ' ❑I ham and will maintain a Cerldieste of Consent an selLimum for Worlds Coui sa ion.u provided for by Saxon 3700 of the Labor Cod,for We performanc of the work for which this permit is ismed. 1 have and will maintain Workees Compensasion Inmrancc,as tcquiw by Section , 3700.1 the Labor Code,for the perform anco of the work for which to .it u issued. My Work Tens C�amm�7cmation lnmpno artier and Policy number�ar�c�:�� v,��[/{/ Curio. t-s+I.i�C�.� Policy N�.:L+"✓&w CERTIFICATE OF EXEMMON FROM WO RS COMPENSATION INSURANCE , (reds section mind but be completed Y the permit is formb hundw dona,a($10(1) or kis) 1 certify tar in the perPerne.of the wink for whicb this permit is burned.l Wail nor employ any pmmti in my mambrm u m become mbjur w tris Wm--rs'Compuuatim Laws of Califemia.Dab _ Applicant NOTICE TO APPLICANT:IL after matin[this Cmdri ab of Essmption.You should become mbjee,to We Workers Compensation provisions of the Labor Code.you in= foMwit comply with such provivons m this pc,Fit shall be deamcd revoked. Z O CONSfRUCrION LENDING AGENCY N ; 1 hereby drum dm Cert is p construction lending agency for the perfmmastee of , We work for which Wo permit is issued(Ser.3097,CW.C) SQ L.endeh Name ' ,z Lender's Address ()01 versify tat 1 ban read this application and men tat We abate inro,mati.n Is E•" Ommocs.I.Seco W comPly wit all city uW mommy nrdinsncca and soon laws missing to O V building construction,and hemby authorise pPsmutiws of dela city In entu upon the r LA above-mcndoem:Poperty for imp a on purposce (We)agree to ave,indemnify and trap harmless this City of Cuperano against Ff0.j7 liabilities,judgments.casts and capons..whieh may in any way mete,agaimt said City e._3Z inconembeare,ofthegrantingofthis permie Date ^ APPLICA ND ANDS AND WILL COMPLY WITH AL NON-POIN'r Issued by: SOURe �� /f A/ Re-roofs SigQm, fApplion on al / HAZAADODous MATER1AU DISCLOSURE Type of Roof Will du applicant or forum building aavpantnore or handl hrradom material as&flood by the Cupuuno Municipal Code.Chapter 9.12,and the Health and Safety Code.Section 25532(x1. �s All roofs shall be inspected prior to any roofing material being installed. 0Y. p Wm We apphant tar mane haildi.g embolism too cquipmcnt or&A..welch If a roof is installed without first obtaining an inspection,I agree to remove emir h uniner m Jr constrom nus as defmW by the Bay Ama Air Quality Mansgemenr all new materials for inspection. District? C)Y. 1 have red Me Ins, snwmrials requirement ondcr Chapter 6.95afte califor. .I.Heal"Safety caa%Seyme,25so5.25533 and 25534.1 endcp:and Maar Etc building - .6 does tut eunen in ane Mut it u my rapomihiiity b tutifY tIF ouuWnt of Ne myuiremen atP.soI..auepnratircate •vpan •Si a[ fAppli an[ Date own er Wm;rx.gmtt D,b' All roof coverings to be Class'/I+"or better CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . . 32619096 . 00 DATE ISSUED. . . . . . . : 08/11/2008 RECEIPT # . . . . . . . . . : BS000005754 REFERENCE ID # . . . : 08080076 SITE ADDRESS . . . . . : 21836 GARDENVIEW LN SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER KIANG CHIH-HEN AND SHIOW-LING ADDRESS . . . . . . . . . . : 21836 GARDENVIEW LN CITY/STATE/ZIP . . . : CUPERTINO' CA, 95014-1132 RECEIVED FROM . . . . : VLADIMIR MERABIAN CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 17, 000 . 00 1 .70 0 . 00 1 .70 0 . 00 IBUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00 7.WINREP EACH 8 • 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 478 . 70 0 . 00 478 . 70 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 478 . 70 #3037 --------------- TOTAL RECEIPT 478 . 70 Oc? ox00 � it , ,- ��� �� CITY OF CUPERTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # O/ Q 65, • 6 0, Date: Building Address: Mailing Address (if different from building address): Ow e 's Name: Phone#: 77tl le Z- Vf l jo 'a2 6 6 Contractor: Phone: y JZ c o Fax: Z Contractor License #: e^ -7S_(:)S-� Cupertino Business License #: Contact: r _ Phone: D glLtA�- D IEA-q HH e• L Fax: Residential Commercial Job Description: Building Permit Info: Bldg © — Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Typ ,I-A, I-B ❑ II/III/V-A ❑ 11/III B, IV-HT, V-B �/j 1 at* n: Square Footage: 6 v c� Project Size: Express [Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.builditgreen.org Revised 7/01/08 7� A YN r � X r to 'Fl a cc?y T Y m F J D �C•�rl ( � 0 't. P `A I m ��p 9 ti� \ 1 AFL • j� \ It Z � � C m Q to 0010 1VIA' 00 r ed sip �B�edS71� °u 1.110 '�d'K► M ur Q n SUOA ,OUg1860o o Soo -t4 to U01551UU 0 FU'` U 1..W SUOug4!"� x d �aflAcolt N1 j pdt aae aN Int 'Files � +�s 9 xtCi� e A RESIDENCE ADDITION FOR. aa N m - 22 E6, A D k:bU�KIA SVS '�� I� 21936 GARDEN VIE\i li4NC ' t CUPERTINO CA9 014 .a .J. s.>.. .�.k.• ..Q��H�3II5 E:1 (E) 13.2 • # <- w D _-- - - =- - ---- -4Z f El MOO MAD � I ------ General Earth-Moving Dewatering y In me Baftte Dian Valley, D�.:am:a'.e�°~`°. Landscaping, H,eav lay,storm onto Bow ,dp��eeeals.r Storm Onln Pollution E;q u i p m e n t dl.cDyta«alo<alca.�,andanmSan Construction _,seer •w.wme•.pans' .m•er Gardening rnmL.nd.caIn and Operations Francisco Ery,calm n0 to soricm. vele,.w..mgpmo..ww. and Pool ' Swimming Pool Maintenance Activities p Operation and Site D ..pree+a raw.wawa paw p Sturm ownerpollutioncan Is varterwys and f for -vrpe.msm.e yPym..re...d "•p'"°•cpe.tWww•mn•and, Storm Drain Pollution ama.r.sn.r. .uomewrm.pre-a the people on ourwaulyadsseftdfor Supervision p.nwresnnee bmea.bm m..aww From Dawabring Activities ,,j the People who live freer polluted atfeams or Dn-pn�.r•mposes. Maintenance ^'vm'c'w•'^"•n•m Storm Drain Pollution Storm water Pollution mwnmmm+rm.n.cewmeweor.m a..nmaw wm..rr[vw+a bb..w de., cawpvm..w r.unmmw pV ,;from Heavy Equipment on Wands. Stolm Drain Pollution from rpmsunmm.rae.m Pewcb..vwe ww.ave.yP+w whose .hi from EarlhiloWng Activities a.w crmv.rr.v papped uYp ryp•.na YConstruction Construction Activnim mnPo-+ymm e.rp."'-^,m.rp.a muse. lelnwupinPG.n nram nmc• a.pwe.amawm ma..pnw.aeenun uwrs w.a-•mr wson I.L., wor .dshift.. Sites Proper management oleantrucdon apes mrmreen..ee..ewer.am m,.., DP,ew w.nppw.n .¢..awns. +•m•rvu�amm.ve-a�m.bin nwaw Poo.Irm.Inr.I,took W.I..••na navy cmrlpn.rpnunu.rauamm vu..wb.ar. b•m`s'bo bumomm urs 4a a®wm re tcdew+�rwmbm�IwP .cn•rol re.�.a..em�.m.Any m m°.. reduces pollution slgnlOcerdty. papplappron amy..m...r yell sleep an.ma•s fib mro a d O.a m m.«bbm m mm poamlw rn rwm came n bw w s sY.w :Met fi ant mal bel:nroil,pnbne are or .D Bravery en.eewe.uwcw.Peoesn ameppa.rrplratla.rw. w.n.n.m-.•a.•brevypwv pbyppyew. omen Mk.on me con•avctbn.lie ars Thbshael aummarizas the'Bost anerd a�.Yw'p.m mp..bw'e:•q h"" D so.w. .m®.sw, �ammma .Islaelm anndf w p . m+le w,ry n.wms.vaa.a rb P.14FOonbIMp mah emhe common.puree.ol.mrm dmin ollutbn. Management B.r. '°•n'b qm, ObrV a4•m 4�b' /a DYcn•rtV w •°pay.w —.. Prevent spills and bake E 1•olabr Y.twm.aW. r—poor rrbw.wurw aurmp oe,.wtnw, aNnNp POObw•P•. rCvl leybb hbya mm pm Eebpee ewe .p him Y 0 PraNces^(13MPe)for storm water pollution ❑-ap Bw '^a p °' m• equipment rwelttlon. .�`.,,.wa'•`'m..�"p,.` �.."' -•.rmp.`�•i cam~w.'w'•w�w D u°.rmpw.r woes...aacnwm carpe r.un.mm.n.wa w.wk..u.n mum pwoaprrusrm emmmnan.mn .Ime.l u..w.m 1.pmebm.a. apbr4•k•anacmgrml�lnt�n.ncs �wee.waw..W�.uw o-rp•..e c..n1wm.-•rprom wma bo m.w•r.w.rwwero.n.n e.mn w'�ow•n m..a awe m.�.w a . oaede Bao-.rpu.anblw,•, a.ws 1.uwe mr.rmrcw.e vmesm•.po as so construction pocmn.pYlpm•m m.em eeeem.se.ewiraw.car,. ❑ vmped low mops or.spprses mesen.vaw.. w.eema..m P.m.ms•n•.•aeen..ve..leb. upoW.ww.rmsmeeaa. 1m.a py.ra ewr,walell..emr llmeebo•polc ' Om.M Principles em.p ser l.Ybsra D caopt for ren,areemrm•,men eq O...wale serer mnp.re.m000 caw. mmbe, pose.Debora pm..roue Is I.b P.a rope m pmvtl-.w. O erpeere.rywoa ops..pees usmm.om.w wwvp•mc.n.aa rwnnpWoeoeanvwpn.pre.nwop. Pnnaca!D'Phrg Cpaat2tlen 41M1 PI•nnlnP.na Pr•r.nrlra V•alch ORDINANCE OF swwwpm bode-one ..o-.s.ess ma mwPs,.w.. D P•'^"•n°°.'n.'.e"°'a"'a•'e•a Nonwm-papp"awmmweerml ❑ wru macaw mwmmrarmwbe r.lnr.n.nc• THE CITY OF CUPERTINO Dn.nsr•e•lp..+.sear �n�'emmrrrelwreewme. D ems l�.aw.ate.as as... ewnew. D .b•aM �rm.wn Pan+-.br muaasw. Do..yn.u..........wn.w•mn.lb...s ' ❑ Never eYeA.q.pwlwq..W m• bYWp,mtmrYm O Munumm.Wn Y.Y.p.eW,Nn pn -•r..V.b••mr.r.mnn•rain petal.,ler.um FOR NONPOINT SOURCE POLLUTION ❑ e....mp.r•^•^m•r.numr. avow a polos.-.rewnmmmw..a.b �de•'e•onwa••n .sprod' .e.aw.wmena;arwrr.m. Yer'aa°" 'I°p.w -•waae er•wrewl..w.mrr. �ne.eumm.m..nbp.um•br..na mum. o pos m.wr.-.rrm..p°.w.nm a• .poo-..npp°e.en•v wea,o.m ..nam,r-..spew. 'nm•u'bi°m rA°I b^eesw+p'iiiee. u ....ag nv..an.mu.,m,mnr .•new pro.eumm.m m.nun.n•...°num B WATERCOURSE PROTECTION: • baa. 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Oe Daupned as p,wked'n Wpdr 1.12 atlt'B mde OTI.r .•ire.mbnp'eop�`r•a�`'w open.V,Hume Hoa.: r yo-•apr.w se.elspe.ew.. a.a verses., D o°°meb.ww yrs bel a" spill cleanup r.op,don a.awnm•m.aw 4+eeal cvenmlas 9.19.100 cMl pwnr We Violation pn' aerbr...m..w -^'•'+eo^r�•rm •"•mmpp m•'b••c - w-1 m°"ms.°on.w m.e-m�annet D swan Yr.Hn. ....toter" Arry parader,atm Vomme my Provision of mu eewuuw r.reel pw .mmm� se...amrm.�wP.m. - vmmpmp pecan.s.om sine ua. ❑ a....n°..a•w n'e an'p.Y t.1 apapdr .mevemms .me.. be.bsaeeonases...d.pr u e.ml.•bW.mbe...her.%Wa h.- .Mod. «amp'p.lsan of any pertNt hisued Pmmrd m me o.i.opm.em..Vw anromb.rr. cemm.1"ho ra-epeea•ew.m m.a pard.way..I.; .panur.•wee.p.) n,. maomr ala9 Ce dbil7lkdemme Grymewnmm sheen"-um�^rm+iy.n-•o•mm ...'body, vum�mmo sa mimep•ra..um WV no un.r..nm°r,ae.l-1,00rm- e¢eee me amwmd Provided far a GoYammant Code ,ITr•.u.tpa.0 Sew pap mar. section H).D NIdor$.T.a.9 .npPm mu M M�iuee.n�°rrr. m.. 4u••re°wry a6pr•.I.b.en.nl I,me Leappor Weal pw O .n.narcn.wten is a°m mm.phes D ..peP uu•.epWr:.mmr4W lmmaam.ry. vbhiuml.rota Caymry Pe39pn ale Supeb Court s armea. we.nwlauwpre.lane r..... .mPlm� .n dam...i.s..sr, mmammro mmwdcadesedw s.,mm �P.e. The property owner and the contractor share ultimate responsibility for • promn.m—rlmavawrnpm nm•m' aasev end remvw•ual.mp. TfadW pvra3y graded - .camas owrpea emu.o.pup..w Du....pea...r........l..uleYnnnuek noe.amm.mmd a.ame�w e,.nd.m9e. the activities that occur on a construction site. You may be held responsible w Pn "° °""'" ;;•u;-•n.•......•n,W•a°' p•lo.m-er.N.. Voolproma"em for any environmental damage caused by your subcontractors or employees. D Iq..ova` -eln•na.b,em...us ad Stab aeq Federal law erq heel omuanme. Fund. m9atled plv.[mra m rah eetlbn pna0 tie pek m Ceys ....... nneats .en. ErMmlmerlml Marelpmaa Ampwa. � o cnnu br npelr4u,nub Painting and Roadwork Fresh Concrete mg` " D Il Me.14 w....Apar. rhe.... 9.1 A, pa , scharoas innocents. " SDomt Draln Pollubon nu.annsvn.np.al.ry.m.m.m.,m• Am Pmam WnP dl.nmge.Pau�m.m Ywpmn a Application of D ow,m s.. .ee mer.pry ra.nm.m feu mU.....-Pon n m m. ade dlepw,gpealmaaklt m,nem«m.Ml ani i9y from Roatlwork prwensu..l-plo.paw eau onamcm.11.rdy e.nv... 9adam me DBymammmm..cwdtwanrylM Solvents and naesmew and and Mortar . ptotr.•W• .For dry per vlolapon b eeh day in Orwar.aelmam a�sr. q.ppnnb epbpa.mswel,mrem Dh+rr wanwrPmnwm_mrrewmP.e - m Adhesives Yd-n w PavinAg ;nn.a. 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D nslm.awpas: D m..eeerlppare .+a.eep,a. ap,pnd,apM�_ ��m.lw uvemre than 27 gallons or 220 pounds mama as,: D re.:�,mVases meq' . rn"mn'..a°•'a of hazardous waste per month. - nwrssmrrm,.m eror a..-nrarp, rrp®p rwm nepce, ab .a.mselrbenseen.smprm D vm.l ue+rvww..p..b.o..bm PYnn.w.r..pop,: D psrreaner.wel�pe.apeel. p�•ea�W.w °-w"yn.: o mm�eramp.l[p.golw, o�p.by.r,.y,..9rb:er op �propp �p wae.m�.p e.,�aw.atr. are eligible to use this program. u.arra..• •pereraaw..cw.ps maw. v.lmeum.rm..+,.w - arnoVAL embswlw•y asp rwe.r.a aspen m.b ss _ y mw. ely m.e+ar..b, ammo,.. orae. .arrows ° —Inrspoee.ym ®.gym®. opose. Call 408-299-7300 sent.ohira<epm D Rope pens xenmp: e..a.wdw...m w.cr. pas, .pran mm D +... pea i�.aet. Pwre Ppm.v.use •e aom..[mch WdImlp•mM1. oraa.rwau pw ma.a..wr,a.rlde r..am. mlwemm�an mlma•.Pmlm� foraquote. 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TI rl�au/ n0.co atsep.cpnatapnn Cm ..- • ewe w}f�JiS: Rampl�pnlT� APPROVED BY: `2� u ku.vy r it ATE 6� 1 �'� � � E ® SLEET: r RALPHpUALLS,IR.RCE220469-3 5 DATE CONSTRUCTION BEST MANAGEMENT PRACTICESaaT w ,y �„� ' DIRECTOR OF PUBLIC WORKS DEPARTMENT OF PUBLIC WORKS oma 14