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07050219 CITY OF CUPERTINO BUILDING DIVISIONPERMIT . ON. BUILg2G 1D0EsPERMIT NO. MICHAEL CT KEN JU 07050219 OWNER'S NAME: PERMIT ISSUE DATE KEN JU 05/22/2007 NE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB ?AECH O p LICENSED CONTRACTOR'S DECLARATION Job Description U F I hereby affirm that I am licensed under provisions of Chapter 9(commencing ,zu�i withScction7000)ofDivision3ofthcBusincssandProCcssiunsCoofc,andmyliccnscis REMODEL-REPLACE KITCHEN CABINET,COUNTERTOP °- in full force and effecL License Class Lic.B FLOOR,BATHRM CABINET,FLR,GARAGE CABINETS. F w Date Contractor a ARCHITECTS DECLARATION PLUMB IN(3 7 a-C, 1 understand my plans shall be used as public records )WU FIXTURE3. WORK DONE W/OUT PERMIT—DOUBLE ALL FEES. U.H Licensed Professional y OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractors License Law for the po following reason.(Section 7031.5,Business and Professions Code:Any city or county <m 64 which requires a permit to construct,alter,improve,demolish,or repair any structure Z y prior w its issuance,also requires the applicant for such permit to file a signed statement EEC that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 ,>q.Ft.Floor Area Valuation 00 a F (commencing with Section 7000)of Division 3 of the Business and Professions Code)or 8 5 L that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by arty applicant for a permit subjects the applicant to a civil penalty of t�bT Number Occupancy Type not more than five hundred dollars(5500). 3693602 ❑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 We(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of Q P property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). 61,as owner of the property,am exclusively contracting with licensed contractors to honstruct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's AWL License Law. ❑lam exempt and ec B&P C for this reason TARY Owner Data —J1--L WPfKWS COMPENSATION DECLARATION I bA141 1 hereby affirm under penalty of perjury one of the following declarations: t,J 1 have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,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 Workers Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for anc hundred dollars($100) or less.) 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 becoppr�c subject to the Workers'Compensation Laws of California.DateS Applicant K55—T--�t-' f NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must Oforthwith comply with such provisions or this permit shall be deemed revoked. z 2CONSTRUCTION LENDING AGENCY E-t rte. 1 hereby affirm that there is a construction lending agency for the performance of CC h7 the work for which this permit is issued(Sec.3097,Civ.C.) WW Q Lender's Name Lender's Address U 0 1 certify that 1 have read this application and state that the above information is V. t-' correct.I agree to comply with all city and county ordinances and state laws relating to C U building construction,and hereby authorize representatives of this City to enter upon the W above-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against ,may liabilities,judgments,costs and expenses which may in any way accrue against said City V Z in consequence of the granting of this permit. y Date APPLICANT UNDER ANDS AND WILL COMPLY WITH ALL NON-POINT Issued b SOURCE R GULAT 1 . Re-roofs Signature of Appli Date H =rS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupantstore or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑yes 14 No If a roof is installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes JXNo I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building does not currently have a ant.that it is my responsibility to notify the occupant of the requirements wh'h must et prior to issuance of a Certificate of Occupancy. Signature of Applicant Date —Z2-,O All roof coverings to be Class"B"or better Owner or authorized ager Date CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: suew COPY # 1 Sec: Twp: Rng: Sub: Blk.: Lot : APN . . . . . . . . : 36S36025 . 00 DATE ISSUED. . . . . . . : 05/22/2007 RECEIPT #. . . . . . . . . BSC00001422 REFERENCE ID # . . . : 07C50219 SITE ADDRESS . . . . . : 20:10 MICHAEL CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER KED' JU ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4423 RECEIVED FROM . . . . : KED" JU CONTRACTOR LIC # *OWNER* COMPANY. . . . . . . . . . : KED' JU ADDRESS CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4423 TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY IMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- -------- ---------- ---------- ---------- BPERMFEE VALUATION 8, 500 .00 317.52 0 .00 317.52 0 .00 BPFIXTURE UNITS 2 .00 36 .00 0 .00 36 . 00 0 .00 BSEISMICRE VALUATION 8, 500 . 00 1 .80 0 .00 1 .80 0 . 00 PPERMITFEE FLAT RATE 1 . 00 76 . 74 0 .00 76 .74 0 .00 -- -------- ---------- ---------- ---------- TOTAL PERMIT 432 . 06 0 .00 432 . 06 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -=------------------ CHECK 432 . 06 131 --------------- TOTAL RECEIPT 432 .06 � y�L�-VIR EM TR RM jLREV ON- CUP EkTINOL-2 - .- - Assessor's Parcel Number: Name of owner- Project address- phone. Contact person. � Fax. Net square footage of lot. �� — Exi.,t Proposed Square footage: First floor: Second floor: Garage: -----" i TOTAL: Are there at least two 10 foot by 20 foot clear spices inside the garage? Y j�N Is pn vacy protection planting required for the pr)j ect? Y On what floor(s) is work being done? --'� Brief description of work. (irk wt 2001 CFC a-N)2001 CMC (Y- N) Code editions: 2001 CBC - 2001 NEC - 2001 CPC (Y -N) tom` Effective ]RrTOVED ' rN ACCORDANCE WITH THE CITY Of CUPERTINO CODES AND ORDINANCES )ATE This set of plans and specifications MUSS ` oe kept on tc job at all timss and it is un lawful to make any cnonges or alteration, ,n same without write,,.n rormission from , tie bui ding Dept., City of Cupertino. f`he stamp+ng of this p!cn zrid specrfication� ,HALL NO1 bo te;ii t:, permit of to be ar 0oroval of the vidatiz o of any urovisir" ice} sl n;.fitl-$ gni Plan Review Process Work Book Page-S-Revis--d 4/28/04 Integrated Device Technology, Inc. dt VALUE THROUGH Pl:RFORMAMCE � - T -- 4 N I ,.. D i i •3 i 1 i } 7 2975 Stender Way, P.O. Box 58015, Santa Clara, CA 95052-8015, (408) 727-6116, FAX: 408-492-8674 - - ��� RN ; - _ SZ H- 2 IMM NZ CUPERTINt3 =- Assessor's Parcel Number: — Name of owner. Project address. Contact person. K—`E� Phone. Fax. Net square footage of lot. �� A Exi.,IiRg Proposed Square footage: First floor: Second floor: Garage: — TOTAL: Are there at least two 10 foot by 20 foot clear spices inside the garage? Y Is privacy protection planting required for the pr)ject? Y .-_ On what floor(s) is work being done? Brief description of work. Code editions: 2001 CBC �-N)2001 CFC c -N)2001 CMC (Y-N) 2001 CPC (Y -N)2001 NEC ( -N) Effective 11/1/02 '9s sF ss o� 01� CE, rI Plan Review Process Work Book Page-8-Revis,;d 4/28/04 Integrated Device Technology, Inc. dt VALUE THROUGH PERFORMANCE Awlf 01 i 0 = D i 3 0 S 2975 Stender Way, P.O. Box 58015, Santa Clara, CA 95052-8015, (408) 727-6116, FAX: 408-492-8674 OWNER-BUILDER VERIFICATION 1. (Check one) I or my immediate family (parent,spouse or child) will perform A. All the work author zed by this permit B. A portion of the wo:-k C. — None of the work If B or C is checked,complete 2 or 3 below. 2. A state licensed contractor will be hired to do: A. _ All of the work B. A portion of the wo:-k (complete section below) Contractor Address/City Phone # State License # Type of work to 713 `G. C -� 2-CJ Z L 6 4 B 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or portions of the authorized work. I understand that I may be an employer(see reverse side). A Certificate of Insurance covering workers' corn D-ensation must be on file at the City of Cupertino Building Department office. Persorairm Address/City Phone Number Type of work to be performed ..................................................................................................----••---......................................... I declare under penalty of perjury that the above is true and correct. I have read and understand the Owner-Builder Information(reverse side) � � �Z.l Property Owner's Signature: CDate: Job Address: -2 i; o i i 1�a e, t, u � ��``' (,,4 ���% Permit# AU changes to the information provided on':his form shall be submitted to the City of Cupertino Build Department. aCITYF CITY OF C'UPERTINO CUING PERMIT APPUICATION FORM CPN# , �` a�- Date: Building Address: Mailing Address (if different from building address): Owner's Name: Phone#: Contractor: J License#: �l Contact: _ Phone: Cupertino Business License#: Fax: Building Permit Info: SSD i�ek,\GCc kit{:Ih,, h� F, c;,,�e✓ �;� ; c4 w< vt�� ��o;, �a; �:lzs . Bldg ❑ Elect ❑ F'lumb © +J Mech ❑ ``; t''4-1 �"Q Job Description: LI 11 ��� L z X —Com7l cial al� �� �C'��e ,�"`�l fGx Residential ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ ?roject Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID IFee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler-> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler-> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX InCJOff/Conm/Quasi BUILDING BCONSTAXBQ Coli. Tax for BQ Zone BUILDING BCONSTAXH :hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC 1000 Elm 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1A3 CITY OF C'UPERTINO MotPERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID :Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME Nf,w Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME In 3pection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Eldg Permit Fees BUILDING 2 BPFIXTURE Pb1g Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Inc Waste Interceptor PLUMBING BPLANCHK :Plan Check Fee BUILDING BPLANCKADD Plat Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Rei i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn Sprinkler/Backflo PLUMBING BPSTORM Stonn/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT A]t of Drain &Vent PLUMBING BPWATER InstER/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT I:eins ection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT bighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relc. Furnace> IOK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD In.-aallation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Po]e/Platform Fixture ELECTRICAL BREMPOWER Power Device/A paratus ELECTRICAL BREMRECEPT Rc 11, Switch & Outlets ELECTRICAL BREMRELOCA R°location of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Rerr odel Res Appliance ELECTRICAL 2 :)f 3