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10100019CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10037 BRET AVE CONTRACTOR: KEE Y HWANG PERMIT NO: 10 1000 19 OWNER'S NAME: KEE Y HWANG 10037 BRET AVE DATE ISSUED: 0 1/28/201 1 OWNER'S PHONE: 4083660100 CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. N r r r MECH RESIDENTIAL COMMERCIAL Contractor Date JOB DESCRIPTION: ADD 598 SQ FT TO EXISTING SFDWL (CONSTRUCT NEW ATTACHED 2 -CAR GARAGE)RE-ROOF 1,045 SQ FT 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 STRUCTURAL (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: 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 Sq. Ft Floor Area: Valuation: $20000 performance of the work for whichthis 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 APN Number: 37511019.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 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 DVM 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 granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: t/ with all non -point source regulations 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: 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 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. 1 will 1 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 1 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 whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent: Date: 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 1 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 1 have read this application and state that the above information is correct. 1 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, ARCHITECT'S DECLARATION 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 ADDITION/REMODEL CUPERTINO FEE SCHEDULE APN# S. / / v I � Od Date: /0/0/ U/ / J Is a 2°d unit being added? Yes 3 No ❑ If Yes, please fill out the permit application for 2° unit. Building Address: /o o 3 /7 4 /r%l1-e Mailing Address (if different from building address): S -e cam - Owner's Name: Phone # : 7 0/v 0 Contractor: Phone #: _e,.-. /Su : /o%c Fax #: Cupertino Business License: State Contractor License #: Phone #: Contact* �� k / c C_��� r Fax #: Landscape Ordinance Compliance: Landscape area in sq. ft. (includes all irrigated areas): �✓//� If 2,500 sq. ft. or less, compliance with the Landscape Water -Efficiency Checklist is required. If more than 2,500 sq. ft., a complete Landscape Project Submittal is required. Compliance Method: ❑ Plant Type ❑ Water Budget Building Permit Info: Bldg Elect. Plumb. Mech. ® Hillside ❑ Job Description: Addition -What is being added?(Be Specific): What is being remodeled (not including addition)? u ,/c/ Remodel Includes Re -Roof. Yes ® No ❑ If yes list number of squares / 2 - Remodel Remodel Includes Structural: Yes ❑ No ❑ Do you have the pre -application planning approval? Yes ❑ No ❑ If yes, please provide a copy of your planning approval letter. Planners name: Square Footage: Addition: Porch: Deck: Garage: Detached Attached s Remodel: Kitchen Bath Other Type of Construction (Usage Class): -Occupancy Type: 1-A, 1-B ❑ IUIII/V-A ❑ IUIII B, IV -HT, V -B Valuation: 000 a Please check this box if the project is a Project Size: Ex ress 0 StandardE9fargeEl Major ❑ second -story addition ❑ Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, Green Building Points Achieved: include in plan set & the sheet index. 76 Revised 05/18/10 FM—M CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: DATE: REVIEWED BY: PC FEE ID APN: BP#: *VALUATION: 1$20,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: OVERTHE COUNTER. 0 Yes 0 No PENTAMATION 1R3SFDADD PERMIT TYPE: WORK C;lcc. Insp. Fcc: SCOPE Suppl. Insp. Fee'O Reg. © OT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 598 $2,349.00 1R3PLNCK $1,474.00 1R3INSP C;lcc. Insp. Fcc: $1,474.00 Suppl. Insp. Fee'O Reg. © OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruclion Tax Acoustical Fee: 0 Yes 0 No $0.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: 598 $2,349.00 %/ $1,474.00 �� tl NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 09-051 E . 7/1/10) Rik, QTY/FEE Mech. Plan Check Phfwb Ploo C/wr A Dec. Plan Check rble1l1. Permi[ Fee: Plr.;mh. ! cr nil /""e: Elec. Permit Fee. Other ;llech. Insp.E17__ 0/her Plww') Inq).Li Other Flec. lnS11 Li 1lech. ln. h. lw Phru1h. hap. Fee; C;lcc. Insp. Fcc: NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 09-051 E . 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,349.00 1,042 s.f. Re -roof $143.00 1REROOFRES Suppl. PC Fee: 0 Reg. 0 OT 0.0 h. $0.00 PME Plan Check: $0.00 Permit Fee: $1,474.00 Suppl. Insp. Fee'O Reg. © OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruclion Tax Acoustical Fee: 0 Yes 0 No $0.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: PLLONGRNGR $77.74 Select a Non -Residential 0 Building or Structure 0 i Travel Docuinentalion Fces: StronjZ Motion Fee: IBSEISAECR $2.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 // /i / i ,%�///////� /io%l //; tQ►i$ $3,903.74, $143.00 $4, 046.74 Revised: 9129/2010 Page 1 of 2 LANDSCAPE WATER -EFFICIENCY CHECKLIST Community Development Department 10300 Torre Avenue 408.777.3308/Fax 408.777.3333 Cupertino, CA 95014 plannin-@cupertino.org C O http://cupertino.org/planninE U PERTtN �c-,v-e 4Ui Xapp Applicant Name: /--<�Z e- ,�� G�'I Email: A) Co 106 Y�� Project Site Address: v / Phone: C �40(sl) 6�— 6/0 c- Total Landscape`' Landscape area: All the planting areas, turf areas, and i,\,ater Area feet): features in a landscape installation. The landscape area does (square �v not include footprints of buildings or structures, sidewalks, driveways, parking lots, decks, patios, gravel or stone walks, Turf Area: other pervious or non -pervious hardscaj� es, and other non- irrigated areas designated for non -development (e.g., open spaces and existing Nvildland vegetation). Non -Turf Plant Area: Turf: A ground cover surface consisting of non-native grass V1, that is customarily mowed. Annual bluegrass, Special Landscape Area: Kentucky bluegrass, perennial ryegrass, red fescue, and tall fescue are examples of cool -season turf grasses. Bermuda grass, kikuyu grass, seashore paspalum, St. Augustine grass, Water Feature Wet Surface Area: If > 10% of landscaped area, water budget calcu- zoysia grass, and buffalo grass are arm -season turf grasses. lation required with landscape project submittal. See reverse side for other definitions. NOTE: If landscape area exceeds 2,500 sq. ft., a landscape project submittal shall be required. If no landscaping is proposed, enter "0" above and proceed directly to the signature block at the bottom of this form. Landscape Parameter Requirements Project Compliance Turf Total turf area shall not exceed 25% of the landscape ❑ Yes 1.'0 area, or 1,250 square feet, whichever is lesser in area. ;lf r.o, 7. titer 1u.& et i iat cr. re4_ ec: h'Ln landscane p elect culbmittal; All portions of turf areas shall be wider than eight (8) feet. ❑ Yes f Turf (if utilized) is limited to slopes not exceeding 15%. ❑ Yes Non -Turf At least 80% of non -turf area shall consist of native or ❑ Yes :v c: low water use plants. [If nn. i', titer b7-1dget calculation :equirec' with landscape project sub1nittal' Hydrozones Plants with similar water needs shall be grouped within ❑ Yes9(No hydrozones. Each hydrozone shall be controlled by a Pla:;`s be car, o-r6ut\ed per separate valve. T able 1 .13.030' CJ] Irrigation System Systems shall be designed and maintained to minimize ❑ YesNo water waste (e.g., runoff, low head drainage, overspray). Low-volume irrigation shall be utilized in non -turf areas. Irrigation shall only occur between the hours of 8:00 pm [Ii no, Provide ex-lanation on aback] and 10:00 am. Soil A minimum of eight (8) inches of non -compacted topsoil ❑ Yes No shall be available in planted areas. ; j; Pi'•a explanation cn badkj Soil amendments, such as compost or fertilizer, shall be appropriately added according to the soil conditions at El Yes (�^1\'0 ,1 the project site and based on what is appropriate for the selected plants. [if no, ; rovide e>:pL.nation on Mulch A minimum two (2) -inch layer of mulch shall be applied on all exposed soil surfaces of areas, except in Yes C' planting areas of direct seeding application (e.g. hydro -seed). ['` -1o, : rovid e cep ia,.atic�n or, bac"', I am aware of available informational resources regarding native and low water use plants, irrigation efficiency, and other aspects of water -efficient landscaping. I certify that the information provided on this checklist is correct, and the installed landscape complies with the requirements of Chapter 14.15. I also understand that any changes to the project will necessitate a new checklist. /. C) Si tur f proFe-iTy owner or audgbrized representative Date Page 1 of 2 1. Use Low/No-VOC Paint 2. Use Low VOC, Water -Based Wood Finishes 3. Use Low/No VOC Adhesives 4. Use Salvaged Materials for Interior Finishes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 6. Use Exterior Grade Plywood for Interior Uses 7. Seal all Wised °Particleboard or MDF 8. Use FSC Certified Materials for Interior Finish 9. Use Finger -Jointed or Recycled -Content Trim 10. Install Whole House Vacuum System N. Flooring 1. Select FSC Certified Wood Flooring 2 Use "Rapidly Renewable Flooring Materials 3. Use Recycled Content Ceramic Tiles 4. Install Natural Linoleum in Place of Vinyl . 5. Use Exposed Concrete as Finished Floor 6. Install Recycled Content Carpet with Low VOCs Total Points Available: Total Points Project Received: 1 IAQ/Health pts y=yes 21AQ/Health pts y=yes 31AQ/Health pts yeses 3 Resource pts y=yes 61AQ/Health pts y=yes 1 IAQ/Health pts y=yes 4IAQ[Healft pts y=yes 4 Resource pts y=yes 1 Resource pts y=yes 3 [AQ/Health pts y=yes 8 Resource pts y=yes 4 Resource pts y=yes 4 Resource pts y=yes 5 IAQ/Health pts yeses 4 Resource pts y=yes 4 Resource pts y=yes 0 0 1401 1301 57 01 0 0 e,-� ,,/ ox) / "'o G:data/progs/greenbuilcUngguidelines/remodelers/greenpointsfina1212D4proleated.)ds 1. Instal! Energy -Efficient Windows a. Double Paned 1 Energy pt Y --yes b. Lo w -F is f , liy�r? 2 Energy -pts Y=yes c. Low. Conductivftyl 4o". 2 Energy pts Y=Yes 2. Install Low Heat Transmission Glazing 1 Energy pt Y=yes J. Heating Ventilation and Air Conditioning 1. Use Duct Mastic on AM Dud Joints 2 Energy pts Y=Yp-s 2. Install Ductwork within Conditioned Space 3 Energy pts Y=yes 3. Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 4. Clean all Ducts Before Occupancy 2 IAQ/Health pts y --yes 5. Install Solar Attic Fan 2 Energy pts Y=yes 6. Instal! Attic Ventilation Systems 1 Energy pt y=yes 7. Install Whole House Fan 4 Energy pts y=yes B. Install Sealed Combustion Units 5 IAQ/Health pts y=yes a. Furnaces 3 IAQ/Health pts y=yes b. Water Heaters 3 IAQ/Health pts y --yes 9. Replace Wall -Mounted Electric and Gas Heaters with Through -the -Wall Heat Pumps 3 Energy pts y=yes 10. Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts Y=yes 11. Install AC with Non -HCFC Refrigerants 2 Resource pts y --yes 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts y=yes 13. Retrofit Wood Buming Fireplaces a. Install EPA certified wood stovesfinserts 1 IAQ/Health pt y=yes b. Install/Replace Dampers 1 Energy pt y=yes c. Install Airtight Doors 1 Energy pt Y --Yes 14. Install Zoned, Hydronic Radiant Heating 3 Energy pts y=yes 15. Install High Efficiency Filter 4 !AQ/Health pts y --yes 16. Install Heat Recovery Ventilation Unit (HRV) 5 IAQ/Health pts y=yes 17. Install Separate Garage Exhaust Fan 3 IAQ/Health pts v=ves K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pts Y=yes 2. Install Solar Water Heating System 10 Energy pts Y --yes 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts Y=yes 4. Install Photovoltaic (PV) System (1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points) Up to 18 Energy pts 6. Select Safe and Durable Roofing Materials 1 Resource pt Y=yes 7. Install Radiant Barrier 3 Energy pts y=yes L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts y=yes 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes 3. Plant Deciduous Trees on the West and South Sides 3 Energy pts y --yes CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: Ae c PERMIT # /o/ o 0 0/ ae r< i cz, OWNER'S NAME: ,l{ PHONE # 0/0o GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: er / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile er / Contractor Signature Date