130900858
. CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7583 NORMANDY WAY
CONTRACTOR: JEMICO LLC DBA
PERMIT NO: 13090085
RENEWAL BY ANDERSEN
OWNER'S NAME: WEI-TE WU
30800 SANTANA ST
DATE ISSUED: 09/12/2013
OWNER'S PHONE: 4089738815
HAYWARD, CA 94544
PHONE NO: (510) 263-3178
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License ClassLJ
�,� Lic. # <:;(,I2 /
REPLACE 3 (E) WINDOWS, SAME LOCATIONS. SIZE WILL
AA
Contractor �? ePn ,� q /rCjaiSJ�nDate
CHANGE (NO STRUCTURAL) TO MEET EGRESS
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:
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: $5862
performance of the work for which this permit is issued.
,Lhave 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: 36611157.00
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 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 DAYS F ST C LED 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
Is u y: a e:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature _ _ 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.
❑ 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
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
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
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 I
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
the Health & Safety Code, Sections 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
'y/
Owner or authorized ager_ Dater")
permit is issued.
7
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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
40300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building _cuDertino.orq
rl NEW CONSTRUCTION rl ADDITION tR ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS —7(#
/
—v1&9)5-(,
�Z
OWNERNAME Vo -k PHONEga6— 173
E-MAIL
STREET ADDRESS S�b
CITY, STATfi,(P6 �
FAX
CONTACT NAME
Z _
&M�
STREET ADDRESS `jQ C STATE ZIP
FAX
❑ OwNER ❑ OwNER.BUILDER ❑ OWNERRAAGENr CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHrTEcT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBER T W 7 d 2
LICENSE TYPE Hf BUS. LIC #
COMPANY NAME
E-MAIL FAX
Cs^COL.
STREET ADDRESS
CITY.S ATE,Z[P '
w�� 7 [
ARCHrrECT/ENGINEER NAME /�I�
LICENSE NUMBER BUS. LIC
COMPANY NAME
E-MAIL FAX
STREET ADDRESS
CRY, STATE, ZIP PHONE
DESCRIPTION OF WORK Cj C c
/V CA " �0 S�X`1QL,L 6e Zl=
EXISTING USE
PROPOSED USE CONSTR
TYPE
# STORIES
USE TYPE OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DffiNO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
REMODEL AREA
KrrCHEN
REMODEL AREA
OTHER
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKIPORCH AREA
GARAGE AREA.DEIACH
I
ATTACH
I
# DWELLING UNITS:IS
A SECOND UNrr ❑ YES
SECOND STORY OYES
7
BEING ADDED? ❑ NO
ADDrTION? ONO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
TOTAL "LUATIION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME? ❑ NO
UgUg�/ 66 ??-
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relatingto buildingconst cu I. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Date: I/S7-/ f
Signature of Applicant/Agent:
SUPPLEMENTAL INFORMATION REQUIRED
PLANCHECKTVPE
ROUTINGSLIIP
1vM-THE-COUNTER
❑ BUIIAINGPLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑ ExPREss
❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC WORKS
fo_rm if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ ..FIREDEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (La Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dept /or addn 11 info.
FEE ITEMS (Fee Resolution 11-053 E}f. 7/1/13)
ADDRESS: 7583 NORMANDY WAY
DATE: 09/12/2013
REVIEWED BY: MELISSA
Xtech. Plan Check
APN: 36611157
BP#:
"'VALUATION:
1$5,862
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE: I
iter Elec. Insp. Li
PENTAMATION 1GENRES
I PERMIT TYPE:
WORK
REPLACE 3 E WINDOWS SAME LOCATIONS. SIZE WILL CHANGE NO STRUCTURAL TO
SCOPE I
MEET EGRESS
NOTE: This estimate does not include fees due to other Departments (La Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dept /or addn 11 info.
FEE ITEMS (Fee Resolution 11-053 E}f. 7/1/13)
Phrmb. Plan Che( k
QTY/FEE
5•-`dv-S:',
Elec:. Plan Check
Xtech. Plan Check
iLlech. Permit Fee:
Plumb. Permit Fee:
$0.00
Elec. Permit Fee:
Other Afech. Insp.
01her Plumb Insp,
0.0
iter Elec. Insp. Li
Alech. Insp. Fee:
Plumb. hep. Fee:
10,
Elec. Insp. Fee:
Permit Fee:
$0.00
Suppl. Insp. FeeQ Reg. 0 OT
1-0-.0-1hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
C;onstniction Tax:
[111,411,111, WIN, FW11
NOTE: This estimate does not include fees due to other Departments (La Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dept /or addn 11 info.
FEE ITEMS (Fee Resolution 11-053 E}f. 7/1/13)
Phrmb. Plan Che( k
QTY/FEE
5•-`dv-S:',
Elec:. Plan Check
Xtech. Plan Check
iLlech. Permit Fee:
Plumb. Permit Fee:
$0.00
Elec. Permit Fee:
Other Afech. Insp.
01her Plumb Insp,
0.0
iter Elec. Insp. Li
Alech. Insp. Fee:
Plumb. hep. Fee:
10,
Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (La Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dept /or addn 11 info.
FEE ITEMS (Fee Resolution 11-053 E}f. 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
3 # Window / Sliding Glass Door
$418.00 I WINREP Replacement
Suppl. PC Fee: Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. FeeQ Reg. 0 OT
1-0-.0-1hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
C;onstniction Tax:
Administrative .Fee:
0
Work Without Permit? ® Yes (j) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
i
7iavel Documentation Fees.
Strong Motion Fee: IBSEISMICR
$0.59
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
$418.00
$419.59
Revised: 08/01/2013
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST:. ,.
JOB ADDRESS: PERMIT #:. t t ..0 o-3 J
OWNER'S NAME: LjtA-e__ j PHONE # : a
GENERAL CONTRACTOR: vx-e�` 64A vlau,-R� BUSINESS-:LIG`ENS
ADDRESS: 3 900 CITY/ZIPCODE: , �CA ?n -y-1
*Our municipal code requires all businesses working in the city to have a City af.Cupertiiio business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BESCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE-,OBTY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontracto
C� c
Signature Date
Please check applicable subcontractors and complete_the following:informat on
}
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
Owner / Contractor Signature Date
Project name: Wu, Weite and Lee, Li -mei
7583 Normandy Dr
Cupertino Ca 95014
MENS OSP-��N
ooN.c� ke
�gt
GoM o O�N�Q�G�Gp�� ga,Rldear 20' Setback
W ca�'o ur\a` �0 600
s wasp oMOc od, ����me, ge��ooq �N0'f
ee,�of Pi X900 �t8� jor NO Oe
��o�sGev �aa .
mob Sic d 4es21 N "I"OjO Qt as°a s asci o \�e gta�e�"kvOdf
140.
12'Setback
Garage
PLOT MANS
CHECKED RX
0AT
�q11� )13
Ground floor
Bed 1 Bed 2
ENTRY
Ex & New
71x47 XO
Street/Front 22' Setback
BY:
i
0
a9
��� pNA
FCop
�r
13' Setback
Ex 45x48 XO
New 40x48 Csmt
Ex 45x48 XO
New 40x48 Csmt
Scope of work: Replacemement of 3 windows. 1 window like for like in bed 1
2 windows changing from XO Slider to Casement for egress. Reduce width of opening
from 46" to 40" to accommodate single casement.
1