13100176 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11221 REDONDO CT CONTRACTOR: Sff L PERMIT NO: 13100176
T/✓TZ;
DATE ISSUED:10/28/2013
OWNER'S NAME: SIN-SAU YIP
PHONE NO:
OWNER'S PHONE: 4083661693
JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL
LICENSED CONT RACTOR'
/S�DECLARATION 12
Lia# �l/Q ® Z Ly REMODEL 2(E)HALL BATHS(66 S.F.).REMOVE 1 (E)
License Class ^� l� EXT.DOOR& 1 (E)WINDOW&REPLACE WITH 1 (N)
Contractor!/ �'�� Date l Z�S -l T WINDOW.
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 Valuation:$17843
performance of the work for which this permit is issued. Sq.Ft Floor Area:
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 APN Number:35621008.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above into
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-DF 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 OM 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 ate:
zo AR.
granting of this permit. Additionally,the applicant understands and will comply
;00-
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. /1 RE-ROOFS:
Signature f "/ "� Date/Q Z 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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) HAZARDOUS MATERIALS DISCLOSURE
1,as owner of the property,am exclusively contracting with licensed contractors to
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 uality Management District I
willcontaminants
maintain comp)a ce with ythe Cupertino Munthe Bay Area Air icipalCode,Chapter 9.12 and
performance of the work for which this permit is issued. the Health&Safety Code,Sections 25505,25533,and 25534.
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 Owner or authorized agent:,/'7,��Datc:
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 CONSTRUCTION LENDING AGENCY
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must work's for which this rm that hpermit is issued(Secere is a construction.3097,Cing v C.)for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. 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
CONSTRUCTION PERMIT APPLICATION O�
10 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION �cupertino.org
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 /�CUPRTINO (408)777-3228•FAX(408)777-3333•building(a� �
❑NEW CONSTRUCTION EJADDinoN ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECTADDRESS
� �///�Z b G f, APN# s Cf ` Z oag
OWNERNAME `'ice A, V PHONE 3 6 6 1� E MAB.
STREET ADDRESS '+'1 7 1W J�( i J Ct- CITY,STATE,ZIP /,U � FFAX
CONTACT NAME ` ! C- ` G( PHONE (' E-MAB.,
ee e 1/ Utz s 77 �i w.c�. sk s 1016-WIFI, tl
STREET ADDRESS �• (few--ie i tVrj CITY,STATE,ZIP. w��` (��J G�l,�(3FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 01ONTRACTOR 13 CONTRACTOR AGENT ❑ ARCHITECT / ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME ',1 t i i, y���t ' LICENSE NUMBER /_i U� LICENSE TYPE ,/1 BUS.LIC#
�t�
COMPANY NAME fly, ) r �-( E `B' FAX CJ�h c�
STREET ADDRESS�1 ��l �e ��PGJ� CITY,STATE,ZIP o T S_6
U PHONE
15/ci � ! J?
7,( 7(�
J !� Gvo�� C'� �t
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK ,/]�J )_ f �C70 Hn n _ 4 0 d e-I /u 7�� C ; �,
' �0 1 v! vq� 4 t O 1 e '-S` 0t4/��� G�l� �6�oll(i`(/�!/1
e44, C/o o
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
1 USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA 66
REMODEL AREA REMODEL AREA
PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 8DETACH
ATTACH
#DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES
BEING ADDED? ❑NO ADDITION? ❑NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES EIVE TOTAL A�ATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO Y 3
By my signature below,I certify to each of the following: I am the property owner or authorized on the property owner's be71-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 relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: le, Z 5-- / 3
SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for VER-THE-COUNTER ❑ BUILDING PLAN REVIEW
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
form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
B1dgApp_2011.doc revised 06121111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 11221 REDONDO CT DATE: 10/28/2013 REVIEWED BY: MELISSA
APN: 356 21 008 BP#: `VALUATION: $17,843
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY PENTAMATION 1 R3SFDREM
SFD or Duplex PERMIT TYPE:
USE:
WORK REMODEL 2 E HALL BATHS 66 S.F. . REMOVE 1 E EXT. DOOR& 1 E WINDOW & REPLACE
SCOPE WITH 1 (N)WINDOW.
bh°cJr. t'lan t'ltc[k
P;rurrf>. Plrrrt t liccr, piny'
k
fErmi"l' e: !<r. Pc mi I'�`t>. Li
P.hmab. l iy, Fcc
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 based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FFEE ITEMS (Fee Resolution 11-053 Eff 7.11!13) FEE QTY/FEE MISC ITEMS
an Check Fee: $0.00 66 s.£ Remodel,Bath(<=300 sf)
ppl.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $626.00 1REMRESBAT
PME Plan Check: $0.00 1 # Window/Sliding Glass Door
1 WINREP
Permit Fee: $0.00 $418.00 Replacement
Suppl. Insp. Fee-0 Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C U72.>lPj1C'IZOPZ Zct.�:
0
.�lcllnirti.4tratree fee_
Work Without Permit? 0 Yes Q No $0.00
Select allon-Residential
Advanced Planning,Fee: $0.00 Building or Structure 0
1"rcr�ei !)or_�tru�e�rttulior� F�i�t',i'-
Strong Motion Fee:_ IBSEISMICR $1.78
Select an Administrative Item
Bld Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $2.78 $1,044.00 TOTAL FEE: $1,046.78
Revised: 10/01/2013
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
CUPERTINO Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: ( ;2-Z1 P&doo& PERMIT# 1-31001714
OWNER'S NAME: G. A 10 PHONE# '{d'8 ?46 1 ,69-3
GENERAL CONTRACTOR: le- -ZB2r S BUSINESS LICENSE#
ADDRESS: 5 ' ,'e l L CITY/ZIPCODE: q1 Lf S2
*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:
Sig ature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/ Carpeting
Linoleum/Wood f
Glass/Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date
7io6 1?-6
Mr. and Ms. Yip, 11221 Redondo Ct. 81 2'-1 o"
Cupertino, Ca. Bathroom Proposed
Scope of work
This project includes the removal of an O New
existing door and windowthat were Custom Tile Construction 5'x
installed by a previous owner and returning M B Shower Stall 1' 10"windowto
the exterior look by installing a matching _ _ _ — _ _ With Bench be added
window as believed was oridignal.Work 3'_2"
includes the removal of existing exterior New Vanity Cabinet&Top \
door and 2'x2'window Remove Q O
vanity,shower stall, non bearing privacy
waq, and toilet Replace window and door New Pony Wag / \ U)
with a new 5'x 1'10 windowto match the New Toilet With Glass
windowfor the ajecent bathroom. Enclosure Top _
Replacement of stucco finish and N Glass U P ER
insulation of exrerior wall to current code. th Showery
Install proper shower pan, newtile, and Existing Pocket Door Stays Door '
shower door. Install new plumbing to all b
fixtures in adjusted location. No chnages
to locations of electica(l�rece ticals or
plumbing
fixtures. No additional umbi fixtures.
No moving of structual framing or headers.
2468
PLOT 'PLANS
CHECKED BY
DAWE
I ; PLAN1vI. EPT.
Fy�-----
T 2 8 2U�� DATE
HIDG. DEPT.
-- : �_
8'
— 41
Existing 2' x 2'
window to be
removed
O
M SB58 —'
0
N
31-21' N
Non Bearing
-<E — privacy wall to be
removed
N 0CO CO
M N N Exterior
Existing Pocket Door Stays d r Flze
lr �
St diE 4C.
Mr. and Ms. Yip, 2468
11221 Redondo Ct.
Cupertino, Ca.
Bathroom "As Is"
Existing back side of house
t fi 0 deg
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Back side of house proposed
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11221RedondoFIoor Plan
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