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13110181 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10407 HENEY CREEK PL CONTRACTOR T BK PERMIT NO:13110181 OWNER'S NAME: MICHAEL CHAN C�/� yh�g C� DATE ISSUED:I1/27/2013 OWNER'S PHONE: 4088391172 ��,��' PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALE] License Classy a/ «Lic.# d 2 7(7 7 REMOVE AND REPLACE 32 RETROFIT WINDOWS TO C— i��a- E A/026yy MEET Contractor�2pJ Sc _4eit 11. Date -2 -7 r EGRESS IN BEDROOM,5 PATIO DOORS I hereby affirm that I aro licensed under the provisious 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$20800 ave and will maintain Worker's Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this APN Number:34248022.00 Occupancy Type: rmit is issued. APPLICANT CERTIFICATION I ertify that I have read this application and state that the above.information is PEi MT X 'IBES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WIT 80 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 DAP FAOM 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 Issued b Date: �� /•� granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per'the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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. 0 OWN -BUIL ER DECLARATION Signature of Applicant: Date: I hereby affir at I exempt from the Contractor's License Law for one of the following easons: 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. I 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,Cha er 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 255 r Z Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date:)t 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 CON R ON LENDING AGENCY Compensation laws of California. If,after making this certificate of exemption,I become subject to e Worker's Compensation provisions of the' Code,I must I hereby affirm that thereconstruction lending agency for the performance of the 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' CONSTRUCTION PERMIT APPLICATION `t COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 1`d CUPERTINO (408)777-3228• FAX(408)7T7-3333•buildinG(a cupertino.orcl \� ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL FE UVU f PROJECT ADDRESS 10 p �.-�E�E Y C p-cT AFN# Z .�q � OWNER NAME �IGI{Af f /SON C ``Og 9- r)7`L ' E-MAILPHONE ""'T AD" REss O L{O 7 J4 r-J fY G'•�'�1 a STATE,ZIP� / I O/ FAX r I` �UPt��► O� cA • �l S `f CONTACT NAME PHONE E-MAIL MEET ADDRESS CRY,STATE,ZIP FAX ❑OWNER ❑ OWNER-am= ❑ oWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ AacurECr ❑ENGINEER ❑ DEVELOPER ❑TENANT PaL"^ LICENSE NUMBER / /77 LICENSE TYPE BUS.LIC# COWCA LANYN bO CN G C-0 C1 ,ctlr E-MAIL S1ItEE'r ADDRESS ;� � 'A, ' TE, PHOJ�fEI TAA96 CCJ-7s:� /r I,+ Cro CorZ��ovA �A �l S��Z t6- g5z 2 ARCHITECr/ENGINEER NAME LICENSE NUMBER BUS.L1C# CQMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP 1 PHONE DESC=ON OF WORK 5-TA ' �{2 9t I, ''1 l-7 0 1 I Lo�ws /fN1�) -7 r U 1-JT�5 — EXISTING USE PROPOSED USE C12IMM TYPE I #STORIES USE TYPE OCC. SQ Fr. VALUATION(S) EXISTG NEWFLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM x1rCHEN OTHER REMODELAREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA DETACH ❑ATTACH #DWELLING UNITS: 13 A SECOND UNIT OYES SHCOND STORY ❑YES BEING ADDED? ❑NO ADDITION? QNO PRE-APPLICATION OYES IF YES,PROVIDE COPY OF is T=BLDG AN ❑YES RECEIVED T TAL VALUATION: PUNNING APPL# ❑NO PLANNING APPROVAL LETTER EIC UM SOME? ❑NO By my signature below,I certify to each of the fallowing. I am the property owner or authorized anent act on the prrpertyowner'.s behalf.,I have read this application and the inforuadon I have provided is correct I have read the DescriRipa4f Work and vpffy it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize fives of Cupertino to enter the above-identifed property for inspection purposes. Signature of Applicant(Ageat Date- �—7 SUPP O QU112ED PLAN C3ECEC ROUTJTNG SLIP _New 5FD or Multifamily dweIlin pply Far demolition permit for Iff ovlclt z�couN r�R BUILDING PLAN law existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ RXPRFCB ❑ PLAMUNG 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 ❑ 1=bxrT _Copy of Planning Approval Letter or Meeting With Planning prior to C3 MAJOR ❑ sANrrARY SEWER DLSIRIcr submittal of Building Permit application. ❑ ENvrROreA3 TAL EMALTH BldgApp ZOlI.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION 101 ADDRESS: 10407 heney creek pl DATE: 11/27/2013 REVIEWED BY: Mendez APN: BP#: EVALUATION: $20,800 *PERMIT TYPE: Building.Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: p PERMIT TYPE: A WORK remove and replace 32 retrofit windows to meet egress in bedroom 5 patio doors SCOPE r ME:ch.flan Check Plumb.Plan Check Elec.Plan Check :lfech. Permit Fee: Plumb.Permit Fee: 1,7ec. Permit Fee: t)ther Afech.InsT. C1__L_ Other Plumb Insp, C)ther Elec.Insp. 17ech.Insp. Fee: Plumb. Insp.Fee: f'lec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(ie.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These&es are based on the prefindna information available and are only an estimate. Contact the Dept for adds I info. FEE ITEMS(Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Window/Sliding Glass Door Suppl.PC Fee: Q Reg. ® OT 0.0 hrs $0.00 $974.00 1 WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl.,Insp.Feer Reg. Q OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conswitetion Tar: Aclininistrative Fee: Work Without Permit? 0 Yes (j) No $0.00 (F) Advanced Planning Fee: $0.00 Select a Non-Residential Travel Documentation Fees: Building or Structure Strong Motion.Fee: IBSEISMICR $2.08 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.001 1 - �T $3.081 $974.00 tER $977.08 Revised: 10/01/2013 { A 1 , Ham•-WG',J1 stat��tJP i , , , I nx dd I (((III j g f - • • a j I a i _ ! s r� • U cupeRTINO z b siolding Departrfient 1NOV 2 761 201 J i (p ' s Cp,DE CO�APbANCE i REVI . UOR , ! B 4v�a' vl� r a r - f .. i Ph l `7 i F _ f , i , Y , t , ' V o ; h ` f A _ 111 , r , ' 1 , r 1 4 s� P r , I —�` � •,j, AtI1�I1�IV"Id COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION-CUPERTINO lL +l APPROVED � x� This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, or to deviate u , therefrom, without approval from the Building Official, COPY i Ian and The Stamping of this specifications SHALL NOT p ba held to permit or to be an approval of the violation C:.. a^y provisions of any City Ordinance or State Law. BY 5 (YL ATE ! ►2'1.13 PERMIT NO. 1��0) 3 � 2Z 23 23 45/4X S7 45x15 OSx�5 ------------------------ -Z--7 • zg �-Sx�,5 S ti 33x � 33x2- 1 Ia 40 7 PEA) G r 303-0 ySx,; 1 ice 5x51 Gv �Oec;a� 2p13 E GO ROa RE",Ike Rav�eW py trt� Com. r