Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
14050059
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18840 PENDERGAST AVE CONTRACTOR: SGK HOME SOLUTIONS, PERMIT NO: 14050059 INC. OWNER'S NAME: LEE CHEUK YIN AND LEUNG SUSANNA 3801 CHARTER PARK CT STE B DATE ISSUED: 05/08/2014 OWNER'S PHONE: 4089314872 SAN JOSE, CA 95136 PHONE NO: (408) 264 -6964 OZ) LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] REMOVE AND REPLACE 6 WINDOWS TO MEET EGRESS License Clas Lic. # IN Al BEDROOMS Contractor Date I hereby affirm that I am lie sed under the provisions of Chapter 9 (commencing with Section 7 00) 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 erformance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $4500 Wq and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37533048.00 Occupancy Type: on 3700 of the Labor Code, for the performance of the work for which this 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 F40M,,LAST CALLED INSP CTION. 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 by: Date: 4/ granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Co e, S qption 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 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 Nunicipal Code, Chapter 9. 2 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Secti OS 33, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent. Dat 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 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 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(a)-cupertino.org ❑ NEW CONSTRUCTION ❑ ADD ON ❑ ALTERATION/ TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS &Llb-elt � 2 C g `1 APN# �-I /( l OWNER NAME L PHONE ,y� E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME PHONE E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OwNER ❑ OwNER-BUIIAER ❑ OwNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N .� LICENSE LIC SE TYPE BUS. LIC # COMPANY NAME -'*, E-MAIL FAX e / ``, STREET ADDRE!15 fo CITY, ST / (' ARCHITECTIENGINEER NAME LICENSE NUMBER IV BUS. LIC # COMPANY NAME F MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK u EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNrr YES SECOND STORY []YES BEINGADDED! ONO ADDITION! ONO PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED.B T AL PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME! ❑ NO 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 vided is c . I have read the Description of Work and verify it is accurate I agree to comply with all applicable local ordinances and state laws relatin ' ction. I authorize representatives of Cupertino to enter the ab I pro erty for mspecrion purposes. /et�ieC Signatlue of ApplicanUAgent: Date: SUPPLE AL INFORMATTO REQUIRED PLAN CHECK TYPE ROUTING SLIP �_�COUN.rER ❑ BUILDING New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building PLAN REVIEW permit for new building. ❑ ' EXPRESS- ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FnmE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to El MAJoR El SANITARY SEWER DISTRICT submittal of Building Permit application. ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06121111 �, CITY OF CUPERTINO r, r, r, rrmrnR A mnn i2TTTT ilTNr' 11IVIQInN NOTE: This estimate does not inctuaejees aue to orner uepartmert o (t.e. rtr«'.s, . - • _ �_.____., _ _.. __ /'nwfonf fho nont fnr addn'i info. District, eta). IKesC ees are oaseu un we resbrrussus FEE ITEMS (Tee Resolution 11 -053 a.' 7111132 1 "1I1I ADDRESS: 18840 pendergast ave DATE: 05/08/2014 REVIEWED BY: Mendez Wd APN: BP #: "VALUATION: $4,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1 GENRES PERMIT TYPE: i USE: YlrrrJCh. Li'r?2rf T ecc PME Plan Check: WORK remove and replace 6 windows to meet egress in bedrooms Other Plulnb Irasl.,. Insp. SCOPE Permit Fee: NOTE: This estimate does not inctuaejees aue to orner uepartmert o (t.e. rtr«'.s, . - • _ �_.____., _ _.. __ /'nwfonf fho nont fnr addn'i info. District, eta). IKesC ees are oaseu un we resbrrussus FEE ITEMS (Tee Resolution 11 -053 a.' 7111132 sic va nsusay. w.... FEE »•_ _ QTY /FEE ____ ____ ____ MISC ITEMS Plan Check Fee: $0.00 Lh'1F { lCT i rx.£n Plunth. I lan Ct(cA {{ n YlrrrJCh. Li'r?2rf T ecc PME Plan Check: C)iltc -U,ch. 7vtsr,_ $0.00 Other Plulnb Irasl.,. Insp. Ln >l). F-c. , Permit Fee: Plurnh. Insp. Fee. Suppl. Insp. Fee-.(F) Reg. 0 OT 0,0 hrs $0.00 NOTE: This estimate does not inctuaejees aue to orner uepartmert o (t.e. rtr«'.s, . - • _ �_.____., _ _.. __ /'nwfonf fho nont fnr addn'i info. District, eta). IKesC ees are oaseu un we resbrrussus FEE ITEMS (Tee Resolution 11 -053 a.' 7111132 sic va nsusay. w.... FEE »•_ _ QTY /FEE ____ ____ ____ MISC ITEMS Plan Check Fee: $0.00 © # $418.00 Window / Sliding Glass Door IWINREP 7 Replacement Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.(F) Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ("oluM 11c ion 1 4f,1,t2iniN'flaliLv Fee: 0 Work Without Permit? ® Yes (j) No $0.00 Advanced Plannin& Fee: $0.00 Select a Non - Residential Building or Structure E) 0 A Tr vl 00ctrtneraution Fees: ac Strom Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SEMI $1.50 $418.00 TOTAL FEE: $419.50 Revised: 04/01/2014 %4 0 k� REVIEWED FOR Reviewed By: I r7 eLOT PLAINZ:, CHECKED BY �Q- GATE PLANNT '-D-E-P-TE�77 DATE BLDG. DFPT �UPERTINO aujid)fig Department E COMPLIANCE V—;5 A Pik Pr� e4NJ,K e Ly Phn o -70 -A -79.6 < -3 6 Dp!--i cFMENITDEPARTMENT BUILDING DIVISION - C;d I PERTINO Of ninns-and specifications MUST be kept at the c-,onsfrucction. It is )nlawful to make any ,,;ter or;, on sa I)le, or to deviate approval frorr�the Building Official. . of this plan and spe ifications SHALL NOT peanitor to bean ap7 rov at of the violation Law. -,'W i OViSiOns of any City Or nance or State of 1'11rT NO. L-1q,t4c., IZGGN% Gt,ST(-Z',/ --w e4code'r 2-14 (-Z-4 2- (4 36 a IN 0 CC CC CC :C sC CC IC CC's LQ INN on ON mm mom I■ ■ ■i i■ ■ 7 ■ ILA ■l`�!�' ■■ ■■ ■■■ ON 'm■ ■& •J■■N ■ ■�� ■■� ■ ■fJ1� ■�■ ■�N ■ ■■�■■0:■m■■ ■N■■ =:■l no ME No IN ICC�.C�SC��.a�1CmCC�CC�I.C�CC � ■mil ■ ■y ■■ I ■�. ��■ ■��yy■■ ■■ ■ ■N ■■ ■■ Ing ;., *:�'��li ■i■■ ■ill ■ ■!�i� ■N ■ ■N ■!� ■ ■■■ ■ ■N ■�N ■�N ■�� 'r■■ :MEE No No EMISSION MffMMMM=MM ON 0 �■ ■N ■ ■Ht ■N��N� ■N ■ ■N1 \N� ■N� ■Mt ■N ■1 N��N� ■N ■�ll�■ immmmam MMlXMMM no MMmMMlMMmm mm No mMMlMMM=MM MEMO f t■■ N�\ N��N ■ ■M ■�N ■ ■N ■ ■N ■ ■N ■ ■N��N ■�N� ■Np �i� ■iN■ ME ME ME ME ME ME ME ME ME 0 to a �II1l: lv � ■■ iI .... in ■■ IN 0 CC CC CC :C sC CC IC CC's LQ INN on ON mm mom I■ ■ ■i i■ ■ 7 ■ ILA ■l`�!�' ■■ ■■ ■■■ ON 'm■ ■& •J■■N ■ ■�� ■■� ■ ■fJ1� ■�■ ■�N ■ ■■�■■0:■m■■ ■N■■ =:■l no ME No IN ICC�.C�SC��.a�1CmCC�CC�I.C�CC � ■mil ■ ■y ■■ I ■�. ��■ ■��yy■■ ■■ ■ ■N ■■ ■■ Ing ;., *:�'��li ■i■■ ■ill ■ ■!�i� ■N ■ ■N ■!� ■ ■■■ ■ ■N ■�N ■�N ■�� 'r■■ :MEE No No EMISSION MffMMMM=MM ON 0 �■ ■N ■ ■Ht ■N��N� ■N ■ ■N1 \N� ■N� ■Mt ■N ■1 N��N� ■N ■�ll�■ immmmam MMlXMMM no MMmMMlMMmm mm No mMMlMMM=MM MEMO f t■■ N�\ N��N ■ ■M ■�N ■ ■N ■ ■N ■ ■N ■ ■N��N ■�N� ■Np �i� ■iN■ ME ME ME ME ME ME ME ME ME 0 to a �II1l: