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14090141 (2)18705 LOREE AVE 14090141 F/P LIN CHEYU ET AL SCANNED BOX #667 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18705 LOREE AVE CONTRACTOR: QUALITY GENERAL PERMIT NO: 14090141 CONSTRUCTION OWNER'S NAME: LIN CHEYU ET AL 138 NIAGARA AVE DATE ISSUED: 03/09/2015 OWNER'S PHONE: 4088591258 SAN FRANCISCO, CA 94112 PHONE NO: (415) 336 -5657 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ j� CONSTRUCT A ONE STORY ADDITION (498 SQ FT). License Class N Lic. # lJ (SUNNYVALE SANITARY) Contractor Dat5 I hereby affirm that I m licens�ner prov' ions o Cha pter 9 (commencing with Section 70003 of the Business & Professions Code and that my license is in full force and effect. 1 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: $55000 TTiave 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: 37519013.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION ertify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 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 FROM 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. Addition , the applicant understands and will comply Issued by: ��I" A. � li � Date: with all non -point sou cc reg ions per the Cupertino Municipal Code, Section 9.18. ' RE- ROOFS: Signature Date 7 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 I hereby affirm that 1 am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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. I 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(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self - insure for Worker's material. Additionally, should 1 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 'r Quality Management District 1 performance of the work for which this permit is issued. will maintain compliance with the Cuperti Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 255 , 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: permit is issued. 1 certify that in the performance of the work for which this permit is issued, l shall ` 42� 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. I Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION (� \ COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION \� 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 i (408) 777 -3228 • FAX (408) 777 -3333 • building ancupertino.org \ ❑ NEW CONSTRUCTION ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # -r P, +� i�� , PROJECT ADDRESS I d ^ 1 � � E U /'�- APN # _ OWNER NAME �J �1 »� PHONE ,� ��� „i 1�pj 6 E -MAIL - STREET ADDRESS n -� `� L G re 1� CITY, STATE, ZIPC, �j r" �-k'� F.AX CONTACT NAME op PHONE E -MAIL �0. V,ci �C'Y VI ✓c1ncT (-4 02 01`16 - -7q clG C r- 1 Eo WtQ\' STREET ADDRESS ,� CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME / I LICENSE NUMBER LICENSE TYPE BUS. LIC # (; COMPANY NAME ,` E -MAIL �D I FAX A r ST $T fT)DDRE$$ CITY, STET ZIP 6 PHo J�F/1 )� \ 6 \ ,J �P ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LLIICj-' #f COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE (4 -6ic,)c 36 —Tg8v DESCRIPTION OF WORK �o�t' S'�zY- ` q.c� �.. � �� •i V (� 1 7 �1� � cp4 ti.� �< < ►�c� c* jvl 21 Ao(cl t� S l but -tc q V EXISTING USE PROPOSED USB CONSTR. TYPE #STORIES 5 ` r ---. TI g o K USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG '26 W FLOOR DEMO TOTAL AREA I f S AREA �1 , (1 AREA NET AREA L BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA k © REMODEL AREA U PORCH AREA DECK AREA TOTAL DECK/PORCH ARE GARAGE AREA: ETACH ❑ ATTACH I #DWELLING UNITS IS A SECOND UNIT El YES SECONDSTORV ❑YES C I f BEING ADDED? No ADDITION? �WO PRE APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES D BY' TOTAL VALUATION: PLANNING APPL # PLANNrNG APPROVAL LETTER EICHLER HOME? XO IL, By my signature below, I certify to each of the following: I am the property owner or aut ed to on property owner's behalf. I have read this application and the informati aye provided is correct. I have read the Description of Work and ver' accurate. I agree to comply with all applicable local ordinances and state laws relating bu�iirli construction. thorize representatives of Cupertino to enter the above - identified property for inspection purposes. Signature of Applicant/Age Date: SUPPLEMENTAL INFORMATION REQ I D PLAN CHECK TYPE ROUTING SLIP -` ❑ OVER- THE - COUNTER ❑ BUILDING PLAN 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 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. ❑ ENVIRONMENT ALHEALTH BIdg.4pp_2011.doc revised 06121111 FM_7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 18705 LOREE AVE DATE: 09/22/2014 REVIEWED BY: MELISSA APN: 37519 013 BP #: / "VALUATION: 1$55,000 *PERMIT TYPE: Building Permit R -3 (Custom) PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: IADDPLCK 2nd Unit? • Yes No OTC? 0 Yes ®No PENTAMATION 1R3SFDADD PERMIT TYPE: WORK ADD 498 S.F. TO CREATE N MASTER SUITE AND FAMILY ROOM. SCOPE $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R -3 (Custom) II- B,III- B,IV,V -B 498 $1,626.00 IADDPLCK $1,323.00 IADDINSP $0.00 PME Plan Check: $0.00 Permit Fee: $1,323.00 Suppl. Insp. Fee:O Reg. 0 OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: TOTALS: 498 $1,626.00 $1,323.00 MECH, HOURLY 0 Yes 0 No PLUMB, HOURLY 0 Yes 0 No ELEC, HOURLY 0 Yes 0 No Lj 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 nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (I�ee Resohttion 11-053 E'. FEE QTY /FEE MISC ITEMS Plan Check Fee: $1,626.00 Select a Misc Bldg /Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,323.00 Suppl. Insp. Fee:O Reg. 0 OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced PlanniLi Fee. IPLLONGR $69.72 Select a Non - Residential Building or Structure 0 i Strong Motion Fee: IBSEISMICR $7.15 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $3,028.87 $0.00 TOTAL FEE: 1 $3,028.87 Revised: 08/20/2014 CITY OF CUPERTINO BUILDING PERMIT I 1 BUILDING ADDRESS: 18705 LOREE AVE I CONTRAC TOOR: QUALITY GENERAL I PERMIT NO: 14090141 I OWNER'S NAME: LIN CHEYU ET AL 1 138 NIAGARA AVE I DATE ISSUED: 03/09/2015 1 OWNER'S PHONE: 4088591258 1 SAN FRANCISCO, CA 94112 1 PHONE NO: (415) 336 -5657 1 11 LICENSED CONTRACTOR'S DECLARATION License Class Lic.# D 23 �� Contractor e ` i Date 1 hereby affirm that 4 am licensed er the provisions o 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 herflormance of the work for which this permit is issued. ave 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 permit is issued. APPLICANT CERTIFICATION 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 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 with all non -point source regula ions per the Cupertino Municipal Code, Section 9.18. Signature Date ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 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 Compensation laws of California. If, after making this certificate of exemption, l become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that l 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ CONSTRUCT A ONE STORY ADDITION (498 SQ FT). (SUNNYVALE SANITARY) REV 41 - CHANGE WALL FURNACE TO CENTRAL FORCED AIR -ISSUED 7/22/15 Sq. Ft Floor Area: I Valuation: $55000 APN Number: 37519013.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 S FROM LAST CALLED INSPE TIO . Issued by. Date: 3/ C�" 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25 5,25 3►nd 25534. % Owner or authorized agent: Date: l CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERMIT APPLICATION COMMLINITY DEVELOPMENT DEPARTMENT • BUILDING DIVISI 10300TORRE AVENUE • CUPERTINO, CA 95014 -3255 CUPERTtNO (408) 777 -3228 • FAX (408) 777 -3333 • buildin cupertino.or ��'�"" G ❑ 1ATEW CONSTRUCTION ❑ ADDITION �?. TERATION / T REVISI ❑ BRED ORIGINAL PERMIT n QI f PROTECT ADDRESS I p �O � � r � � � � U d _ APN OWNERNAMS PHONE E:NiAiL C I�v-;�� v, a T�V, g 3 2^ g59 r2 STREET ADDRESS I p� r%� MY, STATE, ZIP FAX l Q O 1�� V CC.� 2. � e 't'1 Q C�a C'- 1:�-c F4- CONTACT NAME r� PHONE E -MAIL � p� S9r- - STREET ADDRESS f G26GRG c1 1 t° �Y , c0 Z CITY, STATE, ZIP Cif �y�i V10 Ca, CfSC FAX {�6`�Zi Q QC - i� g� I El OWNER ❑ OWNER- BLTLDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT X ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSENUDSBER LICENSETYPE BUS. LIC4 COMPANY NAME E 1KAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER. NAME i r a LICENSE NUMBER C j� / - S° BUS. L1C k COMPANY NAME Dr—s"q In E-MAIL Ca l,cC t FAX 14 t- �a8�4CT C --7R-cj STREET ADDRESS CITY, STATE, ZIP (f r'fii ha PHONE )g��• 74 DESCRIPTION OF WORK `lac � I g c� W � (I � v � In a c e '-�-a C'�fn -1• � � S --� r t� Q c -� - EXISTING USE PROPOSED USE CONSTR TYPE S STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA 7 AREA /.� AREA - NET AREA 50`'�'' - BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA k REMODEL AREA t j 6 l y PORCH AREA DECK AREA AREA GARAGE AREA: DETACH JTOTALDECK/PORCH ;QATrACH .°. DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES - BEING ADDED? NO ADDITION? 0 PItE- .4PPLICATI N ❑YES IF TBS, PROVIDE COPY OF IS THE BLDG AN ❑YES - C -- ' VALUATION PLANNINGAPPL4 �j�%0 PLANNAGAPPROVALLE'rTER EICHLERHOME? �NK'O Y`� - - "' 'z- �,�'" � _ �., - ]C = 4 r€{ By my signature below, I certify to each of the follow'ine: I am the property owner or authorize ent to act e property owne;;s.. I have read this application and the informatio 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 ilding ccnstruc I authorize representatives of Cupertino to enter the above- identified property for inspection purposes. Signature ofApplicant/A ent: Date: SUPPLEMENTA Ii\rFOR1N4ATI0N REQ'Nu �= PL,� c�cx�i�E xourr.c sLrP • New SFD or Multifamily «,ellinQs: Apply for demolition e for y ° p y p existing building(s). Demolition permit is required prior to issuance of building OVERTHllCOi71tTER _ r BTJIIDTI�GPL4NREVIEFi ' permit for new buildina — FF EXP�2ESS r `r rjPLAATII�GPLANREySEW:- z Commercial Bldgs: Provide a completed Hazardous Materials Disclosure srAnnF0 form _ if any Hazardous Materials are being used as part of this project. K �2uBlcoRx L4I2GE �IREDEI'2f M Ri z _ Copy of Planning Approval Letter or Meeting with Planning prior to ©.AZi'OR z 3�� SATTTARY SERER DISTRICT submittal of Building Permit application.;) 4? B1d,App_2011.doc revised 06121111 Fm-M CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 18705 LOREE AVE DATE: 07/2212015 REVIEWED BY: MELISSA UNITS APN: 37519 013 BP #: 14090141 "VALUATION: Iso *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # PENTAMATION FURN /AC PERMIT TYPE: WORK 1 - CHANGE WALL FURNACE TO CENTRAL FORCED AIR - ISSUED 7/22/15 [REYjt SCOPE APPLIANCE / EQUIP TYPE FEE ID QTY /FEE QTY UNITS BP FEES ..' , r , .ar ; s < Furnace, Forced -Air 1MFR = <100 1 # $143 PME Unit Fee: $143.00 PME Permit Fee: $48.00 Administrative Fee: IADMIN $45.00 Work Without Permit? © Yes 0 No $0.00 TOTALS: Travel Documentation Fee: ITRAVDOC $143.00 Strong Motion Fee: 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 onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711/131 Mech. Plan Check 0.0 hrs $0.00 QTY /FEE MISC ITEMS Mech. Permit Fee: IMPERMIT ..' , r , .ar ; s < Other Mech. Insp. 0.0 hrs $48.00 F PME Plan Check: $0.00 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 onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711/131 FEE QTY /FEE MISC ITEMS Pk F PME Plan Check: $0.00 PME Unit Fee: $143.00 PME Permit Fee: $48.00 Administrative Fee: IADMIN $45.00 Work Without Permit? © Yes 0 No $0.00 Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: $0.00 Select an Administrative Item Bldg; Stds Commission Fee: $0.00 SUBTOTALS: 1 $284.00 $0.00 TOTAL FEE:- $284.00 Revised: 07/02/2015 �V CO) U) W J Ti N H LL 0 0 Q Z T 0 Z <o swe O H N ildmg lJe;=_ Invel l = � i N�(r w u K (;C)&' uOMP a 0 cr v LL00 , ltsrrr o o a d O '....: to Z.. N a C) ° v v ar w y o r o a c. O0 c m u u o. LL o W o C d 3 a 0 .. ,N n Q C O. d a` LL 00 c w O O1 C v C O u A i Q Q ar A O '7 a0 E 3 Z 7 LL o H n %A N O V O W O 00 O O ri N N aj — CL 0) n ai d LL Q 00 O Q IOU j C O 7 H r C 6 Y Q ° d LL � O u — O G aj 0 O Y = > 4 U �� .n OD N 41 = QJ E LD O N o Q� 0 �Q N •i u C o aj v -� ° V Y � kn O M u y LL CI n A• -/ W 0 AL m U. 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