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13090040
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7335 BOLLINGER RD CONTRACTOR:SARATOGA PERMIT NO: 13090040 CONSTRUCTION OWNER'S NAME: SEET DING SHEE TRUSTEE&ET AL 12201 SARATOGA-SUNNYVALE RD DATE ISSUED: 10/07/2013 OWNER'S PHONE: 4083718770 SARATOGA,CA 95070 PHONE NO:(408)996-1711 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class -7 Lie.# 7 f 9 F f MECH RESIDENTIAL COMMERCIAL Contractor V 0(24 a Date In —CM — I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:UNIT D&E SPECIALTY FOOD-INSTALL NEW"I'YPE 1 (commencing with Section 7000)of Division 3 of the Business&Professions HOOD,GREASE TRAP, ANGEL SYSTEM 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. have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation;$25000 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:35923018.7335 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS F ST CALLED INSPECTION. granting of this ermit, Additionally,the applicant understands and will comply with all non-poi source regula ns per the Cupertino Municipal Code,Section 9.18. Issu te: Signature Date tO ❑ OWNER-BUILDF,R 6JARATION ) RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will ma'ntain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this pen-nit is issued,I shall Ile h&Safebtha tions 25505,25533,and 25534. 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 r o •utht: i become subject to the Worker's Compensation provisions of the Labor Code,I must Date:_10 forthwith comply with such provisions or this permit shall be deemed revoked. CO �iSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION 1 he firm construction lending agency for the perfonnancc of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.1 agree to comply with all city,and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address 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 ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CONSTRUCTION PERMIT APPLICATION �� Is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION AC 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building a,cupertino.ong \� ❑NEW CONSTRRUCTION [IADDITION F-1 ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# "'/f \v PROJECT ADDRESS 0' C// �I ,�,(nC a�Y�,lV MIN# 35Iq vs 0(T 1375" OWNER NAME _"'rj} �(�n St �U• _�/ �C` an� PHO //` ?// E-MAIL f t!�JQ/1(W Q es Qr L CB'M STREET ADDRESS q/ I 1 I ��►YF Q� j CITY,STATE,ZIP �A 1 rYl Q Ave— CONTACT NAME r�� PHOryr ��ro E-IMAI,,ra�A C04&Tet�SG( �k'Gcr STREET ADDRESS j''( /� I I, Ya tn"fo e CITY,STATE,ZIP �-e / �V (U" j� /� .�)y lrhl* ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT t CONTRACTOR NAME4-/1,J� / V�= LICENSE NUE j/e7LICENSETYPE BUS.LIC#{� COMPANYNAMER �� E-MAIL�„ V 1 n�tq- �t/'enO�(@X OOH FAX(i STREET ADDRESS , " D 51 �O CITY,STATE,ZIP I�' fl �7,{ ry Gle PHO VV- /A 1 p^ O ARCHITECT/ENGINEER NAME /�, I LICENSE NUMBER o(/t TT `(�--`� BUS.LIC# `T DC 4rO/ COMPANY NAME oy 0� �^/P/JIIQ E-MAIL yr"-/I,Q�/I. 1 4 �! y'`O FAX(upD ) STREET ADDRESS P'© 7/ CITY,STATE,ZIP„/ ✓ /'p PH l_/$ 4& DESCRIPTION OF WORK l AS Ale-V //00 EXISTING USE PROPOSED USE CONT PE #STORIES r USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL +,� \�� /�,�p AREA AREA AREA NET AREA YY� V I'�� \ 1 0 �L,J O BATHROOM KITCHEN OTHER I_J 1 W REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY OYES BEING ADDED? 0N ADDITION? ONO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES REOE jj '[ TOTAL VALUATION: 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 ageht 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 relating to building construction. I authorize r presentatives of Cupertino to enter the above-id ntified property for inspection purposes. 1 Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLATI�ECKTxrE , RcurrRvL1r _New SFD or Multifamily dwellings: Apply for demolition permit for 171 0V11-_Tm_cotMT'EIt i1ILTJi)S1(S PLAT REVI A existing building(s). Demolition permit is required prior to issuance of building permit for new building. Q EXPRESS Flp"GPLANRR W _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure AIVDARD � `< �jU"WDIt ,> form if any Hazardous Materials are being used as part of this project. ❑;'LARGE Dir.,' _Copy of Planning Approval I,etter or Meeting with Planning prior to submittal ofBuilding Permit application. d ,Ma�adxxsnsc 0"ENTAL akALT$ BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 7335 bollinger rd DATE: 09/06/2013 REVIEWED BY: larry s APN: BP#:/3 o `VALUATION: 1$25,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK specialty food- install new type I hood angel sstem SCOPE FT- E3 ED .l fir ,l,-j .('., /.7.'ili;. . •di _.. � cit tj i.,., NOTE. This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Theseees are based on the prelimina information available and are only an estimate Contact the De t or addn'l info. FEE ITEMS(Fee Resolution 11-053 L . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ©Yes (j)No $0.00 2 1 hours Plan Check,Hourly Suppl. PC Fee: (F) Reg. Q OT 0.0 1 hrs $0.00 $278.00 1STPLNCK PME Plan Check: $0.00 Permit Fee: Hourly Only? ®Yes Q No $0.00 Suppl. Insp. Fee-.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 L rt)7.S'13Yf(Zf ilf7 1 cl.:: Work Without Permit? 0 Yes (j) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential E) 71-o"cl I)ouloricnfu£fr"r; /'�re�. Building or Structure I Strong Motion Fee: IBSEISMICO $5.25 2.0 hrs Inspections Bldg Stds Commission Fee: IBCBSC $1.00 $278.00 ISTINSP Inspection,Hourly -T7— SUBTOTALS: 1 $6.25 $556.00 TOTAL I+EE $562.25 Revised: 07/01/2013 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: ,6Qa�r/?6zfA -p PERMIT# OWNER'S NAME: / PHONE# e —3' GENERAL CONTRACTOR: aj BUSINESS LICENSE# -23V:2 ADDRESS:--�& t7 vte6 CITY/ZIPCODE:�SCjM *Our municipal code requires all businesses working in the city to have a City of Cupertino b iness license.,Vee- M7— -L-Z'/3-- 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: Signature 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 Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile 0 Owner�6Vntractor Signature Date