05110016 CITY OF CUPERTINO
VE
BUILDING DIVISION PERMITACT(1R� IIeWIN
BUILDING ADDRESS: NA KIDAMBI PERMIT NO.05110016
PERMIT ISSUE DATE
OWNER'S NAME:
KRISHNA KIDAMBT SANRARYNO. CONTROL NO.
BUILDING PERMIT INFO
ARCHITECT/ENGINEER:
BO EO ..PLO!!MB MECH
80 Z' LICENSED CONTRACTOR'S DECLARATION Job DOSCTIphOn
uJ I hereby affirm that 1 w licensed under Provisions r(Chapter 9(commencing
IN Sation7gk1)of Dividon)Cif Jm Budrtev+aW Profeaswns Cade.aM my Ileetw u
+� in fallto.seaemncL REVISION-INTER. STAIRS
i � LlLC06"°'° tie g NO NEW PERMIT ISSUED/ORIG. #04100106
rea- Dam ARCHITECTS
L ARCHil be
DECLARATION
i I undursunJ my plans Nall be tired u pubii<rtsorJa
ty, Licenced Pmfcuional
hgsi OWNER-BUIUER DECLARATION
I hereby affirm Thal I am exempt fmce the Commcror',License Law far the
d o o following mason.(Section 71313,Business and Profession+Code:Any city rr coumy
3 9 which mqubm a permit to construct.alcor,improve.demalbb.err repair any =turn
_may
prior in hcapPlfcanlfauuchp miuoNeaalpned+ummem S Ft. Floor Area Valuation $p
<
that lelkenmd pursuant¢the providons rfae Canuacmr's Limuu law(Chspter9 q•
E�3 (mmmenciagwith Section 700D)rf Division 3afthe Busammand Paofessiou CaM)or
that he is and
basis far ase
ed
_ Studien 70313by m y appt ppplicmn fa a P-1114Jecu t`ax applicantsrto a sttoladan of
ool penalty of
APN Number Occupancy Type
am mem than far handled dollars(SM. 35709081 . 00
0 Lu cwncr oftheproperty.Or my employee with miss u dock mlemolPenakut.
winaoumwale.nadmmmmaeaaatmmmmaarartmaarorwe(sec.7Dw.eurine:.
Required Inspections
and Pmfesslons Cade:The Camm�ofs Lkrnes Law discs com ner
ot apply an owof
property who Wild,wimpsowa thetmn,and whodon,whwork himselfwthmutn his
awn employees,provided that such improvements me not Intended arorteted farsaie.If.
however,the Wilding or improvement is mid within am you of compladrn.Cie owner-
builder will haw the inrde t of pmving that he did not Wild w Improve far Purpose of
sate.),
❑L u owwr of the property,.B exclusively and
Profession,Cod )Thelicensed mnaamars l- \
mown Cie esolatt(Sec.lO n.Business mW property
WProfession,Code)The Comreemr'a LI-
cove law dues at apply m an Donn of pmpertywW Wilds or improv Co mer,and JJ
who cus Law.for such projects with a confeacmr(U Ilecnsed pusawm m the Canusclor's
0[applaw.
❑1 con exmmpt undo Sec. .B d P C far the reason
owner Dam
WOMMS COMPENSATION DECLARATON
I hereby,talion under penalty of perjury aro of the following declmmlow
Lj 1 ave and will maintain 4Cenffrmm of Commnt m ulf-Insum for Worker'sCwnpen-
antion,u provided for by Senion 3700 of the Labor Cade,for tha perlonnmm of tion
work for which this permit Is issued.
0[haw and will maintain*wkcr4 Compensation Inmrarrm,a required by Scdirn
3700 of the Labor Code,Tw the perform¢¢of the wart for which this permit is issued
My wed e,Compensation huuranco carrier and Policy numberaa:
Carder. OF EKEMPPolley No.:
CERTIFICATE IION FROM WORKERS'
COMPENSATION INSURANCE
Obb,as lot rear cot W completed If da,permit Is freed hundred do0m(s100)
ce less.)
1 certify that in the performance of the work for which this permit is in"i mall not
employ any person in my manwrso as in became subject to the Wodmas'Compemadon
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If.cher making ala continuum of Exemption,you should
become subject m the Wwkar3 Compensation previsions of me labor Cade you must
.JO foMwiJt comply with such provisions"is permit mail has deemed mwkotl.
z rACONSTRUCTION LENDING AGENCY
(r IWmby&Rrm am Gert Is a conawcdon lending agency for thtu performanm of
r(a> dm wills fur which this permit Is Issued(Sm.5097.CW.C.)
W� 0 Lmder's Name
2 Lender's Address
U O i certify that I haw lean this appnemirn and mom use the aWw bdoonathat Is
ly com"L I agree m comply with all city and county onshunco and sum 6m misting m
p Wildingconsuree toand hereby,indemauthodreepremnuem the Cita city
C.pcmrupon ae
W aWve-menduncd property for inspection pugmses.
In (We)spree m ave•indemnify and hep may
in athe Clay rf Cupertino against
I RY
In liabilitie.Judgmenu.ewe and expense which may In anyway acrneaPintt said Clty
U Z in consequence of the granting of this pcmr IL
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS,
Re-roofs
Signmure of ApplicandCentracmr Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof .
Will the applicant or imam Wilding ommentamm or handle haurdau metedal
u dc0ncd by the Cupertino Municipal Cade.Chapter 9.13.and Cie Health and Safety
Coca.Section 25532(,)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yes ON.
4 Will to applicant or future Wilding ocxa pale uta equipment or devices which If a roof is installed without first obtaining an inspection,l agree to remove
cob naaatdow air contaminants as defined by the Bay A$Ail Qodity Management all new materials for inspection.
DtsVleII
OYe ON.
I hew mad the hvardous materials requirements under ChancrO!i of dm Califor-
nia Hcnla a Safely Coda.Sections 25505.25533 and 25574,1 undcrWal amifthtu Wilding
does nct currently haw a temnL that It is my responsibility to to day the aaupant of the
requirements which must W met prior on issuance of a Ccnlfnte of Occupancy'. Signature of Applicant Date
All roof coverings to be Class"B"Or better
Owner or mthrdrea agent Dem
CITY OF CUPERTINO
VE
BUILDING DIVISION PERMITACT(1R� IIeWIN
BUILDING ADDRESS: NA KIDAMBI PERMIT NO.05110016
PERMIT ISSUE DATE
OWNER'S NAME:
KRISHNA KIDAMBT SANRARYNO. CONTROL NO.
BUILDING PERMIT INFO
ARCHITECT/ENGINEER:
BO EO ..PLO!!MB MECH
80 Z' LICENSED CONTRACTOR'S DECLARATION Job DOSCTIphOn
uJ I hereby affirm that 1 w licensed under Provisions r(Chapter 9(commencing
IN Sation7gk1)of Dividon)Cif Jm Budrtev+aW Profeaswns Cade.aM my Ileetw u
+� in fallto.seaemncL REVISION-INTER. STAIRS
i � LlLC06"°'° tie g NO NEW PERMIT ISSUED/ORIG. #04100106
rea- Dam ARCHITECTS
L ARCHil be
DECLARATION
i I undursunJ my plans Nall be tired u pubii<rtsorJa
ty, Licenced Pmfcuional
hgsi OWNER-BUIUER DECLARATION
I hereby affirm Thal I am exempt fmce the Commcror',License Law far the
d o o following mason.(Section 71313,Business and Profession+Code:Any city rr coumy
3 9 which mqubm a permit to construct.alcor,improve.demalbb.err repair any =turn
_may
prior in hcapPlfcanlfauuchp miuoNeaalpned+ummem S Ft. Floor Area Valuation $p
<
that lelkenmd pursuant¢the providons rfae Canuacmr's Limuu law(Chspter9 q•
E�3 (mmmenciagwith Section 700D)rf Division 3afthe Busammand Paofessiou CaM)or
that he is and
basis far ase
ed
_ Studien 70313by m y appt ppplicmn fa a P-1114Jecu t`ax applicantsrto a sttoladan of
ool penalty of
APN Number Occupancy Type
am mem than far handled dollars(SM. 35709081 . 00
0 Lu cwncr oftheproperty.Or my employee with miss u dock mlemolPenakut.
winaoumwale.nadmmmmaeaaatmmmmaarartmaarorwe(sec.7Dw.eurine:.
Required Inspections
and Pmfesslons Cade:The Camm�ofs Lkrnes Law discs com ner
ot apply an owof
property who Wild,wimpsowa thetmn,and whodon,whwork himselfwthmutn his
awn employees,provided that such improvements me not Intended arorteted farsaie.If.
however,the Wilding or improvement is mid within am you of compladrn.Cie owner-
builder will haw the inrde t of pmving that he did not Wild w Improve far Purpose of
sate.),
❑L u owwr of the property,.B exclusively and
Profession,Cod )Thelicensed mnaamars l- \
mown Cie esolatt(Sec.lO n.Business mW property
WProfession,Code)The Comreemr'a LI-
cove law dues at apply m an Donn of pmpertywW Wilds or improv Co mer,and JJ
who cus Law.for such projects with a confeacmr(U Ilecnsed pusawm m the Canusclor's
0[applaw.
❑1 con exmmpt undo Sec. .B d P C far the reason
owner Dam
WOMMS COMPENSATION DECLARATON
I hereby,talion under penalty of perjury aro of the following declmmlow
Lj 1 ave and will maintain 4Cenffrmm of Commnt m ulf-Insum for Worker'sCwnpen-
antion,u provided for by Senion 3700 of the Labor Cade,for tha perlonnmm of tion
work for which this permit Is issued.
0[haw and will maintain*wkcr4 Compensation Inmrarrm,a required by Scdirn
3700 of the Labor Code,Tw the perform¢¢of the wart for which this permit is issued
My wed e,Compensation huuranco carrier and Policy numberaa:
Carder. OF EKEMPPolley No.:
CERTIFICATE IION FROM WORKERS'
COMPENSATION INSURANCE
Obb,as lot rear cot W completed If da,permit Is freed hundred do0m(s100)
ce less.)
1 certify that in the performance of the work for which this permit is in"i mall not
employ any person in my manwrso as in became subject to the Wodmas'Compemadon
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If.cher making ala continuum of Exemption,you should
become subject m the Wwkar3 Compensation previsions of me labor Cade you must
.JO foMwiJt comply with such provisions"is permit mail has deemed mwkotl.
z rACONSTRUCTION LENDING AGENCY
(r IWmby&Rrm am Gert Is a conawcdon lending agency for thtu performanm of
r(a> dm wills fur which this permit Is Issued(Sm.5097.CW.C.)
W� 0 Lmder's Name
2 Lender's Address
U O i certify that I haw lean this appnemirn and mom use the aWw bdoonathat Is
ly com"L I agree m comply with all city and county onshunco and sum 6m misting m
p Wildingconsuree toand hereby,indemauthodreepremnuem the Cita city
C.pcmrupon ae
W aWve-menduncd property for inspection pugmses.
In (We)spree m ave•indemnify and hep may
in athe Clay rf Cupertino against
I RY
In liabilitie.Judgmenu.ewe and expense which may In anyway acrneaPintt said Clty
U Z in consequence of the granting of this pcmr IL
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS,
Re-roofs
Signmure of ApplicandCentracmr Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof .
Will the applicant or imam Wilding ommentamm or handle haurdau metedal
u dc0ncd by the Cupertino Municipal Cade.Chapter 9.13.and Cie Health and Safety
Coca.Section 25532(,)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yes ON.
4 Will to applicant or future Wilding ocxa pale uta equipment or devices which If a roof is installed without first obtaining an inspection,l agree to remove
cob naaatdow air contaminants as defined by the Bay A$Ail Qodity Management all new materials for inspection.
DtsVleII
OYe ON.
I hew mad the hvardous materials requirements under ChancrO!i of dm Califor-
nia Hcnla a Safely Coda.Sections 25505.25533 and 25574,1 undcrWal amifthtu Wilding
does nct currently haw a temnL that It is my responsibility to to day the aaupant of the
requirements which must W met prior on issuance of a Ccnlfnte of Occupancy'. Signature of Applicant Date
All roof coverings to be Class"B"Or better
Owner or mthrdrea agent Dem