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02060040 CITY OF CUPERTINO BUILDING DIVISION PFMHT CONTRACTOR INFO TION:: A BUILDING ADDRESS: low MW PERMIT NO. 11522 COUNTRY SPRING CT ROCK SOLID CONSTRUCTION 02060040 OWNER'S NAME: APPLICATION SUB DATE NISHTALA SATYANARAYANA AND SEE 3372 CREIGHTON PL 06/06/2002 PHONE: SANITARY NO. CONTROL NO. o (408) 249-7625 P±0 6 ARCHITEC IENOWEER: BUILDING PERMIT INFO H �pp�jj BLDG ELECT PLUMB MECH I LICENSED CONTRACTOR'S DECLARATION _ y provision of Chapter 9(commencing Job DeSCCI tion o> _� cbereb armlNmin3ottaaetlander p e KITCHEN REMODEL FINALE® FvJt with Section 7000)of Division Ne Busine,a�ntl Pro/euiom Cade.end my liana i,het Lilt r. ,. eel. /r q Q/, Liceme Cla Lic.W D t0 3 GGG Data `on JUN 2 6 2003 t P�Oa G ARCHrTECf"S ar ATION Y S I ua round my plans shall be used u public records NyccE "❑O Licensed Professional ' "am OWNER-BUILDER Commoner's BUILDING I hertby alli,m tNt 11. eumpt from the Contrmmr s e:LicenseMy c law for tik C? following reason.(Stttion]031.5.B.sinna and ProfessionsralCade:Any city stcounty' $15000 IsO which rtquimn .41 to cares the ever.improve,tleermitt,or rtpaigany umemrc Is p,ianoits iuuunce.v.requires the applicant for such permits.Bleadgned summers _ that M is aI ale puryuvm to the provuiom of ok GoaBwfi r4 Licenu Law(ChapPter) L OI{,k}�'ea. , , Valuation (comtrcncat'with Stttion 100b)of Di bails 3 of the B alleged and�.Any violation 3 6.9%j EU�3., t/V or that k i,eaempi thertfrom end the breis far the Wle{ed eldmq on.Any violation ' ofSttuon]1131.byanyapplicvn for.permit objects dve applicant to a civil penalty N��mh or not more then five hundred..lion(s500). 101 APNr'UUN5AT I ON Occupancy Type ❑I,as owner of the property,or my employes with wages as their ale computation, will do the work;and the',trocurc u'nm Intended or offered for We(Sec:7qa, 102 - - - -'- - - B-11man and Professions Co,le:The Contmcmr's License Law does not apply to an 103 — UFER Required Inspections so owneI of property Who build,or improves,mmar.and who does such work himself ser through his own employees.provided that such Improvements am not Intended or 104 _-..REBAR _. ... .. ... ....._..............._......._. offend for,ale:If,however,the building a impn of proving is that within one Year or ,, . . .. completion.rhe owner,builder will have the bather of proving Not he did oa IwiM m 10 5 — ANCHOR BOLTS Improve fm purpose of ale.). 106 — SEWER & WATER 12 . .. s owner Laosvimofthe proe..7(Mm easiness and Potning alwas,Code!) The C.mrforyu 2O2 UNDERFLOOR PLUMBING mintacttha project(sec, 1.a Business and enfshe Cade;)The va domena's License law Iatapplytnmiawnerar..comwas bullate«imp pursuers toth. 203 — UNDERFLOOR MECHANICAL ' i f and.w ties LitagLfLr such prolttu with n.conuactoip),Iicenad pursuam m the. .. . ._ _._... ..... .. .. ._.......... . ..._.... ........., ....... .... Conuvcarauaeoa Law. 204' — 'UNDERFLOOR FRAME ❑lam eaempt tptler saa: ,a APc mr thk renin 205 — UNDERFLOORS"INSULATION OwnerDole 301 — ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION Inertbr.rRrm unaerpemmtr arp<rjary one.rine following attlemaam302 — TUB & OR SHOWER: 303 — ROUGH MECHANICAL ❑ 1 hove-A will mainum'a Cenifi2ase of Canon,a alf.imum for Worker's Compensation, as Provided for by Section 37W of the LaW, Code. far the 304 — ROUGH ELECTRICAL Perfamunn or the work for which Nis pamsh i,issued. 305 — FRAME Cl 1 have aid will maintom Warks',Compe¢ation Insurance,as iequimd by Section 306 — HOLDOWNS 3700 of five labor Code,for the pe,formance of Ne.,it for which dais permit i, Issued My WorhefsCompenation huntsmen sooner and Policy number are: 307 INSULATION e -STAre pk l`4© ;� * -iS?1557.01 3 0.8.; .... CERTIFICATION OF ME ION FROM WORKERS' ' ,SHEETROCK, COMPENSATION INSURANCE "o '' '3 0 9 — EXTERIOR LATH " (Tbi,sttnion need trot be completed if th•. r future and _ .. .. ...___.._.._..._......... .............. .. ... 310"'--, INTERIOR -LATH (slo0)arials) epermhi.rar.nenuMrcadouan 311 — SCRATCH COAT [ceniry ihm In the performance..the wad for amne subject rmit a used,1 - hnlot ns employ any Aman in any men er a m fo bttome subjeet to Ne\Vohe,i 5 01 — FINAL ELECTRI CAL ENERGY not than laws of Cabfomia.Det Apph tn'' 502 ,' -FINAL PLUMBING 'ENERGY NOTICE TO APPLICANT It after mold 1p thr Ceniamse.faaetnpfion,you should z become abject to the Workela Compenau.n prov vion:�of the Lobo,Code,you mat 503 FINAL MECHANICAL ENERGY fonhwlNcomply with suchprovinismorNupermmshallbeaimed.e.voked.zQSO4 FINAL BUILDING ENERGY .__ .. �'.4 CONSTRUCTION LENDING AGENCY 505 — FINAL ELECTRICAL . s I he,eby'T that there is a conatmcmon Iendi ¢agency for the performance 'ser the w.,k fof wM1 ch Nu permit a iuued(Sm.3097,Cu C) ni 506 . -. GAS TEST .. . Q of ',Nome . ... .... . . .. ._ .. .... z) Landrr''Add ! 507 — FINAL PLUMBING L e I cenify that 1 have read this application and state that the above information he 508 — FINAL MECHANICAL w: correct 1 agree t.comply with all ciry and roomy oNinumes red cute laws relating 509x..4.1 to Wilding construction,ction.and heresy vmhorep,eunutivea.F this city to enter upon — FINAL GRADE tneaba.a-m.mioed proPeny for inspection purpaa,., 510 — FINAL PLANNING (We)a'.aaava indemnify and keep harminarhe City of Cupertino against - r IZI liabilities,jpdgmrnta cows and..penua which may in any way accrue ojphol said 514 — FINAL U$ C WORKS 4.1 FZi City in eo equence of th ' i ohh panty r / APPI ANTINI. STV >. PLI'\\ITH>LLSD -o m Issued by: Date SiPnaka to Re-roofs HAZARDOUS MATERIALS S Will the.PPIcntserlinumWilding occupant mom.or handle Hasnan!Safetl Type Of Roof .. -. .. -1 u de.Section by theCupertino M n 'pal Code Coram r 9.1 and 1M Healih enc Safety Code S coon 3353 lal - . °Ys ''° '` All roofs shall be Inspected.prior to any roofing.material being installed will the applicant or future Wilding ocupant use eqfilament or devices which If a roof is installed without fast obtaining an inspection,I agree to remove emu hararel..ear contaminants as defined by she Bey Area Ar QuNtty Management • District? all new materials for inspection. Applicant understands_and will comply with . 11 - all non-pointsource regulations. I have road the heard...materiels requirements under Chapter 6.95 or the Calif.W.Health At Safety Cala Section,25305,25533 and 23534.1 understand that I if the building does not cunenaY have a tenon,that it is my responsibility to notify the occupant of the requirements which mat be met poor w is,vence of C ificme.f Qn Signature of Applicant Date sera,.. .daed.gem - u� All roof coverings to be Class "B"or better OFFICE _ • § : I 1 N 44- ,. W _ A v a� tG A fC/) � + k.".• H A.. m W 0 m N O C ���%%N•1� W W , A ol 03 I AI W o ;roQ Im4 W A= ole coI gl ; N tr I YJ W � Vf,O W � N a NA [nf co v m � °o m 99 W � N a � m C '/� Z 1=7' J v, ' C '" vm .. % m a -4 UFA J9419!d OUIISP40 ouw.dn:) I lAunoo ZZ9�I 40.51S.0 0 t qol j.p..d UO-q--4 eal lq.,!Idd. lugg om/4 S'91M42IN szolu.n poldoo Jo pos.olai aq jou *OdX3 A wool,lis WIDM -1-0wnwpIsn.p.0 UDIS-P ltu!511-uO$1-Iql sKi luontuall LO/OVSD 461100 -ou Bma - ICA E3 a 'g C3 C5 n-i 4:m lozEl In u. K1. cf) 0 C= "IJ CD V ��C. CITY OF CUPERTINO* , / CUPEf�TINO PERMIT APPLICATION FORM 4a ,QD&U0 7D APN# ,3�0y 51 . �� Date: � /_ b� Building Address: r 15�� S (L 1 Owner'sr4T�p, � l S W� L� Phone#:99,6,d/ vY Contractor: n G c}(a n License#: 4f 3(0 -1 d L Contact: Phone#: UJ cx ( G Applicant/Contraptor: Fax#: 7 ( 99 w lding Permit Info: ld lec J lum ec Description: Residential: die — Commercial: Sq.Ft. Floor Area: ` 5 CD $/Sq.Ft.: r Architect/Engineer: Valuation: Typenstruction: OccupancGro p: Quantity Fee ID Fee Description Fee Group APTFEE EACH STORY OVER 3 HOTELFEE EACH STORY OVER 3 OFFICEFEE EACH STORY OVER 3 BAPPLOTHER Other Appliances MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V<= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Famil Res MECHANICAL BNEWMULTI I New Multi-family Res ELECTRICAL 1 of 3 OF -CIBUILDING DIIVIISIONNOPERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. .11522 COUNTRY SPRING CT ROCK SOLID CONSTRUCTION 02060040 OWNER'S NAME: APPLICATION SUB DATE VISHTALA SATYANARAYANA AND SEE 3372 CREIGHTON PL 06/06/2002 PHONE: SANITARY NO. CONTROL NO. (408) 249-7625 p Z ARCHITECT/ENGINEER: BUILDING PERMIT INFO i l..r:::_ .. - BLDG ELECT PLUMB MECH to aica � C-7 LJ C7 I_..I LICENSED CONTRACTOR'S DECLARATION z 1 hereby afro that 1 am licensed under a ns of Chapter 9(commencing Job Description oz-n p p g KITCHEN REMOD Fztn with Section 70001of Division 3 of the Busine d Professions Code.and my license ���iii'''TTT��� is in full(or4•/ed ecr s+/p' NALE s 6 'Lice..Cla . Lic.W Q @n °'o u .'Dau Cam 3 LL'f/i `. ARCHITECTS D ATION ' CyO I andersrand my pians shah be used ae public records JAN 3 0 2003 n O O Lic<nud Profeuiotul a a. OWNER-BUILDER DECLARATION .u)i'g-'-' 1 erebymase alisec on 70 I.S.eaempt s and Pr C Professions o :Any c Low for the BUILDING U I DING ,( Z Q fallowing mason,a. ermit t 7o Lt,ai^ass and vet de io li Code:Mr canity or coon.' L $15 0 0 0 F❑ which requires a permit m cons,rucL alter,improve,demolish,or repair any strvcmm p^ono is issuance,alw mquirtv she applicant attach permit to Rle o signed staumcm Nn M1e is licensed pupuw tgde provtvon of Ne Contrectart Lian.law(Chager 9 1 $ ♦p,(�fG,,�OOI- e3 Valuation (cdmncre 11 with$anion.]011b)of DivixionJof,he Busjneswod Pro(euions Cadel 1,. i,.'" ��. 5'66�:L'(J 54 jE-' or thin he is exempetnertfrom Lnd the basis forte allcgddii a%emq,on.Any violation -of Smorn 7031-:5 by any epplican'farape,mi,sunjec,s,h<epDlicant,oacivil penehy p y,ryp :lof oat more Nan five handrcd dm an fssool. 101 APNpbi Ibb .7 "'t Occupancy e OI, the ofkend the structure wages eredtheirrsle(Se:7W. -I will do mhe work;and the ode:Th'is-not tade's Licend or se Law doe sale(sec:7044: .. _ PIERS Required Inspections �.°.1''• . owner of preps y Who Code:The Contractor's,and w Law does not apply m an 10 3 - UFER 9 P, owner ofh his..Who builds or improves f Ne tach improvements who dins such work himself or through his awn employees.provided Na,such i ntrent memo ere not intendedjean or 'cffered ompletion sale:IChowoldher he will haw the burden of prove sold within not yam or' completion,the owner-builder will have the burden of proving that he did not Wild or 105 - ANCHOR BOLTS improve for purpose of sale.), 106_ - SEWER & WATER ❑Cast tier of ilia property e y g w -..._. _ .... . sesta t el c .traces. nh licensed Cimmen to 2 0 2 — UNDER$LOOR PLUMB iNG. �Liacoma4ii t,theLaiv does (See apply t in Business and Profession Code:)The m thermal, s - mancer of ropenywho WOdsarimpem.d.a.... 203 - UNDERFLOOR MECHANICAL' ,and,whg,cgmrecia,fqr such Prplens,wiN a.comrvctor(s),IicensW pursunm m.Ne. _......_ .. .__,. ase L ... comma r:u« 2'04-"=--UNDERFLOOR" FRAME'. -' - " ❑I m xernp;unde s_ '-1'' '` B'&PCmrmisrcason 205 - UNDERFLOOR"1INSULATION owner Date3Ol - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION I hereby dfirm underpenalmy of perjury oneaf the following declemtiom: 3O2 - TUB & OR SHOWER A 303 - ROUGH MECHANICAL + -1 0 I have and will maintain'aCertificate of Consent to self-insure for Worker's 3 04 - ROUGH ELECTRICAL Compensation, as provided for by Section 3700 of the Labor Code, for Ne _ perf.mtaneeafNewmkf^rwhighttabs nugi,ma.cri 305 - FRAME O 1 hast and will rommitin Worker's Cortpmsation Insurance,as inquires by,Seclum 306 - HOLDOWNS ?7P0 of the Labor Cade,for the performance of the work for which this permit is named,My WorkersCo pe anon insurance damer nndPly. mT307 INSULATION STtal� FttNrD+: son y :4571557 Gb3.0,8 y.- „SHEETR . KI its- :;I „- ( a IOERTIFlCATION,OF EXE ON FROM WORKERS' + t e / s(, , COMPENSATION INSURANCE II 309 EXTERIOR' LATH _ .. _.. 310 `=';;INTERIOR liATH :.p -' is section need not be completed d the permit is for one hundred dollar - '` l f Is 1005,a lor 1e..) ., 311 - SCRATCH CH COAT I _- .. e'I cpmfy shut N perf mmnce f N w.rk for which th permit a Lsue0.l 3T3` ="ROOF NAIL;. , r r .l )�• „r , Com m e ply opy p ram m any manner p o ro been a bled to the Workeis' 5 01 - FINAL ELECTRI CAL`ENERGY Coope uon La I" r I' un a.Date - ' Applicat - -- 502--- -FINAL-PLUMBING- ENERGY,- - NOTICE TOAPPLICANT If.'after making this Cnificme f Esempdon,you should •• Ze becomeaubjecnoth WrkersCompensationpro ionsof[heLaborCode,youmust - 0 0 Ponh the mplysvthsuchprovisions N mount shaudemand 503 FINAL MECHANICAL ENERGY504------FINAL BUILDING-.ENERGY----.--.-.- V7 UILDING--ENERGY _t +I 'I.CONSTRUCTION LENDING AGENCY SOS - FINAL ELECTRICAL r to 41 heeeby ffmn that rhe o w,' n lending agency fm Nma Ne perfur - �.t of th rk for w1irch this permit l ssddE 3097G c.l• , _ 5,06-. -,_GAS .TEST LanaeNm � .,._,s.s �..,....0 __ _ ... - _... ._ .. .... L de Addtat 507 - FINAL PLUMBING. r UO I cent{y that I nave read Nis a lication ark state Nat the above information is 508 - FINAL MECHANI CAL +O W.:;: sortma.I ecm tocomply wit city and county ioduances end one laws reining 509 - FINAL GRADE „U mbuilding construction:and heresy euthotiie iepu.nmetives of,hii city umnmr upon � y,W ,theubove.mentipned property for inspection purposes.,, , . 510 - FINAL PLANNING ..^ C.- (Welagmet o rovetmteihniy and kmpharmlesethc City of Cuprfilmagainst -CA Iwhuiues.fudgmegI costs and expenses which may m any way accrue agmen said 514 - FINAL UB C WORKS Ute^ C ty n consequence of the' m of Nn perm.. �. D\OICLCOMPLYWITHALLNO 8IN Issued by: Date (¢ D SrgdmumdfA n_hnt/Cmarecror it,I J11u, ' Re-roofs HAZARDOUS MATERIALS DISCLQ E'' ` _ Will be*.p�ficrma 6,halve Wilding cm,aimeremhndl nvrdasmwenm _. Type Of Roof ._... _ _. e... .. ... '- idB ed by the Cupertino Mu cipal Code Chapter 9 12 and the Health and safety ( _ Code C3 ye, Is ° All roofs shall be inspected.prior to.any roofing material being.lnstalled lliheapplca or lvmrc Wilding dng Occupant uequipment odevices which If a roof is installed without first obtaining an inspection,'Lagree to mmove ems huwm mdo nr connnommis as refined!by the Bay Area Air QualityManagement Ur otter all new materials for inspection. Applicant understands and will comply with y ° < all non-point source regulations:, , t , I hale rtad the h mdoui',mam ads no,no mchs under Ch spite, of,he Cahfoinis Health&Safety.Code,Sections 35505,25533 and 35534.1 mato smnd Nat _ retie borof the not curcercho;which must be me, is myrcurace bilitym Lfi the Uc nn 9u rements which must b<m,D arm's.once of C ifmare of - mcupagt of me rt Signature of Applicant Date .er our nutnanapd.gent ,e., All roof coverings to be Class "B” or better \ ". t '.' "2. .. .... ...__. .. OFFICE .. _ .. _. .. . .. _. ... ... .. ..:....: � .,. . ..':....- . ..' ., ,, r,,.:• 1 . .,