Loading...
04030258 CITY OF COPER'l'INO �" '�''' BUILDING DIVISION PER ' CONTRACTnR INk'ORMA- N �g 63m...„ "... 3svm'"'�'k9La s 'u'n BUILDING ADDRESS: PERMIT NO. 04030258IrTITAT 17T ' OWNER'S NAME: PERMITISSUEDATE KALLURI EqWAR -/ .NE: SANITARY N N . ONTROL NO. ARCHITECTMNGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH X00 LICENSED CONTRACTOR'S DECLARATION lob Description w❑ 1 Mrepy affmm Nm 1 am lienor under sons of Cnap¢r Y(commcneing dE wiNScI IX10) fDlviziI I'NCBosinc MPromot of 9(mormamis 0,2 c �imunll ndams°cfj -" Lk. o-:J�tu REPLACEING FOUNDATION AS IN PLACE p Z-Z au ' - - Comaclm "' CONTRACTOR: BROCKMAN ENGINEERING CONTRACTORS ARCHITECTSD ATION ? I understand my plans sM1all he used am ureic records 3 u0� Licensed Professional 5 OWNER-BUILDER DECLARATION 1 hereby alRren Nat I am exempt from dre Coon's License Law for the .�<I O O following reason.(S"son'7031.5.Business and Pmfessiom Cade:Any city or county m which aqui..a Permit to construct,aline imprme,demolish.at repair any structure prior to its issuance,also inquires the applicant for such Permit o rile a signed suumem ?< rhot he is lice nscdpursoanr to the Provisions of the Cmmim's License Law(Chapter 9 Sq.Ft. Floor Area Valuat�g000 BIZ-$ (commencing with Section70Mpof Division 3 of the Business and Professions Code)or that he is exempt dw.f1 m and the basis foe du alleged cacmp0on.Any violation of Section 7031.5 by any applicanrfor a Permit subjects the applicant to a civil Penalty of APN Number Occupancy Type not mom Nan five hundred dollars(5500). D L,as owner of Ire porputy."my. cmplo ccs with wage u their In mmpenmtian. 3 6213018 . 00 will do the work and the strumase is mol inuMed oroRered for sale(Sec.904,4,Business and Professions Code:The Convazmfa License Law docs not apply to an ow er of Required Inspections ompeny who builds or improves Hereon,and whodoessuchworkhimself or through his ;rum employees,provided that such improvements are ne year tc opted n.for ask,Own It. however,the building or improvement is old within one year of Improv for pu owner- builder will M1ave the,burden of proving that he did not build or Improve for puryose of sale.). D I,as owner of the propeny,am exclusively convening with licensed convectors to construct La the project(Sec.7(144.Business and property wh ions Code:)The Contractors ed come law dors nal apply loan owner of propeny who sad p or impmw thereon,and who contrecu for such pmKcts with a contrazmr(s)li"nud pursuant to the Convumfs D� Lion¢law. ❑1 am exempt under See .B&P C for Nis mason Own" Data WORKER'S COMPENSATION DECLARATION 1 hereby aRsm under penalty of perjury one of the following decimations: 41 1 hew and will maintain a Ctrolmo a of Cnusent to self-insure for Worker's compere orba sn,uprovided for by Section 3100 of the Iabot Code,for the peAornamea of Ne work for which this permit is issued. D 1 have and will maintain Workers Compensation Insurance.a inquired by Section 37W of Out Inbar Code,for the performance of the work for which this permit is issued. 1My Workers Compensation Insurance artier and Policy number am: a bvrier. S ✓kms FU It'�l Policy Na.:- C"tl'v=Li-T lFi ✓y CERTIFICATEOFEXFMPf10N♦REIM WORKERS' COMPENSATION IN5 EN'CE Crus section ncad nal be completed Hthe permit is fomite hundred dollars(SIM) or less.) 1 eenify Nat in the performance of Ne work for which this Permit is issued.l shall not employ any person in any manner an a to become subject m the Worksss Cempmamon Laws of California.Da¢ Applicant NOTICE TO APPLICANT:If,after making this Certificate of Eaempllan,you should become Subject to the Worker's Compensation provisions of the Labor Code,you most .JOforthwith comply with Such provisions or this Permit shall be deemed mwkcd. ZCONSTRUCTION LENDING AGENCY = [-. I hcnchy affirm Our Nem ism construction lending agency for dePraetor mom of a> do work for which this Permit is issued(S".30)7,Civ.CJ W Q Lender's Namc Ow Lender's Add. V C) I ecnify that 1 have read this application and sum that the above OrmmaLon is W (" mmcL l sigma to comply with dl city and county ominmtts and mule laws.]sungto pU building construction.and hereby authome represenutivcs of this city to most upon the W above-mentioned property for impaction purposes (We)agree to sate,indemnify and keep harmless the City of Cupcnino against F" N limillues,judgments,costs and expesues which may in any way acct¢against mid City V z in conscgflcncggqqqq of Nc ting ofthia PcrmiL 3 ^ APPLIC NUNO ANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE R/ UL4 N5. 3'3t-C k Re-roofs '9ngnuL c f pplicmVCcmrmmr Dam ✓✓ V HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or handle hazardous material so defined by ds Cupenim Municipal Code.Chapter 9.12,and the Health and Safety Cale.Smuon 25532(a)7 All roofs shall be inspected prior to an roofing material beim installed. Dyes plNa P P Y g r Will One applicant or future building t ase equipment of devices which If a roof is installed without first obtaining an inspection,I agree to remove PP gby then Area n mil hanSdnus air conuminanu u defined by the Bay Arca Air Quality Management all new materials for inspection. Disvin7 ❑Yes AN. 1 have mad the hmardous materials requirements under Ctapsr 6.95 of the Califor- niaHalth&Safcry Cod Sccdona25505.25533md25534.1undcaundlhatifNchuilding I docs or colly ha u em,Nal it is my responsibility to nouly the w.'cupml of Nc requlne eta men lxMet four lo immamcenraeeNfiate nraapme' Signature ofApplicant Date 't' n r o uthomed agent Dam All roof coverings to be Class "B" or better s • CITY OF CUPERTINO 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp : Rng: Sub: Blk: Lot : APN 36213018 . 00 DATE ISSUED. . . . . . . : 03/31/2004 RECEIPT # . . . . . . . . . : 25040 REFERENCE ID # . . . : 04030258 SITE ADDRESS . . . . . : 7902 FESTIVAL CT SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER KALLURI ESWAR ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4115 RECEIVED FROM . . . . : BROCKMAN ENGINEERING CONTRACTOR . . . . . . . : LIC # COMPANY . . . . . . . . . . : ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : TELEPHONE . . . . . . . . : •E ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------ - - - - ------------- ----- ----- ---- ------ --- - -- ---- ---------- -- ------- - BPERMFEE VALUATION 7, 000 . 00 127 . 00 0 . 00 127 . 00 0 . 00 BENERGY PERMIT FEE 127 . 00 38 . 10 0 . 00 38 . 10 0 . 00 BPLANCHK PERMIT FEE 127 . 00 107 . 95 0 . 00 107 . 95 0 . 00 BUSLIC FLAT RATE 1 . 00 100 . 00 0 . 00 100 . 00 0 . 00 BSEISMICRE VALUATION 7 , 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00 ------ ---- ------- - - - --- ------- --- - TOTAL PERMIT 373 . 75 0 . 00 373 . 75 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER --- - ------------- ------- - - --- --- ----- -- -- CHECK 373 . 75 16293 TOTAL RECEIPT 373 . 75 • t S121 WITY OF CUPERTINO* CITY OF PERMIT APPLICATION FORM o CUPEkTINO 0(�03 ZSR IkPN# Date: 1 36`Z 13O1g '3 -31-0� Building Address: Mailing Address (if different from building address): "D 0z Fi5n VAt– Cay lzir 6,P"Co,( Owner's Name: Phone#: KESwn,(2 q68-2 30 -cc'Z l3 Contractor: License#: 32[xKMHIO L-ICaiNff--W1KJC7 coN! 5GOy01 Contact: Phone: Cupertino Business License#: M WEST— F .q2S)63w--2 Building Permit Info: Bld Elect ❑ Plumb ❑ Mech ❑ Job Description: tN rLALC Residential ❑ pE LAeiN(7 1-ou0DA>jON A-3 Commercial ❑ Sq.Ft. Floor Area: S/Sq.Ft.: \ Cost of Project: Occupancy Group: Type of Construction: Please check this b`b%.iLLhc4xvofect is a second-story addition: ❑ Quantity Fee ID Fee Descri tion Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 1 OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu 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 <= IOOOA ELECTRICAL BELEC1001 Elec 600V > IOOOA ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC I Comm. Housing Mit. Fee BUILDING 4 Z S-zs(� D lof3 37 3 , ZJ' Step- , SrITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING I BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Fumace> I OK btu MECHANICAL BREWMAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL 13REN MISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Mar uee ELECTRICAL 2 of 3 SCC' *CITY OF CUPERTINO CUP YOF PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING • 3 of 3 ( 1 SEC JOB: 04-0006 ADDRESS: 7902 FESTIVAL COURT R O C K M A N CITY: CUPERTINO 'ENGINEERING CLIENT: MR. KALLURI AND MRS. LAKSHMI VENKATARAMAN ' ' DATE: 1/27/04 DRAWN BY: RJB LIC.NO. 560401 - FOUNDATION/GRADEBEAM REPLACEMENT AS-IN-PLACE AREA OF REPLACEMENT (*��N FRONT ENTRY oFflft Copy (E)BLOCKING � (N S SIDI SNG OR TOP SIDI WOOD I (E)FLOOR JOIST/GIRDERS I n}�FLASHING AS NEC. MAR v ZC�4 5/8"0x12"ANCHOR BOLTS ALTERNATE OUTSIDE FACE rA I; 1 w/2'x2"X3/16"WASHERS TO ACCOMMODATE OF NEW CONCRETE V���r..Ey�1Tp.L��y ® I; I @4'O.C./1'MAX. FROM oe° ARTME� :I EACH END OF PLATE P'�S[ !Vr I•• I (E)GRADE I I #4 REBAR"L"S @ 18" ALTERNATING DIRECTIONS 4-#4 REBAR HORIZONTAL i I OR VERTICALS @18"DOWELED E INTO EXISTING PIERS APPROVE® I I F NECESSARY 1 ................:. IN ACCORDA CE WITH E CITY OR — I CUP ERT 0 DES AND ORDIN _ _ _ _ _I oy SPREAD FOOTING I I GATE -- ......................_.....I......i...........................i I I SIGNED This set v. 1`131's and specific tions MUST Do kept on the job at all time and it is un lawful to make any Changes or, alterations (E)PIER on same without ,+vm ritten permission from the building Dept., City of Cupertino. The stamping of this plan and specifications ,'HALL NOnnnfffT be held to permit or toovisiong b or. \fialationany CONCRE7Lpf�b tI P( 12 C( o to Law. -DOWEL E0B`ffb 6" @ JUNCTION w/EXISTING FOUNDATION •5/8"0x12"ANCHOR BOLTS w/2"x2"X3/16" WASHERS @4' O.C./1' MAX. FROM EACH END OF PLATE SCALE:NONE P.O. BOX 1223 9 BRENTWOOD, CA 94513 (925) 834-2899 • Fax (925) 834-7831 CITY OF CUPERTINO BUILDING DIVISION PERMIT .CONTRAC°"TQR INFORMATION• BUILDING ADDRESS: PERMIT NO.04030258 OWNER'S NAME: PERMIT ISSUE DATE KALLUR NE: SANITARY 0 TROLNO. ARCHITECDENGINEER' BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 Loa LICENSED CONTRACTOR'S DECLARATION - — - - IHere .rrirm mal I am Rama aaaer v Sia-arcnaP. 9 aammmamg lob Description soil Sec )af Division3of0eBusi^�p°�Pfafenius Cade.andmylicenscu n in full r or t. ✓ -... 5'q? Liceateceas t Lie# r:0�101 REPLACEING FOUNDATION AS IN P CE ^o am cam CONTRACTOR: BROCKMAN ENGINEE A' S y ARCHITECTED ATION Y w I understand my plans mall W mod=rteards 3 H Licensed Professional APR 20 2004 vt OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contactor&Liccnse Law for the 00 following mason.(Section 7031.5.Business and Profossions Cmc:Any city or county which requires a Permit to construct.eller,improve,dam d W.Or repair any structure RIM DING rZy prior to its issuance.also memos the applicant for such Permit to rile a signed namment iso not he is licensed pursuant to the provisions of the Cmumchas Let.Law(Come,9 Sq. Ft.Floor Area Vauat4�o9000 p�3 (commenting with Section 70g)of Division 3 of the Business and Professions Code)or mat he is esompt therefrom and the noir for me alleged exemption.Any violation of Section 7031.5 by airy applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type not mom tion five hundred dollars D5001. ❑L asowner of me property,army employees with wager as their rete Compensation. 36213018 . 00 will do the work and the sumum is notimendea araBereaformic(Sm.7064,Business Required Inspections and Professions Coda:The Cmanseme,License Law does tot apply On an ower of q P property who builds or impmm demon,and whoclam such work himself or through his covam ployces,paviaed thatsah improvements she not intended oroRered formle.If. however,the building ne improvement is sold within ane year of completion.the owner. builder win have the harem of proving that he aid not Wild or improve for purpose of sale.). 1,as owner of the propenY•am oeloively Connoting with licensed cuntnmos m eo..I an,pmje¢(Sec.7066,Business and Professions Code:)The Convectors U. clean law does not apply an an owner of property who builds at harrows theman,and who mntracs for such projects with acommcmr(s)licensed possuant to the Comnemrs License La- 0 1 stn exempt under Sec. .B&P(7for Nis moon Owner Dm, WORKER'S COMPENSATION DECLARATION 1 hereby&Rum under penalty of perjury one of the following decimations: ❑Ihave and will maintain a Certificate of Consent to self-insmefwWakeraCompen- sation,as Provided fm by Section 37M of the labor Cade,for the performance or dm work for which this permit is issued. l]I have and will maintain Workers Compensation Insunn¢,m mquired by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. t(dy Workers Compenation Insuanee arrim and Paliry number am: a t7slrier. STATE Fume) Polict'No.:'jl6-L'LV'D`frL.(i ✓Y CERTIFICATE OF EXEMPTION M WORKERS' COMPENSATION IN ANCE (11is union need not he completed if tic permit Is form=hundreddollem($100) or kgs) I certify that in the performance of to work for which this Permit is issued,I shall not employ any person in any manner an as to become mbjecuo the Workert Compensation Laws of Califomia.Dam APPIUMIL NOTICE TO APPLICANT:If,after making this Ccrincae of Exemption,you muula become Subject to the Worker's Compensation provisions of the Labor Code,you must .JO forthwith amply with men provisions or this permit shall he damed revalued. z '--' CONSTRUCTION LENDING AGENCY F. .N-. Ihereby of an that dere is a cowmnian lendingapney fm f per(urmaueof CLQ the wark for which this permit is issued(Sec.309],Co.G G Lender's Name _Z Lonjor',Addreart s U Q 1 certify that I have mad this application and sum that the Olson iarom sh un is ly F caner.I agree to comply with all city and county ordinances and sum laws mlating to pU building convection,and hereby authorial mpresematins of this city to enter upon the r above-mentioned papeny for inspection purposes+ (We)agree in awe,indemnify and keep harmless the City of Cupertino against Hliabilities,judgments,costs and expenses which may in any way accrue against mid City [Jz in cc OC ofine ting of this permit. APPLICM END ANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:S4"Ca Date SOUR R UL Q NS. at - x'31-d Re-roofs gnJ f pPltc VAZARDOUS_tor Dam MATERIALS DISCLOSURE HType of Roof Will de applicant or future building Occupant score or handle hazardous material o defined by de Cupertino Municipal Code.Chapter 9.12,and the Heald and Safety Cmc,Soup.255320)9 All roofs shall be inspected prior to any roofing material being installed. 0Yes C1Na Will the mplicmt or future bu iding Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ���/// ❑Ye 1tNu I have mal the haafdous materials requi¢menu under Chapter 6.95 of the Califon nice Health&SafetyC Seeucas 25505.25533 and 25536.1 understand that if d➢building does not rtC Y na @Hent th➢111 Ice my ne3ppn{Ibi111Y b nallly the YapNt of the mquire Mm bcmmpdarmitsaatt«araceaifea. Cagan 1� Signature ofApplicant Dale a amariaeaaseat DateAll roof coverings to be Class"B"or better