The URL can be used to link to this page

04100043 CI'T'Y OF CUPERTINO pki�n tk� v �,T x'/'�"sT� 'g',]"' �`� BUILDING DIVISION L l..1N1Y11� �,CCINTRACT�OR ININ'O 1VIA� BUILDING ADDRESS: PERMIT NOO 410 0 04 3 10335 FINCH AV OWNER'S NAME: PERMITISSUEDATE SREENATH SREEKANTHAM ONE: SANITARY NO. CONTROL NO. BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH 0 0 0 0 umz LICENSED CONTRACTOR'S DECLARATION 0o Job Description i C 1 hereby affirm that 1 am licensed under provisions M Chapter 9(mmmcreing �zto with section 7(yra (Division Sof the Business and Professions Code.and my liccnm is ^aein full force and effect. > ca- wclass Lica REMODEL KIT. & 2 1/2 .BATHRMS ELECT. I Dam Cunal.tor ARCHM-CrS DECLARATION 6i rc 1 undersand On,plans shall k used as public meords Js JyU Licensed Professional g OWNER-BUILDER DECLARATION 6£ I hereby affirm thm I on exempt Co..the Carnation's License Law for tM 0 o following roes a Peron t ]1131.5.Basta and Pmfee rmh Code:My coy or caunD K$ which its issuance, n permit to ui=the,alms improve,demolish.are pair any ewctum poor to its issmncc,also mquitu oM1c applicant for such Permit tilt asigncJ statement ValUatlOn < that he is licensed pursuanto the provisions of the Contractors License Law(Chapter 9 Sq.Ft. Floor Area (commencing with Section 700o)of Division 3 mf the B usinrss and Professions Code)or 'd $ that he u exempt therefrom and on,bash for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant Ir a civil penalty of eA 0 Occupancy Type not marc Nan five hundred dollars(5500). T,u owner of the pmKny,or my employees with wages as their sole compensation, will do me work and thr summre is not intended or offered fmsale(Sec.704q Businea Required Inspections and Professions Code:The Committees License law does not apply to an owner of q p own ertywho yees,provided thatuchimprovndwho aressuchwork himselfor(main his �� as r. �® own employees,provided that such improvements are not ear of d oroRercd for owner- I O!(r/[�]-Aa`\1�II IIIW^ builder.Rebuilding or improvement of proving that sold id of year of mmpkdoa me owner- . builder will haw the burden of proving mat he did not build or improve for purpose of sok.). .1.as owner of the property,am exclusively considering with licensed contractors in _ 2onutun the Project(Sec.]064.Business and Professions Code:)The Contractor's Li 1:n Y,Js�•a 20 0 5 .cense Law docs not apply m an owner of property who builds or improves then on,and tr . who conacts mi far such projects with a connor(s)licensed pursuanuo lhecontrdnres , Lkenm law. tt lI ❑lam exempt untltt See. .a&P C for A,V ��1' ��11 Owner. Al m (U '8 OC Ital9 \�Vt' WORKER'S COMPENSATION DEC TION 1 hereby affirm under penalty or perjury rote of me following declaration: 1 have and will maintain a Ceri fieem of COnscnl to self-insure for Worker'sCompcn- ration,as provided for by Section 37M of me Labor Code,for the perfmmanee of oho work for which this permit is issued. ❑1 have and will maintain Worker's Compensation Inunntt,u mquimd by Section 37M of dc labor Code,for me performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy num her am: Carrier. Policy No.: CERTIFICATE OF EKEMP ION FROM WORKERS' COMPENSATION INSURANCE t (This section need not he completed if sk permit is tarot hundred dollars DIM) at leas) 1 certify that in Rc Performance of the work for which this permit is issued.I shall not employ any Person in any manner so as m become subject to the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:if,after making this Certificate of Exemption,you ahuulJ become subject to the Worker's Compcnsedan provisions of the(shear Code,you must .�- Z forthwith comply with such provisions or this permit shall k deemed invoked. - Z O CONSTRUCTION LENDING AGENCY . 'r. I hereby affirm that mem Is a mmnuctinn lending agency for the Performance of !� the work for which this remail is issued(Sec.3D9],Co.C.) W C) Leader's Namc LL Lender's Address U I certify Nat 1 haw mad this application and sum mat the about information is U r cortmk 1 agree to comply with all city and county ordinances and some laws relating to 0U building construction,and hereby aumorire mpruenmlives of this city to enter upon the r shove-mentioned properly for ieepcnloopu...s. (~ (We)agree to save,indemnify and keep hamtless the City of Cupertino against LO liabithed,judgments,costs and expense which may in any way accrue against said City U Z APPLICANTOUNDERSTANDS of Uc goinfing of tAND his rWILL COMPLY WITH ALL NON-POINT Issued by: Date SOURA R GULATIONS. LV Of Re-roofs ignamm a(ApplicOUS Oak MATERIALS DISCLOSURE HAZARDOUS ZOARDOType of Roof Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code.Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. Q Yes 1Na Will the applicant or slum Wilding t use equipment or devices which 'If a roof is installed without first obtaining an inspection,I agree to remove pp by thenit troll hazardous air cnnmminanu n refined by the Bay Arca Air Quality Management all new materials for inspection. D'nrict? ❑Yes KNu I have mad the hazardous materials requirements under Chapter6.95 of the Califor- nia Halm S,Safety Code,Smonts 255115.25533 and 25534.1 understand Rm If me building does not currently have a tenant,that it is my responsibility to notily me occupanl of the mquiremc ispch mustkgor m issuance of a Cerarete of Ce y. Signature of Applicant Date eilvna mom'' l9f Da/�/ All roof coverings to be Class "B"or better ncrm auohorircd.'em Dam .,a Community Development 0 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 S.CUPEkTINO Building Department JOB ADDRESS: 16335- Fl N C k AVC- PERNT # R'T /Y b A — SO l OWNER'SNAME: SkeCNA-r r $�rZC69ANZ! M PHO 0$ -31% -Gg6� GENERAL CONTRACTOR: _ prStrn ntg FAX # I am not using any subcontractors: < < 0(1 Signature bate 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Cantuctor Signature Date CITY OF CUPERTINO �m 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 5 Sec : Twp : Rng: Sub: Blk: Lot : APN . . . . . . . . : 37543010 . 00 DATE ISSUED. . . . . . . : 10/07/2004 RECEIPT 4 . . . . . . . . . : 27344 REFERENCE ID # . . . : 04100043 SITE ADDRESS . . . . . : 10335 FINCH AV SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SREENATH SREEKANTHAM ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : SKREENATH SREEKANTHA CONTRACTOR . . . . . . . : LIC # COMPANY . . . . . . . . . . : ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --- ------------ - --- ------ - ----- -- BPERMFEE VALUATION 15, 000 . 00 <- 447 . 12 0 . 00 447 . 12 0 . 00 BPFIXTURE UNITS 5 . 00 45 . 00 0 . 00 45 . 00 0 . 00 BPGAS OULETS 1 . 00 5 . 40 0 . 00 5 . 40 0 . 00 BPLANCHK PERMIT FEE 223 . 56 298 . 34 0 . 00 298 . 34 0 . 00 BPREPIPE NO OF FIXTURE 6 . 00 54 . 00 0 . 00 54 . 00 0 . 00 BPSEWER SEWER SYSTEM 1 . 00 21 . 58 0 . 00 21 . 58 0 . 00 BPTRAP NO OF TRAPS 1 . 00 9 . 00 0 . 00 9 . 00 0 . 00 BPVENT UNITS 1 . 00 10 . 79 0 . 00 10 . 79 0 . 00 BPWATER UNIT 1 . 00 9 . 00 0 . 00 9 . 00 0 . 00 BPWSVCS WATER SERVICE 1 . 00 9 . 00 0 . 00 9 . 00 0 . 00 BENERGY PERMIT FEE 223 . 56 107 . 31 0 . 00 107 . 31 0 . 00 BREMAPPLI NO OFAPPLIANC 3 . 00 21 . 06 0 . 00 21 . 06 0 . 00 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 BREMFIXT NO. FIXTURES 6 . 00 7 . 20 0 . 00 7 . 20 0 . 00 BREMINHOOD NO UNITS 1 . 00 10 . 26 0 . 00 10 . 26 0 . 00 BREMPOLE NO. FIXTURES 1 . 00 1 . 20 0 . 00 1 . 20 0 . 00 BREMPOWER POWER UNITS 4 . 00 101 . 93 0 . 00 101 . 93 0 . 00 BREMRECEPT NO. OUTLETS 6 . 00 7 . 20 0 . 00 7 . 20 0 . 00 BREMVENFAN NO UNITS 1 . 00 45 . 39 0 . 00 45 . 39 0 . 00 BREMVENSYS NO UNITS 1 . 00 10 . 26 0 . 00 10 . 26 0 . 00 BSEISMICRE VALUATION 15, 000 . 00 1 . 50 0 . 00 1 . 50 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 MPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 ---- -- ---- --- - ------ ---- - --- ------- TAL PERMIT 1337 . 65 0 . 00 1337 . 65 0 . 00 THOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ r • CITY OF CUPERTINO am 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 5 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 37543010 . 00 DATE ISSUED. . . . . . . : 10/07/2004 RECEIPT # . . . . . . . . . : 27344 REFERENCE ID # . . . : 04100043 SITE ADDRESS . . . . . : 10335 FINCH AV SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER SREENATH SREEKANTHAM ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : SKREENATH SREEKANTHA CONTRACTOR . . . . . . . : LIC # COMPANY . . . . . . . . . . : ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -------- - - - - - ---------- ---------- ---------- ------- --- ------- --- -- OTHER 1337 . 65 VISA TOTAL RECEIPT 1337 . 65 VOICE ID DESCRIPTION VOICE ID DESCRIPTION --101 FOUNDATION -_102--= PIERS------___---------_____ 103 UFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY 505 FINAL ELECTRICAL 506 GAS TEST 507 FINAL PLUMBING 508 FINAL MECHANICAL 509 FINAL GRADE 510 FINAL PLANNING 514 FINAL PUBLIC WORKS (i alm WITY OF CUPERTINO* a spa cp 7 CATV OF PERMIT APPLICATION FORM l� CUPERTINO APN # S (�3 O Date: Building Address: 10335 FWCH AV4F Mailing Address Cif differerft from building address): C—OPEATINDC - 50t Owner's Name: IPhone #: 2ecnAzEI SRCOEm L( d$ -3tK-Og6 � Contractor: License #: At - UeSl6.rts tr -S ?, Contact: Phone: Cupertino Business License#: Fax: Building Permit Info: Bld Elect lf� Plumb E3' Mech ❑ Job escription: 9r- c[tr !Cf QC&IENI RtPtAC(,v&i All. g/N HROOPI CA&ACTS WiTH Residential ❑ Commercial ❑ eLECTA1CAr Sq.Ft. Floor AreaI�� F7 $/Sq.Ft.: Cost of Project: / ��, ,\ Occupancy Group: Type of Construction: �/ U Please check this box if the project is a second-story addition: ❑ Pro'ect Size: Standard ET"A Laze ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> I 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 <= 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 * lof3I�� 7 6 WITY OF CUPERTINO* CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTEvIE Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMEING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINI'ERCEP Ind Waste Interceptor PLUMBING 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 rinkler/Backflo 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 Furnace > I OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC 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 2 of 3 WITY OF CUPERTINO* CITY OF PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL 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 Insection 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 l Kitchen (First Floor) Scope of work: 1. Work to include a new dedicated circuit for garbage disposal, dish washer, refrigerator and (2) two dedicated circuits for appliances(electric range & range hood) and install GFCI outlets where ever necessary as per the code. (� 2. Add new water line for refrigerator ice maker. 3. Install new kitchen cabinets with new sink. Powder Room ( First floor) 1. Replace existing GFCI outlet with a new outlet and install new cabinet along with a new sink. Kids Bath Room ( Second floor) >-1 -E T 072 1. Replace existing GFCI outlet with anew outlet and i sta new cabi t along ith a new sink. 2. Install new tub with new shower. Master Bath Room (Second floor) 1. Replace existing GFCI outlet with a new outlet and install new cabinet along with a new sink. APPROVED IN ACCORDAN 'WITH Tt IE CRY OF Up I�0 ,E3 DATE SIGNED This set of plans opecifications MUST be kept on the job at all times and it is unlawful to make any changes or,alterations on same without written permission from the Building Department, City of Cupertino. The stamping of this plan and specifications• SHALL NOT be held to permit or to be are approval of the violation of any provisions ok. any City Ordinance of State Law. t. ► [rJ� ` Y s k $ �°,h ' tfF� �S i•.f', ,� FY�k yY } t -ti J•.�. r: ► yr ,: ^T • b�k.�r s :. moi. 3 . Y > . wr r Eii x r .r a, s • ��` 'z.YJ7.� rL5 .3 7`µ '% "t.5 >ti•4 i�c}r} � x�' u } rA r", �� yt Fkr"..< s r�tti6'i f ay�•^. (> X3+ 'r :r. sit 7 ',Cys a ,�i' r >t "<,° � � Y i�^i: Eby 1; i,J, j )i. � "n _�++ ^F x�� r a- L?� xs� may,v i t 1 � ji Ye ' u FST as s r r � E e i �' •� � �w ru r f r"7t r� t sSl�tj+. ^e ��u Z ! 1. � .. o�r t iw'�' s...�: _a wt.:L�. t�r•Y a,, v s f , »,�c Z t,�s F '�' �f �Si e� tr"r �l:ASF r.m 3h >.!1 � 5 �'. — mar �xs� t- r� � r�... , y •• H •• iG tI�Y1j � s'� t Su� .�,� � - C � .,e � 4 Y t •• �y.J:� � i fry� '7 :; '. t:_ � K �C a I, � •• .- F, _ 0 -yv x�� s.� tr '-�`� 4 lei+ •• 0 y i < 7 °1 M `��4 s bl,s ,,, t 7Str °r ti ..: s ;. rrC4 rr ,�gq�'I Es ') iY n'1 r ds, 4.'� i S , t � y -d ( �� I 5+ :.� t r. � � • • � �ry •LG rL ■ G' � ■ a ■ .> =r t • I{a Y'� ,r.'"y`�fv,Cr�"'Nt{'.i k� t N. ) r m i3'•'' I Sri++f. k3. sVc )�}r 'fyCi r: O tt q_2 I - to ; k r e • r 'ice 3 �, - II a � .�, r � • v r9 c�A '-Za"��m��}': i+n >r�,4vx,V1 r s �*l +, �'i: •M I.' Iii {' F':J�[ � YYr Il • � }I.lit � ��r;-o4 f,u.A Yt { t a v <;�'J+.� .L X45 .7 ■ ry' � ■ FROM AIDESIGNS FAX NO. 2656035 Oct. 04 2004 04:37PM P2 t We of b/L ZL —•--- 1boZ 9--Fj---- /£6£L i b/L 49 L4L — — 89- bS — bZ- 1151 —LZ— I _ -- tG ZLI L,hT .N t94riL ate— au •�- - _ 1 N I SII 0 .T 0 7 2004 I I m I I mN I I m OV_ '00 p � � I cel _ f7R I r N � I I 9£ I I — £— I b/£LZ- — or— 1 69 bz I — Z/t 98 I Z/t b6 Stt I - 0£— I BS - - b/£99 . 4/t LEL — -5------------- boz A bl£S L Z/It S s FOBS BATH ROOM ( SECOND F100R 1 Tiold Bowl 0 TBB 0 GFCI g'ECEIVED OC 0 7 2004 BY:.__ ------- r • Master Bath (Second Floor) � a a FCI Cabinets U sinks Master Bedroom g�CIti E]D " Z)04 LBY. -_ Tiolet Shower • Powder Room (First Floor) GFCI Tiolet 'BPI 0 gZiECEIVED OCT 0 7 2004 HX: Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �PEkTINO Building De artment JOB ADDRESS: f a 335 FtivC H 41te PERMIT # OWNER'S NAME: S IZEENA?'K 6Ze Ek4fVr '4 PHONE # 609 -713 - /50�- GENERAL CONTRACTOR P$ L (JtVS'Yz(1c71oN FAX # M N e e I am not using any subcontractors: III-X105- Signature 1g07— 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile { Owner/Contractor Signature a O ((�DI//��'sI Feb 16 05 04: 37p p, l �'►UP C) DELTA ELECTRIC Calif. Lic. No. 429472 724 Colleen Dr. San Jose, CA 95123 Pit: 408-224-0176 Fx. 408-224-3028 ELECTRICAL INSPECTION 2/16/05 Attn: Greg C. @ City of Cupertino Building Dept Ref: Sreenath 10335 Finch Ave Cupertino, CA i On 2/02/05 inspected (6) receptacles at kitchen and found no code �) violations. Inspected new wiring at sub panel to kitchen and found no code violations. Inspected switches at kitchen and found no code violations. Inspected all wiring installed by previous electrician. Found code violations and corrected the following: Provided more staples and stapled wires within 6 inches of boxes and every 3 feet. Inspected romex in wall and romex entering boxes. Checked for final terminations at panel and checked for proper polarity at GFI's and all work is per code. =- If you have any questions regarding this inspection, please call my office at the above number or you may reach me by cell phone @ 408-425- :4507 Sandy Franks Delta Electric Cc: Sreekasn@appliedbiosystems.com CITY OF CUPERTINO ' � BUILDING DIVISION PERMIT CONTRAC TOR�INFORMATION - ?+4'>SII, sem ,' x ..¢. ,: BUILDING ADDRESS: """'04100043 ERMIT NOO4100043 10335 FINCH A OWNER'S NAME: PERMIT ISSUE DATE SREENATH SREEKANTHAM IF E: SANITARY N0. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PELUMB MECH 0 0 0 �Oo LICENSED CONTRACTOR'S DECLARATION Job Description w I hereby affirm that I am licensed under pmviiloru of Chapter 9(commencing 1ZE with Sccion7")of Dlviaiun3ofthc Businessland Professions Codle.andmylicenseia ia„ mnnmmeandtrrect. REMODEL KIT. & 2 1/2 BATHRMS/ ELECT. fit? License Class Lic.X r Dao: Contractor ' ARCHITECTS DECLARATION jw I Oulcoa rad my plans.hall he used as public retards ;WLicensed Professional S OWNER-BUILDER DECLARATION .�<I 1 hereby affirm Not 1 am eacmpt form the Comment'.Licrna Law or In. i pO fallowing mason.(Sermon 71H I.S.Business and Profession,Code:Any city or county , which rcyuima a Imnnit m cnwruct.alcor,improve,dcmoRom,or repair any nrucare _tui prior o its issuance.also require the applicant for such Permit Ne a signed suumcm < that he is licensed pursuanto the Provision,of the Conramfs License Law(Chapter 9 Sq. Ft. Floor Area Valuation xts-M (commencing with Section 700()of Division 3 of the Business and Professions Code)or y that he is exempt therefrom and the basis for the alleged assumption.Any violation of Section 7071.5 by any applicant for. .it ubjects the applicant m a civil penally of et00 - Occupancy Type not mom Nan five hundred doUars(M). 0 1,as owner of tht property,or my employays with wage as their sal.compan,ation, w will dotim.k.mirthcscmmisnmimendcd ormleted board.(Sec.704d,Beiness --. - and Professions Code:The Contactor'.License Law doe nut apply m an owner or Required Inspections ' property who builds or improves thereon,and who does such work himself lir through his Own employee,provided that such impm curenu are oat intended draft for ale.If. builder,the building or improvementg sold within and year of mm ova for the use of builder will have the burrrenimp of proving=t bo did not build of improve for purshe ow of ale.). sy,,gr I,as owner of the propcny,am echoo cly connecting with licensed convectors to cone,La dpmjecs(Sec.o an Businessand ityProfessions Wilds Co de I The err the on. nd arra low dreg ml apply je ts owner of mean y who builds or improve thereon,and. whence Lace for such projects with a contnnort8liunad pursuanur the Contncmh / License Law. !J ❑lam rine pl under See. .B&PCfor this recon Owner, s WORKER'S COMPENSATION DEC TION I hereby affirm under penalty of perjury ore:of the following decimations: - r harmandwill mainuinaCenrimmof Commnttoal6ineurefor WOrkcfaCOMKn- V 'a ..tion,as provided for by Section 39(X)of Ne Labor Code,for Ne performance of the work for which this permit is issued. ❑1 haus and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code.for Ne poen mmanee of the work for which tha permit is issued. My Workers Compensation Insurance carrier and Policy number am: Cartier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE t mas.ection nerd nm brcomplemd if the permit isforrnc hundred dallars(SIM) or lea.) - _ - 1 Ot 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 o the Workers Compensation Laws of Califomia.Dam Applicant NOTICE TO APPLICANT:IL after making this Cer iBcam of Exemption.you should I Winona Subject to the worker's Compensation provisions of the Labor Code,you must .,O fonhwilh comply with Such provisions lir Nis permit shall he deemed nvrkcd. Z M CONSTRUCTION LENDING AGENCY 7- I hrmby affirm that them is a construction lending agency for the Performance lir IY 7 the work for which this permit is issued(Sec.3(197.Civ.C.) !c7 Q lender's Name a Lcndcfs Address U O 1 cenify that 1 have read Nis application aad'.0 a thn the above information is f' correct.I agree to comply with all city and county ordinances and sur laws stinting to 0 U building mnswc0on,and hereby authorim representative of Nil city to enter upon the above-mentioned property fed inspection perposes. (We)agree to an.indemnify and keep harmless the City of Cupertino against Fq liabilities,judgments.costs and expense which may in any way scene,against aid City U Z in UNDERSTANDS eor the greirling at IANhis D WILL COMPLY WITH ALL NON-POINT Issued by: Date SOUR R ULATIONS, LO a D Re-roofs ignmum of ApplicanVCommeor �f�. Date HAZARDOUS MATERIALS DISCLOSURE. Type of Roof Will Ne applicant or future building Occupant store or handle haramous material as defined by Om CupenlnO Municipal Cods.Chapter 9.12.and the Health and Safety Code,Section 355J2(a)? All roofs shall be inspected prior to an roofing material beim Installed. Ye �Nr P p Y g g Will the applicant lir future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove It hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. rete? ❑Yes KNu I ban reel the baramousmaterials requirements under Chapher695 of the Califor- nia Health h Safety Codr,Sections 25505.25533 and 25574.1 understand that lithe Wilding does not currently have a¢nam,that it u my responsibility to notify the occupant of the require¢ u ch must bCmI I Id. uanccrfaCcrtiIII rot, lir. Signature of Applicant Date 14R� All roof coverings to be Class"B" or better err or aollmmed sped Date