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060201354 O xis zo W� d Q D UO o u �a U4 CITY OF CUPERTINO77 "—�+"'y�. RMATION, BUILDING DIVISION PERIVIITyCO1HR:A.CT`QRXNF BUILDING ADDRESS: PERMIT NO.0 6020135 10332 NOEL AV NER'S NAME: PERMIT ISSUE DATE RANGANATHAN & ANANDHI RAMA WAM 22 2006 E; SANITARY NO. CONTROL NO. ARCHITEC IENGMEER: BUILDING PERMIT INFO BLDGELECT PWMB MECH I� t� LICENSED CONTRACTOR'S DECLARATION Job Description 1 hemby of on that 1 am licensed under provisions of Chapter 9 (commencing with Section 7") of Division 3 of he Business and Professions Cade. and my license is in fou roan cad cfuc REMODEL BATHS (MS/HALLWAY/DOWNSTAIR) Class 1.1o. « Dam Conuxwwr CONTRACTOR: ZHIGIANG WANG (#01000014117) ARCHITECTS DECLARATION I urdcrsmnd my Ilium "I be used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby oRrm that 1 am exempt from the Contractor's License Law for the following moon. (Section 7(014, Business and Ro(vsiuv Cade: My City IT county which requires a permit to consumer, aline Improve, demolish, or mpWr my auction, prior W 1%humane. aim requires the applicant forsuch permit W File &signed sutemenr Sq. Ft. Floor Area Valu B14000 Mss he u licensed pmrsuanlW the pmvisiovof live Comrume. Lim. I.. (Chapter 9 (commencing with Sutton 7000) of Division 3 of Me Bminam and Professions Code) or that he H exempt then,lrom and the basis fm the alleged exemption. My violation of APN Number Occupancy Type Sudan 7031.3 by my applicant for a permit subjects the applicant W a civil penalty of oar more Nan Ave hundred dollen ($500). 32647045.00 ❑ I, as menus of the property, or my employees with waits u their sole compensation, Required Inspections q P will do Newark and to sWrmmrc is not intended maRend far sale (Sm. 7044, Business and Pro carie: The CaamWr's Llcmme law ache am apply lf an owner of who ho property who buslamin,Pret aroendwho rimaouch work cussed(m Nreaghhu provided Nal inchemprovemanu arc net leundad mefrerad such Own employ=, hh er.Mebuilding Me Owner. however, NebuildingorImprovementhsoldwithin one Xu ofim erseforNeower- Wlldm will have Ne bortlra of proving that he did no Wild or impreve In, purpose of '71'!'. owner of the property, am exclusively convecting with liceivad mnvamon W construct the project (Sec. 70u, Business and Professions, CoMc) The Cmuanes U. came, law docs not apply W an mma, of property who Wilds or improves Mercer. and, who summers far ouch prejues with a conoacn,r(s) licensed pursuant W the Conunots License Law. P C for this on ❑ I I. exempt under See . B @ rec n {til A-!-0IL. ReDam vJ- 7� O WORKER'S COMPENSATION DECLARATION 1 hereby %M m under pevlty of perjury am of Mm following declaratioox: I haw and will munmin ACeniliiam of Covent W self-insum fm W~xCempen- uit_. u provided fm by Section 37M of the labor Cade, for the performance of Me work for which this permit Is Issued. ❑ 1 have and will maintain Worker's Compensation Insurance, u required by Section 3700 of the Labor Code, fm the performance of Ue work for which this permit 13 Word. My Worker's Compensation Iuuunoe catrier and Policy number w: ' Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (T7tisseadm road not recomputed IfUe permit Isfaronchundrcddallan (3100) or leas.) 1 uniry Mat in Me perrorma e" of Ne wart for which this Permit is Iuucd, I atWl not employ any perm. lA my manor su as WM1— a subject W Me Workers Compensation Laws of CW' amu. DaW y Applicant 4 l - NOTICE TO APPLICANT: If. after making this CeniAam of Exemnion, you should become abject W No Worker's Compensation prmisiav of the labor Code, you most forthwith comply with such provisions or this permit shut he dmmad mv,4sm. CONSTRUCTION LENDING AGENCY 1 hereby aRinn that Nem is a covructinn trading agency 1'ar Me performuwe of the wok fm which this permit Is Wmd (Sm. 3097, Civ, C.) LSmin's Name . Lenders Address 1 cecdfy that I haw read this application aM tom No the above Information is CarmcL I agree W comply with all City and county on ivnacs and amte Is" mladng W Wilding construction, and hereby amhmbe mpresenlaives of this city W entu upon the above-mentioned property for inspection purposes. (We) agree W save, indemnify and keep harmless the City of Cupertino against ImbIIlMu.jadgmenm. costs and expenses which may in anyway &cane against said City In consequence of the grating of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date S URGE REGULATIONS. calA ?On -------� 21s,A106 Re -roofs Type of Roof Signuun of AppliceMConoacsor HAZARDOUS MATERIALS DISCLOSURE &m Will the applicant or future building Occupant store mhanAe hararmus material Is de0nad by Ne Cupeano Municipal Code. Chapter 9.13, and the Huns and Suety Stearns 25532M, All roofs shall be inspected prior to any roofing material being installed. ❑ Yu 91".0 If a roof Is installed without first obtaining an inspection, I agree to remove Will the applicant or future building Occupant use equipment at dcvims which emit hazaumt us air comamirunts as derma by Ne Bay Area Air Quality Management all new materials for inspection. District? Yes I haw mad the hazardous materials requirements under Chapter 6.95 of the CAlifor. ilia Health@ SafetyCo la. Secdoas 35505, 35533 and 25534.1 understand due ifdm Wilding does nnl currently haw a moms, that it is my amenability W badly the occupant of the uimmenewhichmWtWmetpAarwiammmofaCcNfmMo(Occupancy. Signature of Applicant Date X-�" `M - ' 6 All roof coverings to be Class "B" or better C }o-�')' Owner or authorized agent Data • • Pr oposel� ,_ I Existing - 6'-6" x 8'-1"f .� 1 — 0 � 4'-O 1/2" 30 6'-7" O 0 LA �,E COP'S oLn IcincA nA^ & anq h {l MASTER BATH yZAMA,jWAMY 6'-6" x 8'-1" � 0 332 No E�- qvt CUQE0.SIND, CA c5014 6'-711 (4os)44b-or04 N ffi Scoat•. Y ChQn�2S SF'/UO "yak CD - oil FAQ • IQ(;t Y�CR 1 S'�2t�- ro Llt� (V Mee. ha RICat v s4 co�pIte. to, N OC) /k U r3 c / IDC FCI — 0 � 4'-O 1/2" 30 6'-7" O 0 LA �,E COP'S • HALLWAY BATH 8'-3" x 5'-4" 53 sq ft PROeosEl� 0 --- 8'-3 1/8"-- '-1 1/81N ,--- --- -- 2468 Existing 81-31' x 51-411 ?2 jzL jc%nuhknn E, Anur)8k j�ANIASW Aol (o_;32 Nocu AjE C UP E fLT)No, CA ci TO' Lr (4 o8)446 -01o4- r1 U 0 DWONSTAIRBATH 7'-7" x 5'-1" 45 sq ft PRo�os� 5'-2 1/2" - '-3 3/8'2'-11 1 7'-7 1/2" Existing 7'-7" x 5'-1" E --- 7'-7 1/2" IZL\n jancA bon n L AnnnGl�, R m(%5W Nth/ In332 NOCL- AvE CUPE"INO, Ca 95014 �yos)446-oloq ao M N ED ❑n o CUPEP,,TINO CITY OF CUPERTINO PERMIT APPLICATION FORM 0 G (> -2— V/ 3-r N# 3z er,T 0 0221)700 Building Address: 10 32>2_ NOEL A v r Mailing Address (if different from building address): Owner's Name: Ror_qanaltian 8 AnancA}` amaswamy Phone#: (Li 08)446 -01o4 - Contractor: 2 h,,JC I G rt9 l 3 ci ng License #: 13a b Contact: �llA hr gmayanPhone: 40'? -4 4 6 -o 1 o 4 Cupertino Business License#: JFax: 40t -S13-1711 n t0000 14 /I Building Permit Info: Guk. a -s -i ar ' i Bldg E' Elect 19.1 Plumb S3 Mech 8' Job Description: Residential 9-,"' Commercial ❑ Sq.Ft. Floor Area: q.Ft.: Cost of Proi ect: 2 4 000 Occupancy Gr up^ 3 Type of Construction: Please check this box if the project is a second -story addition: ❑ ro'ect Size: Standard Q� Large ❑ Major ❑ MECHANICAL 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> 1M to 1.75'141 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 1 of 3 # 33 /1 r r CUPEIINO CITY OF CUPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMNM 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 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 13PSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUIIIDING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING 13REMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <=10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY .. Remodel Busways ELECTRICAL BRENMXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Fumace MECHANICAL BREMFURNOV Relo Furnace > 1 O btu MECHANICAL BREMIB?AT Heater Installation MECHANICAL BREMINHOOD Installation of Hood NIECHAMCAL BREhOMC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BREN20LE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl Switcb & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 4TY0 CUPRINO CITY OF CUPERTINO PERMIT APPLICATION FORM uantiFee ID Fee Description Fee Group BREMSIGNAD Rmd1 Sips Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Li&ting 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 MPERMTTFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fte sq foot PLUMBING PLLONGRNGC Planning LR Commel Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Chane BUII.DING 3of3 1 • y,. xf-y i1 d� rYp • '`''I'DENTJ APR E 44 COOR°�S. SET CUPEkTINO44, .rk • • Assessor's Parcel Number: Name of owner. Project address. A (D';-� a N bO ppAV � j C� s �h� n U4 9S D f Lf � Contact person. Y\�i1i (a VArt< mtivnPhone. 6 —01 0 7 ygwq Fax. Net square footage of lot. Square footage: First floor: Second floor: Garage: TOTAL: Existing Are there at least two 10 foot by 20 foot clear spaces inside the garage? Is privacy protection planting required for the project? YJ On what floor(s) is work being done? o 41 00 2s- Brief description of work. Code editions: 2001 Effective 11/1/02 Plan Review Process Work Book Page -8-Revised 4/28/04 Proposed