02010035 'CITY'OFiCUPERTINO - II', .: o
BUILDING DIVISION p'ERMIT',', CUNTRACTOR INFORMATION:
j BUILI)ING'ADDRISS: +°'• : t'9 ,'' t PERMIT N0.I)Jt._�
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10284.rORANGE""AV, n"I ,:,.••t;'IL,. ., ! , ; ,;•. •",,. '`.n 020] 0035
`' 'OWNERS NAME—-,r —,-,^i' ... _, •7—'•' __ .__. . ___.. _ ._.. ._ -._ .._ ._ APPLICATION SUB DAfE. ..-i... _•. •...•
RUMAR ATLURI B RANJ ET AL 01/09/2002
�IF HONE r/ SANITARY NO. CONTROL NO.
O OARCHITECOUNGINEER: BUILDING PERMIT fi ro
qq BLDG ELECT PLUMB MI:CH
'.',' ,LICEhat I am ONTRd under S DECLARATION Job Description
0 _0 1 hereby affirm 1661 I pm licensed under provisions of Chapter 9(commencing p
Fc_r1 with
Iran REPLACING PERMIT #B0411 NO FEES DUE
o°�$ in toll force nnJ cffDiv
C o 6 U License Class Lic.a
3 LL y Dale_. - convector
'ARCHI UICf{S DLCLARAOON
C O g I uruder m nal at,PI...shall Ive utied as public accords -
5yq�
1R.5 ap O
Licensed P fc. ' mol , •• , OZ :' , ,
OWNER-BUILDER DECLARATION .. i' : AJUN '�• O ZO 1, ,.•, ` .4 1
u� 1 n nhy affiran that I III exempt front the Contractor's License Law for the
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following reason.(Section 7031.5,Business d Professions Cade Any city or county ` t -
O which requires a parent to carmarturt,alter, mP demolish. spar any internal _,, • . r, I i.•• G. $236682
m
prior alt .....oclld 1 hrapplacaml u such afile Asignedstatement
haat half teemed Pit carom oP s.a oft c t 1M L o,La (cbapter9 S99 Ft Floor Area Valuation
(commen<ng ith Section] )ofD is , fthe 8 ire adProfession,,Code) Z.�J IN 135'/ 4 } DL i'YI) ,Iq
or,that w v eacmpt,mesfmm and the Woo.fo'the nllegctl-ase lap pp.Any vmlal o f 19 0 311 0 0 21
of Section]031.5 by any apaplickm for o permit s6bjckti the applicanno a civil only - - -- - - -
arratanuethan rye hundreddollars(s500). I,• APNfNumber ... ;Occupancy Type
101 - FOUNDATION
i ❑1. owned th<nperry' Y ply thwgee as merle compensation. , .. ,. 1'
will I to k and,the t 1 1intended oR'c I f a I (s c'7614 _
teat ar rIo Crack:Tire Contractor Ise a apply 103 UFER Required Inspections
owner of properly Who In Id.or imposts thereon and who does such work himself
or tbmugh lits own cmployoc..prodded m:n.Imb improvements are am intended a, . 10 4 —_. REBAR _
offcal for sale.If,however,the building or impmvancnl k sold within one year of
Icomplciion,the owner-twilder will haveInc Warren ofproving that hedid not Wild or 105 - ANCHOR BOLTS
improve for pama.e ai.ale.). 106 -- SEWER & WATER-. '..._
OA,it,,'name,of the property,nm cacluiivcly conlncling with licemwsfrontmcmts to Lon': +_r '
clmsmal the project(Sea..Iflol Business anti Poll'csions Ctde,)The Connectors 202 — UNDERFLOOR PLUMBING „ , I
License Law does not apply to an Owner ofpmpertywho Wilds oranprwasthereon, 203 — UNDERFLOOR MECHANIC
and.arlat commit, I ch Pridocts with,,conhachunt)licensed pursuant to the
Contractor's License La204 UNDERFLOOR,,,FRAME,,,,,
111 pl antrocal,ra mlerSe<' ' nercr his reason 205 — UNDERFLOOR INSULATION
- own2ri. ..'I,o":,'. nt., Date•: ,.':.•. .:. ' 301 — ROUGH PLUMBING
WORKIiR'S COMPENSATION DECLARATION
302 — TUB & OR SHOWER
.I h<teby from p=,nilty`or perjury Anse of the following de<lamtlons:
❑ I n .+d n'm t a tea t r G < 1 1A Lar marc Ire worke,; 303 _ ROUGH MECHANICAL
�i Co ic 1 prodeo rn by Se=t moo f me laws, code for he 304 ROUGH' ELECTRICAL
Performance of fh=won k for which this p ml t is issued. — t ,
ar
n 305 FRAME
Ain n' a `ai n k .C,np< t 1 « yeamitbis n 306 — HOLDOWNS
3]011 arm Labor Ctd r 1I pct t Ic rte ,rkr Inn 'psis'. .,
Issued MY Wo k;3C pc 1n I Tae carrier dP01 y he a „' 307 INSULATION
-,
CArAml
or To" , 308,\I t SHEETRbCK,t.,
f [g CBRl11TCALT-IOONPOPEXEMNNSURANFROM
WORKERS*-� ' 'I f/ s '3O9 ` EXTERIOR` LATH' I -
+: (Iiis'ucaion need am ne<ompl<md trine perintrsfm one nunamd dolmm •n, 3.10 i :.INTERIOR LATH t ,
311 SCRATCH, COAT ',. l "'
•=t Icert r mt,nm Per, _ - -nn kr which m r=. t :t..aee-1 -- .:.' 313 -.— .ROOF-.NAIL
Coinnler,p�r Lowl.r Irma, n getlathe warkert 501' — FINAL ELECTRICAL ENERGY
Gdriul elinn ytin or Calf ma Dam
Alie"a'' " ' "" ' "' 502 - FINAL -PLUMBING ENERGY
NOTICE TO APPLICANT:IC alter ,nlaklng Ibis Cenl6cate of Escmplion.you should
z becatilesanjlmtothcWo,k6esCorhp6.:aronpmvisionsoftn Ul rC6lay6.niu,t 503 — FINAL MECHANICAL ENERGY
00 form m< mply with.such or If,Fell:hall xe d ked. . -504 --- FINAL BUILDINGENERGY
,'.i 'I CONSTRUCTION LENDING AGENCY'
' t Ihrent' ffnaltthac .acnn.tmhnl l' gag=cy( theperf'rmanco SOS — FINAL ELECTRICAL, t
IX ,�., Armeworkmrwhichnmipennntalzwed(sm.3fYd],cm.c.> ;,i:, -.506. — .GAS TEST .
Q Lender's Nnme.. .,'.. —
5,z L ret Add 507 — FINAL PLUMBING i > I•:.t
Ua00 lfyina(iwve amrs6Ppl`i r d.t,temnm no inr�mtmiodis 508 - FINAL MECHANICAL
W Ea 6brm<1 I goal to comply with all city and 12,..finance: d state laws relating
.:.0 wbilileingcal lmdion,and herinaliorirercp tanla otsof'hiscilymenterupon 509 — FINAL GRADE
-yy theahove.alar�p<dpmp<nyBmjmspcmion n ._` 51'0 — FINAL PLANNING
L 0. (W) 8 1.save:Indemnify adk phar 1 he f Capenina ugainsl
RLI (10 liabilities,judgments, t d expenses which y n any r <tae against said 51"NA P WORKS
U a1y I< 'y l corn s i g rte par t "
jV9 .Iemsf UNUt Ad In, ro\N,,61o, GGbfIIYWT'TIIAII NON 1'OINI' ISSUed O IL'- ,.Date
FIPTTENS
5nnRGL RLGIJLATIOC{l, t.. I IP,� I
Signature tf lap§eHnkZARWusMATCRIyiSDISCI.OSURE or ). DateRe-foo 04. - ROOF: IN-PROGRESS
t wn,nelipp6q 1 r t rcw Ihagta< w 1,1;mmh n 6 vmlobs Aaw el TYPe of Roof
as def ped by me Cupenmo M nil pal Code.Chapter 9.12:and the Health and Sakti
GcathIscarram7532m)p a n'., < ' s1 . 'n !'LI
Liv I ,v ��. , ) Ik + >r ,.( � All roofs shallbe inspecter prior to any roofing material being installed.
t r t n is g 1 t y , t < n-m If a roof Is installed without first obtaining an inspection,,I agree to remove
�nth>sl are t 'i adf WFy flu,'Bay AA Quality Management
st I n t, all new materials for inspection. Applicant understands and will comply with
1 oY t 01st, all non-point source regulatjons.
I'I' 1 havefcall 1M1 h u I s mntco I. Icy l scar;u J Chapter 695 of the
CvI foods Health&Safety Cole,Sktions 25505,25533 land 255341 understand that - -
if the building Jrcs mol currently have.tenatn,that it is my amponsibibly to mail,tM
,occupant of the icyuil<mmrts which must Won,prier`nismnncs. a CIAri;Ecmc of
a
t,r�. - •h,m,' •. .,, ., e. `.' ,I Signature of Applicant Date
•:.;7; Own«araalnon><ungenl: . - All roof coverings to be Class"B" or better
13 ;-
L OFFICE .. -
z.1 ,I'll t 1( I „
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II File Ddit view insert FQrmet @ecords fools Windowhelp
l'tI41 �1� 4S �i1 �'' �Q41 �• �x �"�
r,m ,YrJ[ ince(r[m Input Permit Number: 60417
PERMIT#: ARCHITECT: CHARLES MCGOVERNI VALUATION: 23668
APN: 35719031 LICENSE#: 1 ISSDATE: 4/12/00
SITUS STREET: ORANGE SUBDATE: 5/1 B/99 PLCHKDONE:
SITUS NO#: 10284 TYPE: SFDWL LATE CODE:
AVE,CT,ST,RD: AV BLDGDEPT:
N,S,EW: DESCRIPTION: SN6.FAM.DWLL ENGDEPT:
NO#: PLANDEPT:
CITY: CU PLCHKREO: Y LMA
ZIP 95014 CATEGORY: CTRFIRE:
f' LOT#: 0 DATEDUE: 6/2/99 SANDIST:
'I' HLTHDEPT:
ID: Cammemiel STRCTENG:
OWNER: KUMAR ATLURI B RANJ ET CA-sO#II#: TOTAL:
OWNER 102840RANGE AV CE-sp#II#: INSPHOLD:
ADDRESS: CNs#pl1p:
CITY,STREETZIP. CUPERTINO CA. 95 Residential
PHONE: RN.tq#II#: 238 I`•1`«
CONTRACTOR: RE-sa#II#:
LIC#: RUE-eR###: 44 See¢h M'Addiess
Form Viaw. _ � � 1--t—J�I,.�Ac�nNUMI� 'I_41
4Stait i 4G,.. •W1. Pe ��PL I• Do.. WI Pe Wl..l o.',�]Ru,.. QM ��® 11:33AM