03020099 (2) CITY OF CUPERTINO _ ke='^ 4�^A�y'�e^!'� "` g� "'�' 3 ♦'BUILDING DIVISION PERM).Td4Lgl:.= 4i�.17� 1
BUILDING ADDRESS: ROCKWOOD CONSTRUCTION CORI PERMITNO.
7704 OROnRANDR TIT, ningongg
ER'S NAME: 248 BELDEN -DR. PERMIT ISSUE DATE
DOCK VALDHYANATHAN 2003
PHONE: (408) 227-7999 SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BBELO PLO MECH
+�oij LICENSED CONTRACTOR'S DECLARATION RJob De$CTi tion
i� 1 heroby affirm that Ism licensed under provisions of Chapmr 9(commencing - p
with Section 7g1U)ofDiWdon Jof the BUAineuand Mofegalona CCdo,end my Ikenmis
in full(COCA and effect KITCHEN REMODEL WINDOW REPLC
5� Amo Class Lu.N
i eatC r7ECrSDECTLAR�O�— V Atilt
J q _ A 'V
�3 I uMaraund my plem a ill he u ed
as public nmrdt
3 Licensed Pmfcauanal
8
39= Oat I am
m the OnO ION
I hereby.Can .(Sore that 1 1. exempt from rite Contnmor'a License Law for thefollow !
p O
which
Hama(Section 70]1.5,Business and Improve.
de um Code:Any shy a Countytoms
1$� whichItsIseexpires n e,entsalso re ennswd atur.I t for such
demolish.t li repair any tuement
4„ pdormiulauarcaauant requires We thovisioc of the Contractors
ro0ensefe a Lw statement
text he to licensod pursuant IA.Wn3 th¢CB"IsHou Lhmnmlaw(Chapter Code) 9 Sq.Ft.Floor Area
$
(Comm acing with Se¢tio0 And the
nftheeged exemtion.Ayviladon of
i.. that he is eampt thertrom and Ne basis for the alleged exemption.Any Woladon of
Section 7031.5 by any applicant for a permit subjects the applicant No a civil penalty of 3 AM RUT9;_570 Occupancy Type
not mom than Eve hundred dollen($500).
❑I,a owna of the pmpenL ser my empl¢yeu with wgu u lhelrmio compenndon,
will do thannicand thealmemte is nminended moQeted foram¢(Set 7044.Business - 101 — dInspections
and Prolusions Case:The Contractors License Law does not apply m an owner of 102 — PIERS
lempenywho bulldAm improves thereon,and whodoesawh workhimselforlluough his
__.__..__... -
man
howeer,theca.vmvlamthatresitimprowmenumenetearofdmpletifdtoemner. 103' LIFER
builder,,the buildingWe or Improvement i sold did
one year or Immune
foron,the purpose
of -
bonder will low Na burden of proving Inas n¢am not balm or improve ra purpose of - 104 — REBAR .
.to.). 105 - 'ANCHOR BOLTS
❑1,as owner of the pmpeny,am exclusively contncUng with licensed contncmn to 10 6 - SEWER & WATER '
construct the project(See.7044,Basins and Profusion Code:)The Conumsor's L6
cease Law does not apply to an¢wner of property who builds or improves lnemon.and,who zO2 UNDERFLOOR PLUMING
Licem Law.Contracts for such projects with acontsmmrO)Hamed punuanlrothe Contractors202
— UNDERFLOOR MECHANICAL
Lkeme L
I am exempt under Sea ,Bd:PC(ser this mason 204 UNDERFLOOR FRAME
r mm 205 - UNDERFLOOR INSULATION
WORKER'S COMPENSATION DECLARATION
PLUMBING
301 - ROUGH
I heesby sfErm under Penalty of perjury one of the following declmati¢ns: 302 - TUB H OR SHOWER
[3I Mee end will msinuln aC¢nlnu of Consent use101nanre for Worker's Compen-
sadon,u provided for by Section 3700 of the Labor Code,for the peeformmce of the 303 . - ROUGH 'MECHANICAL
work for which this permit Isistmed. 304 ' - ROUGH ELECTRICAL
❑1 haw and will melnuln Worker's compensation Insurance,u mquimd by Stenon 305 — FRAME
3700 of the labor Code,for 0 e performance of the work for which this permit Is issued.
My Workers Compmatinn lnsumlce anter and Policy number ase: 306 — HOLDOWNS
Carrier. Policy No.: 307 - INSULATION
CERTIFICATE
COMPENSA ON INSURANCON FROM E 308
308 — SHEETROCK
(This matan need not hetampleted ifthe pualtuforowhundred dellan(SI011) .309 — EXTERIOR LATH
Or les`) 310 INTERIOR LATH
I anify that in the perfnmunc¢of the work for which this Permit Is usa d,1 shall not
employ any person In any manner m u m become subject tp the Werkere Compemaden 311 SCRATCH COAT
Laws of CalifomiL Dau
Applicant 313 - ROOF NAIL
NOTICE TO APPLICANT%If.after making this Certificate of Exempdon.you ahouW 501 - FINAL ELECTRICAL ENERGY
become subject to the Worker's Compe ngation previsions of the labor Code•you mum -
.JO forthwithc¢mplywithsuchpmvsionorthispermitshallthedeemedrevoked. . 502 — FINAL PLUMBING ENERGY
CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY
�..
I henhyfErm that Were Is a construction lending agency fortune performance or 504 - FINAL BUILDING ENERGY
xit due work rawhich this pemnl,Wood(sec.JN7,clwe.) 505 — FINAL ELECTRICAL
31
DQ lender's Name z Leader's Address 506 - GAS TEST
p p 1=try that 1 ban teed this application and sum thin the above information Is 507 - FINAL PLUMBING
:L F Conon 1 Agra 0 comply with all city and county ordinances and sou laws relating to'
�U bundmg construetion•ad hereby Authodm reprcseaunws ofthi city to enter upon the — FIN L MEC ICAL
fgd above-mentioned property far inspection purposes
L4 LL (We)Agree to gave,indemnify and kap htsmlen tiro City of Cupertino against O — FI NG
�rA Ilabilitin,judgments,Costs and expenses which may In any way same agatnslgaid City
J 7 In consequence or the granting of this permit
�7 APPLICANT UNDE STANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: 5 C WORKSDate f /'
SOURCE REGUL NS.
Re-roofs
SIg¢aLYR Cf� nano ruga pare
HAZARDOUS MATERIALSDISCLOSUREsSCLOURE Type of Roof
Will y t applicant or(mum bulling uceupant state or handle Health and
As dented by the Cupertino Municipal Code,Chapter 9.12.and the Health ane Safety
¢,SectioANO355J3(e)7
E]Yes All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building Occupant use Agmpmani a devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit haardous air contemnams ANJe0ned by th Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes
I havemad the haurdou maurials mquimmenu unduChapur6.95 of the Califar-
nieHulth@ SAray Cade,Secdom 15505.35533md35534.l undemmd thatif0u building
dine not currently have a l"Ant,that it is my responsibility to noth'y dro occupmt of the
rcyuircmcnts which mu et prior to issuance Certifees,of t7ce¢an,ey—. Signature of Applicant Date -
Owner or mth¢'� a a nt Dole
le All roof coverings to be Class"B" or better.
Built-in
1-1 32-CkS. De Anza Blvd.
San Jose, CA 95129
408-253-1998 Fax-253-1664 101-15-03]
•
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QIL "N'
UP
0 't
FEB 24203
M ACCORDANCE WITH THE CITY 01 3V
CUPERTINO CODES AND ORDINANCES
)ATE :7-'
iIGNED
This set -
of _
and spec,ficatiuns MUS'
oe kept on the job at a�l fiffnes and it is Litt
lawful tomake any changes or alteration,
on same without written pe:mission from
he building Dept., City of Cupaltino.
• ple stamping at this plan and specifications
3HALL NOT be held to permit or to be an
)pproval at the violation of any provisions
,f any city Ordinance or State Law.
1132n • •
• 1132-D S. De Anna Blvd.
San Jose, CA 95129
408-253-1998 Fax-253-1664 [01-15-03]
•
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47-3
7704 OROGRANDE PL.
CITY OF CUPERTINO
At 1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # 3
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36218036 . 00
DATE ISSUED. . . . . . . : 02/24/2003
RECEIPT #. . . . : . . . . : 21183
REFERENCE ID # . . . : 03020099
SITE ADDRESS . . . . . : 7704 OROGRANDE PL
SUBDIVISION . . . . . . :
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER DOCK VALDHYANATHAN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, CA
RECEIVED FROM . . . . : ROCKWOOD CONSTRUCTIO
CONTRACTOR . . . . . . . : SEAN TAGHANI LIC # 23339
COMPANY ROCKWOOD CONSTRUCTION CORP.
ADDRESS 248 BELDEN DR.
CITY/STATE/ZIP . . . : SAN JOSE, CA 95123
• TELEPHONE . . . . . . . . : (408) 227-7999
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- --------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 50 , 000 . 00 500 . 00 0 . 00 500 . 00 0 . 00
BPFIXTURE UNITS 1 . 00 8 . 33 0 . 00 8 . 33 0 . 00
BPTRAP NO OF TRAPS 1 . 00 8 . 33 0 . 00 8 . 33 0 . 00
BREMFIXT NO. FIXTURES 10 . 00 11 . 10 0 . 00 11 . 10 0 . 00
BENERGY PERMIT FEE 500 . 00 150 . 00 0 . 00 150 . 00 0 . 00
BREMRECEPT NO. OUTLETS 7 . 00 7 . 77 0 . 00 7 . 77 0 . 00
PPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
BREMVENFAN NO UNITS 1 . 00 41 . 63 0 . 00 41 . 63 0 . 00
BSEISMICRE VALUATION 50 , 000 . 00 5 . 00 0 . 00 5 . 00 0 . 00
BPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
MPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
---------- ---------- ---------- ------- ---
TOTAL PERMIT 838 . 72 0 . 00 838 . 72 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
-------------- --- ------------ ------------------
CHECK 838 . 72 2836
TOTAL RECEIPT 838 . 72
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CITY OF CUPERTINO"i"an
•
CITY OF PERMIT APPLICATION FORM
• CUPEkTINO 6,,30,�66
APN#
Building Address:
Owner's Name: U Phone#: ti�r7.7 ()-7q -1
Q
Contractor: License#: e5ks b�
/uxfCWt�oc� Cd l� Ct/o Cr�l/t'•
Contactsr 5kg'_* Y7� Cupertino Business License#:
>60Qh -Tct L.4rn
Building Permit Info:
Bldg W Elect Plumb Mech
Job Description: 4,11.. "u, /IFePld 'e Azo-vf-
Residential ---- Commercial ❑
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of Project:" h o�n®p Occupancy Group:
�3
10
Type of Construction: . S✓.,�le" 7-0'4A, / 17 �
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILER1 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 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 IHotel 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 "
lof3 �� Q' 72
aA1cfayil
•ITY OF CUPERTINO a
• CUPEIZTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BMNEWSF&2F New S£&2F Res Bldgs MECHANICAL
BNEWMULTI Multifamily Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BNUMULTI New Multifamily Res PLUMBING
BNUSFD New Single Family Res . BUILDING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
MIXTURE 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
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 cfrn MECHANICAL
BREMAIRHAN A/C Units<= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
M
WAY Remodel Buswa s ELECTRICAL
T Li tin Fixtures ELECTRICAL
N Relocation of Furnace MECHANICAL
OV Relo Furnace> l OK btu MECHANICAL
T Heater Installation MECHANICAL
OD Installation of Hood MECHANICAL
C Misc A aratus ELECTRICAL
PP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
2 of 3
CITY OF CUPERTINO
0"OF,• PERMIT. APPLICATION FORM
CUPERTINO
Quantity Fee ID Fee Description Fee Group
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,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 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
I . MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
J l
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