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08070074 CITY OF CUPERTINO ' - BUn."[NGmvgstON PERMIT COIYTRAC'£QItII t?RMATION« BUILDING ADDRESS: PERMIT NO. 8087 PRESIDIO DR TBD - TO BE DETERMINED 08070074 OWNER'S NAME: PERMIT ISSUE DATE U:I:LIP DEDHIA 07/11/2008 N@ SANITARY NO. CONTROL NO. ARCHITECT(ENGINEElt BUILDING PERMIT INFO RE-PLACE WOODEN SIDING BLDG ELECT PLurdO METH CT 3 o c LICENSED CONTRACTORS DECLARATION O O O 1 thereby affirm that 1 am Roomed under provisions of Chapter 9(commencing Job Description with Section 7")of Division 7 oflhe Business and Profeaions Code,and my license is o, in full fora and cffec j I2Z_ Lice.Clan L'c.a . ni q Dam Comncmr 7W ARCHITECTS DECLARATION 1 understand my plane shall be used as public records JdU yG� Licensed Professional 3 OWNER-BUILDER DECLARATION EGO p 1 term alarm on I a1..Bumpt rotor the Cpntrwtors L Any Law for the i p O whichfollowingon reason.Permit 703 1.5.Business and Pm,demolish.mans Cade:Any city err ceu . $ which rtquilea•permit re cmwruq ew,impmse,h Pertu or leash any su mem, prior to its issuance,ew requires pro applicant for web pemitmfaldu,Law(tsmmat xss< marhelammed percent ewe oro„vision 3the eBusinmrauamr�w(chapm<9 Sq.FL Floor Area Valuation l-$ (cmnmcmixem iNgttuoarnand the basis of the theBusiness carte and Professions Code)or Nn o u campt thuefram and the bait for to alleged eamption.Any violation of ' Section 700 LS by any appliam for a pontis subjects the applicant to a civil penalty of APN Number Occupancy Type set moa than five handled dolWs(SM ❑I.u owrer of the property,or my employees with.,A as their ole compensadon, will do the work.and dm ruucbm b not intended or offered for sale(Sec.7014.Business and P f.,.Iena Cnde:The ComYlemA License law does mol apply to an Owner of Required Inspections pmpeny who Wilda orimpmves tomon,and wW doessuchwork himself or through his ownemployces.Provided Nu such improvemrmts tie not intended proffered forsake If, however.the Wilding or impmvemcnt is sold within one year orcompletion,the manes- Wilder will lure to lurtlur of pouring that W did rest Wild or improve for Purpose of sale.). u owner of the property,am exclusively connecting with licensed contactors b %nalmot the project(See 7014,Busitmu and Professions Code:)The Coovaemfs U. - coNe Law does Wt apply as an owlnl of property who Wilde or boisterous d6Rpn.and . who contracts for sob pmjeem with a aotraboor(s)Haunted portant to the Contractors License Law. ❑ 1.camps under Sec B R P C for this mason �Q�(���s/Qf jj�J���—J(//�,�t�I[� Owner lY l Dam 7 ORK 'S COMPENSATION DECLARATION I hereby afrum under penalty of perjury,pa of the following declasationec I bsm and will enimin a CertiOate of comem in self-Wome forwohersCumpen- nasion.as provided for by Section 7700 of the Labor Code.for the performance of the work for which Nu Permit is issued. ❑1 have and will maintain Workers Compensation Insurance,as;required by Section 3700o(the labor Code.for the perfomatcc of the wort for which this permit is blued. My Workers Compensation inuessncc carrier and Policy number am: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Dsissecdon teed set W completed if the permit is two=hundred doBan(SIOD or las) 1 ardfy that in the Mi..ece of the work for which this Permit u Wood.l aball nor employ any pawn in my motet.ambe'eo ewb' otoW r Cmmpc don Taws of Ceifomia.Date — Applicant Aa NOTICE TO APPLICANT.If.after making this Ccnifnae of Facpan,you should become object In to WOh s Competuidon provisions of the Lar Code,you most 0forthwitha forthwith comply with wen provisions or this permit shall diamond mused. z a”' CONSTRUCTION LENDING AGENCY [-t 1 hereby alBm the tom is a cennmmion lending agency for dire performance of rY > the work for whim this Permit is issued(Ser.3097.civ.C) - QLender's Name a Z LendersAdmces, U Q 1 certify that 1 have and this application end ase that to dare irda..tion is; (I. comes.I agree is comply with all city ad county ordinances and awe laws misting to C) Wilding construction.aud hereby wthoner rtpnesentsuws of this city so ems,upmn the Chow-mentioned property for inspection purposes- (We) urposes(We)agree to rare,indemnify and keep harmless;the City of Cupenine against (A liabilities,judgments.costs and expenses which may in my way accrue agents aid City C)Z in consequence of the granting of this pmmiL F-t APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b SOURCE REGULATION .47y �� y' Date ` �7 7 7"11'0 Re-roofs Signature of Appltan onumor Dam HAZA DOUS MATERIALS DISCLOSURE Type of Roof /— Wlll to e C pent w forum Wilding wcupaptaom or handle Hardoun material as deBncd by to Cupcnirm Mwki I Code.Gaper 9.1;ad to HW th and Safety Coon,Section 25532(1)? All roofs shall be inspected prior to any roofing material being installed. ❑sera o Will the applicant or future Wilding occupant tie equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove it harardnns air comuminwts u de0rc l by the Bay Am.Air Quality Management all new materials for inspection. Domict7 p ❑sen Nu Ihaw,&SsIbl tobaeSectwmamNe25533 amew underCopw6.95orthe Wilding -isHealthow,uncefcty COM.gavm,Bonit5smyram125574.1 undrnry the ocups Wilding doer not cumnOY ore a timer.the h u my maponsihility m rmtify to accuptm of the o legelemcmts whk m tame.pderrt ispaux err.Cutirumpraavpwry. Signature of Applicant Date << C7 All roof coverings to be Class" " Owner err amhorizc agent Dam' g /� or better CITY OF CUPERTINO • 2 ITEMS OF 2 - PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35611077 . 00 DATE ISSUED. . . . . . . : 07/11/2008 RECEIPT # . . . . . . . . . : BS000005408 REFERENCE ID # . . . : 08070074 SITE ADDRESS . . . . . : 8087 PRESIDIO DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . - OWNER . . . . . . . . . . . . : DILIP DEDHIA ADDRESS . . . . . . . . . . : 8087 PRESIDIO DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : DILIP DEDHIA CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY. . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , TELEPHONE . . . . . . . . : • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- --------- ----- ------ 1BSEISMICR VALUATION 4, 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1STUCOAPP SQ FEET 1 . 00 428 . 00 0 . 00 428 . 00 0 . 00 ---- ---------- ---------- ---------- TOTAL PERMIT 428 . 50 0 . 00 428 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ------- --------------- -------------------- CHECK 428 . 50 2582 --------------- TOTAL RECEIPT 428 . 50 • �`— CITY OF CUPERTINO Uff o CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM 06ad 7 APN # Date: 7 - 11 - 09 ,3scv /i J97. ov Building Address: c86$ 7 QRE�SIj)IO DA,J CUPERTIN01) CA `tSD) y- Mailing Address (if different from building address): Owner's Name: :1)l l-1 P QED 1-I IA Phone #: 4�og - 269 -1792 Contractor: G C fjWL— -- 0 yt,�� Phone: 40� - 369 - 1077 Fax: Contractor License #: 6,5 7 11 9' Cupertino Business License #: Contact: Phone: • Fax: Residential Commercial ❑ Job Description: Rep&Ce � �` ��`` �CL0 Sb,1 C CO L,)-f k GiTP>L � Building Permit Info: Bldg 93 PeElect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupan;c�j Type: 1-A, 1-B ❑ II/III/V-A [ V-13II/III B, IV-HT, V- ❑ 5L:;;& t: Valuation:[Pro—jectPrP6y,,,,, , $ 45M Square Footage:n ^x �b Size: Express NK Standard ElLarge El Major Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable, include in plan set & the sheet index. . Points Achieved: For help, contact Build it Green at www.builditgreen.org Revised 7/01/08 CITY OF CUPERTINO • CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM IBBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.3kw 1 BBOILER2 Installation/relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption ss over 100,000 Btu/h 1BBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1 BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1 BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. 1 ELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) 1PLMBINSP Other Plumbing & Gas Inspections P er hour 1MEETINGIHR Application Meeting B C - CITY OF CUPERTINO • GUPEt�0 GENERAL BUILDING APPLICATION FEESCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/DuplexNew B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S iCHIMNEY Chimney B ICHIMNEYR Chimney Repair B FENCES 1 FENCE>6FT Non-masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B 1FLAGPOL>20 Flag pole (over 20 ft in height) B 1MODUSTRU Modular Structures B FOUNDATIONS 1 FOUNDREP Foundation Repair B 1 PILECAST Pile Foundation Cast in place concrete B 1PILEDRIV Pile Foundation Driven (steel, pre- B stressed concrete 3of5 i ( - CITY OF CUPERTINO dr�oF GENERAL BUILDING APPLICATION • CUPERTINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONRY 1 RETSTN Standard (up to 50 ft) B IRETSP310 Special Design, 3-10' high (up to 50 `) B IRETSP10 Special Design, over 10' high (up to B 50' iRETCRB< Gravity/Crib Wall, 0-1O'high (up to B 50 ft 1RETCRB> Gravity/Crib Wall over 10' high (up to B 50 ft) SHED-(EACH) Shed Over 120 sq ft B SIDING I SIDEST/BK Siding, Stone & Brick Veneer B interior/exterior 1SIDEOTHER Siding all other B SKYLIGHTS I SKYL<10 SF Skylight less than 10 sf B 1SKYL>IOSF Skylight greater than 10 sf or B structural 1STAIRS Stairs-first flight/ea addt'I B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B I SRACKS>8 Storage Racks over 8' high (up to 100 B st 4of5 CITY OF CUPERTINO CITY OF GENERAL BUILDING APPLICATION • CUPERTINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM ISTUCOAP Stucco Applications (up to 400 so B additional stucco application 1 WINREP Replacement windows/sliding glass B door ea 8 windows 1 WINMEWSTR New Window-structural shear B wall/mason includes plan ck fee IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pin Ck (hourly) E 1 MECPLNCK Stand Alone Mechanical Pin Ck(hrly) M 1 PLMBLNCK Stand Alone Plumbing Pin Ck (hrly) P I STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B when not over counter) hourly-stand alone 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B ITRAVDOC Travel & Documentation B 1BUSLIC Business License B SCCo 5of5 Community Development 10300 Torre Avenue Cupertino CA 95014 " M Telephone(408) 777-3228 SUPEf�TINO Fax(408)777-3333 Building De artment JOB ADDRESS: PERMIT # 5087 PRESf-DID DR) CUP,EPTIND , Cfl �D ?dory OWNER'S NAME: --D I L I P W Z H I A PHONE # 4 D3- 26,S-1 -7 GENERAL CONTRACTOR: C 4 C P&S FAX # I am not using any subcontractors: -7- 11 G 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 Date