08070074 (2) 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 PLUN+O 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
Owner �pMP���(l.�Dam N
pi
ORK 'S COMPENSATION DECLARATION
I hereby afrum under penalty of perjury pa of the following declasationec
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