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08020037 (2) CITY OF CUPERTINO * `�a`w ?�.�r« + ,� BtlILDING IMVISION PERMIT CUNTRA,CTQR INF"(}RRt�I1 A`I�IQN s(n4 BUILDING ADDRESS: PERMIT NO. 20679 SHELLY DR SUNLIGHT CONCEPTS, INC. 08020037 NER'S NAME: PERMIT LSUE DATE ARVIND HALLIYAL - 1130 WALSH AVE 02/06/2008 PHONE: SANITARY NO. CONTROL NO. (408) 844-0081 ARCHITECT/ENGINEER: BUILDING PERMIT INFO ' BLDG ELECT PLUMB MECH 0 0 0 0 3OG LICENSED CONTRACTORS DECLARATION Job DDSCrI UOn 0 I bareby"m that m Iia at 1 am ns under pmvisioof Chapter 9(camm racing p with Section 7(1(IU)ofDivisi0n 3 of the Duchess and Pmfcuions Code.and my license is INSTL 5 TUBE SKYLIGHTS; SOLARTUBE ^ ,,, in full fame and ell Qto72a0 . t=2 22 L" 0, Lle.I Dam Z-fw- o Contractor S0N,ar. 4 ` ARCHITECTS DECLARATION 1 uMcrmmd my plans Nall bo used as Public mcnrds JK!U LL Licensed Professional O OWNER-BUILDER DECLARATION or ZOt hherebyaffirm n I exmpt from Ne Contractors n Law for the OO 0 following moron.(Section]0J I.1.3.Enthuses and Pmfessinns Cede: A Any c city or county3$ which requires a permit In crmmuck dtet hnprow.demnllN,Or repair any stmnua , -Zi Prior to its Tanana,also requires d,applicant for such permit m file a signed statement < that heulicensed pursuant toNepovidonsofNeCamracmrsLiscnxLaw(Chap=9 Ute Sq.Ft. Floor Area $3736 Valuation �F{ B (commencing with Section 7000)of Division 3 of Business and Frolicsome,Code) 5 - that M is exempt thamfmm and da,basis far sive alleged eanmpdon.Any violatfon of Section 703 LS by any applicant for a permit subjects the applloant to a civil Neatly OfNumber Occupancy Type an,.dean EK hundred dollass(5500). 3 5 9110 2 6 ,V(� ❑1.u owne4 a!die property m my employm wIN wages u tveb sum compewtion, will de the work,and the smteturs is not intended or offered for safe(Sec.1014,Business and Professions Cade:The Camramr's Liam Law does am apply to an owner of Required Inspections property who build.or improved Nmcan,and who doessuch wart hkuelforthrough his - own employees,provided Nn such improvements am but intended aro@red for ask.If. however.the building or Improvement is sold within ane year¢(completion.the maner- buildm will have live Wrden of proving that I e did not build or improve for purpose of sale.). 1,u owner of Ne property am exclusively contracting with licensed contractors he construct the Froka(Sec.7044,Business and Prefeadons Cade:)M Contraamrs LI- tome Law does mot apply te an owner of property who builds or improm moron,and, who contracts for such pmjecls with a conmroctor(s)licensed pursuant to the Contrxtor'a License Law, ❑I am eumpt under See .B&PC few this moan nor Dam WORKERS COMPENSATION DECLARATION I hereby Ahr under penalty of perjury on,of the fallowing dalarsdons: ❑1 have and will maintain a Certificate ofCome o to self-insure far WorkersCompcn- Mion,as provided for by Section 3700 of the Labor Code,for the performance of the were for which this permit in leaned. ❑1 have and will maintain Workers Compensation Insursna,as mqulmd by Section 3700 of to Labor Code,for the performance of Ne work for which this permit is lssad. ' My Worker.Compensation Insurance carrier and Policy number m: Carrier, ST3wM FUAIb porky No.: /kf 797T- CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ('IhiaxNon used rot x completed If the permit 1.franc hundrd dollars($100) or feu) I certify that in the Performance of the wore for which this Permit is Wood,I dull not employ any person In any manrcrx u m became subject m the Worl.W Compcnudon Laws of California.Date Applicant NOTICE TO APPLICANT,If.after making Nk Cenificate of Exemption,You should - become subjem In Ne Workers Compensation provisions of f Labe Code you muss - O forthwitm comply with such provider or Nu permit Nall W deemed revoked. z ^ CONSTRUCTION LENDING AGENCY [-m.�. I hereby affirm that thea 0 a construct.lending spiny for the Perfor mna of the wort for which that Permit is Wood(Sec.3O7.Civ.C) GQ tenders Name 0.z Lenders Addeo Addeo O 1 anify that I have rod this application and state Nu cite above Inromhadun is U.!+. cornet,I agree to comply with all City and county on inarues and.tate Ian Rladng On _C) Wilding construction,and hereby announce repmsantsdves of Nu city to enterupon dm Od above-mentraned property for inspection purp.. (We)agree to have.indemnify said kap harmless the City of Cupertino against y Iinbiiium judlimems,cam and expenses which may in any my amue Maim said City U Z in consequence of the granting of this Pctmit, r.m APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCERE TIONS. _ �1��/-/ 11c., oe Re-roofs sig,paskaf ApplicamtConarselor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant nae or handle hauNom materia an defined by the Cupenin r Municipal Code.Chapter 9.1;and ft Health and Safety de.Sermon 25532(')] All roofs shall be inspected prior to any roofing material being installed. ❑Yes �Na Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by dm Bay Area Air Quality Management all new materials for inspection. D v m7 ❑Yes 01N. Ih..W tite hxardausmetedtlamquimmenu under Chepter6.95 of roc Califm• Iia H.IN&SafctyCade,Sccd.0 M5,25533uu1253N.Iundcrmnd Nutfmh building does not currently have a tensnL Wt It is my responsibility to nodfy tha oceupont of the mymmmcnta ; hmum be at ieavarmc Ofa Cenirmacoreccup Signature Of Applicant Date All roof coverings to be Class"B"or better Owpisf.u.m1mribcd a ant Dam 0 So a 0031 CITY OF CUPERTINO • CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN# l0Date:( zCv , 2- i' A8 Building Address: 2o(e74 S4-6LW DR., . CuPP�QTv+O CA (1 Sb jj- Mailing Address (if different from building address): Owner's Name: Phone#: p.Rvi u� I�a���voti 408- 25Z- oL49 Contractor: Phone: yCX6- 8'f4-oow S u N��4 Nr Covr1 Tr-i Fax: 400 - S -00r:?- Contractor License#: 8(0"723o • Cupertino Business License#: 29o9'2- Contact: Phone: 5,,, 405-844--00& i Fax: 1408 -�44- COT- - Residential Commercial Job Description: �i+crrt.� S cv3� Swt u�.W U - 1o.A n SE. Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1 FR, I IFR ❑ 11, 111, V-IHR ❑ 11, 111, lV V-N e�z-3 Valuation: / 2 Square Footage: • Project Size: Standard ❑ Large ❑ Major ❑ CITY OF CUPERTINO CUPER INO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group IGENRES or l GENCOM 1BTEMPPER Temporary Building Permit (good for B 30 days) 1BBOILERI 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 1BBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorptions s over 100,000 Btu/h 1BBOILER3 Instal lation/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 Instal lation/relocation of ea M boiler/compressor over 30 hosepower to & inc150 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1BBOILER5 Instal lation/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. IELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) • 1PLMBINSP Other Plumbing & Gas Inspections P (per hour 1MEETINGIHR Application Meeting B a CITY OF CUPERTINO • CUPEI�TINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/Duplex New B lACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1 CHIMNEY Chimney B 1CHEVINEYR Chimney Repair B FENCES 1FENCE>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 1FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B ' 1PILEDRIV Pile Foundation Driven (steel, pre- B stressed concrete 3 of 5 CITY OF CUPERTINO CUPEf�TINO GENERAL BUILDING APPLICATION • FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM RETAINING WALL(CONCRETE OR MASONRY 1RETSTN Standard (up to 50 ft) B 1RETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSPIO Special Design, over 10' high (up to B 50' 1RETCRB< Gravity/Crib Wall, 0-10'high (up to B 5011 IRETCRB> Gravity/Crib Wall over 10' high (up to B 50 ft SIDING 1SIDEST/BK Siding, Stone &Brick Veneer B interior/exterior 1SIDEOTHER Siding all other B SKYLIGHTS p 1SKYL<10 SF Skylight less than 10 sf B f 1SKYL>10SF Skylight greater than 10 sf or B structural 1STAIRS Stairs-first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B 1 SRACKS>8 Storage Racks over 8' high (up to 100 B st 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application • 4 of 5 f CITY OF CUPERTINO • CUPEfa;TINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1WINMEWSTR New Window-structural shear B wall/masonry(includes plan ck fee IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M IPLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check(when no E/M/P) B when not over counter) hourly-stand alone 1BSEISMICR Seismic Residential B 1BSEISMIC0 Seismic Commercial B 1TRAVD0C Travel &Documentation B 1BUSLIC Business License B • 5 of 5 • CITY OF CUPERTINO ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35911026 . 00 DATE ISSUED. . . . . . . : 02/06/2008 RECEIPT #. . . . . . . . . : BS000003870 REFERENCE ID # . . . : 08020037 SITE ADDRESS . . . . . : 20679 SHELLY DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ARVIND HALLIYAL ADDRESS . . . . . . . . . . : "20679 SHELLY DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2923 RECEIVED FROM . . . . : JIM MCDONALD III CONTRACTOR . . . . . . . : JIM MCDONALD LIC # 29092 COMPANY . . . . . . . . . . : SUNLIGHT CONCEPTS, INC. ADDRESS . . . . . . . . . . : 1130 WALSH AVE CITY/STATE/ZIP . . . : SANTA CLARA, CA 95050 • TELEPHONE (408) 844-0081 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ----- -- ---------- 1SKYL<10SF EACH 1. 00 367 . 00 0. 00 367 . 00 0. 00 ---------- -------- -- ---------- ---------- TOTAL PERMIT 367 . 00 0. 00 367 . 00 0. 00 METHOD OF PAYMENT - AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 367 . 00 DISCOVER --------------- TOTAL RECEIPT 367 . 00 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 UPMkJINO Building Department JOB ADDRESS: lob �. S +^mow 'DV PERMTr # c�o�,rti� ca 9s�t4 ©�020�3 "> OWNER'S NAME: PHONE'# Ong -S44-cw�t GENERAL CONTRACTOR: FAX # ti oa •6 4 4- -o c S} I am not using any subcontractors: 2/oc /o a Signature Date Please check applicable subcontractors and complete the following information: ba 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