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07090020 777777 CITY OF CUPERTINO BUILDING DIVISION ' PERMIT �lk '�`7t ��7�C)R IFE} I�TIQ►N� BUILDING ADDRESS: PERMIT NO. 10312 RICHWOOD DR SUNLIGHT CONCEPTS, INC. 07090020 OWNER'S NAME: PERMIT ISSUE DATE MURALI RAJ 1130 WA:�SH AV 09/0612007 rNE: SANITARY NO. CONTROL NO. (408) 8.14-0081 ARCHITECffENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH a 0 a 0 o O LICENSED CONTRACTOR'S DECLARATION Job Description U I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing :z with Section 7000)of Division 3 of the Business and Professions Code,and my license is I INSTAL:1iAT I ON OF 4 SOLAR TUBES ! c, in full force and c fee rUZZ 30 ? License Cl Lac.# t Date Contractor M M AefL UA�At ARCHITECTS DECLARATION i < I understand my plans shall be used as public records rmU .a 0y Licensed Professional y OWNER-BUILDER DECLARATION > 1 hereby affirm that 1 am exempt from the Contractor's License Law for the :00 following reason.(Section 7031.5,Business and Professions Code:Any city or county I J.Pi which requites a permit w construct alter,improve,demolish,or repair any structure z r prior to its issuance,also requires the applicant for such permit to file a signed statement _`e that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation 2 F- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $2656 _ that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ��cu;*ti Number Occupancy Type not more than five hundred dollars($500). 3 6 9 0 8 0 2 ) . V(J ❑1,as owner of the property,or my employees with wages as their sole compensation, will do the work.and the structure is not intended or offered forsale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of q P property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If, however,the building or improvement is sold within one year of completion,the owner. builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law docs not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sec. B&P C for this reason Owner Date WORKER'S COMPENSATION DECJ.ARATION I hereby affirm under penalty of perjury one of the following declarations: t I I have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number arc: Carrier. TAIM iVA--A PolicyNo.: �8�797Sr CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must Oforthwith comply with such provisions or this permit shall be deemed revoked. z"" CONSTRUCTION LENDING AGENCY [~-r I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.) WCs.Q Lender's Name a z Lender's Address U C—) I certify that I have read this application and state that the above information is fJ. correct.I agree to comply with all city and county ordinances and state laws relating to rJ U building construction,and hereby authorize representatives of this city to enter upon the Uabove-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against Ce] liabilities,judgments,costs and expenses which may in any way accrue against said City _ V Z in consequence of the granting of this permit. ►+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by. Date SOUR GULATION p, �i i 4-G-07 Re-roofsC7w S' ature of Applicam/Comractor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or handle hasardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Cade,Section 25532(a)? All roofs ;hall be inspected prior to any roofing material being installed. C]Yes e� If a roof i.;installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which emit hasardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes �`Yu 1 have read the hasardtous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.I understand that if the building docs not currently have a tenant,that it is my responsibility to notify the occupant of the requirements ich mast bemet 'or to issuance of a certificate of Occupancy. Signature of Applicant Date All roof coverings to be Class"B"or better mer or authorised agent Dae CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Bl}:: Lot: APN . . . . . . . . . 36S08020. 00 DATE ISSUED. . . . . . . : 09/ 06/2007 RECEIPT #. . . . . . . . . : BS000002560 REFERENCE ID # . . . : 07090020 SITE ADDRESS . . . . . : 10_ 12 RICHWOOD DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . . MUI:ALI RAJ ADDRESS . . . . . . . . . . : 10: 12 RICHWOOD DR CITY/STATE/ZIP . . . : PALO ALTO CA, 94303-4452 RECEIVED FROM . . . . : JIM MCDONALD III CONTRACTOR . . . . . . . : JIM MCDONALD LIC # 29092 COMPANY . . . . . . . . . . : SUNLIGHT CONCEPTS, INC. ADDRESS . . . . . . . . . . : 11: 0 WALSH AVE CITY/STATE/ZIP . . . : SAFTA CLARA, CA 95050 TELEPHONE . . . . . . . . : (408) 844-0081 FEE ID UNIT QUANTITY 1,MOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- ------ ---------- ---------- ---------- BENERGY PERMIT FEE 83 .16 39 .92 0. 00 39 .92 0. 00 BPERMFEE VALUATION 2, 656. 00 83 .16 0. 00 83 .16 0. 00 BSEISMICRE VALUATION 2, 656 . 00 0.50 0. 00 0.50 0. 00 -- -------- ---------- ---------- ---------- TOTAL PERMIT 123 .58 0. 00 123 .58 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 123 . 58 DISCOVER --------------- TOTAL RECEIPT 123 . 58 CITE' OF C UPERTINO UP, No PERMIT APPLICATION FORM Ck PN# (�� � � Date: 110(e fo-1 Building Address: 10317- RSD D� .Mailing Address (if different from building address): Cv �U-�o 9SOr Owner's Name: Phone#: NAua.A- T `ioB -S9C4-0o&I Contractor: License #: .,x.14 uT60w,-&fPri,�1.�t M�o�•,ot-tea -T 23 0 Contact: Phone: log -hi-4S4y Cupertino Business License#: �.� N ,,kAfFax: 4tM 2� Ori2Su -N Building Permit Info: a� `1 SO e-f- I , Bldg Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential El' Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: rx� Occupancy Group: 24,5t'v. - 3 Type of Construction: 4 Please check this box if t❑he project is a second-story addition. roject Size: Standard ❑ Large ❑ Mai or ❑ Quantity Fee ID Yee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boi:er<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler > IM to 1.75 M Btu MECHANICAL BBOILER5 Bailer> 1.75M Btu MECHANICAL BCONSTAX C onstruction Tax BUILDING BCONSTAX Ind'OfFComm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Motel and Motel BUILDING BCONSTAXR Constax-Resi/Mobile BUILDING BELEC1000 Ele- 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec :3vcs 600V <=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Iivestigation fee BUILDING 1 of 3 CITY OF C UPERI'INO � CuPE�TT sNO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL M=iscellaneous Fee BUILDING BMITIGATC Comin. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP N,;w Comm Plumb PLUMBING BOVERTIME InEpection Overtime BUILDING BPBACKFLOW Atmospheric VacuuM PLUMBING � BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK I11an Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE S zwa a Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn SprinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Ab of Drain &Vent PLUMBING BPWATER Insta l/Alter Water Pie PLUMBING BPWHEATER Writer Heater/Vent PLUMBING BPWSVCS Mein Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfiin MECHANICAL BREMAIRHAN A/C I7nits <-- 10,000 cfin MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Ht;ater Installation MECHANICAL BREMINHOOD Ins:allation of Hood MECHANICAL BREMMISC PZisc Apparatus ELECTRICAL BREMNRAPP Rem Von-Res Appliance ELECTRICAL BREMPOLE Poh./Platform Fixture ELECTRICAL 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 2 cf3 CITY OF C UPER TINO CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Thc:atrical Lighting Fix ELECTRICAL BREMVENFAN Veit Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD ",cb Specific Plan BUILDING BSEISMICOM Seismic CommercW- BUILDING - -- - ---- ------ ---- f BSEISMICRE ;seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP T�mporary 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 Mechanical sq. foot MECHANICAL MPERMITFEE Meeh Permit Issuance MECHANICAL PPERMITFEE Plurtibing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING 3 cf3 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF -UPE�TINO Fax(408)777-3333 Building Department JOB ADDRESS: jo3i2 Vics,,wCop "1Orz. PERMIT # Cw6rtr,*..a+ Uk 9501,4 `7o l;70 p2 OWNER'S NAME: M uRa,-, TRA— PHONE # qog-goy-co[rI GENERAL CONTRACTOR: Jj vtQ, FAX # tito a _ 84 _a,pS-;- I am not using any subcontractors: `-�' �� /,5Z Si tore Date Please check applicable subcontractors and com Clete 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