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08110089
CITY OFCUPERTINO >s �x- sizwrpi'. BUILDING DIVISION PERMIT CONTRe�.CTOft I1�IFURMATTON 9a v ,. ,� s `•,,ti,' ::�+d. d3c�cm,,, rss�:R?si *' BUILDING ADDRESS: PERMIT NO. 10505 S FOOTHILL BLVD ARGONAUT OWNER'S NAME: PERMIT ISSUE DATE A CONTROL NO. 408) 378-4018 A0.CHITECDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u0o LICENSED CONTRACTOR'S DECLARATION Ib Description r�u 1 hereby aa0rmu m I un licemed under Provisions of Chapter 9(commenOBSCrIP cing wird Seedon 7WI)of Division 1 of the Buvnus and Prolasiov Code.W my license is ?gym in full force and effect. REPLCMNT OF SINGLE PANE WNDOWS W/DBL PANE WINDOWS iqi Licence Clue Lim'g (2—STORY) k- Dam Contractor e aa ARCHITECTS DECLARATION e W 1 understand my plata shall he used u public records a G Licensed Professional 5 OWNER-BUILDER DECLARATION .�<I 1 hereby a1Enn that I am mempt from the Contractors license Law for the 00 follaving masse.(section 7011.5,Business and and Professions Cork:Any city or roomy 4 2 V which beat.a permit an cwvmn,ohm,improve,dcm.11m.or repair any structure itoprim b its iuusnnx.alfa nquirs the applicant for such permit to file a signed mum aced E < thuhcislicensedPurnumtodmcfmvislonsofdeConuxmesUcama:Law(Chapux9 Sq.Ft.Floor Area Valuation y�0 (commencing with Seetion 7000)of Division l of also Busoo.•and Professions Codc)or Yl,5$ Nat he Is exempt thuefmm and me Dau for the alleged eaemption.My violation of 19775 Steal.Sulm 7 011.5 by my ap,licue for a permit subjrsu the applicant to a civil penalty of APN Number Occupancy Type Out more man five hundred Mama(swat. Pane Y YP ❑l,um uofinepapmy.mmymploymwimwagrsnf kwkcmnpemdon, 34246004 . 00 will do the work and the stivctu n a not inmuled ora@red tarsale(Sec.7(144.Bmimss and Proleslans Cade:The Conuacmrs Limme Law dm not apply to an owner of Required Inspections . prope aywho huildaorimpmws thcteon,and who doessuchwmk himselfor through his - own employer.provided mu such improvements are rentinended undersea forsale If. however,me building of improvemrnt is sold within ane year of completion,the Owm- builder .will have also,buNem of proving that he did out amid or improve for Perpom of sale.). �1,u owner of the Property.w eaelusively conuaming rim limned mnunma b - construct the pmjm(Sec.7044.9usinsss and Professions Code)The Contractors Li- cave Law dm not apply b rn owner of property who builds or improve daemon.and. who contracts;for such projects witha eonuxmrta)licensed pursuant b tic Canuutars License Law. lammempatemer See ,y- ,B&Pmusa Crorrenn Owner C��+.'.�-- [dim yx" Das WORKFR'SC MPENSATLON DECI.aRAT10N 1 hereby alnico under pemlty of Perjury aro of ala following deelanulans: Nm and provided coalmine tion 37M of C9menl Code. for Workers Compere um,r provided ape by Ss son 1]00 of the Inbar Cade.Ito the perfamarm¢of me work for which coif permit u isseed ❑I have and will maintain Workers Compensation Inmracm,as required by Secular, 3M of me labor Code.fee the peRorma of the work for which this permit is issued ' My Workers Compensation I surama arrim and Policy number are: Camic, Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE f@uxNm red mtbacmnplemd If the permit baorom hundred dollars(SIWI or mu) 1 cattily that in me perforce en of the work for which this format u issued,l shall nm employ my person in any mare mum mgsuDjcct to ds Worsen'Cov epeatim - LawsofCaRfomiaths ft'7- -0% NOTICE uu NOTICE ubj ct to 0 ori 11, making.p Certificateenoof the Lands on,you shmld bamme subject y the WOhapro CooPrnshulon erm it ire of me Inbar Code.you macs .J O foMwith comply with such Provisions or mu permit still be deemed rewkcd. CONSTRUCTION LENDING AGENCY E+ I hereby affirm that mem is a construction lending agency far me performance of tx tlm work fur which this permit is issued(Sec.3097,Civ.C.) 6Wi Q Landers Name .7 z Lenders Address U O 1 modal,that 1 have rad this applicaulm and sus that the,show information u F conch.1 agree to comply with all may and county ordinuen and sue aws relating to .Obuilding comuuctim.and hereby aummirz repreansulres of mu city to enter upon Ne >'W above-mentioned property for inspection purpoma (-.0. (We)agree to save,indemnify and lore,humku me City of Cupertino against an liabilities,judgments.comand eapemea which may in any way acme against said City U Z in consequence of me granting of this pc mit. w. APPLICANT UNDERSTANDS AND WILL COMPLY WTfH ALL NON-POINT Issued by:9 Date SO CEREGULATIONS. Aii,y-- Re-roofs Signatureof Apfliam/Conuacmr Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant Or future building aecupa atsore or handle haurdom material as daWal by the Cupamm Municipal Code.Chapter 9.13,and the Health and Safety Code.Sued..255324)? —L' All roofs shall be inspected prior to any roofing material being installed. ❑Ye usno Will me applicant or future building occupant vee equipment or device which If a roof is installed without first obtaining an inspection,I agree to remove It hmardam air cmumimrts as da0md by the Bay Arm Air Quality Mwgcmcnt all new materials for inspection. et, Ye ny. 1 have read the haaudm maderialsrequiremems under Chapmr6.95 ofthe SaamyCodc.Sections 25505,25533 and 25534.1 understand assafthe Wilding dm not currently have a mount.t u it is my responsibility to notify ale occupant of me requireuwhkhmMu =Lpdarwimm o(&CcrtificasofOcevprcy. Signature of Applicant Date Owner oratiman dagent `," Dow All roof coverings to be Class'W or better CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34246004 . 00 DATE ISSUED. . . . . . . : 11/25/2008 RECEIPT #. . . . . . . . . : BS000006689 REFERENCE ID # . . . : 08110089 SITE ADDRESS . . . . . : 10505 S FOOTHILL BLVD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SRINIVAS AJJARAPU ADDRESS . . . . . . . . . . : 10505 S FOOTHILL BLVD CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3913 RECEIVED FROM . . . . : SRINIVAS AJJARAPU CONTRACTOR . . . . . . . : CHRIS ETTEMA LIC # 22820 COMPANY . . . . . . . . . . : ARGONAUT WINDOW & DOOR, INC ADDRESS 1901 S BASCOM AVE STE 800 CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE . . . . . . . . : (408) 378-4018 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 15, 775 . 00 1 . 60 0 . 00 1 . 60 0 . 00 1WINREP EACH 8 2 . 00 734 . 00 0 . 00 734 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 735 . 60 0 . 00 735 . 60 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 735 . 60 AMEX --------------- TOTAL RECEIPT 735 . 60 • wag 81 � Me u@ 2a _=alms = 2fE` ee22 = § \ �/ \/ \ jk � § ( . _ \ \ 3 �rnC / m kto 7 § Kf q cn ~ o ƒ CD � Ln in ( . \ ( } � � m ( & { � \ 0 \ | � ] \ — ( § ti g K { :s ~ C�)l \� / - � eg a, aaar�was 8002 e aW , . i L { ` (\ K 7 . & e / ( § se ) CD \ \ \ \ j Ln 6 as 00 cn e § j Ln E 2 a E ■ - § \ © \ \ \ E CD . \ k / \ ■ k 7 � ( � 2 § 9 � ) � ? 0 $ { �' J _ � � \ ■ \ � § ' OFPCE COPY � Ea a, enaU-1 d. was 0002 e a+ Vista Valley Home Owners Association 10505 S Foothill Blvd Cupertino, CA 95014 City Planner City Government Cupertino, CA 95014 Dear Sir/Madam: Vista Valley Home Owners Association approves replacement of single pane windows with double pane windows at Unit 4 of our community with address: 10505 S Foothill Blvd, Cupertino, CA 95014 owned by Srinivas & Radhika Ajjarapu. Sincerely Ken Green ood Secretary Date: • 10-510 8 e o-J" � CITY OF CUPERTINO IF CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # (a0 0 `( . C v Date: 1 l I 2-11o,0 Building Address: w,,05- S. F005WA eltt)o cA Mailing Address (if different from building address): Owner's Name: SYth%wts �t A0803 a Contractor: AYSe `Lf W �Q� �r Phone: (f�_ 996-1610 J Fax: 40s— 4s8 — ® S Contractor License #: ��$oSg Cupertino Business License#: n2o2$a.� Contact: Phone:S� �— 639=av�v�o h T�erAti,na„� �f <6 S"�— U Fax: — G —0S9 3 Residential Commercial Job Description: /1 L rRe 6C-e,,,,�ej or S�na�(e !f��y.e I-Skr4oL,3 "� .W,k`L, dokb(e. �he "):v�o W S C 4w o S+(9yY/ Building Permit Info: Bldg EY Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/IIIN-A ❑ II/III B, IV-HT, V-B ❑� 1� Valuatio • IS/ 1 Square Footage: Project Size: Express [Standard ❑ Large ❑ Ma or ❑ 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 10/20/08 F CITY OF CUPERTINO CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1 BBOILERI 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 absorptions s over 100,000 Btu/h 1 BBOILER3 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 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 Install ation/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 (per hour 1MEETINGIHR Application Meeting B •