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12040093 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10275 MORETTI DR CONTRACTOR:WONG'S GENERAL PERMIT NO: 12040093 CONSTRUCTION OWNER'S NAME: GHATTAMANENI PRASHANT B AND CHILU 21150 SARATOGA HILL RD 1 DATE- ISSUED:04/17/2012 OWNER'S PHONE: 4082037612 SARATOGA,CA 95070 PIfONE NO:(408)314-2892 ❑ LICENSEDCONTRACTOR'S DECLARATION' BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class_ Lic.q /� O�i67/� MECH r RESIDENTIAL r COMMERCIAL r Contractor Dates2�C�/ / 1 hereby atTrrm that 1 am liter( under the provisions of Chapter 9 30B DESCRIPTION:KITCHEN REMODEL(3605QFf}NO STRUCTURAL CHANGES (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penally of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this peril is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Sq.FI Floor Area: Valualion:$15000 permit is issued. APPLICANT CERTIFICATION APN Number:37514002.00 Occupancy Type: I certify that I have read this application and state that the above infomation is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. L/ T Imo- -�Date d ] (iL Issued by:s �/✓ A G Date: y '/7l Signature / r ❑ OWNER-BUILDER DECLARATION Rh:ROOFS: 1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,1 agree to remove all new materials for 11 as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work.and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Dale: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1 hereby affirm under penally of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materiels requirements under Chapter 6.95 of the perfamtance of the work for which this permit is issued. California Health&Safely Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(x)should 1 store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally.should 1 use equipment or devices which emit huardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the perforance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safely Code,Sections 25505,25533,and 25534. Compensation laws of California. if,after making this certificate of exemption,1 become subject to the Worker's Compensation provisions of the Labor Code,I mull Owner or nulhorind agent: 49 Dale: forthwith comply with such provisions or This permit shall be deemed revoked. ..i CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and stale that the above information is I hereby affmn that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date I Licensed Professional 1 CITY OF CUPERTINO 3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 37514002.00 DATE ISSUED. . . . . . . : 04/17/2012 RECEIPT #. . . . . . . . . : BS000016558 REFERENCE ID # . . . : 12040093 SITE ADDRESS . . . . . : 10275 MORETTI DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : GHATTAMANENI PRASHANT B AND CH ADDRESS . . . . . . . . . . : 10275 MORETTI DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : GAYWILL C WONG CONTRACTOR . . . . . . . : GAYWILL WONG LIC # 27583 COMPANY . . . . . . . . . . : WONG' S GENERAL CONSTRUCTION ADDRESS . . . . . . . . . . : 21150 SARATOGA HILL RD CITY/STATE/ZI-P . . . : SARATOGA, CA 95070 TELEPHONE . . . . . . . . : (408) 314-2892 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- —-------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 15, 000.00 1. 00 0. 00 1.00 0 . 00 1BSEISMICR VALUATION 15, 000.00 1. 50 0. 00 1 .50 0 .00 1REMRESOTH SQ FEET 380.00 457. 00 0 .00 457 .00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 459.50 0.00 459.50 0. 00 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: DATE: 04/17/2012 REVIEWED BY: larry s APN: BP#: 'VALUATION: $0 xPERMIT TVPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1R3SFDREM USE: PERMIT TYPE: WORK kitchen remodel no structural changes SCOPE ,Llrr lr. flan Check Plumb. Plun Cheek Eee- Plan Check Neck Penuil Fee: Plumb. Pomir Fn': !S(rc. Per'mir Fre: 0/ho If('(h. Imp. Oilier Plumb Insp. OilierElcr.buy. ,blech.Imp. Per- Plumb. bnp. Feelifer. lisp. Fec: NOTE: This estimate does not includejees due to other Departments(ie Planning,Public Works, Fire,Sanitary Sewer District,School District,etc). These fees are based on the prefinthra in ormation available and are only an estimate Contact the De t or addn'I info. FEE ITEMS (Fee Resolulion 11-053 E0' 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 380 s.f. Remodel,Other Suppl. PC Fee: Q Reg. O OT FO.OThrs $0.00 $457.00 1REMRESOTIl PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee.0 Reg. Q OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Cunctrurtion Tax Arbninisn ativ e Fec: O Work Without Permit? O Yes 0 No $0.00 Advanced Plannine Fee: 0.6 . Select a Non-Residential %Tara/Docrunrrelrninn Tues: Building or Structure i Strong Motion Fee: $0.00, Select an Administrative Item Blde Stds Commission Fee: $0.00 SUBTOTALS: '_ $0.00 57.00 TOTAL FEE: $457.00 Revised: 0410112012 RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: Name of owner. L-4'AS fi!4N7- A7 HAT 7,�g Al q A/ E T Project address. /a 2 7-S7-- /'90 RT 7 7-1 /> R't v-4- Contact person. 4�:IL, LL Phone. Zit d X- 3 Fax. Net square footage of lot. Existing Proposed Square footage: First floor: Second floor: Garage: TOTAL: ! , Are there at least two 10 foot by 20 foot clear spaces inside the garage? Y—� Is privacy protection planting required for the project?_ Y Build it Green Total Points On what floor(s) is work being done? Brief description of work. fi>e M O 0 X19b- MUNITY DEVELOPMENT DEPARTMENT 0 .3r Ah C--r k%rW3-L II ION sllPldtT-10 4 (�AROVED Code editions: 2010 CBC . (Y-N)2010 CFC (Y-N)2010WM–rrof pf�11R-sd specifications MUST be kept at the (Y- N)2010 NEC (Y-N) lob site during 2010 CPC con tructlon. It Is unlawful to make any changes or alterations on same,or to deviate California Green Building Standards Code 2010 therefrom,without approval from the Building Official. The stamping of this plan and specifications SHALL NOT Effective 1/01/11 be held to permit or to be a .pproval of the violation of any p ovisions of Ordinance or State Law. BY • f DATE CUPERTINO PERMIT NO. Building Department APR 16 2012 REVIEWE FOR CO MPLIANCE OFFIC" COMY Reviewed By: / Plan Review Process Work Book Page-8- Revised 12/21/10 1203" 12" i 1. i �,2 i BEOD09a B27 24 DISHW S 6 BC36 f' �+ r u I -0- I _ N V0 CD N m A i tv V N_ V r V O � m 3 � CUPERTINO Building Department APR 16 2012 - O N REVIEWED OR CODE/E MfSLIANCE " Reviewed By: m � � TP01 C186424R W361224 144" 13" Al i 12" 36" 18" I 19a" 4--36w" 36" 18 ; i/o 2y-7 rti� tia��� nit wo 55a' V't) O "�p77 — 7.f/2– I All dimensions size designations given are M 201 This is an original design and most not be Designed:2012-3-27 , subject to verification on job site and .ccxxorocias released or copied unless applicable fee Printed:2012-4-13 adjustment to fit job conditionshas been paid or job order placed. 406-314-2892+6 All Drawing N: 1 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING OMSION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(4108)T77-3333; buildlna(a�cuoertino.orD ❑NEW CONSTMUCnON [IADDIMON IK ALTERATION/TI ❑ REVLSION/DEFERR0 ORIGINAL Fu-wr 6 PROJECT ADDRESS j 0 2 7 5 M 0 /PF i T I D R I vF AFN e 3—7 5 , — (� D�tNAEE PRASHANT 6HAi%ilmolvENI �iOq 2o37d/ : ' 54iAe' Py/tA/�AMAI rt[n, �J9„•Iq;(. m STREET ADDRESS to a'7-5 Mokf; it Z)RtvE Orr, 'ATEzrP CUP£te:.Ne CA 95cAq FAx cONTALTNANIE PRAS/-I!iW% '6;HAirRlv2!lNEMI PHONE4 b82c376z E-MAB P,AAFFq n75�eA,� ,AYrgr�- oM �TADDR /075 Mo'LPEfir DQ �'�A'F �CufEki„era C/� 9Sai/� FAX ❑OWNER ❑ OWNER-RuaDPx ❑ OWNEXAGENT WNtRACT R ❑CONrnncTORAGENr ❑ ARcErrEcT ❑ENmNEmm ❑ DEVELOPER ❑muxt WNTRACTDRNAME •. / v, A/ LICENSE NU6fl3E8 =NSETYPE BUB.LIC! COMPANY NAME E-MAR �I FAX . AAl. W9N E/ I ep 91EFET ADDRESS r<.6RY,SrATE IIP PHONE p f'I/LL �Qc, y'3'o 7 v ARCHTTECT/FNGWEERNAME LICZ40 NUMBER BUS.LIC a COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE ZIP PHONE DESCRIPTION OF WORK 1 0' EXISTING USE PROPOSED USE CONMTYPS ro �Sa45 USE TYPE OCC SQFI'. VALUATION(S) AREA KU NEW FLOOR - DEMO TOTAL AREA AREA AREA TARFa BATHROOM XITCKEN O EIR REMODELAREA MMODELAREA REMODELAREA O PORIXAREA OEIX AREA TOTAL DEC&PORCH AAFA GARAGE AREA: DETACH ATTACH O DWELLING WITS: ISASECONDUNIT YES SRCONDSTORY QYES RIDING ADDED? ❑NO ADDRTONT ❑NO PRE-APPLICATION []YES IF YEA PROVIDE COPY OF ISTHRBLOGAN E3 YES RECEIVED BY: TOTAL VALUATION: PIAM(INOAPPLO ❑NO PLANNING APPROVAL LETTER KICHIMHOMET r3 NO bf9a _ By my siguatme below,I mafy to each of the faUawmg: I am the Ftoovty awuec or Rathoriwd ascot to act On the pnrperty.ovme{s h.half-I bavc rwd this application and the mfImnatiau I have provided is cotrecL I have read the Description of Wait and verify it is accarate. I agree to comply With all applicable local atdID®cis cad stain laws telatiag to hmldmgtous9actloa I ambo ' tepteunmtive of Cupertino to enter the above-i ed prop tar,htspecdoo purposes. Signagecm of Applit/Agcm: Date: Z SUPPLEMENT -INFORMATION REQUIRF3J PLANT=tx TYn ROPIIl•IG SLD• New SFD or MUltifaraily dwellings: Apply for demolition permit t'ar' - 'l ;biting building(s). Demolition permit is re�gtrired prior io issuance-of building OVER-Ti eoaxrEx -- ❑ BOB.DiNG PLAN BEVICW permit for new bmldmg• ❑ PL.unsatcPLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ srArmARn ❑ POactcwoms form if my Hazardous Materials are being"used as part of this project Lj ❑ F@E bm-r Copy of Plc iag Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ sArsrARY szwER OrsTElcr submitW ofBuildmg Permit appUcatiou. ❑ ENVIROKMETTAL HEALTH. BldgApp 2011.doc revised 06/21171