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07060154 CITY OF CUPERTINO BUILDING D1 ON PERMIT PERMIT NO. BUiLD�hff fskEGNART CT. TBD - TO BE DETERMINED 07060154 G 1 /b PERMTT ISSUE DATE OWNER'S NAME: SURENDRA & MITRA LELE 06/19/2007 SANITARY NO. CONTROL NO. NE: BUILDING PERMIT INFO ARCHITECTIENGINEER: BLDG ELECT PLUMB MECH p p LICENSED CONTRACTOR'S DECLARATION Job Description UI 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 KITCHEN REMODEL. NON-STRUCTURAL y in full force and effect. v�Z License Class Lic.# :—a t„a Date Contractor W ARCHITECTS DECLARATION i a< I understand my plans shall be used as public records )WU U.in Licensed Professional y OWNER-BUILDER DECLARATION } I 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 $ which requires a permit to construct.alter•improve,demolish,or repair any structure z a prior to its issuance,also requires the applicant for such permit to file a signed statement t;q Ft.Floor Area Valuation that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 $50000 i H (commencing with Section 7000)of Division 3 of the Business and Professions Code)or J F$ 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 3 5 6 2 4 0 4 E i AM Number Occupancy Type not more than five hundred dollars($500} ❑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 for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of 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.). ❑1,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 does 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 RY License Law. NITA ❑1 am exe t unL�R .B&P C for this reason SA Owner Date OMPENSATION DECLARATION i herebyer penalty of perjury one of the following declarations: L]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 are: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Phis 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' ner so as to become subjec Wo rs' om nsation Law alif, a Ap cant NOT E TO ,after making this Certificate of Exemption,you should become b'cct the orkcr's Compensation provisions of the Labor Code,you must ,J O forthwith co such provisions or this permit shall be deemed revoked. z 2CONSTRUCTION LENDING AGENCY rer I hereby affirm that there is a construction lending agency for the performance of p:> the work for which this permit is issued(Set:.3097,Civ.C.) W Q Lender's Name aZ Lender's Address U 0 1 certify that I have read this application and state that the above information is U. correct.I agree to comply with all city and county ordinances and state laws relating to 0 U building construction.and hereby authorize representatives of this city to enter upon the U above-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against to liabilities,judgments•costs and expenses which may in any way accrue against said City U Z in consequence of the granting of this permit. Date APPLICANT UNDERSTANIaS AND WILL COMPLY WiTH ALL NON-POINT Issued by: SOURCE REGU ATiONS /7 0 Re-roofs nature of A yr Dam T Of Roof DOUS MATERIALS DISCLOSURE Type the appli t or future building occupant store or handle hazardous material as def y upertina Municipal Codc,Chapter 9.12,and the Health and Safety Co ,Section 25532(x)? I All roofs ;hall be inspected prior to any roofing material being installed. ❑Yes NX. Will the applicant or future building occupant use equipment or devices which If a roof i;installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ,,,� ❑Yes LSru I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505 25533 and 25534.1 undcrsmnd that if the building docs not cu haves nant,that it' my responsibility to notify the occupant of the requircmcn whic melIs rirw aneeofaCcrtificalcmf m ey. Signature of Applicant Date All roof coverings to be Class"B"or better Owner 0r autho agent a CITY OF CUPERTINO 10 ITEMS OF 10 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk.: Lot: APN . . . . . . . . . 35E24046. 00 DATE ISSUED. . . . . . . : 06/19/2007 RECEIPT #. . . . . . . . . : BSC00001690 REFERENCE ID # . . . : 07C60154 SITE ADDRESS . . . . . : 21, 63 REGNART CT. SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : SUI:ENDRA & MITRA LELE ADDRESS 21"63 REGNART CT CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : SURENDRA LELE CONTRACTOR . . . . . . . : TBI) - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBI) - TO BE DETERMINED ADDRESS . . . . . . . . . . . CITY/STATE/ZIP . . . : TELEPHONE . . . . . . . . . FEE ID UNIT QUANTITY !iMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -••-------- ---------- ---------- ---------- BENERGY PERMIT FEE 34.86 34 .86 0. 00 34 .86 0. 00 BPERMFEE VALUATION 50, 000. 00 540. 00 0. 00 540. 00 0. 00 BPFIXTURE UNITS 1. 00 9 .00 0. 00 9 . 00 0. 00 BPGAS OULETS 1. 00 5 .40 0. 00 5.40 0. 00 BREMFIXT NO. FIXTURES 6. 00 7 .20 0. 00 7 .20 0.00 BREMVENFAN NO UNITS 1. 00 45 .39 0. 00 45 .39 0. 00 BSEISMICRE VALUATION 50, 000.00 5 . 00 0. 00 5. 00 0. 00 EPERMITFEE FLAT RATE 1. 00 38.37 0. 00 38.37 0. 00 MPERMITFEE FLAT RATE 1. 00 38.37 0. 00 38.37 0. 00 PPERMITFEE FLAT RATE 1. 00 38.37 0. 00 38.37 0. 00 --------- ---------- ---------- ---------- TOTAL PERMIT 761 .96 0. 00 761.96 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 761.96 MC --------------- TOTAL RECEIPT 761.96 CITY OF C UPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO APN# Date: � '��O .6 L/co. 06 Building Address- Mailing Address (if different from building address): 21 6.E n�r� CDu-0 G� Qr n� �'a q-501 Owner's Name: S L►-r-evid Phone GIdB 2551`� Mifrcc Late- Contract Cpm f ril C/7 n1 License #: -7159-57- 03gWAA14s Pte' � Contact: 3a14 l • 'owi�a/a/ Phone: Lyell 2_Sjerl?4,y Cupertino Business License#: GI f Fax: Building Permit Info: ��ywc�d oo ,"aN 5'trL4 CfPIA lk.l Bldg ❑ Elect K2' Plumb NK Mech ❑ Job Description: Residential [5?' Commercial Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: -50 Occupancy Group: Type of Construction: Please check this box if the project is a '; second-story addition: ❑ Project Size: Standard ❑ Large ❑ Ma or ❑ Quanti Fee ID Fee Description Fee Group BAPPLOTHER ether Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 E oiler> 1.75M Btu MECHANICAL BCONSTAX -onstruction Tax BUILDING BCONSTAX In 3/Off/Comm/Quasi BUILDING BCONSTAXBQ Ccn. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec: Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD :37nergy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING of 3 CITY OF C'UPERTINO COPE or PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME N,-.w Comm Electric ELECTRICAL BNUCOMMM Neve Comm Mechanical MECHANICAL BNUCOMMP 'New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW At;nospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Uldg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Ga,;Piping System Fee PLUMBING BPINTERCEP Incl Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plat Check Repeat Fee BUILDING BPREPIPE R.-pipe Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lave,n S rinkler/Backflo PLUMBING BPSTORM 'Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS 1V:ain Water Service PLUMBING BREINSPECT :Zeinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfin MECHANICAL BREMAPPLI .Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BR.EMFIXT =-ighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Mise Apparatus ELECTRICAL BREMNRAPP Reny Non-Res Appliance ELECTRICAL BREMPOLE Pele/Platform Fixture ELECTRICAL BREMPOWER Pow,:r Device/Apparatus ELECTRICAL BREMRECEPT Rc d, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT R(.-pair/Alter Heating MECHANICAL BREMRESAPP Reriodel Res Appliance ELECTRICAL 2 of 3 I i VPI CITY OF C+UPERTINO CU' EkTINO PERMIT APPLICATION FORM 2uantity Fee ID Fee Description Fee Group BREMSIGNAD RmdI Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Se smic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC l'lectrical sq foot ELECTRICAL EPERMITFEE Elf c Permit Issuance ELECTRICAL MPERMFEE M echanical sq. foot MECHANICAL MPERMITFEE Meoh Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plimibing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING 3 of 3 xT s EK" lot" LI a nx r CUPERTINO Assessor's Parcel Number: Name of owner. Swe✓drq L- le Project address. _—. -- -- -- --- Contact person E'OPOA �Q'� Phone. Fax. Net square footage of lot. Exj sting Proposed Square footage: First floor: Second floor: Garage: - TOTAL: Are there at least two 10 foot by 20 foot clear sr aces inside the garage? Y N Is privacy protection planting required for the project? Y N On what floor(s)is work being done? Firs v r G ' ti Brief description of work. kl � ��' ptcd Code editions: 2001 CBC (Y -N)2001 CFC ON)2001 CMC (Y-N) 2001 CPC dN�)-N)2001 NEC; -N AkaHR JV 1:-C: EffecAbqGpfp#fE WITH THE CITY u, CUPERTINO CODES AND ORDINANCE. )ATE SIGNED p +.. spec+ icatiCn—s This set o ------ MUS qe kept on the jobat ail times and it is 1,11: lawful to r,alce Gray changes or a4teratEon on same v,,itti ut v:r itten perm ssion fru+ the building G �, ., C'y of Cupati!io. The stamping of tris p,an and specilicaticn SHALL NOT to I,e.d r p to r� rrit or to be a� ��UE1 10 mAF1 'ze vi lal+on of any propi!W, A� approval of t� �t� +�,,, Jl N' f � `� ,f ,Inv CUN 0"It �irii P nr L.t.. �� QST Plan Review Process Work Book Page , a II 1 --------------------- „he ,.0.4 00 0 (O 04 a I Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 LUPEDT INO 1V Building Department All Cupertino building permits must meet certain conditions related to maintaining environmental quality and public peace and safety. The two most common conditions are described below. STORMWATER POLLUTION CONTROL State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District cont-ol stormwater pollution. Educating local residents and businesses and enforcing stormwater pollution control laws are key parts of the City's compliance efforts. Stormwater pollution prevention: It's up to us In northern Santa Clara Valley, storm dra ns flow directly to local creeks and San Francisco Bay, with no treatment. Stormlvater pollution is a serious problem for wildlife dependent on our waterways, for people living near streams and baylands, and for the local water supply. Common sources of stormwater pollution include: • Dripped oil, fuel, and antifreeze from vehicles and heavy equipment; • Construction debris, including dirt, concrete and paint; • Landscaping runoff containing pesticides or weed killers; and • Any material dumped or spilled inti streets or storm drains The property owner and the contractor share ultimate responsibility for activities occurring at a construction site and will be held responsible for any environmental damage caused by subcontractors or employees. For more information on construction-relF-ted stormwater requirements, see the Stormwater Quality Regulations section o-the City of Cupertino web site at: http://www.cUpertino.org/cit\/ government/departments and offices/ environmental services COMMUNITY NOISE CONTROL The basic noise control requirements for construction sites are as follows: • Typical construction work hours are: - Weekdays - 7 a.m. to 8 p.m. - Weekends - 9 a.m. to 6 p.m. • Construction other than street construction is prohibited on holidays. • Residential daytime noise levels from complaint site - 60 dBA • Nonresidential daytime noise level 3 from complaint site - 65 dBA For more information on noise control, please see Chapter 10.48 of the Cupertino Municipal Code, which can be accessed at http://www.amlegal.com/cupertin) ca f®rx°�� a s� A�� _..€ a ��•�`' t a � z'y�.Y�rdg -'�'r.��'..,3�& � �� 'ar�� lw�^��'8,��., �. 54 i a a n CUPERTINO .. _ Assessor's Parcel Number: Name of owner. sureod rq Le- le- M,,irQ LQ le� Project address. f Contact person �- �Q-1e.— Phone. Fax. Net square footage of lot. Ex lsting PrgMosed Square footage: First floor: Second floor: Garage: TOTAL: Are there at least two 10 foot by 20 foot clear spaces inside the garage? Y N Is privacy protection planting required for the p,oject? Y N On what floor(s)is work being done? FI rS Ituou,c�k �-�an Ste"` (Z�u-cx� Q I a c e CQ$P�r d Brief description of work. k�¢� Q� j w r �e k T Code editions: 2001 CBC (Y -N)2001 CFC; N)2001 CMC (Y-N) 2001 CPC a)-N)2001 NEt: Effective 11/1/02 ASS FSSOR Co /vry Plan Review Process Work Book Page-8-ReviE ed 8/22/05 u „ T T �C kt Refrigerator GFI ( dD COOCiO LML ry O ------------------- O 41 b w 18'-6" Community Development 10300 Torre Avenue a , Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 "WEkTINO n Building Department t5 JOB ADDRESS 0 PERMIT #�.�� O OWNER'S NAME: / PHONE # GENERAL CONTRACTOR: FAX # e /I I am not using any subcontractors: 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 1 -74,�ac,91 O-7 Owner/Contractor Signature Date Community Development r 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 f.-M �TINO Building Department JOB ADDRESS:,Z/'7�3 RCjn4ll,�C-OU*�t- PERMIT# �O�D C-7 OWNER'S NAME: "YP_✓rdr r, PHONE # 1108 25S l:v GENERAL CONTRACTOR: /3q.A h A,.-4 cH vyN,I FAX # I am not using any subcontractors: Si;nature 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 Y _ � 1 ' o >,� e / ontractor Signature Da e