The URL can be used to link to this page

07050236 ------------------ CITE'OF CUPERTINO �{ ZNf� �TE�N� BUILDING DIVISION PERMIT PERMIT NO. BUILD,(NQ WE&ANBERRY DR TBD - TO BE DETERMINED 07050236 1(J G y PERMIT ISSUE DATE OWNER'S NAME: POORNIMA JAYARAI & HEMANTH 05/23/2007 SANITARY NO. CONTROL NO. IONS:7 KTLIT7 A T BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH 1w, LICENSED CONTRACTOR'S DECLARATION - Job Description W I hereby affirm that I am licensed under provisions of Chapter 9(commencing U with Section 70(IO)of Division 3 of the Business and Professions Code,and my license is INS TALL 3 TUBULAR SKYLIGHTS-NON STRUCTURAL. "o yin full force and effect. License Class Lien CONTRACTOR SUNLIGHT CONCEPTS NEEDS A BUS LIC. p Date Contractor Lu a ARCHITECTS DECLARATION i a< I understand my plans shall be used as public records )0.0 U.y Licensed Professional O. OWNER-BUILDER DECLARATION �v]J I hereby affirm that I am exempt from the Contractors License Lawar the ZOOfollowing reason.(Section 7031.5,Business and Professions Calc:Any city or county < which requires a permit to construct,alter,improve,demolish,or repair any structure ° r^ prior to its issuance,also requires the applicant for such permit to Glc a signed statement Valuation Z. < that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Fi.Floor Area $3000 0 O 0 r IT- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or i that he is exempt therefrom and the basis for the alleged exemption.Any violation of Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 3 6 2 0 3 017,'P j Number not more than five hundred dollars($500). ❑I,as owner of the property,or my employees with wages az 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 License Law. ❑I am exempt under ec B&P C for s reason Owner '""fDate / WOVKER'S COMPENSATIO�DRATION I hereby afGrrm under penalty of perjury one of the following declarations: ❑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 Workers Compensation Insurance carrier and Policy number are: Carrier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars(S 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 jcct to Compensation Laws of Californi Date Applicant NOTICE TOf,after making this gExempdon,you should become subject to the Worker's Compensation provisions of the Labor Cade,you must O forthwith comply with such provisions or this permit shall be deemed revoked. Z(A CONSTRUCTION LENDING AGENCY E~-t I hereby affirm that there is a construction lending agency for the performance of p; the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name az Lender's Address U 0 I certify that I have read this application and state that the above information is C3. 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 Lia above-mentioned property for inspection purposes. /\\\ a (We)agree to save,indemnify and keep harmless the City of Cupertino against 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 UNDERSTANDS AND WILLOMPLY WITH ALL NON-POINT Issued by: SOURCE EGULATIONS. tl Q /-- ( C/--N, Z Re-roofs FiguaturcbrApplicant/Convactor Elate of Roof HAZARDOUS MATERIALS DISCLO URE Type Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. [-]Yes ONO If a roof is installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which omit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes ❑Nu I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Cade,Sections 25505,25533 and 2553.1 understand that if the building does not current) ve a tenant,that it is res nsib tt to no�tify the Occupant of the requirements wh c must met dor W issuance of ayficatfof Oct ap P Signature of A?plicant Date All roof coverings to be Class"B"or better Owner or authorized agent ate CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RE--EIPT OPERATOR: suew COPY # 1 Sec: Twp: Rng: Sub: Blk: LDt: APN 36203017. 00 DATE ISSUED. . . . . . . : 05/23/2007 RECEIPT #. . . . . . . . . BS000001438 REFERENCE ID # . . . : 07050236 SITE ADDRESS 1029 CRANBERRY DR SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER POORNIMA JAYARAI & HEMANTH KAN ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4925 RECEIVED FROM KANEKAI/HEMANTH CONTRACTOR TBD - TO BE DETERMINED LIC # 00096 COMPANY TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOLNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 83 .16 39. 92 0 . 00 39. 92 0 .00 BPERMFEE VALUATION 3, 000 .00 83 .16 0 . 00 83 . 16 0 .00 BSEISMICRE VALUATION 3, 000 .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 AE. --------------- TOTAL RECEIPT 123 . 58 CITY OF CU]PERTINO 6V OF PERMIT APPLICATION FORM Jr CUPEkTINO � APN# Date: ,3a Building Address: x_61 CAW3 t—A1214 Dd2 �1VIa.ling Address (if different from building address): --YZ c a4- G / Owner's Name: 1006(Z/Yl W A ) 14V A A Phone#: q 6� ��3 Contractor: SG,� �' License #: �6 � C��fY�--� Contact: 'T( I'N Mc()()1V1" Pho W 4& C6-q - C_W Cupertino Business License#: Fax: Building Permit Info: 'Tu U L A*Z V L 1 U Bldg B-' Elect ❑ Plumb ❑ Mech ❑ Job Description: ,i 1V�(A-- �C- � S�� it L 1 T S e Residential X Commercial ❑ Sq.Ft. Floor Area: a_;�_O o SGr Sq.Ft.: Cost of Project: .,�,r ®� 1� Occupancy Grau Type of Construction: Please check this box if the project is a second-story addition: El Project Size: Standard ❑ Large ❑ Major I] Quantity Fee ID Fee Description Fee Group BAPPLOTHER Oth,-r Appliances. MECHANICAL BBOILERI Boiler<= 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 Boilor> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. "ax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC 1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec S,cs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA InN estigation fee BUILDING 1 of 3 �a Fit CITY OF CUPERTINO of PERMIT APPLICi�TION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Fbusing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspec.ion Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pbl2 Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Wz ste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Cly eck Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewalle Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn Sprinkler/Backflo PLUMBING BPSTORM StonVRain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/.A.lter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Reloc,-.tion of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Mi;c Apparatus ELECTRICAL BREMNRAPP Rem Noon-Res Appliance ELECTRICAL BREMPOLE Pole/I'latform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, ',witch & Outlets ELECTRICAL BREMRELOCA Relo ration of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL L 2 of_. CITY OF CUPERTINO CITY F PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Si;;ns 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 Seismi-- Commercial BUILDING BSEISMICR.E Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temr orary Power ELECTRICAL BTEMPPER.M Temporary Bldg Permit BUILDING BTEMPSVCS Tenip Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical sq. foot MECHANICAL MPER.MITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbi im Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Lo ig Range Residential PLANNING 3 of 3