12050207CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5927 SUTTON PARK PL
OWNER'S NANIE: TANGUTUR SESHADRI S AND PRAMILA
CONTRACTOR: _ I PERMIT NO: 12050207
�ICc4- {- �C�GI'S lJs �!'- '✓.�'t'. +ATE ISSUED: 05292012
OWNER'S PHONE: 4088282619 I' I PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION
License Class /✓ Lic. q 410 QS�6
Contractor P)gg &r/f te r-
I hereby affirm that lam licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
1 hereby affirm under penalty 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 permit 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
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and slate that the above information is
correct, I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon to above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against sa' try in consequence of the
granting of this permit Additionally, the a t understands and will comply
with all non -point source regulation Cupertino Municipal Code, Section
9.18.
Dine 5`27-26/2.
❑ OWNER- BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, 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 & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (See.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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
permit is issued
I certify that in the performance of the work for which this peril is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I mi
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
1 cenily that I have read this application and state that the above information is
coffee(. I agree to comply with all city and county ordinances and state 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
indemnify and keep hammless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
BUILDING PERMIT INFO: BLDG r ELECT I— PLUMB r
MECH r RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTION: KITCHEN REMODEL (220 SQFT)
Sq. Ft Floor Area: I Valuation: $25000
APN Number: 37535037.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: A% Date: I .9y �
RE- ROOF'S:
All roofs shall be inspected prior to any roofing material being installed_ If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant: Date
ALI, ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the health &
Safety Code, Section 25532(x) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Ouslity Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, tiyas 25505, 25533, and 25534.
Owner or autharfzz
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
3 ITEMS OF 4
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 37535037.00
DATE ISSUED.......: 05/29/2012
RECEIPT #....._...: BS000016935
REFERENCE ID # ...: 12050207
SITE ADDRESS .....: 5927 SUTTON PARK PL
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
METHOD OF PAYMENT
--------------- --
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
710.50
710.50
REFERENCE NUMBER
--------------- - - - --
VISA
OWNER ............:
TANGUTUR SESHADRI S AND
PRAMIL
ADDRESS ..........:
5927 SUTTON
PARK PL
CITY /STATE /ZIP ...:
CUPERTINO.,
CA 95014
RECEIVED FROM ....:
LOUIS G NAVAS
CONTRACTOR .......:
TBD - TO BE
DETERMINED
LIC #
00096
COMPANY ..........:
TBD - TO BE
DETERMINED
ADDRESS ..........:
CITY /STATE /ZIP ....
,
TELEPHONE ........:
FEE ID
UNIT QUANTITY
AMOUNT
PD -TO -DT
THIS REC NEW
BAL
--- - --- - --
1BCBSC
------ -- -- - -- ---- - - --
VALUATION 25,000.00
-- -- - -- - --
1.00
0.00
---- - - ----
1.00
--- - --
-
0.00
---
1BSEISMICR
VALUATION 25,000.00
2.50
0.00
2.50
0.00
1REMRESKIT
SQ FEET 220.00
588.00
0.00
588.00
0.00
TOTAL PERMIT
---- -- - - --
591.50
---- - - - - --
0.00
---- - - - -
591.50
-- ---- --
--
0.,00
--
METHOD OF PAYMENT
--------------- --
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
710.50
710.50
REFERENCE NUMBER
--------------- - - - --
VISA
������ CITY OF CUPERTINO
IIN�//JI FEE ESTIMATOR - BUILDING DIVISION
NOTE: This estimate does not includefees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These lees are based on Me areliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS f ce Rc.sohrlion 11 -053 E77: 7 /1 /I U
ADDRESS: 5927 Sutton Park Place
DATE: 05/29/2012
REVIEWED BY: Sean
diet. /r. P" "nil Fce:
APN:
BP #:
'VALUATION:
$25,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
/Bier. laep. F.
PENTAMATION 1R3SFDREM
PERMIT TYPE:
WORK
Kitchen remodel 220.s ft
SCOPE
$0.00
NOTE: This estimate does not includefees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These lees are based on Me areliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS f ce Rc.sohrlion 11 -053 E77: 7 /1 /I U
If,,, It. flan ('heck
Plumb. Plat Check
lilee. !'Irv) ( :hcek
diet. /r. P" "nil Fce:
Plumb. Permit Fee:
liter. l'ennir Fre-
Other ,Ifech. Invp,
Other Plumb Imp.
Ocher Elcr. ht p. ED
.4 /co h. Imp. Fce:
Plumb. hup. Fee:
/Bier. laep. F.
NOTE: This estimate does not includefees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These lees are based on Me areliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS f ce Rc.sohrlion 11 -053 E77: 7 /1 /I U
FEE
QTY /FEE
MISC ITEMS
Plan Check Fee:
$0.00
220 s.f.
$588.00
Remodel, Kitchen (< =300 sf)
/REMRESKIT
Suppl. PC Fee: 0 Reg. Q OT
'0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. Q OT
0,0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Cuusiruction Tax.
ArGninisrrative Fec:
0
0
Work Without Permit? O Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select a Non - Residential
Building or Structure
0
O
i
'/'ravel Documentrnion 1,ecs:
Strong Motion Fee: /BSEISMICR
$2.50
Select an Administrative Item
Bldg _Std,; Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$3.50
$588.00
TOTAL FEE:
$591.50
Revised: 0510112012
Iral
CUPERTINO
n NFw rnNNTRTIr-
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(4088) 777 -3228 • FAX (408) 777 -3333 • building(G )cuoertiro.crg
1
ION 1 1 ADr)ITION T�ALTFRATION /7T F-1 RFVISION /DFFFRRFD ORIOINAI_PF.RMTTd
PROJECT.SDDRESS
APN d
V J
OWNER NAME
OO
E-MAIL
/ 6
" I` 6
�
STREET ADDRESS
sq.,`7- -Q>77bN EAL<
ZIP
[Pv. nNO
FAX
CONTACT NAME
PHONE�Oy
E -MAIL
STREET ADD
CITY. STATE ZIP
FAX
0.
'4
❑ OWNER ❑ OWNER -BMDER ❑ 1✓a CONTMCfOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
JO�WNERAGENT
CONTRACTOR NAM O rJ / S / } A U �- LICENSE NUMBER A/Q
LICENSE TYPE
BUS. LIC k
d
COMPANY NAME
E-MAIL -MA
FAX .
C O
STREET ADDRES
CITY, STATE, ZIP
PHON �_
O 6
��— .S
ARCHITECT/EN WEER NAME
LICENSE NUMBER
BUS -LICd
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CRY. STATE, ZIP
PHONE
J
DESCRIPTION OF WORK '
I O D
EXISTING USE
PROPOSED USE
CONS TYPE
gSTORff$
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EXISTG
AREA
NEW FLOOR
AREA
DEMO
AREA
TOTAL
NET .AREA
BATHROOM KITCHEN OTHER
REMODELAREA RFMODELAREAdc?(o REMODEL AREA
PORCHAREA DECK AREA TOTALDECK/PORCHARIA GARAGE AREA
DETACH
ATTACH
p DwELLtNG UNITS:
ta A SECOND DATT YFS
saCOND STORY YES
/
BEN'GADDED? 0
ADDITION? NO
PRE- APPLICATION�YES
EYES. PROVIDE COPYOF
15TBEBLDGAN Q
REC BY:
F TOTAL VALUAT7 N:
PLANNDIGAPPLd
NO PWJNDIGAPPROVALLETTER
EICID.ER tlOME? O
I
/_ _ /.
I �OD�
By my signature below, I certify to each of the following: the property owner or authorized agent to act on the pTperty owner's behalf. i have read this
application and the information I have provided is c L 1 hi=ve rmd the Desorption of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating m rvl entatives of Cupertino to enter the above - identified property for inspection purposes:
Signature of Applicant/Ag Date:
SUPPL INFORMATION REQ
PL CI�CK TYPE
ROUTING SLIP
JCI. OVER- THE - COUNTER
BUIIDTNG PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition p it for
existing building(s). Demolition permit is required prior to issuance of building
/
-
Ipermit for new building.
❑ EXPRESS
PLINNNG PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARII
❑ PUBLIC WORKS
_
form if any Hazardous Materials are being used as part of this project.
❑
❑ '
LARGE
FmEDEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
El MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06121111
F1
197"
(N) WINDOW & RMV(E) WINDOW
54"
PROP 4 %10 _ 57"
1
OIB]
DW BY
\
- - - - ---
` I Cu R 1 N � I
Building Departrnent
I I - 6 I
I
MAY 2 9 2012 I
( I
REVIEWED FOR CO PLIANCE
MOVE (ERIMA0 W8t 2' RIGNr I
DWR Comm I CITY DEVE ' EPf
28 "24• i1T0 FRIDGE B� - ER1
-`aia Kitchen & Bath
FOR BEALm FULLY USEFUL SPACES
109 1/2"
— 116"
TANGUTUR __.. —.
KITCHEN DATE:
2093RALSTONAV NUE,.SE ON,
MAY 2 9 2012
/�✓1T�Ii� .�ir�or�/
-- – e kept at the
Job site during construction. It is unlawful to make any
—
3Qt?IangfQ or alterations on same, or to deviate
= 3. —O„
BY
DATE S -a 9
PERMIT N0. /�D_ -[
SESRADRI & PRAMILA TANGUTUR
SUTTON PARK PLACE clr CUPERTINO
ZIP 95014 PHONE 408- XXX -XXXX
O
®
rtcn c3cer
oR
1�1
ruin. vera�rAe3eaer 2S1.8f
� (3,5 WI
--0
11W OOnES', GlOi
C33
220 OVI'IlT
wa lwia
,pF
31:IPr9@@ SACA_
NAlE0. 21SC1'
/�✓1T�Ii� .�ir�or�/
-- – e kept at the
Job site during construction. It is unlawful to make any
—
3Qt?IangfQ or alterations on same, or to deviate
= 3. —O„
BY
DATE S -a 9
PERMIT N0. /�D_ -[
SESRADRI & PRAMILA TANGUTUR
SUTTON PARK PLACE clr CUPERTINO
ZIP 95014 PHONE 408- XXX -XXXX
W1539 -15, W1539 -15
42"
39"
4" I I I I ------ 41(F- 37 1/2"
/2"
4.5
18 =o =O8'8
U
27"
12"
�L
18"
FIN
OPEN 0
15 ".
\ BBCSO45
B18
(WIRE DIVIDERS)
18" 36" 45" -
' TANGUTUR _v- 1/2" = 1-0" 2 SESRADRI 6 PRAMILA TANGUTUR
Rana Kitchen q Bath
KITCHEN DATE. 5/2/12 DRAWN BY: SEG ADDRESS 5927 SUTTON PARK PLACE CITY CUPERTINO
FOR BEAUTIFULLY USEFUL SPACES STATE ZIP PHONE
2043 RALSTON AVENUE.. BEIJAONT.CA 940D2 TEL 850,595.2644 FAX 650595,2898 CA 95014 408- XXK -XXXX
54"
85 1/4"
57"
WSC2739 -15
739 -15 3X W2712
(GLASS)
W2739 15 W303)-15
(G
S)
DFF3W DFF3W
3"
f
39"
96
TPNL4896
16 1/4"
(UNDER CABINETS)
34
1 1
1/2"
v
o
857036
DFF3B
BW033
4BD24
BRCADIB
BSC36
FBCB 1'
3/4"
33"
24"
18"
24"
36"
21"
36"
W1539 -15, W1539 -15
42"
39"
4" I I I I ------ 41(F- 37 1/2"
/2"
4.5
18 =o =O8'8
U
27"
12"
�L
18"
FIN
OPEN 0
15 ".
\ BBCSO45
B18
(WIRE DIVIDERS)
18" 36" 45" -
' TANGUTUR _v- 1/2" = 1-0" 2 SESRADRI 6 PRAMILA TANGUTUR
Rana Kitchen q Bath
KITCHEN DATE. 5/2/12 DRAWN BY: SEG ADDRESS 5927 SUTTON PARK PLACE CITY CUPERTINO
FOR BEAUTIFULLY USEFUL SPACES STATE ZIP PHONE
2043 RALSTON AVENUE.. BEIJAONT.CA 940D2 TEL 850,595.2644 FAX 650595,2898 CA 95014 408- XXK -XXXX
1 1/2" PF6 (3/4 X 3', RIP IN HALF)
CROWN
MOLDING 00v 8
WMFf6
W4239 (GLASS)
42" - / TDAP2593 \
LIGHT
RAIL
COVER
V.
LLOUTS
TANGUTUR 1/2" = 1'_0" _..__. .._. 3 _.. ___. _..._........._ SESRADRI 6 PRAMILA TANGUTUR
ISeWa Kitchen & Bath KITCHEN OArE: 5/2/12 ORAWN BY: SEG ADDRESS 5927 SUTTON PARK PLACE CITY CUPERTINO
FOR BEAUDFULLY USEFUL SPACES STATE ZIP PHONE
2043 RALSTON AVENUE, BEI140Ni.CA 94002 TEL fi50.595.2fi44 FAX fi50.595.2646 CA 95014 408_XXX_XXXX
TMB3393
WFD3612
PCROD3693
V.
LLOUTS
TANGUTUR 1/2" = 1'_0" _..__. .._. 3 _.. ___. _..._........._ SESRADRI 6 PRAMILA TANGUTUR
ISeWa Kitchen & Bath KITCHEN OArE: 5/2/12 ORAWN BY: SEG ADDRESS 5927 SUTTON PARK PLACE CITY CUPERTINO
FOR BEAUDFULLY USEFUL SPACES STATE ZIP PHONE
2043 RALSTON AVENUE, BEI140Ni.CA 94002 TEL fi50.595.2fi44 FAX fi50.595.2646 CA 95014 408_XXX_XXXX
11ILM-0111
V.
LLOUTS
TANGUTUR 1/2" = 1'_0" _..__. .._. 3 _.. ___. _..._........._ SESRADRI 6 PRAMILA TANGUTUR
ISeWa Kitchen & Bath KITCHEN OArE: 5/2/12 ORAWN BY: SEG ADDRESS 5927 SUTTON PARK PLACE CITY CUPERTINO
FOR BEAUDFULLY USEFUL SPACES STATE ZIP PHONE
2043 RALSTON AVENUE, BEI140Ni.CA 94002 TEL fi50.595.2fi44 FAX fi50.595.2646 CA 95014 408_XXX_XXXX
I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 5927 SUTTON PARK PL CONTRACTOR: HIGH TECH PERMIT NO: 12050207
CONSTRUCTION
OWNER'S NAME: TANGUTUR SESHADRI S AND PRAMILA PO BOX 1126 DATE ISSUED: 05/29/2012
OWNER'S PHONE: 4088282619 MORGAN HILL, CA 95038 PHONE NO: (408) 458 -6565
Ld' LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL[]
License Class_ Lie. # 6/ l b O U.
Contractor ('mNS'% Date
I hereby affirm that I am licensed under the provisions of Chapter 9
(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 penalty 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 permit 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
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and'county ordinances and state 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
indemnify and keep harmless the City of Cupertino, against liabilities, judgments,
costs, and expenses which may accrue again 'd City in consequence of the
granting of this permit. Additionally t understands and will comply
with all non -point source regulat s per the pertino Municipal Code, Section
9.18.
Date.201j
❑ V OWNER- BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, 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 & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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 permit 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
permit is issued.
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 Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions. of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state 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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
KITCHEN REMODEL (220 SQFT)
REV # 1 - REPLACE 4 (E) DOORS, 7 (E) WINDOWS (LIKE
(LIKE FOR LIKE) & INSTALL 35 (N) LIGHT FIXTURES
THROUGHOUT RESIDENCE- ISSUED 4/26/201
Sq. Ft Floor Area: Valuation: $25000
APN Number: 37535037.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FRI' CALLED INSPECTION.
RE- ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, . Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino M 'cipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 2550,5,25533,4nd 25534.
Owner or authorized agent: Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
'Wech..Plan Check Plumb. -Plart Check Elec. Plan Check 1 0.0 1 hrs $0.00
Lfech. t'errtait F:ei:: Plumb. Permit fee: Elec. Permit Fee: IEPERMIT
Other ,-WecL Irasp. 0/her Plumb Insp. Other Elec. Insp. 0.0 hrs $45.00
H.ech. Insp lee: Plumb. btsp. Fee: Elec. Insp, fee:
NOTE: This estimate does not include fees due to other Departments (i.e. Plannins. Public Works. Fire. Sanitary Sewer District, School
5927 SUTTON PARK PL DATE: 04/26/2013
REVIEWED BY: MELISSA
W�,,FADDRESS:
375 35 037 BP #: 12050207
"'VALUATION: 1$30,000
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY
SFD or Duplex.
0.0
PENTAMATION
1GENRE i
USE:
PME Unit Fee:.
PERMIT TYPE:
WORK
REV # 1 - REPLACE 4 (E )DOORS, 7 E WINDOWS LIKE FOR LIKE & INSTALL 35 N LIGHT
SCOPE
FIXTURES THROUGHOUT RESIDENCE
'Wech..Plan Check Plumb. -Plart Check Elec. Plan Check 1 0.0 1 hrs $0.00
Lfech. t'errtait F:ei:: Plumb. Permit fee: Elec. Permit Fee: IEPERMIT
Other ,-WecL Irasp. 0/her Plumb Insp. Other Elec. Insp. 0.0 hrs $45.00
H.ech. Insp lee: Plumb. btsp. Fee: Elec. Insp, fee:
NOTE: This estimate does not include fees due to other Departments (i.e. Plannins. Public Works. Fire. Sanitary Sewer District, School
rmation available and are only an estimate. Contact the Dept for addn 7 info.
FEE
FEE ITEMS (Fee Resolution 11-053 E . 711112)
Plan Check Fee:
Suppl. PC Fee: Reg. 0 OT
0.0
his
PME Plan Check:
Permit Fee:
Suppl. Insp. Fee-.0 Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:.
PME Permit Fee:
$0.00
C onsiruction Tax:
1BREMFIXT
Fixtures, Lighting
Administrative Fee: IADMII
Work Without Permit? ® Yes No
Advanced Planning Fee: -
Travel Documentation Fee: 1TRAVDO(
Strong Motion. Fee: 1BSEIS1vffCI
$45.00
Bldg- Stds Commission Fee: IBCBS(
rmation available and are only an estimate. Contact the Dept for addn 7 info.
FEE
QTY/FEE
MISC ITEMS
$0.00
11
#
Window / Sliding Glass Door
$0.00
$533.00
IWINREP
Replacement
$0.00
35
Electrical
$0.00
$142.00
1BREMFIXT
Fixtures, Lighting
$0.00.
$0.00
$45.00
"$42.00
$0.00
0.00
$45.00
$3.00
$2.00
$137.001 $675.00
Revised: 04/01/2013
ro f#
WIN
#I
3F HADCJ T- A,, G a 7
-ACF
tio 4 L4K4 pw',CS 2-
•
Y�
W
I Vic
Mow, 4
:9
4 1-
6,011'x 6,
W
E
Xy ---I
6
I
'JA
7
r-A
LJ
10 _ ��� �, _1� _
,i _ fe
L-A z
fW
M—
J.
PLOT
PLANS
A
eplxe 4L
- NPOgEi�
DEPT,
CrOMMUNITY DEM
":L-OPMENT D'EPARTN7�ENT���,
13UiLL)I.NU UjVj6jUjj _ LUpt
APPROVED , W1
plans and specific'
"0' a IllonsMUST be kept at the
joU during construction. it 's � I -
un.aw;L�40 Mg-Lv-e a7
CP 116-1 C ges q( Alterations on same, or terip.
are IV d
to In
e h f,317S on specif,
a*C
:-e ECl F�IIVPIT WfOn4t-lAd NdK
any provisions . 1 . BY --- 'PPlPJlrouvvaal l ofe violation
J,'K2 62013 'Y.Ordinance
or 'State Law,
ty:.
PERMIT No.
OT
SIP.
j
SCA EL:
WA
I HACK NO:
LOT NO.r
SK
..7295 Dr, LA CRUZ BLVD."
T E, ,r
Ly
5T
__ �.k _ , �, L • ;,
T