Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
13020143
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21901 COLUMBUS AVE. CONTRACTOR:LOPEZ REMODELING PERMIT NO: 13020143 CONSTRUCTION OWNER'S NAME: VISHAG KRISHNAN&SABITHA KRISHA 2059 CHERRY AVE DATE ISSUED:02/27/2013 OWNER'S PHONE: 4088147133 SAN JOSE,CA 95125 PHONE NO:(408)4974675 QI LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL License Class_ Lic.# v$-q�a S 3 REMODEL(E)BATH&RECONFIGURE TO CREATE FULL BATH,MOVE CLOSET TO NEW AREA TO CREATE WALK- Contractor JOS l_yr.0 LnQSL Date ©Z•7 8 �Ze 3 IN I hereby affirm that I am licensed under the provisions of Chapter 9 CLOSET (commencing with Section 7000)of Division3 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. Sq.Ft Floor Area: Valuation:$10000 1 have and will maintain Worker's Compensation Insurance,w provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:35614033.00 Occupancy Type: permit is issued. - - APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DA RMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYT CALLED INSPECTION. 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 ISS y: ate: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18: 411 Z _��3 RE-ROOFS: Signature �i7 S� cJ C Z Date 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. ❑ OWNER-BUILDER DECLARATION I hereby affirm that I em exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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&Professions Code) - I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE - construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(x)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: t /[� s permit is issued. r L Datea�Z—Z$' 3 I certify that in the performance of the work for which this permit is issued,I shall - not employ any person inany manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the perfo mace of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have madthisapplication 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION OT \�o COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildinG ftupertino.orG [:]NEW CONSTRUCTION ❑ ADDITION ❑ ALTER�tATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS ,// APN# 3.576 / Y�v 33 OWNER NAME R.. 4 na-h r� WOO) 911 1 EMAIL STREET ADDRESS CITY,STATE,ZIP FAX 2 / o/ C ,.,b s /� cv � �. CONTACT NAME PHONE E-MAIL STREETADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER43UMDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME r G UCENSENUMBER �u LICENSE TYPE BUS.LIC#'r COMPANYNAME L EMAIL ` (/ FAX l Q IgiSod 193 STREET ADDRESS.2O CITY,STATE,ZIP n PHO J�' ARCTITECT/ENGINEER NAME LICENSENUMBER l BUS.LIC# COMPANY NAME EMAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK V .v /L MI.STINGUSE PROPOSEDUSE CONSTRTYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTO NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODELAREA REMODELAREA PORCHAREA I DECKAREA TOTALDECIMRCH ARTA GARAGEAREA• 0 DETACH ❑ATTACH #DWELLING UNITS: ISASECONDUNIT OYES SECONDSTORY ❑YES BEINGADDED? ONO ADDITION? �NO PREAPPLICATION OYES IF YES,PROVIDE COPY OF IS THE BLDG AN &CEIVED BY TOTAL VALUATION: PW GAPPLN ONO PLANNING APPROVAL LETTER EICHLERHOMET ONO By my signature below,I certify to each of the following: I am the property owner or authorized a ent to act on the property owner's behalf.CI have read this application and the information I have provided is comect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to wilding construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: 4 Date: 9,7— 2i8 —z,-)13 SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for ovBR-THE-couNTERBUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS V6PI.ANNING PLAN REVIEW AP Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS fo_rm if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MAJOR El SANITARY SEWER DISTRICT ❑ ENV1RONh1ENTALNEALTH BldgApp_2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 21901 COLUMBUS AVE DATE: 02/27/2013 REVIEWED BY: MELISSA APN: 35614 033 BP#: 'VALUATION: $10,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Du lex PENTAMATION 1R3SFDREM USE: p PERMIT TYPE: WORK REMODEL E BATH & RECONFIGURE TO CREATE FULL BATH MOVE CLOSET TO NEW AREA SCOPE TO CREATE WALK-IN CLOSET 3: 1 r 4 I +q ° 57^ { .i f l -t li q�m Xfech. P tan Check. Phunb. Plan Check Flec.Plan Check - Xlech. Pencil Fee: Plumb.Permit Fee: Elec. Permir Fee: ' Other bfech.Inrjz Other Plumb Insp. Oiher Elm Insp.07- 1kch.Insp. Fee: Plumb. Gup.Fee: Elec.Insp. I,ce: NOTE:This estimate does not include fees due to other Departments(La Planning,Public Works,Fire,Sanitary Sewer District,School District etc.). Thesefees are based on the reffuth! in ormation available and are onl an estimate. Contact the Dept or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711/121 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F40 s.f Remodel,Other Suppl. PC Fee: 0 Reg: OPT "00 $0.00 $400.00 IREMRBSOTH PME Plan Check: $0.00 F56 I s.f Remodel,Bath(<=300 sf) Permit Fee: $0.00 $600.00 1REMRESBAT Suppl. Insp.Fee-.0 Reg. O OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C'onsi uction Tar: Administrative Fee: 0 Work Without Permit? O Yes 0 No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Docrunentiation Fees: Building or Structure 0 Strong Motion Fee: 1BSEISMICR $1.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 I i l,. 4�, -i�!� $2.00 $1,000.00 � ot,;+I TUT L Ek $1,002.00 Revised: 01/01/2013 t� fir?" FFCOPY- ICE M BATHROOM i BATHROOM PROPOSED: REMODELING 1 GFI ON LEFT SIDE OF VANITY Vishag Krishna 2 RECESSED LED LIGHTS OVER VANIY 408 8147133 proposed I 1 RECESSED LED LIGHT OVER SHOWER 21901 COLUMBUS AVE walk inclose 95014 INO CA lose 1 EXAUST FAN OVER TOILET AREA RELOCATE BATHROOM FIXTURES AS PER PLAN 95014 RELOCATE CLOSET AS PER PLAN L- - 2 RECESSED LED LIGHTS IN MASTER CLOSET LOPEZ REMODELING REMOVE EXISTING WINDOW OVER EXISTING TOILET CONSTRUCTION WINDOW ON BATHROOMAREA TO REMAIN 2059 CHERRY AVE SAN JOSE CA 95125 1✓I Ej V Q�/ L' ps�,r fk CN > l OC��1 DYLJ 2�G 497 4675 lopez0328@sbcglobal.net Iopez0328@sbcglobal.net i PT.,A, $ I C11ECiI:ED BY.')" AREA _ 3 ' Sq ft DA OLKIVIMING DEPT. - �C.�l 7,,,'VELOPMENT DEPARTMENT fsUl,_uH�G Ci'✓iSION-CUPERTINO APPROVED This set of plans and specifications MUST be kept at the Burin construction.4t is unlawful to e any chat;�Ls or alterations onsame, or to deviate th`refrom, without approval from the Building Official. The stamping of this Plan and be held to permit or 81 KLI:NOT pproval of the violation �Yp ny y Ordinance or State Law. DATE 'L PER 0 iLi EXISTING M BATHROOM PQnDOSED 00 � II _ d it proposed master bathroom Ivp � I EXISTING SHORT WALL 7 FEET HIGH IN FRONT OF EXISTING VANITIE U O io N N O N LIVIN LIVING AREA 28 285 sq ft Building Department City Of Cupertino 10300 Torre Avenue 'Cupertino, CA 95014-3255 C U P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST- : JOB ADDRESS: f C,o(OM i4 V - PERMIT# OWNER'S NAME: " PHONE# GENERAL CONTRACTOR: 6 5 — BUSINESS LICENSE# ADDRESS: C17-C11 Q vI A • CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED 'A CITY OF CUPERTINO BUSINESS LICENSE. /` r I am not using any subcontractors: -[�ps O W 7 � Z zd f It 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 Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date