Loading...
11070093 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7655 BERLAND CT CONTRACTOR:UPPAL CONSTRUCTION PERMIT NO: 11070093 CO OWNER'S NAME: SAHOO SUDAM C AND KANTILATA 2245 PETERSBURG DR DATE ISSUED:07/15/2011 ER'S PHONE: 4082520212 MILPITAS,CA 95035 PHONE NO:(408)507-6750 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB I— License Class Lic.# 0 q2 2-9 S Contractor/j/ ^ _ � MECH RESIDENTIAL COMMERCIAL ��H/iDate I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:SFDWL BATHROOM REMODEL(132SQFT)NON- (commencing with Section 7000)of Division 3 of the Business&Professions STRUCTURAL, Code and that my license is in full force and effect. INCLUDES WINDOW REPLACEMENT,KITCHEN HOOD CHANGEOUT&INSTALL NEW LIGHT FIXTURE WATERPROOF& 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. Sq.Ft Floor Area: Valuation:$5000 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:36225042.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date 7 Issued Date: l L OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(x)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. 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. Owne o authorized agent: (/iljy�► Date: V101 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of%ork's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name it' -unify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the Lender's Address g,., mg of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional PROJECT DATA - RESIDENTIAL COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 , i (408)777-3228• FAX(408)777-3333•budding ��., ^r,R CUP RTINO PROJECT ADDRESS APN# Ess ," -� OWNER NAME PHONE E-MAIL u 1 A Z/©" �5-z o STREET ADDRESS CITY, STATE, -r,/V e-0-ps FAX APPLICANT NAME PHONEf ©�4/ O E-MAIL "7 STREET ADDRESS / CITY,STA E ZIP3S+Z FdB z a' ' ❑OWNER ❑ OWNER-BUaDER El OWNER AGENT MI ONTRACTOR ❑COMRACTORAGENT ❑ ARcHrrECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT DESCRIPTION OF WORK EXISTING USE(S): <,- PROPOSED USE(S):� � %L! ���j� dC QMQ--r' 1 OCCUPANCY(S): TYPE OF J� PARCEL CONSTRUCTION: AREA: FIREY �jv j WJI AREA: Y FLOOD AREA: Y SIESMIC AREA: Y SPRINKLERS: l� Existing Proposed Floor Area: First Floor: l 2 s.f 2— = s.f. ~ Second Floor: S. s.f. Garage s.f TOTAL: f. s.f. Are there at least two 10 feet by 20 feet clear spaces inside the garage? Y N Is privacy protection planting required for the project? Y N Governing Codes: 2010 California Building Code(based on the 2009 International Building Code) 2010 California Residential Code (based on the 2009 International Residential Code) 2010 California Plumbing Code(based on the 2009 UnjffW4Djp /EL(d*ENT DEPARTMENT 2010 California Mechanical Code(based on the 2009 Unifor011tG& (Md&)JPERTIN0 2010 California Electrical Code(based on the 2009 International EA"AOWD 2010 California Energy Code 2010 California Green Building Standards Code Thiz set of plans and specifications MUST be kept at the Cupertino Municipal Code 1,Dn�,ite riuring construction. It is unlawful to make any r,l-lar;des or alterations on same,or to deviate there!rorn,without approval from the Building Official. Th... .:amning of this plan and specifications SHALL NOT Lc veld to permit or to be an approval of the violation of any provisions of any City Ordinance or State Law. DA