The URL can be used to link to this page

13030140 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10421 E ESTATES DR CONTRACTOR:BEST EXTERIORS PERMIT NO:13030140 CONSTRUCTION INC OWNER'S NAME: ELANGOVAN PUNNIAKOTI 5005 TRACY CT DATE ISSUED:03/26/2013 OWNER'S PHONE: 4083944051 SACRAMENTO,CA 95842 PHONE NO:(916)308-3800 ❑ LICENSED CONTRACTOR'S d DECLARATION JOB DESCRTION: RESIDENTIAL COMMERCIAL License.Class. Lie.;# Z_$ REPLACE 7 RETROFIT WINDOWS&2 BEDROOM 2c WINDOWS TO ContractorQ5(E111�ate 3 3 MEET EGRESS(NO STRUCTURAL) 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. Sq.Ft Floor Area: Valuation:$6000 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 APN Number:36913046.00 Occupancy Type: permit is issued. . APPLICANT CERTIFICATION I certify that have read this application and state that the above information is PERMIT EXPIRES WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITFIIN 180 OF PERMIT 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 DA M L ALLED 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 Issue Date: with all non-point source re ions per the Cupertino Municipal Code;Section 9.18. RE-ROOFS: Signature Date. 2) 7_2 61*3 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 am 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 . 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 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(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I 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: 0 J 0.400 ifyV Date: 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 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 performance 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 Lcertify 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 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 O` COMMUNITY.DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �O CUPERTINO (408)777-3228•FAX(408)777-3333•building(ftupertino.org [:]NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADIJWS APN# T ( / -a ,46 O / OWII AMIFT vL 0 V w F%A�� Fi 14CAI "3 •��' 4 �/ E-MAIL / 1 7 S r. . 5T 14' 'fig' IL CI, s£%t (� i �p �. �i J 6(A R'S A E ^��J-✓t 5J 5 E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR =CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT LICENS123 3Os- LICE E BUS.LIC# CfR N Eh101 , l�(d 11L.7 �w R. MPANYINA 1Q e l O /O E-MAIL FAX � \ , P ('P 'q 5e / Z PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME EMAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE D�RI�TIo wo�� GI CYC•,k e� vur �J�t%�4 Ness �� -� -�.2.. - 7Z �,,�,' Sow 5► E'_1 -� EXISTING USE PROPOSED USE - CONSTR.TYPE I #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR - DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN .OTHER REMODELAREA REMODELAREA _ REMODELAREA PORCH AREA DECK AREA TOTAL.DECK/PORCH AREAGARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RETOTAL V TI PLANNING APPL# []NO PLANNINGAPPROVALLETTER EICHLER.HOME? ❑NO O By my signature below,I certify to each of the following: I am the roperty owner or authorized agent to on the p owner's behalf. I have read this application and the information I have provided is cornct hav the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constntc' tho' e representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMXIION REQUIRED PLAN CHECK TYPE `�y� ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for OVER-THE-COUNTER fie`BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building l permit for new building. ❑ EXPRESS (�PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD TJ PUBLIC WORKS form 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 El MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. El ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 06/21111 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10421 E ESTATES DR DATE: 03/26/2013 REVIEWED BY: MELISSA APN: 369 13 046 BP#: *VALUATION: 1$6,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1GENRE wORK REPLACE 9 WINDOWS 2 OF WHICH WILL CHANGE TO MEET EGRESS IN BEDROOMS SCOPE 11ech.Plan Check Plumb.Plan Check Dec.Plan Check Wech.Permit Fee: Plumb.Permit Fee: Elec. Permit Fee: L,O,h ;Wech.Insp. Other Plumb Insp. Other Elec.Insp. .Insp.fee: Plumb.Insp.Fee: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These ees are based on the prefinWdna information available and are only an estimate Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 9 # Window/Sliding Glass Door Suppl.PC Fee: Q Reg: OOT 0.0 hrs $0.00 $533.00 I WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-0 Reg. OOT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consawction Tar: r'dinlnistrative Fee: Work Without Permit? O Yes O No $0.00 0 Advanced Planning_Fee. $0.00 Select a Non-Residential O Travel Documentation Fees: Building or Structure O Strong Motion Fee: IBSEISMICR $0.60 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $1.601 $533.00 ' $534.60 u Revised: 01/01/2013 �i iz Building Department M. City Of Cupertino 10300 Torre Avenue 'Cupertino,CA 95014-3255 } Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 h. CONTRACTOR/SUBCONTRACTORLIST JOB ADDRESS: PERMIT#y �. l' U OWNER'S NAME: C..N N. V�- PHONE# GENERAL CONTRACTOR: 4;eL} c BUSINESS'LICENSE# ADDRESS:—600S-T4L C CITY/ZIPCOJ�E. *Our municipal code requires all businesses working in the city:to have a City of Cupeftino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S� WILL. B&-j$ DULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACT HAVE OBTAINED_A'CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the,followwing information V SUBCONTRACTOR BUSINESS,NAME1 SINESS 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 � 4 Sheet Rock Tile Owner/Contractor Signature i Date Ld x ug q2 x �g wA N COMMUNI DEV4P, NTEDEPARTMENT BUI INGDIERTINO APPROVED This set of plans nd specifications MUST be kept tov job site during c nstruction. it is unlawful to mak changes or Iterations on same,or to deviate Y therefrom,witho it approval from the Building O i �Z� OFFICE 'COr I` The stamping s plan afld�peeificatior�s SH Q be held to pe --� of proval of the violatio —t-- Ordinance or State Law. Q N BY L. O c� O�� DATE l VC N PERMIT O. 0 130 2 /1) K() IV's 04 E l-Ar�joV A1n PLOW lA M'Vt CA MAR 2 6 201 Lam.��.'6Z.�►�ifl ti.�.�w> � ew rr ]BY, �-PN 369 - 3 -oy6 e N S•kgA1(_'t1o\-I