11050249 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10744 STEVENS CANYON RD CONTRACTOR:SGK HOME PERMIT NO: 11050249
SOLUTIONS, INC.
OWNER'S NAME: SAILESH THAKKER 3801 CHARTER PARK CT STE B DATE ISSUED:05/27/2011
OWNER'S PHONE: 4085647873 SAN JOSE, CA 95136 PHONE NO:(408)264-6964
CENSED CONTRACTOR'S DECLARATION r #
;�Ff) ,_;7 , � BUILDING PERMIT INFO: BLDG ELECT PLUMB
License lass Lic. L�
}( MECH RESIDENTIAL COMMERCIAL
Contractor- AIE Date Z�
I hereby affirm that I am licensed under the provisions of Chap er 9 JOB DESCRIPTION: REMOVE WINDOW AND REPLACE W/DOOR,ADD
EXTERIOR
(commencing with Section 7000)of Division 3 of the Business&Professions LIGHT
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:$2692
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:35603049.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION A/__
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 DAYS 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 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accru gainst said City in consequence of the
granting of this permit. Addition y,t e applicant understands and will comply Issued by: Date:
with all non-point source regul ions p r the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signa uC� 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 UIL CLARATION
Signature of Applicant: Date:
1 hereby affirm that I am exeltfpt from the Contractor's License Law for one of
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 Iicensed 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 thekBaeaQuality Management District 1
performance of the work for which this permit is issued. will maintain compliance with thenicipal Code,Chapter 9.12 and
1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Se and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized agL�� Date: Z
c.-
I certify that in the performance of the work for which this permit is issued,1 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 ENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must 1 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
I certify that 1 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
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
CITY OF CUPERTINO
6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35603049 . 00
DATE ISSUED. . . . . . . : 05/27/2011
RECEIPT # . . . . . . . . . : BS000013593
REFERENCE ID # . . . : 11050249
SITE ADDRESS . . . . . : 10744 STEVENS CANYON RD
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER SAILESH THAKKER
ADDRESS . . . . . . . . . . : 10744 STEVENS CANYON RD
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : SGK HOME
CONTRACTOR . . . . . . . : VLADIMIR MERABIAN LIC # 30341
COMPANY . . . . . . . . . . : SGK HOME SOLUTIONS, INC.
ADDRESS . . . . . . . . . . : 3801 CHARTER PARK CT STE B
CITY/STATE/ZIP . . . : SAN JOSE, CA 95136
TELEPHONE . . . . . . . . : (408) 264-6964
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 2 , 692 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1BREMRECEP NO. OUTLETS 2 . 00 42 . 00 0 . 00 42 . 00 0 . 00
1BSEISMICR VALUATION 2, 692 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1EPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00
1TRAVDOC FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00
1WINREP EACH 8 1 . 00 380 . 00 0 . 00 380 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 507 . 50 0 . 00 507 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 507 . 50 5269
---------------
TOTAL RECEIPT 507 . 50
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 10744 Stevens Canyon DATE: 05/27/2011 REVIEWED BY: gs
O'l APN: BP#: "VALUATION: 1$2,692
'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1GENRES
USE: 17 PERMIT TYPE:
WORK Remove window replace with door non struct. add exterior light.
SCOPE
Elec.Plan Check0.0 hrs $0.00
Elec.Permit Fee: IEPERMIT
Other Elea Insp. I.L01hrs 1 $42.00
NOTE: Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addh 7 info.
FEE ITEMS (!'ee Resolution 09-051 I ff. 7/1,10) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 0 # Window/Sliding Glass Door
Suppl.PC Fee: E) Reg. OT 0.0 hrs $0.00 $380.00 IWINREP Replacement
PME Plan Check: $0.00 �2 Electrical
Permit Fee: $0.00 $42.00 1BREMRECEP Recep/Switch/Outlets
Suppl. Insp.Fee-O Reg. OOT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $42.00
Acoustical Fee: Q Yes (j) No $0.00 0
Work Without Permit? 0 Yes 0 No $0.00 E)
Plannin Fee: $0.00 Select a Non-Residential Q
Travel Documentation Fee: ITRA VDOC $42.00 Building or Structure 0
i
Strom; Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
131d€>Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: E$85.50 $422.00 TOTAL FEE: $507.50
Revised: 04/29/2011
Message body Page 1 of 1
From: Amit Rustagi [mailto:amit_rustagi@yahoo.com]
Sent: Sunday, May 22, 20113:12 PM
To: ••SaUE¢ h•• Thakker; sgkhomesolutions@yahoo.com;
brid et bin wu2ygbm.co he sun hotmail.com
Cc: vladscKlmail.com; Binita Thakke n Sprague
S sect: Re: French Door
i Sailesh, We will aprove the Door modific ion as long as Cupertino will
for permit.
I�ave ficat-ien-R quest Form (MRF). Please fill the MRF and
submit it along with the supporting documents. Let me know if you have any
questions
Thanks
Amit
From: ••SaUEsh•• Thakker <sailesht@hotmail.com>
To: sgkhomesolutions(a)yahoo.com; bridaet bin wu(a)yahoo.com;
amit rustagi@)yahoo.com; honghe sun(a)hotmail.com
Cc: vladsgk@gmail.com; Binita Thakker <tbinita0)grnail.com>; Evan Sprague
<evanlspraaue6Ihotmail.com>
Sent: Thu, May 19, 2011 1:37:23 PM
Subject: RE: French Door
Hi Amit, Bridget, Sheila,
We are planning to convert one of our living room window that faces
towards our side yard into a door.
The configuration and the picture of the door are attached and the
exterior will match the existing house as is when finished.
SGK Home Solutions will be doing the work and they will take all
the necessary permits from the city of cupertino and be present during
the inspection by the city officers.
We want to get HOA approval before they start ordering for the door.
So if you can review this and give us an approval (email should be
fine) then we can start with the order.
If you have any questions, you can reach out to us or Evan from SGK
Home Solutions by phone or email.
http://b1153w.blul53.mail.live.com/mail/RteFrame.html?v=15.4.3106.0520&pf=pf 5/27/2011
COMMUNITY DEMOPMENT DEPARTMENT
BUILDING DIVISION-CUPERTINO
APPROVED
This set of plans and specifications MUST be kept at the
job site during construction. It is unlawful to make any
changes or alterations on same,or to deviate
therefrom,without approval from the Building Official.
The stamping of this p`Ian and specifications SHALL NOT
be held to of t
ion
ofhe vialat!
It,
islo s guar City Orce or State Law.
BY
(1 DATE -- 'L 7- //
✓� '✓� �L��s Wl
PERMIT NO.
i A �
1
I
i
�v
r
i
1
i
{
CONSTRUCTION PERMIT APPLICATION
0 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
CUPERTlNC!
(408) 777-3228• FAX (408)777-3333• buildin-ge-cupertino.org
C� [�
[:]NEW CONSTRUCTION El ADDITION Q ALTERATION/TI [:1 REVISION/DEFERRED ORIGINAL PERMIT# I/v`
'V✓` EL
PROJECT ADDRESS l APN# S/ ^
03 Oq9
OWNERNAMEP
PHONE Y 9 �r l E-MAIL
STREET ADDRESS CITY, STATE,ZIP G/ lSJ FAX
CONTACT NAME PHONE E-MAE
STR.E$T ADDRESS £3T?Y,STATE, ZIP_ AX
S5 t, 3 v f _c' t !'! 15 l�;�
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CQNTRACTOR DAME C i LICENSE NUMBER/1r)�2,,� LICEN$ YPE BUS.LIC#
'50L
7Lv
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZI ' PHO &,41
A�
ARCHITECT/ENGINEER NAME J LICENSE NUMBER BUS.LIC
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTIONOF WORK
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE 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 PLANNER'S NAME: '
PLANNING APPL# ❑ NO PLANNING APPROVAL LETTER _0
By my signature below,I certify to each of the to g: I am the property owner or authorized agent to act on a property owner's behalf I have read this
application and the information I e provi d come t. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relat' to buildin cons 'ti
n. I au ri�g�psesentatives of Cupertino to enter the abo identifie r perry for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLE NTAL INFO TIO UIRED IPE RQUMM ,
_New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition.permit is required prior to issuance of building
permit for new building. � y y
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ s9C� dXTIERiYC'�i'
form if any Hazardous Materials are being used as part of this project.
❑ tel ' . ,
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application. aox'
B1dgApp_2011.doc revised 03/16/11