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10110154 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22687 ROYAL OAK WAY CONTRACTOR:BROTHERS HOME PERMIT NO: 10110154 IMPROVEMENT G :R'S NAME: SHIVKUMAR JAYARAMAN 2510 DOUGLAS BLVD DATE ISSUED: 11/23/2010 OWNER'S PHONE: 4083061348 ROSEVILLE,CA 95661 PHONE NO:(408)295-0680 ❑ LICENSED CONTRACTOR'S DECLARATION F_ F BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class C Li,# (��(q �I MECH F RESIDENTIAL F COMMERCIAL r Contractor � �Pr y An! Dat I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:9 WINDOWS&1 PATIO DOOR,LIKE FOR LIKE RETRO-FIT (commencing with Section 7000)of Division 3 of the Business&Professions INSTALL 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, provided for by Sq.Ft Floor Area: Valuation:$7800 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:34232028.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations p he Cupertino Municipal Code,Section _ 9.18. Issued b Date: S ire Date / 'Z3 I d ❑ OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner or gent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name tr ding construction,and hereby authorize representatives of this city to enter L, ae above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34232028 .00 DATE ISSUED. . . . . . . : 11/23/2010 RECEIPT #. . . . . . . . . : BS000012076 REFERENCE ID # . . . : 10110154 SITE ADDRESS . . . . . : 22687 ROYAL OAK WAY SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : SHIVKUMAR JAYARAMAN ADDRESS . . . . . . . . . . : 22687 ROYAL OAK WAY CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : SEAN FERGUSON CONTRACTOR . . . . . . . : GENE V. CAVANNA LIC # 27964 COMPANY . . . . . . . . . . : BROTHERS HOME IMPROVEMENT ADDRESS . . . . . . . . . . : 2510 DOUGLAS BLVD CITY/STATE/ZIP . . . : ROSEVILLE, CA 95661 TELEPHONE . . . . . . . . : (408) 295-0680 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 7, 800. 00 1. 00 0. 00 1. 00 0 .00 1BSEISMICR VALUATION 7, 800. 00 0 .78 0 . 00 0 .78 0 .00 1WINREP EACH 8 10. 00 506 . 00 0. 00 506 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 507 .78 0 . 00 507.78 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 507.78 MC --------------- TOTAL RECEIPT 507.78 ds (To N A( (ATY o LO oA TE SIGNtt-j This set of plans anti speciticat Ons MljST �N-�ep�or,the job at all tin ies.and it is jnlawlO t(,rnaKe ar ;changes c rallerations Or'Saifle without wf itten put,fission frorr the Fudding DepartL,*,l�)Olty of Cupe,-tfrl(, Sir%Ili t.04 tAww� The"tarTjr,'M)'A 0,-and sp,-cifications NO-i t)r-.or-i Cfs, 01,501kA �jror,- Ao p v kje, im c, CoAe - iS!S 71,0 y,c,-A VIA 1 jr a- WINDOW REPLACEMENT REQUIREMENTS COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildinq(a.cupertino.orq PURPOSE The purpose of this guideline is to clarify the minimum building code requirements when repairing, replacing or adding windows in a residential building. Structural plans and calculations may be required if window/door openings are added to an existing lateral resisting element(shearwall). PLAN REQUIREMENTS 1. Provide a completed building permit application. 2. Provide three sets on minimum 8-1/2"x 11"sheets of completely dimensioned floor plans showing the size, type and/or location of all new or replacement/repaired windows. Floor plan shall specify the use of all existing rooms. 3. Owner-Builder Disclosure Form(for property owners applying for their own building permit) 4. Provide structural plans and calculations if window/door opening is (are)being added to an existing shearwall and the overall design does not meet the conventional construction requirements of the California Building Code. kb'-4'` ' GENERAL INFORMATION—EMERGENCY ESCAPE AND RESCUE OPENINGS • Per Section 1029 of the 2010 California Building Code, provisions shall be made for emergency escape and rescue in Group R occupancies. This also applies to replacement windows per 2010 CBC Section 3407. • Every sleeping room shall have at least one exterior emergency escape and rescue opening or exterior door approved for egress or rescue. • All emergency escape and rescue openings from sleeping rooms shall have a net clear opening of 5.7 square feet, except that the minimum net clear opening for emergency escape and rescue grade- floor openings shall be 5 square feet. • The minimum net clear opening height shall be 24 inches. The minimum net clear opening width shall be 20 inches. • Emergency escape and rescue openings shall have the bottom of the clear opening not greater than 44 inches measured from the floor. • Bars, grills, grates or any similar devices are permitted to be placed over emergency escape and rescue openings provided the minimum net clear opening size complies with the opening requirements of the egress window and such device shall be releasable or removable from the inside without the use of a key,tool, special knowledge or effort or force greater than that which is required for normal operation of the escape and rescue opening. • Bass, grills, grates or any similar devices shall be equipped with an approved exterior release device for use by the fire department. WindowReplacePolicy.doc revised 11/08/10 Building Department City Of Cupertino LM 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: '2?6,j? PERMIT# 1 4111-0t1 OWNER'S NAME: 'ShIU PHONE# `'IG Zk Ct680 GENERAL CONTRACTOR: . yy, Y BUSINESS LICENSE# ADDRESS: /,�- s t,a CITY/ZIPCODE: �12� *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 SUBCONTCTO S HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. l I am not using any subcontractors: _ —� l�47 ignature Date Please check applicable subcontractors and complete the following information: j/ 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 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 22687 royal oak wy. DATE: 11/23/2010 REVIEWED BY: bobs. APN: BP#: "VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Du lex �'` '` PENTAMATION USE: P `x %c = `r,%:.�: PERMIT TYPE: 1GENRES WORK 9 window replacement and 1 patio door non structural. SCOPE (Li„ /I T V,Irl Yt, k 1•Irc,f IE>,-'itt;tic=°_ ?`, ,.. '<r,r.. I`_c C.It.c F' ttrir,r_:�.. .'.._,. 1:3�i_1`_lt=. NOTE: Thesefees are based on the preliminary in ormation available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS(Fee Resohitiol7 09-051 Ef. 7%1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 EEI # Window/Sliding Glass Door Suppl. PC Fee: E) Reg. 0 OT 0.0 hrs $0.00 $506.00 1 WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t`r�r�st rrc tir�t� T(IX Acoustical Fee: Yes Q No $0.00 0 Work Without Permit? Yes (F) No $0.00 E) Planniniz Fee: $0.00 Select a Non-Residential t i fiz>l i�)t�rtrfrttttrui`F�rt fc'_�: Building or Structure Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $506.00 TOTAL FEE: $506.00 Revised: 11/08/2010 CITY OF CUPERTINO CITY Of cUFERTINO GENERAL BUILDING PERNUT APPLICATION FORM APN# �`i ,� tJ �. �s L Date: / Building Address: oo Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes No HOA: (Exterior work only) Yes ❑ No If Yes, provide letter from HOA Owner's Name: Phone _ #: Contr or: Phone: Contractor License#: q QCc y Cupertino Business License#: ^ontact: Phone: Fax: � -S Residential �,Commercial Job Description: fcJio Poch liVP�f L, �I Cr b, 1 Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Type of C;7M=-A 'E 'on (Usage Class): Occupancy Type: 1-A, 1-B II/III B, IV-HT, V-B ❑ {`moi v Valuation: Square Footage: -- C 0, Project Size: Express Standard M Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable, include in plan set & the sheet index. Dints Achieved: For help, contact Build it Green at www.builditgreen.org Revised 07/14/09 CITY OF CUPERTINO BUILDING P t RMIT BUILDING ADDRESS: 22615 SALEM AVE CONTRACTOR:CHANE',CHENG-FENG AND PERMIT NO: 10110134 JANG SUH-LIN T OWNER'S NAME: CHANG CHENG-FENG AND JANG SUH-LIN T 22615 SALEM AVENUE DATE ISSUED: 11/19/2010 OWNER'S PHONE: 4082538050 CUPERTINO,CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT XNFO: BLDG ELECT PLUMB r License Class Lic.# MEC" RESIDENTIAL COMMERCIAL Contractor Date hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:(REMODEL TWO BATHS ON THE 2ND FLOOR,200 SF, (commencing with Section 7000)of Division 3 of the Business&Professions NON-STRUCTURAL,NO"ROOF Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: 1 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. 1 have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$10000 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:34212063.00 Occupancy Type: APPLICANT CERTIFICATION certify that I have read this application and state that the above information is correct.1 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. 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• Issued by Date: Signature Date OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that 1 am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,1 agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed tractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER t I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 2552'2(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 1 certify that in the performance of the work for which this permit is issued,1 shall Health&Safety Code,Sections 25505,25533,and 25534. 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 Own7lor iruthor' d age" . become subject to the Worker's Compensation provisions of the Labor Code,I must � / 74 Dater C--' forthwith comply with such provisions or this permit shall be deemed re oked� RUCTION LENDING AGENCY APPLICANT CERTIFICATION J I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address 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 4tRCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section l understand my plans shall be used as public records. 9.18. Licensed Professional_ Signature Date