10090250 CITY OF CUPERTI:NO BUILDING PERMIT
BUILDING ADDRESS: 20712 GARDEN PLACE CT CONTRACTOR:QUALITY FIRST HOME PERMIT NO: 10090250
IMPROVEMENTS
OWNER'S NAME: KURAM NARAYANA&MALINI TADIMARRI 6545 SUNRISE BLVD STE 202 DATE ISSUED:09/27/2010
NER'S PHONE: 4089969767 CITRUS HEIGHTS,CA 95610 PHONE NO:(916)788-2921
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB
License Class Lic.# 9—�+S-
MECH f— RESIDENTIAL I— COMMERCIAL�
Contractor C�Q�rn�i�--, F t,,—S'f— Date 01/27110
t-
I hereby affirm that I am licensed under the provisions Chapter 9 JOB DESCRIPTION:RETROFIT WINDOW INSTALLATION,15 WINDOWS&1
SLIDING PATIO DOOR.ALL LIKE FOR LIKE
(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:
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.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$10822
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. qAK
APN Number:36230061.00 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 per the Cupertino Municipal Code,Section
9.18. Issued by:,__��� Date;�
Signature Date 9/Z l e,9
❑ 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. I 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,IOwner auth ized a en
become subject to the Worker's Compensation provisions of the Labor Code,I must Date: Z 7
forthwith comply with such provision 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
to building construction,and hereby authorize representatives of this city to enter
r• the above mentioned property for inspection purposes.(We)agree to save Lender's Address
mify and keep harmless the City of Cupertino against liabilities,judgments,
cu,s,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
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: DATE: REVIEWED BY:
APN: BP#: *VALUATION: 1$10,822
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY 0",, �`: PENTAMATION 1 GENRES
USE: SFD or Duplex PERMIT TYPE:
WORK
SCOPE
7_7
—t_t);rrr`;bt rr.�•r3 L-1; u,';l•�,r� 11i,<, �; srzs/;. Li I
1A, /i v) P cc" /
NOTE. These ees are based on the prelindnary information available and are only an estimate. Contact the De t or addn'1 info,
FEE ITEMS (Fee Resolution 09-051 Eff. 7/1"'10) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 EEI # Window/Sliding Glass Door
Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $506.00 I WINREP Replacement
PME Plan Check: 1.0.00
Permit Fee: $0.00
Suppl. Insp.Fee10 Reg. 0 OT 0.0 hrs $0.00
PME Unit Fee: 90.00
PME Permit Fee: $0.00
t'.'0t1s1r1 iiotr 1 tax F-1
Acoustical Fee: 0 Yes (F) No 1.0.00
Work Without Permit? 0 Yes 0 No 910.00
Planning Fee: 910.00 Select a Non-Residential 0
'1?�rr�e�l 1)E�cfrtr2<�rricrti��rl I�����s:
Building or Structure 0
Stromi,Motion Fee: 1BSEISMICR 911.08 Select an Administrative Item
Bldg;Stds Commission Fee: IBCBSC . 1.00
SUBTOTALS: $,2.08 $506.00 TOTAL FEE: $508.08
Revised: 9/22/2010
CITY Of' CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: BI.k: Lot:
APN . . . . . . . . : 3F.*230061 .00
DATE ISSUED. . . . . . . : 0SI/27/2010
RECEIPT #. . . . . . . . . : BS000011572
REFERENCE ID # . . . : 10090250
SITE ADDRESS . . . . . : 20712 GARDEN PLACE CT
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : KTJRAM NARAYANA & MALINI TADIMA
ADDRESS . . . . . . . . . . : 20712 GARDEN PLACE CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : QiJALITY FIRST HOME
CONTRACTOR . . . . . . . : GC ANDERSON LIC # 30398
COMPANY . . . . . . . . . . : QiJALITY FIRST HOME IMPROVEMENT
ADDRESS . . . . . . . . . . : 61>45 SUNRISE BLVD STE 202
CITY/STATE/ZIP . . . : C=:TRUS HEIGHTS, CA 95610
TELEPHONE . . . . . . . . : (916) 788-2921
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ----------- ---------- ---------- ----------
1BCBSC VALUATION 10, 822 . 00 1 . 00 0. 00 1. 00 0 . 00
1BSEISMICR VALUATION 10, 822 . 00 1.10 0. 00 1.10 0 . 00
1WINREP EACH 8 16 . 00 506 .00 0 .00 506. 00 0 . 00
..--------- ---------- ---------- ----------
TOTAL PERMIT 508 .10 0 .00 508. 10 0 .00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 508 . 10 #1877
---------------
TOTAL RECEIPT 508 .10
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APPROVED
INk ,CORDAW E 'VNITH THE CITY OiLAI
CLJ I Rf INO(,Of)i '.AND ORDINANCES �•
DATE__ 1(10
SIGNED -
This set of pl j. ifj,.otions MUST
he kept the(+,h at all hm-,and it it
unlawful to make& y charges— alterations
on same without ltter1olbrmission from
the Building De
rartn.,nt,City of Cupertino. ,
The stamping o this I ,,n and specifications J
SHALL NOT be held to permit or to be an
approval of the violation of any provisions 3j* I"✓ne+
of any City Ordinance or State t-aw.
SXR �
. v
Y
Building Department
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
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: 6)&,rc,p,.s Ic�c Cn� PERMIT#
OWNER'S NAME: ,-� PHONE# 1409—
GENERAL
40 —GENERAL CONTRACTOR: Q.,a 1; 'r BUSINESS LICENSE# -'*:;r O19
ADDRESS: B v �„s I, CA CITY/ZIPCODE:C; t 10
*Our municipal code requires all businesses working in the city to have a City of Cupertino business icense.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONT tACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
V 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
1B
KomcowncrM Management,Inc.
24 August 2010
Malini Tadimarri
20712 Garden Place Court
Cupertino,CA 95014
Re:Gardenview Terrace HOA
Window Replacement Approval
Dear Malini:
Please accept this letter as formal approval to replace your current windows with double pane windows.
It should be noted that all windows will need to be replaced,they should have matching trim,and
should open in the same fashion they open now.
If you have any questions,feel free to contact me.
Sincerely,
Mori Craig
Community Manager
p�
1210 S.Bascom Avenue,Su ite 220,San Jose,California 95128
Phone(408)871-9500 (620)559-9020 Fax(408)871-9515
INPUT Resourcas Energy IAD'fieatth
M.Indoor Air Quality and Finishes
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes D
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes 0
D
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
7.Seal ad FVosed Partiioleboard or MDF 4 IAQ/Health pts y=yes 0
B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
Total Points Available: 1 1401 1301 57
Total Points Project Received:1 1 01 01 0
G:datalprogs/gr:enbuildngguidelinerJremodelers/greenpointsfina1212.04protected.xis
1-:1
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CITY OFC UPERTINO
CUPEkINO GENERAL. BUILDING
PERMIT APPLICATION FORM
APN # Date:C, 1 10
Building Address:
Mailing Address (if different from building address).
4\ 43.60 v e—
Are Hazardous Materials being used as part of this project? Yes H No
HOA: (Exterior work only) Yes ® No ❑ If;yes, provide letter from HOA
Owner's Name: Phone#:
w. Ale.r avdo
Contractor: Phone:
F .1- Fax:
Contractor License
Cupertino Business License#: jet$
Contact: -Jo,��^ t{� Phone: 4�� -- bS'S'
Fax: 44CV-- 966 -- /45
Residential NCommercial
Job Description:
Building Permit Info:
' Bl Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy T e: V—
V-,-I 3mI
1-A, 1-B ❑ II/III/V-A ❑ IUIII B, IV-HT,V-B [ ►
Valuation: ��t Z2,r)o Square Footage:
Project Size: Express LLY J Large ❑ Ma'or ❑ STC
Green Building: Please complete relevant portion of the Green Bu' ding/LEED Checklist & attach it
to the application or if applicable, include in plan set & the sheet index.
Points Achieved: �,.
For help, contact Build it Green at www
Revised
Revised 07/14/09