10080005CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10677 AMULET PL
CONTRACTOR: CALIFORNIA HOME
PERMIT NO: 10080005
BUILDERS & DESIGN
"',VNER'S NAME: PARTHASARATH & GODHAI KRISHNAN
1775 JUNCTION AVE
DATE ISSUED: 08/02/2010
.✓NER'S PHONE: 4087740909
SAN JOSE, CA 95112
PHONE NO: (408) 392-8200
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO: BLDG r ELECT [_ PLUMB
Q
License Class Lie. # 0
MECH r RESIDENTIAL F COMMERCIAL �
/��, �,�p� ,�Ap ',/'moi �
W 'tt/�e
Contract.OA J"�� ,�1
_04I
JOB ])ESCRIPTION: REMODEL KITCHEN,NON STRUCTURAL,250SQ
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
Sq. Ft Floor Area:
Valuation: $54000
performance of the work for which this permit is issued.
1 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
<
permit is issued. qL,
APN slumber: 32643066.00
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
PERMIT EXPIRES IF WORK IS NOT STARTED
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
180 DAYS FROM LAST CALLED INSPECTION.
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. A itionally, the applicant understands and will comply
with all non-point so lations per the Cupertino Municipa Co e, Section
Issue I bye- Date:
9.18(::::::X J �(
`
Sianatu Date j�l/ � ' "
RE-ROOFS:
❑ OWNER-BUILDER DECLARATION
All ro As shall be inspected prior to any roofing material being installed. If a roof is
install �d without first obtaining an inspection, I agree to remove all new materials for
I hereby affirm that I am exempt from the Contractor's License Law for one of
inspet tion.
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
Signa, ure of Applicant: Date:
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
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain a Certificate of Consent to self-insure for Worker's
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
Compensation, as provided for by Section 3700 of the Labor Code, for the
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
performance of the work for which this permit is issued.
Safet: 1 Code, Section 25532(a) should I store or handle hazardous material.
I have and will maintain Worker's Compensation Insurance, as provided for by
Additionally, should I use equipment or devices which emit hazardous air
Section 3700 of the Labor Code, for the performance of the work for which this
contaminants as defined by the Bay Area Air Quality Management District I will
mains ain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
permit is issued.
p
I certify that in the performance of the work for which this permit is issued, I shall
Health & Safety o , Sections 25505, 25533, an15 534.
not employ any person in any manner so as to become subject to the Worker'srwn,!r
aut o ' agent:/Compensation
laws of California. If, after making this certificate of exemption, I
Date:become
subject to the Worker's Compensation provisions of the Labor Code, I mu
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
APPLICANT CERTIFICATION
for w rich this permit is issued (Sex. 3097, Civ C.)
I certify that I have read this application and state that the above information is
Lend -r's Name
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
Lend er's Address
the above mentioned property for inspection purposes. (We) agree to save
anify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
I and ;rstand my plans shall be used as public records.
with all non-point source regulations per the Cupertino Municipal Code, Section
9.18.
Licei sed Professional
Signature Date
CITY OF CU PERTINO
Im FEE ESTIMATOR - BUILDING DIVISION
imADDRESS:
FEE
QTY/FEE
DATE:
REVIEWED BY:
Plan Check Fee:
APN:
BP#:
`VALUATION: $54,000
'PERMIT TYPE: Building Permit
PLAN CI[ECK TYPE: Alteration / Addition / Repair
PRIMARY SFD or Duplex
USE:
hrs
OVER THE
COUNTER. E) Yes No
APPLICATION �,
APPL
MECHANICAL 0 Yes 0 No
PLUMBING 0 Yes 0 No
ELECTRICAL 0 Yes O No
x
Permit Fee:
as
O
Suppl. Insp. Fee:O Reg.
0 OT
�
hrs
$0.00
IOCCUPANCY TYPE: I CONS TYPE OR I FLRQARE It I PC FEES I PC FEE ID I BP FEES I BP FEE ID I
TOTALS: 0 $0.00 $0.00
77
NOTE: These fees are based on the nreliminary information availa,)le and are anly an estimate. Cnntart the Dent fnr addn'1 info_
FEE ITEMS (Fee Resolution 09-051 Eff'x'1,'09)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
250 s.f.
$570.00
Remodel, Kitchen (<=300 sf)
IRENIRESKIT
Suppl. PC Fee: 0 Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:O Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Acoustical Fee:
Q Yes 0 No
$0.00
0
0
Work Without Permit? 0 Yes 0 No
$0.00
Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
Stronjz Motion Fee:
IBSEISMICR
$5.40
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$3.00
SUBTOTALS:
$8.40
$570.00
TOTAL FEE:
$578.40
Revised: 7/27/2010
3 ITEMS OF 3
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: LDt:
APN ........: 32643066.00
DATE ISSUED.......: 08/02/2010
RECEIPT #..........: BS000011048
REFERENCE ID # ...: 10080005
SITE ADDRESS .....: 10677 AMULET PL
SUBDIVISION ......
CITY CUPERTINO
IMPACT AREA ......
OPERATOR: patg
COPY # : 1
OWNER PARTHASARATH & GODHAI KRISHNAN
ADDRESS ..........: 10677 AMULET PL
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
RECEIVED FROM ....: PARTHASARATH KRISHN
CONTRACTOR .......: SIMON KREK LIC # 31282
COMPANY CALIFORNIA HOME BUILDERS & DES
ADDRESS ..........: 1775 JUNCTION AVE
CITY/STATE/ZIP ...: SAN JCSE, CA 95112
TELEPHONE ........: (408) 392-8200
FEE ID UNIT
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
----------
-----------------------
1BCBSC VALUATION
----------
54,000.00
----------
3.00
----------
0.00
----------
3.00
0.00
1BSEISMICR VALUATION
54,000.00
5.40
0.00
5.40
0.00
1REMRESKIT SQ FEET
250.00
570.00
0.00
570.00
0.00
----------
TOTAL PERMIT
----------
578.40
----------
0.00
----------
578.40
0.00
METHOD OF PAYMENT
AMOUNT
REFERENCE
NUMBER
----------------- ---------------
CHECK
578.40
--------------------
#465
---------------
TOTAL RECEIPT
578.40
CITY OF CUPERTINO
ADDITION/REMODEL
PPER NO FEE SCHF;DULE
APN# t..
Date:
/
Is a 2" unit being added? Yes ❑ No'y If yes, pleas a fill out the periniii application for 2"d unit.
Building Address:
Mailing Address (if different from building address):
Owner's Name:
P e
Contractor: a
Phone k
(u At, FOP -4i i�N _ Li i llouv__
Fax #: 40 a la -CSO
Cupertino Business License: State Contractor License #:
Contact:
Phone #: g
jk `Cl &gZ
Fax #:
Landscape Ordinance Compliance:
Landscape area in sq. ft. (includes all irrigated areas):
If 2,500 sq. ft. or less, compliance with the Landscape V Vater -Efficiency Checklist is required.
If more than 2,500 sq. ft., a complete Landscape Project Submittal is required.
Compliance Method: ❑ Plant Type ❑ Water Budget
Building Permit Info:
Bldg. ❑ Elect. Plumb. Mech. Hillside ❑
Job Description:
Addition -What is being added?(Be Specific):
What is being remodeled (not including addition)?'1�--X� -�
Q0 4 -
Remodel Includes Re -Roof: Yes ❑ No If yes list number of squares
Remodel Includes Structural: Yes ❑ No
Do you have the pre -application planning approval? Yes ❑ No ❑
If yes, please provide a copy of your planning a r�)val letter. Planners name:
Square Footage:
Addition: Deck: Garage: Detached Attached
�Porch:
Remodel: Kitchen Bath Other.
Type of Construction (Usage Class):
Occupancy Type: V .-
A
1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV -HT, V -B 0�
Valuation: &dvQ-
Please check this box if the project is a
Project Size: Express tandard ❑ Large ❑ Major []
second -story addition ❑
Please complete relevant portion of the Green Building
Checklist & attach it to the application or if applicable,
Green Building Points Achieve
include in plan set & the sheet index.
Revised 05/18/10
Page 1 of 2
LANDSCAPE WATER-EFFICIENCY CHECKLIST
Community Development Department
10300 Torre Avenue 408.777.3308/Fax 408.777.3333
Cupertino, CA 95014 plannin'-@cupertino.org
C U PE RTE N
O
http://cupertino.org/planninc
Applicant Name! T� (fj%(!, Email:
t ri A*4U, , 1� U Phone:
Project Site Address: ( j
Total Landscape
Laitdscape area: All the planting areas, turf areas, and water
Area feet):
futures in a landscape installation. The landscape area does
(square
rot include footprints of buildings or structures, side\v alks,
c rive?1,7a3,s, parking lots, decks, patios, gravel or stone iA�Jalks,
Turf Area:
c they pervious or non-pervious hardscaFes, and other non-
i-rigated areas designated for non-development (e.g., open
=paces and existing ivildland vegetation).
Non-Turf Plant Area:
Tu.-f: A ground cover surface consisting of non-native grass
species that is customarily mowed. Arunual bluegrass,
1'entucky bluegrass, perermial ryegrass, red fescue, and tall
Special Landscape Area:
f,-scue are examples of cool-season turf grasses. Bermuda
s rass, kikuyu grass, seashore paspalum, St. Augustine grass,
Water Feature Wet Surface Area:
If > 10% of landscaped area, water budget calcu-
Zoysia grass, and buffalo grass are Nvarm-season turf grasses.
lation required with landscape project submittal.
See reverse side for other definitions.
NOTE: If landscape area exceeds 2,500 sq. ft., a landscape project st bmittal shall be required. If no landscaping is proposed, enter
"0" above and proceed directly to the signature block at the bottom )f this form.
Landscape Parameter Requirements Project Compliance
Turf Total turf area shall not exceed 25% of the landscape ❑ Yes ❑ l
area, or 1,250 square feet, whichever is lesser in area. ['f h.o, '"`ater :d- et ca_c iati.r. rey rrec
'o'L!? l?I":�=CaL'2 f:OICCT _iIllatdlj
All portions of turf areas shall be wider than eight (8) feet. ❑ Yes
Turf (if utilized) is limited to slopes :tot exceeding 15%. ❑ Yes
Non-Turf At least 80% of non-turf area shall cc nsist of native or ❑ Yes ❑ N.o
low water use Tants. i , •, ,
p L_t i i'1'a�e] L'^_iu=C Ca:Cl11dIICIl 1'eyLiL_l
\ti itl? lai?dscaf;e project sub uttal'
Hydrozones Plants with similar water needs shal be grouped within ❑ Yes ❑ No
hydrozones. Each hydrozone shall Ie controlled by a i=1a.?s can be z:-oaped per
separate valve. Table 14.15. 050,,(C)I
Irrigation System Systems shall be designed and main-ainedto minimize ❑ Yes ❑ N1 C'
water waste (e.g., runoff, low head drainage, overspray).
Low-volume irrigation shall be utili2 ed in non-turf areas.
Irrigation shall only occur between the hours of 8:00 pm [i;" no, Provide e>aianation on back;
and 10:00 am.
Soil A minimum of eight (8) inches of no -i-compacted topsoil ❑ Yes ❑ o
shall be available in planted areas. _ (lf ;?o, P-�•; 2, pl=rztol? cn backs
Soil amendments, such as compost or fertilizer, shall be
Yes ❑ No
appropriately added according to th ! soil conditions at
the project site and based on what is appropriate for the
[lf no, 7rovide e>:P1 ration on ',aci
selected plants.
Mulch A minimum two (2)-inch layer of mt.lch shall be applied ❑ Yes ❑ N" 'c'
on all exposed soil surfaces of plantitg areas, except in
areas of direct seeding application (e.g. hydro-seed). ['` : o, Pro\ ; e e;: ian.atie;? o i ck
I am aware of available informational resources regarding native and low water use plants, irrigation efficiency, and other aspects of
water-efficient landscaping. I certify that the information provided o z this checklist is correct, and the installed landscape complies
with the requirements of Chapter 14.15. I also understand that any cl'anges to the project will necessitate a new checklist.
Signature of property owner or authorized representative Date
Page 1 of 2
2. Use Low VOC, Water -Based Wood Finishes
4. Use Salvaged Materials for Interior Finishes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde
6. Use Exterior Grade Plywood.for Interior Uses
8. Use FSC Certified Materials for Interior Finish
9. Use Finger -Jointed or Recycled -Content Trim
10. Install Whole House Vacuum System
N. Flooring
1. Select FSC Certified Wood Flooring
3. Use Recycled Content Ceramic Tiles
4. Install Natural Linoleum in Place of Vinyl
5. Use Exposed Concrete as Finished Floor
6. Install Recycled Content Carpet with Low VOCs
1 IAC /Health pts
y --yes
2IAC /Health pts
y=yes
_ 31AC/Health pts
y=yes
3 Re;;ource pts
y=yes
61AC/Health pts
y=yes
1 IAC/Health pts
y=yes
4IAC /Health. pts
y=yes
4 Re!;ource pts
y=yes
1 Re;;ource pts
y=yes
3 IA(VHealth pts
y=yes
8 Resource pts
y=yes
4 Resource pts
y=yes
4 Resource pts
y=yes
5 IAG Health pts
y=yes
4 Resource pts
y=yes
4 Resource pts
y=yes
Total Points Available:
Total Points Project Received:
INS
IPA,
--MLs
G:data/progslgrwnbwlc11ni guicierines/mmodelers/greenpointsfina1212D4prcdeoredxis
RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number: 72 C Lr 7 - 06'�
Name of owner?w- l�i� 1-
Project address.. L • �" T
Contact person. ; " A,-UTODUJ Phone. _ f 4q -i–t(&
Fax. Zvi/
Net square footage of lot.
Existing
Square footage: First floor:
Proposed
Second floor:
Garage:
TOTAL:
AUG 02 ,
Are there at least two 10 foot by 20 foot clear spaces inside the garage? YY>–::::K-
Is
�
Is privacy protection planting required for the project?c---Y�1�
1-1
uild it Green Total Points
On what floor(s) is work being done?
Code editions: 2007 CBCN)2007 CFC
2007 CPC N)2007 NEC
Effective 1/1/08
(n�N)2007 CMC (foDN)
N)
1N q,,(,i)RUAN, t "I! t+ 'HE CITY OF
UPl RT lNr r,OUE �ANU ORDINANCES
C
DATE_
SIGPi ihcat,ons MUSt
This set of p ans and spec.
be kept on the lob at all times and it is
es or alterations
unlawtul to make anv chang
on same without wntten permission from
the Building Department, City o1 Cupertino
The stamping e th's plan and specifications
SHAH NOT be held to permit or to beprovisions
approval of th C)f`olnancecf anY
or State Law.
of arty City
Plan Review Process Work Book Page -8-Revised 8/05/08
y f`
I
m
I
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
..��.
— W"d I
AWN
BUSINESS is AME
BUSINESS LICENSE #
� • • � • • �� ' �
�
� S �
it
p�
*Our municipal code requires all businesses worK►nggn the city w nave a �.,ty ul —uij- «•-� .-�•--�-_____ __
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature
Ph -au, rhi ek annlicable subcontractors and complete tie following information:
Date
Owner Contractor Signature ate
SUBCONTRACTOR
BUSINESS is AME
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 -4
1
1 i I
Owner Contractor Signature ate