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10080033
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 822 CANDLEWOOD DR CO VTRACTOR:PARACHUR MANNAR PERMIT NO: 10080033 OWNER'S NAME: PARACHUR MANNAR 822 CANDLEWOOD DR DATE ISSUED:08/04/2010 gER'S PHONE: 4083934400 CUPERTINO,CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION BU;LDING PERMIT INFO: BLDG[- ELECT F PLUMB r License Class Lic.# MECH r- RESIDENTIAL F COMMERCIAL r Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:BATHROOM REMODEL;NON-STRUCTURAL,60SQ (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:$5000 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APT Number:36919031.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating PERMIT EXPIRES IF WORK IS NOT STARTED to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR indemnify and keep harmless the City of Cupertino against liabilities,judgments, �$O DAYS FROM LAST CALLED INSPECTION. costs,and expenses which may accrue against said City in consequence of the 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. Issu!d by: 7 Date: ( ` Signature Date RE-ROOFS: y.. OWNER-BUILDER DECLARATION All roofs shall be inspected prior to any roofing material being installed.If a roof is insta led without first obtaining an inspection,I agree to remove all new materials for I hereby affirm that I am exempt from the Contractors License Law for one of inspe-tion. the following two reasons: I,as owner of the property,or my employees with wages as their sole compensation, Sigm ture 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). �)) l I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I hav-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 Calif anis Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain Compensation,as provided for by Section 3700 of the Labor Code,for the comp fiance with the Cupertino Municipal Code,Chapter 9.12 and the Health& performance of the work for which this permit is issued. Safet✓Code,Section 25532(a)should I store or handle hazardous material. I have and will maintain Worker's Compensation Insurance,as provided for by Addi ionally,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 permit is issued. main ain 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 O..nt r q=rized agent: Compensation laws of California. If,after making this certificate of exemption,I e L l(G'' Date: become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I here ry affirm that there is a construction lending agency for the performance of work's APPLICANT CERTIFICATION for wl ich this permit is issued(Sec.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 Lends is Address upon the above mentioned property for inspection purposes.(We)agree to save unify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the ARCH ITECT'S DECLARATION g:.,.rting of this permit.Additionally,the applicant understands and will comply I undo rstand my plans shall be used as public records. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. , ''hg1 jj �( { Licen ed Professional Signature_� � N�'1kk-lk "`,�� Date � M is J F CITY OF CU?ERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: :got : APN . . . . . . . . : 36919031 . 00 DATE ISSUED. . . . . . . : 08/04,12010 RECEIPT #. . . . . . . . . : BS000o11086 REFERENCE ID # . . . : 10080033 SITE ADDRESS . . . . . : 822 aiNDLEWOOD DR SUBDIVISION . . . . . . CITY CUPER-INO IMPACT AREA . . . . . . OWNER PARACHUR MANNAR ADDRESS 822 C!�NDLEWOOD DR CITY/STATE/ZIP . . . : CUPER-INO, CA 95014 RECEIVED FROM . . . . : PARACHUR R MANNAR CONTRACTOR . . . . . . . : LIC # *OWNER* COMPANY . . . . . . . . . . : PARACHUR MANNAR ADDRESS . . . . . . . . . . : 822 Cl�NDLEWOOD DR CITY/STATE/ZIP . . . : CUPER-INO, CA 95014 TELEPHONE . . . . . . . . FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----- ----- ---------- ---------- ---------- 1BCBSC VALUATION 5, 000. 00 1 . 00 0 .00 1. 00 0 .00 1BSEISMICR VALUATION 5, 000. 00 0 .50 0.00 0.50 0 .00 1REMRESBAT SQ FEET 1. 00 E70 . 00 0. 00 570. 00 0 . 00 ----- ----- ---------- ---------- ---------- TOTAL PERMIT E71.50 0. 00 571.50 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -- ------------------ CREDIT CARD 571 .50 MC --------------- TOTAL RECEIPT 571 .50 CITY OF CUPERTINO ADDITIONAMMODEL CUPERTINO FEE SCHIMULE APN# i Date: Is a 2"d unit being added? Yes ❑ No If yes, pleae fill out the—permit application for 2"d unit. Building Address: 2 2 Q3;Vu,L(/o() I mo-- -f Mailing Address (if different from building address): �,l P._Y, Owner's Nam Phone# ('00 c ., lir, Contractor: Phone#: Fax#: Cupertino Business License: State Contractor License#: Contact: Phone#: Fax#: Landscape Ordinance Compliance: r� Landscape area in sq. ft. (includes all irrigated areas): If 2,500 sq. ft. or less, compliance with the Landscape`Vater-Efficiency Checklist is required. If more than 2,500 sq. ft., a complete Landscape Project Submittal is required. Compliance Method: ❑ Plant Type ❑ Vater Budget Building Permit Info: Bldg. Elect. izPlumb. Mech. J Hillside ❑ Job Description: Addition-What is being added?(Be Specific): What is being remodeled (not including addition)? -41\ ! e vt; Remodel Includes Re-Roof: Yes ❑ No Ifyes list number of squares Remodel Includes Structural: Yes ❑ No 54 Do you have the pre-application planning approval? Yes EJNo ❑ If yes,please provide a copy of your planning a r.)val letter. Planners name: Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen Bath' Other Type of Construction (Usage Class): Occupancy Type: IL-7 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B [3---Valuation: S( ren Please check this box if the project is a Project Size: Express Standard ❑ Lar e ❑ Major [] second-story addition ❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: it include in plan set& the sheet index. Revised 05/18/10 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: DATE: " REVIEWED BY: of APN: BP#: `VALUATION: $5,000 "PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY SFD or Duplex OVER THE APPLICATION USE: COUNTER? Q Yes ONO TYPE: 00 3U Jo NOTE. Thesefees are based on the prelindnaty information availa.5le and are only at?estimate. Contact the Dept for addn 7 info, FEE ITEMS(Fee Resolulion 09-051 Eff 7%/;719) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 60 s.f. Remodel,Bath(<=300 sf) Suppl. PC Fee: (DReg. © OT 0.0 hrs $0.00 $570.00 IREMRESBAT PME Plan Check: $0.00 ' Permit Fee: $0.00 Suppl. Insp. Feer Reg. ®OT 0.0 Thrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Acoustical Fee: Q Yes Q No $0.00 O Work Without Permit? Q Yes Q No $0.00 E Planninl7 Fee: $0.00 : Select a Non-Residential Building or Structure i Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bld�_, Stds Commission Fee: 1BCBSC $1.00 TSs= $1.50 $570.00 r TA � - $571.50 Revised: 7/28/2010 M.Indoor Air Quality and Finishes 1 IAC/Health pts y=yes p 2.Use Low VOC,Water-Based Wood Finishes 2 IAC/Health pts y=yes 0 3IAC/Health pts y-yes 0 4.Use Salvaged Materials for Interior Finishes 3 Re;source pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6 IAC/HealthY=Y is es p P 6.Use Exterior Grade Plywood.for Interior Uses 1 IAC/Health pts y=yes 0 4IAC/Health. pts y=yes 0 8.Use FSC Certified Materials for Interior Finish 4 Re:ource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Re.ource pts y=yes 0 10.Install Whole House Vacuum System 3 IACJHealth pts y=yes p 1 i 1 N.Flooring 1.Select FSC Certified Wood Flooring__ 8 Resc urce pts y=yes 0 - — --- - :# 4 Resc urce pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resc urce pts yeses 0 4.Install Natural Linoleum in Place of Vinyl .5 IAa-lealth pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resc urce pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resc urce pts y=yes 0 Total Points Available: 1401. 1301-- 57 Total Points Project Received. 01 0 0 G:data/pmgsrgreenbuildinp guiderinesframodelersJgreenp6intsfina1212D4proteDtedAs Bathroom Remodeling 822 Candlewood Dr, Cupertino, CA-95014 5■-011 i N CTf cn w N ■ Existing and Demolition Bathroom Plan 5■-010 t �se °n ake ��_�`fie•P 'to �C��a;,s C ■' PMr cro 06�°9�o` t,�s\ pew � 'S" O a ■ CIFAVF�D v AIJ la �l 4 OW LL ■' Proposed Bathroom Plan Construction sheet notes: • Bathroom shall be mechanically ventilated (5)cu.ft/min).The point of discharge will be 3'-0" min. above any building opening within 10'-0' per CBC 1203,4. • Toilets to have min. 30"cir stall space and 21' in front. Install max. 1.6 gallon per flush. • Walls shall be water resistant to a min PF 72"above the floor. Individual pressure balance or temperature control shall be provided at eact tub/shower. • Install tub with full mortar set tile surround. Valls shall be water resistant to the ceiling at tub. • A sky tunnel will be added. General Note: • Remove and replace tub, toilet,vanity and faucets. Electrical Notes: • First switch to be connected to fluorescent li Fitt g per T-24. • Provide 20-Amp circuit for required bathroom outlets. • Anti-scalding valves at tub. • Provide mechanical ventilation fan with five ah changes per hour along with back draft dampers. • Provide membrane waterproofing under ceramic tiles in the floor. Provide membrane waterproofing in all shower location under the ceramic tile.Shower enclosure walls to have ceramic tiles upto 70" above drain min. • Tub/shower combination shall be provided with individual control valves of the pressure balance or the thermostatic mixing valve type per CPC 418. AUG o4 ZOJU BY: OWNER-BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228- FAX(408)777-3333- buiidino 5)curertin0.0r0 Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDIS + � APN F, %�:� _I G , BP# OWNER NAME OWNER ADDRESS 1V1/MV-V L DESCRIPTION OF WORK: We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having th s permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed,and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you,the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INF JRMATION (DIRECTIONS:Please read and initial each statement below to signify you understand or verify this information.) !�M 1. 1 understand a frequent practice of unlicensed persors is to have the property owner obtain an "Owner- Builder"building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and sl,bject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while workin j on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. cn-2. I understand building permits are not required to be s gned by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. '��11'� 3. 1 understand as an"Owner-Builder" I am the respons ble party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. IT) 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. P��jjN 0- 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars($500), including labor and materials, I may be considered an "employer"under state and federal law. p t'r�; 6. 1 understand if I am considered an "employer"under state and federal law, I must register with the state and federal government,withhold payroll taxes, provide workers'compensation disability insurance, and contribute to unemployment compensation for each "employee." I also un Jerstand my failure to abide by these laws may subject me to serious financial risk. 0_'7. 1 understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does riot exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. f rf,8.'1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subseque nt owner(s)that result from any latent construction defects in the workmanship or materials. 0�i,nerBuilderFornz2010.doc revised 04/14/10 1Y1 9. 1 understand I may obtain more information regarding my obligations as an " emloyer" the Internal Revenue Service,the United States Small Business Administration, the California Departme tfrom of Benefit Payments and the California Division of Industrial Accidents. I also understand I may contact the California Contractors'State License Board (CS LB)at 1-800-321-CSLB (2752)or contractors. www.cs b.ca.gov for more information about licensed ' am aware of and consent to an Owner-Builder building peit applied for in my name,and understand am the party legally and financially responsible for proposed cotruction activity at the site address listed abo a that 1 agree that, as the party legally and financially respo isible for this proposed by all applicable laws and requirements that govern Owner-BL ilders as well as employe sstruction activity, I will abide til 12. I agree to notify the issuer of this form immediately of any additions; deletions or information I have provided on this form. Licensed contractors are regulated;by laws designed to protect the u changes to any of the You contract with someone who does not have a license,the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result cf a complaint.Your only remedy against unlicensedp blic. If Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while workingon our property, g You obtain a permit as Owner-Builder and wish to hire Contrac ors,You will beoresponsible for liverifying able r damages. if r those Contractors are properly licensed and the status of their workers'compensation insurance coverage.ether or not CONSTRUCTION LENDING AGENCY (DIRECTIONS:P/ease complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Addres FBefore a building permit can be issued,this form must be ml feted and signed b the r ned to the agency responsible for issuing the permit. Note:A co y p operty owner and notarization, or ofher verification acceptable to the city may be equired to be presented when the permit is issued p p rfy owner's driver's license, ri the roe owner's sl nature.erty Owner's Signature: Date: 15' n L. '1-01O ------------ (NOTE.• The following Authorization Foran is required to be complete d by the ro e agent of the property owner to apply for a construction permit for the Owner-Builder). oW Wer only when designating an AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner,the execution of which I and arstand is m authorize the following person(s)to act as my agent(s)to apply for, sign, and file he documents necessary� Ithereby o obta n Owner-Builder Permit for my project. an Scope of Construction Project(or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed,above and I personally above information and certify its accuracy. Note:A coownerp Wally filled out the verification acceptable to the city may be required to be presented whE n the permit is issued to verify the propeform l ty owner's signature. p ny s Property Owner's Signature: Date; ChMerBuilderForsr_2010.doc revised 04114/10