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07110087 CITY OF CUPERTINO � ` (� BUILD4�G DIVISit)N PERNIIT �+���������"������� ` „. . . ..,... . ::::<..: , .. ...: .: . .: ::.: BUiLDING ADDRESS: PERMfT NO. 20220 LYNTON CT BROTHER� HOME IMPROVEMENT 07110087 . lNER'S NAME: P �� �� DA � ANURAG JAIN 2510 DOtJGLAS BLVD � 11/15/2007 PHONE: SANTPARY NO. CONTROL NO. (408)29'�-0680 ARCHI'IECIYENGINEER: BUILDING PERMif INFO HLDG ELECf PLUMB MECH � 0 � 0 � O p LiCENSED CON7RACTOR'S DECLARATION JOU DCSCTIpt10I1 i� � C I hcrcby aflicm �hat I am licenscd unJer provisions oC CAaptcr 9(commcncins _ z�� wiw Sccdon 7000) of Division 3 of ihc Businesc and Protcssions Codc, and my Iiccnsc is RE P LAC E PAT I O DOOR , S I Z E F OR S I Z E S TRA I GHT '� d in full force a yf � ;�? �;��,,,� i�- �' �•� � RETRO—F CT INSTLTN � �, G Date Coo►ractor °`� � "'`� ��'` ARCHITECI'S DECLARA770N ��< I undcrswnJ my plans shall be uxd as public rccorda d ; u. y Licensed P�ufcuionsl n y � OWNER-BUILDER DECLARATION I hcrcby nlTirm that 1 am excmpt from thc Con�raaors Liccnsc Law far �hc � p O following rcason. (Scction 7tY31.5, Busincss and Profcssions Cafc: Any city or county ��� which requiccs a permil to conswct, altcr. impmvc. dcmulish. or �epuir any suucwrc prior u� i�s issuancc, alw rcquims thc applicant (or such permit to filc a signcd sta�cmcm ^< that hc is licenxd pursuant to �hc pmvisions o[ �hc Conuactor's license [aw (Chaptcr 9 iq. Ft. Floor Area $17 5 5 Valuation y x F- �(commencing with Scction 7000) of Division 3 of Ihc Busincss and Profcssions Cadc) or y � r, that he ia exempl the�e(rom and the bssis for �he allegcd exempuon. Any violadon of Section 7031.5 by a�ry applicant for a pem�it subjecu ihe applicant w a civil penalty o[ Number Oecupaney Type not more �an fiw 6und�ed dollars (5500). 3 6 9 3 r J � 1��� ❑ I. u owner o[ tt�e penpetty. or my employcea witM wages as their solc compensadon, will do �he work and �he suucwre is not intended or oHend for sale (See. 7044. Busineu Re uired Ins ections and Pro[essions Cade: The Contracmr's Lianse Law does not apply �o m owner of 9 P property who builds or impcoves �hercon, and who daes such wort 6imu1[or throngh hia awn employces, providcd thai such improvements ue not imen�d or offeeed Cm sale. lf. however, the building or impmvement ia sold within one year of completion. U�e owner- builder will have the b�uden oC pcoving that he did not build ar improve [or pmpoae of sakJ. ❑ I, as owner of the property, am exclusively conuacting wi�h Iicensed canuactas to construct the pmject (Sec. 7044. Businas and Professions Code:) The Conuxtor's Li. cense [aw does not apply �n an owner of propeny who buiids or improves themon, and , who contncls for such projects with a contractor(s) Iicenxd pursuant to the Convactor's License L.aw. � I am exempt under Sec. . B& P C for �his rcaton �wxr Date WORKER'S COMPENSA170N DECLARATION 1 hercby �rm under penalty of perjury ane o[ ihe (allawing declaralions: Q 1 Iw+e and will mainuin a CeniGcate of Consent to self-inswe [or Workcrs Compen- sation, u providcd for by Section 3700 of the Labor Code, for Ihe performance of the work (or which Nis permit is issued. �;'I Aave and will maimain Workers Compensation Insurana, u required by Scction 3700 oC the Labor Codc. Cor thc perfortnance o[ the work for which Wia pecmit is issued My Worke�s ompensadon Insurance nrticr and Policy number a�c: �u; 1 Poliry No.: �'�bm01(03 CERTIF[CATE OF EXEMPl70N FROM WORKERS' COMPENSA770N INSURANCE ' (Thu sec[ion necd irot bc complcted if the permit is far onc hundred dollara (S I00) ar Icss.) � I cenifv iha� in thc perfwmance af ihc work fw which ihis permit is issced. [ shatl not cmploy any person in any manncr w az to bccomc subject w the Workcrs' Compenution Laws of Cali(omia. Datc Applicant N017CE TO APPLICAM: !f, aMr making U�is Cenificatc of Ezcmption, you shouW become subjcM to thc Worter's Compcnsadon ptorisions of ihe Labor Codc, you must , O forthwith camply wi�h such provisions or �his permit shall bc dccmed ecvakcd. z "" CONSTRUCTION LENDING AGENCY (.~.� �-�. I hefeby affirm ihat there ia a conswctinn Icnding agcncy 1'or thc perfortnancc uC . a� �hC work far which ihis permit is iuued (Sec. 3097. Civ. CJ W� Q L.endcr's Namc ' Csnde�s Address (� � � certifY Ihat I havc rwd Ihis application and sutc �u ihc abovc informatlun is w�" corten. l asrr.e w comply with all city and county ordinances and su�e Iaws reladng W 0 U building consuuction, and hercby amhoria cepresentaGves of U�is city m cntcr upon the � W atrovc-mcntioned p�operty for inspection purposes. a (We) agiee to save, indcmnify and kecp harmless �he City of Cupenino against �� liabililia, Judgmcn�s, costs and expcnses which may in any way accruc agtinsl said City V z in consequencc oC thc granting oC ihis permi�. Date ►"� APPLICANT UNDERS'fANDS AND WILL COMPLY WITH ALL NON-PO1NT Issued by: SOU GUL 61 j5`0 � � Re-roofs �S' ure of ApplicanVConusclor Datc HAZARDOUS MATERIALS DISCLOSURE Type of Roof wll tAe spplicant or futurc building acupant storc or handlc ha•rardous matcrial dcfined by Ihe Cupertino Municipal Codc. Chaptcr 9.12, and thc Hea1W and Safcty �o�, s�o� usszca�� All roofs ;;hall be inspected prior to any roofing material being installed. ❑ Ycs �No If a roof i;� installed without first obtaining an inspection, I agree to remove Will the applicant or fuwre building occupant use equipment or Jcvices which � emi� harardous air contaminanu u dcfincd by thc Bay Arca Air Qualiry Managcmcn� all new materials for inspecr.ion. Disuici? ❑Ycs �No 1 havc rca�i �he hvardous matcrisls rcquiremcn�a undcr Chaptcr 6.95 of thc Califar- nia Flcalth & Safety Code, Sectians 25505, 25533 aru125534.1 undersund ihat if ihe 6uilding dacs urtcnUy ha�c a tcnant, ihat it is my msponsi6ility to noufy Uu occupant of the �: nentswhichm 'orwissu �a • SignatureofApplicant Date �� rl / S 0 � pa � . All roof coverings to be Class "B" ar better ncr or authori�cd agcn� . �'�l l l 0� � � �-� � CITY OF I�UPERTINO � ���F PERMIT APPI,ICATION FORM CUPER�TINO APN# �� -n -6 ��� t� z�UQ Date1 t5 V� Building Address: aQ�1p �yr� c� Mailing Address (if different from building address): CK c�-�� v.�a ct'� q5 � t y Owner's Name: . Phone #: Mc + r'�rs . P r��u, r o� S�`� (.`100�44- b-�4 a.-► � Contractor: License #: Q'jrv�hea'S �o�� �r��rdv�v�ewtiC Co��o� \ Contact: Phone '�oQ,�� ��°�� Cupertino Business License#: Q Pn-.) �. Ci�.�..�,�.a.Y. Fax: �-�1Qio� Building Permit Info: Bldg� Elect ❑ Plumb ❑ Mech ❑ Job Description: 1 Pa��� o�a'' s�� s�e Residential � ���°�`"�` �" �'} z "' S} ``'�� ° `��� Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Proj ct: Occupancy Group: � i��SS= Type of Construction: Please check this 6ox if the project is a �,�,,,�_ F�� �„��a���,ti�,n second-sto addition: � Pro'ect Size: Standard ❑ Large ❑ M�jor ❑ Quanti Fee ID Fee Descri tion Fee Grou BAPPLOTHER Other A liances MECHANICAL BBOILERI Bc�iler <= 100,000 Btu MECHANICAL BBOILER2 BoilE:r > 100K to SOOK Btu MECHANICAL BBOILER3 Boi ier > SOOK to 1M Btu MECHANICAL BBOILER4 Boil�;r > 1M to 1.75 M Btu MECHANICAL BBOILERS F►oiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Cc�n. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Ccnstax — Resi/Mobile BUILDING BELEC 1000 E:� ec 600V <= l 000A ELECTRICAL BELEC1001 E lec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD =3nergy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 CITY OF ��UPERTINO CUPE T�NO PE�IT APPI,ICATION FORM � Quanti Fee ID Fee Descri tion Fee Grou BMISCELL Miscellaneous Fee BUILDING BMITIGATC Cornm. Housing Mit. Fee BUILDING BNUCOMME 1`1ew Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNLJCOMMP ;Vew Comm Plumb PLUMBING BOVERTIME I�spection Overtime BUILDING BPBACKFLOW Atmos heric Vacuum PLUMBING BPCESSPOOL Cess ool PLLJMBING BPERMFEE Bld Permit Fees BUILDING BPFIXTURE Pbl Fixture PLUMBING BPGAS G��s Pi in System Fee PLUMBING BPINTERCEP Ir�d Waste Interce tor PLITMBING BPLANCHK Plan Check Fee BUILDING � BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Pl �n Check Re eat Fee BUILDING BPREPIPE �te i e Of Fixtures PLUMBING BPSEWAGE Sewa e Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Tra PLUMBING BPVENT ��lt of Drain & Vent PLIJMBING BPWATER Ins talVAlter Water Pi e PLUMBING BPWHEATER \'Vater Heater/Vent PLUMBING BPWSVCS l✓Iain Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A� C Unit > 10,000 cfin MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfin MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > lOK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD I nstallation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAFP Re:n Non-Res Ap liance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Povrer Device/A aratus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Zelocation of Hood MECHANICAL BREMREPALT F:epair/Alter Heating MECHANICAL BREMRESAPP Remodel Res A pliance ELECTRICAL 2 of 3 CITY OF I�UPERTINO CUPE(�TINO PERMIT APPL,ICATION FORM Quanti Fee ID Fee Descri tion Fee Grou BREMSIGNAD Rrr.dl Signs Add Branch ELECTRICAL BREMSIGNS Rerlodel Signs, Mar uee ELECTRICAL BREMTHEATR Theatrical Li ting Fix ELECTRICAL BREMVENFAN Vi�nt Fan Sin le Duct MECHANICAL BREMVENSYS V entilation S stems MECHANICAL BSCBLVD Scb S ecific Plan BUILDING BSEISMICOM S��ismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL 3 ecialIns ection BUILDING BSWIM Swimming Pool BUILDING BTEMP 7'em ora Power ELECTRICAL BTEMPPERM Teni ora Bld Permit BUILDING BTEMPSVCS Tem Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical s foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE r�iechanical sq. foot MECHANICAL MPERMITFEE M��ch Permit Issuance MECHANICAL PPERMITFEE Plu mbin Permit Issue PLUMBING PPLBG P: umbin Fee s foot PLITMBING PLLONGRNGC Plannin l LR Comme/ Multi-Fam PLANNING PLLONGRNGR Plannin�� Lon Ran e Residential PLANNING :+ of 3 CITY OF CUPERTINO 3 ITEMS OF 3 PERMI7' RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Bll�:: Lot: APN ......... 36�35019.00 DATE ISSUED.......: 11 RECEIPT #.........: BS(100003250 REFERENCE ID # ...: 07�.10087 SITE ADDRESS .....: 20�;20 LYNTON CT SUBDIVISION ....... CITY .............. CU]'ERTINO IMPACT AREA ....... OWNER . ... . . .. .. .. . AN[JR.AG JAIN ADDRESS ........... 20:'.20 LYNTCN CT CITY/STATE/ZIP ...: CU]'ERTINO, CA 95014 RECEIVED FROM ....: RY��N BUCHANAN CONTRACTOR .......: GEI7E V. CAVANNA LIC # 27964 COMPl1NY ..........: BRc)THERS HOME IMPROVEMENT ADDRESS ..........: 25:L0 DOUGLAS BLVD CITY/STATE/ZIP ...: R0;3EVILLE, CA 95661 TELEPHONE . . . . . . . . : (4�)8) 295 FEE ID UNIT QUANTITY .�MOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 83.16 39.92 0.00 39.92 0.00 BPERMFEE VALUATION 1,755.00 83.16 0.00 83.16 0.00 BSEISMICRE VALUATION 1,755.00 0.50 0.00 0.50 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 123.58 0.00 123.58 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 123.58 MC --------------- TOTAL RECEIPT : 123.58