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14020090CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD BUILDING ADDRESS: 19862 PORTAL PL CONTRACTOR: RAYCO PERMIT NO: 14020090 DEVELOPMENT SOLUTIONS OWNER'S NAME: PANDA KAMESH C AND 3541 INVESTMENT BLVD DATE ISSUED: 02/13/2014 SATAPATHY SUJATA OWNER'S PHONE: 4085405429 HAYWARD, CA 94545 PHONE NO: (916) 284 -6667 INSPECTIONS �I FOUNDATION/PIERS/H.D.S. BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH UFER GROUND RESIDENTIAL r— COMMERCIAL PAD /SET BACK -CERT JOB DESCRIPTION: REMOVE AND REPLACE DRYROT ON TRELLIS GARAGE S LAB UNITE � POUR NO OCRET- E NTL AB wov AAR RE!40A1 40( UNDERGROUND /SLAB UNDERGROUND PLUMBING % t C16 oV �� 1�� UNDERGROUND ELECTRICAL __ DONOTI'OURFLOORUNTIL?ABO UNDERFLOOR PLUMBING UNDERFLOOR MECHANICAL ER# UNDERFLOOR ELECTRICAL WILDLAND URBAN INTERFACE FIRE AREA UNDERFLOOR FRAMING VENTS T E INSPECTION Call 777 -3228 between 7:3 am an :30 Monday through Friday, at least 24 hours UNDERFLOOR INSULATION PL"AG NCJASUBFLOORtmsITI!' before required inspect. Job dres and Permit Numb rs are needed when ROOF SHEATHING reque in n inspection. ROUGH PLUMBING UPER INO SANITAR ISTRICT TUBS & SHOWER PAN Close irc vide inspection of proper me cleanout, point of connection and reet r required prior to issing FINAL CITY PLUMBING ROUGH MECHANICAL INS ECT Call the Distric 408 - 253 -7071) for an appointment. ROUGH ELECTRICAL /POOL BOND FRAMING;STAIRS /E. EGRESS N ILDING FINAL SPECTIONS UNTIL ALL REQUIRED BUSINE LICENSES ARE OBTAINED INSULATION /VENTILATION COVER NO WORK UNTIL As`ov>; its �� PERMIT EXPIRES IF RK IS NOT STARTED WITHIN 180 DAYS OF PERMIT EXTERIOR SHEAR HOLD nowN ISSUANC 180 DAYS FROM LAST CALLED INSPECTION. INTERIOR SHEAR/HOLD DOWN SHEETROCK/SHEETROCK SHEAR IMPORTANT When a permit has expired, a charge totaling one -half the fees to obtain a new permit EXTERIOR LATH/w- SCREED must be paid in order to reactivate the permit. If a permit has been expired for more INTERIOR LATH than one year, a charge totaling the full fees to obtain a new permit must be paid to reactivate the permit. NO TAPE-OR PLASTERUNTILABU. SCRATCH COAT NOTES: SEWER/WATER T- BAR/MECH/ELECT ABOVE CEIL FINALS *' ELECTRIC METER RELEASE SPECIAL INSPECTIONS Inspector: Date: GAS TEST/METER RELEASE ROOF INSPECTIONS GRADE - PUBLIC WORKS PRE- INSPECTION: Inspector: Date: FIRE - CALL (408) 378 -4010 TEAR -OFF: Inspector: Date: PLANNING (408) 777 -3308 PLYWOOD: Inspector: Date: SANITARY (408) 253 -7071 BATTENS: Inspector: Date: ELECTTRICAL IN PROGRESS: Inspector: Date: MECHANICAL FINAL: Inspector: Date: PLUMBING HANDICAP NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION. ENERGY * OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY INSPECTOR BUILDING CERTIFICATE OF OCCUPANCY CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19862 PORTAL PLZ CONTRACT PERMIT NO: 14020090 D OWNER'S NAME: HOA PRESIDENT - BIFF GEISER DATE ISSUED: 02/13/2014 OWNER'S PHONE: 4085405429 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ License Class Lic. # q)- q7� REMOVE AND REPLACE DRYROT ON TRELLIS t� o / Contractor /'1( �`�� Date I 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 performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $2000 d will maintain Worker's Compensation Insurance, as provided for by APN Number: 36946017.B1!;� Occupancy Type: Xc rh3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FR CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 7T p� t 5/y Id b Date: Issued Y' granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE- ROOFS: 9 18. c/ Signature Dat / All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER- BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, 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, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self - insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sect' 25505, 25 11 and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9 18. Signature Date CONSTRUCTION PERMIT APPLICATION oto COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION r, D 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 ^ (, (408) 777 -3228 •FAX (408) 777 -3333 • building(- )cugertino.org � ,...... �i,,.n.rn• +r+ I I . TT1TTTnM 17 AT TCD A g7n%T / TT F1 D=XrTQTnTS / TIFFFRRFT) CIRTCTTNAT. PF.RMTT # PROJECT ADDRT SS 7APN4 %� OWN NIE �ovr S �/ C�' E -MAIL 5 5` STREET ADDRESS I CITY, STATE, ZIP I FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS C4,50/ FAX ❑ OWNER ❑OWNER- B�yUII.DIIt ❑OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITCT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CO CTORNAME C � J LICENSENUMBER GJ��9C� ! LICENSETYP BUS. LIC9 COMPANTY NAME , E -MAIL /P y %� FAX STREET ADDRE Il/ CITY, STATE, ZIP lAaC� C� G! ` PHO Z$y 6&67 6 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK /� WI OL% GC4 6 / U EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA I AREA AREA NET AREA BATHROOM KITCHEN OTHER' REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA I GARAGE AREA: DETACH []ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? NO ADDITION? ENO PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑YES 33EEID .. 6 _ , TOT V UATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO _ By my signature below, I certify to each of the following: I am the property owner or authorized agent to acl oEove-idr;tdified e prope owner's behalf.' I have read this application and the information I have rovided is correct I have read the Description of Work and verify it rat gree to comply v rith all applicable local ordinances and state laws relating' ilding chop I prize representatives of Cupertino.to .enter the pr perry for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED — w W oTRD New SFD or Multifamily dwellings: Apply *for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. " Commercial Bldgs: Provide a completed Hazardous Materials Disclosure . a form if any Hazardous Materials are being used as part of this project. . Copy of Planning Approval Letter or. Meeting with:Planning prior to isT 7 _ submittal of Building Permit application. BldgApp 2011.doc revised 06121111 J CITY OF CUPERTINO UV V T'c'TTM A rrnlD — TtTTTT .T1TN(i' 111V1410N 1 '1071 tt'G, i''er mil F'ee 0!hcr ,Wc'c:',. lrir; 14c', h, 1,,v). 1 ., . NnTF. - This estimate does not Plumb. Flail Check Pturzlr. Permit Fev: Other P7u+rtb Irtsp. Afec.:r k'm Chcc's hec Pe:r:mii /;,;, 01her Bice. Imp, Phmrh. Irisp, flee-, I Elec. Imp P".e. fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer Distract, School �. ,. __ _ ._ __ -1 ___ I-- .....:L.A1n 4 — h) nn octimnto_ Cantart the Dent for aaan't mfo. FEE ITEMS (Fee Resolution 11 -053 E . 711113) ADDRESS: 19862 PORTAL PL DATE: 02113/2014 REVIEWED BY: Mendez 10 APN: BP #: *VALUATION: 1$2,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex p 0.0 1 PENTAMATION 1GENRES PERMIT TYPE: USE: PME Plan Check: $0.00 WORK remove and replace d rot on trellis Permit Fee: Hourly Only? ® Yes Q No $0.00 SCOPE 0,0 1 '1071 tt'G, i''er mil F'ee 0!hcr ,Wc'c:',. lrir; 14c', h, 1,,v). 1 ., . NnTF. - This estimate does not Plumb. Flail Check Pturzlr. Permit Fev: Other P7u+rtb Irtsp. Afec.:r k'm Chcc's hec Pe:r:mii /;,;, 01her Bice. Imp, Phmrh. Irisp, flee-, I Elec. Imp P".e. fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer Distract, School �. ,. __ _ ._ __ -1 ___ I-- .....:L.A1n 4 — h) nn octimnto_ Cantart the Dent for aaan't mfo. FEE ITEMS (Fee Resolution 11 -053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes E) No $0.00 F-1 __1 hours $139.00 Plan Check, Hourly 1STPLNCK Suppl. PC Fee: (D Reg. 0 OT 0.0 1 h's $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ® Yes Q No $0.00 Suppl. Insp. Fee-.(F) Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 _T_T (` <�r2.�trrrt °rion Ter.�; J' din ill l.?'it`(diive Fee: E) Work Without Permit? ® Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential G Building or Structure 0 Toe/ 1)oc torlervotion Fees: Strong Motion Fee: IBSEISMICR $0.50 1.0 hrs $139.00 Inspections 1STINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $1.00 $1.50 $278.00 ., TOTAL FEES s $279.50 Revised: 01/15/2014 era e-, m e Building DeDartment .... . ............ . . ppl I J 2014 R L-Vi Mike Bloeman <mike@raycomail.com> Reviewed By� )#d,,Fel,�l 2, 2014 at 9:03 AM To: "miketb022@gmail.com" <miketb022@gmail.com> V"O I/ e- - CJA Y &Y CC fclA 1Celft5 PLOT P1t41VS CHECKED .By DATA JuF 3 T. I)ATF DEPT. F71%,l ENT "JST be kept at the make any to ahfa Eul!dirig official. SHALL NOT of the vilolatllon ';nance or SlIcate Law. CUPERTINO `.wilding Department FEB 2014 REVIEWED FOR CODE COMPLIANCE Reviewed By: r"UPERTINO -r)ePartrnent. Ft 2 i .1 In4l. OR —IDE COMPLIANCE Reviewed By: Mike Bloemen Project Manager M:(925)330-4321 E: mike @raycomail.com www.raycopainting.com In an effort to service our clients in the fastest manner possible, this message vas sent from my mobile phone. Please excuse typing errors and brevity. 't