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14030054 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22682 LIBERTY OAK LN CONTRACTOR:BAY AREA WINDOW PROS PERMIT NO: 14030054 OWNER'S NAME: RAVI SANKAR PULIAMPATTAYIL 215 HIGHLAND AVE DATE ISSUED:03/07/2014 OWNER'S PHONE: BURLINGAME,CA 94010 PHONE NO:(650)777-7104 511 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG I— ELECT r— PLUMB License Class C\z Lic.# '%G9L:kLk\ r- MECH RESIDENTIAL COMMERCIAL Contractor C—,—% 4 at JDate C. 136 (4S I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION REMOVE&REPLACE 5 WINDOWS LIKE FOR LIKE.TO (commencing with Section 7000)of Division 3 of the Business&Professions MEET Code and that my license is in full force and effect. EGRESS&TEMPERED WINDOW REQUIREMENTS 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. 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 Sq.Ft Floor Area: Valuation:$3700 permit is issued. APPLICANT CERTIFICATION APN Number:34232043.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DA OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FR AST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9 18 t Issued by: Date: Signature Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: 1,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 declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliane Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's He h&Safe ode,Sections 05,25533,and 25534. 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 wner r uthorized agent: forthwith comply with such provisions or this permit shall be deemed revoked. Date:c3 1 CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9 18 I understand my plans shall be used as public records. Signature Date Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 1-01 CURER (408)777-3228 FAX(40 777-3333•buildingacupertino.org [:]NEW CONSTRUCTION El ADDITION ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT PROJECT ADDRESS Lt r' O Qy Lin, APN#3l 2 Z V OWNER NAME t)Lkr a w( T OL,1 PHONE lO E-MAIL STREET ADDRESS ^ lJ Q�(� �(T � 0�1' CITY, STATE,ZIP 7 FAX CONTACT NAME d {O o 1 `G•.. PHONE '7(� E-MAIL STREET ADDRESS / 1n1n, , CTrY,STTAATF,,! - A �/� a j FAX ❑OWNER ❑ OWNER--BUILDER r❑0 O,WNER AGENT 11 CONTRACTOR 1�CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME LICENSENUMBER LICENSE TYPE BUS.LIC #gQ ll,' 6KI41 COMPANY NAME E-MAIL FAX STREET ADDRESS 'L ,wv` I CITY,STATE,ZIP &r6!!�jctw�, /�//I PHONE ARCHITECT/ENGINEER NAME V\ LICENSE NUMBER lJ(/'� BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES L^ VIS "PL USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR ` DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: LIDETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? []NO- ADDITION? []NO PRE-APPLICATION [I YES IF YES,PROVIDE COPY OF IS THE BLDG AN 11 YES It,1G`ll?ijT,Ellj 1#y; - _ - TOTAL VALUATION: PLANNING ADPL# ❑NO PLANNING APPROVAL LETTER E[CHLER HOME? ❑NO O By my signature below,I certify to each of the fo wing: I am the pro owner or authorized agent to act on the property owner's behalf. I ave read this application and the information I have Ovide is correct. I have read the De ption of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to '1 ' construction. I authorize represents'ves of Cupertino to enter the above-identif d property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEME O REQ=111on D Pr kN cm�CK raa+ z.. ROUMGSLIP New SFD or Multifamily d Ings• Apply fnt�e permit for OVIwR TiCOIiI� - iT MING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. 1=7 E�IrREs ©. rNNIIv6rLartREVIEW . Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ©,STAI+1DALiB C Ltc eros form if any Hazardous Materials are being used as part of this project. LARGE,E © FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ©' "JIOR"° CJ snNITaR sLwERniSTRI h L-EWIRONMENTAL HEALTH BldgApp_201 1.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ILI ADDRESS: 22682 Liberty Oak Ln. DATE: 03/07/2014 REVIEWED BY: APN: BP#: *VALUATION: 1$3,700 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 GENRE WORK Remove and replace 5 windows like for like. To meet egress and tempered window requirements. SCOPE Phzmb. P?art C'(fcck 1,ie, 1 r n Cht-:cn L1cch 'c>rntil Fee: f'frtmh. 1't emit h`cc. C?tttc r lf%:a. r 1�. Otl;er 1'ltsmh Irsf>. 01hug Imp, E3 NOTE: This estimate does not includefees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These.fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 in o. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Window/Sliding Glass Door Supp/. PC Fee: Reg. OT 0.0 hrs $0.00 $418.00 IWINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT0,0Trs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (.,onslrlectio�n Work Without Permit? 0 Yes No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential G Building or Structure Fr-�r���>t C3r3uzrn�<r,itrztic>n Fees: Building Stronf Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldp-Stds Commission Fee: 1BCBSC $1.00 xATrS, $1.50 $418.00 TOTAL FEE: $419.50 �. . Revised: 01/15/2014 To: felix c@bayareawindowpros.com;Mark Hudkins Subject: Fw: WESTRIDGE- Status for approvals for windows at 22682 Liberty Oak Lane, Cupertino CA Hi Felix- Alex mentioned that he would like a copy of the HOA's approval to replace the single pane windows at 22682 Liberty Oak Lane with retro fit Dual pane windows of White Vinyl color with no grids. +Mark Hudkins,Property Manager of Westridge HOA-CCed for any further questions you may have. /Durgadatt On Tuesday,February 18,2014 1:31 PM,Durgadatt Kamath<durgakamathP_yahoo.com>wrote: Thanks for the update,Mark /Durgadatt On Tuesday,February 18,2014 1:08 PM,Mark Hudkins<markhudkinsna,communitymana>?ement.com>wrote: Hi Durgadatt, Yes this was approved by the Board for 22686 Liberty Oak Lane. A letter will be sent shortly. Thanks, Mark Mark Hudkins Association Manager Community Management Services, Inc. 1935 Dry Creek Road suite 203 Campbell, CA 95008 408-559-1977 x108 408-559-1970 Fax markh udkins(a�communitymanagement.com From: Durgadatt Kamath[mailto:durgakamath@yahoo.com] Sent: Thursday,February 13,2014 7:48 PM To: Mark Hudkins Subject: WESTRIDGE-Status for approvals for windows at 22682 Liberty Oak Lane,Cupertino CA Hi Mark- Gabe&I had dropped by to the HOA meeting at Westridge on 2/10 to discuss the approvals for our windows.Were the window updates approved? /Durgadatt 3 6g5Jgx 31'14 a2s�$X3t��K. Xo X OX CUPERTINO wilding DPoartment�2'/�t • F M �DQ�, Imo OMPLANCE REVIEEC FOR Cqp Revie ed By: 1 1 RECE V ED MAR 0 1 2014 M.5ATH BY rLO r PLAAS _.._... CHECKED BY VAn „« AG EPT. F T 717"- , PEPT,---.... F F�F I EE ul- . . ............................ 1. Lz g2sl8K xdx T q 212x S53111 ENT ><o x 226$2 E4r� 0A V, GN. SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION i_ir_I 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 I CUPERTINO ,, — ,,r„ Address rl FILE PURPOSE This affidavit is a self- certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single - family and multi- family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X = X On ever level of a dwelling unit including basements X – Within each slee in room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational,- as of the date signed below. i u_.... -...,, .,...r .,,....., f., •+-II/ Ie,lfh fhn fcrmc and rnnrlitinns of this statement i I a vc ou anu ..4 ••r•� - -- - -- - - Owner (or Owner A e ' Signature........... ................................................................. ............................... Contra or Name: Signature.................................... ............................... Lic.# ....... ............................... Date: ................... If - Smoke and COform.doc revised 03118114 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION i_ir_I 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 I CUPERTINO ,, — ,,r„ Address rl FILE PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X = X On ever level of a dwellingunit includingbasements X – Within each slee in room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational,- as of the date signed below. i u_.... -...,, .,...r .,,....., f., •+-II/Ie,lfh fhn fcrmc and rnnrlitinns of this statement i Ia vc ou anu ..4 ••r•� - -- - -- - - Owner (or Owner A e ' Signature........................................................................................................... Contra or Name: Signature................................................................... Lic.#...................................... Date: ................... If - Smoke and COform.doc revised 03/18/14