The URL can be used to link to this page

14010001 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10261 PARLETT PL CONTRACTOR:BROTHERS HOME PERMIT NO: 14010001 IMPROVEMENT OWNER'S NAME: PARAMESWARA.IYER RANGANATHAN AN 2510 DOUGLAS BLVD DATE ISSUED:01/02/2014 OWNER'S PHONE: 4082536245 ROSEVILLE,CA 95661 PHONE NO:(408)295-0680 LICENSED CONTRACTO 'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E] /`f �/7 (� REPLACE 10(E)WINDOWS,LIKE FOR LIKE.ALL License Cl 1 /Lic.# WINDOWS DZ �L/ WILL MEET EGRESS&BE TEMPERED WHERE Contracto / (�'Q��-+ -7 REQUIRED. I hereby of in 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:$11220 C 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 this APN Number:31646053.00 Occupancy Type: 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 FRO D 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 sued by 2 / granting of this permit. Additionally,the applicant understands and will c with all non-point source re tions per the Cupertino Municipal Code,Section 918. r any Si re - Date �i( 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,Se ' s 255059 2 33,and 25534. /J Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: / Z / 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 918. Signature Date CONSTRUCTION PERMIT APPLICATION o0 COMMUNITY°DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408j 777-32216-FAX(408)777-3333•buildingCftupertino.org CUPERTIND' \ ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/T1 ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS ��I /�/�,4. APN# I / O C� OWNER NAME v Rr('�A fftW-Allft) IPHONE vo .252_ /tz E-MAIL STREET ADDRESS Q _ I CITY, STATE,ZIP D J �J� / FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑ OWNER BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER -❑TENANT CONTRACTOR NAME f' I '�� LICENSE NUMBER (0 LICENSE TYPE Cl� BUS.LIC# COMPANY NAME N,N E-MAIL ( FAX STREET ADDRESSf' 11// CITY,STATE,ZIP PHONE e ARCHrrECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE - CONSTR TYPE #STORIES 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 DECK/PORCH ARE I GARAGE AREA: DETACH ❑ATTACH #DWELLINGUNrrS: IS A SECOND UNIT ❑YES SECONDSTORY []YESBEING ADDED? []NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES o - T TAL VALUATION: 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 act onpro er's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is ac e. I agree t,comply With all applicable local ordinances and state laws relating ding constru7 authorize representatives of Cupertino to enter the above identified p pe for i pection purposes. Signature of Applicant/Agent: Date: Z C SUPPLEME 0 . T QUIRED New SFD or Multifamily dwe gs: 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 form if any Hazardous Materials are being used as.part of this project. _Copy of Planning Approval Letter or Meeting with-Planning prior to submittal of Building Permit application. BldgApp_201 1.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10261 PARLETT PL DATE: 01/02/2014 REVIEWED BY: MELISSA APN: 316 46 053' BP#: *VALUATION: $11,220 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY TRENTAMATION 1GENRES USE: SFD or Duplex PERMIT TYPE: WORK REPLACE 10 E WINDOWS LIKE FOR LIKE. ALL WINDOWS WILL MEET EGRESS & BE SCOPE TEMPERED WHERE REQUIRED. - ra Pte' �� r IF 31, .. q Xlech.flan Check Phimb.Plari Cheek Glec.Plan Chuck iLlec,h.Permit Fee: Plumb.Permit Fee: IYec. Permit Pee: Other Alecrh.Inst). C?ther Plump Insp, Other Glee.Imp. ,1ltxh.lnsp. Fee: Plumli. hush. Fee: Elec.Inst).Fcv: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District eta). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F 16 # Window/Sliding Glass Door Suppl.PC Fee: O Reg: OOT 0.0 1 hrs $0.00 $557.00 1WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:Q Reg. O OT FO.01 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee'.: Work Without Permit? O Yes O No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential O Building or Structure O Travel Doeunientou.on Tees: � Strong Motion Fee: IBSEISMICR $1.12 Select an Administrative Item Bldg Std s Commission Fee: 1BCBSC $1.00 .� $2.12 $557.00 TOTAL FEE $559.12 Revised: 10/01/2013 4 ,ErPILANb CHECKED BY ! ►A 'E 2r i ), I� PLAN INN DEPT. co OATE "4 1 8"();`~ •/ ti E i - 11 ' tp �m c 1 ; ;PSV' T71^ ° f h r a �I INJ 4 ,r� LIN. V r 1 44 /� 1 1 } �C TE' Ill L r, '0 2 Z01T Or1j � ' i .I 'jfs` II 1 x i y