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14060119 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19742 WHEATON DR CONTRACTOR:JEMICO LLC DBA PERMIT NO: 14060119 RENEWAL BY ANDERSEN OWNER'S NAME: PAPPACHAN SANTOSH AND CHIRAYATH CIC 30800 SANTANA ST DATE ISSUED:06/18/2014 OWNER'S PHONE: 4088361331 HAYWARD,CA 94544 PHONE NO:(510)263-3178 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] REMOVE AND REPLACE 2 SLIDING DOORS LIKE FOR License Class 4J A Lic.# o`Z LIKE Contractor SZXAAJl=:-aw,� 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:$8200 I h and will maintain Worker's Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this APN Number:31628004 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 D 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 L ST 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 Issued by: Date: 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. RE-ROOFS: Signal ur Date �� 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,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized ager ate: 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. It 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 �� ELI COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION U 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 r CUPBRTI 1 (408)777-3228•FAX(408)777-3333•building _Guoertino.orq, 1 ❑NEW CONSTRUCTION[ ❑ ADDITION ALTERATION/TI ❑ REVISIO��`jN�/DEFERRED /xO�RIGINAL PPEERM(1T# PROJECT ADDRESS _l `tel a w�Cy��YI �. #✓I Y t� / OWNER NAME L PHONEE,1 J--r6 EMAIL STREET ADDRESS �G`-'� G.� ,(1_ CITY,STATE,ZIP FAX CONTACT NAME ll `C` t�_ v(- PHONE V" STREET ADDRESS CITY,STATE,ZIP FA)(,,._ �3��� 13 OWNER ElOWNER-BUILDER ❑ OWNERAGENT 9CONTRACTOR ❑CONTRACTORAGENr 1:1ARCHuECT 1:1 ENGINEER 13 DEVELOPER ❑TENANT CONTRACTOR NAME lLICENSE NUMBER I y^ LICENSE TYPE b,C t.1 BUS.LIC N COMPANY NAME E-MAII, l d FAX Yl 5to-Z51-531-1 STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME `/A , /� LICENSE NUMBER BUS.LIC# ' COMPANY NAME , L E-MAIL FAX STREET ADDRESS CnT,STATE,ZIP PHONE DESCRIPTION OF WORK ov oL (fes` Ute` 1�n-� EXISTING USE PROPOSED USE CONS11t 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 I TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH #DWELLING UNITS: ISA SECOND UNIT ❑YES SECOND STORY OYES BEING ADDED? []NO ADDITION? [:]NO PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY LTOTAL VALUATION: PLANNING ADPL N ❑NO PLANNING APPROVAL LEITER EICHLER HOME? ❑NO ©'cru By my signature below,)certify to each of the following: I am the property owner or authorized agent to act n the p perty owner'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 a . I agree to comply with all applicable local ordinances and state laws relating to��building constru tion. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of ApplicantlAgent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLANCHECKTYPE ROUTINGSI" _New SFD or Multifamily dwellings: Apply for demolition permit for ElOVER-THFrCOUNTER ❑ BUILDING PLAN REVMW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANMNG PLAN REVIEW _Commercial Bidgs: Provide a completed Hazardous Materials Disclosure 11 STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FM DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 19742 WHEATON DR DATE: 06/18/2014 REVIEWED BY: MENDEZ APN: BP#: *VALUATION: 1$8,200 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: PERMIT TYPE: WORK REMOVE AND REPLACE 2 DOORS LIKE FOR LIKE SCOPE ' "i „ ij1 ,M e _ ✓x �` r Wel L rtr;f.I'it ri C;1.ccn Aluii,,b.I' v?(:<c:c.7, i�r�E"',. Pc.'rit Fee P€€?nb, /lr:rf?.ii Fee (>i(''..�s(�T7"r;Z.�'E'c Ofl?er de;h.fav). F-1 L { t,er flbi b Ira+/3. {,tl<r.s E/t'.h ;i. b/T{PPA.bisT' , Fee Elec. lf'.,?t'?. Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the preliminar information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS,(Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Window/Sliding Glass Door Suppl.PC Fee: 0 Reg. ® OT 0.0 hrs $0.00 $418.00 1 WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:Q Reg. ® OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C`trr?.rrru tion Ta AdYdYini. 'tt"f,{F'ii,,e l''L'e 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential E) Travel Building or Structure 0 I Strong Motion Fee: IBSEISMICR $0.82 Select an Administrative Item Blda Stds Commission Fee: IBCBSC $1.00 . t� T ...... $1 82 $418.00 yTOTAL FEE: $4 M.. r. 19.82 Revised: 04/01/2014 Proiect: Setback Name cicily santosh Address19742 wheaton DR City Cupertino 101 6080 S��dl�'kq ctks5 102 p 5068 SjA%,g lk"A ae04"" ■ Setback Setback BUILDING EVE LOPMON-CUP RTIINO entry APPROVED This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any chanes or alterations on same, or to deviate therefrom, without approval from the Building Official. al. The Stamping of this plan and specifications SHALL h!OT be held to permi r to be an approval of the violation PLOT �° of any provision any City Ordinance ur State Law, cm"'F-9 FYY r.. . rATFE PERMIT NO. 0 tback CUPID RTINO sS AlII!dl'nq OePa tent K". 18 ,_.,E JUN Front/Street _J �14dN�N 60% REVIEWED FOR (,0DE COMPLIANCE Reviewed By: -�' Scope of work: 4 455gUc \� �} 5 A-C' L6 q`l w Nvv-, CkI-C35 .s . � «. � . v : © ; « y, . . » . , z ,% , 2°� . . : , . >l . . � ƒ/ y » .\ «" ~ ° ������ ` � � :< \d : � » � � � � 5 � . . . : �/©\ � \ » - . . : ;��� \`��\ � 2 � � 2�% �� . <±� �`? , �� © .\�§ � �¥ � .d �f . . � « � y> � . <�y - �_} \ . . - ` ��� \ � � � \� � \.«�\ \ \< 2% ��© � . �d� ` ( �\ . \: � �\ . �y . . w .. �_�x,� . � ��} » »w.����§ % § � ��%, y >��: - � «a�� : }« : �� ��: . � � � . . \�� ��\ ������� \ � � � �\\\ \ \ ) ©`°^ ��\/\: �\ .ate. �agg \< �:v. . : .�—��\ � : . �a. / < . ����( \ : :��\��a : y \\\ . . ^ � � � / � ^ ( ( { ( \ \ � � d � � y � � \�� ���~� �. `��/�\ . y�. . ���m . `d � � ��\\\� � �. ��\ \ � d ��`�\- /\� \ � ®. � � > « . , <, . . , yy , .�. , «. . az � � - 3 \:; . .y � ��< . �r_s. . «� ?..�©�� ^ d. ° %� �y < \ ���» : ( k ^ �»«�< � ««�:�} \ / } ,< �: :»#��» md��\ : � «. � � w, <��\ . . . . \�� ° ,� «� . � ��� ��� . . ��? . k � . . > .,p, �� ` � . , y�2 . �>>p . . . � . . . < : . . , . v,. > . < � ° ��� § � � � y. w � -?� < � � G\ \ /� � . � y !�f\ \ «