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14070022CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10670 RANDY LN CONTRACTOR: THD AT-HOME PERMIT NO: 14070022 SERVICES, INC. OWNER'S NAME: YADAV NAVINDRA TRUSTEE & ET AL 2690 CUMBERLAND PKWY STE 300 DATE ISSUED: 07/08/2014 OWNER'S PHONE: 4088216346 ATLANTA, GA 30339-3913 PHONE NO: (510) 731-1004 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ REMOVE AND REPLACE (3) EXISTING PATIO DOORS License Class G Lic. # 3 t�CJ 2 I Contractor (H(t ) +7 0-Ae 51Z.. 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 as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $7155 ce of the work for which this permit is issued. XCompeation, d will maintain Worker's Compensation Insurance, as provided for by 700 of the Labor Code, for the performance of the work for which this APN Number: 31602068.00 Occupancy Type: 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 M LAST CALLED INSPE ION. 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 Mun ipal Code, Section 9 18. RE -ROOFS: Signature Date 'd 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. ❑ OWNE U ER 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 l 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 Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY 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 t,U COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 1� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �6 CUPERT'INO (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org \ ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 70 e[ A1JD� i !/"'f\��} 7 -P I, ( n 0 0 (,0^�. OWNER NAME �6/ PHONE,(, -1 .NJ 3 -1 6 E-MAIL 1 STREET ADDRESS 0 i '�O ' A,)� Y I �� �i Cly Y: STATE _Z7 l,jO) C 9 �O/ � [ C•'PPHH'O7NE FAX CONTACT NAME JEFF RAINEY 510-427-4260 7F-MAH_JEFFREY.RAINEY@ATT.NET` STREET ADDRESS 1069 EDGEMERE LANE CITY, STATE, ZIP HAYWARD , CA 94545 FAX 510-783-1041 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ;L CONTRACTOR AGENT ❑�yARNCSHIITTECTTF 1:1ENGINEER ElDEVELOPER 11TENAN"I" CONTRACTOR NAME LICENSE NUMBER 836021 Lf3E1;.5 ft3, C17 BUS. LIC# COMPANYNAME THD AT HOME SERVICES E-MAIL FAX 510-783-1041 STREET ADDRESS 2456 VERNA COURT CITY, STATE, ZIP SAN LEANDRO , CA 94577 PHONE 510 - 7 8 5 - 6 3 4 0 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY. STATE, ZIP PHONE DESCRIPTION OF WORK I � 1 �� 7/� �-c-�'_?A-7(0 .Dc�- 5 _T ,J r�Xl s 't rel o� .4-� Io,J S' ,� o 517 C , _t ' '+,J r . 6-f+ '+ EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES 1 I l USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH #DWELLING UMTS: IS A SECOND UNIT E] YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED Es OTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO rJ--7J �— By my signature below, I certify to each ofthe following: I am the property owner or authorized agent to on the r y 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 accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authoriZL=resentatives of nteI- the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: —7/ SUPP INFORMATI QUIRED PLAN CHECK TYPE ROUTING SLIP -T -COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings or demolition permit for existing building(s). Demolition pe s required prior to issuance of building permit for new building. ❑:. EYPREss ❑ PLANNING PLAN REVIEW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ElSTANDARD ElPUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE 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 06121111 CITY OF CUPERTINO FM_7 FEE ESTIMATOR — BUILDING DIVISION Lf��cG. k Phrenh, Plan ( Ire"c 771111 £>c;rt. P erw;:1 Fee: Phimi, Permit Fcc- 0"-"Ic ° -lfa°c r. frisp.Otir.�r ""'M' Tram. 01'1r r 1>�ec Inv), 11�x as Insiy. f aze: Plw0. hisp. F`a . / /ec Intra. P""O NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are hated an the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 711113,) 10670 randy In DATE: 07/08/2014 REVIEWED BY: Mendez JimADDRESS: APN: BP#: *VALUATION: 1$7,155 TPERMIT TYPE: Building PermitPLAN CHECK TYPE: Alteration /Repair PRIMARY USE: SFD or Duplex Suppl. PC Fee: Reg. ® OT PENTAMATION PERMIT TYPE: 1 GENRE WORK remove and replace 3 existing patio doors SCOPE Lf��cG. k Phrenh, Plan ( Ire"c 771111 £>c;rt. P erw;:1 Fee: Phimi, Permit Fcc- 0"-"Ic ° -lfa°c r. frisp.Otir.�r ""'M' Tram. 01'1r r 1>�ec Inv), 11�x as Insiy. f aze: Plw0. hisp. F`a . / /ec Intra. P""O NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are hated an the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 711113,) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $431.00 Window / Sliding Glass Door 1 WINREP Replacement Suppl. PC Fee: Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(F) Reg. 0 OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 E) Work Without Permit? ® Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Building G 0 Travel1.3f)('7Ftt7�£'Ydi`fdptf?n Fees: Strong Motion Fee: IBSEISMICR $0.72 Select an Administrative Item Bldg Stds Commission .Fee: 1BCBSC $1.00 $1.72 $431.00 TOTAL FEE: $432.72 Revised: 07/07/2014 REV( LEGEND: ® = RETROFIT WINDOW/ PATIO DOOR LOCATIONO COMMUNITY DE`JEILOPMENT DEPARTMENT " (BUILDING DIVISION - CUPERTINO LO APPROVED LJ -J o Q This sat of plans and specifications MUST be kept at the CD c-3 REAR HOME job site during construction. It is unlawful to make any z � PATIO DOOR changes or alterations on same, or to deviate w w o 9411wx81"h therefrom, withnut a rom the Building Official, oC.0w The Stamping of this plan a specifications SHALL NOT CUPERTINO Lz = � J hzid to permit r be approval of the violation ¢ `" < . Eat. i!dinc; Department' �` uy provision of y C Ordinance or State Law. � o 2014�;� F � �"�1T IdO. i FOR CODE COMPLIANCE' ---- By: Re iewed REAR HOME PATIO DOOR 00 72"wx81"h� Y u Il� �r LU T - z o LO LU ENTRY REAR HOME PATIO DOOR �) 108"w x 82"h Popy z Q z U t Q o NNNI CDoCr o CL _ AN (FRONT YARD) C--) RANDY LANE OAT' 07.02.14 -71010 NOTE; WINDOWS / PATIO DOORS; - U -FACTOR = 0.30 M SINGLE LEVEL HOME HOME)SHGC SCALE NTS DRAWNHY DKW (REAR = 0.30 FLOOR PLAN 041' SCOPE OF WORK: INSTALL (3) RETROFIT VINYL, DUAL T' 7588957 GLAZED, LOW E PATIO DOORS. NO (N) CONSTRUCTION, SHEET FRAMES WILL NOT BE DISTURBED. A-1