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14070054CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10481 CASTINE AVE CONTRACTOR: HAULING PROS PERMIT NO: 14070054 OWNER'S NAME: SATYA SRINIVAS AND KATURI SASHIKALA PO BOX 4033 DATE ISSUED: 07/14/2014 OWNER'S PHONE: 4084601400 WALNUT CREEK, CA 94596 PHONE NO: (925) 682-8987 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LICENSED CONTRACTOR'S DECLARATION SFDWL POOL REMOVAL 469 SQ FT License Class Lic.# 2 Contractor DateIrl 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 pe formance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $5000 h e and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32641034 00 Occupancy Type: Section 3700 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 Issued by: Date: !' / • / `J 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: Signature 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) 1, 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 Ce, Sectio �51025�133,and�21531. od Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agen Date:2IZY* 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 CUPERTINO SWIMMING POOL / SPA PERMIT APPLICATION rIs COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a,cupertino.org PROJECT ADDRESS �O V/ /+�1�� APN# OWNER NAME J;,., f, PHONE v l 01,W0 E-MAIL STREET ADDRESS ii CITY, STATE, ZIP C/ FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP I FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONT , ORRNAA E LICENSE PLANCHI CKTYPE .. LICENSE TYPE_ _ Commercial or Multi -Family Buildings with Public Swimming Pools: BUS. LIC # COMPANY NAME ❑ Health E-MAIL dxrourrrER spn DINGDEPT FAX STREET ADDRESS - GUNITE P PREFABRICATED CITY, STATE, ZIP ❑ ExPRE,SS PHONE ARCHITECT/ENGINEER NAME (� iWt i 1 i�hi r LICENSE NUMBER TOTAL - BUS. LIC # COMPANY NAME �l E-MAIL Eh VIRONMENTAL HEALTH FAX STREET ADDRESS ❑ SANITARY SEWER DISTRICT CITY, STATE, ZIP application and the information I have ided is correct. I have read the Description of and verify it is accurate. I agree to comply with all applicable local PHONE DESCRIPTION OF WORK Signature of Applicant/Agent: // // J IUSE OF K,,SFD or Duplex ❑ Multi -Family IPS TYPE II MATERIAL TYPE (CODE) I AREA (SQ. FT.) I VALUATION ($) STRUCTURE: ❑ Commercial 1 POOL I POOUSPA MATERIAL TYPE CODES: SPA PLANCHI CKTYPE .. V - VINYL -LINED _ Commercial or Multi -Family Buildings with Public Swimming Pools: ❑ Health DEMO dxrourrrER spn DINGDEPT Department of Environmental approval required. F - FIBERGLASS - GUNITE P PREFABRICATED ❑ ExPRE,SS ❑ PLANNING DEPT (� iWt i 1 i�hi r I? TOTAL - m� �l LARGE'i. _ Eh VIRONMENTAL HEALTH KD MAJOR= ❑ SANITARY SEWER DISTRICT By my signature below, I certify to each of the following: I am the property owner or thorized ent to a • t on the property owner's behalf. I have read this application and the information I have ided is correct. I have read the Description of and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating Ing construction. I authorize representatives of Cupertino to enter the above -identified /prop rty for inspection purposes. Signature of Applicant/Agent: Date: 7 j? SUPPLFNTAL INFORMATION REQUIRED d usEoivLY PLANCHI CKTYPE .. ? ROUTING SLIP _ Commercial or Multi -Family Buildings with Public Swimming Pools: ❑ Health dxrourrrER spn DINGDEPT Department of Environmental approval required. ❑ ExPRE,SS ❑ PLANNING DEPT `STANDARD ❑ PUBLIC WORKS DEPT ❑ LARGE'i. _ Eh VIRONMENTAL HEALTH KD MAJOR= ❑ SANITARY SEWER DISTRICT SwimPoolApp_2011.doe revised 03/16/11 CITY OF CUPERTINO AVIV I crrIX4A'Tni2 _ RITII.IIING DIVISION Ic 10481 castine ave ... ..........___ __. _________ FEE DATE: 07/14/2014 REVIEWED BY: mendez 1WADDRESS: APN: BP#: *VALUATION: $5,000 *PERMIT TYPE: Demolition Permit PIANCHECK ''/ PRIMARY SwimmingPool, Res. � j S agjufigt).:'1I'fe c �..'.`.,L(c' 1SFPOOLDEM =ERM=TTYPt: USE: $329.00 Suppl. Insp. Feer Reg. 0 OT p,Q hrs WORK sfdwl pool removal 469 sq ft Permit Fee: SCOPE Pe. "'Pi! Fee: 1 (itt(: 'vfecl`r. Tnr:srr. f'tEr";;h Plan % Irec.'i PalP4mb. PL f`mi! Fee; other Plumb Inv). L—J flho;A Insp. Fee: I ler . 1> s)I NOIR': This estimate Goes not tnctuae fees aue to Omer vepurtrnerm �t.r. 1 tuttrtutg, w�� • �, ��, _ •• �w••-•-•y - __, _____ _ _ -as --- ,.HG..a ocr:.,a .tn t^nntart tho Dont far addn'1 info. lutatrt t:t, Gt" . ltt- cw w•c �-- v.• •.r .. .......... .... FEE ITEMS (Fee Resolution 11-053Lf : 7if 1113) ... ..........___ __. _________ FEE QTY/FEE MISC ITEMS l{{{.1tn Check 1,'e e 4� .g&.ippl((. i (" d �e. ' � j S agjufigt).:'1I'fe c �..'.`.,L(c' Permit Fee: $329.00 Suppl. Insp. Feer Reg. 0 OT p,Q hrs $0.00 Permit Fee: tJ Fees: / i"ii1 F.''? C.i{1C`Lfl?'t'c.'rZJ.'tlt{3Y7 °ees: Strom Motion Fee: 1BSEISMICR $0.65 Select an Administrative Item Bldy, Stds Commission Fee: IBCBSC $1.00 _ $330.65$0.00 TOTAL FEE: $330.65 Revised: 07/10/2014 License # 834630, 926-9334448 r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 0 Milford Dr COMMUNITY D LO MENT DEPARTMENT BUILDING MSI N -CU PERTINO APPROVED This set of plans and specifi ions MUST be kept at the job site during constr ction. It is unlawful to make any changes or alter iltions o I same, or to deviate therefrom, without a proval rom the Building Official. 89.00 '—� The Stamping of th'I Ian and specifications SHALL NOT Property line Q be held to permi r be an approval of the violation IP of ary provisio o y City Ordinance or State Law. r.:'v — — — — — — — — — — — — — — — — — — — — — nAr I i i I o i � cei Walls line L-- --- r -- -- HOUSE Propert � line Q o N 11.25 ' `O CIO C 0 Py 16.00 U OFFI Eav s line L- - - - - - - - - 109.00 CUPERTINO I j POOL to be removed +wilding Department C:) Area= 469.10 sq ft E Perimeter= 85.82 ft h �sJUL 14 2014 I REVIEWED FOR 3ODE COMPLIANCE I I Revie ved 139: I I I 1 I I I 10481 Castine Ave Cupertino, CA 95014 scale 1"=20' � . s SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingaC�cupertino.org FILE Permit No. /y0 70o7 2 Address 1 S% 2— ooJk. # of Alarms Smoke: Carbon Monoxide: 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 every level of a dwelling unit including basements X X Within each sleeping 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 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: -TL)0 Si nature.....�...........� Date:...li141 Contractor Name:�7 Q `...1...... Si nature .:........... I ...... I........... ....... LicA ..... .... Date: Smoke and CO form.doc revised 03/18/14 fi tC