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14080060 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10230 ANTHONY PL CONTRACTOR:UPPAL CONSTRUCTION PERMIT NO: 14080060 CO OWNER'S NAME: SRIVASTAVA DEVENDRA AND VINEETA 2245 PETERSBURG DR DATE ISSUED:08/08/2014 OWNER'S PHONE: 4085053673 MILPITAS,CA 95035 PHONE NO:(408)507-6750 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL Q KITCHEN REMODEL 250 SQ FT TO INCLUDE M,E,P'S License Class Lic.# P% `3, Z JGH ,P, v P��L Contractor /�/'I y� ( )`l S,T L�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 erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$15000 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 APN Number:34212066.00 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 WO-Rk IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITIIIN'780 DAYS O\ 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 FROM LASY 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 granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino MunicipCode,Section 9 18. /� RE-ROOFS: Signature �� '1 �l �� 1 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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,andel 25534. Section 3700 of the Labor Code,for the performance of the work for which this ��/' �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. S ignature Date - --- CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT.DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (ry EUPERTIh10 (408)777-3228• FAX(408)777-3333•buildina(-)cuoertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT PROJECT ADDRESSQ 02 Q N U 14 0 OWNER NAME 'f� �y PHONE � ,- -MAIL STREET ADDRESS p I CITY,STATE,ZIP I FAX / lel ) EI CONTACT NAME / j ,/1 6 1 ! �� / PHONE D¢ S � E-ARAILe)/„j �I & O C-r loll STREET ADDRESS�� 5� ��.�O(JS n In�(-'I CITY,STATE,ZIP / 7/�� O FAX C-0 p� / G>�I C-0 I OWNER ❑ OVTiER-BuMDER ❑ OWN.ER!A�GENTT V�(1`'1-IRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGLN= ❑ DEVELOPER ❑ TENANT NN CONTRACTOR NAMIE �/� u � I LICENSE NUMBER 2 � LICENSETYPE BUS.LIC COMPANY NAMEE-MAI FAX corms T ►�a P co STREET ADDRESS y,� CITY.STATE,ZIP r I PHOT y f7 7 7 C ARITECT�GINTEER NAME t LICENSE NUMBER j ` f j BUS.LIC V COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIPI PHONE DESCRIPTION OF WORKry EXISTING USE PROPOSED USE CONSTR.WPE mSTORIES USE TYPE OCC. SQ.FT. I VALUATION(S) 2 EXISTG NEW FLOOR DEN40 TOTAL AREA AREA AREA NET AREA K lj c BATHROOM KITCHEN OTHER REMODEL AREA REMODE REMODEL AREA PORCH AREA DECK AREA TOT DECKNORCH AREA GARAGE AREA: DETACH ❑ATTACH m DWELLING UNITS: IS A SECOND uNrr ❑YES SECOND STORY ❑YES BEING ADDED? ONO ADDITION? ONO -�R.-Fn1£PL-if,TION-0-1-'€ YIDE.COPy OF I�$�Li BLDG AN YES ;, ECEI3'EDBY'M ? - TOTAL N: PLANNNINGAPPL4 ❑NO PLANNINGAPPROVALLETTER EICHLERHOME? ONO By my signature belo%v,I certify to each of the following: I am the property owner or author agent to act on the property ers behalf. I have read this application and the information I have provided is correct. I have read the Description of Work a ccurate. I agree to omply��ith all applicable local ordinances and state laws relating to buildi g construction. I authorize representatives of Cupertino to enter the above-I e pe �y for inspection purposes. Signature of Applicant/Agent: C.tn.n p Date: y SUPPLE?`IENTAL INTFOILMATION REQUIRED � - � ,. CHECK TYPE , .:. _ ROITTIi�G SLIP ,_ New SFD or Multifamily cl-wellings: Apply for demolition permit for fl��r 7TERTR �, ��BIIII7)L�cPL�i'�REVIESv _ existing building(s). Demolition permit is required prior to issuance of building EXPRESS ` "" c S : PLA3�IvI\GPLI1 REIE13r�_ `$ permit for neer building. f PUBLIC BOB _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STDARD r � s form if any Hazardous Materials are being used as part of this project. _ _ � -' 0 NO _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. � � ='.f- EN32RONI'1ENT.irEiTFt �a=�i Blde4pp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10230 anthony pl DATE: 08/08/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: 1$15,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION USE: SFD or DuplexL I PERMIT TYPE: 1 R3SFDRE WORK kitchen remodel 250 sq ft to include m e 's SCOPE IN ; . 4 Llc cr.. )'Ictrt i%tc° v< 1lhwd). Plan Chc el, 1'eriij:i Fee: 111r„rni>. /'<rrn r!;'ec: fu= ?> F-1 I (?ti`ae�, 1'hanrfr irts'r. ofh_ h!sp” Tlswlb. Insp, fee: 1�iec .' sp.1°r1> : NOTE:This estimate does not include fees due to other Departments('tie.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Theseees are based on the relimina information available and are onlyan estimate. Contact the Det or addn 7 info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 250 s.£ Remodel,Kitchen(<=300 sf) Suppl. PC Fee: (j) Reg. 0 OT0.0 hrs $0.00 $645.00 l MRESKIT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee: Reg. ® OT 1 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 R1, cirrr4ir,xcr`t E>1 Work Without Permit? ® Yes (j) No $0.00 Advanced Planning?Fee: $0.00 Select a Non-Residential I^« /)t1;°r,urze atrztrt rr l° >es Building or Structure Strong Motion Fee: IBSEISMICR $1.95 Select an Administrative Item Bldg Stds Commission.Fee: IBCBSC $1.00 NN IX 01 WA �. S $2.95 $645.00 _. TOTAL FEE: $647.95 Revised: 07/10/2014 \\ 80 159 /2 791/4 Cabinet Report Cabinet Name i t eig t Depth \\ 00 16 17 191 ^� 20 2-BASE 36+4 36 24 \ nDi 8 3-BASE 71/4 36 24 \\ � _—J 1 5-BASE S BASE 36, 24 \ _ — C 0 3 6 11$ I 8-LAZY S BASE 1/ 36 \ 9-BASE 5- 36 2 , \ ` O i 21 s 10 REFER BOX 39, 95 24 co .+ _ 9 ry ii-WALL OVEN 3 1/2 95 1 24 �� 12-BASE 39 36 22 ,P c\ 13-BASE 21 36 22 1� I -`�+ 14-BASE / 60 36 10 N \ !— iT� 15-UPPER / 323/8 41 12 \ I T 1 16-CORNER/UPR 24 41 12 — 17-UPPER 38 41 12 \ I 14 18-UPP Pt 36 17 12 \ —— 20 CO ER 371/2 41 12 \ ^ 1 1 IIII 13 18 2�fUPPER ® ®P E DEPARTMENT \ �M Slo - UPERTINO - L APPROVED \ N� This set of plans and specifications MUST be kept at the \ M job site during construction. It is unlawful to make any \ changes or alterations on same, or to deviate therefrom, without approval from the Building Official. \ _ The Stamping of this plan and specifications SHALL NOT \ be held to permit or to be an approval of t,3 violation cf any pr u ikon of any City Ordinance or State Law. '1 �l� \ CUPERTINO 10 3 0 0 �T H O t��., `\ ent f./ B,;ilding Depertm \ / AW 7 20% Cuu REV IE JEIi ry)R G()DE COMPLIANCE Reviewea 7v,,?®d A V Floor Ian Ca /0 7, e-/' le( pG C 4 l`GoV DEVENDRA 22 Room 1 JUI 28, 2014 0`l-LeF 0,,,A Lc o,/_' (�i n n 1_ S IL Perspective DEVENDRA 22 Room 1 Jul 28, 2014