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15040078 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10139 BYRNE AVE CONTRACTOR, PERMIT NO: 15040078 c_aov�ry ca�q�vos��� OWNER'S NAME: SMITH ROGER C AND GAIDIES-SMITH BRE DATE ISSUED:04/09/2015 OWNER'S PHONE: 4088020721 PHONE NO: LICENSED CONTRACTOR'S DECLOATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL ❑ ADD(N)GAS BBQ COUNTER IN REAR YARD WITH License Class_ Lic.# AMENITIES(MEP'S).INSTALL(N)GAS FIRE PIT Contractor GCJ � C9 rMn ate 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: �erfbrmance ave and will maintain a certificate of consent to self-insure for Worker's mpensation,as provided for by Section 3700 of the Labor Code,for the of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$13000 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:35711009 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 WITIIIN 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 F 'CALLED INSPEC 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 granting of this permit. Additionally,the applicant understands and will comply Is Da e: with all non-point source r ulatio per the Cupertino Municipal Code,Section 918. /L RE-ROOFS: Signature �'L to 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 1,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. 1 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 255 , 533, nd 25534. �J Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:ZO*J�__A_ te: LY I 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 918. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildincl aacupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PRO •ADDRESS APN# 357 - r 0, O r OWNER N T PHO t)r7 E-MAIL STREET AD S CITY, STATE,ZIP J� S FAX CONTACT NAME PH OfE-MAIL / r 6� STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CO CTOR A LICENSE ER LICENSE TYPE BUS.LIC# G� t COMP N E-MAI Mtn � FAX t 7i SIM n CITY,STATE,ZIP/_ PHO , M_ ARCHITECT/EN INEER NAME ` [LICENSENUMBER 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 y� 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 #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? []NO - ADDITION? [-]NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN [] YES + AL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO - r µ y By my signature below,I certify to each of the following: I am the property owner or authorized agen on the property owner's behalf. I have read this application and the information I hav d is rrect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws t , uil g c ti authorize representatives of Cupertino to enter the above—i ntified pr?v er nspection purposes. Signature of Applicant/Agent Date: /�+J/ (`�y4 I SUPPLEMENTAL INFORMATION REQUIRED tg zCHECKtTYPE . ." . . ROUTING SLIP r _New SFD or Multifamily dwellings: Apply for demolition permit for � �V.ER �`QOUL�`fER ���e ?, UII,DINGdPLe�1NREVIEW� �r existing building(s). Demolition permit is required prior to issuance of building permit for new building. .15RE � {Q LA�INGPANRE�rTE ��'�,� r " _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure C7 uBL7ewoRxs � �� : 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. ' as �� ITY s> R�Is RI � �� . .NVIRONMEU�t1T 3IE TJ3aw BldgApp_201 Ldoc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10139 BYRNE AVE DATE: 04/09/2015 REVIEWED BY: MELISSA APN: 35711009 BP#: 'EVALUATION: 1$13,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 RPGA WORK ADD N GAS BBQ COUNTER IN REAR YARD WITH AMENITIES (MEP-S . INSTALL N GAS FIRE SCOPE PIT "r "ik�" _'q" aF .roi day un `` � _ r ..... F Mech. t'lari Ckj eck Plumb.Plan Check 0.0 hrs $0.00 Elec.Plan Check 0.0 hrs $0.00 :tech./Vernet Fee: Plumb.Permit Fee: 1PPERMIT Elec.Permit Fee: IEPERMIT Otb er Alech.Insp. Other Plumb Insp. 0.0 hrs $48.00 Other Elec.Insp. 0.0 hrs $48.00 Ifexh. Insp. Fee: P1urnb. Insp.Fee: Elec'.Insp, I,cv: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees are based on the relimina information available and are only an estimates Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 11-053 E . 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Plumbing Suppl.PC Fee: 0 Reg. ® OT 0.0 1 hrs $0.00 $144.00 IPGASRES Piping,Gas<=4 Outlets PME Plan Check: $0.00 = # Plumbing Permit Fee: Hourly Only? ®Yes Q No $0.00 $10.00 1 1BPFIXTURE I Fixture set on One Trap Suppl. Insp. Feer Reg. ®OT0 0 hrs $0.00 ® Electrical PME Unit Fee: $0.00 $48.00 1BREMRECEP I Recep/Switch/Outlets PME Permit Fee: $96.00 (;onstr action Tax: Administrative Fee: IADMIN $45.00 Work Without Permit? ® Yes (j) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Documentation Fee: ITPA VDOC $48.00 Building or Structure 0 i Strong Motion Fee: IBSEISMICR $1.69 =hrs Inspections Bldjz Stds Commission Fee: IBCBSC $1.00 $0.00 1 Inspection,Hourly - Te x's, j`4,"""_4 4 . 1 i .s. A; wo l, $191.69 $202.00t� > `Of' LEEsy: $393.69 Revised: 04/01/2015 IT. I �► I I I I I I - I Sink/Faucet _ I I al ' �.► — I 12 = 42" BBQ �_— I IL 3 = Single Side Burner 4 = Green Egg 5 = 24" Refrigerator r 6 = 3 Drawer Cabinet 7 = �4 x 39�" Double Access Doors 8 = 17 x 24 Single Access Door '- -- � ► �� � -- Smith Residence I_—I 10139 Byrne ne Ave. _U I I_�-I ► _ -- Cupertino, CA 95014 Roger Smith #4o8-802-0721 Town & Country Landscapes P.O. Box 320940 Los Gatos, CA 95032 ?2- 4o8-354-6603 i = Sink//Faucet 2 — 42" BBQ ►1 G� � �J '1 V S 3 = Single Side Burner PLOT 4 = Green EggCHECKED By 5 = 24 Refrigerator 6 = 3 Drawer Cabinet - 7 = 24" x 39" Double Access Doors ' a UY�l 8 = 17" x 24" Single Access Door ,,' � �s^p'� , •� F ` � ` .taw...r.w.+w. _ _. _. .. A CIF-! f GAP l I D V Dvii rl 49 T_... COP f rro C - , I - ` �.,..� () ITY DEVELOPMENT DEPARTMENT s BUILDING DIVISION = CUPERTINO APPROVED This set of plans and specifications MUST be kept at the job site during construction. it is unld:vful to make any changes or alterations on same, or to deviate i therefrom,without approval from the Building Official, The Stamping of this plan and speaficat ons SHALL NOT he held to permit or apprc•�a1 of the violation of any r ity Ordinance or State Law, CUPERTINO r . . S guild +rig Department PERMIT # <�c7�a d Town & Count Landscitpi*n °MP�',��,�� �y N � �eviewecy By P.O. Box 320940 Scope of Work: Los Gatos, CA 95032 1. Build BBQ Center out of block including #4 Smith Residence 4 G rebar as needed with granite counters. Stucco 408-354-6603 and paint to match house. 10139 Byrne Ave. 2. Install 11/2" plastic gas line from gas meter to BBQ Center and fire pit. E> Cupertino, CA 9501-4 w 3. Install 3/4" electrical conduit from electric meter to BBQ Center and fire pit. . 4. Install 1" sewer line from BBQ Center sink to Roder Sm, JL�.O$-$02-0721 cleanout. CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10650 CARVER DR CONTRACTOR:PLUMBING TECH INC PERMIT NO: 15040080 OWNER'S NAME: THIRUMANDAS SURESH AND SATTOOR SU 1040 HARANA DR DATE ISSUED:04/09/2015 OWNER'S PHONE: 4082578047 SAN JOSE,CA 95122 PHONE NO:(408)836-2492 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E] +� PROPERTY LINE CLEAN OUT*SUNNYVALE SANITARY* License Class Lic.#!qSS 9' Contractor Date I hereby a irm that I am licens d 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 ACompensation,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:$2800 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:37532018.00 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 DA 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 F T 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-poin 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 Date: Signature of Applicant: 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) HAZARDOUS MATERIALS DISCLOSURE I,as owner of the property,am exclusively contracting with licensed contractors to 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 will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectio 25505,2 33,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age Date: permit is issued. 1 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 GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISIO C 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 �` Misc (408)777-3228•FAX(408)777-3333•buildingCaDcupertino.org /O( V CUPERTINO L� PLUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS APN# -3-76-- -/� 32- 04- �� f �l ` OWNE E E-MAIL li'�A�t-►''c� �rrc.��n.�c•�,lA-s �S-2S`� �d-r}' STREET ADDRESS CITY, STATE,ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE LICENSE TYPE BUS.LIC# 04i-k -C - _-- J MPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEERNAME LICENSENUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN (3 YES IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO DESCRIPTION OF WORK G e y w IVEDHia TOTAL VALUATIFoe V,r_ .. . By my signature below,I certify to e h of the following: I am the property owner or authorized agent to act on the prop s behalf. I have read this application and the information I ha provi 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 build' construction. I authorize representatives of Cupertino to enter the abov ident' led property for inspection purposes. Signature of Applicant/Agent: Date: . UP MENTAL INFORMATION REQUIRED F k .. „oFk?cE usE orifi t , �M” �Qy,ERTHGCOUNTO, �rou2mk �t. EXPRESS � � y J Gj+ f - eFxt 4 MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10650 carver dr DATE: 04/09/2015 REVIEWED BY: Mendez APN: BP#: *VALUATION: $2,800 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration /Addition/Repair PRIMARY PENTAMATION 1 RPSS USE: SFD or Duplex PERMIT TYPE: WORK roe line clean out*sunnyvale sanitary* SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Sewer, Sanitary 1PRSEWER 1 # $25 $25.00 TOTALS: cl Alech. flan(1teck� Plumb.Plan Check 0.0 hrs $0.00 Ele;c.1'lan C"heck Mech, I'ermll Fee: Plumb.Permit Fee: 1PPERMIT Ele.c. Permir 1=ee: L)ther ,Wex°lt. Insp. Other Plumb Insp. 0.0 hrs $48.00 Other`Eilec_h2sp. L1ech. Inst), Fee: Plumb. 11"P.Fee: L/cc.Inst.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These fees are based on the relimina in ormation available and are onl an estimate Contact the Dept or addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Supl)/. P(7 Pee PME Plan Check: $0.00 Permit Fee: Supp/. Insp Fcc PME Unit Fee: $25.00 PME Permit Fee: $48.00 t.`onstruction Tax: FT Administrative Fee: IADMIN $45.00 Work Without Permit? ® Yes (j) No $0.00 Advanced Ply nni.ng Fees: Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 Y TU T�kEE: $167.50 u k $167.50 $0.00 , . „4 . Revised: 04/01/2015