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15070053FA, CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21673 CASTLETON ST CONTRACTOR: PLUMBING TECH PERMIT NO: 15070053 SEWER AND REPIPE INC OWNER'S NAME:. 278 E GISH RD DATE ISSUED: 07/08/2015 OWNER'S PHONE: 4155086031 SAN JOSE, CA 95112 PHONE NO: (408) 437-6207 ❑ LICENSED CONTRACTOR'S DEC ON JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REMOVE AND REPLACE WATER HEATER AND REPIPE of License Class Lic. # f ENTIRE ' Q� RESIDENCE. Contractor - Date d I hereby affirm that I am licensed under the provisions o Chap er 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: $11553 J -have and will maintain Worker's Compensation Insurance, as provided for by 11'N Number: 35618065.00 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 FROM LAST 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 J G� 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 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is 9.18. , 2 Signature Date / installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: _ 1 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. 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 550 , 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: 1 Date: Q�o' 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 J GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 mmisc CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildingCcDcupertino.org f X07,Z53 YPLUMBING ❑ MECHANICAL ❑ ELECTRICAL ❑ MISCELLANEOUS PROJECT ADDRESS v J APN M OWNERNAME rT fah PH I� Q � it 0 5 f ' E-MAIL STREET ADDRESS ]I�� ��� CITY, E, Zl FAX %� (� ! O ��� CONTACT NAMEPH NE E-MAIL vn� 9 6S c� e STREETAD C Y, STATE, P�� FAX ❑ OR'NER ❑ OR7.'ER-BL1ILDt�I.t ❑ OWN`ERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGIN'EER ❑ DEVELOPER ❑ TENAN CO 1 NAME LICENSE ER / [� LICSE TYPE BUS. LIC �G� J COMPANY NAME E- �C £ G L� ,YE D ' S /r / � � � j d CI Y, STATE, ZIP � ` Z / 1PHONE C ARCHITECT/ENGII'EER NAME LICENSE NUMBER BUS. LIC n COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF$FD or DUPLEX ❑ MULTI-FAI,ffi,Y PROJECT IN WII-DLAND ❑YESPROJECTIN El YES IS THE BLDG AN ❑YES BUTLDII.G: ❑ COMMERCIAL URBAN INTERFACE AREA '0 FLOOD ZONE '0 EICHLER HOME? NO DESCRIPTION OF WORK Zf TOTAL VALUATION: r J J5 3 RECEIVED'B] By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property 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 c nstruction. I au orize representatives of Cupertino to enter the above-iidden ' ed prop for inspection purposes. Date: Signature of Applicant/Agent:/ SUPPLEMENTAL INFORMATION REQUIRED r� s � ER THE COUi�TER g a� DJ�RD �� SQA, ol A,fEPA4'iscApp_2011.doe revised 06/21/11 Ww������ CITY OF CUPERTINO _ FEE ESTIMATOR — BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 21673 Castleton St DATE: 07/08/2015 REVIEWED BY: Sean UNITS APN: BP#: ''VALUATION: $11,553 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex $14 PENTAMATION PERMIT TYPE: 1 RPR WORK Remove and replace water heater and re i e entire residence. SCOPE 1 APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan Check 0.0 1 hrs $0.00 QTY UNITS BP FEES FTT, Re -Pipe Interior 1PRREPIPE Other Elec. I,�,r,El 1 # $14 Water Heater 1PRWHEATR :Suppl. Insp Fee 1 # $29 PME Unit Fee: $43.00 PME Permit Fee: $48.00 t 'onstruction Tax: Administrative Fee: 1ADMIN $45.00 Work Without Permit? O Yes O No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC $43.00 Strong Motion Fee: IBSEISMICR NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Pire, Sanitaty Fewer District, School . #_ 1 7%. t a. a.o hncnd — lhn nrolim:nanr infarmadnn nvailahlo and aro anly an eclimate_ Cantact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) ;tfech. Plan Check Plumb. Plan Check 0.0 1 hrs $0.00 hiec. Plan Che( F_ Plumb. Permit Fee: IPPERMIT FTT, Orl�cr a/E:�dr. ��.�; Other Plumb Insp. 0.0 hrs $48.00 Other Elec. I,�,r,El 'lec'h. /ns/�_ Fire: lv'o r" lits/). /'Ce. $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Pire, Sanitaty Fewer District, School . #_ 1 7%. t a. a.o hncnd — lhn nrolim:nanr infarmadnn nvailahlo and aro anly an eclimate_ Cantact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: ,�lpl. P(:' Fee PNM Plan Check: $0.00 Permit Fee: :Suppl. Insp Fee PME Unit Fee: $43.00 PME Permit Fee: $48.00 t 'onstruction Tax: Administrative Fee: 1ADMIN $45.00 Work Without Permit? O Yes O No $0.00 ,edvancecd Planning Fees: Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $1.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $186.50 $0.00 TOTAL, FEE: 1 $186.50 Revised: 07/02/2015 = M E T R O S C A N P R O P E R T Y P R O F I Z E= Santa Clara (CA) ********************************************************************************************** * * * * < < < OWNERSHIP INFORMATION > > > * * Owner :Lachwani Deepak Parcel :356 18 065 * CoOwner Bldg Id :1 * Site Address :21673 Castleton St Cupertino 95014 * Mail Address :21673 Castleton St Cupertino Ca 95014 * * * < < < SALES AND LOAN INFORMATION > > > * * Transferred :06/12/2015 Loan Amount :$1,450,000 * Document # :22984280 Lender :Googain * Sale Price :$1,950,000 Full Loan Type :Conventional * Deed Type :Grant Deed Interest Type :Fixed * % Owned :100 Vesting Type :Married Persons * * < < < ASSESSMENT AND TAX INFORMATION > > > * * Land :$23,914 Exempt Type * Structure :$81,971 Exempt Amount * Other Tax Rate Area :13016 * Total :$105,885 14-15 Taxes :$1,775.66 * o Improved :77 * * * < < < PROPERTY DESCRIPTION > > > * * Census :Tract:5077.02 Block:2 * Map Grid : * Zoning :R1 Res Single Family Residence * Land Use :01 Res,Single Family Residence * Sub/Plat :Montebello * Legal :TRACT 4104 MONTEBELLO BOOK 220 * :PAGE1 12 PAGE2 13 LOT 98 * * MLS Area :18 * < < < PROPERTY CHARACTERISTICS > > > * * Total Rms :9 Bldg SF :2,119 Units YearBuilt :1966 * Bedrooms :4 Lot SF :7,455 Patio :No EffYearBlt :1966 * Bathrooms :2.50 UseableSF:7,455 Porch :Yes Garage Sp :2 * Stories :2 Lot Acres:.17 Elevator Garage SF :451 * Dining Rm :1 Lot Dimen:71X105 Lease SF Bldg Cond :Avg * Family Rm :1 Pool :No Office SF: Bldg Class :7.5 * Rec Room Fireplace:Yes Sprinkler: Bldg Shape :L -Shape * UtilityRm :1 Sauna lstFlr SF:1,339 GarageTyp :Garage * Water Src Dishwsher: 2ndFlr SF:780 WallHgt * Elect Svc Tennis Ct: 3rdFlr SF: AddtionSF * Gas Svc FrameType:Wood Rental SF: * CntlHt/Ac :Heat Pump * ********************************************************************************************** Information compiled from various sources. CoreLogic makes no representations or warranties as to the accuracy or completeness of information contained in this report.