The URL can be used to link to this page

15070103CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10917 FESTIVAL DR CONTRACTOR: KIRAN KRAVOORI & PERMIT NO: 15070103 MEHENDRAKER DEEPA OWNER'S NAME: KIRAN KRAVOORI & MEHENDRAKER DEEPA 10917 FESTIVAL DR DATE ISSUED: 07/15/2015 OWNER'S PHONE: 4088259844 CUPERTINO, CA 95014 HONE NO: 13 LICENSED CONTRACTOR'S DECLARATION License Class Lic.# Contractor 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 performance of the work for which this permit is issued. 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 permit is issued. APPLICANT CERTIFICATION 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH r— RESIDENTIAL I— COMMERCIAL JOB DESCRIPTION: BATHROOM PANTRY ADDITION (65 SQ. FT.) Sq. Ft Floor Area: I Valuation: $15000 APN Number: 36217012.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITIIIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: �d �I.t Date: Signature DateRE-ROOFS: 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 OWNER -BUILDER DECLARATION inspection. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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, BV & Professions Code) owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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. 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 permit is issued. feertify 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that 1 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 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 with all non -poi t sou ce regulatio s per the Cupertino Municipal Code, Section 9.18. Signature Date�l�� Signature of Applicant:, Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous 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 the Health & Safety Code, Sec =5505,/5533, and 25534. V011Owner or authorized agent: C-� Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERMIT APPLICATION J'56�-OJ(53 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO. (4088)777-3228 • FAX (408) 777-3333 • building(Dcugertino org 7 ❑ NEW CONSTRUCTION �S ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT a PROJECT ADDRESS � % - � � j p � f� APN R - � v��,,p ^�!"r(`� ��,�[� l {� VIS { 01AR ER NAME �' �1 `TI\ C v�' �' 1 D !' Lp HONE U E:MAIL '� 1`2. rnlw�SE STREET ADDRESS p � � � � Q� q CIT/�� S�T�AEy�Z�I,P lam/ 2 T1 N G ( / FAx CONTACT NAME I PHONE I E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX '+•" 0 NER ❑. OWNER-BUELDER 01ANERAGENC ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS v,�u "I" Ll YES I CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC R COMPANY NAME ADDITION? ANO E-MAIL FAX - — STREET ADDRESS PRE -APPLICATION ❑ YES IF ITS. PROVIDE COPY OF IS THE HLDG AN •YES PLANNING APPL [� NO PLANNING APPROVAL LETTER EICHLER HOME? EE] NO CITY, STATE, ZIP By my signature below, I certify to each of the following: I am the property o��mer or authorized agent to act on the property owner's behalf. I have I PHONE DESCRIPTION OF WORK — property for inspection purposes. Al Date: SUPPLEMENTAL INFORMATION REQUIRED �,,.- PLAi�,CBEC$�1gE _ 320LTII�GSL)P F XMIN{` OVERTHEFCOUIvTER New SFD or Multifamily dtivellings: Apply for demolition permit for existing building(s). Demolition 35 BUIIDIIiGPi1N"F2EVI� r F-19STING U E PR POSED USE POSED room I CONSTR. TYPE n STORIES USE TYPE OC�L�LSQY�T.VALUATION(S) PT ANAR�PL°ANFS2EyLE _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure E3aSTG AREA I NEW FLOOR DEMO AREA �i �o ', AREA form if any Hazardous Materials are being used as part of this TOTAL NET AREA rp project. �, 5"-a L 1RU1� .�,,- �., � �]�t'�•�2EIDI:P'L�- � ��-� �'— .� _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. , AR.�xs��it•DTsr,Iucrr� ,,,�.; BATHROOM I KITCHEN OTHER REMODEL AREAREMODEL AREA 1 REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA:DETACH M AizAcx - - ------••••••• v,�u "I" Ll YES SECONDSTORY E]YES BEING ADDED? ❑NO ADDITION? ANO PRE -APPLICATION ❑ YES IF ITS. PROVIDE COPY OF IS THE HLDG AN •YES PLANNING APPL [� NO PLANNING APPROVAL LETTER EICHLER HOME? EE] NO By my signature below, I certify to each of the following: I am the property o��mer 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 ali applicab]e local ordinances and state laws relating t buildi construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: e � Date: SUPPLEMENTAL INFORMATION REQUIRED �,,.- PLAi�,CBEC$�1gE _ 320LTII�GSL)P F XMIN{` OVERTHEFCOUIvTER New SFD or Multifamily dtivellings: Apply for demolition permit for existing building(s). Demolition 35 BUIIDIIiGPi1N"F2EVI� r permit is required prior to issuance of building permit for new building. k z g� s4r fi a s �_ , ( air EXPFESS W. i� PT ANAR�PL°ANFS2EyLE _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure C1i,>-I,nARD� o; form if any Hazardous Materials are being used as part of this rp project. �, 5"-a L 1RU1� .�,,- �., � �]�t'�•�2EIDI:P'L�- � ��-� �'— .� _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ��-_�_y_„N �_��_ .,,.., __, AR.�xs��it•DTsr,Iucrr� ,,,�.; BldgApp_20II.doe revised 06121111 CITY OF CUPERTINO FF0q0 10-3 F FCTI<MATnR _ R>(M."11VI- nrvrcrnXT 1AADDRESS: 10917 Festival Drive DATE: 07/15/2015 REVIEWED BY: Paul APN: 362 17 012 BP#: *VALUATION: $15,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE. 0.0 PENTAMATION PERMIT TYPE: 1 GENRE S WORK Bathroom pantry addition 65 Sq. Ft. SCOPE ,- 9h,ch. Plan ('heck f'11110. Plan Chec.i E'lec. Plan Check blech' 1'etirti! Fere' Plumb. Permit Fee: I I I Elee. Permit Fee: Other il,k- •h. Insp. e h. hup. Fee: Other Plumb lrup. Plutuh. hisp. Fee: Other L Icc. Imp. Elec. fns)-). Fee: ivvic: ims esumate aoes not incivae fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etG). Thovp fppv arp hn.¢Od not lho nroti—;v -, --*/-Al. -I orn nwl.... nnf:un s /'n..4...d L 71 l . ., 4-n :-.r- FEE ..r FEE ITEMS (Fee Resolution 11-053 Ef'. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (j) No $0.00 hours $286.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes (E) No $0.00 Suppl. Insp. Fee. -(j) Reg. Cl OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: A.dininistrative Fee: 0 G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 i 7rUvel Doeuinenlation Fees: Strong Motion Fee: IBSEISMICR $1.95 6.0 hrs $858.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $1.00 SiTBT�DTALs $2.95 $1,144.00 i'OTAL FJGE a $1,146.95 Revised: 07/02/2015