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140800227497 RAINBOW DR 14080022 F/P PILLAI SANTHOSH N AND THAMPI CHITRA SCANNED BOX #585 CITY OF CU PlERTINO BUILDING PERMIT BUILDING ADDRESS: 7497 RAINBOW DR CONTRACTOR: PILLAI SANTHOSH N PERMIT NO: 14080022 AND THAMPI CHITRA OWNER'S NAME: PILLAI SANTHOSH N AND THAMPI CHITRA 7497 RAINBOW DR DATE ISSUED: 08/05/2014 OWNER'S PHONE: 4083686557 CUPERTINO, C 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REMODEL KITCHEN 135 SQ FT TO INCLUDE (2) NEW License Class Lic. # SKYLIGHTS, FAMILY ROOM 260 SQ FT INSTALL, NEW WATER Contractor Date HEATER 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: 1 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 Sq. Ft Floor Area: Valuation: $45000 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 APN Number: 36230013.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMITT' P R-E' 1 —WQ0RK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating ��T�� IS® DABS OF PERMIT ISSUANCE OR 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 IN SP CB ®N, 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: �L /s with all non -point source regulations per the Cupertino Municipal Code, Section ;r 9.18. �E_ROOFS- DateSignature All roofs shall be inspe or o 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-BUILDERDECLAR.4TION 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) 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 p performance of the work for which this permit is issued. will maY' [fain compliance with the upertino Municipal Code, Chapter 9.12 and Code, ' 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 the Health & Safety Sec ns 25505, 25533, and 25534. l � J B 4 permit is issued. Owner or authorized agent: Date: e I certify that in the performance of the work for which this permit is issued, I shall K� 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 go n Dint source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7497 RAINBOW DR CONTRACTOR: PILLAI SANTHOSH N PERMIT NO: 14080022 AND THAMPI CHITRA OWNER'S NAME: P1LLA1 SANTHOSH N AND THAMPI CHITRA 7497 RAINBOW DR DATE ISSUED: 08/05/2014 OWNER'S PHONE: 4083686557 CUPERTINO, C 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REMODEL KITCHEN 135 SQ FT TO INCLUDE (2) NEW License Class Lic. # SKYLIGHTS, FAMILY ROOM 260 SQ FT INSTALL NEW WATER HEATER Contractor Date REV # 1- RELOCATE (E) EL METER FROM REAR YARD I hereby affirm that I am licensed under the provisions of Chapter 9 TO SIDE YARD & UPGRADE TO 200 AMPS - ISSUED 9/30/14 (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 Sq. Ft Floor Area: Valuation: $45000 performance of the work for which this permit is issued. 1 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: 36230013.00 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 DAYS OF T 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 AST C D 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 Is Date: 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: 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 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 penaltyof 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 Cuper mo Municipal Code, Chapter 9.12 and 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 the Health & Safety Code, Sections 2550 25533, and 25534. ( n Owner or authorized agent: Date: J 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 Lender's Address 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, ARCHITECT'S DECLARATION 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 ` V ���� 3\ Date CONSTRUCTION. PERMHT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 . FAX (408) 777-3333 • buildino ZncuDertino.oro ❑ NEW CONSTRUCTION ❑ ADDITION ALTER4TI0N11/TI ❑ REVISION/DEtERRED ORIGINALPERJET �t PRO --CT ADDRESS 1`Z � �l Tom/ �vp�� �3? "' L- — 730 13 h r OWNERNAME Sl//�j7'�� P Pi PiiONS �' 36g/6ss E-m'm )ISO A s'� kP SIRE=� fjQy7t yL Q I (� ��Gir�l /f F.Ak CY, STATE, ZiP-7q97<�06#kj. co?Tarr NAME ee RCN Pxoxz- 408 4s/5 3-'t3 E-?2<.n/ � STREi=IADDRESS l�'TS - "0TEu-4WT f-P, CITY, STATE, ZIP 'u v-rlr4iD i FAX OWN -a- ❑ OWNS-BVTLDER ❑ OVNSRAG=-NT ❑ CONTRACTOR I! CONTRACTOR AGENT ARC:-DTYCT ❑ ENGLN'=- ❑ DEVELOPER ❑ Tt?,'f-\TT CONTRACTOR NAME I LICENSE NrUI BER I LICENSE TYPE I BUS. LIC COM.➢.4NY NAME E-MAIL FAX STREET ADDRESS I CITY, STATE, ZIP I PHOT�i ARCh7TECTIENGWEERNA-%1F 1T( `Yil(✓�l »j I LICENSENUMBER L 31[9 I BUS. LTC COMPANY NAME E-MAIL FPJC STREET ADDRESS (��g StgT�l.LIiJ �p� CITY, STATE, ZIP7�©y. I PHO1\4 �j�Y� \ DESCRIPTION OF WORK �j 5, � . 6l- -tQ T(-fLiEW ILE l�% 006 k- vl , N5W l Lkr Cei I L- c-7 i k) T He � err► L'� � � � wR-`r�g- ��t�g- � '� a N� �� � tca !� (N 'ice ) E PROP USE CONSTR. TYPE :' S RLS � � � I I V � USE TYPE occ. I SQYT. I VALUATION (S) EXISTG N'EW FLOOR DE1.40 TOTAL AREA f n I+g /t7 i% AREA w AREA N'ET AREA 7-1 BATHROOM REMODEL AREA ]KITCE-EEN REMODEL AREA l� /� OTHER FM40DEL AREA PORCHARE.4 DECKAREA TOTALDECK/PORCH.4REA GARAGEP.REA: EDDFTACH I ❑ ATTACH I DIATLLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑YES BEING ADDED? ❑ NO ADDITION? [] \°0 -P RE- 3PLIC4T30t�-TES---Lr a=cs,-MOY?IECOPLOP IS Tx£ BLDG AN l l^r5 �2£CFi3 BYE } g - TOTAL VALUATTIION: PLAN'NrINGAPPLm ❑NO PLA_NNTD\TGAPPROVAL =ER I EICHLERHOME? ❑NO ��. By my signature below, I certify to - of the following: I am the property o%kner or authorized agent to act on the property owner's behalf. I ha re read this application and the information I hav rovided 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 la\vs relatin Idino construction. I authorize representatives of Cupertino to enter the above--identif d rope ty for inspection purposes. Signature of Applicant/Agent: Date: O 513PPLE.�4rENWI?\ RMATIO.\T RE MRED Q .�� PLA?i CEWCiCTlP$ti w :1_ _ ROUTLtiG�LTi DVI~R TIFF COUI�TER'i � $UTI.�LIGPL�,�iF.EV7EiTr''� I\Te� r SFD or h4ultifamfly dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of buildingjrt_ Y permit for new building. 11 PRESS s - AL 1rA:?\TRIIGPL r1 RE�ZETir r _ Commercial Bldgs: Provide a completed Hazardous Agaterials Disclosure p PUBLZC IYORi\S �s form if an), Hazardous Matbrials are being used as part of this project. 4 �7RG �TREDEPT _ Copy of Planning Approval Letter or Meeting with r `IPlanning prior i _. submittal of Buildina Permit application, Bldagpp_2011.doc revised 06121111 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ° BUILDING DIVISION 10300 TORRE AVENUE ° CUPERTINO, CA 95014-3255 tCaJPERTINO I (408) 777-3228 ° FAX (408) 777-3333 ° buildiinnp(d)cupertino.org 00 ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI W REVISIO EFERRED ORIGINAL PERMIT # _1 lV O UQ 2-2 PROJECT ADDRESS / APN # / Z _ *3 O O OWNER NAME J& c PHONE l� V E-MAIL /Sa ✓) STREET ADDRESS CITY, STATE, FAX ZCe-r/nO01)- CONTACT NAME /� �O n j �( PHONE L i o �V 0 3 % b M ,, E-MAIL STREET ADDRESS CITY, STATE, ZIIJP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMB % LICENSE TYPE BUS. LTC # COMPANY NAME E-MAIL FAX STREET ADDRESS f ) / � C. e y ea v e- P)� n � p � CITY, STATE, ZIP LMP A/l,a n J /n PHONE _0 �v ARCHITECT/ENGINEER NAME �C �h e rl .01 LICENSE NUMBER /1 /� l-. (— / BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS P rI (j CITY, STATE, ZIP / Q�, �y� C f / /' PHONE `f J DESCRIPTION OF W/ R ara upgadc 41,9 cAro- -4,4 Am�op 64& anw. EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECONDSTORY ElYES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION OYES IF YES, PROVIDE COPY OF PLANNING APPL# ❑NO PLANNING APPROVAL LETTER IS THE BLDG AN YES EICHLER HOM ❑NO . RE BY: e •'. _"- + _ TAL VALUATION: By my signature below, I certify to each of the following: I am the property owner or aut o act t operty owner's behalf. I have read this application and the information I have provi d is correct. I have read the Description of Work and verify ccurate. I agree to comply with all applicable local ordinances and state laws relating to build' onstruc . I authorize representatives of Cupertino to enter the above -id ntifie property for inspection purposes. Signature of Applicant/Agent: I Date: SUPPLEMENTAL I FO REQUIRED PI A Y cxEcie TYPE ,. liouruvc silP HE -COUNTER OVER-T` ' O "BUII DI VG 1 iAN REVIEW _ New SFD or Multifamily dwelli s: pply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building , . permit for new building. 0 EXPRESS ❑PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0''"STANDARD = PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. 0 inRGE C1, FIRE 1)EPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR SANITARY SEWERDISTRICT submittal of Building Permit application. ENV] RONMEATAL'HEALTA - X I(Owk 93 BldgApp_2011.doc revised 06121111 CITY OF cCUP ElfBTINO II�fG�I FEE ESTIMATOR — BUI LADEN G DIVISION ADDRESS: 7497 rainbow dr DATE: 09/30/2014 REVIEWED BY: MELISSA PPN: 362 30 013 BP#: 14080022 VALUATION: $0 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: p PENTAMATION PERMIT TYPE: 1 REAP2� WORK REV # 1 - RELOCATE E EL METER FROM REAR YARD TO SIDE YARD & UPGRADE TO 200 SCOPE AMPS - ISSUED 9/30/14 APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Services 1ERT<200 200 Amps $48 TOTALS: $48.00 'hole). IYau e'I„: Elec. Plan Check 0.0 hrs $0.00 s,-, " F1', , , � . _, . 1'lr,rnl,. P"')-mi, Fev: Elec. Permit Fee: IEPERMIT Uri„" I'h,:;,n 1;,. ; , Other Elec. Insp. 0.0 hrs $48.00 ,np, car H ec. up.Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the Preliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (f'ee Resolution 11-053 E ..' 7.%1.!13) FEE QTY/1FEE 1l ISC ITEMS PME Plan Check: $0.00 PME Unit Fee: $48.00 PME Permit Fee: $48.00 Administrative Fee: IADMIN $ 0 Work Without Permit? 0 Yes (D No $0.00 6 a Travel Documentation Fee: ITRAVDOC $ 0 Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $189.00 $0.00 TOTAL FEE: $189.00 Revised: 07/10/2014 CITY OF CUPERTINO NEW FEE ESTIMATOR — BUE LDING I)MMON ADDRESS: 7497 rainbow dr DATE: 08/05/2014 REVIEWED BY: Mendez APN: BP#: "VALUATION: 1$45,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: PENTAMATION 1 R3SFDREM PERMIT TYPE: A WORD remodel kitchen 135 sq ft to include 2 new skylights, family room 260 sq ft install new water heater SCOPE I ? -- ?;. Phiri Che, k Plumb. Plan Check 0.0 hrs $0.00 1'iec' "[,.In Check ,.ill,,_ Pet'i)0 fee: Plumb. Permit Fee: IPPERMIT Elew, Perinii Fee, 11.1(".-kr. Ir"'Vp Other Plumb Insp. Hhrs t'kx% Insp, Lj .111(ii. 111.5P Fie, ' P:7IAlt�. hiSj), l ee': %:/C;'C'. IFasp. ]"ee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addh 7 info. FEE ITEMS (I,ee Resolution 11-053 ET: 71'1!13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 135 s.f. Remodel, Kitchen (<=300 sf) $645.00 IREMRESKIT Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 260 s.f. Remodel, Other $431.00 IREMRESOT/I Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0 0 hrs $0.00 0 # Plumbing $29.00 IPRWHEATR Water Heater PME Unit Fee: $0.00 PME Permit Fee: $48.00 i. (nis tl'vctioJ i Tux: Administrative Fee: IADMIN $45.00 Q Work Without Permit? Q Yes E) No $0.00 Advanced Plannim� Fee: $0.00 Select a Non -Residential E) Building or Structure Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $5.85 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $148.85 $1,105.00 TOTAL FEE: 1 $1,253.85 Revised: 07/10/2014