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14100040-D7537 PROSPECT RD EA 5, ul Kel all F SHANWARE MIT AND ANURADHA SCANNED BOX # 688 FIW CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7537 PROSPECT RD CONTRACTOR: SHANWARE AJIT AND PERMIT NO: 14100040 ANURADHA OWNER'S NAME: SHANWARE ART AND ANURADHA 7537 PROSPECT RD DATE ISSUED: I2/05/2014 OWNER'S PHONE: 6504175035 CUPERTINO, CA 95014-5242 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL CONSTRUCT ONE STORY ADDITION(S) (530 SQ FT); License Class Lic. # FRONT COVERED PORCH (50 SQ FT); INTERIOR REMODEL(1166 Contractor Date SQFT) 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: $120000 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: 36624031.00 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 IT 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 RO ALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgmen costs, and expenses which may accrue against said City in consequence o 'L granting of this permit. Additionally, the applicant understands and will comply ISS; e 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: 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 (See.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (See.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 hnsurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 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 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 Date 2a/(� CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.or4 \ [:],NEW CONSTRUCTION ([ l ADDITION ❑ ALTERATION / TI - ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS -7 5 r,-549 L cA rg � `L, `Bg � ^ � APN 9 cos OWNER NAME /a S vN V E= PHONE ( S6 1� 4 7 S'v+3 E-MAIL ��".fi C ('L OSM CIS STREET ADDRESS S 3 7 CITY, STATE, ZIP GJ cr Ji' c,� 11 FAX 1" CONTACT NAME PHONE E-MAIL �f aK5rX25%; dl� �il��® STREET ADDRESS 12 5,q %,0 rd eQ �e, CITY, STATE, ZIP� f,4,7�-/ IFP�U gql q ry � ,0 ❑ OWNER-BUILDEREl OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ys LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEERNAME ^G ; LICENSE NUMBER I (, �jP�ceJh BUS. LIC k COMPANY NAME PCC Yl ee�s E-MAIL In� �9 ®jYl (pfl� FAX STREET ADDRESS _2 3(5.K ' f /, CITY, STATE, ZIP of V�, �� Q /� /� IL/e( / J PHONE 23 - 2 76 q DESCRIPTION OF WORK 2 1 �S' fi-3— EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES 2S �� USE TYPE OCC. SQ.FT. VALUATION (S) EXISTAREA G IJ ^ AREA NEW FLOOR �� n DEMO REA TOTAL NET AREA 2J 4 lJ BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKMORCH AREA GARAGE AREA: DETACH 15 y51 ❑ 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 C _ �� Fa = TOTAL VALUATION: PLANNINGAPPL# ❑NO PLANNING APPROVAL LETTER EICHLERHOME? ❑ NO F i O N hl L By my signature below, I certify to each of the following: I am the property owner or authorized agent to on the property oHmer s . 1 have read this application and the information 1 have provided is correct. 1 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 traction. resentatives of Cupertino to enter the above -identified property for inspection purposes. ZI-1 Signature ofApplicanUAgent: Date: o 9_0l SUPPLEMENTAL INFORMATION REQUIRED YER �HETCOU TER ; '�� BUILDING PLAN REVIEW Fly�r>k ' New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. }l EaPHEsS I as4 rif L y� �YPLANNING PLAN REVIEW .� Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD r'1�`r'IJBLicwoxxs _ form if any Hazardous Materials are being used as part of this project. C❑ /� LARGEi�U�_,' 7''� %;� ?} u �''k�_ �❑ FIREAEPT��Xa�k� � �>v _ Copy of Planning Approval Letter or Meeting with Planning prior to Ol submittal of Building Permit application. 0 MAJOR { , ++ �r SANITARY SEWERtI)ISTRICT „ > BldgApp_2 011. do c revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ikADDRESS: 7537 PROSPECT RD DATE: 10/07/2014 REVIEWED BY: MELISSA s APN: 366 24 031 BP#: *VALUATION: 1$120,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? Yes Q No OTC? 0 Yes E)No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK SINGLE STORY ADDITION 530 S.F. TO RELOCATE KITCHEN & ADD N BEDROOM & BTHRM. SCOPE ADD 15 S.F. PORCH REMODEL & RECONFIGURE (E) 215 S.F. INTERIOR OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. h ,Ia�L PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 545 $2,654.00 1R3PLNCK $1,666.00 1R31NSP TOTALS: 545 , • ` + $1, 666.00 MECH, HOURLY 0 Yes E) No PLUMB, HOURLY - . 0 Yes Q No ELEC, HOURLY 0 Yes (Q No Mech. Plan (-heckF-F Plumb. Platt Check flee. Plan Check rb>ech. Permit Fee: [Plumb. Permit Pvc: filet. Permit Fee- Ocher ji/ech. Insp Other Plumb Insp. Ocher tilec- Imp. Ll c'dech Insp. Pet.: 1'lasrub, his} . l Fre: Islet°. hasp, Pee: 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 nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 215 s.f. -$431.00 Remodel, Other 1REMRESOTH Suppl. PC Fee: Q Reg. 0 OT 10.01 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1, 666.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction airs: _1chninistreilive Fee: 0 0 Work Without Permit? 0 Yes (2) No $0.00 Advanced Planning Fee: IPLLONGR $76.30 Select a Non -Residential Building or Structure E) 0 i Travel Ducidrnenlwion Tees: Strong Motion Fee: IBSEISMICR $15.60 Select an Administrative Item Bldg? Stds Commission Fee: IBCBSC $5.00 SUBTOTALS: $4,416.90 $431.00 TOTAL FEE: $4,847.90 Revised: 08/20/2014