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15080049I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 22106 LINDA VISTA PL I CONTRACTOR: VIA BUILDERS INC. PERMIT NO: 15080049 1 I OWNER'S NAME: RAJARAM GOKUL TRUSTEE & ET AL { 4600 EL CAMINO REAL STE 209 I DATE ISSUED: 10/06/2015 I I OWNER'S PHONE: ( LOS ALTOS, CA 94022 I PHONE NO: (650)948-1077 I LICENSED CONTRACTOR'S DECLARATION License Class Lic.# :7 r Contractor /_� tl Date f I hereby affirm that I am licensed under the provisions of Chapter 9 (commencit(g 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. I have and willmaintain a certificate of consent to self -insure for Worker's JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ ADD TO I ST & 2ND STORIES (2,030 ST), (N) FRONT/REAR COVERED PORCHES (332 S.F.), REMODEL (E) 1,812 S.F.)REPLACE/RESIZE 6 (E) WINDOWS, UPGRADE Sq. Ft Floor Area: I Valuation: $1400000 Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 35608009.00 Occupancy Type:. 2.. 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 squrce regulations Rer the Cupertino Municipal Code, Section 9.18. Date �0-- i 5- 0 ® OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I,hereby affirm under penalty of perjury one of the following three declarations: 1. 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. 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 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 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. Signature Date PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: 2� RE -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 inspection. 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. I 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, Sections 25505, 25533, and 25534. Owne jor authorized�a ',e .,. ffM4 Date: /b -- 4'. - CONSTRUCTION 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 Professional COMMUNITY DEVELOPMENTDEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 build ingt_cupertino. org []NEW CONSTRUCTION ✓❑ ADDITION t ❑ ALTERATION / TI ❑ REVISION / DEFERRED D oo 7 ORIGINAL PERMIT # PROJECT ADDRESS 22106 Linda Vista place .CPN# 356-08-009 OWNERNAME Okul and Tamara Ra Aram �tamarar@glTla@f.COrrl'1 PHONE .650 -492®3525_____7E -MAIL STREET ADDRESS 22106 Linda Vista Place G 1.1 ld I- CITY, STATE, ZIP Cupertino , 95014 FAX C CONTACT NAME Joe attar PHONE 650.366.9277,y 7ET1IJILiJ. 1Oe@sdgarchiteetUre.com STREET ADDRESS 663 Jefferson ave �a CITY, STATE, ZIP edwoo,l City CA, 9466 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ® ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �t-. LICENSE NUMBER LICENSE TYPE BUS. LIC FAX COMPANY NAME E-MAIL STREET ADDRESS{��•} 10 (�7 Ill Can,�itrpQV.. CITY, STATE, ZAP p C L X32 Z5.._ PHONE y 22W ARCHITECT/ENGINEER NAME Steve Simpson LICENSE NUMBER e-26575 BUS. LIC# COMPANY NAME SDG Architects E-MAIL Steve 9sdgarch ltectUre FAX STREET ADDRESS 603 Jefferson Ave CITY, STATE, ZIPRedwood City CA, 94053 PHONE 650-366-9277 DESCRIPTION OF WORK 1st floor addition and new 2nd floor ', EXISTING USE single family home PROPOSED USE single family home CONSTR. TYPE V B # STORIES 2 7�_4SE TYPE OCC. SQ.FT. VALUATION ($) ESISTG AREA 2,438 NEW FLOOR AREA. 2,030 DEMO AREA TOTAL 4,469 NEIAREA BATHROOM KITCHEN OTHER REMODEL AREA 62 REMODEL AREA 220 REMODEL AREA 1530 PORCH AREA DECK AREA TOTAL DECKIPORCH AREA 332 GARAGE AREA: DETACH []ATTACH 332 # DWELLING UNITS: Is A SECOND UNIT []YES SECOND STORY ®YES 1 BEING ADDED? ®NO .ADDITION? ❑NO PRE -APPLICATION ®YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES' TOTAL VALUATION: EYCHLER HONIE? cc 0t PLANNING APPL # []NO PLANNING APPROVAL LETTER Gin By my signature below, I certify to each of the following: I am the property owner or auth agent to on the y owner's behalf. I have re s it' I to comply with all applicable local application and the information I have provided is correct. I have read the Description of Work and i y urate. agree ordinances and state laws relating to building construction. I authorize representatives of Cupertino nter the above -identified property for inspection purposes. 8.5.1.5 Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED P%A Y,CHI C TINTS ,: ;' " duiINGSLIP �ouTP>z fl'` suIL�TPVw New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building PJ4A?vrin`1G pLv,IIvIE�v permit for new building. X?k>S Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sT�1vI%Altn PUDLICwoloN _ form if an), Hazardous Materials are being used as part of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior to iti ago .SANPT #R4 SFWF *$T4j)QT, submittal of Building Permit application. . 3s'NYI�ONR3ENTA� HEAL BldgApp_2011.doc revised 06/21111 CITY OF CUPERTINO FEE ESTIMATOR — UILDING DIVISION ADDRESS: Z z -t D 6 Lt f/l ok t5 DATE: REVIEWED BY: APN:-4 _ D BP#: *VALUATION: $1,400,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY 2nd Unit? Yes @ No PENTAMATION SFD or Du lex 1R3SFDADD USE: p OTC? 0 Yes GNo PERMIT TYPE: WORK SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. (s.f. R-3 (Custom) , 11-8,111-B,IV,V-B 2,362 $2,942.82 IR3PLNCK $2,700.74 IR31NSP TOTALS: I 2,362' I $2,942.82 (" $2,700.74 I v Mech. Plan Check 0.0 1 hrs $0.00 , u, -b. Map t'hara - � I Elec. Plan Check 1 0.0 1 hrs $0.00 Mech. Permit Fee: 11PERMIT '.%€rr=.p". 11&e 3=ir I� Elec. Permit Fee: IEPERMIT Other Mech. Insp. 0.0 hrs $48.00 L ..e>1. €-1r:.5 3. Other Elec. Insp. 0.0 hrs $48.00 p:<...,.. NOTF - Thk actimate dnec not inelude fees due to other Denartntents (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District etc ) These ees are based on the reliminar in ormation available and are only an estimate. Contact the Dept for addn'l in o. FEE ITEMS (Fee Resolution 11-053 E . 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,942.82 1,812 s.f. Remodel, Other $5,172.00 1REMRES2 Suppl. PC Fee: ) Reg. 0 OT 0,0 hrs $0.00 PME Plan Check: $0.00 200 amps Electrical $48.00 1 IBELEC200 Services Permit Fee: $2,700.74 Suppl.. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 © # Window / Sliding Glass Door $431.00 1WINREP Replacement PME Unit Fee: $0.00 PME Permit Fee: $96.00 # Mechanical $143.00 1x=<100 Furnace, Forced -Air r E 900 s.f. Re -roof $153.0nSelect Work Without Permit? 0 Yes ( No $0.00 Advanced Planning Fee: 1PLLONGR $330.68 Non -Residential G Building or Structure 0 A Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: 1BSEISMICR $182.00 Select an Administrative Item Bldiz Stds Commission Fee: 1BCBSC $56.00 SUBTQTALS" ...".n $6,356.24 $5,947.00 TOT Ez $12,303.24 7—tj MS Engineering & Associates, Inc) CONSULTING CIVIL ENGINEERING SERVICES 2105 S. Bascom Ave. Suite 260 Campbell, Ca 95008 ma►hmoud(a.inscut!inerino.uet (408)377-6504 (408)377-6518 DATE: SUBJECT: PROJECT ADDRESS: May 26, 2016 Retrofit HD Inspection 22106 Linda Vista Lane Rajaram Residence Cupertino, CA As requested by the contractor, our office performed site observation for the installation of retrofit holdowns at the existing foundations on Decensber t, 2015 per the approved plans. The drilled holes were minimum 12" deep in to existing foundation and the contractor used Simpson SET -XP epoxy for installation of the 5/8" diameter treaded rods per approved detail. The epoxy installations were satisfactory and complied -wfffi our -design and approved' - detail 4/SD-5. Additionally, a change in shear wall at exterior wall of the exercise room bath will result to require one additional HDU4 holdown per the revised shear wall package dated 5/11/16. This retrofit holdown rod installation will be inspected during our upcoming framing inspection. P/o. 48 aqg i CJ1t1t. /r a Mahmoud Sanatkhani, PE, MS MS Engineering & Assoc., Inc. CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15080049 22106 LINDA VISTA PL CUPERTINO CA 95014 (356 08 009) VIA BUILDERS INC LOS ALTOS, CA 94022 OWNER'S NAME: RAJARAM GOKUL TRUSTEE & ET AL DATE ISSUED: 10/06/2015 OWNER'S PHONE: 650-492-3525 PHONE NO: (650) 948-1077 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class E Lic. #Z17805 Contractor VIA BUILDERS INC Date 01/31/2018 — BLDG —ELECT —PLUMB MECH RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: ADD TO 1 ST & 2ND STORIES (2,030 S.F), (I) I hereby affirm under penalty of perjury one of the following two declarations: FRONT/REAR COVERED PORCHES (332 S.F.), REMODEL (E) I I have and will maintain a certificate of consent to self -insure for Worker's 1,812 S.F.)REPLACE/RESIZE 6 (E) WINDOWS, UPGRADE Compensation, as provided for by Section 3700 of the Labor Code, for the TO 200AMPS, REPLACE BOTH HVAC UNITS & RE -ROOF 19 performance of the work for which this permit is issued. SQ'S 2. 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 REV #1 - RELOCATING (3) WINDOWS AND AFFECTED permit is issued. SHEARWALLS. ISSUED 5/25/16 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 Sq. Ft Floor Area: Valuation: $1400000.00 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 APN Number: Occupancy Type: City of Cupertino against liabilities, judgments, costs, and expenses which 356 08 009 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. PERMIT EXPIRES IF WORK IS NOT STARTED S zs- 1A WITHIN 180 DAYS OF PERMIT ISSUANCE OR Signature a►, Date 180 DAYS FROM LAST CALLED INSPECTION. 0 ER-BUVLDER DECLARATION Issued by: Leg -acv I hereby affirm that I am exempt from the Contractor's License Law for one of the Date: 10/06/2015 following two reasons: 1. 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 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is sale (Sec.7044, Business &Professions Code) installed without fust obtaining an inspection, I agree to remove all new materials for 2. I, as owner of the property, am exclusively contracting with licensed inspection. contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: Signature of Applicant: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Date: Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 2. 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. HAZARDOUS MATERIALS DISCLOSURE 3. I certify that in the performance of the work for which this permit is issued, I ve read the hazardous materials requirements under Chapter 6.95 of the I halifornia shall not employ any person in any manner so as to become subject to the Ca Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Worker's Compensation laws of California. If, after making this certificate of Health & Safety Code, Section 25532(a) should I store or handle hazardous exemption, I become subject to the Worker's Compensation provisions of the material. Additionally, should I use equipment or devices which emit hazardous Labor Code, I must forthwith comply with such provisions or this permit shall air contaminants as defined by the Bay Area Air Quality Management District I be deemed revoked. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. APPLICANT CERTIFICATION 1 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 Owner or authorized agent: relating to building construction, and hereby authorize representatives of this city Date: 5- 2S, 16 to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, I hereby affirm that there is a construction lending agency for the performance judgments, costs, and expenses which may accrue against said City in of work's for which this permit is issued (Sec. 3097, Civ C.) consequence of the granting of this permit. Additionally, the applicant understands Lender's Name and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Lender's Address ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Cupertino Union School District 10301 Vista Drive, Cupertino, CA 95014 Tel (408) 252-3000 • Fax (408) 865-0326 Developer Impact Fee Compliance The Cupertino Union School District has adopted Resolution Nos. 1403, 1404, and 141501, imposing developer impact fee pursuant to Government Code 53080. Building Permit Request The City of �7 �/t• has received a request for a Building Permit described as follows: sidential Development Project Commercial/Industrial Development Project Name of Developer/ nei Project Address: 1 41 .1-7 Wit_ t s k— Description: /7 e A- "4a -A U r"' o30 Z` 356 -0 009 / 50,f /I Square Footage: � Lot/Parcel #: Permit #: ,^ Date G / � Bye----- ��`�Cit� Authorized Representative Square footage will be verified by the city prior to issua a ort f a building permit; fees may be adjusted accordingly. Important Notice: Bring this form and payment to 10301 Vista Drive, Property Office. Cupertino Union School District gives no credit for total demolition of existing square footage area, which makes way for new construction as mandated in the Government Code Sections 53080, 53080.6 and 65995. SCHOOL DISTRICT DEVELOPER IMPACT FEE CERTIFICATE OF COMPLIANCE The authorized representative of the Cupertino Union School District has reviewed the City Of Building Permit Request described above and hereby certifies that the developer or authorized representative has met the requirements of the District's Developer Impact Fee requirements. Dated: 4 /I - By: r Certificate not valid without District seal, initial, and date. _Authorized Representative Cupertino Union School District Fee: $ i Check No.: Facilities Planning - White City - Yellow Requestor - Pink Accounting - Gold FREMONT UNION HIGH SCHOOL DISTRICT 589 WEST FREMONT AVENUE SUNNYVALE, CALIFORNIA 94087 408-522-2200 Developer Impact Fee Compliance Building permits will not be issued without a completed Certificate of Compliance Building Permit Application The City of .! has received a request for a Building Permit described as follows: New Residential Development _ Residential Addition (501) sq. ft. or more _ Commercial Development r` Name of Owner / Developer. Project Address: / !-� (_� ;rpt-, (/ / S ��. Lot/Parcel # 4 - 0 k 6)0 J� Square Footage: z /� 4 Description: ii/ Permit / Plan Check # �l ` '� Uy Date: _ 1 % 1 By: -✓ City Building Inspector Square footage verified by the city prior to issuance of a building permit; fees may be adjusted accordingly. Feeder Elementary District SCHOOL DISTRICT DEVELOPER IMPACT FEE CERTIFICATE OF COMPLIANCE The authorized representative of the Fremont Union High School District has reviewed the City of Building Permit Request described above and hereby certifies that the developer or authorized representative has met the requirements of the District's Developer Impact Fee requirements. Dated: Certificate not valid without District Seal, Initial, and Date Distribution: Facilities Planning —White City — Yellow Fremont Union High School District Authorized Representative Fee $ _1,2o, 2 Requestor — Pink Accounting — Gold Dev. Impact Fee Compliance (Rev. 11/22/05) [12/08 — 1000] CUPERTINO Date: 8/7/2015 Building Department CITY OF CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 TELEPHONE: (408) 777-3228 • FAX: (408) 777-3333 OUTSIDE AGENCY PLAN CHECKING FEES Agency Name: 4 -LEAF Permit Number: 15080049 (large addition, remodel and other for SFD) Project Address: 22106 Linda Vista PI Plan Check Fees: $1,912.83 Hourly plan check fees: Number of hours: Plan check based: 1St & 2nd plan checks included in initial plan check fee: $1,912.83 (Agency Fee -65% already calculated) 3rd plus plan checks: Number of hrs ($143.00 per hr, 2hr min. minus 10%) Please attach this form with the number of hours spent on the 3rd plus plan checks and send with the plan check comments or if plans are approved, with the plans & approval letter. Please email the plan check comments to: Meli ssan(�),cupertino.org *Please do not give plan check comments directly to the customer. We don't give out the comments until we have all of them back from each department.