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06020127- PUB=ile Edit Actions Details Links Favorites Help Address" I 10821 NORTHOAK SQ City/State/Zip CUPERTINO CA 951714 IQI Nates 0 APN 31641022.00 IQI Unit Operator connlew Operator conniew l Owner Name Xl MURUGAN, RAJMOHAN Operator PALM Use Default Address Home -1082.1 NORTHOAK SQ City/State/Zip CUPERTINO CA 95014 Permit ` Property Zoning Permit plumber 06020127 Status i, ,: a` Master Number Project SFDWL-REM Apply Date ` 02/22/2006 Permit Issue Date 0212212006 Certificate Issued 06129/2006 Certificate Type DWL-WREM Certificate Number �I Address" I 10821 NORTHOAK SQ City/State/Zip CUPERTINO CA 951714 IQI Nates 0 APN 31641022.00 IQI Unit Operator connlew Operator conniew l Owner Name Xl MURUGAN, RAJMOHAN Operator PALM Use Default Address Home -1082.1 NORTHOAK SQ City/State/Zip CUPERTINO CA 95014 Permit ` Property Zoning Applicant Contractor ` Defined Fields Permit Details Permit Type" SFDWL-REM Al DO NOT USE Usage Class' DWL-WREM �I DWELLING TYPE5 WOOD REM Applied Value ` 1500 SQUARE FT. 0 Calculated Value 0 II US C-404 Type 434 1 �� ALT: RESIDENTIAL Permit Form' AUTOPERM - PERMIT Ownership 1 Private Project Size 'ermit issued 02/22/2006 anter permit status Purpose/Special Conditions ADD 1/2 BATH @ (E) BATH 6 REMODEL {E} BATH FILMED 5/2011 []Add Default T IL,?OK 14a Back l I,r,, Contractors i' Fees 1, Plan Reviews (•Inspections lr` Print Permit l �Ftv�Adjustments l It :: Holds l EA Copy Permit l lClose Permit l�r Overrides l Supplemental Fields l.r.jlNotes l BUILDING DIVISION BUILDING ADDRESS: 10821 NORTHOAK S OWNER'S NAME: KENDLE K. BAHL PHONE: ;WZ Op LU i;Zw a0. r�z ?tea >yU :ON �v J �p0 u=� :2p ym L 0z Z Gra ? L`r Q az UO V. k- 0 U OU Ha U ARCHITECT/ENGINEER LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class _ Lic. N Date Contractor ARCHITECTS DECLARATION 1 understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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 and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li- cense Law docs not apply to an owner of property.who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. ❑ I am exempt under Sec. , B & PC for this reason � Owner `...:l Dale?—Z.-1 JUC WbRrEWS OMANSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a Certificate of Consent to self -insure for Worker's Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: Cartier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any marulc n as to c su�j�c •t to the Workers' Compensation Laws of California.l]alc `r � `-� - Applicant i <�t�1,+'�; - 1(_ 7Z A:Ac" I NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. 1 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 properly for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments. costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SO CE REGULATIOQ, Signature-bfXp—pTic'ant/ZronLrarlor Dale HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupantstore or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety Code, Section 25532(a)z ❑ Ycs ][rN Will the applicant o future building occupant use equipment or devices which emit hazardous air contami ants as defined by the Bay Area Air Quality Management District? E] Yes QNu Ihavereadthehezar nos materials requirements under Chapter 6.95 of the Califor- nia Health & Safety Code, Sections 25505, 25533 and 25534. ]understand that if the building docs not cum ndy have a t nant, that it is my responsibility to nutify the occupant of the rcyuirc cnts which must t prior «r' su eof a Certificate of Occupancy. F- -r� � Owner ur authorized agent �(} a@ Q Date K. BAHL 1PERMIT NO. 06020127 PERMIT ISSUE DATE 02/22/2006 SANITARY NO. CONTROL NO. BUILDING PERMIT INFO BLDG ELECT PLUMB MECH n o 0 0 Job Description ADD 1/2 BATH @ (E) BATH & REMODEL (E) BATH Sq. Ft. Floor Area Val APN Number Occupancy Type 31641022.00 Required Inspections Issued by: Re -roofs Type of Roof 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. Signature of Applicant Date All roof coverings to be Class "B" or better CITY OF CUPERTINO CITY OF CUPERTINO PAMIT APPLICATION IRM v �C,, ---2 0 /�� 7 APN # �::gt ,. .2 v Date: 2.-ZZ—c'�Co Building Address: Mailing Address (if different from building address): 10 �-t-4 © ra ►c S G U a rte - Owner's Name: Phone #: BBOILERI 5O -- 4- S- 8 4v- l Contractor: L L� License #: Contact: -: By'21, H -L- Phone: b60 -4;os -66vzq Cupertino Business License#: Fax:ba - q17 -840 1 Building Permit Info: Bldg Eil ' Elect C5-*" Plumb [ty Mech ❑ Job Description: Pt Dt�;, t/z. A �-t �X tSTt ai'G 147-tI Lt? c��-r b AJ Residential t9 r-�M i7 G --r_. ATS S Commercial ❑ eh'Vn.or- Sew c,1.At Sq.Ft. Floor Area: G � q.Ft.: BBOILER5 Boiler > 1.75M Btu Cost of Proiect:l Go Occupancv Group: Type of Construction: Please check this box if the project is a BCONSTAX second -story addition: ❑ Project Size: Standard Large ❑ Major 70 BCONSTAXBQ Quanti Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler > 500K to 1M Btu MECHANICAL BBOILER4 Boiler > 1M to 1:75 M Btu MECHANICAL BBOILER5 Boiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax - Resi/Mobile BUILDING BELEC 1000 Elec 600V <=1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <-- 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 7�3336 -2, 1 of S