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B-2016-1664CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-1664 7464 STANFORD PL CUPERTINO, CA 95014-5815 (359 32 017) LEGEND BUILDERS INC SAN JOSE, CA 95148 OWNER'S NAME: PANKHANIPA RAMJI AND MANISHA DATE ISSUED: 07/07/2016 OWNER'S PHONE: 408-421-3521 PHONE NO. (408) 592-8563 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO; License Class B Lic. #892185 Contractor LEGEND BUILDERS INC Date 03/31/2017 X BLDG X ELECT _ PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing _ MECH X RESIDENTIAL, COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ONE STORY ADDITION TO LIVING/DINING R OMS (417 SQ FT); I hereby affirm under penalty of perjury one of the following two declarations: FRONT COVERED PORCH (60 SQ FT); INTERIOR REMODEL (292 SQ i, 1 have and will maintain a certificate of consent to self -insure for Worker's FT); ELECT METER UPGRADE (200 AMPS); RE ROOF (12 SQ'S). Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. 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 Sq. Ft Floor Area: 417 Valuation: $130000.00 y_' permit is issued. APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 359 32 017 Deferred Submittal (R -3),R-3 ( ustom) 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 PERMIT EXPIRES IF WORK IS OT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. --� Signature _ '--Date 7/712016 Issued by AbbyAyende Date: 07/07/2016 _ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to rc move all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 7/7/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS D CL 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements u der Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 2 533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the. s. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material, Additionally, should I use equipment or devi air contaminants as defined by the Bay Area Air Quaff es which emit hazardous ty Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipv I Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25 533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed x revoked. Owner or authorized agen • - APPLICANT CERTIFICATION Date: 7/7/2016 1 certify that I have read this application and state that the above information is CNSTRUT NDIN: A Y correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction; and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLA I ON Code, Section 9.18. 1 understand my plans shall be used as public record 3. Licensed Signature Date 7/7/2016 Professional CtiPURTINO F-1 WRNV CONIRTRT-Irl- OTF CONSTRUCTION PERMIT APPLCCATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3265- (408) 777-3228 • FAX (408) 777-3333 • building aDcuperdno.org I>/I ADT)TTTON I I AT TFR ATTr)V / TT I I 11T:VTCTCTN 11 1='PRRT=T) nDTf.T%TA T ticDanm u PROXCTADDRESS :-).444,-IAN O P Ft, CUMONO O (A- APN# 3�1 -b Gi OWNERNAME � ti i v I P IN l P}IONE EMAIL G flf- %YI Cid f c+ L4 ry STREET ADDRESS � � SrI-�N F ©ib PZ- CITY, STATE, ZIP � U ftkl 1'J 0 ! LA � � S O I FAX 1 CONTACT NAME � �� PHON3 � E-MAiL b p � t - ' 0v � Wok ... �bS - �zc�r8 Sa=haj(F0 a4JtPL1e00 *-(1e. c �F1N (;MIS -fit � t V��`"C _ T STREET ADDRESS ! qg:) A =ea- V, CITY,STATE, ZIP S fkN,30r5iE J C4I ( l �O FAY, 11 O- NER © OWNER -BUILDER U OWNTRAGENT © CONTRACTOR I3 CONI ACTORAGENT '��"ARCHITECT ENOAEiR © DE LOPER TVANT CONTRACTOR NA14E I LICENSE NUMBER LICENSE TYPE jT BUS. LIC f COMPANY NAME E-MAIL FAX -- STR£ETADDRESS CITY, STATE, ZIP PHONE ARCIII.TECT,'EN.CiiNEERNAI✓E %ACHI A Cl 5141V A' 'TAV fl LICENSE I�,Twb BL -R Cl U_ C360 BUS, LIC COMPANY NAME S lmnE�@10 9- 1>FKIC31N sc�r�c.Iatl 30-x)Enf xi0-4det n,�cOPA FAX _ STREET ADDRESS Yj `- ,4 �' bc• CITY, STATE,Z3P C f�tCA ltc0�i a&aE PI-IOrrH�. -�'C^ M�t/, J `i MSCRIPTIONO£WORK 0t)biP7i00 0r- F0,1 FP- Ifell e -.C14 t 1room sr--IbP-00MI WAIVIt-4 L f 0 O BE VPOAAD). cyio 5q t NSI L, �S ON TV C- C� 1�t0t�S � 4— CNS EXISTMIC WE PROPOSED USE CON'STR. TYPE f STORIES "(I t iz%Si D a�lT1 1( .. V-9 USE ��,e t i~4Jf TYPE OCC. f SQ,FT. I \I ALl AIIO?1(5) EX15TG AREA A'EViIFLOOR AREA 44 P DEMO AREA TOTAL NBT AREA - - - 1,) q 0 .� , 16 0 BATHROOM - KITCHEN ...OTHER RENIODELAREA f REMODELAREA RENODELAREA PORCH AREA DECK AREA TOTAL DECK PORCH AREA GAP.AGEA�REA: [T ETACH I () ' ,,,,, •�. .J .,q 'igQtTTACH 6()--- �� fDWELLTRGUNITS: ISA SECOND UNIT - DYES SECOND STORY [DYES - rJ BELNGADDED? i1NO. ADAITION? NPXO I PRE -APPLICATION '0 YES IFYES,PROVIDE COPY OF ISTHEBLDGA\ , -e�z' �- �'�a � T07AL\ALU4TION; PLANKING APPLR P;RO PLANNING APPROV=AL LETTER. EICHLER HO?.4E^ ro � IO } '04 By my signature below, I certify to each of the following. I am the prop ot+.In. or authorized agent t property Owner's behalf. I haN e read this application and the information I have provided is correct, I have read the Description of Wort: and verify it is accurate. I agree to comply witl-i all applicable local ordinances and state laws relating to buildina coa�truction. I a th e representatives of Cupertino to enter the abovr4dennitted propery, for inspection purposes. Signature of Applicant/Agent: Date: i`��0 SUPPLEIN4ENTAL 1NIi'OR 4ATIONT REQUIRED QT�t'ROU R.S. New SFr? or Multifamily dv,•ellings. Apply for demolition permit for „© �Iic c�tnTER r7 _ exiting building(s). Demolition permit is required prior to issuance of building o� FR -�zBUILDI � � perinitfor new building,' r -R C ormncrcial Bldgs: Provide a completed Hazardous ?Materials Disclosure �sTA_\714.Ri3=' `, _ form if any Hazardous Materials are being used as pari of this project.WWI- a t _ _Copy of PlauniDg Approval Letter or Meeting ts'itlt Planning prior to '� submittal of Building Permit application, TJrSA\I?SR1S u FZ�ORs E tiVERPISTRttT ri �M,�:`a:�.•+,s';�.> I]E'E\V'IRCl\11E T'.4C}IEALTII�:`== ;;>% BldgMpp^2011.do'¢ revised 06121111 Irl CITY OF CUPERTINO l ! FEF ESTIMATOR — BUILDING DIVISION ialADDRESS: Yes � �No DATE: REVIEWED BY: yes • � NaTM 3%ch. Plan {:,teck FAY—,,,h. Ife, ndr 7 ire: L'hher° hkeh. Insp. hfe-.ch, Tnslz jr,ee: APN: BP#: *VALUATION: $130, 00 *PERMIT TYPE: Building Permit FLAN CHECK TYPE: Addition PME Plan Check: PRIMARY USE: SFD or Duplex 2nd Unit? • ' Yes G) No OTC.,, Q Yes (F)No PENTAMATION PERMIT TYPE: R3SFDADD WORK ADDITION OF 417 SQ FTN FOYER, LVNG ROOM, BEDROOM MASTER BED/BATH. 0 SQ FT SCOPE PORCH AREA. EXTEND (E) DINING AREA, ELECT METER UPGRADE 200 AMPS AND REROOF 01 OCCUPANCY TYPE: TYPE RkLR AREA CONSTR. {s.f.) PC FEES PC FEE ID BP FEES BP FEE ID . R-3 (Custom) , [I-B,111-B,IV,V-B 1 417 $1,626.00 IADDPLCK 1 $1,323.00 1 1ADDINSP TOTALS: 417 $1,626.00. ..:' _ -- $1;323.001 NOTE. Tlits esfintate (toes not inciude,lees (tue to omeF ,Uepartltlents (i.e. riall.ningj rumic works, l JI'e, �ulalruly �e�ve! irlatrtct, tcrw oa _s _f in(trfflnIOntfn OII71IL!fn. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) Yes � �No PIiTZMB, HOURLY `i� :Yes _ #°+ Nn �LUi C� HQURIyX � yes • � NaTM 3%ch. Plan {:,teck FAY—,,,h. Ife, ndr 7 ire: L'hher° hkeh. Insp. hfe-.ch, Tnslz jr,ee: f'honb,111i a Chad l'?atr. b, Permit lee: C)tl eJ Plumb hasp. LLJ I himb. Ing) .l"ea; Dec. Plaza Check 0.0 1 Elec. Permit F s $0.00 e: 1EPERMIT •s $48.00 Other Elec. Ins,. 0.0 h NOTE. Tlits esfintate (toes not inciude,lees (tue to omeF ,Uepartltlents (i.e. riall.ningj rumic works, l JI'e, �ulalruly �e�ve! irlatrtct, tcrw oa _s _f in(trfflnIOntfn OII71IL!fn. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTYIFEE MISC ITEMS Plan Check Fee: $1,626.00 200 amps Electrical $48.001 IRELEC200 Services Suppl. PC Fee: (a Reg. 0 OT 0,0 1 firs $0.00 PME Plan Check: $0,00 ® Electrical $72.00 1BREILIFIXT Fixtures, Light ' g Pennit Fee: $1,323.00 Supp(. Insp. Feer Reg. 0 OT Q,Q hrs $0.00 1,200 s.f. Re -roof $204.00 IREROOFRES PME Unit Fee: $0.00 PME Permit Fee: $48.00 (.;{gin tn1 000 Tax: ° l F9fdYLltjYY 7i7 C Bee.' 0 Work Without Permit? Q Yes Q No $0.00 Advanced Planniniz Fee: IPLLONGR $58.38 Select a Non -Residential Building or St G ucttue Travel Documentation Fee: 1TRr1VDOC $48.00 Strong Motion Fee: IBSEISMICR $16.90 Select an Adrninistrativ P, Item Bldg Stds Commission Fee: IBCBSC $6.00 - _ ;5T3TOTAT S� $3,126.28 $324.00: w TOTAL F] E; $3,450.28 Revise : 01101rz01e