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12030105
BUILDING ADDRESS: 10305 MORETTI DR CONTRACTOR:CHETAUD PRO BUILDERS PERMIT NO:12030105 OWNER'S NAME: ARORA BRAJESH 63 KENNEDY AVE DATE ISSUED:07/02/2012 OWNER'S PHONE: 4082577481 CAMPBELL,CA 95008 PHONE NO:(408)313-4030 ❑ LICENSED CONTRACTOR'S DECLARATION 13IJILIDING IP1ElRIaIIl'I'1[IV1FO: BLDG F ELECT 1PLIJNiIl13 F License Class 11� 4 d,— c.# MIECIlI RESIDENTIAL� COMMERCIAL� Contractor Date (® 1 hereby a am licensed under the provisions of Chapter 9 JOB DESCRIPTION:CONSTRUCT ONE STORY SINGLE FAMILY (commenc g with Section 7000)of Division 3 of the Business&Professions DWELLING(1806 Code and that my license is in full force and effect. SQFT),GARAGE(449 SQFT)&PORCH(60 SQFT) SANITARY 1S IN SUNNYVALE'S JURISDICTION 10/8/2012-DEF#1-ROOF TRUSSES- 1 hereby affirm under penalty of perjury one of the following two declarations: 10/8/2012 DEF#I ISS'D 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. APPLICANT CERTIFICATION Sq.Ft Floor Area: Valuation:$300000 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 relating APN Number:37514005.00 Occupancy Type: 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 PERMIT E+XIPERES IF WORK I(S NOT STARTED granting of this permi A Tonally,the applicant understands and will comply with all non-point s rc re ati s per the Cupertino Municipal Code,Section WffTHIN 1180 DAYS OF PERMIT ISSUANCE OR 9.18. 180 DAYS FROM LAST CALLED ffNS P]ECTIIOI . Signature Date � 1 _ Issued by: e /✓ ���'f date:�D f ❑ OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: RE-ROOFS: I,as owner of the property,or my employees with wages as their sole compensation, All roofs shall be inspected prior to any roofing material being installed.If a roof is wil I do the work,and the structure is not intended or offered for sale(Sec.7044, installed without first obtaining an inspection,I agree to remove all new materials for Business&Professions Code) inspection. 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). Signature of Applicant Date: 1 hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. vided for by 1 have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as pro California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the health& permit is issued. I Safety Code,Section 25532(x)should I store or handle hazardous material. 1 certify that in the performance of the work for which this permit is issued,1 shall Additionally,should I use equipment or devices which emit hazardous air not employ any person in any manner so as to become subject to the Worker's contaminants as defincd the Bay Area Air Quality Management District I will Compensation laws of California. If,after making this certificate of exemption,I maintain compli nc h he Cupertino Municipal Code,Chapter 9.12 and the become subject to the Worker's Compensation provisions of the Labor Code,I must Health&Saf I s 25505,25533,and 25534. forthwith comply with such provisions or this permit shall be deemed revoked. Owner or u e 16 Date: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ONSTRUCTION LENDING AGENCY 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 ereby affirm that there is a construction lending agency for the performance of Aork's upon the above mentioned property for inspection purposes.(We)agree to save for which this permit is issued(Sec.3097,Civ C.) indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Name costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply Lender's Address with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Professional BUILDING ADDRESS: 10305 MORETTI DR CONTRACTOR:TRn—TrIBF 09WR44 «D PERMIT NO: 12030105 OWNER'S NAME: ARORA BRAJESH CNS UD )�eO (J/ DATE ISSUE®:07/02/2012 OWNER'S PHONE: 4082577481 PHONE NO:�dO�'�/ ❑ LICENSED CONTRACTOR'S DECLARATIONF BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# Ooz: Gq 1bIlECH[r— RESIDENTIAL F CO1!'I1i'IlEI2CIAlL Contractor _ZWDate ?_ -Z I hereby icensed under the provisions of Chapter 9 JOB DESCRIPTION:CONSTRUCT ONE STORY SINGLE FAMILY (comm OngVi;th Section 7000)of Division 3 of the Business&Professions DWELLING(]806 Code a d that my license is in full force and effect. SQFT),GARAGE(449 SQFT)&PORCH(60 SQFT)� sahi�� /S Jn sv�nyv�les ✓vr�s.DiG�� 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 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. Sq.Ft Floor Area: Valuation:$300000 APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is APN Number:37514005.00 Occupancy Type: 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, PERMT IEXi PMES RF WORK RS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WffTHIN 180 DAYS OF P ERIyII RT RSSUAN CIE OR with all non-point source u tions per the Cupertino Municipal Code,Section 180 DAYS FROM]LAST CALLED INSP ECTRON. 9.18. Signature Date Issued by: Date: ❑ OWNER-BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Safety Code,Section 25532(a)should I store or handle hazardous material.Health& permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safe Cection 5059 25533,and 25534. 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. Owner or g Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CONSTRUCTION PERMIT COMMUNITY DEVELOPMENT DEPARTMENT, BUILDING VISION 4 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255L2 C U P E RTl 6�!4 (408) 777-3228^ FAX(408) 777-3333^buildingancupertino.ora NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/T1 REVISION/DEFERRED ORIGINAL PERMIT# 7 V �� PROJECT ADDRESS � APN# OWNERNAME PHONE _p es so 15Z;-;11 E-MAIL STREET ADDRESS � Q CITY,STATE,ZIP � FAX�- ,CONTACT NAME } _ PHONE E-MAIL STREET ADDRESS L;3 f CITY,STATE, ZI ��{ r. FAX ©� ❑OWNER ❑ OWNER-BUILDER ❑l OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# b�o�S r~v COMPANY NAME(no �ZkX f© r E-MAfLq �6 �J, FAX 14@ f/q� r STREET ADDRESS / i l�Cv� CITY,STATE ZIP PHONE fiy 3 1 .rye ARCHITECTIENGINEER NAME r _t LICENSE NUMBER BUS.LIC# j COMPANY NAME �J/ V i E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP O4,L PHONE/�7G ; F DESCRIPTION OF WORK G EXISTING USE PROVED CON STR, #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL �1 AREA AREA AREA NET AREA 5 ' I/ r3 z3 I'<7 SCA/Y--- BATHROOM KITCHEN OTHER /� REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJDETACH '.. ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEWGADDED? LINO ADDITION? [-]NO PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES .,RECEIVED B' ""�' t - t`-,ty TOTAL VALUATION: PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of the fol m the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provi d c e 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 build' g on I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENT ORMATION REQUIRED PEAN.bi' 'XYPE ,,` . xooTuvc SLIP, New SFD or Multifamil 'dwellings: Apply for demolition permit for ' OVER THE-COUNTER � 1BUII.DINGPI.AN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. u > E�PRESs r PLANNINGPLAIv ItEVIEw _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTAIvnARD ❑<PuslicwoRztis "; form if any Hazardous Materials are being used as part of this project. ` 4 LARGE' :,77❑O,FIRE DEET _Copy of Planning Approval Letter or Meeting with Planning prior to 11IpJt)R 0 SANIT4RY SEW ERDISTBICT submittal of Building Permit application. „: ❑`.ENVIRONMENTALHEALTH: Bldg.9pp_201I.doc revised 06/21/11 Nia CONSTRUCTIbl;0@�,� ERMIT AALICATM COMMUNITY DEVELOPMENT DEPARTMENT^ BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 �= (408)777-3228-FAX(408)777-3333- build inaCcbcupertino.org CUPERTINO TNEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS C5� y 1 APN# •3-7-5-- -7-5-- ) ,1—_ 6 D��_ OWNER NAME r PHONE V-1 STREET ADDRESS � a,� }-� J- CITY,STATE,ZIP�+ � � ���� FAX CONTACT NAME l i PHONE e�(�t2t 1 E-MAIL p,S..,TRREET ADDRESS CITY,STATE, ZIP FAX D60WNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECTIENGINEER NAMEq/JG b�� LICENSE NUMBER n BUS.UC# COMPANY NAME •� - ?�� E-MAIL G� FAX /+x.11. SP 'ce, STREET ADDRESS CITY,STATE,ZIP/{ �o G PHONE T) DESCRIPTION OF WORK o�1y �•y) `/ I v / I ,•` l SI of ' b� C 7�'A i �O b 190.-64 SOF; CiuY 4-4--7-6v5,F. 6 ,D '2_! �-• EJGSTING USE PROPOSED USE CONSTR TYPE #STORIES `yesJd��� �S�d�Mh-c�2 USE TYPE OCC. SQ.FT. VALUATION(S) E)GSTG NEW FLOOR DEMO1 �� TOTAL �' ^ D 0 7'6� AREA o 5'•b O AREA ' O 7 tvEC AREA BATHROOM KITCHEN OTHER .� REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGF AREA VACH ,Vo• 27 E o ' Z It Lf,/-- C ATTACH N DWELLING UNITSi 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 C]YES RECEIVED BY: TOTAL VALUATION: PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? al9c, By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the prrperty owner's behalf. I have read this application and the information I have provided 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 laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspecticn purposes. Signature of Applicant/Agent: ne Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CAECKTYPE ROUTING SLIP _Nd ew SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-TH"OUNTER �`ING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building rc� permit for new building. 11 EXP�RES-S IF_PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure L�'sC�[. TArmARD 1C WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE e"F vEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MtuOR ®sANrraRy SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp 1011.doc revised 06121/11 CITY OF SCUP ER' INO FEE ESTIMATOR- BUILDING ]DIVISION ADDRESS: 90305 moretti dr. DATE: 03/20/2092 REM[EWED BY: bobs. APN: -7� / ddb �P#: �� d/Dj -VALUATDON: 1$300,000 -PERMIT TYPE: Building Permit PIAN CHECK TYPE: New Construction PRIMARY SFD or Duplex 2nd Unit? Yes No PENTAMATION 1 R3SFDW USE: '� PERMIT TYPE: 'ORK consruct new 1 story sfd. Living space= 1806 s.f.. Garage 449 s.f.. Porch 60 s.f. SCOPE OCCUPANCY TYPE: TYPE OF FILR AREA PC FEES PC FEE IID BP FEES BP FETE IID CONSTR. 61R-3(Custom) II-B,111-B,IV,V-B 2,315 $2,683.34 1R3PLNCK $2,462.32 1R31NSP TOTALS: 2,315 $2,683.34 $2,462.32 NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelindnarj information available and are only an estimate. Contact the De t or addn 7 in o. FEE ITEMS(Fee Resolution 11-053 1 f 7;'1,-11 FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,683.34 Select a Misc Bldg/Structure Suppl.PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $2,462.32 Suppl.Insp. Fee-.E) Reg. 0 OT Q,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 # Construction Tax: IBCONSTAnewunits1 units $583.80 0 Work Without Permit? 0 Yes 0 No $0.00 0 Advanced Plannine Fee: PLLONGRNGR $300.95 Select a Non-Residential 0 Building or Structure 0 Strong Motion Fee: IBSEISMICR $30.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $12.00 SUBTOTALS: $6,072.41 $0.00 TOTAL FEE: 1 $6,072.41 Revised: 1/19/2012 ECRTY OF (CI.TPERTE N® FEE ESTIMATOR— BUI]LDING DIVRSIO N ADDRESS: 10305 Meretta Dr DATE: 10/08/2012 REVIEWED BY: Sean APN: BP#: D /05— *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATIION 1GENRES USE: I PERMIT TYPE: .WORK Deferred Submittal#1: Roof trusses. SCOPE tbtech.Plan Check Plutnb. Plan Check Flee,Plan Cheek Mech. Perini!Fee; umb. Permit l=ee: /flee. Permit Fe Other Hech.Insp. Other Plumb Insp. EJ -I_ Other Elco,Insp. 111ech.Insp.Fee: Plumb. lnsp.Fee: Elec.Insp.Fee: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the relimina information available and are only an estimate Contact the De t or addn'l info. FEE ITEMS(Fee Resolution 11-053 Ef. 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (E) No $0.00 2 hours Plan Check,Hourly Suppl. PC Fee: Q Reg. ® OT Q.0 hrs $0.00 $266.00 ISTPLNCK PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT Q,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constiwction.Tax: Adtninis trative.Fee: Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee_ $0.00 Select a Non-Residential G T ravel Documentation Fees: Building or Structure 0 L Strong Motion Fee: $0.00 Select an Administrative Item Bldy,Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $266.00 TOTAL FEE: $266.00 Revised: 10101/2012 Chetaud Pro Builders 408 796 7199 P.1 Building Department City 01•C11pernro 10300 Torre Avenue Cupertino, CA 95014-3255 Telenhone 408-777-3223 C U PE RT I N O Fax:408-777-3333 CONTRACTOR/ SUBCONTRACTOR ]LIS' lO1�\ER'S 1\r�A I®�O� �u/ i PEELVTIT# Oma-; JOB A.D.DRESS 1.E: Z(r-tc-,k" AffeOrt PHONE q02;O GENERAL CONTRACTOR: (loud � cl� BUSINESS LICENSE SaZ3 ADDRESS: CITY,'ZIPCODE: bvQ el. 5'zsb6v *Our municipal code requires all Ousinesses working in the cite to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY RNSPECTION(S) WILL BE SCHEDULED UNT.iL THE GENERAL CO\`TRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITE' OF CU.PEffrvNo BUSINESS LICENSE. am not using any subcontractors: 1 Signature Date Flease cheelk applicable subcontractors and complete the following information: V SUBCONTRACTOR RUSINESS NAME BUSINESS LICENSE 4 Cabinets & Millwork Cement Finishin& 1 i Electrical ` >; *. I xca�a_lon l Fencing E Flooring 1 Carpeting Linoleum/Wood Glass i Glazing l'l.Eatlll�' Insulation Landscaping Lathing Masonry Painting/-Wallpaper Paving Plastering Plutlll)ri1g V—A— 1 Roofing Septic Tank R Sheet 1\1etal Sheet Rock Tile � timer/Contractor 510nahlre Date