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B-2016-2392 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2392 20433 VIA PALAMOS CUPERTINO,CA 95014-6331(316 01 184) P W D-NORTHERN CALIFORNIA RETAIL INC LOS ALTOS,CA 94022 OWNER'S NAME: MAHALINGAM MURALI AND RAMAN MENAKA TRUSTEE DATE ISSUED:07/27/2016 OWNER'S PHONE:408-390-1406 PHONE NO:(510)292-2920 LICENSED D ONT A TOR' DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lie.#939798 Contractor P W D-NORTHERN CALIFORNIA RETAIL INC Date 11/30/2017 X BLDG _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: REPLACE PATIO DOOR(1)-LIKE FOR LIKE I hereby affirm under penalty of perjury one of the following two declarations: t. 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. z. 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:$9567.44 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 316 Number: Occupancy Type: 31b O1 184 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 PERMIT EXPIRES IF WORK IS NOT 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. 1 ' Signature Date 7/27/2016 Issued by:Abby Ayende Date:07/27/2016 OWNER DER DECLON I hereby affirm that 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 remove 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 ofApplicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:7/27/201 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under 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 25505,25533,and 25534. 1 will . maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health&Safety Code,.Section 25532(a)should I store or handle hazardous s. 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 material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall - be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:7/27/2016 1 certify that I have read this application and state that the above information is CO��TQ�AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construc ion 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 DECLARATION I understand my plans shall be used as public records. Code,Section 9.18. Licensed Signature Date 7/27/2016 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 G4JPlERTINo (408)777-3228•FAX(408)777-3333•buildingocupertino-org -LO�� ❑NEW CONSTRUCTION /�❑ ADDITION ElALTERATION/TI ElREVISION/rDEEFERRE1D ORIGINAL PERMIT# PROJECT2-O ADDRESS ?A I/J A MU APN# P © D' `�D ! EMAIL STREET ADD SSr f r CITY, FAX Z. A-040 e c� L z�� C A �/ CONTACT NAME jeffrey.rainey@aft.net E-MAIL JEFF RAINEY 510-427-4260 �effrey.rainey@att.net STREETADDRESS CITY,STATE,ZIP FAX 1069 EDGEMERE LANE HAYWARD, CA 94545 510-783-1041 ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME IOW � - q3 LICENSE NUMBER LICENSE TYPE BUS.LICTtl # =A IJ COMPANY NAME J E-MAH FAX STREET ADDRESSCITY,STATE, IP PHONE 4 (oL CA M WO �'R I Lo o�z7a C� �®ZZ 518 2921 •Z9 Zb ARCHrMCT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK (Aj DC ✓�` �Q EXISTINGUSE PROPOSED USE CONSTR.TYPE #STORIES 2 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH ❑ATTACH #DWELLING UMTS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDrrION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES ` V D$Y- v"`Q` `"` OTTAj L VALUATI N: PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property 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 autho presentatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLE TA ORMATION REQU PiAIv cxECxTYPE ROlizixc SLIP New SFD or Multi amily dwellings: Apply for demolition permit for p OVER TH&COUNTER ❑ BUILDING PLAN REVEEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EMPRESS LJ ;PLANNING�PLAN'REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑,�'sTANnnttu ❑`PUBLIC WOR" To—nn if any Hazardous Materials are being used as part of this project. ❑.+LARGE`' ❑ 'FIRE DEPT' _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ bfAJOR" ❑ SANITARY SEWERDLSTRICT A. submittal of Building Permit application. ❑4 ENVIRONMSNTALREALTII, BldgApp_2011.doc revised 06121111 LEGEND: SCOPE OF WORK:INSTALL(1)RETROFIT WOOD COMMUNITY DEiELIC, DENT DEPARTMENT© F ® = WINDOW/PATIO DOOR LOCATION KITCHEN CLAD,DUAL GLAZED,LOW E,PATIO DOORS. cj) BUILDING I�DIViS1CN-CUPERTINO PATIO DOOR °C T �atl 6 p ffi` Lu it n 72 w x 96 h NOTE;WINDOWS/PATIO DOORS; O N OHO TFT��t of Dlans and specifications L,9LIST be kept at th' U-FACTOR=0.30 o cn d rn loo "'i�,";-Ing construction. It is un!Lwful to make any SHGC= 0.25 <Q Q nrar.l or alterations an same,or to deviate �w V thaF-3 rom, without approval from the Building Official. O O z Th(;�ta-hpi;lcl of this clan Land specifications SHALL NO` DINING ROOM KITCHEN z��. fi-U tv,°.errnit or to be an approval of the violation Q of atnv Prov slons of any City Ordinance or State Law. '�U CD el �J � O J w J ,Tf . ti"I 1(U Y s3uilding Depar'tment LU co PERMIT NO. 71711 G TUAd ;e RFVIE�4E.D FOR CODS. COi�PLiANCE off d, FAMILY ROOM t Reviewed By: a °3 LIVING ROOM z PLOT PLANS CHECKED BY T'— -7 O DATE 7-27- � LO ENTRY PLANNING DEPT GARAGE w J Q CUPERTINO o Ca- " mew or FIRST STORY ����� (FRONT YARD) CD NOTE: FLOOR PLAN O=D VIA PALAMOS 1).SMOKE DETECTORS:WHEN A BUILDING PERMIT IS REQUIRED,SMOKE DETECTORS SHALL BE INSTALLED;(a)IN EACH SLEEPING ROOM,(b)OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE 'ATE 06.24.16 BEDROOMS,(c)ON EACH ADDITIONAL STORY OF THE DWELLING,INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS.(CRC 314) SCALE NTS ' 2),CARBON MONOXIDE ALARMS:WHERE A PERMIT IS REQUIRED FOR ALTERATIONS,REPAIRS OR ADDITIONS EXCEEDING$1,000.00,EXISTING DWELLINGS OR SLEEPING UNITS THAT HAVE ATTACHED GARAGES OR FUEL BURNING DRAWN By DKW APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS;(a)OUTSIDE OF EACH SEPARATE DWELLIN N SLEERING - TH I EDIE N11Y 0 E BED�O M S (b)0 a 705PAC040 EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENT'S.(CBC 420.4,CRC R315). (HOME OWNER TO PROVIDE BEFORE FINAL INSPECTION). SN�r A-1.