06070161 CITY OF CUPERTINO
Bu1L0mc mvlslon PERMIT TRA.C1'O,R�f1 'f}R.M,t�.' If1
.•• '� ,.. .. , s _x.a. xH cru
BUILDING ADDRESS CRW INDUSTRIES PQtA1ff NO06070161
1325 ASTER LA
YFRMrf L4T1E DATE
nWNER'S NAME:
SANJAY CHIKARMANE 1157 DELL. AVE.
SANITARY NO. CONTROL NO.
ONE
(408) 378-2477
ARCfiI1ECr/ENGINEFA: BNLDING PERMRINFO
BLDG ELECT PLUMB MECH
0
op LICENSED CONTRACInas DECLARATION Job Description
d 1 bueby a1Brm that 1 w IWIu under prov'dnns Of ChIPWr 9(mtnmurWng
NSccdm)Wer of Dlvuion 3af the Busima and Praf..b...Cade,aM my li¢nseu
in wrmnfaaawerraZ REPLACE 2 PATIO GLASS DOORS LIKE FOR LIKE
i�i I�ccrtso Clan Lk.Y
Cu9 Co. DE ' ON
i Iurdk,amd my Plan shall be tamd as P.Nknsordr
itu
`o.�; Licwcd Prof..ral
cm3 OWNER-BIJ DER DECLARATION
a
1 hcrtby uirm that I am umnpt from de Cro.r s l me Lav for the
p O following rramn.(Sada^]W IS,BusinessM
aPm@maa Cadc:Any dry or county $3500
32V which nOr,.Oa a pvmit to cow 1 alas.on mrec,demolish m mp.ir my'•^'clam
riot w iu iuwrcc,also mgWma the applicam for suchI,rrnit W fik A sigrc SNlemmt
:?< 'Wb,4a,ntdl•'.tWIm'oo.;alnnaof'mcnmrxaal: .Law(°'ap.v Sq. Ft. Floor Area Valuation
t-� (commenting with S.7000)a lhvisim 3 Of dr BOOst +and PmfrsnaN Codc)Or
5 dot k h evmpt themfmm and Ih Md,for On,alWgcd,.amp tom Any vkudmt of
demtoo 70313 by airy aPPHOmt for a permit mbjau the aPplfcant W acivB pcvly or er Occupancy Type
na mom thin fiat hwdmd dollars(SS(IO}
1,u owter oftlie pmpvsy,a my wpbyco w W vnga u deo role cmrpmuatioq
wumro nk naw amm�a Wtmendma a amara am(s�.iBu,Baw� RPquired Inspections
and Proleud ru Codc Th Conuactola I.aernse Law don not appy W an ower a -
pmpeny wbo bWlda or Imposes Nefcon.andwho docaauch wwkhlm+clfof through his /
Mot employ,,,provided Nat mch imptowmcv an,mL inmWed reoffered for sak If,
however.the building of Impmwmun is sold w omn aro yen'of mmpktioa,dm owner
builder M hale the bmden of pmving Wt M did for build u hnp,ow for parpoee of
sak.1
Cl 1,u ante of Nc propcy,am eaclmively conuallog with BrmM mmacton to �Jr
mautnam de pmjcm(S I,to an
Bushes ao ,,y wboimu coda)The vOsm nrs u.
cove law t,f as apply m an with
of property who bWlda or impmae thereon.rod.
who conoan,.for such pofeas with a cenlrYlOf(s)Bcrosed purwant W Ne Conlractnh
f.iceve Law.
❑lam uanq under Sec ,B&PCfor Nu roam^
wv DIO,
WORKERS COMPENSATION DECLARATION
1 haehy affirm under Pmaly of Puysy Ore of tM fnBnWing
s.tlonuu nnAWd forbySecda J"!W°f thr Labor C lode,for Ne p dorm—of th
wort far which Nis permit is iaaoca ..
1 here and win maintain Wartela Campo v on Inarar u tzqui by SeNnn
377 M Ne Lahaf Co,,,,,for,0 pcdo xof Wen' W which this permitvtsaued.
My Warkefa Canpev 'm huu suit and Policy n arI arc:
Ca r..(�_Polk,No.:GJ1 I- W1
CFATIF CATS OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
M.scmlm rem,on be compimd n Ne perm^is forone htam ddoBua(5100)
or tru)
1 unify Net fo,,pO,ram,,I of Nc wah for wEa h Nis permit is 11oc4 I shall nd
employ my,Ormn in any memmr so u W became wbjca W tie Wartus'Compenwka
laws of California.Doc
Applimn
NOTICE TO APPLICANT:If,i fmr making IMI Cmtifeam of Escmptun.Ym s W
b am subjact W the Wook s Compmuation pmnna of Nc Labor Coda,yon mue
G O fonhwiN comply with such provislum orihu permit.ball m,dcmncd rtvatcd.
zN CONSIRUCnON LENDING AGENCY - 1
F""' . Ihemhy alfi,m Nu there E,a canstrucdan lending agmw'1'for tMRrformarcc of
(Yi Nc war for whkh Nis pmmit Ls Wted(Ser.109'1.Civ.C.)
W Q tsnde aName
I
Lg, L[rukr' Aadw
U Gr aniry Nat I hast rtsd thin ttwiraum and sue that the above information u
W E" cwmca 1 agrn to comply with all city and cowry onlimoc and cute laws relating W
GU ahovc�mccntiuncme,if t°pcny for vupcctionp mmpav_s utisss of this city s°cntcruPtm the
d (W<)Agee to ase,iMcrmtirY and kap harminu the Ciy of C ..."ain't
.Fat V1 liabili Zje.)dgmwu,mw erdcapcnas which may w any way accrue agulw sdd City
U Z conscqu,I or Ne gnitrog ofthis permit Date
^ A�U� S AND WB1 COMPLY WITH Aft NON8OINTIssued by:SRe-roofsSDvc
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WBIt,O.,rj,nOtre rot'.hoolding ottupvm O=or handle htv N material
u dcMed by the Cupenlm MuroIrd Code.Chaqcr 9.11,.rd the FINN anti Safety
Caa°.Snhoass53a(.)+ y All roofs shall be inspected prior to any roofing material being installed.
CY YJ°
WBf Nc aPplk.nwr furore W;laleg oavpanc uc equipment err dcviaa which
If a roof is installed without first obtaining an inspection,I agree to remove
soh hva ton'air rnntvmivnu u red by Ne Bay Ama Air Quality M.nagmncnt all new materials for inspection.
D is'l:,]
❑Yea
Ihere mW NchmNmu mawlau rr mcnuumkrChapm,695o(NcCalifor-
ouHNth&safety Cutins oo,s 505.35511 and25M.I umk,suM tbxlfNc W;Iron
mtcumcndy have a umam,Naz it o my nrzpmsibitiy W m ry tM°auPant of t
mmcacenihcmaoroa' Signature of Applicant Date
All roof coverings to be Class"B" or better
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CITY OF CUPERTINO
Wm 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36611110 . 00
DATE ISSUED. . . . . . . : 07/24/2006
RECEIPT # . . . . . . . . . : 35360
REFERENCE ID # . . . : 06070161
SITE ADDRESS . . . . . : 1325 ASTER LA
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : SANJAY CHIKARMANE
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : CRW INDUSTRIES
CONTRACTOR . . . . . . . : BILL BURR LIC # 23525
COMPANY . . . . . . . . . . : CRW INDUSTRIES
ADDRESS . . . . . . . . . . : 1157 DELL AVE.
CITY/STATE/ZIP . . . : CAMPBELL, CA
TELEPHONE . . . . . . . . : (408) 378-2477
•
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ----- - - -------- -------- -- ---- ---- ----- - ---- ----- -
BENERGY PERMIT FEE 104 . 76 50 . 28 0 . 00 50 . 28 0 . 00
BPERMFEE VALUATION 3 , 500 . 00 104 . 76 0 . 00 104 . 76 0 . 00
BSEISMICRE VALUATION 3 , 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00
BPLANCHK PERMIT FEE 104 . 76 139 . 80 0 . 00 139 . 80 0 . 00
TOTAL PERMIT 295 . 34 0 . 00 295 . 34 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
---------------- - ---------- -- --------- - --------
CHECK 295 . 34 101
TOTAL RECEIPT 295 . 34
•
CITY OF CUPERTINOY&I
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
in
APN # 21 s/„ I I'I I O Date: —� rZ�\ Olv
Building Address: JlC4 Mailing Address (if different from building address):
��-
Owner's Name: Phone#:
A08
Contractor: License#:
Contact: Phonei-{o$ TIP "7 -n Cupertino Business License#:
« Fax: Llob 3l Znito Z?J�2—�
Building Permit Info:Qe 9\a C9- 2 Pa>t��Sn l,i ICc ko la I(e
Q�rS
Bldg H' Elect ❑ Plumb ❑ Mech ❑
Job Description:
,Residential Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: Occupancy Group:
3
Type of Construction: Please check this box if the project is a
g607P 1 second-story addition: ❑
Project Size: Standard E Large ❑ Major ❑
Quantity 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
BELEC1000 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
1 of 3
CITY OF CUPERTINO
OF PERMIT APPLICATION FORM
CUPERTINO
Quantity Fee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE . Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinkler/Backflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain & Vent PLUMBING
BPWATER InstalUAlter Water Pie PLUMBING
BPWHEATER Water Heater/Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Mise Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
2 of 3
(C1� CITY OF CUPERTINO
c1W F PERMIT APPLICATION FORM
CUPEkTINO
uantity Fee ID Fee Description Fee Group
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING
PLLONGRNGR Planning Long Range Residential PLANNING
ZADDCHG Address Chane BUILDING
3 of 3
CITY OF CUPERTINO
BUILDING DIMION PERMIT -'COINTRACTOR;INFORMAT=ION:
au1LDING ADDRESS: CRW INDUSTRIES "a"MRNG'06070161
1325 ASTER LA
ER'S NAME: PERMIT SUE DATE
SANJAY CHIKARMANE 1157 DELL AVE
C SANITARY NO. CONTROL No.
(408) 378-2477
A0.CHTIECI'/FN(TNEER: BUILDING PERMIT INFO
BIRO ELECT PLUMB MECH
� 0
p6 UCENSED CONTRACTORS DECLARATION lob Description
W 1 t....n .Irian ut .m B
�1cnsd undo,povlumu d Ouper 9(monwncint P
Vii" viN S,xd.70M)of DivWoa 3afihc Builncv W Prolosin+Cutin,W my lk..is
j< In full roeo n effen2 � REPLACE 2 ''PATIO GLASS DOORS LIKE .FOR LIKE
, z Lkcmc Clip Lk
pQ �I I conu,cn
I W �Dlu ARCHITELTSDECLARATION
77< 1 unticrsanJ my
P�"I be vQd u public rtsvN
t U
��t, LkumJ Prdfnmorul
tbult I "onninR DE ft conITON
i 1 hneby,flm Nn I am ocmpt I.the Cdnurldf,Lieenx Vw for ft
0 o r°Ib tog m.."" (Sadm 703 IJ,Bwdoev,4d Pmfeviom Cale:My City W c y
S whkh ,ry ,I it in cmtuu t,.nm,"m . londkb,m mPah my qr m $3500
Priorb iu inu..,ko b9ubu,the Lppliewr fornnh prvit to fit a signed uucmw
Nu no k H.a pum tithe pmnilo,u or We Coouacbr'a Bonin lew(Cluiw9 Sq. F[. Floor Area Valuation
l� (,.runq wiN S.N 7000)of Dlvkion 3 of NC B ninen,ad Rd®om Codc)a
S ibn be h evmpl tbemfro n and de bash fW Ihn Illord a®plua MY vkkdun d
Semon 70315 by airy aPplinn IW a p=it mbj=the.ppliom b a civil P> by d p Y TYPe
".Go fine
Guo bondrtd dolkr,,ISMer CCu anC
01.uawnes or the pdpmy.W my emPlof=with to a ftirmic pnmka
ns
f°r"m(SeC'y0u'•B'm�` Re aired I 'eetilon
W Pde tdouioau CoThe conrcmh IJP Law doo nW WPIY on m owner d q P
pmpenywbobLmmpnK:themes,QwhodoomhwvkhbouJrmthbptbbk
nwoemploye,K.wWd that loch lralt vein,ue intbwadrW W dQaid fm sale.X.
hawertr.du Eallding W impmvmm k sold wNbiu one leu dcvnpkWm,the oww-
bWl4er wN bae 0e btvdm d poNnt Out be dW to bulk a ImP>ae(v Putyoee d ({q�{���{®JQ
uk.). Qj 9'. E7 ,g
❑L n este d um pmpny.w un hNvely coo r 'with If Wined mtmm n Ot�
e nnito U th PtnFn(Sec n W B a and Pbfeubui tail W i Too C tin LL lI YYiiIIJJ00
conn V.des nW apply m N owner ou Pbpny wfid mit,m Imports thveon,md,
who cddu.as for s1Cb pmjccu witb aamuxnrt,)luettsd pusunt b the fmBalnY,
Llcenm trv.
❑ Ian avdp WWW See .B6.PCIW dd,na,m
Lt•
WORKER5 COMPENSATION DECLARATION .
I bmeby,Bltm under,o Ly d PMJM unedth fdbNnt 4r1•^tw.�
1 h..c.nd.Bl mnnwn aCWOom dCawunelf-rove few l,&.Cvnp
num,n p.M W for by Section 3700 of th L,bIX Code,Iv de pufWmmx of th
Werk fW wIukh thk pnunt k toad
❑1 nave and will m,inubt W.W,C penal..bumuwe,u ngdrtd by Seeum .
',Mn de lab W Code,fW Ne prufama�dbe work fW unb N Nu Pamn k iwred.
My Wv�kkofe�C-� nRlW.od PoEcy/munbcr art,:,n���[J,yG
C.rru:�'r5 Policy No_'"-1
CERTIFICATE OF E%EM MON FROM WORKERS'
COMPENSATION INSURANCE
frb,s mo nm Ito pk=1 If the piston k for.hun0sd dans(SIM)
IX kis.)
1 Cuufy tbu in the ptor. ¢or dm wort IW whicb tbk permit k imetl,I,h,R rot
employ u y pntn in my mmrcr to u bbtt9vm mbjen in We W i dCmtpe®t.
I d CUlifinnu>_Due
Applkam
NOTICE TO APPLICANT:U.,ftm m W ng thk Gerund¢of E Pudn,you shdutd
beCane mbj"b the Wa z Canpenvuon Pmlvau d Ne IANor Code,yes urvv
O rdnhwitb campy with such p iuuuu WNkp hSLI a 0¢mcdm d.
'P t-' CONSIRUCITON I pNDING AGENCY
[-�� Ikooby. thu tbnb u,catmuabn l S ltlPmcy fIX dx Pufamurc of
Ila> be wont rv.hin thl:p id.I..d(Src.l09'!.CW.C.1
Loolon, c
D lender:Addrem
U O 1 muf,dist I h.vc nod this"Jicuim vd.that the abme id....k
ly fes' co rt I M=to c ply wbh 01 city and county bn bwas and nue lows rolling b
OU Widin,c.n ucum,ando rx,hy,mMune n .utuvoof Ni:ciym cnbrupm ft>" U atwvc.M..'rd pmpeny fIX iopcnimur
pp..
(9k)A:=bun,Indemnify and kep humko the Cly d Cupc fino.g.ina
F'Vl Il.bililiea Jvdpnou,cmu utath" wnlch m.ykny my,ccruc.taltulak cy
U Z A o�C M UND ANDS AND WILL COMPLY W 3 ALL NON-POIN Issued by: Date /)—Z�/•
CE EO
o Re-roofs
;-'1dd'WIoo,J
ofAppllanHAZARDOUS MATEIUA S DISCLOSURE �` Type of Roof
W B Ne.ppliont v fntwe buBding acurmt ame W hu s,hnudwn munrW
by the Cupnloo Munldp,i Code,Clow=9.12 uW the HnIN and Sfay
e.Socum2553zU)7 y � All roofs shall be inspected prior to any roofing material being installed.
❑Yn ` IWIB ft wWinm W I..bunking a Iou.wulpo oot m dd.reW.hknIf a roof is installed without fiat obtaining an inspection,I agree to remove
t harudnn air mluniwm n by f Bay Ata Air Qolhy Manageveot all new materials for inspection.
nkt7
Yo, u
IW,e bad thehuudwantuerlak b9ulr.m.u.uakr Ch &95 dun Ctlil.
rus Wuh&S.fay Cnde.Snmfwu25.505,n533ttntIM 1.1 YIWWaLTd"ifbc buildvg
tp m.rtsNY tic,mrwtk Uw Ito,my n�amlblllty b naiy Nc vpmt d du
cant tptimk Cu,i&ucpf Signature of Applicant Date
b. All roof coverings to be Class'B"or better
owe,W mtMrbN,gen D,