Loading...
14080057CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDKESSt 10678 NATHANSON AVE CONT ACTO :' PERMIT NO: 14080057 OWNER'S NAME: BANDODKAR NIHAR AND MRUNAL DATE ISSUED: 01/12/2015 OWNER'S PHONE: 605049782 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL --}} License Class 'I Lia 4 L� ADDITION; ADD 360 SQ FT TO 2ND FLOOR, ENLARGE GARAGE 187 SQ FT Contractt �-_ V � ' 7 Date I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Seci,ion 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 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 Sq. Ft Floor Area: Valuation: $48000 performance of the work for which this permit is issued. I have and will maintain: Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 32643069.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES Ili' W S NOT STARTED correct. l agree to comply with all city and county ordinances and state laws relating WITHIN 180D F IT ISSUANCE OR to building construction:, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 D O ST CALLED INSPEC TON. indemnify and keep h mless the City of Cupertino against liabilities, judgments. costs, and expenses wh ch may accrue against said City in consequence of the granting of this permit I Additionally, the applicant understands and will comply with all int somr0 re r the Cupertino Municipal Code, Section 9.18. KE -ROOFS: Signat Date�� ��� ������ ������ ```"` All roofs shall be inspected prior to any roofing material being installed If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that am exempt from the Contractor's License Law for one of Signature of Applicant Date: _______ the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project ($ec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm undelr penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: i I have and will mam0in a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous I hazardous material. Additionally, should use equipment or devices which emit Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cu ertino A, unici pal Code, Chapter 9.12 and 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 the Health & Safety Code, Se tions 25 53 , and 25534. L Owner or authorized age t: Date permit is issued. 1 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 Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the l understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point solurce regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature � Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10678 NATHANSON AVE CONTRACTOR: DP CONSTRUCTION PERMIT NO: 14080057 OWNER'S NAME: BANDODKAR NIHAR AND MRUNAL 2505 HUSTON CT DATE ISSUED: 01/12/2015 OWNER'S PHONE: 6:505049782 MORGAN HILL, CA 95037 PHONE NO: (408) 605-2232 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] ADDITION; ADD 360 SQ FT TO 2ND FLOOR, ENLARGE _ License Class Lic. # 'fj % 5 2.' GARAGE 187 SQ FT y Contractor -6R Date - io'�� DEF # 1- TRUSS CALC'S - ISSUED 4/16/15 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm underpenalty 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 Sq. Ft Floor Area: Valuation: $48000 rflormance of the wort( for which this permit is issued. 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 APN Number: 32643069.00 Occupancy Type: permit is issued. ,APPLICANT CERTIFICATION I certify that I have read, this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction; and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS F�!5�9X�eAKLLED INSPECT ON. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the grantin is permit. Additionally, the applicant understands and will comply ed b Date: with alyt-po source regul w per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signatyre Date �— All roofs shall be inspected prior to any roofing material being installed. If a roof is II installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ O-WNtR-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, 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 (Sec.7044, Business & Professions! Code) 1, as owner of the proPerty, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Soc.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the following California Health & Safety Code, Sections 25505, 25533, and 25534. I will 1 hereby affirm underi' penalty of perjury one of the three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: I Certificate Consent for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous have and will maintain a of to self -insure material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance he Cupert' o unicipal Code, Chapter 9.12 and 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 the Health & Safety Code, Sb ftio s 2550 , 255 3, and 25534. N —/ / Owner or authorized ag t: Date, t permit is issued. 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 Worker's Compensation laws of Califomia. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.; Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT . BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinc(E)cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED DRIGIN'AL PERMIT R PROJECT ,ADDRESS] � 067 �/a�f'HAnsvn i�✓.� APN R p 6 A�Sp 326 �3 Y I OGVNER? NAME , [ r �IE-MAIL WhD' �L" Ot 0 VVI` STREET ADDRESS CITY, STATE, ZIP • 1 II�O CA /01 F.AX � CONTACT NAME W ` u - y� PHONE (LO & 31 O 1 Q � E-MAIL / V (ZIP ov Ux STREET ADDRESS, I CITY, STATE, (c CAl�A)F �� AX/ 4Q 9 Z -;J J A� N: (CT) J-19 ❑. OUTER EDOWNER-BUILDt �WNER AGENT 13 CONTRACTOR ❑ CONTRACTOR AGEIN 13kRCCI-IIT- 13R E)ENGIN')TDEVELOPER ❑ TENANT CONTRACTOR NAX'M LICENSE NUMfBER LICENSE TYPE BUS. LICON COMPANY NAME; E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECTIE-140,TEERNAME 'I �r LICENSENIAIBER 5 S-3'// w. I BUS. LIC COMPANY NAME' , J -7 E-MAIL FAX A STREET ADDRESS �i [ _ CITY, STATE, ZIP PHONE DESCRIPTION OF WORK 0 oli f r D i T h G i ow -u a "Vi✓f J o4 s o -L - . kw'k X. i s 4w' -Ay r raw% , EXJSTINGUSE�,, PROPOSEDUSE ' CONSTRIYP TOS (A � USE TYPE OCC. SQ.FT. VALUATION (S) t st l �" \ WD-$ Z EXISTG NEWFfOOR AREA �Z� AREA 3 ! I DEMO AREA /� TOTAL NET AREA �(� nn ,�S_ O �'o-� BATHROOM REMODEL AREA RITC' OTHER REMODEL AREA v' REN,ODELAREA I ,� PORCH A DECK AREA TOTALDECK/PORCH.4REA GARAGE AREA: DETACH RATTACH D �� v b 4 WELLP..G UNITS: ISSEC 'D UNIT [] )ES SECOND STORY ❑YES B D ED? E] NO ADDITION? ❑NO I i --PR-r-A-PPLIEATION--'€S--It-1Ss,-P ME -MFA' -OF--- _ISSHE BLDG 4N 1'ES �ECEIlEDBY {. � TOT.A \%p -I, 4TION: PLANNINGAP ❑NO PLA'�T ;��f'Rq\�.ALLETTER I (�( (,�--w- _ ` -� ; EICHLERHORt£? QAT By my signature below, I certi each of the following: lam the property owner or authorized agent to act o e property o , er's behalf. I ave read this application and the information I have provided is correct. I have read the Description of Work and verify it i gree to comply with all applicable local tifled property for inspection purposes. ordinances and state laws relating t ilding oI: traction. 12 horize representatives of Cupertino to enter the abfzy/3v SienatureofAPplicant/Agent: Date: SUPPLEMENTAL rNFORMATION REQUIRED � caEc .T��E - ..sem xoTiTincsLlP c New SFIJ or Multifamily d\ 'ellings: Apply for demolition permit for y i existing building(s). Demolition permit is required prior to issuance of building O ER TFIE COUNTER 'BUIID � - 4� RE�SEFV ams permit for new building. £ J. E ss � � � �� A*tt.r�G�PL�RT � Provide Hazardous Materials Disclosure \ EST I � ori oRl s _ Commercial Bldgs: a completed A x usli t h form if any Hazardous Materials are being used as part of this project. � ` . � ��� � �: � � � j N _ Copy of Planning Approval Letter or Meeting with Planning prior to���3 O'AIA70R } Fs 's £�kEA�ITRI3SERRDISTRICT submittal of$uilding Permit application. xv. 17 ?�;;� - a o� � vii a-... �-.:�_ .•'Di�EIVVIli07�fiSENTA� HE�I,TA�'s,�.? �. BldgApp_2011.docrevised 06/21/11 CUPERTINO ❑ NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIOI 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(5)cupertino.org N ❑ ADDITION ❑ ALTERATION / TI �REVISIO FERRED �? ORIGINAL PERMIT 4 Z O ? 00 PROJECT ADDRES�1 �� APN # I y % D '� 7 OWNERNAME t PHO E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME PHcn.�{� L % _' 7 �-7 E-MAIL l D lQ V L C— STREET ADDRESS CITY, STATUE, ZIP FAX ❑ OWNER 13 OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRA LICENSE$ LICENSETYPE BUS. LIC # COMPANY N E -M L FAX STREET ADDRESS A E Z� PHO (, / ,,, 2 (O(� S ARCHITECT/BNGINEERNAME i LICENSENUMBER BUS. LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS! CITY, STATE, ZIP PHONE DESCRIPTION OF y41ORK d2 Z v A 0,9- v --EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA ',DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS. IS A SECOND UNIT [] YES SECOND STORY YES BEING ADDED? []NO ADDITION? [:]NO PRE -APPLICATION [:]YES IF YES, PROVIDE COPY OF PLANNING APPL # ❑NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YESR;5;r'* EICHLER HOME? ❑ NO -. TOTAL UATION: _ By my signature below, I certify to each of the following: I am the property owner or authorized ape6toXt<<he property owner's behalf I have read this application and the inform ovid A is correct. I have read the Description of Work and-76—rify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil I construction. au rize representatives ofCupertino to enter the above-ident2ified property for inspection purposes. / Signature of Applicant/Agent: Date: SUPPLE FORMATION REQUIRED Q PLANCDECIi TYPE _ :ROUTING SLEP_3. OVER THE-COIThT'ER ❑ BTJII,DING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building �� . permit for new:building. yips F '' x ❑'EXPRE$$ © PI:ANNInGPLnivxEVlEw q G Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sTAND4RD i {� PuBLIGwoRIGS ` _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE � � � �'��� �� s � ❑�FIItED$PT� � z � � -a µx Copy of Planning Approval Letter or Meeting with Planning Prior to x y aI _ submittal ofBUilding Permit application. submittal r DI k � { .�=-ENTVIRONMENTAL-'FIEALTA:'�;`- _ BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION iaADDRESS: 10678 nathanson ave DATE: 08/08/2014 REVIEWED BY: Mendez CPN: BP#: BP FEES 'VALUATION: 1$48,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Du lex USE: P 2nd Unit? OTC? Yes No 0 Yes (E) No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK addition add 360 sq ft to 2nd floor, enlarge garage 187 sq ft SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 543 $2,654.00 IR3PLNCK $1,666.00 IR3INSP $0.00 PME Plan Check: $0.00 Permit Fee: ' $1,666.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: TOTALS: 543 $2,654.00 $1,666.00 MECH, H URLY Q Yes E) No PLUMB, HOURLY Q Yes (j) No ELEC, HOURLY Q Yes Q No i NOTE: This':,estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.), These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (I -(-,e Resolution II -053 Eff 7/1,13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Flee: (j) Reg. © OT 1 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: ' $1,666.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? ® Yes Q No $0.00 Advanced Planning Fee: IPLLONGR $76.02 Select a Non -Residential Building or Structure S Strong Moth Fee: IBSEISMICR $6.24 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $4,404.26 $0.00 TOTAL FEE: 1 $4,404.26 Revised: 07/10/2014 CITY OF CUPERTINO FM_7 FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 10678 NATHANSON AVE DATE: 04/16/2015 REVIEWED BY: MELISSA ApN: 326 43 069 BP#: �" 0d a3 'VALUATION: $0 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or DuplexT USE: PENTAMATION 1GENRES PERMIT TYPE: WORK DE'F # 1 - TRUSS CALC'S - ISSUED 4/16/15 SCOPE PME Plan Check: c:_l i NOTE: This 'estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Di.ctrirt. etc)_I These fees are hated an the nreliminary infnrmation available and are anly an estimate Contact the Dent for addn'1 info. FEE ITEMS (Eee Resolution 11-053 Eff..' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check fee: $0.00 =# $286.00 Deferred Submittal IDEFSUBM Suppl. PC Fee: Q Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 O Work Without Permit? Yes E) No $0.00 Advanced Pannin& Fee: $0.00 Select a Non -Residential Building or Structure O Stronp, Motion Fee: $0.00 Select an Administrative Item Bldg, Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL FEE: $286.00 Revised: 04/01/2015 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Tone Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 10 7 .j1J 'f !=i il�`x)cc,! �, PERMIT # /4/ 0-S-7 OWNER'S NAME: iU ' PHONE # GENERAL CONTRACTOR:- BUSINESS LICENSE # ADDRESS: V-6-16- CITY/ZIPCODE: 0641 ,11 661-9s *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using'any subcontractors: Signature# Please check applicable subcontractors and complete the following information: - Date T10-CJ2'!�� SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabineis & Millwork Q /1,j j Z..' (00 ©o Ve"Cementi: Finishing Electrical Excavation Q Fencing t COD 7�5 Flooring / Carpeting Linoleum / Wood Glass /IGlazing Heating Insulation Q /1,j j Z..' (00 ©o Landscaping Lathing Masonry Paintinjg / Wallpaper t COD 7�5 Paving,' Plastering Plumbing oofing Septic Tank She Metal Sheet flock Ll yyl` �Q Tile ` Owner ontractor 'nature Date