B-2016-3043CITY OF CUPERTINO BUILDING PERMIT
BUH.DING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3043
7603 NEWCASTLE DR CUPERTINO, CA 95014-5266 (366 17 080) FRANOV
CONSTRUCTION
MILLBRAE, CA 94030
OWNER'S NAME: ROUT PRAVAT KAND MOHANTY RASHMI R TRUSTEE
OWNER'S PHONE: 408-464-3121
LICENSED CONTRACTOR'S DECLARATION
License Class 51 Lic. # 7 4
Contractor FRANOV CONSTRUCTION Date 12/31/2017
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 under penalty of perjury one of the following two, declarations:
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.
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
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, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and willcomp) with all non -point
source regulations er the Cupertino Municipal Cod , Section 9.18.
Signature •� t /,Date 04/19/2017
w
DATE ISSUED: 04/19/2017
PHONE NO: (650) 258-5646
BUILDING PERMIT INFO:
BLDG —ELECT _ PLUMB
MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
1st FLOOR; ADDITION TO EXTEND KITCHEN (48 SF); ENCLOSE
FRONT PORCH (20 SF) (TOTAL ADDITION 68 SF.); ADD (I)
COVERED PORCH (41 S.F.); RECONFIGURE/REMODEL (E) 1228 S.F.,
INCLUDING KITCHEN, LIVING RM & DINING RM & BEDROOM;
REMOVE (E) GAS FIREPLACE ON 2ND FLOOR; REPLACE
FIREPLACE ON 1ST FLOOR; RE -ROOF (25 SQ'S)
Sq. Ft Floor Area: 68 1 Valuation: $180000.00
APN Number: Occupancy Type:
36617 080 1 R-3 (Custom)
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED -INSPECTION.
Issued by: Kim Dunbar
Date: 04/19/2017
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 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
contractors to construct the project (Sec.7044, Business & Professions Code).
hereby affirm under penalty of perjury one of the following three declarations:
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.
2. 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.
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
Worker's Compensation laws of California. If, after making this certificate of
exemption, I 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.
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 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 may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Code, Section 9.18.
Signature Date 04/19/2017
Signature of Applicant:
Date: 04/19/2017
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent --!6212i5 ! ��
Date: 04/19/2017 C/
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
Professional .
CUPERTINO--
❑ 1\oy COI\STRUC•TiON
CONS T RUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVEItiUE - CUPERTINO, CA 050' 1-3255
(408) 777-3228 . FAX (408. 77"-3333 - buildinge uoertino.org
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EXIST'i*,'GL'SE PROPOSi-DL'+SE CO'ti57R.11PE 3rOPSES ! j ^
USE TYPE. OCC: ! SQ,FT, j VALUATION {S}
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ct the rroperiy owncr's behalf. I have read this
application and'ue information I bzveprovided is cot:'Cct. I have read tf e Desciption of WWk and ve„y itis accur2te. I agree to cotaply N�jth all applicable local
ordinanes end s',?te laws relemg to(�building eosavctii'on. I zutlton_ze 7-apresentatives of C'epettino to chter the above-identined propetia+ for inspection put -poses.
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Bidgl,pp_2011,doc revised 05121111
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or FeLu51JiIPr
Inc Rahman.&Associates Inc. Design&Structural Engineering Consultants
goq,o16-30A .
•
September 08,2017
Project No.201608
City of Cupertino
Building.Department,
Cupertino,CA
Subject: New Custom Home for: The Mohanty/Rout Residence
General.Framing Observation
7603 Newcastle Ave.
Cupertino, CA
Dear Building Official:
In regard to the above referenced project, our office representative made an on-site
observation of the general framing and noted few deficiencies that required correction for
the purpose of having an adequate support. We recommended providing new framing
connections,.clips, etc. as needed. Trips were made to the site in order to check'the
progress of correcting the deficiencies.
This observation was general in nature and was performed in selected areas considered to
represent workmanship of overall construction. Our scope of services has been limited to
visually observe the existing framing and to provide additional details and/or
recommendations deemed necessary to correct and have the framing meets the general
requirements of uniform building code.
This report does not relive the contractor from his liabilities and responsibilities of
conformance of construction with structural drawings, construction standards and
governing construction codes.
The following areas were excluded from our field investigation and therefore are not part
of this report:
1. Roof and floor plywood plus nailing spacing.
1870 Hamilton•Avenue, San Jose,CA 95125
Tel:408 377-4000,Fax:408 377-4001
Email:mrahmani@rahmaindesign.com
www.rahmanidesign.com
•
Rahman&Associates Inc. Design&Structural Engineering Consultants
•
After completion of our field investigation, it is our opinion that the overall framing for
main house&secondary section of the above referenced project is constructed in general
conformance with requirements of the structural drawings approved by the City of
Cupertino,Building Department.
Please do not hesitate to contact our office should you have any questions regarding this
report.
COESN,m,fw COM?
Y'.
Mohammad H.Rahman,P.E.
cc: Project file. 0
1870 Hamilton Avenue, San Jose, CA 95125
Tel:408 377-4000,Fax:408 377-4001
Email:mrahmani@rahmaindesign.com
www.rahmanidesign.com