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15030150 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21120 GRENOLA DR CONTRACTOR:HOMESTEAD PERMIT NO: 15030150 CONSTRUCTION INC OWNER'S NAME: SAILAPPAN SRIDHAR S AND AVADAIAPPAN 10080 STERN AVE DATE ISSUED:03/24/2015 OWNER'S PHONE: 6506447267 CUPERTINO,CA 95014 PHONE NO:(408)255-8999 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ 7 DEMO(E)SFD(1551 S.F.)WITH ATTACHED GARAGE(423 License Classes Lic.# fo ?j J S.F.)&UNPERMITTED 2ND UNIT(APPROX. 500 S.F.) r D BUILDING PERMIT#14120096 Contractor trti4u2.�z�.,�—��i�t1c-�W�. �Zc��1 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: 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. Sq.Ft Floor Area: Valuation:$15000 ve and will maintain Worker's Compensation Insurance,as provided for by ction 3700 of the Labor Code,for the performance of the work for which this APN Number:32628062.00 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.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF 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 8 F CALLED INSPECTION. 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 Y Da e. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature 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 I hereby affirm that I 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 I,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(Sec.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 under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's 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 with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this 1l / �^ V_u permit is issued. Owner or authorized agent: Date:- 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 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 CITY OF CUPERTINO D FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 21120 GRENOLA DR DATE: 03/24/2015 REVIEWED BY: MELISSA APN: 326 28 062 BP#: 'VALUATION: 1$15,000 PERMIT TYPE: Demolition Permit ttt(-111, PRIMARY SFD or Duplex PENTAMATION 1SFDWL-DEM USE: PERMIT TYPE: WORK DEMO E SFD 1551 S.F. WITH ATTACHED GARAGE 423 S.F. & UNPERMITTED 2ND UNIT SCOPE (APPROX. 500 S.F.) FEE ID FLR AREA s.f. 1DEMORES 2,474 El ET 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 prelimina information available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 11-053 E(•: 7/1,13) FEE QTY/FEE MISC ITEMS Permit Fee: $574.00 Suppl. Insp. FeeQ Reg. Q OT 0,0 Thrs $0.00 B(i Ned tt t PCCA A , StromMotion Fee: IBSEISMICR $1.95 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $576.95 $0.00 TOTAL FEE: L $576.95 Revised: 02/14/2015 DEMOLITION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O\ 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 Q� C U P B RTI NO (408)777-3228•FAX(408)777-3333•buildingftcupertino.orq Rutt� oi" 4 19L54-#vtT 1412 6 09 6 PROJECT ADDRESS ^ ( l �� / ��' APN N OWNER NAME 1 �Z t h A t L h ,41,4 PHONE CJ E-MAIL STREET ADDRESS CITY, STATE.ZIPFAX 2_ k,10 ti LU ,r�t-C,- a CONTACT NAME PHONE EMAIL STREET ADDRES CITY,STATE.ZIP F x l L) v ❑ONNER ❑ ONINFR-BUILDER ❑ OWNER AGE_*rr ❑ CONTRACTOR ❑CONTRACTORAGENT ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME V, . LICENSE NUMBER � � �� LICENSE TYPE t BUS.LIC'N C'OMPANYNAME ` i E-MAIL u FAX STREET ADDRESSM v CITY.STATE,ZIP rn Li) I+ PHONEle) ` V Q�� DESCRIPTION OF WORK l 1561 WZ Soo � RESIDENTIAL , I F DNELLMG OFFICE USE ONLY FLOOR AREA UNITSUSE OCC DTF S V 4 0' C'OMMERC'IAL FLOOR AREA TYPE OF CONSTRUCTION N STORIES AQbID JOA NUMBER TOTAL VALUATION: J #: 4 L oG By my signature below,I certify to each of the following: I am the property owner or authorized ag o 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 authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFF(CE ATSE ONLY Provide Job Number from Bay Area Air Quality Management District wwiv.l�trrc .ul_cirS(u 415-749-4762. aaNrxitTveE .. _Provide three copies(Residential)Or six copies(Commerical)of a site plan showing protection for any trees 10" © EXPRESS, in diameter or more at 3'above grade. ❑ STANDARD _Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. © L ARSE _Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by petson(s) I' oR certified in asbestos,mercury and/or hazardous material examination. Planning Dept clearance to verify building is Hot considered an historical landmark.Allow 10 business days. Provide letter of clearance of all vermin from a licensed pest control contractor. Applicant shall call the Public Works Department at 408-777-3104 and schedule a"habitable dwelling"inspection. Provide signed Debris Bin and Recyclable Materials form. DernoApp_2013.doc revised 02/13;13 y► s Regulation 11, Rule 2 COMPLIANCE & jh ENFORCEMENT Acknowledgement of BAY AREA Notification and AIRQUAI.ITY DIVISION Payment Of Fees MANAGEMEN-1 D i s T R i c T 3/4/2015 Homestead Construction Job No: 4L836 10080 Stern Avenue Invoice No: 3NH54 Cupertino,CA 95014 The Bay Area Air Quality Management District (BAAQMD)acknowledges receipt of your payment and your Asbestos Removal or Demolition Plan described as: Demolition Site address 21120 Grenola Drive Cupertino,CA 95014 Start Date March 15, 2015 Completion Date March 20, 2015 Removal amounts of friable ACM 0 linear feet 0 square feet 0 cubic feet Should it become necessary to revise this plan,please do so in the spaces provided below and immediately copy the District by fax or by mail. REGULA"PION 11-2 REVISION BAAQMD J# 41L836 REVISION# START DATE COMPLETION DATE 2 4 5 NOTE: This form is not intended as a verification of either the completeness of your original notification or of its compliance with BAAQMD Regulation 11-2. If you have any questions about this acknowledgment,please call our office at(415) 749-4762. i SOUTH BAY PEST CONTROL RESIDENTIAL • COMMERCIAL • INDUSTRIAL March 04,2015 Homestead Construction, Inc. 21120 Grenola Dr. Cupertino,CA 95014 RE:Vermin Inspection To: Whom It May Concern: The above property was inspected forvermin on March 03, 2015. In completing the inspection,there was no pest activity(insects or rodents)found in the structure, Should you have any questions, please do not hesitate to contact me at 650-964-7272. Sincerely, f ate. Bert Cardoza Pest Control Operator Lic.#OPR 9025 569 Clyde Ave.Suite 560 Mountain View,California 94043 650-964-7272 408-929-7272. i I I i i pacifi�6S aft-a 10900 No. 84#wy Av*n4e. DATE: MARCH 24 2015 CITY OF CUPERTIN 10300 TORRE AIV CUPERTI O CA 9501=t 1 v . SUBJECT. ELECTRICSERVICESWAS CUT AT PQ' LE ONPQ'! ?. _y.._... 159211 t GREN0LA 8 CURER Ii�C 9 014 if y©u have any question contact us at t4O8) 725-332 Sincerely, Pacific S t Electric Company DeAnza Service Planning 10900 N Blaney Ave CUPERTINO CA 95014 PROCEDURE CHECKLIST FOR DEMOLITION PERMITS COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE •CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333•building cupertino.om PURPOSE The demolition application should be applied for before or at the same time as the new construction permit application(these are separate permit applications and fees). Pen-nit fees are due at the time of the application/plan submittal. The new construction permit will not be issued until the demolition permit is issued, unless a letter obtained from the Building Department is submitted stating that"The existing house will not be demolished until the new construction permit is issued". The letter needs to be signed by both the property owner and general contractor. REQUIREMENTS To obtain a demolition permit in the City of Cupertino,please complete a Demolition permit application along with each of the following requirements as it applies to your specific project. 1. Three (3)copies of a Site (Demolition) plan for Residential or six (6) copies for Commercial will be required showing any trees 10 inches in diameter at 3 feet above grade on the subject property,and what means will be taken to protect these trees. 2. PG&E must be contacted AS EARLY AS POSSIBLE prior to demolition to schedule the abandonment. Contact PG&E at(408) 725-3325. A letter from PG&E shall be provided to the City,stating that all gas and electric has been disconnected. (This step can be time consuming,so it is important to begin the process immediately) 3. Provide Job Number from Bay Area Air Quality Management District www.baaq,md.gov Q 415-749-4762. 4. Check to see if the building is considered an historical landmark. Obtain clearance from the Community Development Planning Department. Allow 10 working days. V 5. Provide a letter of clearance of all vermin from a licensed pest control contractor. (/ 6. Important: Prior to the issuance of the demolition permit,the applicant must call e-P lic Works Department at(408) 777-3104 and arrange a"habitable dwelling" tnspecti 7. ris bin and Recycling sheet: read,sign and date. The sheet will remain un the project's building permit file for the duration of the project. 8. Commercial only-prior to issuance of the demolition permit, the Fire Department must review the plans for fire suppression/alarm systems that shall remain in service or be modified during Demolition or that shall be replaced with the new construction. DemoProcedur e.doc revised 2/13/13 City of Cupertino Public works Departniprit Environmental Programs 1)ivision 1000 Torre Ave la Cupertino,CA 95014 CUPERTINO GREEN program (409)777-3354 Coust.ruction and Demolition Recycling Diversion Requirements and Instructions Covered projects,or all construction,demolition and i-cnovation,,,j);.-Qjects that are 1,900 sgoarg feet or filore are required to complete a Waste Mana rernent Plan foil the City of Cupertino demonstrating that 60%of the -material generated, isrecycled,h1-cQ111pljw,,,e,with orditiance CMC 16:17�450. At the conclusion of the project a Coristruction Reeyeling Report roust befiled with the Public Works,Departworit/Rrivimmerijal DivisliQn showing the tons recycled14.0 -4A4 disposea by maoxia I type. Ilse totinage� rmation from Wei&tags provided by facilities to quantify total estimated waste and percelitagos.for mate.dals, Might Tags of,All material recycled and di'sposed must he submitted,NvIth the finalreport in order to receive Ft FisialBuil ding Reeoiogy is the only debris bin service proWrcler t�gnchised to do business in C`uiserttria Diobvis,frov a project 31000 square toot or more in Cupertilfto can be collected and disposed by using: Pleas check all that apply: am not using Recology debr.'s bin,howcvcr,[lit)project is lobs than 3,000 s.f, e-g, buildings,patios, sidewalks,driveways. 0 1 will.Ljsca Recology 6ftjs b:�p. $yAgreemeiit "th tic Olt WN y,,geoblqgy will,pre paremy xquired Araste Management Plan&Rbcygling Report, Cootaot Jk;eccs$gy-(4-08)135-4020, 0 1 air not using a Recology debris'bin. I will. rovidetht,following submittals to die City's Public 'Works Department,showing that I have recycled at least 60%of all construction demolition inaterial.. Ask,for the Construction&Detholitlan Recycling Packet from the Building Departnient and coniplete fliefollowing., ✓ Suhnift a Construction andDentatition ffi4sle Management Plait with your buildingperinif application. No.fiefor. this plait. Yonns are-avaflobl&a1 the RaildbigIllublic Works.counter anti online tit www; Report the �Lel rlisp&16,41 by Inatertal t�vpw. ReqYclingheitilies MUNI heSOIC--ledfrom"the City's approved list of'Recycling-Resvourcey, V Submit a Commuction Recycling,Reporifi)rnj. Y'he,report ly requirad Wfore the,Building Departnient will schedule anal insymellon. Morks Cwiter and online,wvyw. arnertitia.Oig"AW71 wa* bate:ate: Name: (printed) Title: phone: Project A,ddress:_., LI il i- Tflisfoun to relmil)in thtprojeet'sbtiildlfi--peatnitFilc fogy t1heduvatibii qT the projqct. Rei,Csed 317112 1 t a lNE NO ATT HMENTSp�RJ�W♦�.�f 4't 4� -PL 4 S101:S STYP) TO SE KEPT .CLSAN 4•`u" rob' a r r E%1571NG GROUND �f ,t i 0' D. I% ROCK OR EQUAL I le DIA, TYP.POST &EVAT1O,ONN IOr.ESS 1. THE DEVELOPER SHALL INSTALL THE " TREE PROTECTION" DEVICES PRIOR TO THE START OF GRADING OR CLEARING WORK. 2. THE CITY RESERVES THE RIGHT TO ISSUE A "STOP WORK" NOTICE IF THE "TREE PROTECTION" DEVICES ARE NOT INSTALLED OR IF THE DEVICES ARE NOT MAINTAINED PROPERLY. 3. SEE THE PROJECT GRADING PLAN FOR SPECIFIC TREES THAT REQUIRE PROTECTION, ALL SPECIMEN TREES REQUIRE PROTECTION UNLESS OTHERWISE NOTED, 4, NO EXCAVATIONS WITHIN THE "TREE PROTECTION AREA" ARE ALLOWED UNLESS UNDER THE SUPERVISION OF A REGISTERED TREE SERVICE COMPANY 5. ANY FILLING WITHIN THE "TREE PROTECTION AREA" SHALL BE DONE IN ACCORDANCE WITH A DETAILED IMPROVEMENT PLAN APPROVED BY THE CITY. G. NO TRIMMING, CUTTING,OR PRUNING OR DESIGNATED TREES CAN OCCUR WITHOUT A REGISTERED TREE SERVICE COMPANY, T. CONSULT ORDINANCE 778 OF THE CITY OF CUPERTINO FOR PERMIT REQUIREMENTS AND EXCEPTIONS. 8, TEMPORARY CHAIN LINK FENCING IS AN ACCEPTABLE SUBSTITUTE TO THE WOOD CONSTRUCTION, TREE PROTECTION STANDARDS CITY 4F CUPERTINOL- // APPROVED BY : DATE STANDARD ®ETA ILS Ct E !N �J 98.89 ADJACENT PROPERTY SEWER MH #2 m ' E3 I JUNIPERS O -- - - - 98.01 98.47 PROPERTY LINE UNLAN1297.87 UNLANDSCJIPED - GUTTER PUBLIC D5CAPED �'=/ 98.43 PG&EI FOUNTAIN cum POLE \ CRASS CONCRETE 98.23 97. 97.81 4• AV(CADO f 98.23 8• AV(CADO i � `•� GARAGE M. UNLANDSCAPED I I \ CONCRETE-/ EXISTING 2ND UNIT 2'-10• x T-3• Ply S CKE BY 97.84 I , \ �� METAL GRATING CONC. SLAB PROTECTION FENCE 97.21 Lu I \O OVER 5'-0" DEEP 1 /� 99.1 S TMP'` DA. E 52 THRESHOLD ' i \ P NNI G DEPT o ` CUPEWINO STEP i REDWOOD DECK 7• MULBERRY I 14'-8• 99.07 Z I' FACE OF CURB � I ' 8• FRUIT 97.85 I o -� o o tz! d I GRASS I GRASS . /O WATER UNE J REDWOOD DECK 4x4 REDWD. 96.82 �1 S• OLIVE J I \ a VALVE EXISTING RESIDENCE 97.73 Posy II I PLANTER THRESHOLD UN DSCAPED \ 21120 GRENOLA DRIVE 97.00 97.01 99.04 96.73 I \ ITY DEVELOPMENT DEPARTMENT I \ PORCH SLAB BUILDING DIVISION - CUPERTINO 98.98 REow000 DECK UU1H APPROVED 97.09 1 10• MAPLE ` This set of plans and specifications MUST be kept at the 98.57 I i \ job site during construction. It is unla*ful to make an I \ Y (- 98.32 changes or alterations on same• or to deviate 97.83 98.94 I 97.41 GUTTER ( I \ therefrom, without approval from the Building Official. The Stamping of this plan and specificat;ons SHALL NOT CURBpp \ be held to permit or to be an approval of violation 9863 972 SWIMMING POOL V I _ OVERHEAD CATLINE ' of any provisions of anyCit � REDWOOD DECK ' CONC. DRIVEWAY 98.83 ELEC. MAST DAT 71 If / �E MEQ PERMIT # 98.44 / REDWOOD - 8 BARK TOOL 97.69 POOL x 10'-0' RAISED REDWOOD DECK CONC. WALKWAY POOL i SHED STORAGE SHED HOT TUB 98.83' 98.83 t RED 97.19 - ------ - PROPERTY LINE 125 FT. BUSH LANDSCAPE BUSH 8 FT. HKBi REDWOOD FENCE ' 98.51 I GUTTER I 98.93 ! 21 120 Grenola Dr. / e CURB ADJACENT PROPERTY REMOVE THE TR&JGJLXJZ !! DEMOLITION PLAN S: 1•- 10'_0• TY P. Building DeplITtm13ntCE1 " ED 100.00 DATUM 1. ALL EXIST. IMPROVEMENT SHALL BE REMOVED SEWER MH #1 2. DEMOLITION SHALL BE UNDER SEPARATED PERMIT. �;': 2 q SAS MAR Z 4 2015 3. ALL EX. UTILITIES SHALL BE RELOCATED. NORTH =- EXISTING IT PIAN REVIEWEOFORCOp�COMPLiANCE BY 10 0 10 20 30 S E _ �G Reviewed BY,