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13090051 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10300 ORANGE AVE CONTRACTOR:SURESH DHANA AND PERMIT NO: 13090051 NAIR SURESH OWNER'S NAME: SURESH DHANA AND NAIR SURESH 10300 ORANGE AVE DATE ISSUED: 12/04/2013 OWNER'S PHONE: 4087250107 CUPERTINO,CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATIONI—BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# rrd` -" MECH RESIDENTIAL COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:CONSTRUCT A 999 SQ FT ADDITION;INTERIOR (commencing with Section 7000)of Division 3 of the Business&Professions REMODEL Code and that my license is in full force and effect. 731 SQ FT;DEMOLISH 321 SQ FT DETACHED SHED. ALTERNATE MATERIALS FORM 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. have and will maintain Worker's Compensation Insurance,as provi&o 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:$300000 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:35719029.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date Issued by: ._/��N ��Gr�7 Date:162 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. 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. O r r authorizetaent: ^4 ��VV Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. iRlk ,Zo i3 I understand my plans shall be used as public records. Signature Date Licensed Professional CONSTRUCTION PERMIT APPLICATION Is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISI 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTIMa (408)777-3228•FAX(408)777-3333•buildinq(&cupertino.org O ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS /03 3 G / _e 7APN OWNER NAME ��/I PHONE 7 ErMAIL ��Unot Suvi+L1 SU✓y1� t�ktl" �iO4 -�rolnr SC4 Y44020 ,via)V WL9) STREET ADDRESS CITY, STATE,Z01 FAX 1030 Vdk YNR C 2 C_ 0 cvi 431�b CONTACT NAME ^ PHONE E-MAIL C ,a- Cts►h �l h S - 23 06V Cl,1'.k,C; G@ /f'1G�I .C v✓1 STREET ADDRESS A ALA L CITY,STATE, ZIP / FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT KE�GINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK /Ir/.J /�[�, A-H 0 &v4 f ';_T / 1 �.1 r EXISTING USE PROPOSED USE CONSTR.TYPE #STO 1 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG11j // NEW FLOOR DEMO TOTAL AREA j�VI 2 AREA 9 Q Z� 'J AREA NET AREA j BATHROOM KITCHEN( L OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH #DWELLING UMTS: IS A SECOND UNIT []YES SECOND STORY ❑YES J BEING ADDED? ANO ADDITION? �MO PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES It$t" TOTAL VALUATION: PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? P'NO A By my signature below,I certify to each of the following: I am the property owner or autho ze gent 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 d verify it is accurate. I agree to comply with all applicable Iocal ordinances and state laws relating to buil 'ng const ion. I au a representatives of Cupe mo to enter the above a fie property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFO ATION REQUIRED i*LAxcxECEx�rraapp�_.., New SFD or Multifamily dwellings Apply for demolition permit for © R-THS COUI R 1 TGirI A1�i14Et existing building(s). Demolition permit is required prior to issuance of building permit for new building. EXPREss' c �rI RE�'tt _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Atop CWQ,KS, form if any Hazardous Materials are being used as part of this project. M ARCS _Copy of Planning Approval Letter or Meeting with Planning prior to MAJOR AR 6EpS'ERH+2Ri ! submittal of Building Permit application. 0 HEALTH B1dgApp2011.doc revised 06/21/11 CITY OF CUPERTINO 19 FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10300 ORANGE AVE DATE: 0910912013 REVIEWED BY: MENDEZ APN: BP#: va5 *VALUATION: $300,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY 2nd Unit? 0 Yes • No PENTAMATION SFD or Duplex OTC? ®Yes 1 R3SFDADD USE: No PERMIT TYPE: WORK 999 SQ FT ADDITION TO REAR LEFT OF SFDWL REMODEL E SFDWL 1730 SQ FT PANEL SCOPE UPGRADE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. R-3 (Custom) II-B,111-B,IV,V-B 999 $2,577.00 IR3PLNCK $1,617.00 IR3INSP TOTALS: 999 $2,577.00 $1,617.00 1VIECH,HOURLY , ,' Yes` .� lYor' PLUMB,HOURLY Q`!Yes EIEC,SOURLY es ` (• 'No:: Pluwb. Phl)l CFr.cd Elec.Plan Check 0.0 hrs $0.00 F'bUnb. PGi1'rr7t FC C. Elec.Permit Fee: IEPERMIT Orhe�! Other Elec.Insp. 0.0 hrs $47.00 •Pi%.�rizh Ivu7�. LJ Plziwh, lr.co. FCC: 1r�s,n Fce, 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 prelimina information available and are only an estimate Contact the Dept/or addn'l info. FEE ITEMS(Fee Resolution 11-053 Eff 7%1!12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,577.00 = s.f. Remodel,Other Suppl. PC Fee: (D Reg. Q OT 0.0 1 hrs $0.00 $5,022.00 IREMRES2 19 PME Plan Check: $0.00 = amps Electrical Permit Fee: $1,617.00 $47.00 1BELEC200 Services Suppl. Insp. Fee:Q Reg. Q OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 Work Without Permit? 0 Yes Q) No $0.00 G Advanced Planning Fee: IPLLONGR $139.86 Select a Non-Residential G Travel Documentation Fee: ITRA VDOC $47.00 Building or Structure 0 i Strong Motion Fee: IBSEISMICR $30.00 Select an Administrative Item BldgStds Commission Fee- SUBTOTALS: $12.00 SUBTOTALS: $4,469.86 $5,069.001 TOTAL FEE:' j $9,538.86 Revised: 07/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 14PJ?60 /�i✓� �/` PERMIT# l DOS OWNER'S NAME: 1,1 CSk PHONE# L408 —7aC-0167 GENERAL CONTRACTOR<� n/� BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile �a- c4 -zo 13 Owner/Contractor Signature Date Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: i&-2,, 00 0 9,AOJ6ri1�5- A-Ve PERMIT# 3 D U 57 1 OWNER'S NAME: 3UP-E-5R A HA-,JA-NeJD A/A125005$ PHONE# GENERAL CONTRACTOR: At4 K- BUSINESS LICENSE# sf—c!6j ADDRESS: IV LA( 7-0 PA . M/LPl J o4S CITY/ZIPCODE: A41(.10/T-A-5 C4 q Sd 3S *Our municipai 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 Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing ElectricalI'j H-K_ G0 W T .t GTrt o,-J 3 4 91? Excavation 'X C-i io,J IF d?& j Fencing T K 3q6 3 Flooring/Carpeting A T-H K Linoleum/Wood A—r 4 rt- 3 4-Vo Glass/ Glazing A-T(-t 6e, 31q-96 3 Heating ATH K Insulation A-T'H Landscaping A-TH- Imo. 3 Lathing A T—H (L Masonry Painting/Wallpaper A Tl-,� te- Paving Plastering Plumbing A-rH tL 3 If6 3 Roofing A--t"(4 K q 6 3 Septic Tank Sheet Metal Sheet Rock Tile AT"14K 3 �� O er/Contractor Signature Date CHIA-CHING LIN 45741 CHABLIS COURT FREMONT,CA 94539 TEL:5105868380 CMA-CHNG LIN, P.E. Jan 20,2014 Building&Safety Division 10300 Torre Avenue Cupertino,CA 95014 Dear Sir or Madam: This letter mainly is to notify you that I,Chia-Ching Lin, P.E.,have inspected the installation of the epoxy hold-down bolts of shear walls to existing foundation for the single family house located at 10300 Orange Ave.,Cupertino,CA.The preparation of the drilled hold is found conforming to the requirements by the Simpson and standard construction practice. The size and depth of holes are adequately drilled and prepared and the holes are air blown clean and ready for epoxy hold-down bolt installation. The epoxy hold-downs were installed per Simpson's guidance. The epoxy hold-down bolts were adequately installed and acceptable. If you have any question regarding this, please let me know. oQRpFESS1pH9l CHINO ca • 6 +2, U sr� �.� ✓ � lF 0� OF CAME Chia-Ching Lin,P.E. 45741 Chablis Court Fremont,CA 94539 . . . . . . . . . . . . . . . . . . . . . . . . . . . . �1C7o 1' CIVIL /277 7 December 16,2013 Attn:Building Inspector City of Cupertino 10300 Torre Avenue Cupertino,CA 95014-320 Re: 10300 Orange Avenue,Form Certification Our Job No. 13066 To Whom it may concern: On December 15,2013 we verified the"As-built"forms for the building located on the above mentioned lot and found it to be within the required setbacks per City of Cupertino. The setbacks are 5' on the north side and 9' on the south side. Both fencelines encroach into the Nair Property as established by our previous survey. If you have any questions or comments please feel free to contact us at any time at 925-476- 8499. Since , 1-AND U Bob Lezcano,PLS 8514 L Na o Apex Civil Engineering&Land Surveying (P S 8514 �Q- CA��F��� APEX Civil Engineering&Land Surveying 822 Alhambra Avenue,Ste.16 Martinez,Ca. 94553 925-476-8499 CHIA-CHING LIN 45741 CHABLIS COURT FREMONT,CA 94539 TEL:5105868380 CMA-CHNG LIN, P.E. Jan 20, 2014 Building&Safety Division 1 10300 Torre Avenue Cupertino,CA 95014 / Dear Sir or Madam: This letter mainly is to notify you that I, Chia-Ching Lin, P.E., have ' spected the job site at 10300 Orange Ave.,Cupertino,CA.The 2x8 rafters were used on site for roo ming instead of the 2x10 rafters as approved originally. I have designed the roof rafters conservatively. Using the 2x8 rafters is still good with the calculations attached checking the capacity of the 2x8 rafters. If you have any question regarding this,please let me know. Q�pf ESS/ cJ , W * EV.6- 5 `rf qlf OF CAE�E��� Chia-Ching Lin,P.E. 45741 Chablis Court Fremont,CA 94539 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Title: Job# Dsgnr: Date: 7:07PM, 20 JAN 14 Description Scope: i- Rev' 580004- --_ - -- --- --- ---_---- User KW-0602951,Ver 5 8.0,1-Dec-2003IPage 1�. (c)1983-2003 ENE General Timber Beam hn ecw*Celcula[ions Description 2x8 rafters@24"O.C. General Information Section Name 2x8 Center Span 14.50 ft . ....Lu 0.00 ft Beam Width 1.500 in Left Cantilever ft .....Lu 0.00 ft Beam Depth 7.250 in Right Cantilever ft .... .Lu 0.00 ft Member Type Sawn Douglas Fir-Larch,No.2 Fb Base Allow 900.0 psi Load Dur.Factor 1.250 Fv Allow 180.0 psi Beam End Fixity Pin-Pin Fc Allow 625.0 psi Repetitive Member E 1,600.0 ksi Full Len th Uniform Loads Center DL 19.10#fft LL 44.00 #/ft Left Cantilever DL #/Ft LL Vft Right Cantilever DL #/ft LL #/ft Summary Beam Design OK Span=14.50ft,Beam Width=1.500in x Depth=7.25in,Ends are Pin-Pin Max Stress Ratio 0.975 : 1 Maximum Moment 1.7 k-ft Maximum Shear" 1.5 0.6 k Allowable 1.7 k-ft Allowable 2.4 k Max.Positive Moment 1.66 k-ft at 7.250 ft Shear: @ Left 0.46 k Max.Negative Moment 0.00 k-ft at 14.500 ft @ Right 0.46 k Max @ Left Support 0.00 k-ft Camber: @ Left 0.000 in Max @ Right Support 0.00 k-ft @ Center 0.374 in Max.M allow 1.70Reactions... @ Right 0.000 in fb 1,514.40 psi fv 58.05 psi Left DL 0.14 k Max 0.46 k Fb 1,552.50 psi Fv 225.00 psi Right DL 0.14 k Max 0.46 k F Deflections Center Span... Dead Load Total Load Left Cantilever... Dead Load Total Load Deflection -0.249 in -0.823 in Deflection 0.000 in 0.000 in ...Location 7.250 ft 7.250 ft ...Length/Defl 0.0 0.0 ...Length/Defl 698.1 211.31 Right Cantilever... Camber(using 1.5'D.L.Defl)... Deflection 0.000 in 0.000 in @ Center 0.374 in ...Length/Defl 0.0 0.0 @ Left 0.000 in @ Right 0.000 in Stress Calcs Bending Analysis Ck 30.585 Le 0.000 ft Sxx 13.141 in3 Area 10.875 in2 Cf 1.200 Rb 0.000 Cl 0.000 Max Moment Sxx Read Allowable fb @ Center 1.66 k-ft 12.82 03 1,552.50 psi @ Left Support 0.00 k-ft 0.00 in3 1,552.50 psi @ Right Support 0.00 k-ft 0.00 in3 1,552.50 psi Shear Analysis @ Left Support @ Right Support Design Shear 0.63 k 0.63 k Area Required 2.806 02 2.806 in2 Fv:Allowable 225.00 psi 225.00 psi Bearing @ Supports Max.Left Reaction 0.46 k Bearing Length Req'd 0.488 in Max.Right Reaction 0.46 k Bearing Length Req'd 0.488 in Title: Job# Dsgnr: Date: 7:07PM, 20 JAN 14 Description Scope: User KW- (c)1983-2003 OW2951,ver58.0,t-Deo-2003 - - - -- -General Timber Beath ---- - Page 1 - ENERCALC Engineering Software 6n.ecw:Calculations Description 2x8 rafters@24"O.C. General Information Section Name 2x8 Center Span 14.50 ft .....Lu 0.00 ft Beam Width 1.500 in Left Cantilever ft .....Lu 0.00 ft Beam Depth 7.250 in Right Cantilever ft .....Lu 0.00 ft Member Type Sawn Douglas Fir-Larch,No.2 Fb Base Allow 900.0 psi Load Dur.Factor 1.250 Fv Allow 180.0 psi Beam End Fixity Pin-Pin Fc Allow 625.0 psi Repetitive Member E 1,600.0 ksi Full Length Uniform Loads Center DL 19.10 9/ft LL 44.00 #/ft Left Cantilever DL #/ft LL #/ft Right Cantilever DL #/ft LL #/ft Summary Beam Design OK Span=14.50ft,Beam Width=1.500in x Depth=7.25in,Ends are Pin-Pin Max Stress Ratio 0975 : 1 Maximum Moment 1.7 k-ft Maximum Shear1.5 0.6 k Allowable 1.7 k-ft Allowable 2.4 k Max.Positive Moment 1.66 k-ft at 7.250 ft Shear: @ Left 0.46 k Max.Negative Moment 0.00 k-ft at 14.500 ft @ Right 0.46 k Max @ Left Support 0.00 k-ft Camber: @ Left 0.000 in Max @ Right Support 0.00 k-ft @ Center 0.374 in Max.M allow 1.70Reactions... @ Right 0.000 in fb 1,514.40 psi fv 58.05 psi Left DL 0.14 k Max 0.46 k Fb 1,552.50 psi Fv 225.00 psi Right DL 0.14 k Max 0.46 k Deflections Center Span... Dead Load Total Load Left Cantilever... Dead Load Total Load Deflection -0.249 in -0.823 in Deflection 0.000 in 0.000 in ...Location 7.250 ft 7.250 ft ...Length/Deft 0.0 0.0 ...Length/Defl 698.1 211.31 Right Cantilever... Camber(using 1.5*D.L.DO I... Deflection 0.000 in 0.000 in @ Center 0.374 in ...Length/Defl 0.0 0.0 @ Left 0.000 in @ Right 0.000 in j Stress Calcs Bending Analysis Ck 30.585 Le 0.000 ft Sxx 13.141 in3 Area 10.875 in2 Cf 1.200 Rb 0.000 Cl 0.000 Max Moment Sxx Read Allowable fb @ Center 1.66 k-ft 12.82 in3 1,552.50 psi @ Left Support 0.00 k-ft 0.00 in3 1,552.50 psi @ Right Support 0.00 k-ft 0.00 in3 1,552.50 psi Shear Analysis @ Left Support @ Right Support Design Shear 0.63 k 0.63 k Area Required 2.806 in2 2.806 in2 Fv:Allowable 225.00 psi 225.00 psi Bearing @ Supports Max.Left Reaction 0.46 k Bearing Length Req'd 0.488 in Max.Right Reaction OA6 k Bearing Length Req'd 0.488 in OWNER-BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333-building(a cupertino.org Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS APN BP# V TWO OWNER NAME OWNER ADDRESS V D r� St,t1�ESi 2' & J L'(ULPT ai DESCRIPTION OF WORK: r5 We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you,the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS:Please read and initial each statement below to signify you understand or verify this information.) �"- 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner- Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my �insurance coverage for injuries to workers on my property. + 14 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 1;�" 3. 1 understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. " 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"under state and federal law. 4-16. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. kih 7. 1 understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. 1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or materials. Oia,rneiBziilderFonn 2010.doc revised 09/19/10 9. 1 understand I may obtain more information regarding my obligations as an "employer"from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. 10. 1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide nby' all applicable laws and requirements that govern Owner-Builders as well as employers. `v 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint.Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's ' nature. Property Owner's Signature: ;:, Date: — N4 - 20 1 --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s)to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project(or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 01+71e7BziildeiFon7n 2010.doc revised 04/14/10 oailta �-iara county -Assessor's Uttice Page 1 of 1 County of Santa Clara Office of the County Assessor County Government Center,East Wing" 70 West Hedding Street ' rf I{ > San Jose,California 95110-1771 _ {f FAX(408)208-0446 www.s cc-a ssessor.o rg .' %, V..0 �N; Public Information - APN:357-19-029 Printed on: 10/30/2013 12:50:04 PM APN: 357-19-029 TRA: 13-009 Title ID: 92207548 Doc No: 22322097 Name: SURESH, DHANA AND NAIR, SURESH Last Trnsf. Date: 7/26/2013 Situs: 10300 ORANGE AV CUPERTINO, CA 95014-2827 PUB: N Mailing: 10300 ORANGE AV CUPERTINO, CA 95014-2827 Appraiser: ROBERT CHAPMAN (5313) Use Code: 01 Assessee Type: Owner Type: I (Individual) Sales Conf Code: ISA District: 1 LAND: 18,360 IMPR: 26,810 EXEMPT: 7,000 NET VALUE: 38,170 Values Value Type CTR HRI HR2 HR3 HR4 HR5 HR6 HR7 HR8 (2013) (2012) (2011) (2010) (2009) (2008) (2007) (2006) (2005) LAND 18,360 18,000 17,648 17,517 17,559 17,215 16,878 16,548 16,224 IMPROVEMENT 26,810 26,285 25,770 25,578 25,639 25,137 24,645 24,162 23,689 TOTAL VALUE 45,170 44,285 43,418 43,095 43,198 42,352 41,523 40,710 39,913 HO EXMPT 7,000 7,000 7,000 7,000 7,000 7,000 7,000 7,000 5,600 OTHER EXMPT 0 0 0 0 0 0 0 0 0 TOTAL EXMPT 7,000 7,000 7,000 7,000 7,000 7,000 7,000 7,000 5,600 NET VALUE 38,170 37,285 36,418 36,095 36,198 35,352 34,523 33,710 34,313 EXEMPT TYPE1 7 7 7 7 7 7 7 7 7 EXEMPT TYPEZ EXEMPT YR 2012 2012 2005 2005 2005 2005 2005 2005 2005 Characteristics Property Type: SF Building No.: 01 Usable SQFT.: 6500 Acres: 0.14 Total Rooms: 4 1st Floor: 768 Year Built: 1941 Dining: 0 2nd Floor: 0 Effective Year: 1941 Family: 0 3rd Floor: 0 Condition: A Bedrooms: 2 Basement: 0 Special Prop: N Bathrooms 1 Basement Factor: 0 Property Type: 1 Utility: 0 Addition: 200 Zoning: 111-6 Model No.: 768 Addn Factor: 0.8 Neighborhood: 204 Quality: D050B Garage: 200 Sub Neigh: 599 Area of Mod: 968 Garage Fac: 0.15 The Information contained in this report has been extracted from Assessor records which are not continuously updated. For that reason, neither the Assessor nor the County of Santa Clara accept any responsibility or liability for errors, omissions, or approximations which may exist in the information. The user expressly accepts the information contained herein with the knowledge that errors and/or omissions may exist. http://asrsvperseus/intranet/PropSearch/print_RP/print_view.asp 10/30/2013 Y LAND VALUE COMPUTATIONS A.P.N. 3 s'7- i . i7.a YEAR UNIT VALUE FRONT FT. VALUE SITE VALUE VALUE _ LAND ATTRIBUTES 101 wool"{IFlECTIVE) 102 DEPTH IEFlECTIVE, Q 103 SQUARE FT IUSABLEI c� 104 SQUARE rl IACTUAI.: 105 ACRES 'IDE REPRESINIAIIYE NO YES 107 IRREGULAR NO YFS 108 CUL OF SAC NO YES 109 NON THRUST NO YES 110 CORNER NO YES TOTAL PROPERTY SUMMARY III ALLEY NO YES ASSESSMENT YEAR 19 19 19 19 112 u1111TVuNOERGROuND IO YES APPRAISER 113 CURB AGUIIER NO YES MONTN•DAY YEAR 114 SIDEWALII NO YE5 R.CN. 115 STREETLIGHTS MO r[S R.C.L.N.O. 115 PARKWAY NO YES LAND VALUE 117 PARKING STRIP NO I YES SUMMATION 118 ZONING CONFORMITY NO YES DATE 0FSAL 1 119 ZONING,ACTUALI INDICATED SAIF PRICE 120 VIEw NO YES LISTED SALE PRICE W _ 121 TYPICAL VIEW 1 2bd 1 MARVIFTDATAIN01CAT0R 122 1RAfFR:S100 1 lly 3 123 DIST.f0 PUB SEA I 21vt 0 TOTAL PROPERTY 124 LANDSCAPING 1 :12tj TOTAL PROPERTY VALUE lis "18"ES1&BEST uSE LAND VALUE 125 LAND USE CODE �f IMPROVEMENT VALUE I21 ACTUAL USL O I PERSONAL PROP VALUE TOPOGRAPHY LOW EVEN NIG14 6.91 .,ELECT ONE I EVE[ NILLY Z SLOPE 3 BANK T 4 AT"ER � 5 NEIGHBORHOOD 130 OWNER OCCUP40, NO YES 131 IREND I 2 3 i32 C11Y SERVICES ITYK. 1 2 ) 1131 IAll RATE I 2 J 134 PI MINING l 2 ] I3S LAARKET DFMAID I Z 3 �13b�11ESWENTIAi AREA NO TES EFAMIIY N0 rES 138 139 - TOTAL PROPERTY 140 ARCHITECTURAL ATTRACT 1 2 .1 I 141UNIT CONFORMITY 1 2 3 C.wuu 142 LOT UTILIZATION 1 ry lt3 /NMROVEMFNT 1 2 ; V?0 1441 TFMPDRARYVALUF NO YES 1 145 SELECT ONE?Qac — PARTIAL COMPLETE 1 J� F to DEFER MAINT— 2 ROARO ACioON 3 n OTHER p 145 APPRA45AL DATE 141 EMPLOVEI No 1411 LAND VALUI 149• [MP VALUE OD �15 imp.BASE LO1 VALUE BASE LOT PERCENT 151 PLAT OF BUILDING � SCALE _ ' CALCULATIONS SANTA CLARA COUNTY RESIDENTIAL UNIT PMERTY RECORD RECORD DATA ADDRESS 163a4 r F,l, L h !+ ZO I IIULTIPLENEC 8124 DISTRICT No. TRACT No. LOT BLOCK 211 CO-OP CONDOMIMUM • DESCRIPTION OF BUILDING z:. TRACT N. 1-sc'u" ROOF 8 FIREPLACE 12 ROOM AND FINISH DETAIL X23 AREA M L NUMBER ROOMS FLOORS ROOM FINISH INTERIOR FINISH 24 SUB-AREA AT MULT OPENINGS B 1 2 MATERIAL GR WAILS CEILINGS REMARKS 25 EMPLOYEE No BLE BARBECUE All _ (� _ Pte. 26 Nip RAISEDHLARTH ENT HALL _ _ _ BUILDING DATA EO METAL BRICK LIVING 27 APNTUP STONE MARBLE DINING 28 COST DATE BOK EAVES FREE STANDING FAMILY 29 CONSTRUCTION DATE o SHINGLE KITCHEN 30 DESIGN j SNAKE BREAKFAST 31 EFFECTIVE YEAR J' COYPO•SHINGLE 9 1 HEATING BEDROOM -- 32 uFE TABI[ CORTPO-ROLL FORCED I CENIRAL 33 DEPRECIABLE TAR AND GRAVEL WALL GRAVITY U 34 I TILE ILOOR X PERIAI UIILITY 15 FUNCTIONAL PLAN 1 2. . 3 CONCRETE ELEC CEILING 13 KITCHEN DETAIL 36 conomon 1 1 2m 3 CONCRETE TILE RADIANT BSBO AITCHIN LAB MITAL O.P N W GR WAIL CAN 17 WORKMANSHIP 1 ! 3 ROCK THERM. DR BO.ACABIOP TILE MICA LINO SPLASH BASE CAB- fl 39 TOTAL ROOMS GUTTERS ENGR ECONO 1.4BATH DETAIL 39 WHING p FINISH FIXTURES 40 IAM RUMPUS DEN _ f100I _ 2 EXTERIOR 10 1 CODLING 6 No FLOOR WALLS W.L. LA 106 Si 0.1 G,D FINISH GRADE PULLMAN 41 No BEDROOMS STUCCO SNEAIH REF RIG CENTRA _ L "- F / 42 No BATHROOMS SIDING_ SNINGLI EVAP WALT 43 UTILITY ROOM SHAKE A380M ENGINR ECONO 44 BAB ALUM 45 CENTRAL MEAT NO YES BLVEN STONE 15 MISCELLANEOUS STRUCTURES 46 CENTRAL COOLING No ' TEs AOOBEv 11 LIGHTING ITEM FNOCON EKl ROOF FL. NOT SIZE UNIT COST REM 4) GAR ADEQUATE NO YES I FEW FAIR GARAGE k 'u 48 GARAGE CARPORT GAP i.4V1 3 STRUCT.•WALLS AVG. AVG 49 GARAGE ATTACH ED ND YES fIAME OWLILK MANY GOOD 50 BRICK ADOBE REC,IU, 220 — A 51 STEEL CONC 52 16 COST DATA SUMMARY 51 4 [FC�UNDATIO I APPRAISER AND DATE _COST FACTORS CONCRErl LIAISED — ITEM FACT AREA UNIT COST COST UNIT COST COST UNIT COST 0057 54 COST LEVEL BASE YR CONCR i FIRST FLOOR 55 QUALITY CLASS JCONCRET ILOCK 1 561 AREA FOR Moo ROQEftT PROOF �HEATING GARAGE_ _ 51 1151 FLOOR AREA (d _ f� __- y8 iND FLOOR Aft LA n 5 GARAGE FIREpLACE 54 IND FLOOR FACTOR DOORS WALLS PoRCN 60 3RDfL00RAREA AUTO S.R.WALL `LATWORI( _ _ 61 JRO F100R►ACTOR ATTACHED FIXED!DR 62 ATTICAREA DETACHED I I ELV AT71C FACTOR ri _.. ROOM OVER FINISH BSM'r AREA LOFTOVER 65 TMISMBSM T FACTOR CARPORT _ 66 UNFIN.BSM'1 AREA _ 6) UNFIN BSM 1 FACTOR 6 1 WINDOWS 68 1 ADDITION AREA D.H WOOD _ - — 69 ADDITION FACTOR CSMT. STEEL 0 GARAGE AREA (� SLIDE ALUM 71 _GARAGE FACTOR (J LVRS. TINT 72 PORCH TOTAL COST _ T F I I A DI G 73COVEREOPATIOCOST SLIDING GLASS DR — _ _ 74 UNCOVLRI D PA710 COST 75 FIREPLACE COST BUILT-INS TOTAL A C.N 76 AIR-COND1r10N COSI BARBECUE NORMAL%GOOF _ 77 EK TRA KITCHEN COSI RITCHEN FAN R CL N D. 1 78 EXTRAPLBG COSI HOOD 17 BUILDING PERMIT ACTIVITY _ 79 FLAT WORK AN EA RANGE TOP PERMIT No DATE CONTRACTOR DESCRIPTION OF WORK AMOUNT 80 FLATWORK COST OVEN 61 MISC COST DOUBLE OVENS 12 POOICOST ELECTRONIC OVEN 17 83 HILLSIDE LON5TR COST DROP In R A 0 J _ M SLIDE IN R A 0 J 85 GARBAGE DISPOSAL 86 DISHWASHER 1181 REMARKS loll REFRICIRAroR INTERCOM BREAKFAST BAR — rT+r = 7' VACUUM CLEANER WET BAR WATER SOFTENER WTI.NTN GAL. C7 _ 4 VIA a _ Planning department responses* 1. The one car garage is legal nonconforming. The records justify this obtained from Santa Clara County are submitted together with the responses. Please see the added note on A-2 for the legal nonconforming garage indicating there is 303 sq. ft. reserved for the future use. Also please see updated floor area ration and lot coverage. 2. Please see the revised A-0 showing the updated floor area ratio and lot coverage. For floor area block diagram calculations see A-2. For lot coverage also see A-2. The overhang is 18"typical. Only those eave at the entry feature, the overhang is 12". Note that all the patio covers and the shed are to be removed. Thus they are not included in the lot coverage calculation. When calculating the lot coverage the 18"eave overhang is included. 3. Please see the revised elevations for existing building and the proposed building. Now the cardinal direction is provided. Note that the shed is to be removed now. See revised A-0. 4. Please see revised A-1 and A-2. Now the note indicates that the garage is existing non-conforming. 5. The owner will record a covenant on the property for side yard restriction to maintain the minimum setback for any future additions. This note is added on A-0 as well. 6. Please see revised elevations. Now the typo is fixed. 7. Yes. Please see A-1. The originally ceiling height of the existing house is S' above finished floor. And please see A-2 the new ceiling height of the proposed building is 10'high. 9. There is no ceiling height area above 16'. 9. Since the shed is to be removed, sheet A-6 is no more need and removed from the plan set. Planning department responses 1. The one car garage is legal nonconforming. The records justify this obtained from Santa Clara County are submitted together with the responses. Please see the added note on A-2 for the legal nonconforming garage indicating there is 303 sq. ft. reserved for the future use. Also please see updated floor area ration and lot coverage. 2. Please see the revised A-0 showing the updated floor area ratio and lot coverage. For floor area block diagram calculations see A-2. For lot coverage also see A-2. The overhang is 18" typical. Only those eave at the entry feature, the overhang is 12". Note that all the patio covers and the shed are to be removed. Thus they are not included in the lot coverage calculation. When calculating the lot coverage the 18"eave overhang is included. 3. Please see the revised elevations for existing building and the proposed building. Now the cardinal direction is provided. Note that the shed is to be removed now. See revised A-0. 4. Please see revised A-1 and A-2. Now the note indicates that the garage is existing non-conforming. 5. The owner will record a covenant on the property for side yard restriction to maintain the minimum setback for any future additions. This note is added on A-0 as well. 6. Please see revised elevations. Now the typo is fixed. 7. Yes. Please see A-1. The originally ceiling height of the existing house is 8' above finished floor. And please see A-2 the new ceiling height of the proposed building is 10'high. 8. There is no ceiling height area above 16'. 9. Since the shed is to be removed, sheet A-6 is no more need and removed from the plan set. ALTERNATE MATERIALS AND METHODS / , �I( M COMMUNITY D r - �IT•BUILDING DIVISION 10300 TORRE A CA X014-3255 1�01 (408)777-3228• FAX(408)7P-3 33•building .cupertino.org CUPERTINO �l IJ REQUEST FOR MODIFICATION OF CODE(CBC 104.10) > y_ ❑ REQUEST FOR ALTERNATE MATERIAL,DESIGN OR METHOD OF CONSTRUCTION(CBC 4.11,CFC 111.2.4) To apply for this request,complete sections 1,2,�&/3 ink ortype) SITE ADDRESS I D 3UO ovb\n P f�1/C p� APN 3s -� l c� U Zq DATE ' 16 1'3 Owner... Su✓.A..N...`-\ s.L!.y P �...I10 t J ✓/�j ................................ ................................ PC#: ..................................... Type: ..................................... Address.....U3.oV.........Y...n�.P...........c.. . ...� 005/.............. q I r �4.. q. Permit#:..�.Q.l................. Stories: .................................. Email..Sk!.Y1 4 1n ►�G1 i✓Qty !M L I'.4Phone...'7U .� � r,V ` I l��If PLN#: ................................... Occupancy:........................... Applicant...4fHx i.-.��1.1-�14..�..... .1:e U44 - Dept./Div................................ Floor Area:...../.7j0........ Title.... .................................. / t-ml �– Job Status: A;;-.- eI2 Occ.Load: ..................I.......... Address..}7�.. C. �,l L ... Email.......... "��.�j.�,s.l. ... IYIa4i.�.�tau�hone..(.�;�o�. ,,Z�j.o ..1 Use of Bldg:...,/-;?,'S........... 2 REQUEST: For code modifications,please state the applicable code requirement and the extent of relief desired. For alternate requests,state the type of system proposed and design methods. Submit plans H necessary to illustrate request. Additional sheets or data may be attached. b art Ki 74E 4 N4 w a 71 3 JUSTIFICATION/FIM[Jettgq--4MLEgJIV,ALERCY:)toric6de�mb8ifi2s' plicantshalldemonstratethat Code Section(s): special,individual reasons exist that make compliance with the strict letter of,the or nance impractical and that equivalency is provided. For al�nate equest.S applicant ffihalll*nons �ty,strength,effectiveness,fire /�4101 resistance,durability,safe an gn`f{��l�i didt 1;4 uivafeml G the code fora similar use. ('�— Attach additional sheets if necessary. -NE o ltr l C Wil S 1 4J �D S rf Vel ipf I g o Petitioner's (�• Rev ie — Signature: .. .. ........ Posit io /. C-....Date:......... '9 .....1. �G ....Date:...G.: ... 3. B :........ / T The Request is: RANTED ❑ DENIED TDept.Comments: CONDITIONS 4F APPROVAL: No.of Items: ..........I.................... Fee Due:$.....C..f� •. c v Date Paid: rf- .............�................. Receipt No.: .............................. Processed by:............................ Buildin Official:..... .......Print:...!.J..M. ...... ... ......... . L ../..1.0.? ..............Date:...i. FireMarshal:..........�/ .......................................................:......Print: ...................................................................................Date:................................... DEPARTMENT ACTION: After determination,copies to:1)applicant, 2)permit file Altform_2010.doc revised 06/11/10