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14050089 CITY OF CU P]EIEZTINO BUILDING PERMIT BUILDING ADDRESS: 7513 HEATHERWOOD DR CONTRACTOR: 0,,17En1 PERMIT NO: 14050089 OWNER'S NAME: GARUD VIVEK P AND DESAI NEHA K DATE ISSUED:06/16/2014 OWNER'S PHONE: 40891671 13 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL qREMODEL MASTER BIlDRM,MASTER BTHRM&HALL(347 License Class_ Li/c.# I V 57 SQ Contractor_ _f� t L(t Date 611,16114 FT) I hereby affirm that I a t 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:$10000 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:35926052.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 have read this application and state that the above information is PERMIT EXPIRES ES 1]F WORK 1S NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 18®�� ®�PERMIT�� ®� 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 FROM]LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, / f costs,and expenses which may accrue against said City in consequence of the �� l granting of this permit. Additionally,the applicant understands and will comply Issued by: /1 I--� „/ lam/ G Date:{�_ 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,1 agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I ant 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) I,as owner of the property,am exclusively contracting with licensed contractors to I 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 255 X533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this 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 1 certify that 1 have read this application and state that the above information is correct.1 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 1 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 ot� COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION 6 O 10300 TORRE AVENUE o CUPERTINO,CA 95014-3255 �� CUPERTIINO (408)777-3228 o FAX(408)777-3333 building -cu2ertino.org ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED! ORIGINAL PERMIT# PROJECT ADDRESS APN# 7513 Heatherwood Drive 359-26-052 OWNER NAME PHONE E-MAIL Neha Desai 408 916 7113 1 nehavivek@gmail.com STREET ADDRESS 7513 Heatherwood Drive CITY,STAT$ZIP Cupertino, CA 95014 FAX CONTACT NAME Steven Chu PHONE 408 505 9985 E-MAIL stevencchu@hotmail.com STREET ADDRESS CITY,STATE,ZIP FAX 10615 John Way Cupertino, CA 95014 ❑OWNER ❑ OWNER-BUR.DER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT Q ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I LICENSE NUMBER q/ YS 7L[CENSE TYPE BUS.LIC# COMPANY NAME y/d uCiLLfT/t E MAnL7 / FAX l'Ifli✓ OTdt/AiL. CO/a'1 STREET ADDRESS C`' / IOr CITY,STATE,ZIP T 7 O �,/ ZO PHONE /� -7 ARCHITECT/ENGINEERNAME Steven Chu LICENSE NUMBER C52160 7 BUS.LIC# •S_ /— COMPANY NAME Steven Chu &Associates E-MAIL stevencchu@hotmail.com FAX STREET ADDRESS 10615 John Way CrrY,STATE,ZIP Cupertino, CA 95014 PHONE 408 505 9985 DESCRIPTION OF WORK Remodel existing master bedroom, master bathroom and hallway. EXISTING USE PROPOSED USER- R TYPE #STORES SFD SFD V 1 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA 2400 AREA 2400 AREA 0 NET AREA 2400 $10,000.00 BATHROOM KITCHEN OTHER REMODEL AREA 100 REMODEL AREA REMODEL AREA 247 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNrr ❑YES SECOND STORY []YES 1 BEING ADDED? IRNO ADDITION? IRNO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNING APPL# IRNO PLANNING APPROVAL LETTER EICHLER HOME? $10,000.00 By my signature below,I certify to each of the following: I am the property owner or authorized agent to act o eplrtl owner's behalf. I h3vtivad this application and the information I have provided is correct I have read the Description of Work and verify it is urate. I agree to comply with all applicable local ordinances and state laws relating to b ' ing construction. I authorize representatives of Cupertino to enter the above-ide 'fied property for inspection purposes. Signature of Applicant/Agent: 4 Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for VER-THE-COUNTER ❑ BUH.DING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project ❑ LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to 11 MAJOR 11 SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH CITY OF cCUP E][gTINO FEE IESTRMATOR— B UR LDRNG DIVISION ADDRESS: 7513 HEATHERWOOD DR DATE: 05/14/2014 REVIEWED BY: MELISSA APN: 359 26 052 1 BP#: U *VALUATION: $10,000 *PERMIT TYPE: Building Permit PIAN CHECK ME: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1R3SFDREM USE: PERMIT TYPE: A WORD REMODEL E MASTER BDRIVI MASTER BTHRM & CONNECTED HALL 347S.F.TOTAL SCOPE 4e(J). Non Cic'cl; Plunih, Pfan Chcc-G Elec. P(tln C`h�'k_L 14vch Yc mil Fc'r' 1'h;rnh. Perrnil Fc e: c't Pcrnnit Fee 0,lu'v 1 A,a'. In: El I— odlur Numh Inv" Ll I (hhel•Eley.Insp. idcx'dr. II.,N. ET-1- F, Ph,rnh. h%.cli.Tc Elec.Insp. Fee: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). TheseLees are based on the preliminar information available and are onl an estimate. Contact the De t or addn'l info. ]FEE )ITEMS (Fee Resolulion 11-033 Eff 711113) )FEE QTY/)FEE MISC ITEMS Plan Check Fee: $0.00 = s.f. Remodel,Other Suppl. PC Fee: Q Reg. 0 OT Q.Q hrs $0.00 $488.00 IREMRESOTH PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.(D Reg. d OT Q,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Ulli'l/L7(Ui (cl.�: Ill`.,7iI7a�'ll'l.if! ,'jc'( Work Without Permit? 0 Yes E) No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential (D 71c1;z1 I)w.11mCt7lelfithl 1"cres. Building or Structure 0 Strong,Motion Fee: 1BSEISMICR $1.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $2.00 $488.00F TOTAL FEE- $490.00 Revised: 04/01/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR SUBCONTRACTOR UST JOB ADDRESS: -7g-43 PERMIT# bS-ee OWNER'S NAME: PHONE# 3—�� GENERAL CONTRACTOR: A441 Z- BUSINESS LICENSE# ADDRESS: o4,e"Sr `4 /w CITY/ZIPCODE: T 4A 9u *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 HE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPIERTIHaiO BUSINESS LICENSE. II am not using any subcontractors: Signature )[Date ]?lease check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAI09[IE 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 Owner/Contractor Signature )[Date