14100205 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: H02 STEEPLECHASE LN CONTRACTOR:JBS CONSTRUCTION PERMIT NO: 14100205
OWNER'S NAME: RAJU KARTHIK AND KARTHIK INDUMATHI 21831 ALCAZAR AVE DATE ISSUED: 12/12/2014
OWNER'S PHONE: 4086656412 CUPERTINO,CA 95014 PHONE NO:(408)390-5577
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL ❑
DEMO OF SFDWL LIVING 1126 SQ FT, GARAGE 437 SQ FT
License Class 4,8,c,2q Lic.#
Contractor A, LI)L V Date /.Z&h/_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:$7000
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
APN Number:35931038.00 Occupancy Type;
permit is issued.
APPLICANT CERTIFICATION
1 certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct, I agree to comply with all city and county ordinances and state laws relating WITHIN I 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 DAY F"T 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 / Z
granting of this permit. Additionally,the applicant understands and will comply Issued by: 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,I agree to remove all new materials for
inspection.
❑ OWNER-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(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. 1 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 1 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 t
Owner or authorized agent: % Date: /,Z — t t
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,l CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,l 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 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.
Date
DEMOLITION PERMIT APPLICATION
is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION V�
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
CUP RTINQ (408)777-3228• FAX(408)777-3333•buildinclacupertino.org
` le
PROJECT ADDRESS I I//1 S APN# �
OWNERNA1,1E 1 / r r I, ! PHONE,
STREET ADDRESS 6'1 CITY, STATE,ZIP FAX
CONTACT NAME I t i ^,�, �a" PHONE —.�} E
STREET ADDRESS 7� ! � I [ �f��!^4"k'' CITY,STATE,ZIP �fAX
2,4
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ARCtBTECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC#
13,A 6ew S' ),dw COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PI TINE
s
DESCRIPTION OF WORK Pe
i r s I Cr�j r p
RESIDENTIAL #DWELLING 1 OFFICE USE ONLY
FLOOR AREA I UNITS 1 USE OCC. TYPE so.FT. VALUATION
COMMERCIAL
FLOOR AREA
TYPE OF CONSTRUCTION ` , #STORIES //�
AQMD JOB NUMBER J •/, RECEIVED BY: T V ATION:
4 4-By my signature below,I certify to each ofthe following: I am the property owner or authorized agent toact a property o er's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify" Is accurate.Jagr6e to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to ent ve-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL ORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY
Provide Job Number from Bay Area Air Quality Management District NvNvw.baagmd.orj @ 415-7494762. PLAN CHECK TYPE
_Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" El 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. ❑ LARGE
_Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by person(s) MAJOR
certified in asbestos,mercury and/or hazardous material examination.
Planning Dept clearance to verify building is not 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.
DemoApp_2013.doc revised 02/13/13
CITY OF CUPERTINO D
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 1102 steeplechase In DATE: 10/31/2014 REVIEWED BY: Mendez
APN: BP#: D�aJ� 'VALUATION: 1$7,000
PERMIT TYPE: Demolition Permit
PRIMARY SFD or Duplex PENTAMATION 1 SFDWL-DEM
USE: PERMIT TYPE:
WORK demo of sfdwl living 1126 sq ft garage 437 sq ft
SCOPE
FEE ID FLR AREA
s.f.
1DEMORES 1,563
F7 Ll -L-
NOTE: This estimate does not include fees clue to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School
District,etc). These ees 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. ?i11/3) FEE QTY/FEE MISC ITEMS
Permit Fee: $574.00
Suppl. Insp. Fee:Q Reg. Q OT T0.0 hrs $0.00
i
Strong Motion Fee: 1BSEISMICR $0.91 Select an Administrative Item
Bld�4 Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $575.91 $0.00 TOTAL FEE: $575.91
Revised: 10/01/2014
Pacific Gas and
Electric Company 10900 No.Blaney Avenue
Cupertino,CA 95014
DATE: Lf
CITY OF CUPERTINO
10300 TORRE AVE
CUPERTINO CA 95014
SUBJECT: REMOVAL Of GAS SERVICES (CUTP MAIN IN THE STREET) ON:
SUBJECT: ELECTRIC SERVICES WAS CUT AT POLE ON :
�Ae-Q, lec�gz L14. 26 1`f
If you have any further questions, please contact me at (408) 725-3325
Sincerely,
vw R
Pacific Gas & Electric Company
DeAnza Service Planning
408/725-3325
CREVISIONS BY
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SCALEAS SHOWN
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