B-2018-1414 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-1414
7648 ECHO HILL CT CUPERTINO,CA 95014-5038(362 25 050) CRAFTSMEN'S GUILD
INC
CUPERTINO,CA 95014
OWNER'S NAME: DATE ISSUED:08/23/2018
OWNER'S PHONE: PHONE NO:(408)366-1000
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#507159
Contractor CRAFTSMEN'S GUILD INC Date 03/31/2019 X BLDG —ELECT X PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
REMODEL(2)BATHROOMS(70 SF);NEW 1 ST FLOOR POWDER
I hereby affirm under penalty of perjury one of the following two declarations: ROOM(37 SF);KITCHEN REMODEL(200 SF);NEW TANKLESS
1. I have and will maintain a certificate of consent to self-insure for Worker's WATER HEATER;RESURFACE 2 FIREPLACES;REPLACE COUNTER
Compensation,as provided for by Section 3700 of the Labor Code,for the AND SINKS IN MASTER BATHROOM;REMODEL BEDROOM#2
I have and will maintain Worker's Compensation Insurance,as provided for by OPENING TO UNDER STAIRWAY STORAGE
Section 3700 of the Labor Code,for the performance of the work for which this REVISION#1:REVISE WINDOWS AT MASTER BEDROOM;(N)
permit is issued. DOOR IN NOOK TO REPLACE WINDOW/DOOR;WIDEN OPENING
APPLICANT CERTIFICATION BETWEEN NOOK/HALL AND INSTALL BEAM. ISSUED 9.13.18
1 certify that I have read this application and state that the above REV#2-REVISE SCOPE OF WORK TO REMOVE THE
information is correct.I agree to comply with all city and county ordinances REPLACEMENT OF TANKLESS WATER HEATER-ISSUED
and state laws relating to building construction,and hereby authorize 05/07/2019
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We)agree to save indemnify and keep harmless the Sq.Ft Floor Area: Valuation:$40000.00
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 APN Number: Occupancy Type:
source regulations Municipal Code,Section 9.18. 36225 0.50
Signature Date 05/07/2019 PERMIT EXPIRES IF WORK IS NOT STARTED
OWNER-BUILDER/F(CLARATIONWITHIN 180 DAYS OF PERMIT ISSUANCE OR
OWNER-BUILDER
I hereby affirm that I am exempt from the Contractor's License Law for one of the 180 DAYS FROM LAST CALLED INSPECTION.
following two reasons:
1. I,as owner of the property,or my employees with wages as their sole Issued by:Kim Dunbar
compensation,will do the work,and the structure is not intended or offered for Date:08/23/2018
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed
RE-ROOFS:
contractors to construct the project(Sec.7044,Business&Professions Code). All roofs shall be inspected prior to any roofing material being installed.If a roof is
I hereby affirm under penalty of perjury one of the following three declarations: installed without first obtaining an inspection,I agree to remove all new materials for
1. I have and will maintain a Certificate of Consent to self-insure for Worker's inspection.
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Signature of Applicant:
2. I have and will maintain Worker's Compensation Insurance,as provided for by Date:05/07/2019
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
3. 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 HAZARDOUS MATERIALS DISCLOSURE
Worker's Compensation laws of California. If,after making this certificate of I have read the hazardous materials requirements under Chapter 6.95 of the
exemption,I become subject to the Worker's Compensation provisions of the California Health&Safety Code,Sections 25505,25533,and 25534. I will
Labor Code,I must forthwith comply with such provisions or this permit shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
be deemed revoked. Health&Safety Code,Section 25532(a)should I store or handle hazardous
material. Additionally,should I use equipment or devices which emit hazardous
APPLICANT CERTIFICATION air contaminants as defined by the Bay Area Air Quality Management District I
I certify that I have read this application and state that the above information is will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
correct.I agree to comply with all city and county ordinances and state laws the Health&Safety Code,Sections 5505,25533,and 25534.
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, Owner or authorized agent:
judgments,costs,and expenses which may accrue against said City in Date:05/07/2019
consequence of the granting of this permit. Additionally,the applicant understands CONSTRUCTION L NDING AGENCY
and will comply with all non-point source regulations per the Cupertino Municipal I hereby affirm that there is a construction lending agency for the performance
Code,Section 9.18. of work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
Signature Date 05/07/2019 Lender's Address
ARCHITECT'S DECLARATION
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-1414
7648 ECHO HILL CT CUPERTINO,CA 95014-5038(362 25 050) CRAFTSMEN'S GUILD
INC
CUPERTINO,CA 95014
OWNER'S NAME: GUPTAAVANEENDRA TRUSTEE&ET AL DATE ISSUED:08/23/2018
OWNER'S PHONE: PHONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#507159
Contractor CRAFTSMEN'S GUILD INC Date 03/31/2019 X BLDG —ELECT X PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL_COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
REMODEL(2)BATHROOMS(70 SF);NEW 1ST FLOOR POWDER
I hereby affirm under penalty of perjury one of the following two declarations: ROOM(37 SF);KITCHEN REMODEL(200 SF);NEW TANKLESS
t. I have and will maintain a certificate of consent to self-insure for Worker's WATER HEATER;RESURFACE 2 FIREPLACES;REPLACE COUNTER
Compensation,as provided for by Section 3700 of the Labor Code,for the AND SINKS IN MASTER BATHROOM;REMODEL BEDROOM#2
performance of the work for which this permit is issued. (133 SF);NEW SUN TUNNEL AT 2ND FLOOR HALLWAY;(2)NEW
I have and will maintain Worker's Compensation-Insurance,as provided for by OPENING TO UNDER STAIRWAY STORAGE
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$40000.00
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 362 25 050
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 PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature- Date 8-23-2018 Issued by:Kim Dunbar
Date:08/23/2018
OWNER-BUILDER DECLARATION
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 stricture 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 Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:8-23-2018
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
r. 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. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 255 $ , d 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION Date:8-23-2018
1 certify that I have read this application and state that the above information is CONSTRUCTION
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. 1 understand my plans shall be used as public records.
Licensed
Signature Date 8-23-2018 Professional
' CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-1414
7648 ECHO HILL CT CUPERTINO,CA 95014-5038(362.25 050) CRAFTSMEN'S GUILD
INC
CUPERTINO,CA 95014
OWNER'SNAME: GUPTA AVANEENDRA TRUSTEE&ET AL DATE ISSUED:08/23/2018
OWNER'S PHONE: PHONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#507159
Contractor CRAFTSMEN'S GUILD INC Date 03/31/2019 X BLDG —ELECT X PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL_COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
REMODEL(2)BATHROOMS(70 SF);NEW 1ST FLOOR POWDER
I hereby affirm under penalty of perjury one of the following two declarations: ROOM(37 SF);KITCHEN REMODEL(200 SF);NEW TANKLESS
1. I have and will maintain a certificate of consent to self-insure for Worker's WATER HEATER;RESURFACE 2 FIREPLACES;REPLACE COUNTER
KVCompensation,as provided for by Section 3700 of the Labor Code,for the AND SINKS IN MASTER BATHROOM;REMODEL BEDROOM#2
performance of the work for which this permit is issued. (133 SF);NEW SUN TUNNEL AT 2ND FLOOR HALLWAY;(2)NEW
I have and will maintain Worker's Compensation Insurance,as provided for by OPENING TO UNDER STAIRWAY STORAGE
Section 3700 of the Labor Code,for the performance of the work for which this REVISION#1:REVISE WINDOWS AT MASTER BEDROOM;(N)
permit is issued. DOOR IN NOOK TO REPLACE WINDOW/DOOR;WIDEN OPENING
APPLICANT CERTIFICATION BETWEEN NOOK/HALL AND INSTALL BEAM. ISSUED 9.13.18
1 certify that I have read this application and state that the above Sq.Ft Floor Area: Valuation:$40000.00
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 APN Number: Occupancy Type:
inspection purposes. (We)agree to save indemnify and keep harmless the 362 25 050
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 understand ' omply with all non-point
source regulations per the C {a mo Municipal C de,Section 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Signature Date 9.13.18 180 DAYS FROM LAST CALLED INSPECTION.
OWNER-BUILDER DECLARATION Issued by:SEAN HATCH
I hereby affirm that I am exempt from the Contractor's License Law for one of the Date:08/23/2018
following two reasons:
t. 1,as owner of the property,or my employees with wages as their sole RE-ROOFS:
compensation,will do the work,and the structure is not intended or offered for All roofs shall be inspected prior to any roofing material being installed.If a roof is
sale(Sec.7044,Business&Professions Code) installed without first obtaining an inspection,I agree to remove all new materials for
z. I,as owner of the property,am exclusively contracting with licensed inspection.
contractors to construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations: Signature of Applicant:
1. I have and will maintain a Certificate of Consent to self-insure for Worker's Date:9.13.18
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
z. 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 HAZARDOUS MATERIALS DISCLOSURE
permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
3. I certify that in the performance of the work for which this permit is issued,I California Health&Safety Code,Sections 25505,25533,and 25534. I will
shall not employ any person in any manner so as to become subject to the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Worker's Compensation laws of California. If,after making this certificate of Health&Safety Code,Section 25532(a)should I store or handle hazardous
exemption,I become subject to the Worker's Compensation provisions of the material. Additionally,should I use equipment or devices which emit hazardous
Labor Code,I must forthwith comply with such provisions or this permit shall air contaminants as defined by the Bay Area Air Quality Management District I
be deemed revoked. will maintain compliance with the Cupertino Munici al Code,Chapter 9.12 and
the Health&Safety Code,Sections 25533,and 25 4.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is Owner or authorized agent:
correct.I agree to comply with all city and county ordinances and state laws Date:9.13'18
relating to building construction,and hereby authorize representatives of this city CONSTRUCTION LENDING AGENCY
to enter upon the above mentioned property for inspection purposes. (We)agree I hereby affirm that there a construction lending agency for the performance
to save indemnify and keep harmless the City of Cupertino against liabilities, of work's for which this permit is issued(Sec.3097,Civ C.)
judgments,costs,and expenses which may accrue against said City in Lender's Name
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal Lender's Address
Code,Section 9.18.
ARCHITECT'S DECLARATION
Signature Date 9.13.18 1 understand my plans shall be used as public records.
Licensed