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11100014CITY OF CUPERTINO BUILDING BUILDING ADDRESS: 18890 BARNI'IART AVE CONTRACT OR: NIRAJ RAIA I & RI I PERMIT NO: I 1100014 AGRAWAL OWNER'S NAME: I CUPERT'INO, CA 95014.3602 I PHONE NO: ❑ LICENSED CONTRACT'OR'S DECLARATION License Class Lic. Contractor 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. 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 perfomsance of the work for which this permit is issued. 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 permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application mid state that the above information is correct. I agree to comply with all city and county ordinances mid state laws relating m 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, 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 source regulations per the Cupertino Municipal Code, Section 9.18, BUILDING PERMIT INFO: BLDG r ELECT r PLUMB MF,CH r RESIDENTIAL r COMMERCIAL f JOBDESCRIPTION:'I-OCLEAR CODE ENFORCEMLsITCASP.: SrDBATII REMODEL, NONS9'RUCTURAL, REI'LACE2 WINDOWS, LIKI; I'OR I.IKE 4} i nf� c --l.. /l �l I L•. {'l 5+'l 'l- (k„( �j W C1, 1 I t� ( i A. 1 f �l l aft �^ Sq. Ft Floor Area: I Valuation: $6000 APN Number: 37533011.00 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Date I Issued by: OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt front the Contractor's License Law for one of the following two reasons: 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) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). hereby affirm under penalty of perjury one of the following three 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. 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 permit is issued. I certify that in the performance of die 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 ot'California. If, after making this certificate of exemption, I 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. APPLICANT CERTIFICA'T'ION 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 stale 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 enmity and keep harmless the City of Cupertino against liabilities, judgments, and expenses which may accrue against said City in consequence of the ting of this pcnnil. Additionally, the applicant understands and will comply with all non -point source regulations p v the Cupertino Municipal Code, Section 9.18. Signature . , Dated Date; RF. -ROOFS: 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. Signature of Applicant:_ Date ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 695 of the CaIifornin Health & Safety, Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Il ealth & Safety Code, Section 25532(1) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Day Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Ilealth & Safety Code, Seciions 25505, 255133, and 25534, Dale: CONSTRIJCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Of work's for which this pemhit is issued (Sec. 3097, Civ C.) Lender's Name Lender's LIRCIIITF T'S DECLARATION I understand my plans shall be used as public records. Licensed I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18890 BARNHART AVE ER'S NAME: ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic. # Contractor Date 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. 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 permit is issued. APPLICANT CERTIFICATION 1 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, 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 source regulations per the Cupertino Municipal Code, Section 9.18. Date OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 permit is issued. 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 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. 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 and state laws relating 'ilding construction, and hereby authorize representatives of this city to enter the above mentioned property for inspection purposes. (We) agree to save ­aemnify 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date CONTRACTOR: NI RAJ RAI & LORI PERMIT NO: 11100014 AGRAWAL 18890 BARNHART AVE DATE ISSUED: 10/04/2011 CUPERTINO, CA 95014-3602 PHONE NO: BUILDING PERMIT INFO: BLDG r ELECT r— PLUMB MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: TO CLEAR CODE ENFORCEMENT CASE: SFD BATH REMODEL, NONSTRUCTURAL, REPLACE 2 WINDOWS, LIKE FOR LIKE Sq. Ft Floor Area: I Valuation: $1000 APN Number: 37533011.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by __ _ Dater` Y li RE -ROOFS: 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. Signature of Appli Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or , Date: L o � 11-o- 11 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO I I FFF ESTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10250 s. tantau ave DATE: 10/03/2011 REVIEWED BY: bobs. PC FEE ID APN: BP#: -VALUATION: 1$500,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? Yes •% No PENTAMATION 1 R3SFDW PERMIT TYPE: WORK construct 1 Story to sfd SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 3,453 $2,889.90 IR3PLNCK $2,963.20 1R31NSP $0.00 PME Plan Check: $0.00 Permit Fee: $2,963.20 Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 3,453 $2,889.90 Constr. Tax: IBCONSTAXR $2,963.20 new un;ts .iW' NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District' School DiviriM_ otrA Th~ fooc aro hacod not tho nrefininaru ininrmatian avnilahto and aro Only an o0imnto_ rantart fho Dont far addn'I inin_ FEE ITEMS (Fee Resolution 11-053 Efl 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,889,90 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. Q OT Fo.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,963.20 Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constr. Tax: IBCONSTAXR 1 new un;ts $582.00 Q 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: PLLONGRNGR $448.89 Select a Non -Residential Building or Structure 0 0 A 7rcttF r� ll x rrrrc'+lcr(rttr T=�,: Strong Motion Fee: IBSEISMICR $50.00 Select an Administrative Item Bldg; Stds Commission Fee: IBCBSC $20.00 SUBTOTALS: $6,953.99 $0.00 TOTAL FEE: 1 $6,953.99 Revised: 10101/2011 CITY OF CUPERTINO F -W FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10250 s. tantau ave. DATE: 06/27/2011 REVIEWED BY: bobs. P EE ID APN: BP#: "VALUATION: 1$500,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? 0 Ves j5—N—o-7 PENTAMATION 1R3SFDW I PERMIT TYPE: WORK construct 1 story sfd. SCOPE OCCUPANCY TYPE: TYPE . CONSTR. FLR AREA s.f. PC FEES P EE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 3,328 -$2,787.16 IR3 LNCK $2,834.44 IR3INSP $0.00 PME Plan Check: $0.00 Permit Fee: $2,834.44 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 3,328 j $2,787.16 j 1 $2,834.44 # new units NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the DeDt for addn'1 info. FEE ITEMS (Fee Resolution 09-051 E . 7/1110) FEE QTY/FEE MISC ITEMS Po $2,787.16 Li l.Iri�r'<)' ,�.., i F5f1. Li Suppl. PC Fee: G Reg. 0 OT 0.0 NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the DeDt for addn'1 info. FEE ITEMS (Fee Resolution 09-051 E . 7/1110) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,787.16 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: G Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,834.44 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constr. Tax: IBCONSTAXR 1 # new units $569.36 Acoustical Fee: 0 Yes (F) No $0.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: PLLONGRNGR $432.64 Select a Non -Residential Building or Structure Q 0 li �n eT 1�cr::rir,cnstjtic�,r .T Strong Motion Fee: IBSEISMICR $50.00 Select an Administrative Item Bldy, Stds Commission Fee: IBCBSC $20.00 SUBTOTALS: $6,693.60 $0.00 TOTAL FEE: 1 $6,693.60 Revised: 04/29/2011 RF927 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are hated an the nrelfninary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1,/11) ADDRESS: 18890 barnhart ave. DATE: 10/04/2011 REVIEWED BY: bobs. APN: BP#: *VALUATION: 1$1,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Suppl. PC Fee: Q Reg. Q OT PENTAMATION 1 R3SFDREM PERMIT TYPE: WORK Code Enforcement Case:sfd bath remodel rion structural [ig-Clear SCOPE NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are hated an the nrelfninary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1,/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 35 s.f. $588.00 Remodel, Bath (<=300 so IREMRESBAT Suppl. PC Fee: Q Reg. Q OT F67o hrs $0.00 PME Plan Check: $0.00 F2 # Window / Sliding Glass Door $392.00 1WINREP Replacement Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ;.rN�,Sa?tt('iJ(r77 1'ca.L Work Without Permit? 0 Yes 0 No $980.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 f;--ov, !! l Strong. Motion Fee: IBSEISMICR $0.50 Select an Administrative Item ------ Btdg Stds Commission Fee: 1BCBSC 1 $1.00 SUBTOTALS: 1 $981.501 $980.00 TOTAL FE $1,961.50 Revised: FW - CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District; School District, etc.). These fees are based on the vrelinsnary information available and are on/v an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/11) ADDRESS: 18890 bamhart ave. DATE: 11/18/2011 REVIEWED BY: bobs. Mech. Permit Fee: IMPERMIT APN: BP#: "VALUATION: 1$5,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: i-:.�,G l,,.r,, Idt: PENTAMATION FURN/AC PERMIT TYPE: WORK revise scope of work to include insulation and drywall installation add new furnace. SCOPE NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District; School District, etc.). These fees are based on the vrelinsnary information available and are on/v an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/11) Mech. Plan Check 0.0 hrs $0.00 QTY/FEE Mech. Permit Fee: IMPERMIT !°e Plan Check Fee: Other Mech. Insp. 0.0 hrs $44.00 r> E. - t°�:,�,;,; ,t:,r; ���,<� F.l.;r:. i,r�t,.Li ;'.... in _ i-:.�,G l,,.r,, Idt: f;�'e�. Imp, Fn,. NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District; School District, etc.). These fees are based on the vrelinsnary information available and are on/v an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F 1-1 # Mechanical $130.00 /MFR=<100 Furnace, Forced -Air Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes 0 No $0.00 Suppl. Insp. Fee -.0 Reg. Q OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $44.00 7�", Administrative Fee: IADMIN $41.00 Q 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 =hours Inspections $260.00 ISTINSP Inspection, Hourly E) 0 i Travel Documentation Fee: ITRA VDOC $44.00 Strona Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item L - Bldg; Stds Commission Fee: 1BCBSC $1.001 SUBTOTALS:1 $130.50 $390.00—_:: TOTAL FEE: $520.50 Revised: 10/01/2011