Loading...
090500540 Z zC V W? UC LT. E 0� Ha U CITY OF CUPERTINO BUILDING DIVISION PERNIIT ��k TR�iCTQR`� nM TIC :,; BUILDING ADDRESS: PERMIT NO. 7996 SUNDERLAND DR TBD - TO BE DETERMINED ngnr)nnc; 4 OWNER'S NAME: PERMIT ISSUE DATE S A CONTROL N0. ARCHI EC IFNGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. ADD 4 2 8 ' - BEDRM , STUDY , EXTNSN OF(E) License Class Lk:. Is Date Contractor MASTERBEDRM, LAUNDRY RM, POWDER RM . REMDOEL ARCHITECTS DECLARATION Ianderstandmyplans shall beused aspublic records 516 '-BATHRM, KITCHEN, LAUNDRY RM, PORCH, REPLACE Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct. alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement Sq. Ft. Floor Area Valuation that he is licensed pursuant to the provisions of the Contractors Llwnw Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the buts for the alleged exemption. Any violation of $20QQOO APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mote than five hundred dollars (5500). 36211033.00 ❑ L as owner of the property, or my employees with wages as their sole compensation, Required Inspections es will do the work and the structure is not intended or offered for We (Sec.7044, Business and Professions Codex The ContractorLicense Law does not apply to an owner of q P property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not Intended ar offered for sale IL however, the building or improvement Is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). L� I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044. Busing and Professions Cale:) The Contractors Li - cease Law does not apply to an owner of property who builds or improves thereon, and. who contracts for such projects with a contractor(s) licensed pursuant to the Contractors L.kense Law. ❑ 1 ore ea ptt der See , under penalty of perjury one of the following declarations: ❑ I have and will maintain a Certificate of Consent to self -insure for Workers Compen- sation, 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 Workers Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued ' My Workers Compensation Insurance carrier and Policy number are: Carrier. Policy No.: CERTIFICATE OF E5 EMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed if the permit Is forone hundred dollars (S 100) or less) I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manncSsotyttj�g subicct to the Worked Compensation Laws of Califomi(it gatC �Y Isf�/ should become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097, Civ. C) ' Lenders Name , Lenders Address i 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 j liabilities judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY W17H ALL NON -POINT Issued by: Date SOUR TIONS. 6I61 .� b7I6 Re - of Roof Signal o Applicam/Contractor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building Occupant store or handle haardous material as defined by the Cupertino Municipal Code, Chapter 9.12. and the Hcilth and Safety Code, Section 25532(a)? No All roofs shall be inspected prior to any roofing material being installed. ❑Yes If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑ Yes 2rN. 1 have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health & Safety Code, Sections 25505.25533 and 25534.1 undmmnd that if the building does not currently have a tenant, that It is my responsibility o notify the occupant Of the re9 ts which muss be met uartcc of a Certificate of Occup Signature of Applicant Date lSQI�All roof coverings to be Class 'A" or better ' Ow tat rind agent Date, CITY OF CUPERTINO BUILDING BUILDING AWRESS: 7996 SUNDERLAND DR CONTRACTOR: TBD - TO BE DETERMINED I PERMIT NO: 09050054 OWNER'S NAME: I , I PHONE NO: I ❑ 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 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 I certify that 1 have read this application and state that the above information is correct. I agree to comply with al I 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. Signature BUILDING PERMIT INFO: BLDG r ELECT F PLUMB r MECH F RESIDENTIAL F COMMERCIAL I — JOB DESCRIPTION: ADD 428'-BEDRM,STUDY,EXTNSN OF(E) MASTERBEDRM,LAUNDRY RM,POWDER RM.REMDOEL 516'-BATHRM,KITCHEN,LAUNDRY RM, PORCH,REPLACE 3/29/2011-REV# 1- REVISE NEW#4 BEDROOM ADD 9" TOWARD REAR YARD, MODIFY #4 BEDROOM TO ADD BATHROOM-3/29/11 REV#1 ISSD Sq. Ft Floor Area: I Valuation: $200000 APN Number: 36211033.00 1 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 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 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 shal I 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 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: 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 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. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.I2 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 authorized agent - Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of %ork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Professional .b _ , CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7996 SUNDERLAND DR CONTRACTOR: RAHUL & RIYADA PERMIT NO: 4G29' Tr ,: IINKRE OWNER'S NAME: ^996'FUNDERLAND DR DATE ISSUED: 03/29/201 l OWNER'S CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. # r r MECH RESIDENTIAL COMMERCIAL Contractor Date 1 hereiby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REVISE NEW#4 BEDROOM ADD 9" TOWARD REAR YARD, (commencing with Section 7000) of Division 3 or the Business & Professions MODIFY #4 BEDROOM TO ADD BATHROOM Code and that my license is in full force and effect. LL M p1AA'% p«m Ii- ND: 0 90,7005V 1 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: $4000 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 permit is issued. APN Number: 36211033.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs, and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. 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. Issued by: Date �Zy�� Signature Date Ca OWNER -BUILDER DECLARATION RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. if a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection, I agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1 hereby affirm under penalty of perjury one of the following three ` declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self -insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation, as provided for by Section 3700 of the Labor Code, for the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & I have and will maintain Worker's Compensation Insurance, as provided for by Safety Code, Section 25532(a) should 1 store or handle hazardous material. Section 3700 of the Labor Code, for the performance of the work for which this Additionally, should I use equipment or devices which emit hazardous air permit is issued. 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 I certify that in the performance of the work for which this permit is issued, I shall Health & Safety Code, Sections 25505, 25533, and 25534. not employ any person in any manner so as to become subject to the Worker's Compensation laws of Califomia. If, after making this certificate of exemption, 1 LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of Aork's I certify that I have read this application and state that the above information is for which this permit is issued (Sec. 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section I understand my plans shall be used as public records. 9.18. Date 3 Z I j Licensed Professional Signature CITY OF CUPERTINO v OFM_7 FEE ESTIMATOR.- BUILDING DIVISION ADDRESS: 7996 sunderland dr. DATE: 03/29/2011 REVIEWED BY: bobs. APN: BP#: Mt (j j VqA . , yeLNk Sl "VALUATION: 1$4,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: PENTAMATION 1GENRES PERMIT TYPE: WORK revise new #4 bedroom add 9" toward rear yard, modify #4 bedroom to add bathroom. SCOPE (llitf'r: 1, ,,Lj !"Ic .. law i. lo' NOTE. These fees are based on the vrelindnary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 09-051 Eff' 711110) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 0 hours $126.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:0 Reg. 0 OT FO.OThrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 �, r,{3.1'lYllr.'t�fJi1 Acoustical Fee: 0 Yes 0 No $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 Planning Fee $0.00 Select a Non -Residential Building or Structure 0 7i tr',�;! 1..>n,:nlrtt:reatptif�lr I'<<y.� Strong Motion Fee: IBSEISMCR $0.50 2.0 hrs $252.00 Inspections IINSPAfIS Standard Inspections Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.50 $378.00 TOTAL FEE: 1 $379.50 Revised: 01 /15/2011