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10110108CITY OF CUPERTINO BUILDING PERMIT REVOM BUILDING ADDRESS: 10385 PALO VISTA RD CONTRACTOR: ARORA SUMEET K PERMIT NO: 10110108 VOHRA MEENAKSH OWNER'S NAME: CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 11 License Class Lic. # CONVERT EXISTING STORAGE TO LIVING SPACE (650')-ILLEGAL 2ND UNIT TO BE LEGALIZED AND ADD Contractor Date NEW DETACHED GARAGE (558') TO EXISTING 2ND UNIT. 1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Revision #1- Revision the location of the water heater from attic Code and that my license is in full force and effect. to exterior enclosure I hereby affirm under penalty of perjury one of the following two declarations: 1 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 Sq. Ft Floor Area: Valuation: $51000 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 APN Number: 35703077.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I 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 180 DAYS 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 DAYS FROM LAST 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 Issued by: Date: �� TG.f� "7 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. 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 1 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). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will 1 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 wil I 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 uper . o Municipal Code, Chapter 9.12 and 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 the Health & Safety Code, : 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, 1 must 1 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-po' source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Date DSO i CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10385 PALO VISTA RD CONTRACTOR: ARORA SUMEEf K AND PERMIT NO: 10110108 VOHRA MEENAKSH OWNER'S NAME: CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL EI License Class Lic. # CONVERT EXISTING STORAGE TO LIVING SPACE (650')-ILLEGAL 2ND UNIT TO BE LEGALIZED AND ADD Contractor Date NEW DETACHED GARAGE (558') TO EXISTING 2ND UNIT. 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 Sq. Ft Floor Area: Valuation: $51000 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. APN Number: 35703077.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I 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 180 DAYS 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 DAYS FROM LAST 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 granting of this permit. Additionally, the applicant understands and will comply Issued 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. j b}/ 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 I, as owner of the property, or my employees with wages as their sole comp risation, 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 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 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 25505, 25533, 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 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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. Signature )" Date CITY OF CUPERTINO FM-7 FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10385 Palo Vista Dr DATE: 05/14/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: 1$1,300 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: PENTAMATION PRWHEATR PERMIT TYPE: WORK Revision #1: Revise the location of the water heater from attic to exterior enclosure. SCOPE APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Water Heater 1RWWHEATR 1 # $26 TOTALS: $26.00 h. !'tar Check T Plumb. Plan Check 0.0 1 hrs $0.00 Eiec. Plan Check A,11u1r. Pexwd f'ec-: Plumb. Permit Fee: IPPERMIT I ill Ofbc r rlterlr. 10,2sp Plumb/ Insp. hrs 0.0 $44.00 Orlr� I A-10f ;h. lax p. l`ec. )Other 1'}ti NI). IHAJY. IC�C'_ T1r�.�: if. i�C'L. tre�ti, f`,'(" NOTE: This estimate does not include fees due to other Departments (i e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the areliminary information available and are only an estimate Contact the Dent for addn7 info. FEE ITEMS (Fee Resolution 11-053 Elf 711111) FEE QTY/FEE MISC ITEMS Plzdn C'hc'cic V ce icdir�f. P(.., Fee PME Plan Check: $0.00 pl. I'ec PME Unit Fee: $26.00 PME Permit Fee: $44.00 ( DIY sirllCUo" Tax, Administrative Fee: IADMIN $41.00 Work Without Permit? 0 Yes 0 No $0.00 9(lvO)TCU4I F 101711iV�g FK(-1e8. Travel Documentation Fee: ITRAVDOC $44.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $156.50 $0.00 TOTAL FEE: $156.50 Revised: 04/01 /2012 ���� CITY OF CUPERTINO �'7I It7r-�f 1 FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10385 PALO VISTA RD DATE: 08/05/2011 REVIEWED BY: Suew APN: 357 03 077 BP#: 10110108 *VALUATION: $51,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? •. Yes No OTC? 0 Yes (F)No PENTAMATION 1 R3SFAD2ND PERMIT TYPE: WORK CONVERT EXISTING STORAGE TO LIVING SPACE (2ND UNIT ILLEGAL ATTACHED TO NEW SCOPE GARAGE -PER ALBERT/BOBS OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,MV-B 0 $0.00 $0.00 U (Private Gar/Ag Bldg) II-B,III-B,IV,V-B 558 $3,219.80 1 UIPLNCK $2,079.26 1 UHNSP TOTALS: 558 1 $3,219.80 $2,079.26 MEC H, HOURLY 0 Yes E) No PLUMB, HOURLY © Yes Q No ELEC, HOURLY Q Yes Q No 1..;.. :;.P; ?;'e'.: . If .,. ... ...(,, r. I ... r,.. (i,_ ih'.. .' ' .: 1'lrrr�rh PO —mil Fe'. ( 11cc i+ bzvr !r rrrr�l fr+, ri ti h. lr,st7 l� t NOTE: These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resohition 09-051 E . 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,219.80 650 s.f. $506.00 Remodel, Other IREMRESOTH Suppl. PC Fee: 0 Reg. O OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,079.26 Suppl. Insp. Fee-0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constr. Tax: IBCONSTAXR 2 # new units $1,138.72 Acoustical Fee: © Yes (E) No $0.00 0 0 Work Without Permit? Yes 0 No $0.00 Plaining Egg; PLLONGRNGR $72.54 Select a Non -Residential Building or Structure i Strong Motion Fee: IBSEISMICR $5.10 Select an Administrative Item B1dQ Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $6,518.42 $506.00 TOTAL FEE: $7,024.42 Revised: 04/29/2011 CITY OF CUPERTINO I�I FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10385 PALO VISTA RD DATE: 11/17/2010 REVIEWED BY: BOBS APN: BP#: 1011108 "VALUATION: 1$50,000 *PERMIT TYPE: , Building Permit PLAN CHECK TYPE: New Construction PRIMARY SF r Duplex [O7:•1 L PENTAMATION 1 U1 USE: FLOOR MLf ; PERMIT TYPE: WORK SCOPE OCCUPANCY TYPE: TYPE OF ONSTR FLR AREA s.f. PC FEES PC FEE ID BP ES BP FEE ID U (Private Gar/Ag Bldg) II-B,III- IV,V-B 558 $3,219.80 IUIPLNCK 2,079.26 1UIINSP TOTALS: 8 $3,219.80 $2,079.26 �10: -'hu'ch ('iurul> 1,1( � (r,, :., c7r,�, . 1 "I'm Check k L1e�:h. Pc�rit,il Fee' I'lrltnh. 7'cr,"i7 I"!Flc'c. J', ra,+it l e Other Mech. Imp. ELL�] olhcr Plumb lrz.i O�hcr 11x. Ir���. I�,lcol, h.,,_ r,,,, plund). jmp, ] , ". 1); �p, rcc. NOTE: These fees are based on the Preliminary information a,Gailable and are only anstimate. Contact the Dept for addh7 info. FEE ITEMS (Fee Resolution 09-051 E . 711110) F Fk QTY/FEE MISC ITEMS Plan Check Fee: $ 19.80 Sele\bka Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,079.26 Suppl. Insp. Fee Reg. © OT 0.0 rs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constr. Tax: IBCONSTAXR 1 bids $558.42 Acoustical Fee: Yes (E) No $0.00 0 Work Without Permit? O Yes 0 No $0.00 Plannin Fee: PLLONGRNGR $72.54 Select a Non -Residential Building or Structure 0 J rui of 0ocrlmenfulion hec°s, Strom Motion Fee: IBSEISMICR $5.00 Select an Administrative Item Bldp, Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: 1 $5,937.02 J $0.00 TOTAL FEE: $5,937,02 Revised: 1110812010