11060172 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRr*�S: 10560 WUNDERLICH DR CONTRACTOR:YB CONSTRUCTION PERMIT NO: 11060172
OWNER'S NAME: MANVI RAJENDRA AND SUMA 10795 MINETTE DR DATE ISSUED:06/20/2011
(VVNER'S PHONE: 4087349466 CUPERTINO,CA 95014 PHONE NO:(408)316-1261
L, LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lie.# gq�b"� 1 MECH RESIDENTIAL[_ COMMERCIAL r
Contractor Date 2-0.1,;X0 1
JOB DESCRIPTION:REMODEL KITCHEN(80SQFT)&2BATHS(80SQFT)
I hereby affirm that I am licensed under the provisions of Chapter 9
&CONVERT
(commencing with Section 7000)of Division 3 of the Business&Professions CLOSET TO LAUNDRY ROOM
Code and that my license is in full force and effect.
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
performance of the work for which this permit is issued.
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 Sq.Ft Floor Area: Valuation:$30000
permit is issued.
APPLICANT CERTIFICATION APN Number:37527027.00 Occupancy Type:
I certify that I have read this application and state that the abov,Ziation 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 PERMIT EXPIRES IF WORK IS NOT STARTED
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
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. JX Ii/ 7_GJ
Issued by: Dat �
Signature_1%V Date
O NER-BUILDER DECLARATION
RE-ROOFS:
1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1,as owner of the property,or my employees with wages as their sole compensation, inspection.
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
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
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 I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Safety Code,Section 25532(a)should I 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
1 certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
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 Ownr a� __
ro ized Date:----��
gent:
IF
forthwith comply with such provisions or this permit shall be deemed revoked.
4f��/lifJ V
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
and expenses which may accrue against said City in consequence of the
,ng of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
all non-point source regulations per the Cupertino Municipal Code,Section
9.18. 1 understand my plans shall be used as public records.
Signature Date Licensed Professional
CITY OF CUPERTINO
7 ITEMS OF 7 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 37527027. 00
DATE ISSUED. . . . . . . : 06/20/2011
RECEIPT #. . . . . . . . . : BS000013829
REFERENCE ID # . . . : 11060172
SITE ADDRESS . . . . . : 10560 WUNDERLICH DR
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . ... : MANVI RAJENDRA AND SUMA
ADDRESS 10560 WUNDERLICH DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : YONG B WON
CONTRACTOR . . . . . . . : YONG B. WON LIC # 30022
COMPANY YB CONSTRUCTION
ADDRESS 10795 MINETTE DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE . . . . . . . . : (408) 316-1261
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BAPPLOTHE NO OF APPLIAN 2 . 00 126 . 00 0 . 00 126 . 00 0 .00
1BCBSC VALUATION 30, 000 . 00 2 . 00 0 . 00 2 . 00 0. 00
1BSEISMICR VALUATION 30, 000 .00 3 . 00 0. 00 3 .00 0. 00
1MPERMITFE FLAT RATE 1 .00 42 . 00 0. 00 42 . 00 0 .00
1REMRESBAT SQ FEET 80 . 00 570 . 00 0 . 00 570. 00 0. 00
1REMRESKIT SQ FEET 100 . 00 570. 00 0 . 00 570 .00 0. 00
1TRAVDOC FLAT RATE 1 .00 42 . 00 0. 00 42 .00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 1355. 00 0. 00 1355 . 00 0 .00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 1, 355 . 00 VISA
---------------
TOTAL RECEIPT 1, 355. 00
PROJECT DATA - RESIDEN I
COMMUNITY DEVELOPMENT DEPARTM I D ISI
10300 TORRE AVENUE •CUPERTINO, CA 95014-32 ._ �
(408)777-3228 • FAX(408)777-3333 •building
(acupertino.orgCUPIERTINO
'
PROJECT ADDRESS
10
56'1' KM i�'A;A 1 i C JA
OWNER NAMEt PHONE E-MAII
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STREET ADDRESS CITY, STATE,ZIP FAX
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APPLICANT NAME PHONE E-MAIL
STREET ADDRESSICTLN,2�0et(f
STATE, ZIP FAX
1226 HeA��boue CA <2"-6-7
❑ OWNER ❑ OWNER
1-SUUDER ❑ OWNERAGENT /CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGNEER ❑ DEVELOPER ❑TENANT
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EXISTING USE(S): �j PROPOSED USE(S): F-0
OCCUPANCY(S): TYPE OF PARCEL
�i�-- CONSTRUCTION: AREA:
FIRE Y N wui AREA: Y N FLOOD AREA: Y N SIESNIIC AREA: Y N
SPRINKLERS:
Existing Proposed
Floor Area: First Floor: s.f. s.f.
Second Floor: s.f.
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Garage _ s.f. -- ro z _o
TOTAL: s.f• �' a 6b *2O -' om
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Are there at least two 10 feet by 20 feet clear spaces inside the garage? Y N ¢ ?° o c
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Is privacy protection planting required for the project? Y N Z ULULU fo N `=
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Governing Codes: 2010 California Building Code (based on the 2009 International Building Com) � :2 - 0 m •
2010 California Residential Code (based on the 2009 International Resident ) a ° o .a V
2010 California Plumbing Code (based on the 2009 Uniform Plumbing Co g C, � 2 a o
2010 California Mechanical Code(based on the 2009 Uniform Mechanical?E� dj:t '° y �' co Q o
C c*� � v� 0 0 �
2010 California Electrical Code(based on the 2009 International ElectricaX le) N cc) ° jo J-- E c
2010 California Energy Code °'�, 3 0 t .N
2010 California Green Building Standards Code )P
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Cupertino Municipal CodeE a o !
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BY �.ri or
DATE
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CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 10560 Wunderlich DATE: 06/20/2011 REVIEWED BY: RDW
APN: BP#: -VALUATION: 1$30,000
;�PERIMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAMATION 1 R3SFDREM
USE: SFD or Duplex PERMIT TYPE:
WORK Remodel kitchen 2 baths and convert closet to laundry room
SCOPE
Mech.Plan Check0.0 hrs $0.00
Mech.Permit Fee: IMPERMIT
Other Mech.Insp. 0.0 hrs $42.00
NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addn 7 info,
FEE ITEMS (Fee Resolution 09-051 I;ff. '-1.-10) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 = s.f. Remodel,Bath(<=300 sf)
Suppl.PC Fee: E) Reg. 0 OT0.0 hrs $0.00 $570.00 IREMRESBAT
PME Plan Check: $0.00 = s.f. Remodel,Kitchen(<=300 sf)
Permit Fee: $0.00 $570.00 IREMRESYIT
Suppl.Insp.Fee-O Reg. OOT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $42.00
Acoustical Fee: Yes (F) No $0.00 2� # Mechanical
Work Without Permit? 0 Yes E) No $0.00 $126.00 IBAPPLOT Other Appliance/Equip E)
Planning Fee: $0.00 Select a Non-Residential G
Travel Documentation Fee: ITRA VDOC $42.00 Building or Structure 0
i
Strona Motion Fee: IBSEISMICR $3.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $2.00
SUBTOTALS: $89.00 $1,266.00 TOTAL FEE: $1,355.00
Revised: 04/29/2011
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
CUPERTINO Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: PERMIT# G
OWNER'S NAME: 'L/ PHONE#
GENERAL CONTRACTOR: Y9 66osyac to BUSINESS LICENSE#
ADDRESS: CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
0-0r20 ti
ignature Date
Please check applicable subcontractors and omplete the following information:
V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/ Carpeting
Linoleum /Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date
j 10 (,,o
CONSTRUCTION PERMIT APPLICATION
12 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
-
CUPERTINC) (408) 777-3228• FAX(408) 777-3333• buildingq&-cupertino.orq
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS 1056c" VjcoLleyli(_G� CAV. I APN# r7-,-) v 2
-7
OWNER NAME &\3 �N���i PHONE +2
46 E-MAIL
STREET ADDRESS CITY, STATE,ZIP FAX
x_ ' �6ti e► 1C C 1' L ►'-� �C c ^-CIL
CONTACT NAME PHONE -�1 -AE-MAIL '
10
STREET ADDRESS 22E CITY,STATE, ZIP FAX
-r t lc�iL
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME i, 1 LICENSWfR LICENSE TYPE BUS.LIC#
COMPANY NAMEE-MAIL FAX
`(6 cc,v\5-A CClAyco VCZ3 61ooe, (etitil _
STREET ADDRESS CITY,STA ZIP r r PHONE
1226 466! �lc'�S Pz:� c> �. « �_>>u efc( �/� 4 0 P
r
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME / E-MAIL FAX
STREET ADDRESS [ CITY,STATE,ZIP PHONE
-ESCRIPTION OF WORK
CLOSIET- Tb Ltot CAMiD2M.
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES ��a R„ awn ,
3
EXISTG NEW FLOOR DEMO TOTAL
IN
'. .
AREA AREA AREA NET AREA -
BATHROOMQ O KITCHEN 1 O v OTHER 7
REMODEL AREA V REMODEL AREA` REMODEL AREAlk
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ DETACH �
❑ ATTACH w_
#DWELLING UMTS: IS A SECOND UNrr ❑YES SECOND STORY ❑YES
BEEYGADDED! ❑NO ADDITION± ❑NO
PRE-APPLICATION ❑ YES IFME
YES,PROVIDE COPY OF PLANNER'S NA :
PLANNING APPL# ❑ NO PLANNING APPROVAL LETTER - § - RV I
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buil ' g construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: I Date: �20
SUPPLEMENTAL TION REQUIRED OMNI MOM3
_New SFD or Multifamily dwellin s: pply for demolition permit for
existing building(s). Demolition pe' t is required prior to issuance of building
permit for new building.
a
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
m if any Hazardous Materials are being used as part of this project. .A ,a 6 � �
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
B1dgApp 2011.doc revised 03/16/11