15070072CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10191 STERN AVE CONTRACTO? �p �,�e#ky
h'
PERMIT NO: 15070072
OWNER'S NAME: KONDURU NAGESH C AND JAGINI VANAJ
DATE ISSUED: 07/10/2015
OWNER'S PHONE: 4084253474
PHONE NO:
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
61 /� n
"b d"
INSTALL (N) FREE STANDING OPEN LATTICE PATIO
COVER
License Class Lic. #
10
yy-�,,��
Contractor ,Q,ylg A&&Y,/AgDate /D
216 S.F. (NOT ATTACHED)
I hereby affirm that I am licensed under the provisi s of hapter 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: $3700
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
APN Number: 37511066.00
Occupauc) Type:
permit is issued.
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
WIT 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
AS LED 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
I ued by: Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non -point sou a regulatio pe a Cupertino Municipal Code, Section
_
9.18.
.�
RE -ROOFS:
Signature Date b
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 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 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).
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
Section 3700 of the Labor Code, for the performance of the work for which this!
the Health & Safety Code, Section 2 505, 25 3 and 25534.
0 //6--
Owner or authorized agent: Date.
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
CONSTRUCTION LENDING AGENCY
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
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
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
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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777.3333 • buildingQcuaectino.ora
B
/5-0-2-oo7-z
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERmrr #
PROJECT ADDRESS l D
APN #
OWNERNAME A^ D r
C u
PHO �[q�'
� 7J
E I Q 41 oO , 6041
STREET ADDRESS -A
CITY STATE ZIP O ,—O�
I:L\
CONTACT NAME
PHONE
f&nO
STREET ADDRESSD �/�G /
CITY, STATE ZIP
FAX
Q
O
ARCHITECT U ENGINEER d DEVELOPER 0 TENANT
13 OWNER 13 OWNER-BUI DER 0 OWNER AGENT ❑ CONTRACTOR CONTRACTOR AGENT 11 ARCHITECT
CONTRACTOR NAWLICq
NUMBER
LICEN TYPE
BUS. LIC #
COMPANY NAME O i n
e C�
E-MAIL
FAX
STREET ADDRESSY&IO�,,'' // /�
CITY, ST TE, ZIP
PHONE
r
WiJZ r
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK OtO
EXISTING USE
PROPOSED USE CONSTR.
TYPE
# STORIES
USE
TYPE
OCC.
SQFT.
VALUATION (S)
F)a TG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
ATTACH
I
#DWELLINGUNITS:
ISA SECOND UNIT ❑YES
SECOND STORY OYES
BEING ADDED? ONO
ADDITION? ❑ NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN 0 YES
IVEIY
TOTAL VALUATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME? 0 NO
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 builditA efinstructibuild' I ahthorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent:DI Date: MU
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for
OVER-THE-COUNTER
❑ BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PI?BLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SEWER DISTRICT
submittal of Building Permit application.
SANITARY
❑ ENVIRONMENTAL HEALTH
BldgApp_201 1. doc revised 06/21/11
Fm_�
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
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 an the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff' 7/1,113)
ADDRESS: 10191 STERN AVE
DATE: 07/10/2015
REVIEWED BY: MELISSA
tlech. Perl)0 Fcc
APN: 375 11 066
BP#:
-VALUATION: 1$3,700
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
l'honb. hasp. Fee:
PENTAMATION 1GENRE
PERMIT TYPE:
WORK
INSTALL N FREE STANDING OPEN LATTICE PATIO COVER 216 S.F. NOT ATTACHED
SCOPE 11
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 an the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff' 7/1,113)
;itech. Plan Check
'lanth. Plan Checi,
Elec. Plan Check
tlech. Perl)0 Fcc
Plum ` ..`omit Fe".
r1cc Permit lcc
Other Mech. Insp.
mwr Plumb Insp
Lkllc. Insp. Li
tlech .14 ?q). he
l'honb. hasp. Fee:
lac. Insp. Fee
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 an the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff' 7/1,113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly
Only? C) Yes Q No
$0.00
0 hours
$143.00
Plan Check, Hourly
ISTPLNCIc
Suppl. PC Fee: Q Reg. Q OT0.0
I hrs
$0.00
PME Plan Check:
$0.00
Permit Fee: Hourly Only? ()Yes Q No
$0.00
Suppl. Insp. Fee.S Reg.
Q OT0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax:
1C11i2U11i1]"L711Cd Fcc:
1
0
Work Without Permit? Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential E)
Building or Structure
A
Travel Uoc•umentan.on Fees:
Strong Motion Fee:
IBSEISMICR
$0.50
2.0 hrs
$286.00
Inspections
ISTINSP Inspection, Hourly
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$1.50$429.00
TOTAL FEE:
$430.50
Revised: 07/02/2015
51'
23'
�— 18' 40'; s -f
Open 12,
10' Lattice ther.
41'
)MMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION - CUPERTINO
APPROVED
plans and specifications MUST be kept at the
ring construction. It is unlawful to make any
es or alterations on same, or to deviate
without approval from the Building Official.
'ig of this plan and specifications SHALL NOT
p, -mit or to be r,,j _ r, -;-oval of the violation
or &,-'o Law.
(� U// s—
l U 9-04Q
O 2_
41'
O41' .> CUPEWPNO
'9W/din9 Danartrnent
JUL 102015
15
20 F/D EV(EWED FOR COpE COM
Review PLIANCE
Reviewed By
Driveway
28
O
ANNER APPROVAL REQUIRED
"AIOR TO FINAL OCCUPANCY
Sidewalk
�j� �T GUo2 K
MI okl-3
7 -to -g
ATE
Nagesh Konduru
10191 Stern Ave
Cupertino Ca. 95014
408-425-3474
Kcnagesh@yahoo.com
RECEIVED
JUL 10 2015
150 ��O 76��- BY
Back of House
Beam and Rafter Tails: Scallop Design Set all posts into
concrete footings
18" from cover edge
of Pergola
2"x6"
Cover entire
Rafters area: 12'x18' with
L I 2" sq. lattice w/
4 2" gap between
12'
2'
3"x8" seams
112
cow Ic. i
--------�-- i -
C'
3.
C, i jG-O 18'
Zoo
0
`F,�� only!"
Black Diamond
Paver Stones &Landscape, Inc.
License # 841042
Drawing prepared by: Stan Watson
phone: 209-408-4094 • email: Stan-watson@att.net
18" 1
5'
7' to post from house
Side
Fence
EEW 11'-6"
1811 from fence to post
Nagesh Konduru
10191 Stern Ave
Cupertino, Ca. 95014
kcnagesh@yahoo.corr
r
3'x3NS �
kZ4_1
S�
02'�-
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(Qcupertino.org
Permit No. I
AddressI O / A VE # of Alarms Smoke: Carbon Monoxide: 7
�'OT BE FINLED ��D CO�11'LFTEDU TIL PHIS CERTIFICATIPER
�� "E.
x HAS BEEN AND RFTLIRI�FD TO IllE I3UILDIIVG DIVISION
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section 8314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
I have read and agree to comply with the terms and conditions of this statement
Sinature................................................................................................................. Date:...................
tra�or Name: n�J �f �f 1 c�
Signature.. .J.R/�. ...%�*_-)................. Lic.# ...`. ...�.7� .l._......... Date_ �.a.✓....
Smoke and CO form.doc revised 03/18/14
CUPERTINO
Owner Name
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228• FAX (408) 777-3333 • buildinaCa)cupertino.ora
Permit No.
M
Address 019
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN:NED AND RETURNED TO THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code S 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Si at Date:
❑ No Go to Question 2.
2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its
plumbing, installation of water -conserving plumbing fixtures is not technically feasible?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Building Division.
Sign below an the res of the form.
Owner' Signa Date:
El No Go to Question .
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sectio 01.1 ough 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature. Date:
11 No Go to Question 4.
4. Is y real property built and available for use or occupancy on or before January 1, 1994?
0' No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signatur :4_�4 Dater YI
❑ Yes My real property is built and available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
❑ My property is a single-family residential real property. See Civil Code Section 1101.4.
On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing
fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1,
2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
of whether property undergoes alterations or improvements).
❑ My property is a multifamily residential real property. See Civil Code Section 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water -
conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
❑ My property is a commercial real property. See Civil Code Section 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
- plumbing fixtures to be replaced with water -conserving plumbing fixtures.
SB407 2015.doc revised 02/04/15
* s _
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving
'=p u'n` M% fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
UWe, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced
prior to date specified above with water -conserving pluinbing fixtures in accordance with Civil Code Sections 1101.1 through
1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation
requirements, and that the water -conserving plurnbingfixtures comply with the requirements as indicated in the table below.
Owner's (or Owner Agent's) Signature: � °, (LL4 Date: v j// 7d /?f'
Upon completing and signing this Certificate, please return it to the Building Division in order to final your pen -nit.
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
SB407 2015. doe revised 02/04/15
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type
Water Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
Single -Family
Multi -Family
Commercial
Residential
Residential
Water Closets
Exceed 1.6
Single flush toilets: 1.28 gallons/flush
(Toilets)
Gallons/flush
Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,
average flush volume of two reduced flushes and one full flush
Urinals
Exceed 1.0
0.5 gallons/flush
Gallons/flush
Showerheads
Exceed 2.5
2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of
gallons per minute
U.S. EPA WaterSense Specification for Showerheads
(A hand-held shower is considered a showerhead.)
For multiple showerheads serving one shower, the combined flow rate of all
showerheads and/or other shower outlets controlled by a single valve shall not
exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to
allow only one shower outlet to be in operation at a time.
Faucets —
Exceed 2.2 gallons
Maximum 1.5 gallons per
Within units:
0.5 gallons per minute @ 60
Lavatory
per minute
minute @ 60 psi; minimum
Maximum 1.5 gallons
psi
Faucets
0.8 gallons per minute @
per minute @ 60 psi;
20 psi
minimum 0.8 gallons
per minute @ 20 psi
In common and public
use areas: 0.5 gallons
per minute @ 60 psi
1.8 gallons per minute
60 psi
Faucets —
Exceed 2.2 gallons
1.8 gallons per minute @
1.8 gallons per minute
1.8 gallons per minute @ 60
Kitchen
per minute
60 psi
@ 60 psi
psi
Faucets
May temporarily increase
May temporarily
up to 2.2 gallons per
increase up to 2.2
minute @ 60 psi, and must
gallons per minute @
default to maximum
60 psi, and must
1.8 gallons per minute @
default to maximum
60 psi
1.8 gallons per minute
Where faucets meeting
@ 60 psi
the above are unavailable,
Where faucets meeting
aerators or other means
the above are
may be used to achieve
unavailable, aerators or
reduction.
other means may be
used to achieve
reduction.
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
SB407 2015. doe revised 02/04/15