HomeMy WebLinkAboutBLD-2025-2863_SignedPermit.pdfCITY OF
BUILDING PERMIT
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
PHONE 408-777-3228
CUPERTINO WWW.CUPERTINO.ORG
BUILDING ADDRESS: 1139 HUNTERSTON PL ApN: 362 21 013
PERMIT NO: BLD-2025-2863
OWNER'S NAME: BARAKAM VENKAT KUMAR R AND TAPPITA SIVARANJ
OWNER'S PHONE: 408-306-1505
CONTRACTOR: OWNER -BUILDER
CONTRACTOR PHONE:
DATE ISSUED: May 11, 2026 ISSUED BY: Abby Ayende VALUATION: 500000
JOB DESCRIPTION: NEW 2ND FLOOR ADDITION (837 SF) FOR (3) NEW BEDROOMS WITH WALK-IN CLOSETS; (3) NEW BATHS; NEW LAUNDRY CLOSET; NEW 2ND FLOOR COVERED DECK AND RAILINGS (166 SF); GARAGE
• ADDITION (44 SF) AND REMODEL (444 SF); NEW FRONT COVERED PORCH (121 SF); 1ST FLOOR REMODEL (1,209 SF) - FOYER/ENTRY REMODEL, LIVING ROOM REMODEL - DEMO (E) FIREPLACE AND
CHIMNEY AND REPLACE WITH NEW FIREPLACE INSERT, NEW WINDOW, NEW STAIRS FOR NEW 2ND FLOOR ADDITION, HALLWAY, NEW DINING AREA, NEW BEDROOM 1 POCKET DOOR FOR BATH
ACCESS, NEW PANTRY, FAMILY ROOM REMODEL - NEW WINDOWS, NEW HEADER, DEMO (E) FIREPLACE AND CHIMNEY AND REPLACE WITH NEW FIREPLACE INSERT, NEW LIGHT FIXTURES,
SWITCHES AND OUTLETS IN RMODELED AREAS; KITCHEN RELOCATION AND REMODEL (149 SF); RELOCATE (E) FURNACE; RELOCATE (E) WATER HEATER IN GARAGE; NEW GAS TANKLESS WATER
HEATER; NEW AC UNIT AND FURNACE ADDITIONS; R-8 DUCTWORK; NEW CALIFORNIA ROOM (247 SF) WITH OUTDOOR KITCHEN COUNTER; DEMO (E) SHED (116 SF); LANDSCAPE IMPROVEMENTS;
FIRE SPRINKLERS DEFERRED
OWNER -BUILDER DECLARATION:
reasons:
will do the work, and the structure is not
to construct the project (Sec.7044, Business &
as provided for by Section 3700 of the
I hereby affirm that I am exempt from the Contractor's License Law for one of the following two
I, as owner of the property, or my employees with wages as their role compensation,
intended or offered for sale (Sec. 7044, Business & Professions Code).
✓ I, as owner of the am exclusively contracting with licensed contractors
property,
Profession 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,
Labor Code, for the performance of the work for which this permit is issued.
Section 3700 of the Labor Code, for the
not employ any person in any manner so as to
this certificate of exemption, I become subj ect to
with such provisions or this permit shall be
I have and will maintain Worker's Compensation Insurance, as provided for by
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
become subject to the Worker's Compensation laws of California. If, after making
the Worker's Compensation provisions of the Labor Code, 1 must forthwith comply
deemed revoked.
HAZARDOUS MATERIALS DISCLOSURE
& Safety Code, Sections 25505, 25533, and 25534. I
U' I have read the hazardous materials requirements under Chapter 6.95 of the California Health
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or
air contaminants as defined by the Bay Area
Chapter 9.12 and the Health & Safety Code,
handle hazardous material. Additionally, should I use equipment or devices which emit hazardous
Air Quality Management District I will maintain compliance with the Cupertino Municipal Code,
Sections 25505, 25533, and 25534.
EPA LEAD -SAFE DISCLOSURE
No:
OAn EPA Lead -Safe Certified Renovator will be responsible for this project.
Certified Firm Name: Firm Certification
No EPA Lead -Safe Certified Firm is required for this project.
CONSTRUCTION LENDING AGENCY
of the work which this permit is issued
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
(Section 8172, Civil Code).
0 Yes 0 No
Lender's Name: Lender's Address:
APPLICATION CERTIFICATION
with all city and county ordinances and state
the above mentioned property for inspection
judgements, costs, and expenses which may accrue
and will comply with all non -point source
2026
I certify that I have read this application and state that the above information is correct. I agree to comply
laws relating to building construction, and hereby authorize representatives of this city to enter upon
purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities,
against said City in consequence of the granting of this permit. Additionally, the applicant understands
regulations per the Cupertino Municipal Code, Section 9.18.
Signature Von Kat baraKam Date May 11,
EVERY PERMIT ISSUED SHALL BECOME INVALID UNLESS THE WORK ON THE SITE AUTHORIZED BY SUCH PERMIT IS COMMENCED WITHIN 12 MONTHS AFTER ITS ISSUANCE,
OR IF THE WORK AUTHORIZED ON THE SITE BY SUCH PERMIT IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12 MONTHS AFTER THE TIME THE WORK IS
COMMENCED.