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10070009 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS 1585 JAMESTOWN DR CONTRACTOR:ARGONAUT WINDOW& PERMIT NO: 10070009 DOOR,INC "NER'S NAME: ALEX TANG 1901 S BASCOM AVE STE 800 DATE ISSUED:07/01/2010 tyvVNER'S PHONE: 4089962331 CAMPBELL,CA 95008 PHONE NO:(408)3784018 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F_ ELECT r PLUMB License Class Lic.# MECH RESIDENTIAL COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REPLACE SLIDING DOOR TO BACKYARD,REPLACE (commencing with Section 7000)of Division 3 of the Business&Professions FRENCH DOOR TO BACKYARD WITH SLIDING DOOR 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 Sq.Ft Floor Area: Valuation:$7477 permit is issued. APPLICANT CERTIFICATION APN Number:36610096.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR 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. �7 / � 0 Issued by: Date: /1 r -nature Date OWNER-BUILDER DECLARATION RE-ROOFS: I 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 I,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, Business&Professions Code) Signature of Applicant: Date: 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 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 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. 1 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& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. 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 I 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 Owne ' r uthoriz gent: 7 forthwith comply with such provisions or this permit shall be deemed revoked. Date: I .T. 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 the above mentioned property for inspection purposes.(We)agree to save inify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date 1 /� '� Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR-- BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: 'VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARYSFD or Du lex APPLICATION USE: p t t(�_jf _ TYPE: MECHANICAL Yes C No PLUMBING 0 Yes Q No ELECTRICAL 0 Yes 0 No � oW. o � 3U Ln TYPE OF FLR AREA OCCUPANCY TYPE: CONSTR. s. .ft. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 0 $0.00 $0.00 TOTALS: 0 $0.00 $0.00 NOTE. These fees are based on the preliminargy in ormation available and are only an estimate. Contact the Dept-for addn'l info. FEE ITEMS (Yee Resolution 09-051 Et: '/1%09) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 CTI # Window/Sliding Glass Door Suppl. PC Fee: (D Reg. 0 OT 0.0 hrs $0.00 $380.00 1 WINREP Replacement PME Plan Check: $0.00 Permit Fee: $10.00 Suppl. Insp. Feer Reg. 0 OTr —0.0 hrs $100 PME Unit Fee: $).00 PME Permit Fee: $).00 Acoustical Fee: 0 Yes 0 No $).00 0 Work Without Permit? 0 Yes 0 No $x.00 0 Planning,Fee: $100 Select a Non-Residential 0 Building or Structure 0 Strong Motion Fee: $3.00 Select an Administrative Item Bld�_, Stds Commission Fee: $0.00 SUBTOTALS: $100 $380.00 TOTAL FEE: $380.00 Revised: 5/27/2010 CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Bl.c: Lot: APN 36510096 . 00 DATE ISSUED. . . . . . . : 07 /01/2010 RECEIPT #. . . . . . . . . BS)00010753 REFERENCE ID # . . • : 10 )70009 SITE ADDRESS . . . . . : 1535 JAMESTOWN DR SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER ALEX TANG ADDRESS 1535 JAMESTOWN DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : ALEX G TANG CONTRACTOR CHRIS ETTEMA LIC # 22820 COMPANY AR-ONAUT WINDOW & DOOR, INC ADDRESS 1901 S BASCOM AVE STE 800 CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE (408) 378-4018 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 7, 477. 00 1 .00 0 .00 1. 00 0 .00 1WINREP EACH 8 2 . 00 380 . 00 0. 00 380 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 381 .00 0 .00 381. 00 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 381. 00 MC --------------- TOTAL RECEIPT 381 . 00 l �• CITY OF CUPERTINO CUPEk iNO GENERAL BUILDING PERMIT APPLICATION FORM APN # �} Date: 0 9 (le 'TOLy I Z,:� Iro Building Address: 157AM,25 ro'.4,i c>a- C U elig T,aU CA- Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes No HOA: Exterior work only) Yes ❑ No If yes, provide letter from HOA Owner's Name: Phone#: Contractor: Phone: q-aY ; `7 AQ-6 o i A 01 2 Fax: Contractor License#: 00 Cupertino Business License#: _ Contact: Phone: Yom, i c: -3 9 6 `� P /)I e)G -rA,'G Fax: Residential Commercial Job Description: ►Z€��1C-� SL11Drt3G r>aotL T-Z5 SAC--Yjle-0 rR-eac'4 Doom- zo i3AC AA-0 w1-4 Building Permit Info: Bldg 0 Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-13 ❑ II/III/V-A ❑ II/III B, IV-HT, V-B �� Valuation: Square Footage: w 7-7 Project Size: Ex ressStandard Q Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.builditg een.or Revised 07/14/09 J` -SM CITY OF CUPERTINO CITY OF GENERAL BUILDING APPLICATION CUPEI�TINO a FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application 1WINREP Replacement windows/sliding glass B / door (ea '3 windows) 1WINMEWSTR New Win iow-structural shear B wall/masonry (includes plan ck fee) 1 EPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P 1ELCPLNCK Stand Alone Electric Pln Ck(hourly) E 1 MECPLNCK Stand Alone Mechanical Pln Ck Orly) M 1 PLMBLNCK Stand Alone Plumbing Pln Ck(hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check(when no E/M/P) B when not over counter) hourly-st ind alone 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES IBSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1 TRAVDOC Travel & Documentation B 1BUSLIC Business License B 5 of 5 t d t� r— r^ rtc 04n ° F x V•"L Y � 3 3Sm � mD - z� — m o o G7 D _ f c� C7 c�.d cv o i 0 00 y" tin vii —i cn OQ V r--�" od o OA- 0 o � � a P � Z•d Xd3 13CS3SUI dH WdSS=b OT02 GZ ReW Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CU PERTI NO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 1 S8 1� 3AMks ZawA D�Li - PERMIT# 10 ' OWNER'S NAME: t)i� PHONE# 6` 13 GENERAL CONTRACTOR: A ZGOn1 A07 ,,jai ' BUSINESS LICENSE# F8 O 54 ADDRESS: 1o(, I 5, 20 E Ate° 1) CITY/ZIPCODE: CoPfi2 tr1u ')SZty *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: Date Signature Please check applicable subcontractors and compl.-te the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum/Wood Glass/ Glazing A >Z Go r! 7 Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Ow r/Contractor Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6683 JOHN DR CONTRACTOR:SREENIVASU SUDIREDDI PERMIT NO: 10040131 OWNER'S NAME: SREENIVASU SUDIREDDI (.683 JOHN DR DATE ISSUED:07/14/2010 CUPERTINO,CA 95014 j PHONE NO: OWNER'S PHONE: 4083911553 1013 DESCRIPTION: RESIDENTIAL El COMMERCIAL ❑ LICENSED CONTRACTOR'S DECLARATION %DD 770'-LIVING RM,2 BEORMS,2 BATHRMS,GARAGE,& 'ORCH REPLACING WATER HEATER.REMODEL FAMILYRM, License Class Lic.# <ITCHEN,BATHRMS,BEDRMS,&GARAGE.INCLUDES Contractor Date 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. 1 hereby affirm under penalty of perjury one of the following two declarations: Sq.Ft Floor Arca: Valuation:$200000 1. 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 APN Number:36927055.00 Occupancy Type: performance of the work for which this permit is issued. 2. 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR 1 certify that I have read this application and state that the above information is 180 DAYS FROM AST CALLED INSPECTION. 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 Issued b Date: indemnify and keep harmless the City of Cupertino against liabilities,judgments, Y ZA�� 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. RE-ROOFS' Date All roofs shall be inspected prior to any roofing material being installed.If a roof is D Signature installed without first obtaining an inspection,I agree to remove all new materials for inspection. OWNER-BUILDER DECLARATION Signature of Applicant: Date: -e by affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER flowing two reasons: 1. 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 HAZARDOUS MATERIALS DISCLOSURE, sale(Sec.7044,Business&Professions Code) I have read the hazardous;materials requirements under Chapter 6.95 of the 2. 1,as owner of the property,am exclusively contracting with licensed contractors to California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain construct the project(Sec.7044,Business&Professions Code). compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should I store or handle hazardous material. I hereby affirm under penalty of perjury one of the following three declarations: Additionally,should I use'equipment or devices which emit hazardous air i. 1 have and will maintain a Certificate of Consent to self-insure for Worker's contaminants as defined by the Bay Area Air Quality Management District I will Compensation,as provided for by Section 3700 of the Labor Code,for the maintain compliance with',the Cupertino Municipal Code,Chapter 9.12 and the performance of the work for which this permit is issued. Health&Safety Code,Sections 25505,25533,and 25534. 2. 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 Own r r auth t ed agents Date: l permit is issued. �-- 3. 1 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 I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code,I for which this permit is issued(Sec.3097,Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION ARCHITECT'S DECLARATION I certify that 1 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 1 understand my plans shall'be used as public records. to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Licensed Professional_ 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 wit r all non-point source reg lations per the Cupertino Municipal Code,Section 9.18. Date I Signature , l/