10050073 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10441 GLENVIEW AVE CONTRACTOR:KESTER HEATING AND PERMIT NO: 10050073
Al 2 CONDITIONING
"+WNER'S NAME: DINISH KUMAR 671 ALDO AVE STE 19 DATE ISSUED:05/07/2010
.1WNER'S PHONE: 4083246905 SANTA CLARA,CA 95054 PHONE NO:(408)265-1103
El LICENSED CONTRACTOR'S DECLARATION JC B DESCRIPTION: RESIDENTIAL El COMMERCIAL
License Class_,?d Lic.# 5 .5`4 REMOVE AND REPLACE FURNACE AND A/C UNIT
Contractor �fc=5 r� —r4— )k Date S-
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
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$5800
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
Al'N Number:36911056.00 Occupancy 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 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 Is:ued by: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section _
9.18.
RE-ROOFS:
',ignature Date ^ ^(V Al I roofs shall be inspected prior to any roofing material being installed.If a roof is
in:talled without first obtaining an inspection,I agree to remove all new materials for
in:pection.
❑ OWNER-BUILDER DECLARATION
Si,;nature 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)
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 Lave read the hazardous materials requirements under Chapter 6.95 of the
0difornia Health&Safety Code,Sections 25505,25533,and 25534. I will
I hereby affirm under penalty of perjury one of the following three in dntain 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 in iterial. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the ai•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,Section 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: 5 -I D
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 I ereby 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.)
Li rider'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
on the above mentioned property for inspection purposes.(We)agree to save
-mnify 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 i nderstand 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 Li;ensed Professional
9.18.
Signature Date
CITY OF CU13ERTINO
8 ITEMS OF 16 PERMIT R]'sCEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: =,ot :
APN . . . . . . . . : 36911056 . 00
DATE ISSUED. . . . . . . : 05/07,12010
RECEIPT #. . . . . . . . . : BS0001)10350
REFERENCE ID # . . . : 10050073
SITE ADDRESS . . . . . : 10441 GLENVIEW AVE
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : DINIS:i KUMAR
ADDRESS . . . . . . . . . . : 10441 GLENVIEW AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4512
RECEIVED FROM . . . . : DAVID KESTER
CONTRACTOR . . . . . . . : KESTE:Z, DAVID M LIC # 22101
COMPANY . . . . . . . . . . : KESTE:2 HEATING AND AIR CONDITI
ADDRESS . . . . . . . . . . : 671 A.�DO AVE STE 19
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95054
TELEPHONE . . . . . . . . : (408) 265-1103
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---- ------ ---------- ---------- ----------
1BCBSC VALUATION 5, 800 . 00 1 . 00 0 .00 1 . 00 0 . 00
1BREMAIRHA NO.UNITS 1 . 00 63 . 00 0 . 00 63 . 00 0 . 00
1BSEISMICR VALUATION 5, 800 . 00 0 . 60 0 . 00 0 . 60 0 . 00
1EPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00
1MPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00
1MRRAA UNITS 1 . 00 63 . 00 0 . 00 63 . 00 0 . 00
1PPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0. 00
1TRAVDOC FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 00 0 . 00
---- ------ ---------- ---------- ----------
TOTAL PERMIT 295. 60 0 . 00 295 . 60 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- - -------------------
CREDIT CARD 591 .40 visa
---------------
TOTAL RECEIPT 591 .40
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
CITY OF C'UPERTINO
v FURNACE/AC
CUPEkTINO PERMIT APPLICATION FORM
- - APN # 9 l 0 5 � v Date:
�` `� ► c�
Building Address:
y it i 6-e-� `t—
Owner's Name: Phone#:
Contractor: Phone#: g 2 Z L Z
Gj y
1 ►�U C tito Fax#: 7 2 ► 2 r 5�
Contractor License#: Cupertino Business License#:
Contact: Phone#: c-N e::�' r
1Dwz?— �`% � Fax #: '/F Z - 12-15—
Building
1ZI5 -
Building Permit Info:
Elect ❑ Plumb Mech
Residential Kr Commercial ❑
Job Description: p— _}_- p_ )C�
For Residential Installations:
Attic ❑ 1St floor � 2nd floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑ Additional weight(structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
r 1177�'
Strapped ❑ On Platform F1 BondedE] New Location eplacement
Project Size: Express Standard ❑ Large ❑ Major❑
Valuation:
Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the
application or if applicable, include in plan set& the sheet index.
Revised 01/07/09
CITY OF CUPERTINO
FURNACE/AC
CUPE�TiNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/idteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absor ption or
evaporative cooling s ystem,incl
installation of controls regulated by this
code.
1 MCREPALT Commercial for the ropair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VA`I boxes,
absorption unit or ea ieathing, cooling
absorption,or evaporE.tive cooling sys,
incl install of control:, regulated by
this code.
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,reecssed wall htr, or
floor mounted unit he ater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1 MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl it an appliance
permit.
1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT
TYPES
1BSEISMICO Commercial Seismic B
1 MRRAA Residential Repair/A]teration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorptic,n unit,or ea
! heating,cooling,ab sorption or
evaporative cooling s ystem,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,rece,ssed wall htr, or
floor mounted unit he ater.
CITY OF CUPERTINO
FURNACE/AC
CUPEkTiNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
1MRAPPVNT Residential for the install/relocate/or M
replacement of ea �Lppliance vent
install ¬ incl iri an appl permit.
FURNACE FURN/AC
1 PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
I 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT
l TYPES
/ 1 BSEISMICR Residential Seismi-, B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-iir/gravity type
furnace/burner, incl ducts/vents
attached to such ap pliance up to and
include 100,000 Biu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance over
100,000 Btu/h
1 EPERMITFEE Electric Permit Fey; E
1MPERMITFEE Mechanical Permit Fee M
I 1 PPERMITFEE Plumbing Permit P
1TRAVD0C Travel Documentation B
1BUSLIC Business License B
CITY OF CUPERTINO
1-114 FURNACE/AC
CUPEI,TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= lOk CFM B
1MCRAA Commercial Mech Rfpair/alt/add M
1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT
TYPES
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 PGASRES Residential for ea gas piping system P
of 1-4 Outlets
1 BPGAS For each gas piping system of 5 or P
more per outlet. Comn/Resid
1 BREMAIRHAN Residential A/C units<= l Ok CFM B
1 MRRAA Residential Mech Repair/alt/add M
1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT
TYPES
1BSEISMICR Seismic Residential B
1 EPERMITFEE Electric Permit E
1 MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
1 TRAVDOC Travel Documentation B
1BUSLIC Business License B
M.Indoor Air Quality and Finishes
1.Use Low1No-VOC Paint 1 IACJHealth pts y=yes p
2.Use Low VOC,Water-Based Wood Finishes 2 IACJHealth pts y=yes p
3.Use Low/No VOC Adhesives 3 IACJHealth pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Re source pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61ACJHealth pts y=yes p
6.Use Exterior Grade Plywood for Interior Uses 1 IAC/Health pts y=yes p
7•Seal all Partials l or MDF 4 IAC/Health pts y=yes p
S.Use FSC Certified Materials for Interior Finish 4 Re,;ource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Re:;ource pts y=yes 0
10.Install Whole House Vacuum System 3 IAO/Health pts y=yes p
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ Health pts y=yes p
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 1
Total Points Available: 1401 130 57
Total Points Project Received:1 1. 01 01 01
G:data/progs/greenbulldini guidelines/remodelers/greenpointsfinal2.12.04protected.xis
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RESIDENTIAL PROJE(:
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUB('ONTRACTOR LIST
JOB ADDRESS: i`t`41 L-A vt^A-A- 0, PERMIT# 1
OWNER'S NAME: �t '� ),q yo V-; PHONE#
GENERAL CONTRACTOR: {Lje.� BUSINESS LICENSE#
ADDRESS: &`71 pc,'Do IV CITY/ZIPCODE: 5Al2�1 44AP-A 9 SDS
*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:
Signat.ire Date
Please check applicable subcontractors and complete the following information:
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