10050111 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10853 NORTHFIELD SQ CONTR ACTOR:RAMA CHANDRA PERMIT NO: 10050111
PHANINDRA GANTI VENKAT
OWNER'S NAME: RAMA CHANDRA PHANINDRA GANTI VENKAT 10853 NORTHFIELD SQ DATE ISSUED:05/12/2010
/NER'S PHONE: 8584373482 CUPER'CINO,CA 95014 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION BUILD ING PERMIT INFO: BLDG r ELECT r PLUMB F-
License Class Lic.# r
MECH RESIDENTIAL COMMERCIAL
Contractor Date
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:COAT CLOSET BASE(FLR)IS INCLINED&CAN'T HOLD
(commencing with Section 7000)of Division 3 of the Business&Professions ANYTHI VG WITHOUT SLIPPING;MAKING IT
Code and that my license is in full force and effect. FLAT;NO-RE-ROOF&HAS STRUCTURAL
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 F oor Area: Valuation:$250
permit is issued.
APPLICANT CERTIFICATION APN Number:31637028.00 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 W[THIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DA S FROM L T CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
Issued 3y: Date:
Signature Date
tal OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All roof, 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) Signatur.-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. Califoritia 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.
Additio pally,should I use equipment or devices which emit hazardous air
permit is issued. contain nants 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 9C 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 Own authorized age 11
forthwith comply with such provisions or this permit shall be deemed revoked. gate: !/
CONSTRUCTION LENDING GENCY
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
nify 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
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations er the Cup mo Municipal Code,Section
9.18. I understand my plans shall be used as public records.
Signature DateO \Z t! Licensed Professional
CITY OF CUPERTINO
OPERATOR: patg
PERMIT REC�3IPT COPY # � 1
3 ITEMS OF 3
Sec: Twp: Rng: Sub: Blk: Lot:
APN 31637028 . 00
DATE ISSUED. • • ' • . . : 05/12/].010
RECEIPT #• " " 100501..1
388
REFERENCE ID # • •
SITE ADDRESS . . . . . : 10853 14ORTHFIELD SQ
SUBDIVISION • • • . • CUPERTINO
CITY . . . . . . . . . . . .
IMPACT AREA • - •
OWNER . . . . . . . . . . . . : RAMA CHANDRA PHp,NINDRA GANTI V
ADDRESS 10853 NORTHFIELD SQ
CITY/STATE/ZIP CUPERIINO, CA 95014
RECEIVED FROM PHANIJ[DRA V R GANTI
CONTRACTOR LIC # *OWNER*
GANTI V
COMPANY " " RAMA c,HANDRA PHANINDRA
NORTHFIELD SQ
ADDRESS . • • • • • . • • . 10853 10853CUPERPINO, CA 95014
CITY/STATE/ZIP . • •
TELEPHONE . . . . . . • .
THIS REC NEW BAL
UNIT QUANTITY AMCUNT PD-TO-DT- ----- ---
----------
FEE ID 0 .00
---------- -
--- ---------- 0 .00 1 . 00
-------- ------- 250 .00 1 . 00 0 . 50 0 . 00
1BCBSC VALUATION 0 . 50 0 . 00 0 . 00
250 .00 0 .00 126 .00
1BSEISMICR VALUATION 1 .00 126 .00 ----------
----------
lINSPMIS HOURS --- ------ ------0 . 00
127 . 50 0 . 00
127 . 50 0 . 00
TOTAL PERMIT
AMOUNT REFERENCE NUMBER
METHOD OF PAYMENT --
-
12750 DISCOVER
CREDIT CARD --------- _
TOTAL RECEIPT
127 . 50
CITY OF CUPEXTINO
ADDITION/RE MODEL
CUPEY OF
PERMIT APPLICATION FORM
Date:
APN # o
Is a 2" unit being added? Yes ❑ No If yes, please fill out the permit application for 2" unit.
Building Address:
Mailing Address (if different from building alres"s;\*
6) ___ Phne# :
Owner's Name: 5 ss_�„ � _�,tl S 2
Phone#:
Contractor: Fax#:
Contractor License#:
Cu ertino Business License#: phone#:
Contact: Fax#:
Building Permit Into: Hillside
Bldg. Elect. ❑
Plumb. ❑ Mech. El Hillside
Job Description:
Addition-What is being added?(Be Specific):
What is being remodeled (not including addition) kA
Rl�PP_ r� d✓ f �
Remddelu �Includes Re-Ro%f: Yes [] No If yes list number of squares
No ]
Remodel Includes Structural: YesQ
Do you have the pre-application planning approval? Yes ❑ No R
If yes,please provide a copy of your plannin approval letter. Planners name:
Square Footage: 1E) S'V"J�- Deck: — Garage: Detached Attached
Addition: Porch: -
Remodel: Kitchen —
Bath — Othe- CO-0- ct0Szt_
Type of Construction (Usage Class):
Occupancy Type:
1-A, 1-B ❑ IUIII/V-A ❑ II/111 B, IV-HT,V-B Please check this box if the project is a
Valuation: � moo,an
second-story additionEl
Project Size: Express Z Standard ❑ Large❑ Ma,o� ❑
Please complete relevant portion of the Green Building
Checklist & attach it to the application or if applicabl Green Building Points Achieved:
include in plan set & the sheet index.
***For Office Use Only*** Revised 07/06/09
Over-the-Counter ❑
CITY OF CUPERTINO
ADDITON/RJ:MODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
DECKS 1R3SFDADD OR
1R3SFDREM
1DECKWOOD Deck (Wood)-Each B
(Each)
1 DECKRAIL Deck Railing-Each B
(Each)
GARAGES 1R3SFDADD OR
DETACHED 1R3SFDREM
1GARDTW<=1K Wood Frame up to B
1,000 SF (each)
1GARDTM<=1K Masonry up to 1,000 SF B
(each)
1BCONSTAXR Construction Tax Res
(new detached garage)
PATIO'S OPEN 1R3SFDADD OR
1R3SFDREM
1PATIOWOOD Wood Frame up to 300 B
SF
1PATIOMETAL Metal Frame up to 300 B
SF
1 PATIOOTHER Other Frame up to 3 00 SF B
PATIO'S CLOSED 1R3SFDADD OR
& SUN ROOMS 1R3SFDREM
1PATIOENCLW Enclosed Wood up 10 300 B
SF
1PATIOENCLM Enclosed Metal up to 300 B
SF
1PATIOENCLO Other Enclosed Patio up B
to 300 SF
1 COVPORCH Porch Covered-Eaca B
(Each)
REMODELS 1R3SFDREM
1REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan
300 SF check
1 REMRESBAT Bath Remodel up to 300 B "
SF
300
1REMREOTH Other Remodel up :0 B "
ISF
`/I
CITY OF CUPERTINO
ADDITON/RF;MODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
1MECPLNCK Stand Alone Mechanical M
Pln Ck (hourly
1PLMPLNCK Stand Alone Plumbing P
Pln Ck (hourly)
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
C Commission Fee
1 BSEISMICRE Seismic Residential B
1TRAVDOC Travel &Documentztion B
1BUSLIC Business License B
RESIDENTIAL PROJEC71C COVER SHEET
Assessor's Parcel Number:
Name of owner. ^
Project address.
��5 � U" � cel 1� C,�.,�ira2�� ,• _C..�" �c��� � y
'\�,Contact person.
�Q, Phone. _
Fax.
Net square footage of lot.
Existing Proposed
Square footage: First floor:
Second floor
Garage:
TOTAL:
Are there at least two 10 foot by 20 foot clear spaces inside th(: garage?
IsP rivacy protection planting required for the project? )Pf�N .
3uild it Green Total Points
On what floor(s) is work being done?
Brief description of work. <�-
7C3 oz- ly�,LC,77• RECEIVED
Code editions: 2007 CBC J�S)-N)2007 CFC (Y -N)2007 CMC (Y-N) MAY 12 2010
2007 CPC (Y -N)2007 NEC (Y -N) BY:
Effective 1/1/08
IN 1 HE (:ITY OF
CUP FHTINO COLAS.AND ORDiNANGES
DATE 465—% Z•/-P
SIGNED 'fir
This set of plans and specfrr ations MUST
be kept on the doh at all tvi;Ns and it is
unlawful to make any changes or,Iterations
on same without written permission from
the Building Department,City of Cupertino.
The stamping of this plan and specifications
SHALL NOT be held to permit or to be an
approval of the violation of any provisions
of any City Ordinance ur State Law.
Plan Review Process Work Book Page-8-Revised 8/05/08
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REPEIV I s
MAY 12 2010 �J36 �T �
BY: _ '� r
.Vi v r
9�
Community Development
10300 Torre Avenue
' Cupertino CA 95014
Telephone(408) 777-3228
CITY Fax(408) 777-3333
,.UPE TING
Building Department
All Cupertino building permits must meet cf!rtain conditionso most otmmon� �
maintaining
m
environental quality and public peace and safety.
conditions are described below.
STORMWATER POLLUTION CONTROL
State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and
the Santa Clara Valley a pend enforcing stormwater control vater pollutolnuco control ting local
are key parts
residents and business
of the City's compliance efforts.
Stormwater pollution prevention: It's up ':o us
In northern Santa Clara Valley, storm drains f ow directly to local creeks and San
Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife
dependent on our waterways, for people living near streams and baylands, and for the
local water supply. Common sources of stormwater pollution include:
Dripped oil, fuel, and antifreeze from Noehicles and heavy equipment;
• Construction debris, including dirt, corcrete and paint;
• Landscaping runoff containing pesticides or weed killers; and
Any material dumped or spilled into st,eets or storm drains
es
The property owner
construction site the contractor
willshare
be heidultimate
r responsible forresponsibility
ny enviaronlmental
occurring at a con
damage caused by subcontractors or employees.
For more information on construction-related stormwater requirements, see the
Stormwater Quality Regulations section of th,2 City of Cupertino web site at:
http //www cuQertino.ora/city goverr men t/departments and offices/
environmental services
COMMUNITY NOISE CONTROL
The basic noise control requirements for construction sites are as follows:
Typical construction work hours are:
- Weekdays - 7 a.m. to 8 P.M.
- Weekends - 9 a.m. to 6 p.m.
• Construction other than street constr��ction is prohibited on holidays.
Residential daytime noise levels from complaint site - 60 dBA
• Nonresidential daytime noise levels from complaint site - 65 dBA
For more information on noise control, please see Chapter 10.48 of the Cupertino
Municipal Code, which can be accessed at http://www amlectal com/cupertino ca/
RECEIVED
MA( 12 2010
Greg Casteel
Building Official BY:_
RESIDENTIAL PROJECT COVER SHEET
-Assessor's Parcel Number:
Q Q %JTy Ez'.el-� Pr�
Name of owner. "��'^^� ynlc � go
Project address.
1� 15 � C� � w Ult _7 SO I y
Contact person.
CLQ
Phone.
Fax.
Net square footage of lot.
Existing Proposed
Square footage: First floor:
Second floor:
Garage:
TOTAL:
Are there at least two 10 foot by 20 foot clear spaces inside the garage?
IsY
P rivac protection planting required for the project? Y_'��N
Juild it Green Total Points [=
On what floor(s) is work being done?
Brief description of work.
TU [ li (,L" mNY 12 2010
Code editions: 2007 CBC ' ' -N)2007 CFC (Y -N)20)7)7 CMC (Y-N)
2007 CPC (Y -N)2007 NEC (Y-N) BY
IN 'I1 4 1NE CITY OF
Effective l/l/08 CLA4 RTINO C01�3E^,':,AND ORDINANCES
DATE `� •�
SIGNED_ v
This set of plans and s ications MUST
be kept on•the job at all times and it is
unlawful to make any changes or alterations
on same without written permission from
the Building Department,City of Cupertino.
The stamping of this pian and specifications
SHALL NOT be held to permit or to be an
approval of the violation of any provisions
of any City Ordinance or State Law.
Plan Review Process Work Book Page-8-Revised 8/05/08
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