15090002CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10832 WILKINSON AVE
CONTRACTOR: THD AT-HOME
PERMIT NO: 15090002
SERVICES, INC.
OWNER'S NAME: SARANG, SRINATH
2690 CUMBERLAND PKWY STE 300
DATE ISSUED: 09/01/2015
OWNER'S PHONE: 4083162429
ATLANTA, GA 30339-3913
PHONE NO: (510) 731-1004
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
INSTALL (2) RETROFIT WINDOWS IN KITCHEN.
License ClassLic. # 36(92-1
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T�T
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Al kw- %�)-
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.
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: $2656
of the work for which this permit is issued.
e and will maintain Worker's Compensation Insurance, as provided for by
J'ermance
on 3700 of the Labor Code, for the performance of the work for which this
AI'N Number: 35613036.00
OccupancyType:
i[ 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
WITI�T 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 con ence of the
Issued by: ���/� Date:
granting of this permit. Additionally, the applicant and ds and will comply
with all non -point source regulations per the Cup o Municipal Code, Section
9.18.
9
RE -ROOFS:
Signature Date
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.
13- OWNE UIL R DECLARATION
Signature of Applicant: Date:
I hereby affirm that a mpt from the Contractor's License Law for one of
the following two re sons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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 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 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
the Health & Safety Code, Sections 25505 and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
a
permit is issued.
Owner or authorized age Date:
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
CONSTRUCT L DING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a cons on 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
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
indemnify 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 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
CONSTRUCTION PERMIT APPLICATION
12 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 2
CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • build inala cuoertino.ora 1501 a00cj-
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 10'93? JA
APN # . O 36
-4 1A) r
C
OWNER NAME S
'94147d /4�
PHO
E-MAIL
/
STREET ADDRESS/O
CITY, STATE, ZIP L
�
FAX
Z 1 ( I� �� E"
rr271 O
CONTACT NAME JEFF RAINEY
PHONE 510-427-4260
E-MAILJEFFREY. RAINEY@ATT. NET
STREET ADDRESS 1069 EDGEMERE LANE
CITY, STATE, ZIP HAYWARD, CA 94545
FAX 510-783-1041
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 'O CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
836021
B,C39,C13,C17
COMPANYNAME THD AT HOME SERVICES
E-MAIL
FAX 510-783-1'041
STREETADDRESS 2456 VERNA COURT
CITY, STATE, ZIP SAN LEANDRO,CA 94577
PHONE510-785-6340
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
EXISTING USE
PROPOSED USE CONSTR.
TYPE
# STORIES
/Z_
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EXISTG
NEW FLOOR
DEMO
TOTAL
.AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODELAREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
ATTACH
I
a DWELLING UNITS:
IS A SECOND UNIT ❑ YES
SECOND STORY ❑ YES
BEING ADDED? ❑ NO
ADDITION:' ONO
PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEJ D BY:
OTAL VALUAT19:
PLANNINGAPPL# ONO PLANNING APPROVAL LETTER
EICHLER HOME? 0 N
/_ `(/rJ Cry
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 withal] applicable local
ordinances and state laws relating to building construction. I author' resentatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date: !V/ //
SUPPLEMEMAL INFORMATION R D
PLAN CHECK TYPE
ROUTING SLIP
OVER -TAE -COUNTER
rpt BUILDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Appl or d (tion permit for
existing building(s). Demolition permit is req rec prior to issuance of building
permit for new building.
❑ EXPRESS
PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC 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
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06121111
CITY OF CUPERTINO
19 M-1 FEE ESTIMATOR - BUILDING DIVISION
im,ADDRESS:
10832 WILKINSON AVE
DATE: 09/01/2015
REVIEWED BY: SEAN
Adech. Permit Fee:
APN:
BP#:
"VALUATION: 1$2,656
°PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
1
PENTAMATION 1GENRES
PERMIT TYPE:
WORK
INSTALL 2 RETROFIT WINDOWS IN KITCHEN.
SCOPE
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 on the Dreliminary information available and are onlv an estimate. Contact the Dept for addh 7 info.
FEE ITEMS (Fee Resolution I1-053 E . 7/1/13)
11ech..Plea Check
I'lurnb. flan Check
lec. Plan C:'heck.
Adech. Permit Fee:
Plumb. Permit Fee:
Elec. Permit Fee:
Other Mech. lush.
Pluraib.ln.sp. Li
t)cher Iat>c. hirj, Li
Suppl. PC Fee: (j) Reg. 0 OT0.0
1
hrs
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 on the Dreliminary information available and are onlv an estimate. Contact the Dept for addh 7 info.
FEE ITEMS (Fee Resolution I1-053 E . 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
#
$431.00
Window / Sliding Glass Door
I WINREP Replacement
Suppl. PC Fee: (j) Reg. 0 OT0.0
1
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. 0 OT0.0
T
7hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Consiruetion Tax:77
Administrative Fee:
E)
Work Without Permit? Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
A
"Travel Documentation fees:
Strom Motion Fee: IBSEISMICR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$1.50
$431.00
TOTAL FEE:
$432.50
Revised: 07/02/2015
LEGEND: SCOPE OF WORK: INSTALL (2) RETROFIT VINYL, DUAL =
IZZ2 = RETROFIT WINDOW/ PATIO DOOR LOCATION KITCHEN KITCHEN GLAZED, LOW E WINDOWS. NO (N) CONSTRUCTION, F—
(DH) = DOUBLE HUNG WINDOW (DH) WINDOW (DH) FRAMES WILL NOT BE DISTURBED.
39"w x 58"h 39"w x 58"h z r�
(TEMPERED) (TEMPERED) `n
NOTE; WINDOWS /PATIO DOORS; w M
U -FACTOR = 0.30 c) op Q
SHGC = 0.25 v C.3
":1UNITY DEVELOPMENT DEPARTMENT
wzo
KITCHEN r.�_'ILDING DIVISION - CUPERTINO w Cr_ p
�QO cfl>
LU
i h , set of plans and specifications MUST be pt at the _ U -)-'APPROVED 1
Qvz
dL°:ring construction. It is unlawful to rake any N
cr1^njgs or alterations on same, or to de d 3 to
ther.�trom, without approval from the Buildin fficial. o
Tho a3 rping of this plan and specifications S LL NOT
bc: '~r_ -!u to permit or to be an approval of the oiatlon r
o; z:;T, ; - s of any City O inance or S e Law. I'
ENTRY e
w
zT
c3 > o
GARAGE Q Q M
cc:z
CC/� O� U
z
FIRST STORY (FRONT YARD) Z J o
FLOOR PLAN WILKINSON AVENUE cN LU
m
CC) p
C7
NOTE: O,--
1). SMOKE DETECTORS: WHEN A BUILDING PERMIT IS REQUIRED, SMOKE DETECTORS SHALL BE INSTALLED; (a) IN EACH SLEEPING ROOM, (b) OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE DAT' 08,27.15
BEDROOMS, (c) ON EACH ADDITIONAL STORY OF THE DWELLING, INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS. (CRC 314)
scaF NTS
APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS; (a) OUTSIDE OF EACH SEPARATE DWELLING UNIT SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOM(S), (b) ON
2). CARBON MONOXIDE ALARMS: WHERE A PERMIT IS REQUIRED FOR ALTERATIONS, REPAIRS OR ADDITIONS EXCEEDING $1,000.00, EXISTING DWELLINGS OR SLEEPING UNITS THAT HAVE ATTACHED GARAGES OR FUEL BURNING DFin.WNBY DKW
EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENTS. (CBC 420.4, CRC R315). JOB 8484474
(HOME OWNER TO PROVIDE BEFORE FINAL INSPECTION). SIM A-1
RECEIVED
SEP 0 12015
BY
FILE COPY
a oeA- �ce
L;INC _P1