12100101CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1025 CRANBERRY DR
CONTRACTOR: CHANDRASEKAR
PERMIT NO: 12100101
KRISHNAMURTHY
OWNER'S NAME:
CUPERTWO, CA 95014
PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL EI
License Class Lic. tl
REMODEL 140 SQ FT BATH, KITCHEN 128 SQ FT,
THROUGH
Contractor Date
OUT SFDWL BEDRM, LIVING, 2 SQ FT TO EXISTING
hereby affirm that I am licensed under the provisions of Chapter 9
FRONT
(commencing with Section 7000) of Division 3 of the Business & Professions
PORCH
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: $50000
performance of the work for which this permit is issued.
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
APN Number: 36203016.00
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. 1 agree to comply with all city and county ordinances and state laws relating
WITHIN 0 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 DAY M LAST CALLED INSPECTIO .
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
/ V,4��
granting of this permit. Additionally, the applicant understands and will comply
Issued by: Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18,
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, 1 agree to remove all new materials for
inspection.
OWNER -BUILDER DECLARATION
Signature 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
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)
1, as owner. of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I 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 whichthis 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
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date: (Q 10/
permit is issued.
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 hereby 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.)
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 O / L
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1025 CRANBERRY DR
OWNER'S NAME:
❑ LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
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
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
permit is issued.
APPLICANT CERTIFICATION
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,
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.
Signature Date
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions 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, 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
permit is issued.
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
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
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,
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.
Signature Date
CONTRACTOR:CHANDRASEKAR
KRISFINAMURTHY
1025 CRANBERRY DR
CUPERTINO, CA 95014
NO: 12100101
DATE ISSUED: 10/12/2012
PHONE NO:
BUILDING PERMIT INFO: BLDG r ELECT T_ PLUMB r
MECH I— RESIDENTIAL r— COMMERCIAL r—
JOB DESCRIPTION: REMODEL 140 SQ FT BATH, KITCHEN 128 SQ FT, THROUGH
OUT SFDWL BEDRM, LIVING, 2 SQ FT TO EXISTING FRONT PORCH
10/30/12 -REV# I- ADD AIR CONDITIONING TO EXISTING HVAC SYSTEM;UPGRADE MAIN
ELECTRICAL PANEL TO 200 AMP-REV#I ISS'D 10/30/12
Sq. Ft Floor Area: I Valuation: $55000
APN Number: 36203016.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
Date:
RE -ROOFS:
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.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Date: L&f I -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of Hork's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
FM__1
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District, eta). These fees are based on the nreliminary information available and are only an estimate- Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/12)
ADDRESS: 1025 cranberry dr. DATE: 10/11/2012
REVIEWED BY: bobs.
Plum Check
APN: BP#:
"VALUATION: 1$50,000
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
Other Plumb Insp.
PENTAMATION 1R3SFDREM
USE:
1111116. hn.cp. Fee.
PERMIT TYPE:
WORK
sfd add 2 s.f. to existing front porch, remodel bath 140 s.f., kitchen s.f 128 other areas 1310 s.f.
SCOPE
covered porch 23 s.f.
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District, eta). These fees are based on the nreliminary information available and are only an estimate- Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/12)
FEE
Wcch. Plan CheckP[runb.
Plum Check
Dec:. Plan Check
F" " Permil Fee:
Flumh. Pornil Fee.
1,7ec Peermi7 Fcc
Other Afech. Insp.
Other Plumb Insp.
Usher Elec. Insp. ET
d10ch. Insp. Fee.
1111116. hn.cp. Fee.
Elec. Insp. E'ce.
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District, eta). These fees are based on the nreliminary information available and are only an estimate- Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
F140 s.f.
$600.00
Remodel, Bath (<=300 sf)
IREMRESBAT
Suppl. PC Fee: Q Reg. Q OT
F0,0Thrs
$0.00
PME Plan Check:
$0.00
128 s.f.
$600.00
Remodel, Kitchen (<=300 sf)
1 1REMRESKIT
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. Q OT
0.0
hrs
$0.00
999 s.f. Remodel, Other
$601.00 IREMRESOTH
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction 1i7Y:
Administrative Fee:
0
Work Without Permit? O Yes No
$0.00
Advanced Planning Fee
$0.00
Select a Non -Residential
Building or Structure
E)
0
Travel Documentation Fetes:
Strong Motion Fee: IBSEISMICR
$5.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$2.00
SUBTOTALS:
$7.001$1,801.00
TOTAL FEE:
1 $1,808.00
Revised: 10/01/2012
wo
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
Mech. Plan Check 0.0 1 hrs $0.00 P/nmh. Plun Check
Mech. Pennit Fee: IMPERMIT Plumh, Pomil Fee.
Other Mech. Insp. 0.0 hrs $45.00 Usher Phmmh Insp,
llcch. higj. Frye: Phimh. In.sp. Fee:
Elec. Plan Check 10.0 1 hrs $0.00
Elec. Permit Fee: IEPERMIT
Other Elec. Insp. Fo.0 hrs $45.00
Elegy Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These tees are based on the nreliminary infarmatinn available and are only an estimate. Contact the Dent for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12)
ADDRESS: 1025 Cranberry Dr.
DATE: 10/30/2012
REVIEWED BY: Sean
APN:
BP#: 12100101
'VALUATION: 1$5,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
0.0
PENTAMATION FURN/AC
PERMIT TYPE:
WORK
REVISION #1: ADD AIR CONDITIONING TO EXISTING HVAC SYSTEM; UPGRADE MAIN
SCOPE
ELECTRICAL PANEL TO 200 AMP.
Mech. Plan Check 0.0 1 hrs $0.00 P/nmh. Plun Check
Mech. Pennit Fee: IMPERMIT Plumh, Pomil Fee.
Other Mech. Insp. 0.0 hrs $45.00 Usher Phmmh Insp,
llcch. higj. Frye: Phimh. In.sp. Fee:
Elec. Plan Check 10.0 1 hrs $0.00
Elec. Permit Fee: IEPERMIT
Other Elec. Insp. Fo.0 hrs $45.00
Elegy Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These tees are based on the nreliminary infarmatinn available and are only an estimate. Contact the Dent for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
=#
$67.00
Mechanical
IBREAMIR A/C Units (<=10K cfm)
Suppl. PC Fee: Q Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
F200 amps
$45.00
Electrical
1ERT<200 Services
Permit Fee:
$0.00
Suppl. Insp. Fee -.0 Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$90.00
('ons471Clion 7'av-.
Administrative Fee: IADMIN
$42.00
Q
E)
Work Without Permit? Q Yes (j) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
Q
0 �
Travel Documentation Fee: ITRA VDOC
$45.00
Strong Motion Fee: 1BSEISMICR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
1 $1.00
SUBTOTALS:
1 $178.501
$112.001
TOTAL FEE:
1 $290.50
Revised: 10/01/2012