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15050048-DP11790 UPLAND WAY 15050048 F/P AMIT GOEL SCANNED BOX # 674 I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 11790 UPLAND WAY I CONTRACTOR: PERMIT NO: 15050048 Y I OWNER'S NAME: AMIT GOEL I I DATE ISSUED: 05/08/2015 1 OWNER'S PHONE: 4089669002 ! , 1 PHONE NO: 11 LICENSED CONTRACTOR'S DECLARATION License ClassLic. # 9 ( AMPS — Contractor " , w^i"t� �� S 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 of the work for which this permit is issued. *rave 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 ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 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. JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] CONSTRUCT (N) ATTACHED OPEN ROOF PERGOLA (225 S.F.) Sq. Ft Floor Area: I Valuation: $8000 I APN Number: 36603034.00 1 Occupancy Type: I PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF T ISSUANCE OR 180 DAYS + AS D INSPECTION. d by: D /� L--- 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. Owner or authorized agent: �(G Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional Date r� CUPEIZTIVO, CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building( a7cuPet no.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT ## PROJECT ADDRESS 290 ! aI ] APN # 366 66 ® 0 3 ,2— h .11290 OWNER NAME PHONEI JO O && (O o EMAIL Q I r L, C e C_0 w, STREET ADDRESS CITY, STATE/, ZIP FAX LL� Ll n- o 1 CONTACT NAME PHONEZ� IL f w L ��� � kS s L1 -f IFAX STREET ADDRESS CITY, STATE, ZIP C —7 yrLJ ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR NTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME p LICENSENUMBE LICENc�TYPE BUS. LIC9 2-6 COMPANY NAME E-MAIL FAX STREETADDRESS / /�C5 /n - f_ J V u CITY, STATE, ZIP PHONE- 'off ARCHITECT/ENGINEERNAME 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 USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR• DEMO TOTAL AREA AREA AREA NET AREA -. BATHROOM. KITCHEN. OTHER, . REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJ DETACH ' E] ATTACH # DWELLING UNITS: IS A SECOND UNrr []YES SECOND STORY ❑ YES BEING ADDED? NO ADDITION? ❑NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING APPL # ❑ NO ' PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? RECE - - _ TALVALUATION: heent By my signature below, I certify to each of the following: I am the property o��mer or oriz h to ac to mer's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and veri e. I agree tc comply with all applicable local ordinances and state laws relating to building constrUction. I thorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: S �� SUPPLEMENTAL, INFORAIATIOWREQUIRED New SFD or Multifamily dNvellings: Apply for demolition permit for 4 fl BUILDII\GPLAhREVIEFi existing building(s). Demolition permit is required prior to issuance of building OVER THE COi7JvTER r� for new building. E ExPxEss ©pLnl�I.ihcrLAxxl permit vlEw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sTnNnAItD s ❑ ruBLlc oxxs" } ` _ form if any Hazardous Materials are being used as part of this project. rOR .. LAR1gb FIREDFI?T z. Copy of Planning Approval Letter or Meeting with Planning prior to �` Y _ submittal of Building Permit application. MA70t t-� `SAhTrARx SER'ERS)ISTRTC BldgApp_201 Ldoc revised 06121111 CITY OF CUPERTINO FMI-1 FEE ESTIMATOR — BUILDING DIVISION 19 ADDRESS: 10790 UPLAND WAY DATE: 05/08/2015 REVIEWED BY: MEUSSA APN: 366 03 034 BP#: � 00 *VALUATION: 1$8,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: p PENTAMATION PERMIT TYPE: 1 GENRE i WORK CONSTRUCT N ATTACHED OPEN ROOF PERGOLA 225 S.F. SCOPE x r' Nfech. Plan Check Plumb. Plan Check Elec. Plan Check Mech. Permit Fee: Plumb. Permit Fee: T'lee. Permit Fee: Other hlech. Other Plumb Insp.Li C)tltcr Elec. Inap. Mech. Insp. Fee: Phimb. htsp. Fee; 1 Elec. Insp. Fee: 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 nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113,) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $359.00 Awning / Canopy (Support'd by Bldg) IAWNA7TBLD I Canopy Suppl. PC Fee: E) Reg. Q OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. C) OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tar: Administrative Fee: Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure i Travel Documentation lees: Strong Motion Fee: IBSEISMICR $1.04 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 vSUBTOTALS $2.04 $359.00 TOTAL FEE: $361.04 Revised: 04/01/2015 EQ) T.6 ' 69 42 J0 zq.53/' U 0 F F I C E 0 F C 0 U N T Y A S S E S S 0 R S A N T A C L A R A COUNTY, C A L I F 0 R N I A /Z / P.M. 710—M-14 25 41 PCL. 2 A R� 8.00 AC. C 64 35.6JY 153 S4RE P011/ 41,25 0' 1.60 PCL.AC. 1 63 480 i 515.70 Vl- (;0V W, 0 Naturc WorL5 I T d. pe 17360 Grand Prix Way, Morgan Hill,CA 95037 Phone: 800-758-7020 Cell: 408-314-0282 email: roy*natureworkslandseapexet Landscape Plan For The Goel Famil 11790 Upland Way Cupertino, CA 95014 -9w 3 6 =6i 1/4 SEC, COR. W D E— TRACT NO. 49 MARQUETTE ---------- ; LHT 230 F Ab, 'P.M. HEIGHTS te P41N 6_6 0. A 718—M-23 (RMDR, LOT 2) 91.93 1P, 5 WOOLEY' 10 WAY j Q? j36Z4 ........ 6 Q 16 . <1 — i I ?415 k4 .66 PM.633-M 6% a'- j 701 AC. �O R06N 7 11,670 10;5,so C� .3 iF 1110 60 W) to PCL. 1 55 1.06 ACNET (f L4 VON j 26 54 N7, D�" Z 1.225 AC.4861 AP PCL. C P z 49 14 62 25 1, 24 1.56 AC. NET °�' a Jrr 6\ Sao 6~ �F Mo �L7 68 PTN- PCL- 2 1�334 PCL. 1 IPS ��,7PCL '2 1.113 AC, kC 6 1.15 AC. A 1.13 AC. PCL. PCL. 9.9 343.86 146 R M. 650- M - 27 LL.A.# 15703796 R. 0. S. 165- M-37 P.M. 652—M —49 P.M. 492 — M 2 42.14` a4 PCL.ti PCL. C 3 7M DET. W 86 LAWRENCE E. STONE — ASSESSOR PTN. PCL. 2 Godostrol map for assessment purposes only. Compiled under R. & T. Code, Sec. 327. Effective Roll Year 2014-2015 223.25 G81-2311 L./51-731L 4 NEW PERGOLA 3. C yam. EX15TING RESIDENCE �fzVidfi" D00artmrIv REVIEVVEj:, �(jR tjoiDE COMPLIANCE 0 5gale 0 20 40 30 feet SCALE: 1/20" = 1+-9' ZZ 0 M%,11 U N I T Y E L 0, P iv! E N I R i M E INI r 13LALIDING IDIVISION APPROVED 'k "-e kept atthe i Ns se� of plans a-d spebfl.-atiorjs '-b fL,i to make any 61 anges cir on sarm , or to deviate �,-,erefroni, P ai Born ¢ 1,JIdincg Off. iciaL he S, d H. A! L N 0 T. m,3r, heicl to pern'll —c—l''-fl�—, Jcjti�y; P, � �,Io Ptuvc,k JI �6 If- .' ��,Q � 1 1 J- 44 ,- Vv; -I 5cope of Work: Construction and installation of a painted dour] fir pergola, attached to exterior of Ex. house. De5l,neci 5y Homeowner: Amit Gael I CA5TRO N m 1 L- i av \- / L r-A I L r-\ # V V I L_ V V 5caleV4" = I ft. 5cale�2' = I ft. I 1 2" MULCI #3 REBAR 5QUARE CAG 2 '10 JOIST 10 PLATE / 2X 10 LEDGER )3 2X8 CORNER BRACE NOTE: CORNER BRACE ON RETURN 51DE NOT 5HOWN 1112" X I " (ACTUAL DIM) TRIM W/ FILLER FIECE r � tfi ♦ fM CID l�Cl7r"C BITER SUNK 5CREW5 X I " (ACTUAL DIM) TRIM SECTION: LINTEL CONNECTION TO P 5T Scale I" = I ft. DETAIL: kale I " = I ft. 2" MIJ C , TOP FLA5H I it � ' G'• � • A p ECTI Scale 3/4" = I ft. N DECK 5CREW5 D IF ILLE! .. III. ,w AIM 4 r ,NGLf D TO 5ECURF BRAJ otherwi5e noted, are, r• �` #2/better forcj r and lattice. Po5t5 are GxG foundation Grade PT. D ADJU5T HE IGHT Of CLEARANCE 50TTOM Of ' AND "fir WE HAVE ALLOW IFOR 11�.aP.'b`uT Ca �Do//9Qm fi u C: I west' a i HuioAinq x � W 7Revlawao By. SHEET TITLE Concept ,rr r► 115 R I r AGE J.CA• r i •`... I OF 1V A5 5hown 7 lone