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B-2016-1678
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1678 21101 TAMARIND CT CUPERTINO, CA 95014-1638 (326 08 016) JONATHAN WEI CHIH SU CUPERTINO, CA 95014 OWNER'S NAME: PANDEYANAND KUMAR AND POONAM TRUSTEE DATE ISSUED: 08/24/2016 OWNER'S PHONE: PHONE NO: (408) 255-8999 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic. #681633 Contractor JONATHAN WEI CHIH SU Date 12/31/2017 X BLDG ELECT PLUMB — — — MECH X RESIDENTIAL COMMERCIAL I hereby affirm that I am licensedunder the provisions of Chapter 9 (commencing — _ with Section 7000) of Division 3of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: CONSTRUCT (l) DETACHED 2ND UNIT (753 S.F.) WITH COVERED I hereby affirm under penalty of perjury one of the following two declarations: PORCH (64 S.F.) 1. 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. 2. 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 Floor Area: 753 Valuation: $96000.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 326 08 016 Deferred Submittal (R -3),R-3 (Custom) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date Issued by: Kim Dunbar Date: 08/24/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 1. 1, as owner ofthe property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (See. 7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 1 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous s. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Managemenf District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: CONSTRUCTION LENDING AGENCY 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 correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands ARCHITECT'S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 C.,�JF E RTI N {a (448) 777-3228 - FAX (408) 777-3333 buildinq@cupertino.org Z. -f% 1,6 ' j �E7 , { � f 11'rW m,T,,TRt iCTION n ADDTTION n ALTERATION I TI 77 REVISION / DEFERRED ORIGINAL PERMIT 4 PXO ECTADDRESS 1 5�f/{-�+/q �j — 2 1 1 o 3 khP% APN R r a aV Y j OWNERNAME Pek�, 1(5R)E-MAIL STREETADDRESS } CITY STATE, ZhIP. 0,3 CONTACT NAME PHONE i r~ STREET ADDRESS CITY, STATE, )P FAX Cn f? ��/ OVTN£R 1: 011%Ta-BUILDER ❑ 0AFNERAGENT 11 CONTRACTOR ❑ CONTRACTORAGENT 18 ARCHITECT © ENGINEER 13 DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC R COMPANY NAME E-MAIL. FAX STREET ADDRESS CITY, STATE, ZIP PHONE RCIIITECT GINEERNAME LICENSE NUMBER BUS. LIC R COMPANY NAME f E -I i4IL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK 1— — Gi4t5`1 1, LKISTING USE PROPOSED USE - CONSTR. TYPE =.' STORIES - USE € TYPE I OCC. SQ.FT, I VALUATION (S) EXIST0 AREA. NEW FLOOR AREA _' Z -j DETAO AREA TOTAL NBT AREA c. -I �. 7 J _ L>, . t V DOC) Is BATHROOM KITCHEN OTHER RUICUELAREA REMODEL.AREA REMODELAREA PORGY AREA DECK AREA TOTAL DEWPORCH. AREA GAGE AREA: DETACH y A 6 O O� ! F DATTACH DWELLING UNITS: ISA SECOND UXITt 'EYES SECONND STORY © YES f BELNGADDED7 ©NO ADDITION? E091 r � t/ PRE -APPLICATION YES IF YES, PP.O\�] E COPY 0 1S THE aLDC AN ❑ YES CE]\' � � �. � TOTAL VALUATION: PLANNING ADPL; ONO PLANNING APPROVAL LETTER EICHLERHOME? 3 rfif By nay signature below, I certify to each ofthe following; I am the pro. y o1 r or authorized pent to an the o�� nem al£ 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. T aree to comply � ' all applicable local 'an ordinances and state laws relating"111,\C11D_Q construction. I authorize representatives of Cupertino to enter the above -identified property, for inspe purposes. Date: LIC Signature of Applicant/Agent: SUPPLEIMEN N RE WRET7 K a PLAR, CIIECIi T] PE ry s iiOUTI :.G.'SLiP " ❑x BUILDI�C PLA +Rbl IEiV 1\Tcw SFD or Multifamily dwellings: Apply for demolition permit forCOGlTER eristitng buildin.- s). Demolition pet7l•Iit is required prior to issuance of buildinz for new 5uildiu.g• Q �PREss �� 1] `4Q-22-iG P%1 n RE17E1iOR p elznit _ s�F Q Commercial Bldgs: Provide a completed HazardousMaterials Disclosure ;© sT�rnaRD �m� PUBLICS\oRls r _ fonm if any Hazardous Materials are being" used asJ ros art ofthiproject. p P s; Copy of Plaiining Approval Lett& or Meeting with Planning prior to �, nta�oR r � X13 54 tITAR] SERERbISTR1CT _ submittal of Building Permit application. z® E\S iRO\1aE `I:4L HEAtT H - B1dgAp,p_X11.doc revised 06121111 FILE F fI V CAPER ENGINEERING INC. PO BOX 14198, FREMONT, CA 94539 Tel: (510) 668-1815 Fax: (510) 490-8690 Project No. 10532 August 24, 2016 Building Department City of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3232 Subject: Proposed New Residence at 21101 Tamarind Ct. Cupertino, CA SITE DEMOLITION, GRADING OBSERVATION REPORT Dear Sir: Per your request, CAPER ENGINEERING INC., has provided observation service for site demolition, primary and final grading. On the basis of our observation and testing, we conclude building pad, compaction operation were performed in general accordance with recommendations of site soil engineer and compacted to a minimum of 90% relative compaction. Prior to grading, demolition of the site has been completed. Any tree root system, debris or trash are encountered have been removed and were performed in accordance with recommendations of soil report. If you have any questions, please contact our office at your convenience. Very truly yours,. CAPER EPGINEERING INC. 4'ryjslua, P.E. Principal ?,OfESSi( � QUO RY Hsi OF CAPEX ENGINEERING INC. PO BOX 14198, FREMONT, CA 94539 Tel: (510) 668-1815 Fax: (510) 490-8690 Project No. 10532 August 24, 2016 Building Department City of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3232 Subject: Proposed New Residence at 21101 Tamarind Ct. Cupertino, CA FOOTING EXCAVATION (GRADE BEAMS & SPREAD FOOTINGS) AND PREPARATION OBSERVATION REPORT Dear Sir: CAPEXENGINEERING INC., has provided inspection service for footing excavation and, preparation. Footing depth and width were excavated adequate in accordance with approved foundation plan and specifications. The exposed soil conditions of excavated foundation are beyond design bearing capacity and acceptable. Any questions, please call our office at your convenience. Sincerely, CAPER JN1NEERING INC., QaO�ESS/Q� Gary Hsu, RE Principal W 9 cc I 4 -26th- c & ,4- WE and Associates, Inc. August 24, 2016 City of Cupertino Community Development Building Division 10300 Torre Avenue Cupertino, CA 95014-3202 Subject: Survey Report 21101 Tamarind Court Cupertino, CA 2nd Unit To Whom It May Concern: This letter is to confirm in writing that WEC and. Associates, Inc provided a staring survey for the foundation line on the subject property. The stakes have been placed in accordance with the plans approved by the City of Cupertino both horizontally and vertically. The horizontal control is established by the county recorded tract map(s) and/or Record of Survey(s) and the monument line established along Flora Vista Avenue. We subsequently paid a site visit on 8/17/2016. From our professional point of view, the contractor formed the foundation walls in accordance with the horizontal setback requirement as shown on the city's approved plan. The finish floor elevation, based on the top of form measurement, is 102.5'. We make no warranty, expressed or implied, as to the services rendered except that our services are performed in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession currently practicing under similar circumstances at the same time and in the same or similar locality. If you have any further questions regarding this matter, please contact me at your convenience. Sincerely, ., ; WEC and Associates, Inc. RAN�& e6 1.?a /J( Yi-Ran Wu, PE., LLS 2625 Middlefield Road 4658 + Palo Alto, CA 94306 9 Tel: 650-823-6466 9 Fax: 650-887-1294