Loading...
B-2016-3203 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-3203 19340 CALLE DE BARCELONA CUPERTINO,CA 95014-3404(375 05 019) ON-TIME AIR CONDITIONING& HEATING INC PLEASANTON,CA 94588 OWNER'S NAME: REDDY INDUPURU KAND INDUPURU I TRUSTEE DATE ISSUED:12/02/2016 OWNER'S PHONE:408-761-722412/02/ PHONE No:(925)444-4441 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class INSULATION AND ACOUSTICAL Lic.#817040 Contractor ON-TIME AIR CONDITIONING&HEATING INC Date 09/30/2017 X BLDG _ELECT _PLUMB X MECH X RESIDENTIAL_COMMERCIAL 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. JOB DESCRIPTION: REPLACE FURNACE(ATTIC) I hereby affirm under penalty of perjury one of the following two declarations: 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 4 /performance of the work for which this permit is issued. z. 7I 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. Sq.Ft Floor Area: Valuation:$4250.00 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 375 05 019 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)ag WITHIN 180 DAYS OF PERMIT ISSUANCE OR --to save indemnify and keep harmless the City of Cupertino against liab' :s,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said Ci onsequence of the granting of this permit. Additionally,the applicant u stands and will comply with all non-point source regulations per the .ertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. 41t�� r Date 12/02/2016 Issued by z.�•`,_" �.€`�,__-.......--- Signature'' ��s!i � ,11 Date:12/02/2016 .h! :- II I t I i2..:Iii. i, RE-ROOFS: � I hereby affirm that I am exe�� ���the Contractor's License Law for one of the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the 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(Sec.7044,Business&Professions Code) 2. 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:12/02/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER ' 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. 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 permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)sho I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipmen o devices which emit hazardous air contaminants as defined by the Bay Area,' "►uality Management District I Worker's Compensation laws of California. If after making this certificate of will maintain compliance with the Cupertino cipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Se tion 25.05,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall f� be deemed revoked, ,( ■moi Owner or authorized agent.,, APPLICANT CERTIFICATION Date:12/02/2016 _t� I certify that I have read this application and state that the above information is ` f °` �' t` ' `y correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a constructio �S;wg agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Se 197,Civ C to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name I to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 12/02/2016 I GENERAL PERMIT APPLICATION �" RnEp '` COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION sem: , 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 GUPERT[Nt (408)777-3228• FAX(408)777-3333•buildincl cupertino,orq P4 I S C 16 ' 32 1 ❑PLUMBING ❑MECHANICAL ❑ELECTRICAL eq J ❑MISCELLANEOUSPROJECT ADDRESS tq%L/ cifrikt,rSI{y Jit2I A APN# 34-5' - 0r - ®1 5 OWNER NAME t _ `)�-ry/��,y "� J �! L v 1 G I E-MAIL � �STREET ADDRESS 01 ��g ®.,, � .A _ �_�v ) µVA.. Ly '. wIn Ti rb eps �' i , 1 FAX ce: �CONTACT NAME � a, c" (� � , I Ou)5 is- I E I O cj i(' i fc STREET ADDRESS 01(1 4., Vo1/4)l plcCit i �jV Imrc}' ` ✓ , . bsI t.0 � 97G j e❑OWNER 0 OWNER-BUILDER 0 OWNERAGENT 0 CONTRACTOR El CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER ■ I CONTRACTOR NAME f�� TENANT G �da' V 21 LICENSE NUMBERC 11 0 bto j LICENSE TYPE/ ) BUS.LIC COMPANY NAM ���'��`111 0+ l 3 ' g 3 3 E-MAIL FAX STREET ADDRESS6 2..t�^ S �iJ� � /J )eVf"iut/,Y`t +l�C/V 1 tt g__ U Y TZP t / ONE (1 ARCHITECT/ENGINEER NAME LICEASE NUMBER L rt " 44" LI BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 0 SED or DUPLEX 0 MULTI-FAMILY PROJECT IN WILDLAND 0 YES PROJECT IN 0 YESIS TIS BLDG AN BUILDING: COMMERCIAL URBAN INTERFACE AREA0 YES 0 NO FLOOD ZONE 0 NO EICHLER HOME; 0 NO DESCRIPTION OF WORK �sk i\ji A-�e0 �,fi el v f t' 1 TOTAL VALUATION: 7 z-5-0 , la By my signature below,I certify to each of the Follow' g: I am the property owner or authorized agent to act on theroperty owner's behalf. I have read this application and the information I have provided is co ect I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constru ti... I authorize representatives of Cupertino to enter the above-iflgtiffidj9erty for inspection purposes. Signature of Applicant/Agent: _r tl/ Date: j SUPPLEME 1 1 FORMATION REQUIRED OFFICE USE ONL1 •N ;O'VERTBE-COUNTER x ti r.-71,-,.:_.„,___:_,.. , S-< Rn © STANDARD y s a., or URGE t ❑,.AfAJOR MEPMiscApp 2011.doc revised 06/21/11 rD 21 D m g W o o y f7 A A co °-Nrt°. FT9 �. N. t0 ...40 to W Y 1 C. r, pf9. X rt Ato, 'a 021 3 y N v y 9®.s •a C ® fD D [D '�7 z -�• T tu 0��a rt,0 ® O 1 in -N, 21 m' m 3 O p 13- fu J-- = n fv n p O 0 A03 Q ® p N n p is s rt w u-. M Q ® 3 O 3 m a Do ,c N D 3 7 o N rD PD '+ �_ 09 o .� u▪ �i c Z �_ .N3 rD pa o DrEL o „►� vW m o rD rn co 1 v 16 Cz 73 4. G Q•' °". n w rn z us 1 co rD UT n iii rt r)p n n - n j S. O U7 Z O 7 0Q fl7 0_ O 0 7� .. fD 0 N g -5,0) 00 O • 0 CD 00 * 7 y�Z TI 0 ® W u'1 PD C� =3 O �L 0l C1C1 73 Cil o v r .9 moo' oaa °3°• . a N Q al m ri co 9 O O Q. =,� aF V CD CP _ 0 rt co P O. rp09 E w C tea` C •O rsD 3 V'_S �z C rD a � e'` T v N G D 30 CD I:7 — NI I f �• 0vs 3CfQ nr CD 3 rD 0q N CD � � coen 3 N • N m CL I Q m rs O rt N0 O N N es Q y_ rD 0 CD all N 9 ® CD NJ O CD <VI ..< O rD Q N w N. wrt. PP m > fD f•T x.N n N N fD N N.N > f7 .M•+ iPHUI m-1 N N K O On UI < N m 0- vii --1 co C Z 2 '. as N) go 3 Qo -. 3 V➢ ,t i n fD fD m cu w a .O cn 3 -a 0 m * 3 3W,3 w =.n fD N o f? 42-%cr o w a ) w � 73 m m o' -n m VIM CD Cuel pP! x. 3 fj ® ct .. S n 2 2 E. n v 0 O 0. 3 - DO. 3322 = N N O N RC 7 N O r< .Ap $ -0 nQvzi w20 = m ? `n 5 Q A M {D my Dain I < w 0 rr m Q D o m m 3 D = D Gq p Org N o N v°'i - x-M fD v vii �^ 0 $,•) 2 O e0-P y®j `G N f81n m d 00 N 3 N 7 5 fD y we o 0 fAD h. . 3O 3 3 Q 0a;O n 00 O rD oA N Sn 3 3 m co y _w 3 w Q 0 a4 rt S O v' 3 �:a 00 °' m fD p = 0 VI ® o ° D 3 00 ,� v n ro. ,y.. •-t. 9a C m M a .On ._Or, 0 n F. D) . p enF -" °' i m 5' g m rn. m 0 = I w o i/! .-8' :. Q m v D9 I-a PI of in In 3 �. f2 fp .07:: 3 = Q n S iii .�� _s 3 ^ H m ' N n Tiiv 0 m 02 o p"1Zo o m' o3 • r O •v 3 fl 0 - - as 0 3 o 0-t`-.,,-,0--� rofr 0 3 N N n 2 = 0 :_ C 0::a v O r. fD O py V9 ft r NI gr D O B v, z fD. _ w 3 m n. at = m CD -0 oa VI nrr N Q o N �' v .=,' o 3 0 ro 0 3 m rD _+ rr rt ZS - a m ffl a °r �' 0) as 3 ' f9 y N 3 Vi=m v30i 0/ f) z 0 vID < < rt = a n_ on p rt O NO \ O. cr Ort '�' c2 Sa m N o O O O ®. La F, =1. rt rr . O 3 V La 33 �. v 3 N o_ (D at rn a < m c LQ w o fp CD v 3 -co o Fii -In 0 = _ 0 n m 0 n N .0 N C 00 n act rt Q 6 'n' Q (D 3 9 s N cb `,sly 4. bj n Q Ulf; (p3(p fD v. PFI 71 a al N n fp tD to Y y w o a o 0 ,c 3 bq Fc-, O 0 -xa' U, O rt • O_ --1C VI s 0 xil 2 70 fid ., a a ,C 3 F,. 12. o fJt =.- v O o Nv. rt V Fa .-1. f9 r m 73 3 n NCD i- l f77 c ® fD z -n N A ^' 0 3 n cin 3 N Q O O 77 I-, v e * Imo+ N P O c c N W N w y I rt rn II y a P01111 •tP 'a rt N F m (D 3 n n , -11 7®. o _n�i m O (LT m = v -4 ° �r rt TI i O D v N - ° - - -1 = to N v Z a z A CD, a m n v ° m o �- < ° m N o 3 3 - II ci m z �, o 0 3 ro a_a ° w' p m rt A Q a N N as m m m ° �' R. 70 N o 3 m n Nco rn _� 3 _ o a ^ m C a ® A ro z 0.• oa !� D ''.5.. Z tri. EL ° ° °�° m ° m F� 0 6D S A o 0 W O Er 0c, ao 0 N - fp n-) rt D. -° �. yiir H o_r Z i DJ cn siT CL (J1 rfQ _ ateSD .p Fli o � a w . rt tvD 3 m G) .D m Ill o o '3 e n 3 .1 tr1 N o -D_I a76 < o. o n 3 0, 0 0 z O 0 fD 0- -, rD co C Vl nCO < w o a Q .el � ° ' a a� O .+ Z 00.. 3 N:ds.'0 N v m .CD .. 3 3 v, o a o C7' o m 0 =o �, m 'V (A I• rn 2 0 o. $ a cr -p ID m ID n _ v u' 3 (p 3 o rn .v ofil 0, °co m [9 CD X CD 1- ' m•- w ° n _ Som � o n -°v 0 O 3 nm 3 u `3 n O D. `y-" Q a -° m mvm< m o -0 m Z v. ,, 3 rr A o (/] , �Yf1mom!n N� sx � 0 H f , y' n. M a)- v 0' Zul � b",FS C COY"'.°, r� '".'•3 Cr. co N A 7 a m fp m 'O CM. o V o 3 0. O yr O O ai �. C rt r�p ¢ 6 N � rD n N, O v 2 in g V . O m v Q m n. 3 D O 7 rt n' m 9 m ma kl = •a -o n' w V x c 3 fD mt, U, W 3 v 9 O 0\ S S% :h ,- O w V N ,....1, vO 0 N A ro N - m = 3, co 3 co -- o b � o u est a- � n CO CD nCD _ O + ° Q o 0 p o op 0 b 0 • O a b Do Q an (S1 ,4' .o'r o 3 4, (n R _. 3 ft? `O ° a 91 rt.. N co C 0.--c7.- • ° ' O Q < Fi p (`'�\ a. cr V7 V' v a °- j "O .< yr '4,4Q ,..7:: N ° T' i 3 a m v utv `'-an ''T v m fp3 .0 .r m 3 (-) a G1 %LC aco om CD 7 �- N rr. o 0 3 N CD 0.ro an ° cu OD 0 NJ 73 m< ', CI to 0 0 L0 Nfllrxi fD n ° n CD DCo n ro'OrD ca rt N n 71 -cs NJ cu 1 7 o b F5 00 CO V1 m 1 F L SMOKE / CARBON MONOXIDE ALARMS #i" II I+= OWNER CERTIFICATE OF COMPLIANCE ,�.3� COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq( cupertino.ora PERMIT CANNOT.BE FINALED UNTIL THIS CERTIFICATE HAS BEEN COMPLETED,SIGNED,AND RETURNED TO THE BUILDING DIVISION PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314, R315,2016 CBC Sections 420 6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations,or repairs to existing dwelling units exceeds $1000 00, CRC Section R314,R315, and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the followmg locations. AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s)-(Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit including basements and habitable attics X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420 6 and shall be approved by the Office of the State Fire Marshal. Power Supply In dwelling units with no commercial power supply, alaim(s)may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.114 and 420 6.2.An electrical permit is required for alarms which must be connected to the building wiring As owner of the above-referenced property,I hereby certify that the alamt(s) referenced above has/have been installed m accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes.The alarms specified below have been tested and are operational,as of the date signed below ,�J Address ( ,4° ( L.L 6 t!, 8I 1i Els" Permit No..Ro 0" 1lit wy Specify Number of Alarms 5 #Smoke AlarmsreTCRVAi o 69- #Carbon Monoxide Detectors I have read and agree to comply with the terms and conditions of this statement Owner jar Owner Agent's)Name: l/ Of /€ /2.61>py- Signature...1. Lae.ifaV.ZrieffiAke lee / Date:U-.-1.‘47 Contractor Name: 3)/f9/4 IAL (JINUD Signature Lic.# Date: /9/11)0,1 Smoke and COform.doc revised 01/10/2017