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12030011CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: 22437STANDRCWSAVE CONTRACFORi� -_.........-.. +'ERMITNO: 12030011 OWNER'S NAME: ERIC ENG C l '. DATE ISSUED: 03/052012 OWNER'S PHONE: 4084808838 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION r ELECT r PLUNIB (- License Class L' • H 9 1 6 0 1) i BUILDING PERMIT INFO: BLDG r r _ Contractor HG /2, Date 3' � ' ZC t Z MECH RESIDENTIAL COPINIERC[AL 1 her aRrni that I mn li easedu e the provisions of Chapter 9 3OB DESCRIPTION: KITCHEN RENIODEL(122SQFT) (commencing with Section 7000) of Da ' ion 3 of the Business & Professions Code and that nay license is in full farce and effect. hereby affirm under, penalty of perjury one of the following two declarations: 1 have and will maintain a certificate of consent to self-insure Cir Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. Sq. Ft Floor Area: Valuation: $7000 I have find will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of die work for which this permit is issued. APN Number: 35604018.00 Occupancy Type: APPLICANT CERTIFICATION I certify [hat I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, mid hereby authorize representatives ofthis city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless (lie City ofCulxninoagainst liabilities. judgments WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs, and expenses which may accrue against said City in consequence ofthe 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally, [he applicant understands and will comply with all non-point so mr regulalims per the Cupertino Municipal Code, Sectio 9.18. Issued Inv: Date: /l/� Date: 3'S-/� 'f %� Signature Date RE-ROOFS: ❑ OWNER-BUILDER DECLARATION All roofs shall he inspected prior to any rooting material being installed. If aroof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection, I agree m remove all new materials for the following two reasons: inspection. 1, as owner of the property, or my employees with wages as their sole compensation, wil I do the work, and the structure is not intended or offered for sale (Sec.7044, Signature of Applic m, Date: Business & Professions Code) L as owner of the property, ran exclusively contracting with licensed contractors to construct (lie project (Sec.7044, Business & Professions Code). ALL ROOF COV ERINC.S TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 hereby Rmrau under permit), or perjury one of the following three declarations: I have and will maintain a Certificate of Consent m self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation. as provided for by Section 3700 oldie Labor Code, for the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with life Cupertino Municipal Code. Chapter 9.12 and the Health & I have and will maintain Worker's Compensation Insurance, as provided for by Safety Code, Section 25532(a) should 1 store or handle hazardous main ial. Section 3700 of the Labor Code, for the performance of the work for which this Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the I certify (hot in the performance of die work for which this permit is issued, I shall Health & Safety Code, Sections 25505. 25533, and 25534• not employ any person in any manner so as to become subject to the Worker's Compensation laws of Cal ifornia. If, after malting this certificate ofexemption,1 Owner or authorized agent: Q Rr become subject to the Worker's Compensation provisions of the Labor Code, I must 0 r t L Date: forthwith comply with such provisions or this permit shall be deemed revoked. C RUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby of inn that there is a construction lending agency for the performance of wodcY I certify that 1 have read this application and state lhar the above information is for which this permit is issued (Sec. 3097, Civ C.) correct. I agree m comply with all city and county ordinances and state laws relating Lender's Name to building construction, and hereby nuthorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs• and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit. Additionally, tho applicant understands and will comply with fill non-point source regulmit is per tine Cupertino Municipal Code, Section I understood fly plans shall he used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: 22437STANDRCWSAVE CONTRACFORi� -_.........-.. +'ERMITNO: 12030011 OWNER'S NAME: ERIC ENG C l '. DATE ISSUED: 03/052012 OWNER'S PHONE: 4084808838 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION r ELECT r PLUNIB (- License Class L' • H 9 1 6 0 1) i BUILDING PERMIT INFO: BLDG r r _ Contractor HG /2, Date 3' � ' ZC t Z MECH RESIDENTIAL COPINIERC[AL 1 her aRrni that I mn li easedu e the provisions of Chapter 9 3OB DESCRIPTION: KITCHEN RENIODEL(122SQFT) (commencing with Section 7000) of Da ' ion 3 of the Business & Professions Code and that nay license is in full farce and effect. hereby affirm under, penalty of perjury one of the following two declarations: 1 have and will maintain a certificate of consent to self-insure Cir Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. Sq. Ft Floor Area: Valuation: $7000 I have find will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of die work for which this permit is issued. APN Number: 35604018.00 Occupancy Type: APPLICANT CERTIFICATION I certify [hat I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, mid hereby authorize representatives ofthis city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless (lie City ofCulxninoagainst liabilities. judgments WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs, and expenses which may accrue against said City in consequence ofthe 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally, [he applicant understands and will comply with all non-point so mr regulalims per the Cupertino Municipal Code, Sectio 9.18. Issued Inv: Date: /l/� Date: 3'S-/� 'f %� Signature Date RE-ROOFS: ❑ OWNER-BUILDER DECLARATION All roofs shall he inspected prior to any rooting material being installed. If aroof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection, I agree m remove all new materials for the following two reasons: inspection. 1, as owner of the property, or my employees with wages as their sole compensation, wil I do the work, and the structure is not intended or offered for sale (Sec.7044, Signature of Applic m, Date: Business & Professions Code) L as owner of the property, ran exclusively contracting with licensed contractors to construct (lie project (Sec.7044, Business & Professions Code). ALL ROOF COV ERINC.S TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 hereby Rmrau under permit), or perjury one of the following three declarations: I have and will maintain a Certificate of Consent m self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation. as provided for by Section 3700 oldie Labor Code, for the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with life Cupertino Municipal Code. Chapter 9.12 and the Health & I have and will maintain Worker's Compensation Insurance, as provided for by Safety Code, Section 25532(a) should 1 store or handle hazardous main ial. Section 3700 of the Labor Code, for the performance of the work for which this Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the I certify (hot in the performance of die work for which this permit is issued, I shall Health & Safety Code, Sections 25505. 25533, and 25534• not employ any person in any manner so as to become subject to the Worker's Compensation laws of Cal ifornia. If, after malting this certificate ofexemption,1 Owner or authorized agent: Q Rr become subject to the Worker's Compensation provisions of the Labor Code, I must 0 r t L Date: forthwith comply with such provisions or this permit shall be deemed revoked. C RUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby of inn that there is a construction lending agency for the performance of wodcY I certify that 1 have read this application and state lhar the above information is for which this permit is issued (Sec. 3097, Civ C.) correct. I agree m comply with all city and county ordinances and state laws relating Lender's Name to building construction, and hereby nuthorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs• and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit. Additionally, tho applicant understands and will comply with fill non-point source regulmit is per tine Cupertino Municipal Code, Section I understood fly plans shall he used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO Lal1�1 FRF. ESTIMATOR—BUILDING DIVISION 61 ADDRESS: 22437 St. Andrews Ave DATE: 03105/2012 7EVIEWED BY: Mach. Perak T. Fe APN: I BP#: "VALUATION: $7,000 *PERMITTYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFDOrDu lex USE: Flee. lay. Fac: PERMIT TYPE: 1R3SFDREM WORK Kitchen Remodel 122 sq k SCOPE $0.00 !VOTE: This estinule does tint include jeer due to other Depurlments (i.e. Planning, Public Works. Fire, Sanitary Sewer Distriel. School n:. ,. 1 rt.,. , r ,. , bac-1 "...h..i..tnr...adaa , u dlnhh• and ar,• anh, an a_ainmre Cowart the DeDI for addn'l info. FEE ITEMS (fee Resolution 11-053 Eff 71111 1) Afech Plan Ch.,k Plwub. Pion Cheek Elec. Plan Chcek Mach. Perak T. Fe Plumb. Permit Fee: Flec. Penh Fee. 'hifew Ale h. /rap. Older Phanh hap. Other Flea. hnv. Afeh lav> Fee: Plmnh. in..p. Fee: Flee. lay. Fac: !VOTE: This estinule does tint include jeer due to other Depurlments (i.e. Planning, Public Works. Fire, Sanitary Sewer Distriel. School n:. ,. 1 rt.,. , r ,. , bac-1 "...h..i..tnr...adaa , u dlnhh• and ar,• anh, an a_ainmre Cowart the DeDI for addn'l info. FEE ITEMS (fee Resolution 11-053 Eff 71111 1) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 122 s.f. $588.00 Remodel, Kitchen (<=300 sO IREAIRESKIT Suppl. PC Fee: Q Reg. Q OT 0.0 firs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. FeeQ Reg. Q OT 0,0 firs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Car,_ctruelion T aa: .1Jntinhtrative Fee: O 0 Work Without Permit? O Yes Q No $0,00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure Tank l Documenitaiun Fees: Strong Motion Fee: IRSBISHICR $0.700.5 firs $41.00 Admin./Clerical Fee 1 IADAIIN Bldg Stds Commission Fee: IeCRSC $1.00 SUBTOTALS: $1.70 $629.00 TOTAL FEE: $630.70 Revised: 1/19/2012 �1jk11n16 RECEIV D MAR 05 2012 m o> This set plans and specifications MU Job site ring construction. It Is unla% cha es or alterations on same, o therefro, without approval from the I The stem ng of this plan and speciftal 0 be held o permit or to be an approval of any rovisions of any City Ordinanc ter, ' p 3 S /a- . - .••,I'; , ITN /.�03 �O ca m m# N Ion �15CRID3 ran) 1�M. be kept at tt to make an deviate ding Official, s SHALL NC the violation r State Law. OFFICE COPY, l"IC) cA3iOFj So FIT r CAft, IAjF oSi FLOGRf ,t16 U?W1 Et�ci21(i�L C!f'fv fS m* r aa�R�ss: l,IF_dv &A5 �in11; io STOVE 't IwLy-AJ.. uq[W Fjt)orRE:(fNT LIGR75 2Z(f�j ��.F�k) LVO(�}t/, >rr tsd cA&rr-Js 15 , c0utiif.@e6p 6V � P O i Imo sr01'1 Rl 5Ro FlP W'i,v?,ovl . 4 _ �. Kitchen Remodel Plan Notes: 1. Project shall comply with the 2010 CBC, CEC, CPC and CMC. 2. Countertops in kitchens, pantries, breakfast rooms, dining rooms, dining rooms and similar area, spaces 12 inches or wider shall have receptacles installed such that no point along the wall is more than 2 feet from a receptacle. (210.52(C)(1) CEC) 3. In every dwelling unit, fixed appliances such as food waste grinders, dishwashers, washing machines, dryers laundry tray locations, built-in refrigerators or freezers, furnaces, AC units, built-in heaters or any other fixed appliance with a motor of /. h.p. or larger shall be on a separate 20 amp. branch circuit. Note on the plans. (422.10 CEC) 4. All receptacles in bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve counter top surfaces), laundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground -fault circuit interrupter (GFCI) protection. (210.8 CEC) 5. A minimum of two 20 amp small appliance branch circuits shall be provided for all receptacle outlets in the kitchen, dining room, pantry, or other similar areas. (CEC 210.11(C)(1)) 6. Install of smoke alarms in all of the following areas: (CBC 907.2.10.5 and 907.2.10.1.2) 1) On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms. 2) In each room used for sleeping purposes. 7. Install carbon monoxide detectors on each level and in the vicinity of bedrooms per R315. CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (40�) 777-3333 • buildinD(GDcuoertino.or0 ❑ NEW CONSTRUCTION ❑ ADDITION H ALTERATION / TI ❑ REVISION / DEFERRED Ja,�3ooI B ORIGINAL P p PROJECT ADDRESS n 2-�. A /V D R A E I AFN ` lVS V . `i!'- OWNER NAME n1 / /t I/ PHONE r O 4 4 r Q R O n E-MAIL s�I,- ,1 DOREsTa �A24s,5- -'UCCIJ 'At0, (A SSG )4 FAX CONTACT NAM.Ef PHONE E-MAIL STREET ADDRESS CITY.STATE. ZIP FAX D OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CObrrRACTORAGENT ❑ ARCHTTCT ❑ PN(;INEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME /10/( ^ IA/0 1,n ^ 1,1 LICENSE NUMBER(II) � w O � I `o I INCENSE TYPE BUS. LIC .i /C COAfl'ANY NAME / Stl 6 N I) EMAILII YIt4 C4llM�(L%10 �e�Sl m•(o FAX STREET ADDRESS I o /T F S r - 1 STiATE. ZIP UNNYVRLF Levo&6 PHONE eta&f8 X016 ARCHITECT/ENGINEEANAME LICENSE NUMBER I BUS. LICA COMPANY NAME E-MAIL FAX STREET ADDRESS CRY. STATE. ZIP PHONE /�� c n DFSCRIPRON OF WORK K l j� C H C /'J %� (/y Q Q S 7 t- K L Q U r( �4 Z C NSM) 6 F S GAS z„�� o sso✓E aJ��>!l L1 z(6�,rs ��%PicI�s (OU NiERr()P rLGOP iAI16- '/vJ EOSr¢+yLjE PROPOS ` / COV/3 ySTORIES USE OCC. SQFf. VALUATION (5) EXISTAREA NF R AAREA NETWEA �TY�PE 6CIO BATHROOM MCHEN I�/�I OTHER "61 REMODELAREA REMODEL AREA 1 REMODEL AREA PORCH AREA DECIcAREA TOTALDEC-WPORRCHARFA GARAGEAREA: DETACH ❑ATTACH , N DWELLDIG UNM: 0A SECOND UNTr LJ YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION' []NO PRE -APPLICATION []YES I YES. PROVIDE COPY OF PLANNINGAPPLY ❑NO PLANNING APPROVAL IS THE BLDG AN E] YES EICHLER HOME' RECEIVED BY. TOTAL VALUATION' LETTER []NO By my signature below, I certify to each of the following. i am the property owner or authorized agent to act on the prppctTy owner's behalf. •1 have toad this application and the information 1 have provided is correct. 1 have =d the Description of Work and verify it is a=urate. 1 agree to comply with all applicable local ordinances and sate laws relating to building c n ?tenon. t authorize representatives of Cupertino to == the above -identified property for inspection purposes. Signature of Applicant/Agenc Date: - S ' 20 I z SUPPLE?v=AL FINFORMATION-FqEQUIRED PLAN CHECK TYPE ROUTING SLB 7o,:-TDE-COUYTM ❑ _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building BtnLDiNG PLAN REviFw permit for new building. ❑ ExPREES ❑ PLANNING PLAN REVMW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 11.N STADARD ❑ PUBLIC WORM four if any Hazardous Materials are being used as partof this project. ❑ ❑ LARGE Fm bErr _ Copy of Pianning Approval Letter or Meeting with Planning prior to ❑ NLUOR ❑ SAI'TTARYSEWER DISTRICT subu'raI of Building Permit application. ❑ ZYVOtONMENTAL1TFALTB. BldgApp_201 Ldoc revised 06/21/11