12050160CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 18817 PENDERGAST AVE
CONTRACTOR: SLAMA CRAIG AND R17NA
PERMIT NO: 12050160
M
OWNER'S NAME: SLAMA CRAIG AND RENA M
18817 PENDERGAST AVE
DATE ISSUED: 05/222012
OWNER'S PHONE.: 4088213255
CUPERTINO, CA 95014
PDONENO:
❑ LICENSED CONTRACTOR'S DECLARATION
r r r
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic, p
r r r
MECH RESIDENTIAL COMMERCIAL
Contractor Dale
1 hereby affirm that 1 am licensed under the provisions of Chapter 9
JOB DESCRIPTION: SECOND STORY REMODEI. (857 SQFT)CI IANGING
(commencing with Section 7000) of Division 3 of the Business & Professions
EXISTING
BEDROOM INTO BATIiROOM AND EXISTING FAMII.Y ROOM
Code and that my license is in full force and effect.
INTO BEDROOM
I hereby affirm under penally of perjury one of the following two declarations:
I have and will maintain a ceriticate 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
Sq. FI Floor Area:
Valuation: $27000
permit is issued.
APPLICANT CERTIFICATION
APN Number: 37533021.00
Occupancy Type:
I certify that I have read this application and state that the above information is
correct. I agree to comply wilh 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 ofCupertino against liabililies,judgments,
PERMIT EXPIRES IF WORK IS NOT STARTED
costs, and expenses which may accrue against said City in consequence of the
granting oflhis permit. Additionally, the applicant understands and will comply
WITHIN Igo DAYS OF PERMIT ISSUANCE OR
with all non -point source regulations per the Cupertino Municipal Code, Section
180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signature Date
Issued by:Efli/S/ �%�%G Date:
OWNER-11RALDF.R DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of
RF. -ROOFS:
the following two reasons:
All roofs shall be inspected prior to any roofing material berig installed. If a roof is
1, as owner of the property, or my employees with wages as their sole compensation,
installed without first obtaining an inspection. I agree to remove all new materials for
will do the work, and the structure is not intended or offered for sale (Sec.7044•
inspection.
Business & Professions Code)
1, as owner oflhc property, am exclusively contracting with licensed contractors to
Signature of Applicant: Dale:
construct the project (Sec.7044• Business & Professions Code).
I hereby affirm under penally of perjury one of the following three
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
declarations:
I have and will maintain a Certilicale of Consent to self -insure for Worker's
BAZARDOUS MATERIALS DISCLOSURE
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 read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance, as provided for by
California Ilealth & Saf Code, Seelions 25505, 25533, and 25534. 1 will maintain
Section 3700 of the Labor Code, for the performance of the work for which this
compliance with the Cu rl o hlunicipal Cade, Chapter 9.12 and the Ilealth &
Safely Code, Section 55 2(a should I store or handle hazardous material.
2
permit is issued.
Additionally, should I us eq ipment or devices which emit hazardous air
I certify that in the performance of lie work for which this permit is issued, I shall
contaminants as defined v I e Bey Area Air Quality Management District I will
not employ any person in any manner so as to became subject to the Worker's
maintain compliance viii ih Cupertino plunicipal Code. Chapter 9.12 and the
Compensation laws of California. If. alter making This certificate of exemption, I
Ilealth &Safety Cole, S f as 25505. 25533. and 25534•
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.
O mer authorize) a r
Date: ., �,f)
APPLICANT CERTIFICATION
C: ACTION LENDING AGENCY
I certify that I have read this Iication and slate that the above information is
correct. I agree to comply wvi II city amend county ordinances and state laws relating
I hereby affirm that there is a construction lending agency for the performance of work's
to building construction, and cr •by authorize representatives of this city to enter
for which this permit is issued (Sec. 3097, Civ C.)
upon the above memo uxt pr c y for inspection purposes. (We) agree to save
Lender's Name
indemnify and keep hamdes I h Cit)' of Cupertino against liabilities, judgments,
costs, and expenses which ma trot against said City inconsequence of the
Lender's Address
granting aphis permit. Adda ally, the applicant understands and will comply
with all non -point source regu i s per the Cupertino Municipal Code, Section
ARCIIITFXT'S DECLARATION
9.18.
Signature Date'��
I understand my plans shall be used as public records.
UTLicensed
Professional
M
,:5N-)(vK-Lk�
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
Ival 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
ICUPERTIN
-IO (4088)) 777-3228 • FAX (408) 777-3333 • buildinO(GDcuperlino.oro
I NEW CONSTRUCTION F-1 ADDITION MAITFRATION/TI F] RFVIRION/DFFFRRFD ORIGINAI PFRMITd
PROJECT ADDRESS ,y _ ^�
o
APN a
OWNER NAME
- �IC' l 'H S
PIIONEZ0 V.1 32,rr
E-MAIL f-/RIP,��6cuHuA
STREETADDRESS
rW/v
CI�ZIP •0145
FAX
CONTACT NAME L
PHONE„ 'Tj-0(r
S��(J �J
E-MAILpC6-161'
STREET ADDRESS .� TT�i /� „I
it �( 1 V W (� ((i
CITY, TEL, ZIP
E,
FAX
/
❑OWNER OWNER BUILDER ❑OWNER AGENT ❑CONTRACTOR ❑CONTRI CTORAGENT ❑ ARCHITECT 11 ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME
LICENSENOMBER
LICENSE TYPE
BUS. LIC -
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY. STATE, ZIP
PHONE
ASCI IITECT/ENGINEER NAME
LICENSE W MBER
BUS- LIC p
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY. STATE. ZIP
PRONE
DESCRIPTION OF WORKr1A1'LS'l�, -
o/ 6TIAN/-
/V ['vlllT
f1jr�
/&; o ll aqat t MUi(L lzwtlJT/
ev /
ExISTING USE
PROPOSED USE
CONSTR. TYPE
0STORlES
a It2mrl
I
USE
TYPE
OCC.
SO FT.
VALUATION (S)
EXIST
AREA
NEW FLOOR
AREA
BEPto
ARFa
TOTAL
NET.AREA9 fi ri%71
�`_
J
V
VS
�i�
l`��
6.l 37
O�1 no O
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODELAREA
��
PORCH AREA DECK AREA
TOTALDECIOPORCHARFA GARAGEA1tEA UDETACH
ATTACH
I
0 DWELLING UNITS.
IS A SECOND UNIT U YfiS
BEING ADDED'
I SECON'DSTORY ❑)IES
ADDITION'.
0110
PRE -APPLICATION OYES IF YES. PROVIDE COPY OF
ISTHEBLDGAN ❑Y 5
RECEIV BY:
TOTALVALUATION:
PLANNING APPL0 �O PIANNING APPROVAL LETTER
ICHLER HOME'
d ^^'\
By my signature below, I certify to each of the following Jlm the property owner or authorized aeent to act on the prrperty owner's behalf. I have read this
application and the information I have provided is correct. ve read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local
ordinances and state laws relating to building construction. uthorize representatives of Cupertino to enter the above -identified for inspection purposes.
,property
Signature of Applicam/Agent: Date:
IN I
SUPPLEMENTAL INF ON Q D
PLAN CHECK TYPE
ROUTING SLIP
OVER.THE-CO"'IER
y+. BUILDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for olition permit for
existing building(s). Demolition permit is required p to issuance of building
/
permit for new building.
❑ EXPRESS
PLANNING PLAN REVIEW
-Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
ElSTANDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑
LARGE
❑ FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑
❑
submittal of Building Permit application.
MA.)OR
SANITARY SEWER DISTRICT
❑ ENVIRONMENTALHEALTH
BldgApp_201 Ldoc revised 06/21/11
N
OWNER -BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228•.FAX(408)777-3333• buildinwa)cuoertino.orc
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at:
SITE ADDRESS
APN
BP#
OWN R NAME
OWNER ADDRESS
f 1 Ci C uPE127io ra L!v I o!
DESCRIPTION OF
WORK:
Ae Hv rV
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We
will not issue a building permit until you have read, initialed your understanding of each provision, signed, and
returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority.
you understand or verify this information.)
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -
B er" building permit that erroneously implies that the property owner is providing his or her own labor and material
pe sonally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not
provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
2. 1 understand building permits are not required to be signed by property owners unless they are responsible for
th - construction and are not hiring a licensed Contractor to assume this responsibility.
3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may
tect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her
n me instead of my own.
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license
n tiers on permits and contracts.
1nsi
5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
value of my construction is at least five hundred dollars ($500), including labor and materials, I may be
dered an "employer' under state and federal law.
—6 . I understand if I am considered an "employer" under state and federal law, I must register with the state and
fe eral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject
me to serious financial risk.
r7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family
dential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by
licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work
is performed under contract with a licensed general building Contractor.
_8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for
any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction
defects in the workmanship or materials.
OI,'llel'Buildel'FOI'lli 2010.doc revised 04/14110
`9. 1 understand I may obtain more'information regarding my obligations as an "employer" from the Internal
venue Service, the United States Small BusinessAdministration, the California Department of Benefit Payments,
and the California Division of Industrial Accidents. l also understand I may contact the California Contractors' State
License Board (CSLB)'at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed
contractors.
10. 1 am aware of and consent town Owner -Builder building permit applied for in my name, and understand that I
apithe party legally and financially responsible for proposed construction activity at the site address listed above.
tonu11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
applicable laws and requirements that govern Owner -Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
formation I have provided on this form:, ,Licensed contractors are regulated by laws designed to protect the public. If
ontract with someone who does not have a license, the Contractors' State License Board may be unable to
assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed
Contractors may be in civil court. Itis also important for you to understand that if an unlicensed Contractor or
employee of that individual or firm is injured whilemorking on your property, you may be held liable for damages. If
you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS: Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec 3097 Civ.)
Lender Name:
Lender Address:
Before a building permit can be Issued, this form must be completed and signed by the property owner and
returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license,
form notarization, or other verification accep�table to the city may be required to be presented when the permit is issued
to verifv the orooertv owner's signature.L, M
Property Owner's Signature: Date: OWZ� /_
------ -------- ---------- --- ------------- ------------------------------- -- -------------- -- ----- ---- -- ----- ---- ----
(NOTE: The following Authorization Form is required to be completed bythe property owner only when designating an
agent of the property owner;to apply for a construction permit for the Owner -Builder).
AUTHORIZATION'OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an
Owner -Builder Permit for my project. .
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that l am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's
signature.
Property Owner's Signature: Date:
OirnerBuilderForm 1010.doc rei,ised 04/14/10
3 ITEMS OF 3
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 37533021.00
DATE ISSUED.-......: 05/22/2012
RECEIPT -#......... : BS000016873
REFERENCE ID # ...: 12050160
SITE ADDRESS .....: 18817 PENDERGAST AVE
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: SLAMA CRAIG AND RENA M
ADDRESS -..........: 18817 PENDERGAST AVE
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
OPERATOR: patg
COPY # : 1
RECEIVED FROM ....:
MARIE C GIELENS
CONTRACTOR .......:
LIC # *OWNER*
COMPANY ..........:
SLAMA CRAIG AND
RENA M
ADDRESS ..........:
18817 PENDERGAST
AVE
CITY/STATE/ZIP ...:
CUPERTINO, CA 95014
TELEPHONE .......
FEE ID UNIT QUANTITY
AMOUNT PD -TO
-DT
THIS REC
NEW BAL
-------------
1BCBSC VALUATION 27,000.00
---------- ----------
2.00
0.00
----------
2.00
----------
0.00
1BSEISMICR VALUATION 27,000.00
2.70
0.00
2.70
0.00
1REMRESOTH SQ FEET 857.00
522.00
0.00
522.00
0.00
TOTAL PERMIT
526.70
0.00
526.70
0.00
METHOD OF PAYMENT - AMOUNT
.REFERENCE
NUMBER
----- ---------------
CREDIT CARD 526.70
--------------------
MC
---------------
TOTAL RECEIPT 526.70
CITY OF CUPERTINO
I/JI FEE ESTIMATOR -BUILDING DIVISION
NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate Contact the Dept for addn7 info.
FEE ITEMS (Fee Resohaion 11-053 Eff 711111)
ADDRESS: 18817 Pendergast Ave
DATE: 05/22/2012
REVIEWED BY: Sean
,Llprh. I'; imil Fee:
APN:
BP#:
'VALUATION:
$27,000
xPERMITTYPE: Building Permit
.Ilcch. Imp. Fee:
PLAN CHECK TYPE: Alteration/Repair
PRIMARY SFD or Duplex
USE:
hrs
PENTAMATION 1R3SFDREM
PERMIT TYPE:
WORK Second story remodel 857 sq ft
SCOPE
NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate Contact the Dept for addn7 info.
FEE ITEMS (Fee Resohaion 11-053 Eff 711111)
,l/ec/e flan Check
Pmlrh. Plan Chrck
IJee. Plarr Chcck
,Llprh. I'; imil Fee:
Plnmh. Pcrmir Fee:
Oee. Poona Fre:
Odic, llrch. Iav,,
Odlrr Plumh Insp.
Otho lilec. lays.
.Ilcch. Imp. Fee:
Phanh. he.p. Frt;
tree. Insp. Fur:
NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate Contact the Dept for addn7 info.
FEE ITEMS (Fee Resohaion 11-053 Eff 711111)
FEE
QTY/FEE
I MISC ITEMS
Plan Check Fee:
$0.00
857 s.f.
$522.00
Remodel, Other
IREMRESOTH
Suppl. PC Fee: Q Reg. Q OT
TO.0
hrs
$0.00
PME Plan Check:,
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feee Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Cm7writr•lian Tax.
Adrniuisu olive Fe(!.
Q
0
Work Without Permit? Yes Q No
$0.00
Advanced Planning; Fee:
$0.00
Select a Non -Residential
Building or Structure
O
Travel Dncunlcnuuiun Fees:
Strom Motion Fee: IBSEISMICR
$2.70
Select an Administrative Item
Blde Stds Commission Fee: IBCBSC
$2.00
SUBTOTALS:
$4.70
$522.00
TOTAL FEE:
$526.70
Revised: 04/01/2012
PLofr VIAM
cep as
ilA`A
AtDG- ice+
Re -modeling 2nd flo
r
MAY 22 2012
BY:
Scope: Addition of Bathroom,
Master Bedroom and Bedroom
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION' CUPERTINO
APPROVED
This set of plans and specifications MUST be kept at the
lob site during construction. Rls unlawful to make any
changes or alterations on same, or to deviate 18817 Pendergast Ave n u E
therefrom, vrftliout approval from ttte Building Official.
Thbeholdtog�ne or beta pyo thevS violOT
Cupertino CA95014
of any provisions of an City Ordinance or State law.
BY S�4N r�• EeWpn ®e Bleecker — Marie Gie
DATE s- as va
PERMIT NO. 4cZe398-0154/(408)-821-3255
CUPERTINO
Building DepwWwrR
1 MAY 2 2 2012
REVIEWED F C PLMCE
ns Reviewed By:
Content
• Existing 2nd Floor Plan
• Proposed 2nd Floor Plan
• Proposed 2nd Floor plan (Existing -N
• Proposed 2nd Floor Plan Mechanical
Plumbing
• Proposed 2nd Floor Plan Mechanical
Plumbing— Bathroom detail
Notes to Proposed 2nd Floor Plan
• Proposed 2nd Floor Plan — 3D View
® Area Calculation
V)
Electrical,
Electrical,
CUPERTINO
Building Departrnent
L J MAY 12 2012
REVIEWED FOR MPLIANCE
Reviewed By:
:xrb�nvli �Ar,
4z.q i
WT Ei�g
5304
VEW -pne,
Area Calculation
After Re -modeling
Room
Existing -New
Area (ftA2) Remark
Bedroom 1
Existing
148.1 No changes, except lighting:
Bedroom 2
New
146.8
Master Bedroom
New
186
Wardrobe
New
75.3
Corridor
Existing
88.5 No changes
Stair
Existing
42.2 No changes
Bathroom 2
Existing
74.2
Bathroom 3
New
96
F10-9' Fox
cuaiNa
R.
Total C8-- - RAX¢
iCriz
o
Before Re -modeling
Room
Existing -New
Area (ftA2) Remark
Bedroom 1
Existing
148.1
Bedroom 2
Existing
136.4
Bedroom 3
Existing
114.4
Family Room
Existing
271.7
Stair
Existing
42.2
Corridor
Existing
70.1
Bathroom 2
Existing
74.2
f 1V6'
gotta
/if
1 9E7LL }F pclOUd
857.1
of CFL Lightpoints
CUPERTINO
Building Department
L—j MAY 2 2 2012
REVIEWED FOR MPUANCE
Reviewed By:
Existing 2"d Floor Plan
'• Y 7 �. X (Lin � .,r r�i1 ( 1a-, .iffy �'.. I. i Y � ...?_ -
[I f
t .1
J.
' -�'� 1..1•d 1 > c � � ` � r rj i'9i `-'� j � -\ � n. ( ] r :c+I I _
10'-I
� 1 j
•
2. V.
1 9-183/8"
i
'(4'f.5'
12' 1'•
9' 8 1/8"
- , 11 s ,.: - �- -
12 10' 14 -10 1(/8 n11 t�� IT:
ti n .�sn rN ♦ } 1.-�
AT 72 2012
REVIEWED FOR MPLIANCE
Reviewed By:
Proposed 2nd Floor plan
121 1"
Ig.,8
Bedroom I
- Existing
Bedroom 2
- To Be
Mast4 Bedroom
I
- To Be
3
Q
14 2 3`
L4
A73�13
W�
12 101J.'
17
121 1"
Ig.,8
Bedroom I
- Existing
Bedroom 2
- To Be
Mast4 Bedroom
I
- To Be
KtVltVVED FOR
Reviewed By: _
23' 2 3A
Q
14 2 3`
L4
A73�13
W�
12 101J.'
KtVltVVED FOR
Reviewed By: _
23' 2 3A
Proposed 2
7-
�T Y
9- 8 3/E
...............
Bedroom I
- Existing
nd Floor
plan- (Existing -New)
Existing — No Alterations
MAY 2 2 2012
REVIEWED FORMPLIANCE
Reviewed By: � *0
Proposed 2nd Floor Plan Mechanical,
Electrical, Plum-bin
Bath I - o e Fx,
je'
'
r
IY• lI
23'2 3/8'
Bec'o'8m 1
- Existing
9
S r x
12'10"itVr
OB dr om 2 O 14- Master I
To Be
-To Be
V Cti
M1•
_ Iding De� rtnSi
-
r t
Reviewed By: _
Proposed 2nd Floor Plan Mechanical,
Electrical, Plumbing — Bathroom detail
J 4 r
1•p 73. t -� �5.� i t ✓ �
® /
MAY 12 2012
WED FOR C MPLIANCE
By:
Y �
•:, "� - tin-.. ,. _
.,.
ter.
MAY 12 2012
WED FOR C MPLIANCE
By:
a
Notes to Proposed 2"d Floor Plan
General:
All Bedrooms will have a hardwired Smoke Detector with Battery
All new receptacles will have ACFI protection
— All outlets shall be tamper resistant
— All recessed lighting fixtures will be CFL type
Second Floor CarbonMonoxide Detector will be placed in the Corridor o
hardwired with battery back up
All windows on Second Floor Bedroom and Staircase are Viking Tempse
(Double pane), size: 59" x 46'/:" and openable size: 27'/:" x 45" and are
Bedroom 1:
Existing bedroom; no alterations to structure or walls
— Adding a hardwired smoke detector with battery backup
— Adding 3 recessed CFL lighting fixtures and switch
Bedroom 2:
— New bedroom; all items under general will apply
Master Bedroom:
— New bedroom; all items under general will apply
Wardrobe
— New; all items under general will apply
— 2 sun tubes will be added, sun inlet will be at the backside of the
the second floor and will be
A.L I V.I - class A Type
" from the floor
CUPERTINO
Building Department
MAY 2 2 2012
REVIEWED FOR O MPLIANCE
Reviewed By:
Notes to Proposed 2"d Floor Plan
Corridor:
— Existing structure
— Addition of Carbonmonoxide detector
— Window will be moved as per plan; window will have tempered glass.
A Type (Double pane), size: 59" x 46 %" and openable size: 27 %" x 45"
Stair:
— Existing structure; no alterations
Bathroom 2:
— Existing structure; no alterations
Bathroom 3:
— New Bathroom
— Window (existing) will have tempered glass. Viking Tempseal A.L I V.I
size: 59" x 46 %" and openable size:, 27 %" x 45" and are 35" from the fl
— Occupant sensor will be added
— All receptacles are GFCI type, including outlet for whirlpool bath
— Whirlpool bath will have direct access for maintenance and repli
front panel of bath
king Tempseal A.L I V.I - class
nd are 35" from the floor
class AType (Double pane),
CUPERTINO
Building Department
by detachable
MAY 2 2 2012
REVIEWED FOR MPLIANCE
Reviewed By
oor Nan ® 3L]
11
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Document referred to in Chapter.19.28.070B (2) m N
Release of Privacy Protection Measures `"
N
Single -Family Residential Ordinance LL
Ordinance 19.28 (Single -Family) requires that after September 21, 1998, all new two -at= additions d�
homes be required to complete privacy protection measures. Staff may grant a mo "3:` , eti
to this requirement if the• adjacent:affected'property owners sign a release agreeing t eleg
the requirement.
Date 2/'7-A- t -V /-7-
Property
iProperty Location
AddressGJKJt�Lt7ri� �� 1/ C CA
I agree to waive or modify the privacy protection measures required of the Single -Family Residential
Ordinance as follows:
Property Owner:
Address: S�
Phone: /7,0.
e�
Signature:
(Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999)
SHAGHsf CA "1
T a V_X7 C_ t)
*Denotes tree currently on street tree list. Other trees previously on list and may currently exist as a street
tree. (Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999)
R
,
PLANTING DISTANCE -
CITY STREET TREE . '
SPREAD
MINIMUM
A. St. Mary Magnolia*
20'
10'
B.- Crape Myrtle
20'
10'
C. Privot . , ;.
20'
10'
D. California Buckeye '
20'
10'
E. Birch'. '!
20'
10'
F. Holly Oaks`..-�!
20'
10'
G. Aristocrat Flowering Pear*
30'
15'
H. Flowering Plum*
30'
15'
I. Mayten
—30'
15'
J. Melaleuca
30'
15'
K. Eastern Redbud*
30'
15'
L. Brisbane Box*
40'
20'
M. Liquid Amber
40'
20'
N. Carob
40'
20'
O. Geigera
40'
20'
P. Rhus Lancia
40'
20'
Q. Lirodendron
40'
20'
R. Chinese Pistacio*
50'
25'
S. Ginko*
50'
25'
T. Chinese Hackberry.*
50'
25'
U. Elm ! . S
50, ,
25,
V. Sycamore
50'
25'
W. Mulberry
50'
25'
X. Silk Tree
50'
25'
Y. Raywood Ash
50'
25'
Z. Medesto Ash
50'
25'
AA. Shammel Ash
50'
25'
BB. Camphor
60'
30'
CC. Zelkova
60'
30'
*Denotes tree currently on street tree list. Other trees previously on list and may currently exist as a street
tree. (Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999)