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12060062 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10011 N FOOTHILL BLVD STE 101 CONTRACTOR:PRO-CRAFTBUILDERS INC PERMIT NO: 12060062 OWNER'S NAME: KIMIAVO LLC SERIES D 761 NIABURVRD STE 50 DATE ISSUED:06/11/2012 OWNER'S PHONE: 4087281912 SAN JOSE,CA 95133 PRONE NO:(408)441-1301 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class � Lic # /�2!ZL r r r �� �� MECH RESIDENTIAL COMMERCIAL Comraclor QCl CZZ JINK(Dete GILIII J isi4s'6 - JOB DESCRIPTION:STE 101 -BA7"I IROOM-REMODEL WOMENS RESTROOM 1 hereby affirm that 1 am licensed under the prorisi ns f Chapter 9 TO (commencing with Section 7000)of Division 3 of the Business&Professions MEET ACCESSIBILITY REQUIREMENTS 135 SQI-I' Code and that my license is in full farce and effect. 1 hereby affirm under penally 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 performance of the work lin which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,I'or the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$9000 APPLICCNT'CERTIFICATION I certify that I have read this application and stale that the above information is APN Number:34249024.00 Occupancy Type: correct, I agree to comply with all city and county ordinances and state laws relating to building construction,and herchy authorize representatives of this city to enter upon the above mentioned properly for inspection purposes. (We)agree to save indemnifyand keep harmless[lie City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the grantingolthispermit. Additionally,theapplicant underslandsandwill comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point. rce regulatinhs per the Cupertino Municipal Code.Section 180 DAYS FROM LAST CALLED INSPECTION. Sign - Date Issued by: /ER/1� R� Date: ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1,as owner of the properly,or my employees with wages as their sole compensation, installed wilhoul 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) I,as owner of the property,am exclusively contracting with licensed contractors 10 Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). 1 hereby affirm under penally of perjury one of the following three AL1.ROOF COVERINGSTO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS 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 Ileallh&Safety Code.Sections 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 Cupertino Municipal Code.Chapter 9.12 and the health& Safely Code,Section 25532(a)should 1 store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,1 shall contaminants as defined by the Bay Arca Air Quality Management District 1 will not employ any person in any manner s0 as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the Conhpensalion laws ol'Calif)rnia, If.after making this cenificxte of exemption,1 Ilealth&: ely Code,Sections 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. Own r authoriz d agent: Date: APPLICANT CERTIFICATION CONST'RUCT'ION Lb:NDINC AGENCY I certify that I have read this application and slate that the above information is correct. I agree to comply with all cit} and county ordinances and stale laws relating I hereby affirm that there is a construction lending agency for the performance of swrk's to building construction,and hereby authorize representatives of this city to enter for which this pernit is issued(Sec.3097,Civ C.) upon the above mentioned properly for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against Iiabil itics,judgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCIIITECT'S DECLARATION 9A& 1 understand my plans shall be used as public records. Signature Date Licensed Professional j "Z C�('P -2- CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333• buildingliDcuoertino.org CUPERTINO ❑NEW CONSTRUCTION ❑.AADDITiON / ALTERATION/Ti El REVISION/DEFERRED ORIGINAA/�L{I `PEE,R.I41TX PROJECTDDRESS / OI {I�OB I l 1A1VJ APNR ")— qql YPEal Ll O`NN'ER NAME PxoNE E-MAIL STREET ADORE453� C n CITY. STATPHONEE.ZIP— e FAX NAME Yl r ! E-MAIL c U r alc{ STREET ADDRESS ( t CRY.STATE, ZIP ( / FAX ❑Cw R ❑ Ow R-BUILDER OWNER AGENT 17 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGMEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSENUMBER LICENg TYPE BUSLIC L COMPANY NAME E-MALL FAX STREET ADDRESS CrTY,STATE,ZIP PHONE ISI�U Tvc(k lbe,L vC SK// -XC,S-- 7 7 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC R COMPANY NAME E-MAIL FAX STREET ADDRESS CT'.STATE,ZIP PHONE DESCRIPTION OF WORK r 9 ,�ooM EXISTING USE PROPOSED USE CONSTL TYPE I IITORD:S USE TYPE OCC. SQ.ET. VALUATION(5) EXLSTG NEWFLOOR ._ DEMO _ TOTAL AREA/7oD, nREA AREA NET AREA BATHROOM ���/// KITCHEN OTHER R / EMODELAREA/ REMODEL AREA / REMODEL ARIA PORCH AREA ✓DECK AREA TOTAL DECKMORCH AREA GARAGE AREA DETACH ATrACH 0 DWELLING lv 5. IS A SECOND UNIT YEs SECOND STORY YES BEING ADDED? 0 ADDfTIOr PRE-APPLICATION YES IF YES,PROVIDE COPY DF IS TBE BLDG AN YES RECEIVED BY: - TOT VALUATION: PLWNING APPL4 0 PLANNING APPROVAL LETTER EICID.ER HOME' O By my signature below,I certify to each of the following: I am the property owner or authorized agent to acct on the pr perty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verity it is accurate. 1 agree to comply with all applicable local ordinances and state laws relating to b ;d ng construction. I authorize mpresenrarives of Cupertino to enter the above en[ifiproperty for inspection purposes. Z Signature of AppliranV e' <—� V�--�—�— Date: ' S AL INFORMATION REQUIRED PLAN CxECK TYPE ��}ppp''' ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for 71 OVER-T -COUNTER BUILDING PLAY REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPREss ❑ PIA.NNLNG PIAN REVEEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTAImARD ❑ 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 ❑ MAJOR ❑ sANrrARv SEWER DISTwLT submittal of Building Permit application. ❑ ENVmoNXENTALHEALTH BldgApp_2011.doc revised 06121111 Community Development p 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 CUPEkTINO Building Department JOB ADDRESS: PERMIT # 10014 ( em i is Z ✓c( OWNER'S NAME: - c PHONE # GENERAL Ad.CONTRACTOR FAX # I am not using any subcontractors: Signature ate Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CITY OF CUPERTINO 4 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp.: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34249024.00 DATE ISSUED. . . . . . . : 06/11/2012 RECEIPT #. . . . . . . . . : BS000017043 REFERENCE ID # . . . : 12060062 SITE ADDRESS . . . . . : 10011 N FOOTHILL BLVD STE 101 SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : KIMIAVO LLC. SERIES D ADDRESS . . . . . . . . . . : 10011 N FOOTHILL BLVD STE 101 CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : PROCRAFT BUILDERS CONTRACTOR . . . . . . . : BILL L. FEDOR-THURMAN LIC # 28938 COMPANY . . . . . . . . . . : PRO-CRAFT BUILDERS INC ADDRESS ... . . . . . . . . . : 761 MABURYRD STE 50 CITY/STATE/ZIP SAN JOSE, CA 95133 TELEPHONE . . . . . . . . : (408) 441-1301 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- --------- 1BCBSC VALUATION 9, 000 . 00 1 . 00 0 .00 1 . 00 0. 00 1BSEISMICO VALUATION 9, 000.00 1 . 89 0 . 00 1 . 89 0. 00 1STINSP UNITS 2 .00 260 .00 0 . 00 260 .00 0. 00 1STPLNCK HOURS 1 .00 130 . 00 0. 00 130 .00 0 . 00 ---------- ---------- ------ ---- TOTAL PERMIT 392 .89 0. 00 392 .89 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- --------- -- CHECK 511.89 #2164 --------------- TOTAL RECEIPT 511 .89 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10011 N:Foothill Blvd DATE: 06/11/2012 REVIEWED BY: Sean APN: BP#: VALUATION: $9,000 °PERMIT TYPE: Building Permit, PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK Remodel womens restroom to meet accessibility requirements 135 sq ft SCOPE .11rch. Plan Check Phunh. Pian Clreck I./ec. Plan Check :Wn;b. Peraril Fee: I'Iwnh. Po'llil 1"'C. like.&" nit Fra: 011mr.Um h. In"J" Ocher Plumb Inst'. Li I 011ier Eicc. d/cch, ln,P. I : Plumb. htcP. Fe.:: /i(er. lnsP. NOTE: This estimate does not includejeesdue to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS ([cc Resolution I1-053 Eff 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? '0 Yes 0 No $0.00 = hours Plan Check, Hourly Suppl. PC Fee: 0 Reg. 0 OT0.0 hrs $0.00 $130.00 ISTPLNCx PME Plan Check: $0.00 Permit Fee: Hourly Only? O Yes 0 No $0.00 Suppl. Insp. Fee-.0 Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conso llclion Tax .lrbrtilrisurnive 1•ec: O Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Pce: $0.00 2 hours Inspections G 7'ru i'c/ Dne:ulncnluliur+ Fees: $260.00 ISTINSP Inspection, Hourly 0 Strong Motion 17ce: IBSEISMICO $1.89 Select an Administrative Item Bldu,Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $2.89 $390.00 TOTAL FEE: $392.89 Revised: 06/05/2012 ACCESSIBILITY TO PUBLIC.BUILDINGS,"PUBLIC ACCOMMODATIONS,COMMERCIAL BUILDINGS AND PUBLICLY FUNDED HOUSING 59" MIN.AT FLOOR-MOUNTED W.C. WHEN DOOR SWINGS IN 56° MIN.ATWALL-MOUNTED W.C. w WHEN DOOR SWINGS IN 2012 JUN 11 54" MIN. 60"MIN. m� 24" FLUSH MIN. 42"MIN. ACTIVATOR GRAB BAR –I g ON WIDE SIDE v 34" I G6°MIN. MIN.CLEAR — � \ — /18 o MIN. \ 60"MIN. RABBAR DIAMETER \ CLEAR 30°x 48" CLEAR SPACE I o I 44" MIN. CLEAR z_ < w N J - Ism CUPERTINO Building Department JUN 1 1 1012 REVIEWED FOR C PLIANCE THIS DIAGRAM ILLUSTRATES THE SPECIFIC REQUIRM@10WEBY: THESE REGULATIONS AND IS INTENDED ONLY AS AN AID FOR BUILDING DESIGN AND CONSTRUCTION' FIGURE 118-18-MULTIPLE-ACCOMMODATION TOILET FACILITY 518 2010 CALIFORNIA BUILDING CODE ACCESSIBILITY TO PUBLIC BUILDINGS,PUBLIC ACCOMMODATIONS,COMMERCIAL BUILDINGS AND PUBLICLY FUNDED HOUSING CENTERLINE CENTERLINE CENTERLINE OF OF OF FIXTURE FIXTURE FIXTURE FLUSH Y8' 18' ACTIVATOR ON IMIDE MIN. SIDE x -- " ^L 28'MIN L 32' MIN. FLUSH TO EDGE J� TO EDGE - - i OF WATER i U OF WATER ACTIVATOR CLOSET - CLOSET ON WIDE — \ SIDE / e���Pe � v i I 0 U \ / ' i_ r 4'MAX. 60' MIN. 18' 32'L11N 18l 32'MIN MIN. CLEAR A7IN. CLEAR SINGLE-ACCOMMODATION ACCESSIBLE WATER CLOSET COMPARTMENT TOILET FACILITY WITHIN A MULTIPLE-ACCOMMODATION TOILET FACILITY 4Y MIN 12' 36'MIN GRAB BAR GRAB BAR rk 12' 12' 24'141N MIN ALL DISPENSERS 40'MAX TO HIGHEST z ® TRANSFER. OPERABLE PART E m `� SIDE m 36MAX 18' _ REAR GRAB BAR - -_-- ALLOWED AT 36'AF.F. ` AT TANK-TYPE TOILET SIDE WALL ELEVATION REAR WALL ELEVATION L THESE DIAGRAMS ILLUSTRATE THE SPECIFIC REOUIREMENTS OF THESE REGULATIONS AND ARE INTENDED ONLY AS AN AID FOR BUILDING DESIGN AND CONSTRUCTION FIGURE 11B-1A 2010 CALIFORNIA BUILDING CODE 517 z O rz � w 5'-3" 4'-6" 5'-3" E 4'-10" i R�' Z a n M CO (E) 20 36" Grab Bar 18" 18' JUN 11 2012 z w IY � It !: w cc x � ^ � m o 0 00 O U S H �D OFFICE COPY..., . 2 No.00354PO - ' Exp.03-31-12 CUPERTI IMF \ \ i r q Building Depart nt \ C\2 JUN 1 1 2012 C \ REV] WED FORmaYMPLIANCE�', / Revie e By: (D o Ll \ / U ,6 a d 36" Gate C t 0 � * Grab bar 33" above the floor. � y Lavatory top max 36 COMMUNITYDING EPAT ENT a � o under min. 27 free. APPROVED o oo U Buildingarea 1400sa w f This set of plans and specifications MUST be kept at the p The existingbuildinghas two rest rooms job site during construction. It is unlawful to make any q aside fromtheproposed women rest room. changes or alterations on same,or to deviate Z , therefrom,without approval from the Building Official. ti O The stamping of this plan and specifications SHALL NOT o O " 0 71 be held to permit or to be an approval of the violation U a of any provisions of any//City Ordinance or State taw. Job DATE By 'fF1In/ j� oe-ov-lz DATE PERMIT NO. � UG1C Al Rev. 0