12060179CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 23500 CRISTO REY DR UNIT 203C
CONTRACTOR: TOP To-i-BETERM+145,,. PERMIT NO: 12060179
OWNER'SNAME: MCDANIEL ELOISE C TRUSTEE,
f2%,7/ ATE ISSUED: 06292012
OWNER'S PHONE:
PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION
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BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class G- I U Lic. M 1/ % U! S Z
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Contrclorhisf/0,J U11c.&e tFlQ//0ate b -Z S- ! Z
MECH RESIDENTIAL COMMERCIAL
I hereby affirm that 1 am licensedprovisions of Chapter 9
JOB DESCRIPTION: INSTALL RECESSED LIGHTS. REPLACE EXHAUST FANS,
(commencing with Section 7000) or Division 3 of the Business & Professions
I I
SWITCHES AND 32 LIGHTS
Code and that my license is in full force and effect.
I 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 for which this permit is issued.
1 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. 171 Floor Area:
Valuation: 54000
permit is issued.
APPLICANT CERTIFICATION
APN Number: 34253039.00
Occupancy Type:
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 and stale 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,
PERMIT EXPIRES IF WORT{ IS NOT STARTED
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-poino rec reguirm s per the Cupertino Municipal Code, Section
180 DAYS CALLED INSPECTION.
9.18-
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Signature - ate-�
Iss db Date:
❑ OWNER -BUILDER DECLARATION
1 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 berg installed. If a roof is
I, 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)
I, as owner of the property, am exclusively contracting with licensed contractors to
Signature of Applicata Date:
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 Certificate of Consent to sel6insure 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 Health & Safely Code, Sections 25505, 25533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Section 3700 of the Labor Code, for the performance of the work for which this
Safely Code, Section 25532(x) should I 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, I shall
contaminants as defined by the Bay Area Air Quality Management District 1 will
not employ any person in any manner so as to become subject to the Worker's
maintain rom pliance with the Cupertino hl unicipal Code. Chapter 9.12 and the
Compensation laws of California. If, after making this certificate of exemption, I
Health & Safety 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.
Othorized enI.,
ale: -
APPLICANT CERTIFICATION
CONSTRUCTION LENDING AGENCY
1 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 and state laws relating
I hereby o irm that there is a construction lending agency for the performance of work's
to building construction, and hereby authorize representatives of this city to enter
for which this permit is issued (Sec. 3097, Civ C.)
upon the above mentioned property for inspection purposes. (We) agree to save
Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may aceme 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
ARCII ITECT'S DECLARATION
9A&
1 understand my plans shall be used as public records.
Signature Date
Licensed Professional
JUN 29 2012
SCOPE OF WORK: Electrical upgrade (lights, switches and outlets) BY:
Project shall comply with the 2010 California Building (Base code 2009 IBC), 2010 Residential (2009
IRC), Plumbing (2009 UPC), Mechanical (2009 UMC), Electrical (2008 NEC), Fire (2009 IFC) and Energy
Codes (2008 Building Energy Efficiency Standards)
Energy code mandatory liahtina measures:
1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy
luminaires. (150(k)(7))
2. Permanently installed lighting in Kitchens shall be high efficacy luminaires. Up to 50% of the
wattage of permanently installed lighting in kitchens may be in lights that are not high efficacy.
(150(k)(8))
3. Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be
high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with
Section 119 that does not turn on automatically or have an always on option. (150(k)(10))
4. Permanently installed luminaires located in other than kitchens, bathrooms, garage, laundry
rooms and utility rooms shall be high efficacy luminaires (except closets less than 70 sq. ft.): OR
are controlled by a dimmer switch OR are controlled by an occupant sensor that complies with
Section 119 that does not turn on automatically or have an always on option. (150(k)(11))
5. Luminaires providing outdoor lighting and permanently mounted to a residential building or to
other buildings on the same lot shall be high efficacy luminaires OR are controlled by occupant
sensors with integral photo control certified to comply with Section 119. (150(k)(13))
Electrical Plan Notes:
6. The installation of smoke alarms in all of the following areas shall be provided: (R314.3)
a. On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of
bedrooms.
b. In each room used for sleeping purposes.
7. The installation of carbon monoxide alarms in the following areas shall be provided: (R315.1)
a. Approved carbon monoxide alarms shall be installed outside of each separate sleeping
area in the immediate vicinity of the bedrooms and on every level including basements in
dwelling units that have fuel -fired appliances or attached garages.
8. 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))
9. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such
circuits shall have no other outlets. (CEC 210.11(C)(3))
10. 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.
11. 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. (CEC 210.8)
12. In all areas specified in 210.52, all 125 -volt, 15- and 20- amw.fe {eeg@feclesFshallrbe We41ENT
tamper-resistant receptacles. (CEC 406.11) BUILDING DIVISION - CUPERTINO
13. All branch circuits that supplying receptacles in family rooms, dining off IIi+ g r ms, parlors,
libraries, dens, bedrooms, sunrooms, recreation rooms, closets, haIIG7'ay� atitYsirftiFdr rooms or
areas shall be protected by a listed arc -fault circuitTi{er50�F (AFCIr '(0EC-210at2(B))T be kept at the
Job site during construction. It is unlawful to make any
changes or alterations on same, or to deviate
therefrom, without approval from the Building Official.
�� The stamping of this plan and specifications SHALL NOT
I^ CObe held to permit or to he an approval of the violation
of any provisions of any City Ordinance or State Law.
OFFICEBy V,
DATE U.,qi Ili
PERMIT NO. _` 2-0(.QO