12080169 1 CITY OF CUPERTINO BUILDING PERMIT
B OILDINGADDRESS: 10375BYRNEAVE CONTRAC'MR:IIAN'S CONSTRUCTION PERMITNO: 12080169
OWNER'S NAME: CHANG AUGUSTIN AND TAI JULIET 1873 MERIDIAN AVE DATE ISSUED:08/152012
OW'NER'S PRONE: 4083906779 SAN JOSE.CA 95125 P110SE NO:(408)561-55(15
❑ LICEN'SE'D CONI'&\CPOR'S DECLARATIONBUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
License Class Lic.k �)( 6� fJ r r r
Contractor �/W( ((nr �+ 1r � L DIECIi RESIDENTIAL COMMERCIAL
/,�' Date O
I herehy affirm that I am licensed under the provisions of Cha pier 9 JOB DESCRIPTION:TWO BATHROOM REMODELS(106 SQIT)
(crimmencing with Section 7000)of Division 3 of the Business.&Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:.
I have and will maintain a cenificate ofconsent 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 Sy. Pt Fluor,\yea: \'xluxtiun:$11000
Section 3700 of the Labor Code,for the per(omnancc o(dhe work for which this
permit is issued. ANN Number:35712030.00 Occupancy Type:
,urrLICANT ceanFlcrrloN
I cenify that I have read this application and slate that the above information is
correct.l agree to comply with all city and county ordinances and state laws relating PERMIT EXPIRES IF WORK IS NOT STARTED
to building construction,and herehy authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR
indemnify and keep harmless the City of Cupertino against liabilities,judgments, 180 DAYS FROM LAST CALLED INSPECTION.
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply ���� J
with all non-point source ul lin r the Cupertino Municipal Code,Section Issued by: /`/ Tl/ Date:'%�'��
9.18. /',
Signature U z Date [ ��L
RF:ROOFS:
❑ O\VNER-BUILDER DISCLARATION All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
hereby affirm that I am exempt from the Contractor's License Law for one of inspection.
the fullmving two reasons:
I,as owner of the property,or my employees with wages a their sole compensation, Signature of Applicant: Date:
will do the%sork,and the structure is not intended or offered for sale(See.7044,
Business S Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to AL1.ROOF COVERINGS TO BE,CLASS"A"OR BETfIA?
construct the project(Sec.7044,Business 3 Professions Code).
hereby affirm trader penalty of perjury one of the fallowing three IIA%ARDOOS MATERIALS DISCLOSURE
declarations: I have read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain a Certificate ofConsent to self-insure for Worker's California Ilcalth\Safciv Code,Sections 25505,2.5533,and 25534. 1 will maintain
Compensation,as provided for by Section 3700 of the Labor Code,for the compliance with the Cupertino Municipal Code.Chapter 9.12 and the Health&
performance of the work for which this permit is issued. Safety Code,Section 25532(x)should 1.store or handle hazardous material.
I have and will maintain Worker's Compensation Insurance,as provided for by Additionally,should I use equipment or devices which emit hazardous air
Section 3700 ofthe Labor Code,for the performance of the work for which this contaminants as defined by the Bay Arca Air Quality Management District 1%rill
permit is issued. maintain compliance wish the Cup ertinaMunicipal Codc,Chapter 9.1_and the
Health S Safety Code,Sections 5505,25533,and_5534.
I certify that in the performance of die work for which this permit is issued,I shall q
not employ any person in any manner so a to become subject to the Worker's Owaer or out rgrzo n
Compensation laws California. aster makfhof r , Date:
Cernme Subject to the Worker's Compensation provisions of Labor Code,I
must
forthwith comply with Such provisions or this permit shall be deemed revoked. CONS'I'RIICI'ION LENDING ACPNCI'
I hereby adfum that there is a construction lending agency for the performance of work's
APPLICANT CFRTI FIC\'1'ION for which this permit is issued(Sec.3097,Civ C.)
I cenify that I have read this application and state that the above information is Lender's Name
correct. I agree to comply with all city and county ordinances and state Imes relining
to building construction,and hereby authorize representatives of this city to enter Lender's Address
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ,UtClll'I'IiCI"S DIiCL.Ut.CI'ION
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply I understand nt plats shall be used a6 public records.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. Licensed Professional
Signature Date
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10375 Byrne Ave DATE: 08/15/2012 REVIEWED RY: Sean
APN: 13P#: WALUATION: $11,000
*PERMIT TYPE: Building Permit PLAN CIIECK TYPE: Alteration/ Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMITTYPF: 1R3SFDREt;
WORK Two bathroom remodels 106 sq ft).
SCOPE
Much. Phm Check Plumb. Plot)Check Glee. Plan Check
Much. Permit Fee: P1amh. Permit Fee: rice.Perwit Fee:
Otter dlech. Insp. Other Plumh Insp. 011ier Clec.Insp.
.1/ech./nap. Fee: Phunh. h+sp.Fee: Elec.Insp.Fee:
A'OTF: This cuimate docs trot inchule jeev due to other Departments(i.e. Planning, Puhlic Works, Fire,Sanitary Seiner District,School
District,etc.). These fees are hosed on tie prefintinan•information available and are onh,air estin+am Contact the Dept for arldn I info.
FEE ITEMS (1-w Resolution 11-053 FfI7/1/11) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 = s.f. Remodel, Bath (<=300 so
Suppl. PC Fee: Q Reg. O OT 0.0 hrs $0.00 $600.00 IRDIRESBAT
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee-.0 Reg. Q OT 0,0 ]-its-
$0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Cm+smrtction Tut:
Administrative Fee: O
Work Without Permit? O Yes Q No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Travel Doctanentaiion Fees: Building or Structure
Soong Motion Fee: IBSE1SHICR $1.10 Select an Administrative Item
131de Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $2.10 $600.001 TOTAL FEE: $602.10
Revised: 07/01/2012
RF_('F'iVED
'Ju 15 zolz
SCOPE OF WORK: Two bathroom remodels.
.L Y:
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 lighting measures:
1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy
luminaires. (150(k)(7))
2. 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))
Plumbing plan notes:
3. Water closets shall have an average water consumption of not more than 1.28 gallons per flush.
(CPC 402.2)
4. Shower heads shall have a water flow not to exceed 2.5 gallons per minute. (CPC 402.1.1)
5. Faucets in kitchens, wet bars, lavatories, laundry sinks, etc shall have a water flow not to exceed
2.2 gallons per minute. (CPC 402.1.2)
6. Shower stalls shall have a clear interior finish area of 7.1 sq. ft. and be able to accommodate a
minimum 30 inch circle at the threshold level. These clearances shall be maintained up to a
height of 70 inches above shower drain. (CPC 411.7)
7. Shower compartments and walls above bathtubs with installed shower heads shall be finished
with a smooth, nonabsorbent surface to a height not less than 72 inches (6 ft). (CRC R307.2)
8. The maximum hot water temperature discharging from the bathtub, shower and whirlpool bathtub
filler shall be limited to 120 degrees Fahrenheit. The water heater thermostat shall not be
considered a control for meeting this provision. (CPC 414.5 &418.0)
9. A 30-inch clear width for water closet compartment and 24 inch clearance in front of water closet.
(CPC 407.5)
Electrical Plan Notes:
10. 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.
11. 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.
12. 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))
13. 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)
14. In all areas specified in 210.52, all 125-volt, 15-and 2100,,qfpperereceptaclesdsliialh,bettisted
tamper-resistant receptacles. (CEC 406.11) BUILDING DIVISION-CUPERTINO
APPROVED
This set of plans and specifications MUST 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
ARA r!M / be held to permit or to bean approval of the violation
[a raof of anypr{ovis�ions of any City Ordinance or State Law.
BY
DATE
PERMIT NO.
[ '-L0 F o 1 (.Oc?
EIMCONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228 • FAX (408) 777-3333• building0cupertino.oro
❑NEW CONSTRUCTION /❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT k
PROIECT ADDRESS /03 ( Itll /t..Jl / APNb -� I ( -z J' � ko
OWNER NAME J N AC/ IrJV�� PHONE ,. L 3`�p _-(,/T" 9 E-MAIL
✓"fr rh �Fo(1 I
STREET ADDRESS CITY, STATE,ZIP FAX
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY,STATE, ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT XCONTRACTOR ❑CONTRACTOR AGENT El ARCHI ECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME A100
IQ0 �vt/+ LICENSE NUMBE ?; r, /3� LICENSE TYPE ,'L BUS.LIC 9 I
COMPANY NAMEe `eeh l ,00.fL CA E-MAIL /'d„(o/� /v14'/Go i'-IV TAX
STREET ADDRESS W L /K`� /r CITY,STATE,ZI(P� SfG7N 5D s� PHONE
ARCNITECTIENGINEERNAME LICENSENUMBER BUS.LIC 0I- O f b
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
wo aEti Rego . P/,�� roe
ExNc 'SE PROPOS U� [ONsrR,APE a SiOCIESvL
USE TYPE OCC. SQ.FT. VALUATION(S)
RNEW FLOOR DEMO TOTAL
AREA
` V0 te-3 l��
AREA AREA AREA NET ARF.\
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCHAREA DECKAREA TOTAL DECIUPORCHARCA GARAGEAREA: DETACH
ATTACK
0 DWELLING UNITS: ISASECONDUN'IT []YES SF.COSDSTORY EJ YES
BEINGADDF.D! 040 ADDITION? Er,0
PRE-APPLICATION [)YES IFYFS,PROVIDECOPYOF ISTIIEDLDGAN ❑YES RECEIVED ° _ - TOT�I-}'ALUATI '
PLANNINGAPPLtl 3+:0 PLANNING APPROVAL LETTER EICHLER HOME? �NO ,i- „ _ /' // �I/1
By my signature below,I certify to each of the following: I am the property owner or authorized agent to acct on the properly owner's behalf.`IShavee read this
application and the information I have provided IS correct. I have read the Description of Work Rod verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildin nsthorizpu .e representatives of Cupertino to enter the abovkident�ed property for inspection purposes.
4(�}�
Signature of ApplicanUAgenr. �~-- Date:
SUPPLEMENTAL INFOnIATION REQUIRED PLANCHECKTI'k ROtrl[,NGSI,lP
New SPD or Multifamily dwellings: Apply for demolition permit for r`y ,
existing building(s). Demolition permit is required prior to issuance of building j"`ovT:µ=rtD>eotim'ex L-�e'Imi.�imc 1%%N REVIEW
permit for new building. ;❑ EXPRESS • = ❑ PLNkSmG PL\n'REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure , El'srANDARn ❑ ruRt.ice:oxxs .
Torn if any Hazardous Materials are being used as pan of this project. .
❑ L\RCT: ❑ FlRebevr
_Copy of Planning Approval Letter or Meeting With Planning prior to ❑' MAJOR ❑ SnNi Gtx YSEG'eR DIST'xl Cr•
submittal of Building Permit application. -
L ❑_F.N\'IROXI\I EN'I'A I,IIF.,\LTIL_
BldgApp_20ll.doc revised06121111