12090121 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10371 MARY AVE CON'T'RACTOR ^^ XQUE PERMITNO: 12090121
ED
OWNER'S NAME: RAVI SRIDHARAN Cheuna'S DATE ISStJFD:09/132012
OWNF,R'S PIIONE: 4086556988 0(�; PHONE NO:
-' JOR DF,SCRIP'HON: RESIDENTIAL COMMERCIAL
❑ LICENSED CONTRACT'OR'S DECLARATION
v _C-(U Lia N gb 37QS�j REMODEL BATHROOM 83 SQ FT
License Class f�,,
Contractor 9P4 K CHG U/.6Jme !I— 13
hereby affirm.that 1 nm licensed under the provisions of Chapter 9
(commencing 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 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. Sq.Fl Floor Area: Valuation:$7200
1 have and will mainmin.Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of die work for which this
\PN Number:32652028.00 OccupancyType:
permit is issued.
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and stale laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of This city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS ROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, _
costs,and expenses which may acerae against said City in consequence of the 9.�✓• 12
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point source regulaticns per the Cupertino Municipal Code,Section
9.18.
Q n RF:ROOFS:
Signature / ( 9�/ Date / 3 —2��7 All roofs shall be inspected prior to any roofing noted al beiig installed:If a roof is
installed without first obtaining an inspection.I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
hereby affirm that I ora exempt from the Contractor's License I,aw'far ane of
the following two reasons: ALL ROOF COVERINGS TO RF,CLASS"A"OR RE-I`FER
I,a;owner of the property,or my employees with wages as their sole compensation,
will do the work,and the stricture is not intended or offered for sale(Sec.7044,
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to IL\%ARDOUS MATERLU S DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Ilealth&Safety Code,Sections 25505,25533,and 25534. I will
I hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Ilealth&Safety Code.Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 use equipment or devices which emit hazardous
Compensation,as provided for by Section3700 of the Labor Code,for the air contaminants as defined by the[lay Area Air Quality Management District
performance of the work for whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and
1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safely Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of die work for which this Owner or authorized agent: o Date:
permit is issued.
I certify that in the performance of the work for which this permit is issued,I shall
not employ any person inany manner so as to become subject to die Worker's
Compensation laws of California. if,after making this certificate of exemption,I CONSTRUCTION],ENDING AGENCY
become subject to the Worker's Compensation provisions of the labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this pemhit shall be deemed revoked. w'ork's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
,\PPI,ICANI'CF,R'1'IFIC 'I'ION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with ail city arca county ordinances and state Imus 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, ARCIITTECI"S DECLARATION
costs,and expenses which may acerae against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applica t understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
4'-0• 2'-8" '-" S-0- CEIVED
)EP 13 2012
0
MASTER (E) CLO. =
BEDROOM
in
COMMUNITY DEVELOP A =M DEPARTMENT
BUILDING DIVISIO ! CI IPERTINO
This set of plans and specific d ons MUST be kept at the
7) HALLWAY lob site during construction. I is unlawful to make any
changes or alterations c n same,or to deviate
therefrom,without approval f om the Building Official.
17, T`le stamping of this plan anc ! pecifications SHALL NOT
be held to permit or to be a I 1pproval of the violation
of any provisions of any Cit I )rdinance or State Law.
BYAIV
G • 1Z
A
EXISTING PLAN RAVI SRIDHAR
-T—q--B.
RAMA RAVI'RESIDENCE 2CY1LI Z.
SCALE: x• a r-0- 10371 MAR- AVE—CUPERTIN81
JUN 29, 2012
DEMO (E) WALL TILL 42"H. 30" DIA CIRCLE E W r v
GLASS ABOVE ` _ ' •-c
(E) VANITY TO REMAIN e T �44+5
i�
•8e DrR �'
MASTER (E) CLO. �/ \
BEDROOM I
F
'gyp) 28"
jN'tr�jOR.
HALLWAY
l
DESIGN OPTION RAVI SRIDHARAN&RAMA RAVI RESIDENCE
SCALE: A' ' 10371 MARY AVE,CUPERTINO
JUN 29. 2012
,
SCOPE OF WORK: Bathroom Remodel
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 countertop 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 20- ampere receptacles shall be listed
tamper-resistant receptacles. (CEC 406.11)
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10371 Mary Ave DATE: 09/13/2012 REVIEWED BY: Sean
APN: BP#: 'VALUATION: $7,200
*PERMITTYPE: Building Permit PLAN CIIECK TYPE: Alteration/ Repair
PRIMARY SFD or Duplex PENTAMATION 1R3SFDRE
USE: pPERMITTYPE: A
WORK Bathroom remodel 83 sq ft).
SCOPE
Mech.Plan Check Plumb. Plan Check Flec.Plat Check
Mech. Permit Fee: Plumb.Perndr Fee: F.lec.Permit rue:
Other dlech. Insp. I Otter Plumb Insp. Otter Elcc.It
.Mech.Insp. Gee: Plumb. hr,.p. Fee: rice.htsp. rec:
NOTE: This eviinmte does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Saritaly Sewer District,School
District, etc.). These eev are based on the prelinsinan•information available and are onh,an estimate Contact the De 1 or addn7 into.
FEE ITEMS (Fce Resolution 11-053 E1T 7/1/11) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 83 1 s.f. Remodel, Bath(<=300 sf)
Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $600.00 IREHRESBAT
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg. Q OT0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction Tax:
Administrative Fee: O
Work Without Permit? 0 Yes Q No $0.00 E)
Advanced Planning Pee: $0.00 Select a Non-Residential 0
Truro!Docmnentarinn Fees: Building or Structure 0
A
Strove Motion Fee: /BSEISAIICR $0.72 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: 1 $1.721 $600.00 TOTAL FEE: $601.72
Revised: 07/01/2012
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ,\
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228• FAX ((4�/0/8) 777-3333• buildincl(cDcupertino.org \
❑ NEW CONSTRUCfION�Lp ❑ ADDITION [2/ALTERATION/11 ❑ REVISION/DEFERRED vORIGINAL PERMIT
PROTECT ADDRESS
MKI NVE, cope IZn No. CA 4'30(4- APNu n (0 ,�L.. ®�
OWNERNAA T 19 PHONE- - /�/ E-NAIL
19
STRELTADDRESS CITY,STATE ZIP NO G� ro1� FAX
0 1 d
CONTACT NAME PIIONI? E-MAIL
fIUI 40$) 655 - raavt cam
STREET ADDRESS CITY,STATE. ZIP FAX
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARctm a ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME pro C, N� LICENSE NUNU Eft LICENse TC a lO BUS.LIC N
CONPANYNAAIE �( E-MAIL FAX
o C Gro C 6ll a 0.G , cow
STREET ADDRESS CITY,STA EZIP PH NE
((' C RXCI< W N .To 95124 )!LU- 5 8
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC N
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
coWt o Vat-'( o rrro u
ESISTINGUSE PROPOSED USE CONSTR.Tt'PE aSTOR1Es
.C�� !�—S v USE TYPE OCC. SQ.FT. VALUATION($)
ECISTG NEN FLOOR DEMO TOTAL
AREA AREA AREA NETARE\ 1/!2
BATHROOM KnICUEN OTHER r // r
REMODEL AREA D Z RIaUODEL AREA REVODELARG
PORCH AREA DECK AREA TOTAL DECKIPORCH ARG GARAGE AREA: DETACII
❑ATTACII
kDWELLINGUNITS. ISASF.Cf1NDUNIT � SFf.ONDSTORY �S
BE1NGADDED? 0 ADnIT10N'! 0
PRE-APPLICATION ❑1'i$ IF YES,PROVIDE COPY OF ISTIIEIILIIC.A\' ❑\'ES RECGVEDB '9 TOTAL VALUATION:
PLANNING APPLE 8vo PLANNING APPROVAL L[TTJ:R FICIILT:R TIO\n:' �0 ^/ T•2�0 _
By my signature below,1 certify to each of the following: I am the property owner or authorized agent to act on the property oener's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verily it is accurate. I agree to comply With all applicable local
ordinances and state laws relating to builddiping construction.�I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of ApplicmAVAgenl: R O� C Q"N" 1 Date:SUPPLEMENTAL INFORMATION REQUIRED iLAN cui:cK 4erF. _ RolrnNc sur
New SPD or Multifamily dwellings: Apply for demolition permit for VER-THE.COUN`IKR - UILUINC'PLAN urvIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ EXPRESS ❑: PLANNINc PLAN REYIEw
_Commercial Bldgs: Provide a completed I lazardous Materials Disclosure ❑ sEANnaaD ❑ P_UBLIC WORK$
form if am' Hazardous Materials are being used as pan of this project.
❑ Ia RCE: ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application. Elx1AJOR, - ElsANiTARY SewE_R ulsraicl`
❑ ENVIRONMENTAL HEAU1U
BldgApp_201 Ldoc revised 06/2//11