12090101 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10650MINETTEDR IONTRAC OR:- PERMITNO: 12090101
Jozes
OWNER'S NAME: RAJANI RAJAN DATE ISSUED:09/122012
OWNER'S Pl IONE: 6505337977 i O PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class_ Lic.N tS 4.�71 7 REMODEL 34 SQ FT OF BATHROOM,90 SQ FT OF
/� � � � KITCHEN,
Contractor , )R{fit( IC_Y< Date N I 1 Ll l Ci UPGRADE ELECTRIC PANEL TO 200 AMPS,AND RE-ROOF
1 hereby affirm that 1 am licensed under the provisions off Chapter 9 15
(commencing with Section 7000)of Division 3 of the Business& Professions SQUARES(REMOVE MINERAL ROLLED ROOFING AND
Code and that in,.license is in full force and effect. INSTALL
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.Ft Floor Area: Valuation:$30000
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
,U'N Number:37531048.00 Occupant)Type:
permit is issued.
APhI.ICANT CER'r1F1CVr1ON
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
cored. I agree to comply with all city and county ordinances and state 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 FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the /'
granting of this permit. Additionally,the applicant understands and will comply Issued by. Date:
with all non- oint source regulations per the Cupertino Municipal Code,Section
9.18.
/ RF:ROOFS:
Signature Date / [/ I l / All roofs shall be inspected prior to any roofing material being installed.If a roof is
l ,j installed without First obtaining an inspection,1 agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that 1 am exempt from the Contractor's License Law for one of
the following tsva reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I.as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to IIAJ ARDOUS M ATF,RIAIS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code.Sections 25505.25533,and 25534. I will
1 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 I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District
performance of the work for which this permit is issued. will maintain compliance with 1 pertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safet•Code,Se -ons 2 505,25533,a�2553q. 4
Section'3700 of the Labor Code,for the performance of the"ork for which this L/�fi /�l
permit is issued Owner or authorized agent - D r
1 certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,alter making this certificate of exemption,1 CONSTRIICI'ION LENDING AGENCI'
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 permit shall be deemed revoked. w'ork's for which this permit is issued(Sec.3097,Civ C.)
Leader's Name
APPLICANT CERTIFICA'T'ION Lender's Address
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
to building construction,and hereby authorize representatives of this city to enter
upon die above mentioned property for inspection purposes.(We)agree to save ,ARCIII'1'f.Cl"S DECLARATION
and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may aceme against said City in consequence of die I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18,
Signature Date
Pn�2t �.vul.�
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228' FAX (408) 777-3333' buildino(a)cupertino.oro /,20 O�D/
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT N
PROJECT ADDRESS e r b,^ 0 !h APNN :� -75.91_o AFB
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OWNER NAME R PHONE E-NIAIL
a a 33 C1_ } an tDo- CO
STREET ADDRESS CITY, $TATE,ZIP FAX
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O CA 2( 50 / 4-,
CONTACT NAME ` aMO PHONE ^(OGO 53 3�R E-MAIL
STREET ADDRESS J Cl CITY,STATE, Zip FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT IY Cp,N1RACTOR ❑CON. RACTORAGFNT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAMELICGSjfjJUMBER 1 LICENSETYPE BUS.LICK
CONIPANYNA,NIE ITAr-K% E--MAIL 1 FAX
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u�cn �14-114S @ Ql,00 . co (� I
STREETADp S CITY,ST E,-LIP O PHONE 66
11,
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC B
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
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EXISTING USE PROPOSED USE CONSI'R.TYM M STORIliS-
r-�.S t :M GIL /'1,eS t _1 _ I USE TYPE OCC. SQ.FT. VALUATION(S)
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EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NIT AREA ,
BATHROOM KITCHEN OTHER
REMODEL AREA 1e-1 REMODEL AREA O RELMODELARPA
PORCH AREA -DECK AREA .TOTAL DECKIP00.C11 ARG GARAGE AR[iA: DLrACH
]ATTACH
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DWELLING UNITS' Is,\St:C(INI111N1r UYIS SEC.ONO S'I'OR)' []NES
Bt:ING A1: 1 .gaao Alan LION? ,gNO
PRE-APPLICATION [I YES IF YES.PROVIDE COPY OF IS-1'11F.IIIA)GAN IEs RECEIVED I: • T A 'AIJjA CNE
PLANNINGAPPLM JRNO PLANNING APPROVAL LEITER FICIILF.HIIUNIK! &0 ((.•ffYY//((��((�f]]
By my Signature beliov,I cenif,,to each of the following: I am the property owner or authorized agent to act on the property owner's behalf I h 'e read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to ilding conSl ic.on. an[[Iy/�T�Iz-reprcsentalives of Cupertino to enter the above-de ilii d QI;erty for inspection purposes.
Signature of Applicant/Ag u: ' `� ri Date: !
SUPPLI:M- TAL INFORMATION REQUIRED PIAN CHECK I)PE ROUTING SLIP
New SFD or Multi ill dwellings: Apply for demolition permit for tl\•t:R=InT:COHsrER BUILDING PIAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building l
permit for new building. ❑ Lv,m:ss PLvssING PLAN REVIEW
—Commercial Bldgs: Provide a completed I IazardouS Materials Disclosure 1-1SFANDARD ❑ PUBLIC WORKS
Tom if any Hazardous Materials are being used as part of this project. ❑ L\BGE ❑ FIREDEPT
_Copy of Planning Approval Letter or Meeting With Planning prior to
submittal of Building Permit application. El MAJOR El SANITA HI'SEw'EH IIISTHICT
❑ F,NYIRONDI t1N'f.\L IIF..V.TII
BidgApp_2011.doc revised 06/21/11
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COMMUNITY DEVELOPMENT DEPARTMENT
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
be held to per-nit or to be an approval of the violation
of any provisions Of any City Ordinance/or State Law.
BY.�r/-��
DATED
PERMIT NO.
r�
C 'JVF;D
SEN 12 2012
SCOPE OF WORK: Kitchen and Bathroom remodels. $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 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-
(1 50(k)(8))
fficacy.(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))
Plumbing plan notes:
4. Water closets shall have an average water consumption of not more than 1.28 gallons per flush.
(CPC 402.2)
5. Shower heads shall have a water flow not to exceed 2.5 gallons per minute. (CPC 402.1.1)
6. 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)
7. 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)
8. 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)
9. 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 8 418.0)
10. A.30-inch clear width for water closet compartment and 24 inch clearance in front of water closet.
(CPC 407.5)
Electrical Plan Notes:
11. 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.
12. 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.
13. 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))
14. 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))
15. 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 Y. h.p. or larger shall be on a separate
20 amp. branch circuit.
16. 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)
17. In all areas specified in 210.52, all 125-volt, 15-and 20- ampere receptacles shall be listed
tamper-resistant receptacles. (CEC 406.11)