12090159 r r
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11674 SEVEN SPRINGS DR CONTRACTOR: PERMITNO; 12090159
OWNER'S NAM F.: VARADARAJAN RAMMOIIAN AND DALAL ROOF r��s' lis C�� �jp(S� DATE ISSUED:09/192012
OWNER'S PDONI:: 4082531755 _ Q PHONE No:
❑ IJCENSI.D CONTRACTOR'S DI.CLARATION BUILDING PERMIT INFO: BLDG C. ELECT❑ PLUMB['
License Class Lic.q
P1ECH C RESIDENTIAL r COMMERCIAL
Contractor Date � Nat. \'L
hereby affirm that I am lie need under the provisions of Chapter 9 JOB DESCRIPTION: BATIiROOM REMODEL(98 SQFf)
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
1 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.
1 have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$30000
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:36654003.00 Occupancy'I'ype:
A IT LICANT CERTIFICATION
I certify that I have read this application and state that the above immolation 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 PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgnmcats, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant underaamds and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section ,( p
9.18. Issued by: �EAn/ fjTG Dale: 9•� / •�a
Signature Date -, Nlx y
❑ OWNER-BUILDER DECLARATION RE:ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
1 hereby,affirm that 1 am exempt from the Contractor's License Law for one of installed without First obtaining an inspection,I agree to remove all new materials for
the folbwing in reasons: inspection.
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, Signature of Applicant: Date:
Business&Professions Code)
I,as owner of the propery,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
hereby affirm under penalty of perjury one of the following three
declarations: II,\-/.ARDOLIS MATERIALS DISCLOSURE
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Ilealth&Safety Code,Sections 2.5505,25533.and 25534. I"ill maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code.Chapter 9.12 and the Ilealth&
I have and will maintain Worker's Compensation Insurance,its provided for by Safety Code.Section 25532(x)should I store or handle hazardous material.
Section 3700 of the labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit h12aYdOUN air
contaminants as defined by the IIx)'Area Air QualityManagement District I will
permit is issued. maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Dealth&Safely Code,Sections 25505,25533,and 25534.
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of Califmmia. If,after making this certificate ofexemplion,I Ownerizc} mvnt:
become subject to the Worker's Compensation provisions of the Labor Code,I must l \, ` Date: \
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCHON LENDING AGENCY
Al'I'LICAN'I'CFR7'1 FIC,YI'ION I hereby affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
correct. I agree to comply with all city and county ordinances mid state Imus relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter:
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may acerae against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCIII'1'GCT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
GUPERTINO (408)777-3228 • FAX (408) 777-3333 • buildingCcDcugertino.orcl
❑ NEW CONSTRUCTION ❑ ADDITION ` ALTFRATION/TI ❑ REVISION/DEPE/RRED ORIGINAL PERMIT#
PROJECT ADDRESS `\ �-V e �Q��tic \ ��. APN N ^(PC
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OWNER NANIE-NTAIL
STREET ADDRESS\\ � �• C` `?J` SCc, STA :^. I 'D (�_ �;b`� FAX
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❑ OWNER ❑ OWNER.BUILDER ❑ OWNER AGENT XCONTRAC OR ❑CONI RACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME x� C` LICENSE 1{tJ�nE@ LICfy`15DETYPE BUS.LIC x
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STREET ADDRFS$ n 9 h t+ _ _\\ ` (\ CITY.S TG ZIPS< r ' PHO# L\, '\
ARCIIITECTIENGINEER NAME LICENSE NUMBER BUS.LIC x
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK �p rl `\ •\
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✓�EKISTI.NG USE PROPOSED USE CONSTgPE xSTORIE$ USE TYPE OCC. SQ.FT. VALUATION(S)
ExISTG NEW FLOOR DE\IO TOTAL
AREA AM% AREA NETAREA V13 7
BATHROOMKITCIIEN OTHER
DEL
RE\ CAV q3 j, RENMODEL AREA REMODEL AREA
PORCHA EA DECK AREA TOTAL DECNPORCH AR E,\ GARAGE AREA: DErACII
ATTACH
xD\\'FEEING UNIT S: ISA SF.f,11S11 IINI'1' C�\'FS St:C.IINn ST'ORl' YLS
B E IN All II fat' NO ADDITION. \0
PRE-APPLICATION El YES IFYES,PROVIDECOPY FF IS11'HERLDGAN ❑YES RECEIVED TO VALUATION:
PLA.NN[NGAPPLx E]NO PLANNING APPROVAL LMER LICIILER HOME. O1 NO D/ 6 DO /\
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By my signature below,I certify to each of the following: I and the property owner or 5uthorized agent to act on the property owner's behalf. t have 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 rel ' W building nstruction. I authorize representatives of Cupertino to enter theaheve-Mdenlified properly for inspection purposes.
Signature of Applicant/Agen. Date:
SUPPLEMENTAL INFORK A"1'10\ REQUIREDPLA NCIIEC:TYPE, ROUTING SLIP
New,SH)or piuhil'amily dwellings: Apply for demolition permit for LCL OYER-THF-COU\-TER BUILDING PLAN REVIEW
existing building(s). Demolition pennit is required prior to issuance of building +, ,[�/`
permit for ncw•building. '-❑ EXPRESS , '.U 1'I.Ap;VING PIAN REVIEW
Commercial Bldgs: Provide a completed I lizardous Materials Disclosure ElSFANDARD - El PUULIEW'oRk9
for_m if any Hazardous Materials are being used as pan of this project. ❑ .IARCE 1 - 13 Fl beril' I
_Copy Of Planning Approval Letter or Nlecling with Planning prior to
submitral of Building Permit application. ❑ MAJOR! ; - ❑,SANITARYSEWER DISTRICT"
❑ Y;\\'IRO\Rif:NT.\I.IIt;ACI'II:
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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 hat 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 20-ampere receptacles shall be listed
tamper-resistant receptacles. (CEC 406.11)