12100102 CITY OF CUPERTINO BUILDING PERMIT
BIJILDINGADDRESS: 10607 GLENVIEW AVE CON'IR,%CI'OR:WO%TRENDS PFRMITNO: 12100102
OW'NER'S NAME: TANG KEVIN IISIAO-CHANG AND HUANG HU 961 CAROLA AVE DATE ISSUED: 10/122012
OWNER'S PHONE: 5104029291 SAN JOSE,CA 95130 I'1 I ONE NO:(408)4644795
❑ LICENSED CON'IRACFOR'S DECLARATION JOB DESCRIPTION: RF,SIDEM'IAL,El COMMERCIAL.
License Class Lic.9 M. 13ATHROOM REMODEL 108 SQ FT
Contmetor Date C> �L 'y0
hereby affirm that I am licensed under the provision:of Cha ter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
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 Scction 3700 of die Labor Code,for the
performance of the work for whichthis permit is issued. Sy.Ft l loor Area: Valuation:$10000
1 have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for die performance of the work for which this ANNNumber:36926024.00 Occupancy Type:
permit is issued.
,\PPLIC,%N'I'CER'1'IpICy'I'ION
I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.1 agree to comply with all city and county ordinances and state Imus 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 DAY /'i - M LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, _
costs,and expenses which may accrue against id City in consequence of the
granting of this permit. Additionally,the qh cant understands and will comply Issued by: �'L Dale:
with all non-po'it source regulations per th Cupertino Municipal Co e,Section
9.18.
// Q -7� ill RE-ROOFS,
Signator Date L �'V roofs shall be inspected prior to any roofing material behl;installed.If a roof is
installed without first obtaining an inspection,I agree to remov all nese materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
hereby affirm that I am exempt from the Contractor's License Lar for time of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I,as owner of the property,or my enploy'ees with wages as their sole compasation,
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,ami excluavely contracting with licensed contractors to IIA7,ARDOUS MATERIALS DISCLOSURE
construct the project(Sce.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. 1 will
1 hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should Istore tar 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 Section3700 of the Labor Code,for the air contaminants as defined by the Ray Area Air Quality Management District I -
performance of the work for whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the I Icalth&Safety Code,Sectio _5$16,25533,and 2 534.
Section 3700 of the Labor Code,for die performance of die work for which this O
permit is issued,
or authorized ngrm Date: 2—
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 the Worker's oe
Compensation laws of Cal ifomia. If,after making this certificate of exemption,I C NSIRUCI'ION LENDING AGENCY
become subject to die Worker's Compensation provisions of the labor Code.I must I hereby affirm that there is a constmetion 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.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and stile dial the above infortnaion 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 the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCIIITECI"S DECLARATION
costs,and expenses which may accrue against said City in consequence of the I understand my planks shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all noir-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
CUPERTINO
P , Building Department
OCT 12 2012
SCOPE OF WORK: Master Bathroom Remodel
REVIEWED FOR CODE COMPLIANCE
Project shall comply with the 2010 California Building (Base code�0(J�9�18C�,.2010 Res dentia) r�nno
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. fl. 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) CO.�:AW'ITf r)E`-rELOPMF^R DEPARTMENT
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) APPROVED
This set of plans and specifications MUST be kept at the
lob sltr :luring construction. It Is unlawful to make any
"F:" changes or alterations on same,or to deviate
t _ )m the Building Official.
OFFICE �COPY
Ths heI iA and sp proval oft SHALL NOT
be held-te e�4�di+t�e an approval of the violation
ofBxprovisions of any City Ordinance or State taw.
BY
DATE �O. 1 Z•! Z–
PERMIT NO. _1_211 QU I t0—
CUPERTINO,
Building Departmeltt
OCT 12 2012
0 REVIEWED FOR CODE COMPI�.k10E 3
Reviewed By:
J
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U c �
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CONSTRUCTION PERMIT APPLICATION �`Q)
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COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228• FAX(408) 777-3333• building8cupertino.oro
❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT k
PROJECT ADDRESSt / All / n r)n
/ l V
(OWNER NAME- km) ONEqv. E-MAIL
STREET ADDRESS CITY, TATE,ZIP FAX
(
CONTACT-NAME \ PHONE E-MAIL
D l a
STREET ADDRESS CITY,STATE, ZIP FAX
❑Owwn ❑ OWNER-BUD-DER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
,CONTRACTOR NAME LICENSENIDMER143y LICENNS�ETYPE BUS.LICK
COMPANYNAME ✓J r/' /nJ�j o E-MAIL ;^A�y^�eSi' p(/ `t ,�1 FAX
STREET ADDRESS r�/V�/ 1/�/� CITY,sTATYEf'ZI�P'/`ri�l ) bHl f PHONE
ARCHITECT/ENGBaEER NAME LICENSE NUMBER a/V J�j yl BUS.LIC 0
COMPANY NAME E-AWL FAX
STREET ADDRESS - CITY,STATE,ZIP PHONE
,DFSCRIPTION.OF WOR}:
EXISTBJ SE PROPOSED USE CONSTIL TYPE b STOMS
USE TYPE OCC. SQ.E'f. VALUATION(E)
EXI§TG' NEWFLOOR DEMO TorAL
AREA AREA AREA 'TT AREA
ARE
BATHROOM /- KITCHEN OTHER
REMODEL AREAREMODELAREA REMODEL AREA
PORCHAREA DECKAREA TOTALDECI ORCHAREA I GAXArf:XE : DETACH
EIATTACH
Y DWELLING UN ITS: IS A SECOSD US IT LJ YES I SECONDSTORY E)YES
BEIT'G ADDED' 2-6 ADDITIOS? --Eit<O
PRE-APPLICATION ❑1 IF YES,PROVME COPY OF IS TILE BLDG,AN [3 YES RECEIVED X•r„' Z4 TOT WATION:
PLAh'NaJG APPLd PLAh'NWG APPROVAL LETTER EICBLER 11011E"�NO ' rD' O�
By my signature below,1 certify to each of the following: I am thep pert,owner or authorize agent to Oct on the propeny owner's behalf. I have read this
application and the information I have provided is correct. I have re a he Description of Work and verify it is accurate. 1 agree to comply with all applicable local
ordinances and state laws relating ui ' construction. 1 authori representatives of Cupertino to enter the above-identified operty/inspection purposes.
Si^nature of ApplicarTUAgen Date:
SUPPLE ME AL INFORh1ATION REQUIRED "'r E°'�'_=• -' q ��r <r
PLAN fHECR,CI'1'E �`r 3;,;giQ �j,\^AOUT'1\G;SCII'•�,
New SFD or Multi i1,d\vellings: Apply for demolition permit for ��•:L' Ye'A
�20,\EA Tf16 COU VEH UILUI\G PL41�x R1,
existing building(s). Demolition permit is required prior to issuance of buildm �•4r e,F, , . �,'; �t{y .... 5,4
permit for new building. '® L.v AF 55 '❑a`I4i.nmmSc 10N-REVIEW
PksP
- {
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑' SiANnArmr," P = ,; � -1 uDLfc�\+olds
form if any Hazardous Materials are being used as pan of this project. �� .; ' 'p
qg�❑v L,\Ace >y. "�� r ❑ IIxLDerr : - d
_Copy of Planning Approval Letter or Meeting with Planning prior to 'Ci'�4�`Y`s p sa_n T DISTAtcr
submittal of Building Permit application. %tuJon� s : % htD- r�'+'�r -�••"t�4
$rs?,;51*..•3e<aysk+ :u �❑A NVIRONMENT'ALHE\LI
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 10607 Glenview Ave DATE: 10112/2012 TREVIEWED BY: Sean
\ APN: . BP#: 'VALUATION: 1$10,000
*PERMITTYPE: Building Permit PLAN CIiECKTYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1R3SFDREM
'USE: PERMIT TYPE:
YORK Master Bathroom remodel 108 sq ft).
SCOPE
,bfech.Plan Check Plumb. Plan Cheek E/ec. Plan Check
Mech.Permit ree: Plumb. Permit ree: E/ec.Permit Fee:
Other Much.insp. Other Plumb Insp. Other Elec•. Inip.
Mcch, heap.ree: Phanb. dnep. ree: Elee.Lap. Fee:
NOTE: This estimate doer not include jeer due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School
District,etc). These eer are bused on the prelintinan information available and are onb,an estimate Contact the De t ar addht'I in o.
FEE ITEMS (ree Resolution 11-053 E/T 711112) FEE QTY/FEE MISC ITEMS
Plait Check Fee: $0.00 108 s.f. Remodel, Bath (<=300 sf)
Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $600.00 1REMIZESBAT
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PM Permit Fee: $0.00
Consavction Tax:
Administrative ree: O
Work Without Permit? O Yes Q No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
Trawl Documentation Fears Building or Structure 0
i
Strong Motion Fee: IBSEISMICR $1.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SURTOTALS: $2.00 $600.001 TOTAL FEE: $602.00
Revised: 10/01/2012
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RTI N O Fax: 408-77.7-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: p PERMIT#
OWNER'S NAM PFIONE #
GENERAL CONT ACTOR: Vj BUSINESS LICENS • # O
ADDRESS: CITY/ZIPCODE: �S
*Our municipal code requires all businesses working in the city to have a City of Cupertino Misiness license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAV OBTAINED A CITYFCU ER'1'iN0
BUSINESS LICENSE. / . /y
am not using any subcontractors: l
• Signature ate
Please check applicable subcontr ors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
1/1 422�n S2—
Excavation �.
Fencing
Flooring/ Carpeting AIDA 52
Linoleum / Wood
Glass/Glazing
Heating 10
Insulation
Landscaping
Lathing '/V8
Masonry
Painting/ Wallpaper A10
Paving tj
Plastering
Plumbing
Roofing
Septic Tank
Sheet.Metal ""Vo
Sheet Rock �O
Tile
Owner/Contractor Signature Date