12110040 CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: 775211UNTRIDGELN CO\1'RACfOR:PENINSULA HOME PERMITNO: 12110040
IMPROVEMENTS
OW'NER'SNAME: FIUGHESSCOTT.A AND BEE-LING 203 KENNEDVAVE DA'Z'E ISSUED: II/072012
OWNER'S PHONE: 4085299840 CAMPBELL CA 95008 PHONE NO:(408)374-1516
❑ - LICENSGE,D77CC�ONTr
RACI'OR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB
License Class 3 ( ZZLiC.4 r r-, M
f DI ECII RESIDENTIAL COMMERCIAL
ContractorI U—,.t�S�"�' L��1e VL L
I hereby affirm(hot I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REMODEL BATHROOM(53 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 too declarations:
I have and will maintain a certificate of consent to seif-insure for Worker's
Compensation,t s provided for by Section 3700 of the Labor Code,for the
performance of the work for which this pemtit is issued.
I have and will maintain Worker's Compensation Insurance,:s provided for by Sq,FI Fluor Area: Valuation:$15000
Section 3700 of the Labor Code,for the performance of the work-for which this
permit Is Issued.
.\P\Number:35906043.00 Occupancy'1)'pc:
APPLIC\NI'CERTIFIC\TION
I certify that I have read this application and state that the above information is
cored.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 hamlessthe City ofCupertino against liabilities.judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence ofthe 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionallv the a licant understands and will comply
with all non-point egu anions per the Cu rtino Municipal Code,Section I
9.18. Issued by: 5k4t y WArc,I Date:11-Z�1,5?—
Signature Date
❑ OWNER-BUILDER DECLARATION RF:ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
hereby alarm that I am exempt from the Contractor's License Law formic of installed without first obtaining an inspection,1 agree to remove all new materials for
the following Ima 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 property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BE ITER
hereby affirm under penalty of perjury one of the following three
declarations: IIA'J.ARDOUS,MATERIAI S 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 Health&Safety Code,Sections 25505.25533,and 25534. 1 will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safely Code,Section 25532(a)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 hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I Brill
mag" tap umee wI a Cupertino dlunicipal Code.Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued.I shall I let IF 1 n&Safel Cole Secli ns 255115,25533,nnJ 25534.
not employ any person in any manner so as to become subject to the Workcr's
Compensation laws of California. If,after making this certificate of exemption,I Os r prize a 1: l l 121
become subject to the Worker's Compensation provisions of the Labor Code,1 must Date:
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRIICI'ION LENDING AGENCY
A PPLICANF CF.RTI FI CATION I hereby affirm that there is a construction lending agency for the performance ofoork's
1 certify that I have read this application and state that the above information is for which this pernit is issued(Sec.3097,Civ C.)
correct.1 agree to comply with all city and county ordinances and state laws 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 accrue against said City in consequence of the ARC111TECI"S DECLARATION
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section 1 understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
(.2 f I O O+,y
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333• buildinG(dcupertino.orG
El NEW CONSTRUCTION ❑ ADDITION LJ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS APN N
" -7 5Z -1- � 35� - o6� - 0 Li 3
OWNERN,"IE PHONE E-.NAILSGOC'C `A Vk vCT k{�S
SGo t`C \ U S 40 w s
STREET ADDRESS CITY.STATE,ZIP FAX
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CONTACT NAME�U , ep � l )1AA PHONE d�J- Od 19E —S E- H. V 4
STREET ADDRESS V CITY,STA 2`I�P(' LK
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❑OWNER ❑ OWNER-BUILDER ❑ 0%', Al 0<1NTRwcroa ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVE.OPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBER H 3 y Lt Z LICENSE TYPE 1 BUS.LIC N
V V v \ 1
COMPANY NAME E-MAIL FAX
c.�S Vi01.1 Urn i 4
STREET ADDRESS CITY,STATE,ZIP PHONE
v -c GJ'c�M
ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC N
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
t �tc.l�S Tills �� Com!-YIOAIt
`o7-tJ 2�SF-, r S Tbu S A S S Li o w O p-
EXISTING USE PROPOSED USE CONSTII TYPE I N STORIES UZ
USE TYPE OCC. SQ.FT. VALUATION(s)
EXISTG NSW FLOOR DEMOTOTAL
AREA AREA AREA NTT ARES - ) v
BATHROOM KITCH04 OTHER �(
REMODEL AREAS--�-I REMODEL AREA REMODEL AREA
PORCH AREA I DECKIkREA TOTAL DECKIPORCH AREA GARAGE AREA: -DETACH
❑ATTACH
4 DWELLING UNTrS: ISA SECOND UNHt ❑YES SLCONDSTORY ❑YES
BEING ADDED! ONO ADDITION! ONO
PRE-APPLICATION OYES ff YES,PROVIDE COPY OF IS THE BLDG AN ❑YES [RECEIVED BY:"a} Ti- y '+*U :y TOTALV UATION:
PLANNINGAPPLN ONO PLANTING APPROVAL LETTER EICHLER ROME! ONO - + r.0 ilr{•
By my signature below,1 certify to each of the following: 1=the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information 1 have provided is correct. 1 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 building wrisuuction. authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: rl ZO NZ.
SUPPLEMENTAL INFORMATION REQUIRED "9 �?-'•�'=_'*'� ` ,,ii * - a ? '¢�
I1 PL,\N CIIECKTI'PE +„F Fe....u.: -(z ROUTINCSLIP, d.{Y�+�.4rR:,
New SFD or Multifamily dwellings: Apply for demolition permit for ,r a 7� '� 5r r
AOYERTHF.COUNTER, -7k, BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
� ; .� ..�
permit for new building. S�.❑`EU. s: 4°I�EL ❑�Pun�.i\c PPun REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure °I❑`sTAnonao r I ,�ci Y❑'+`zPunC��o Ics y' L~' -F'
form if any Hazardous Materials are being used as part of this project. u"''n{�Tv3c
❑ LARGEF -r'}'I � ' L❑ FlREDEPT a �k�M—'t'�'�
_Copy of Planning Approval Letter or Meeting with Planning prior to �a"�--t3%'>r"S'"` ' S� }' 'F-11 sAr+A .�d�t
submittal of Building Permit application. ?�❑t �J 0R ,2tr F.-xn ❑�SA..\rrARYSEWE,�R.Z�DICSTRICT 'Lc
P'f'�+" �F"+• -.'� A '�❑.'ENT IRON\rlf TAIL 11EAL71�•E's
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 7752 Huntridge Lane DATE: 11/07/2012 REVIEWED BY: Sean
APN: BP#: 'VALUATION: $15,000
*PERMIT TYPE: Building Permit PLAN CIIECK TYPE: Alteration / Repair
PRIMARY SFD Or Duplex PENTAMATION 1R3SFDRE
USE: PERMITTVPE: t A
WORK Remodel bathroom 53 sq ft).
SCOPE
Alech.flan Check Plumb.Plan Check Flee, Ilan Check
Mech.Permit Fee: Plumb. Permit Fee: F.lec.Permit Fee:
Other Mech. Invp. Other Plumb/My. Other Elec.Insp.
Mech.Lap.Fee: Plumb. bap.Fee: Elco Lap. Fee:
NOTE: This estimate does not includejeev due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Server District,School
District, etc.). Thesefees tire based on the prelinzinan information available and are onh•an estimate Contact the Dept for addn'I info.
FEE ITEMS (Fee Resolution 11-053 EfL 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 53 1 s.f. Remodel, Bath (<=300 so
Suppl. PC Fee: (D Reg. Q OT 0.0 hrs $0.00 $600.00 IREMRESBAr
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee0 Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction Tax:
Administrative Fee: O
Work Without Permit? 0 Yes 0 No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Travel Documentation Fees: Building or Structure O
Strong Motion Fee: IBSEISAIICR $1.50 Select an Administrative Item
Bldg Stas Commission Fee: IBCBSC $1.00
SUBTOTALS: $2.50 $600.00 TOTAL FEE: $602.50
Revised: 10/01/2012
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DESCRIPTION OF WORK(bathroom renovation at 7752 Huntridge Lane)
Repair and renovate existing bathroom:
- Remove existing tub/shower, vanity/counter/sink,toilet and hard wood floor
- Re-plumb with copper piping for new fixtures
- Install new shower/tub,vanity/counter/sink,toilet and porcelain tile floor
Notes:
- Vanity light will be CFL or manual on/auto off switch
- Existing door clearance will remain at 28"
- Type of water resistant backboard will be Q ��J �JLA)A E.Q_QG.q 4,D
- New toilet will meet 15" requirement from center to each side
- Existing toilet and new toilet will not conform to the 24"front requirement due to existing walls
(new toiled will have more clearance than existing)
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 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)
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O I-ax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: ' /I/r M PERMIT# G
OWNER'S NAME: (j &'j PI IONI?# Gf1 �l
GENERAL CONTRACTOR: ZjLv 4 BUSINESS LICENSE#`
ADDRESS: CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL-THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
am not using any subcontractors:
.Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/Carpeting
Linoleum / Wood
Glass/Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Daie