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13020019 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20254 VISTA CT CONTRACTOR: EAST BAY PERMIT NO: 13020019 CONSTRUCTION OWNER'S NAME: LEW CLEMENT G AND REBECCA Y 17761 CAMELOT LN DATE ISSUED:02/05/2013 OWNER'S PHONE: 6509692148 CASTRO VALLEY,CA 94546 PHONE NO:510-912-8211 ❑ LICENSED CONTRACTOR'S DECLARATION // BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class Lic.q 6 .t—O 9 MECH r RESIDENTIAL F COMMERCIAL r Contractor Date 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REMODEL 4 BA'T'HROOM(160 SQFT),REMOVE& (commencing with Section 7000)of Division 3 of the Business&Professions REPLACE I I Code and that my license is in full force and effect. WINDOWS,3 SLIDING DOORS,REPLACE WATER IIEATER I hereby affirm under penalty of perjury one of the following two declarations: U Nt?5 I have and will maintain a certificate of consent to self-insure for Worker's 2025112-02SCO Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for(he performance of the work for which this Sq.Ft Floor Area: Valuation:$35000 permit is issued. APPLICANT CERTIFICATION APN Number:31625029.00 Occupancy Type. I certify that I have read this application and state that the above information is correct. 1 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR Warning of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Signature Date 2�S�2d l3 Issued by: d J�/�/✓ /�//y�`il/ Date:p7 ',J •/3 ❑ OWNER-BUILDER DECLARATION RF,-ROOFS: 1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: 1,as owner of(he property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: 1 have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of(he Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will I certify(hat in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or a a forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and stale laws relating for which this permit is issued(Sec.3097,Civ C) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Dale Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 20254 Vista Ct I DATE: 02/05/2013 1 REVIEWED BY: Sean APN: I BP#: ©o -VALUATION: $35,000 *PERMIT TYPE: Building Permit PLAN CHECK T Z. Alteration/ Repair PRIMARY SFD Or Du lex PENTAMATPE: 1R3SFDREM USE: p PERMIT TYPE: WORK [Remodel 4 bathrooms 160 sq ft • Remove and Replace 11 windows and 3 sliding doors; Re lace SCOPE water heater. ,b/ech. flan Check Plumb.Plan Check 0.0 hrs $0.00 Dec. Plan Check hfe& Pernil Fee: I Plumb.Permit Fee: IPPERMIT I l>lec. Permit Fee: Other He,h.Insp. Other Plumb Insp. 0.0 hrs $45.00 Other Elec.Insp. ;i-lech.Insp. Fee: Plumb. hasp. Fee: Elec.Insp. Fee: NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District etc.). These ees are based on the prelinddha information available and are on[ an estimate. Contact the Dept for addn'1 info. FEE ITEMS(Fee Resolution 11-053 Elf 7/!/121 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 51-66-1 s.f Remodel,Bath(<=300 sf) Suppl. PC Fee: 0 Reg. 0 O.T 0.0 hrs $0.00 $600.00 IREMBESBAT PME Plan Check: $0.00 14 # Window/Sliding Glass Door Permit Fee: $0.00 $533.00 IWINREP Replacement Suppl. Insp.Fee-.0 Reg.' 0'OT .Q,0 hrs $0.00 1 # Plumbing PME Unit Fee: $0.00 $27.00 IPRWHEATR I Water Heater PME Permit Fee: $45.00 Construction Tax: 11 Administrative Fee: IADMIN $42.00 O Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential O Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure 0A Strong Motion Fee: IBSEISMICR $3.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.001 11 It M $137.501$1,160.00 N. ' ' �ALr�EE� $1,297.50 Revised: 01/01/2013 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �f/ C 0 UPER 0 (408)777-3228•FAX(408)777-3333•buildino(G cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ,/ ALTERATION/TI El REVISION/DEFERRED ORIGINAL PERMIT# PROJECTADDRESS ZOIS/+ _ 20 2.S'6 V'I S q C+. APN# �I/ 2 aa OWNER NAME Lew I CIemevrt 6T . .I, PHONE (bso)q6�J.2((p8 / &MAD, a STREET ADDRESS Z.0 Z.S Z ]. 0 .f Vs 0. 1. CITY,STATE /'_ ',ZIP . parii M 0 `A FAX E CONTACT NAM ` GQ� PHONE E-MAIL &MAH. STREETADDRESS CITY,STATE,ZIP FAX 11 OWNER ❑ OWNER-BUBDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME ^On �I uan A LICENSENUMBER 66-0 Q I LICENSETYPE BUS.LIC# COMPANY NAME �Q E-MAIL FAX l7lA Wal fk G�'�O h STREET ADDRESS 1-77 61 6m6o+ 1V1 CITY,STATE,ZIP /qV5{f0 I &He I CA q&-M6 PHONE(SId � 9 Z .62Il ARCHITECT/ENGINEER NAME lA LLICESE NUMBER l- BUS.LIC# COMPANY NAME &MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK d 3 ci � FXJSTDJG USE PROPOS USE CONSTRTYPE #STDRtFS Y SLC USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO 'TOTAL AREA AREA AREA NETARFA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODELAREA PORCH AREA I DECK AREA TOTALDECKTORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: ISASECONDUNIT ❑YES SECOND STORY YES BEINGADDED7 []NO ADDITION} AN PRE-APPLICATION ❑YES B YES,PROVIDE COPY OF IS THE BLDG AN ❑YES ( ,CyEryED. `y'..., y^s".J�� N''>I: TOTAL VALUATION: PLANNRJGAPPL# []NO PLANNDIGAPPROVAIIETTER EICMER BOMEt By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. 1 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 relating to building constru ' n. I au representatives of Cupertino to enter the above-identified property for inspection purposes. Signature ofApplicanOAgmt: Date: i'I.(9 - S Z0 ( / SUPPLEMENTAL INFORMATION REQUIRED 33� wE -[o' `C-ROUTING SLTP,y ;r _New SFD or Multifamily dwellings: Apply for demolition permit for £`:.' '"` "<4�,,:�sr OVER TETE-COUNTER#. L BUrLDINGPLAN RENEW h i existing building(s). Demolition permit is required prior to issuance of building permit for new building. '� ss `,.� � LAS9iNG PLANREVIEW�`," x `^� �-` IC,,' O _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure w❑�sTANnAnn`� '���'��. 1puBL[cwoR`Ks, form if any Hazardous Materials are being used as part of this project FIREDEF LARCE'^' 6�J s ❑ Copy of Planning Approval Letter or Meeting with Planning prior to ''� ��'' �,.� aoltE a "� ❑;SANITARY SEWER msrac7 ,a . submittal of BuildingPermit application. .' t` .<... sFx ma § s> 31< .❑ cNVIRONe[ENrataenLTH1T � BldgApp_2011.doc revised 06/21/11 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax:408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST> JOB ADDRESS: 20 >StF Zo �Cl zita C-+ PERMIT#' OWNER'S NAME: Lu C(Zmz�t 67. PHONE# GENERAL CONTRACTOR: 0n N BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of(Cuperlino 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. I am not using any subcontractors: • r so 1 Sign tur Date Please check applicable subcontractors and complete the following information:, t/ 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 Date FACE CON , P-EcE'vp�13 SCOPE OF WORK: Bathroomemodel, , . .,;U FEB 0 5 2013 Project shall comply with the 2010 California Building(Base code 2009 IBC), 2010 Re5fcLuaY(zuu I' 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- BOIL i �� �iNlisted tamper-resistant receptacles. (CEC 406.11) 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 permit or to be an approval of the violation of any provisions of any City Ordinance or State Law. BY DATE PERMIT NO. 20254 r V C% CeoAw V s b +cSo' �z�c3�h� 36xt8 ® r^ O.e Qp X f� diudrP5 ($ Q00W -0C 2 3y � � ®5D SJ7 Cl oxaQ /� �7�[AGE zux8� aw a L X ��aax yXBr 69X� C 2o2--;�51 CT az.Xai ax$o 6 x 3z � ( I. +34 36 x1'8 4z O C3 42 � a 32 30 6 3 -e- 2> 4 c 36 30� CD 3C 20 2 GT i