13040059 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19864 WHEATON DR CONTRACTOR:BAY AREA CUSTOM PERMIT NO:13040059
BUILDERS INC
OWNER'S NAME: JAIDEV PRABHU;'' 1002 S DE ANZA BLVD STE Al DATE ISSUED:04/05/2013
OWNER'S PHONE: 4082502033 SAN JOSE,CA 95129 PHONE NO:(408)446-1200
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIAL
License Class_ Lic.# ADD 2 DEDICATED CIRUITS,IN KITCHEN AND 2
� BATHROOMS 6 CIRCUITS,AND 12 LIGHTING FIXTURES,
Contractor/TGt�1 /�►'eQ GN Y Da / e /�3 ADD SUB PANEL 80 AMP
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3:of the Business&Professions
Code and that my license is in full force-and effect.
I 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 LaborCode,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$3900
I 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 APN Number:31621085.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.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 DAY OM LAST CALLED INSP CTION.
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-point source regulations per the Cupertino Municipal Code,Section
9.18.
�/ RE-ROOFS:
fa
Signature v' Q Date 6_*'� c9 r 13 All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two 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)
I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS 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. 1 will
I 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 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 I
performance of the work for which this 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 Health&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this vo S
Owner or authorized agent: Date:
permit is issued.
I 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. It atter making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
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. work'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 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 the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
indemnify and keep harmless the City of.Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the 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,
GENERAL PERMIT APPLICATION MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERT[NO (408)777-3228• FAX(408)777-3333-building5,Cuoertino.org O� misc
0
❑PLUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANBOU S
PROJECT ADDRESSIgo
6 1 1_ (hea h 1 Y)r APN�
ov NER NAME J a Ae v P ra L�/k L�
STREET ADDRESS CITY,STATE,ZIP FAX
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY,STATE, ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME/?a /] rPa / J_ f�, e�SE NUMBER LICENSE TYPE BUS.LIC
COMPANY NAME , (' N '! E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME' E-MAIL, FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑SFD.DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES
BUILDING ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO
DESCRIPTION OF WORK `' ! r
h
i 1
TOTAL VALUATION: 3 0✓ RECEIVED
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act n t property ovmer's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is a urate. I agree to comply with all applicable local
ordinances and state laws relating to building construe' thorize representatives of Cupertino to enter the above-identified propel for inspection pu poses.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED OFFICE L'SE NLY
OVER-THE-COUNTER
❑ EXPRESS
U
❑ STANDARD
U
❑ LARGE
❑ MAJOR
A�EPAliscflpp_201 Ldoc revised 06121111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 19864 Wheaton Dr DATE: 04/05/2013 REVIEWED BY: Mendez
01APN: BP#: "VALUATION: 1$3,900
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair
PRIMARY SFD or Duplex PENTAMATION 1 REAP1
USE: PERMIT TYPE:
WORK add 2 dedicated ciruits in kitchen and 2 bathrooms 6 circuits and 12 lighting fixtures add sub panel 80
SCOPE amp
sR .
53.E _
:L1ech.Plan Check Plumb. Plan Check Elec.Plan Check 0.0 hrs $0.00
FLleclr.I'ernait Fee: Plumb.Permit Tee: Elec.Permit Fee: IEPERMIT
nthc_r:kyech.Insp. Other Plumb Insp. Other Elec.Insp. 0.0 hrs $45.00
tech.Insp.Fee: Plumb. Insp.Fee: Elec.Insp.Fee:
NOTE.This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). These fees are based on the prelhinina information available and are only an estimate. Contact the Dept-for addn'1 info.
FEE ITEMS(Fee Resolution 11-053 E . 711/122 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 6 # Electrical
Suppl.PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 $45.00 IBREMRECEP I Recep/Switch/Outlets
PME Plan Check: $0.00 12 Electrical
Permit Fee: $0.00 $67.00 1 1BREMF= Fixtures,Lighting
Suppl. Insp.Feer Reg. ®OT 0,0 hrs $0.00 80 amps Electrical
PME Unit Fee: $0.00 $45.00 IBELEC200 Services
PME Permit Fee: $45.00
Construction Tcta:
Administrative Fee: 1ADMIN $42.00
Work Without Permit? 0 Yes (E) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure
i
Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
w m
$133.501 $157.00 $290.50
.. _
Revised: 04/01/2013
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
CITY HALL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
C V P E R.T.I N.O (408)777-3228•FAX(408)777-3333
SCOPE OF WORK: Kitchen and Bathroom Remodel.
Project shall comply with the 2010 California Building(Base code 2009 IBC), 2P1 0 Residential
(2009 IRC), Plumbing(2009 UPC), Mechanical (2009 UM_ )f:,-lectrical (20Q8 C), Fire(2009 IFC)
and Energy Codes (2008 Building Energy Efficiency Star r ) C�''1
Energy code mandatory lighting measures:
1. All permanently installed high efficacy luminaires 'hale switchede ately from low
efficacy luminaires. (150(k)(7)) , 0
2. Permanently installed lighting in Kitchens shall beii hQffic lum' Up to 50% of
the wattage of permanently installed lighting in kitcC�s�nay i s at are not high
efficacy. (150(k)(8))
F,.
3. Permanently installed luminaires in bathrooms, garages, Iaundsy ros tility rooms
shall be high efficacy luminaires OR are controlled by an occLwnt s@sor )certified to
comply with Section 119 that does not turn on automatically orave;a�q al ys on option.
(150(k)(10))
Plumbing plan notes- c�
4. Water closets shall have an average water consumre tfjana28 gallons per
flush. (CPC 402.2) Ra "
5. Shower heads shall have a water flow not to exceeJ�*'_qb
9alld r minute`4(CPC 402.1.1)
6. Faucets in kitchens, wet bars, lavatories, laundry si .shall wave 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 &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))
v
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'/ 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)