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13030019 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22090 RAE LN CONTRACTOR:KUSALO PERMIT NO: 13030019 CONSTRUCTION OWNER'S NAME: CUPERTINO HILLS SWIM AND RACQU 15133 COOPER AVE DATE ISSUED:03/04/2013 OWNER'S PHONE: 4082533483 SAM JOSE,CA 95124 PHONE NO:(408)499-0895 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL License Class_ Lic.# 167 M,47 KITGEN REPAIR NON-STRUCTURAL REPLACE 4 WINDOWS, Contractor�lJ(0 ,4/Us An"o Date AND PANEL UPGRADE I hereby affirm that Ilam licensed under the provisions of apter 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 Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$10000 1 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:35607027.00 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 W ITFIIN 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 DA OM LAST CALLED INSP C ION. 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: Dat with all non-point t ource regulations per the Cupertino Municipal Code,Section 9.18. /""" W d RE-ROOFS: Signature Date 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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) 1,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(x)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,Sectionsip25505,25533,a d 25534. Section 3700 of the Labor Code,for the performance of the work for which this 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. If,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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 \ ,J CUPERTINO (408)777-3228•FAX II-�(4X08)777-3333-buildinGG(ftuoertino.orG [—INEWCONSTRUCTION ❑ ADDITION 2 ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS ,2 b e^,fir 1,01 "NO 366 x.02 OWNERNAME G/,l�/�li/ f����,� PHONE B-MAIL STREET ADDRESS >♦` / qo/ CITY,STATE,ZIP CONTACT NAME / tJ� PONE f✓VE-MAIL f2 Q Q STREET ADD CITY,STATE,ZIP FAX I]OWNER ❑ OwNER.Burtma. ❑ OwNERAoBNT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENS R LICENSE TYPE , BUS.LIC# Sc C hove � C99=1 I COMPANY NAME sM�� FIMA -N Lr� f FAX GO"'jJ STREET ADDRESS An/ 19VCITY.STI(AJPn_�ZI� X �I^ PFI.0Z � ARCHITECT/ENGINEERNAME� LICENSE NUMBER L BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK /l g �f�, ^ _�. _. -_ �,^� IIVYI(D 0(.,9'C�7lt� \1_ �P AWr5 S - vA-x-0, EX VX;)WJ PROP SC� r NRT_rE #ST'(��S USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL / // AREA AREA AREA NETAREA r /17 �6� J/-,A — BATFmOOM KITCHEN �-f OTHER ,�/[� s V REMODELAREA REMODEL AREA/�6 — RFMODELAREA PORCHARFA I DECKAREA TOTALDECCK/PORCCHAREA GARAGE AREA DETACH LJ ATTACH #OWELLDNG UNITS: ISASECONDUNII' YES SECONDSTORY YES BEINGADDEDS ONO ADDITIONS ONO PRE-APPLICATION DYES WYES,PROVIDECOPYOF ISTHEBLDGAN ❑YES RECEIVED BY: TOTALVALUATION: G'- PLANNINGAPPL# ONO PLANNINGAPPROVALLETIER EICBLERHOMES 0 N �.^D 00 60 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. I have read this application and the information,1 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 bling consuu on. I a rize representatives of Cupertino to enter the abo e-ide titled pro for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATIONREQUIRED PLANCHE &TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for HE-COUNTER I�+BUILDINC PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ bWOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONb1ENTAL HEALTH BldgApp_2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 22090 rae lane DATE: 03/04/2013 REVIEWED BY: bobs. 10 APN: BP#: 'VALUATION: $10,000 '°PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Addition/Repair PRIMARY Commercial Building PENTAMATION 10EAP10 USE: PERMIT TYPE: WORK kitchen repair non structural replace 4 windows and upgrade sub panel. SCOPE wG -t, i'Fn,r'io-zk tumh. Ph"?Cho A Elec.Plan Check 1 0.0 hrs $0.00 V, l* "'o Pra: Phonb. Porudl Fi•,r: Elec.Permit Fee: IEPERMIT ter%,. :/<<; hcl niher phimb in y,_ Li I Other Elea Insp. 0.0 hrs $45.00 1&"'J, /nse_{/cr: PO,wlr. Imp. 1:0" f./ar.Amp. 1,; NOTE: This estimate does not includefees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'(info. FEE ITEMS (Fee Resolution 11-053 Efl 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 14 # Electrical Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $45.00 /BREMRECEP I Recep/Switch/Outlets PME Plan Check: $0.00 F-1oo--1 amps Electrical Permit Fee: Hourly Only? ©Yes Q No $0.00 $45.00 1 IBELEC200 Services Suppl. Insp. Fee-.0 Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $45.00 Con.etrwne)n lar: Administrative Fee: IADMIN $42.00 O Work Without Permit? O Yes O No $0.00 0 Advanced Planning Fee: $0.00 1 hours Inspections t7 Travel Documentation Fee: 1TRAVDOC $45.00 $133.00 ISTINSP Inspection,Hourly 0 Strong Motion Fee: IBSEISMICO $2.10 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 � 3i7BPOTAL3 $ 35.101 $223.001 TOTAL FEE: 1 $358.10 Revised: 01/01/2013 n RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: 2 6-6- '-o 2— O�i-7 Name of owner. nnC C/lq/2-e �4,-0 &fz-L S�i/��'I }�J✓!� ��9(/ �� �� Projectaddress. /'2'0 X&A 1,AV6, Contactperson. x0v4/A/ Phone. Fax. Net square footage of lot. Existing Proposed T� Square footage: First floor: Second floor: _ Garage: TOTAL: ^� Are there at least two 10 foot by 20 foot clear spaces inside the garage? � Is privacy protection planting required for the project? Y N,-_ O Build it Green Total Points �- d On what floor(s) is work being done? _ B�{ief description of work. e�- �ffflU•N jc-]-Y� �one�� Code editions:2007 CBC Q�)L N)2007 CFC (YI N)2007 CMC (�DN) 2007 CPC 0 N)2007 NEC 6>N) Effective 1/1/08 COMBO ITY NLOPMNT DEPARTMENT G D VISIONS UPERTI O 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 R r 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 0rdinance or State law. '_ By DATE D' ReviewedS V �f_.,...____.____...__._ OO Y' PERMIT NO. Plan Review Process Work Book Page-8-Revised 8/05/08 RESIDENTIAL KITCHEN/BATH REMODEL POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO. CA 95014-3255 (408)7773228• FAX(408)777-3333•buildinana cuoertino.ora GENERAL INFORMATION A building permit is required for all kitchen and/or bath remodels except when the scope of work ONLY involves the installation of cabinets and/or the replacement of countertops [CBC Section 105.2 ex 7] without altering any electrical,plumbing or mechanical systems or altering any existing walls. PLAN REQUIREMENTS 1. Provide a completed `Addition/Remodel' building pen-nit application. 2. Provide three sets of completely dimensioned floor plans (both existing and proposed) showing the area of alteration(s). Floor plans shall indicate the following: a. Location of existing and new walls showing existing and new windows. b. Location and sizes of all doors. c. Location of all upper and lower cabinets. d. Location and use of all adjacent rooms. e. Location of smoke alarms and carbon monoxide detectors. Smoke Detectors and carbon monoxide detectors are required to be installed in accordance with Section R314 and R315 of the California Residential Code. 3. Ceiling Plan. Provide ceiling plan(three sets)to show ceiling heights, as well as, existing and proposed electrical and/or mechanical work at the ceiling level. 4. Structural Framing Plan. Provide three sets of the structural framing plan if any walls are being removed or relocated. Plan shall show all walls existing, removed and added and verify how new framing members are supported as a result of the removal of any bearing walls. 5. Plumbing, Mechanical and Electrical Plans. Provide three sets of plans showing electrical receptacles, electrical fixtures and switching, and ventilation. 6. Energy documentation. Two sets including the CF 1 R-ALT Residential Compliance Form. 7. Owner-Builder Disclosure Fonn(for property owners applying for their own building permit) 8. Details and Notes: Provide all details and notes required to explain the proposed scope of work. NOTE: All drawings must be signed by the person preparing them. All work shall comply with the 2010 California Building Code (based on the 2009 IBC Code), 2010 California Residential Code (based on the 2009 IRC Code), 2010 California Plumbing Code (based on the 2009 UPC Code, 2010 California Mechanical Code (based on the 2009 UMC Code, 2010 California ElectrFjc[al -� 'G (based on the 2008 NEC Code), 2010 California Energy Code e 2008 Bu:ldahi he' �1 x Q Efficiency Standards). `„, . ;�:+�>, it„ ,g�._, 20g3 � � iC'.° t'ED Far'•.C0aEG0 r'L1ANGE ResKitBathPolicy_2012.doc revised 09/01/11 ADDITIONAL CODE REQUIRMENTS Energy code mandatory lighting measures: I. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires. (150(k)(7)) 2. Permanently installed lighting in Kitchens shall be high efficacy luminaires. Up to 50%of the wattage of permanently installed lighting in kitchens may be in lights that are not high efficacy. (150(k)(8)) 3. 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 tum on automatically or have an always on option. (150(k)(10)) Plumbing plan notes: 4. Water closets shall have an average water consumption of not more than 1.28 gallons per flush. (CPC 402.2) 5. Shower heads shall have a water flow not to exceed 2.5 gallons per minute. (CPC 402.1.1) 6. 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) 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)) 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) ResKitBathPo1icy_2012.doc revised 09101/12 r+ I . + <o ec i ' ' i ExY+J�448' c + It ' in i' , , m r Zc ❑ 1v _1 f LOIV1 . SCC -�A�CE =zE��icatir:D�Cr.:�C�S FEvis•.��d�Y ❑ . ƒ \ . E \ �+ ( � \ � \ � \ / aim 2 ƒ: m . _m � ��fApMc C�)/ By: O . �