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12110026 1 ` CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1091 MILKY WAY CONI'RACI'OR:ALPS CONS'rRUCr10N& PE-RMITNO: 12110026 REMODELING OWNER'S NAME: MURGAI VISIIAL&SHALINI 681 E BROKAW RD DATE ISSl1FD: 11/05/2012 OWNER'S PIIONE: 4084174760 SAN JOSEi,CA 95112 PlIONEi NO:(408)898-6474 ❑ LICENSED CONIRACI'OR'S DECLARATION .1013 DF.SCRIPfION: RIiSIDENI'IAI.U COMMERCIAL❑ License Class_6,04 Lie.9 REMODEL KITCHEN(100 SQFT)& HALL & MASTER BATHROOM(g0 SQFT) Contractor X7-1 .I C / rJ//<„ Date hereby af77f7�rfin that IIaaam licensed under r(ll'ie�pro%inions of 'hupter 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 ceniBcate 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.FI Noor Area: Valualiun:$35000 1 have and will maintain Worker's Compensation Insurance,as provided far by Section 3700 of the Labor Code,for the performance of the work for which this MIN Number:36219005.00 Occupancy Type: permit is issued. - ,A'PLICANI'cP:RTTr•lc,crlON 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 properly for inspection purposes. (We)agree to save - 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence ofthe ���^/ T Date: granting of this permit. Additionally,the applicant understands and will comply Issued bp: with all non-point s ue regulalions per the Cupertino Municipal Code,Section 9.18. _ RI;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. , ❑ O\\' ' .R-BlII1.DER DECLARATION Signature of Applicant: Date. I hereby affirm that I am exempt from the Contractor's License Law for one of the following Iwo reasons: ,A-I.ROOF CO\'P:RINGS TO BE CLASS"A"OR RETI'ER 1,as owner of the properly,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 IIA%\RDOIIS MATERIAUS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Ilealth&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Ilealth&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 1 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 Ray Area Air Quality Management District performance of the work for which this permit is issued. will maintain compliance with the CuperfinoMunicipaf Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Ilenllh&Safely Code.Sections' 5 ..25533.and 25534. Section 3700 of the Labor Code,.for the performance of the work for which this Owner or authorized agent: Dat permit is issued. e 9 I certify that in the performance of the work for which this permit is issued,I shallC— not employ any person in any manner so as to become subject to the Worker's Compensation laws of Cal ifomia. If,after making this certificate of exemption,I CONS'rRI1C1'ION le iNDING ACP:NCI' became 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. w'ork's for which this permit is issued(Sec.3097,Civ C.) Lender's Name Al'PI.IC.\NI'CFR'I'IFICAT'ION 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, .\RCIIITF-CI"S UECL,\R.\T'ION 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 L3 CUPERTINO (408) 777-3228• FAX (408)777-3333• buildina(a)cuperlino.oro ❑NEW CONSTRUCTION,,� 11❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT N PROJECT ADDRESS On I y'+I�AJ I _ . P I APNN OWNER NAME "I / , I` Wim) // (T I PH ' I / 53 '510 IE-MAIL, STREET ADDRESS Oll m) I KY (� CITY, STATE,ZIP (/or Cn , I fuLo FAX CONTACT NAME. L I PHONE —/I L/ E-MAIL U's C045&0704 STREET ADDRESS1� ( r� 1 CITY,STATE, ZIP IO r ` F _O JH I El OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ACONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGENEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME b > ' I LICENSE NTJMBER 0q 33` LICENSE TYPE BUS.LIC d COMPANYNAME LI 1- (-�^, �ti E-MAIL FAX ET �7 STREADDRESS �� O �� CITY,STATE,ZIP CIT US P ARCHITECT/ENGINEER NAME LICENSE NUMBER 1 I BUS.LIC k COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,,���ZIP PHONE DESCRIPTION OF WORK cql L ^ rl/ i'1 PA'i D .Z eq EXISTING USE PROPOSED USE CONSTR.TYPE 1 x STORIES t7 USE TYPE OCC. SQ.FT. VALUATION(S) -FX-IS—TG NEWFLOOR D6U0 J TOTAL �) f_/YJ[OEI- AAEA �� AREA Y d-. AREA / D 5 NET AREA ��V v iV /' J�rr�N�N IrJO PORCH ARFd DR \ DELRA qBATHREO\ 31 KITCHEN OTHER REMODLAREA50 511E 100 54 A _ V13 3 �) ECK AREA TOTAL DECORCH GARAGEAREA: LJDETACH ❑ATTACH s DWELLING UMTS: ISASECONDUNIT ❑YFS SECONDSTORY ❑YES BEINCADDED` RNO ABDITIOX' g&NO PRE-APPLICATION ❑1'ES EYES,PRO\nDECOPt'OF IS THE BLDG AN ❑1F5 (RECEIVED BY T7A'^ ^F J"Y^:k' TO AL VALUATION: PLANNING APPLe rC�-NO PLANRL9GAPPROVAL LEITEREICHLER HOME" jgNO OOO By my signature below,I certify to each o(th ft)low1 am the property owner or authorized agent to act on the property owners behalf. av read this application and the information I have pro\' correct. 1 have read the Description of%Vork and verifi•it is accurate. 1 agrce to comply with all applicable local ordinances and state laws relating to bu' swetion. I authorize representatives Of Cupertino to ewer the above-ide ' led prope y for inspection purposes. Signature of Applicanl/AgenC Date: SUPPLEMENTAL IN'FORh T NREQUIRED - (( ' i•" ''+_".•r Jr+�-z: ---• •r.-x- cs;�_� ts. . _y i'WN CIIECR T1'I'F.�F + :a_A• }ROUTIhc SLIPI>§�tiij New SFD or Multifamily dwellings:/A y for demolition permit for ' ' �'h ` ?, - 9•iy r r''` .c$ ' ` k men r"uI couvlRe ,. ' �nmtDndrt� lFW `" ' existing building(s). Demolition permit quired prior to issuance of building E .,.,. t �,, s,r ` h , C. ,a u .nY.:. d.�f,- permit for new,building ? V I XI RFs-sl K}� t�p:;1 t \Nu\crLAt RE\ILw'p`✓:t _ IS Commercial Bldgs: Provide a completed Hazardous Materials Disclosure t❑�sl it,n u9a)' 3� 's�• 11plrl maI�i Ic�\�\ossy h form if any Hazardous Materials are being used as part of this project. 1 k4 ` O t'1Rt 1C j',w,"rt"dnz �•/.t �` tw o! _Copy of Planning Approval Letter or Meeting with Planning prior to T�Tya1M1•nb�. �`"" ' t- ;�`T.` •�`sssl4n�u..,. �5'J'--. submittal of Building Permit application. © \,VOR',�.� t�� n�'.t \r , ❑B •S,toITARvseR DlsRI Cl-L �Ty Y)'ti •I��F 'Sw�+,.f��'%"'�� ➢x�_L it SCK. N\VIR IRON\IEMENTAI IIF.tI T111! B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 1091 Milky Way DATE: 1110512012 REVIEWED BY: Sean [214 APN: BP#: 'VALUATION: $35,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PEN"I'AMATION 1R3SFDREM USE: PERMIT TYPE: WORK Kitchen remodel 100 sq ft and master and hallway bathrooms 90 sq ft). SCOPE b/ech. flan Check Plunk. Plan Check Elec. Plan Check Meeh. Permit Fee: Phtmh.Peril Fee: Elec.Permit Fee: Odie•,llech.Imp. Other Plumb Insp. Chher Flec,lnsp. klech.hasp.Fee: Plumb. hop.Fee: Elec.hcsp. Fec: NOTE: This estimate dues not include jeer clue to other Departments(i.e. Planning, Public Works, Fire,Sanitary Scnver.District,School District,etc.). These fees are bated on the prelitninan information available and are onh,an estimate. Contact die Dept for athln'I info. FEE ITEMS (Fee Resolution I1-053 Elf 7///12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = s.f. Remodel, Kitchen (<=300 sl) Suppl. PC Fee: Q Reg. Q OT FO.0 hrs $0.00 $600.00 IREMRESKIT PME Plan Check: $0.00 90 s.f. Remodel, Bath (<=300 sf) Permit Fee: $0.00 $600.00 /RE,%lRFSBAT Suppl. Insp. Fee-.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conso-ttciion Tax: Administrative Fee: O Work Without Permit? O Yes No $0.00 E) Advanced Planning Pcc: $0.00 Select a Non-Residential E) TravelDoctanenlalion Fur: Building or Structure 0 I Strom,,Motion Fee: IBSEISHICR $3.50 Select an Administrative Item Blde Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $5.50 $1,200.001 TOTAL FEE: $1,205.50 Revised: 10/01/2012 OFFICE COPY,,. � t -,� p5z A l �� p61nL I COMMUNITY DEVELOPMENT DEPARTRIT17 BUILDING DIVISION-CUPERTINO 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,="out apornnval from the Building Official. i The stampin_��',—ts pla9nd specifications SHALL NOT i d be held to, )ilt'or town approval of the violation of any prow- , of any City Ordinance or State Law. By_ ,S/ � L C) 0 —7 DATE PERMIT PERMNO. \ 1 9 AJi SCOPE OF WORK: Kitchen and Bathroom Remodels 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 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 turn 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 8 418.0) 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. J. 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 X 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) Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone>408-777-3228 CU PE RTI NO Fax: 408-777-3333 CONTRACTOR /,SUBCONTRACTOR LIST JOB ADDRESS: Q PERMIT# &Qee?r;2A OWNER'S NAME:' PI ION6# �� GENERAL CONTRACTOR: jQfj BUSINESS ICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cup ino 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. 1 am.not using any subcontractors: nature Date Please check applicable subcontractors andeo lete 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 911/\ Dl/ 0c_ Z- 0 /Contractor Signature Date /7