13040064CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11235 CATALINA CT
CONTRACTOR: S.P. CASPARY
PERMIT NO: 13040064
CONSTRUCTION, INC
OWNER'S NAME: FALK EUGENE S AND HARRIET J TR
PO BOX 1405
DATE ISSUED: 04/08/2013
OWNER'S PHONE: 4082575688
MORGAN HILL, CA 95037
PHONE NO: (408)779-1389
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
(054)n (o
REMODEL HALL BATHROOM 45 SQ FT
License Class -67— Lic. #
Contractor • Date
I hereby affirm that I a 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 Labor Code, for the
Valuation: $7000
performance of the work for which this permit is issued.
Sq. Ft Floor Area:
.
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 35621036.00
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
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
the above mentioned property for inspection purposes. (We) agree to save
180 DA F OM LAST CALLED INSP C ION.
upon
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Issued by: Date
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date ( 3
RE -ROOFS:
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. I 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 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
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
performance of the work for which this permit is issued.
the Health &Safety Code, Sectio s 25505, 25533, and 25534.
I have and will maintain Worker's Compensation Insurance, as provided for by
z
13
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: ate .
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
CONSTRUCTION LENDING AGENCY
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
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
CUPERTINO (408) 777-3228 •FAX (408) 777-3333 • building"Wcuoeit no.org ( 4�o4
❑ NEW CONSTRUCTION ❑ ADDITION n ALTERATTON/TT I I RRVTST01,J/TIRRFRRF7r) nurnTUAT Dr7DAATr4F
PROJECT ADDRESS (� � -�
APN #
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CITY, STATE, ZIP
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❑ OWNER ❑ OWNER-BUMDER ❑ OWNERAGENT ❑ CONTRACTOR' ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME /J %� ICENSE B�.
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ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK /
EXISTING USE
PROPOSED USE '
CONSTR. TYPE
I # STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
AREA
NEW FLOOR
AREA
DEMO
AREA
TOTAL
NETAREA
BATHROOM
REMODEL AREA
KITCHEN OTHER
REMODELAREA REMODELAREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
I GARAGE AREA: DETACH
❑ ATTACH
# DWELLING UNITS:
IS A SECONDUNIT❑YES
BEING ADDED? [J No
SECOND STORY ❑ YES
ADDITION? ❑ NO
PRE -APPLICATION [I YES IF YES, PROVIDE COPY OF
PLANNINGAPPL# []NO PLANNING APPROVAL LETTER
IS THE BLDG AN El YES
EICHLERHOME? ❑NO
RECEIVE
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By my signature below, I certify to each of the following: I am the property owner or authorized a e o act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and fy it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to bui coon, authon a representatives of Cupertino to enter the aboyf identified property for inspection purposes.
Signature of ApplicandAgent: Date: r �)
SUPPLEMENTAL ORMATIO REQMRED
_ New SFD or Multifamily dwellings: Apply for demolition permit forOVER-THE-COUNTER
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
form if any Hazardous Materials are being used as part of this project.
_ Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
PL CK TYPE
ROUTING SLIP
Ie
❑ EXPRESS
El STANDARD
❑ LARGE
❑ MAJOR
❑ BUILDING PLAN REVIEW
❑ PLANNING PLAN REVIEW
El PUBLIC WORKS
❑ FIRE DEPT
SANITARY SEWER DISTRICT
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06/21/11
CUPERTINO
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333
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 cle width for water closet compartment and 24 inch clearance in front of water
closet. (CP47..5)
Electrical Plan Note.
10. The instal;gwwor
ke alarms in all of the following areas shall be provided: (R314.3)
a. O wall outside of each separate sleeping area in the immediate
b. In each-ro %in
g purposes.
11. The installation of clarms in the following areas shall be provided:
(R315.1)
a. Approved carb[arms shall be installed outside of each separate
sleeping area iicirntyy of the bedrooms and on every level
including baseS of
have fuel -fired appliances or attached
garages.
12. At least one 20 amp branch circuit sh 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)
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MUST be kept at the
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o
ft' ^ On -jd s7e n li cifications SHALL NOT
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