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10020048 CITY OF CUPERTIN O BUILDING PERMIT BUILDING ADDRESS: 22242 BITTER OAK ST CONTRACTOR:VICTORIA&STEVE PERMIT NO: 10020048 3RUNMEIER OWNER'S NAME: VICTORIA&STEVE BRUNMEIER 12242 BITTER OAK ST DATE ISSUED:02/08/2010 ( ✓NER'S PHONE: 4087731015 CUPERTINO CA,CA 95014-0105 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB License Class Lic.# MECH r RESIDENTIAL r COMMERCIAL Contractor Date JOB DESCRIPTION:REMODEL KITCHEN, NEW CABINETS,SINK, I hereby affirm that I am licensed under the provisions of Chapter 9 STOVE(REPLACING EXISTING WITH NEW);NON-STRUCTURAL (commencing with Section 7000)of Division 3 of the Business&Professions &NO RE-ROOF 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. I have and will maintain Worker's Compensation Insurance,as provided for by Valuation:$20000 Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: permit is issued. APPLICANT CERTIFICATION APN Number:32651030.00 Occupancy Type: 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 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 O granting 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. Issued by: Date: Signature Date A OWNER-BUILDER DECLARATION RE-ROOFS: I 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 I,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, Signature of Applicant: Date: Business&Professions Code) 1,as owner of the 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: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that 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 Owner of thoAd agentbecome subject to the Worker's Compensation provisions of the Labor Code,I must o Date. 2•• forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby a I certify that I have read this application and state that the above information is 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 state laws relatin; 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 u--n the above mentioned property for inspection purposes.(We)agree to save mify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address ,and expenses which may accrue against said City in consequence of the grwiting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point s urce regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Signature Date Licensed Professional r CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk : Lot: APN 32(51030 . 00 DATE ISSUED. . . . . . . : 02/ 08/2010 RECEIPT #. . . . . . . . . BS000009712 REFERENCE ID # • . . : 10020048 SITE ADDRESS 22242 BITTER OAK ST SUBDIVISION . . . . . . . CITY CU:?ERT INO IMPACT AREA . . . . . . OWNER VICTORIA & STEVE BRUNMEIER ADDRESS 22242 BITTER OAK ST CITY/STATE/ZIP CUPERTINO CA, CA 95014-0105 RECEIVED FROM VICTORIA BRUNMEIER CONTRACTOR LIC # *OWNER* COMPANY VICTORIA & STEVE BRUNMEIER ADDRESS 22242 BITTER OAK ST CITY/STATE/ZIP CUPERTINO CA, CA 95014-0105 TELEPHONE . . . . . . . . . FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- --- 00 1BCBSC VALUATION 20, 000 .00 1 . 00 0 .00 1 . 00 0 • 1BSEISMICR VALUATION 20, 000 .00 2 . 00 0 .00 2 . 00 0 . 00 1REMRESKIT SQ FEET 120 .00 570 . 00 0 .00 570 . 00 ------0_00 - --------- ---------- ---------- TOTAL PERMIT 573 . 00 0 .00 573 . 00 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- -- --------------- ------ CHECK 573 . 00 #1172 --------------- TOTAL RECEIPT 573 . 00 OWNER-BUILDER VERIFICATION 1. (Check one) I or my immediate family (parent,spouse or child) will perform: A. All the work authorizE d by this permit B _ A portion of the work C. — None of the work If B or C is checked,complete 2 or 3 below. 2. A state licensed contractor will be hired tc do: A. _ All of the work B. — A portion of the work (complete section below) Contractor Address/City Phone # State License # Type work to beperformed 3. — I will utilize unlicensed person(s) ocher than my immediate family to perform all or portions of the authorized work. I understand teat I may be an employer (see reverse side). A Certificate of Insurance covering workers' comF enation must be on file at the City of Cupertino Building Department office. Address/City Phone Number Type of work to be Person/Firm erformed _- ................................................................. .................................................................................................................... I declare under penalty of perjury that the above is true and correct. I have read and understand the Owner-Builder Information (reverse side). Date: Property Owner's Signature: _V406.e__–'� Job Address: '� ��L�3 r s� Permit# Z►00 Any changes to the information provided on this form shall be submitted to the City of Cupertino Build Department. CITY OF C;UPERTv v ;- ITIO NI/REMOINO ADD CITY TING PERMIT APPLICATION FORM r1s N #2 unit being a ❑- L �} Date: Za dded? Yes No If yes, please fill out the permit application for 2° unit. Building Address: 22 l Z �� S�r`e �-� p '''114 ' A c Dal Z Z2. l Mailing Address (if different from building address): Own is Name: Phone# Phone#: Contractor: Fax#: self Contractor License#: 1 e Cu ertino Business License#: a phone#: Contact: Fax#: Building Permit Info: Mech. ❑ Hillside ❑ Bldg. D4 Elect. Plumb. ] Job Description: Addition-What is being added?(Be Specific): What is being remodeled (not including addition)? i �eh 1 e w Ca.b f'"Jt_1. 1 �'C C Remodel Includes Re-Roof: Yes ❑ No �Zl If yes list number of squares Remodel Includes Structural: Yes ❑ No ;Z1 Do you have the pre-application planning approval?oval letter❑ No. Planners name: If es, lease provide a co of our Tannin a Square Footage: Deck: Garage: Detached Attached Addition: _ Porch: Remodel: Kitchen 'It Bath Other Type of Construction (Usage Class): 1-A 1-B II/III/V-A Occupancy Type: _A 11/111 B, IV-HT,'v-B , ❑ ❑ Valuation: Z b00 Please check this box if the project is a 01 second-story addition ❑ Project Size: Ex ress ❑ Standard ❑ Large ❑ M r❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: _include in plan set& the sheet index. ***For Office Use Only*** Revised 07/06/09 Over-the-Counter ❑ CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type S Ft 1R3SFDADD OR DECKS 1R3SFDREM 1DECKWOOD Deck (Wood)-Each B (Each) 1 DECKRAIL Deck Railing-F ach B (Each) 1R3SFDADD OR GARAGES DETACHED 1R3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF (each) 1 GARDTM<=1 K Masonry up to 1,000 SF B (each) 1BCONSTAXR ::P(new uction Tax Res etached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1 PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1PIOENCLW Enclosed Wood up to 300 B AT SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1PATIOENCLO Other Enclos,;d Patio up B to 300 SF 1COVPORCH Porch Coverfd-Each B (Each) E_REDEIS 1R3SFDREM educt "$"for ea lan KIT Kitchen Rerr odel up to B (D P300 SF check66 BAT Bath Remod-1l up to 300 B SF TH Other Remodel up to 300 B SF CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1 MECPLNCK Stand Alone Mechanical M Pln Ck(hourl) 1PLMPLNCK Stand Alone Plumbing P Pln Ck(hourl)) 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Resid-,ntial B 1TRAVDOC Travel &Doc imentation B 1 BUSLIC Business Lice ise B -n 0 0 O n C�. An n X0 0 X 0 0 rn ul CL "IF F it A I L I ant— CD tv F 8T 'QC 96 > -pq3 %D DO- C Go ■ lV RESIDENTIAL KITCHEN REMODEL THESE REQUIREMENTS ARE FOR PER)UTS ISSUED ON OR AFTER JANUARY 1, 2010 BUILDING DIVISION REQUIREMENTS A permit is required for kitchen remodels that include the replacement kitchen cabinets. A permit is not required for kitchen countertop replacemE-nt or re-facing of existing cabinets. If a permit is required, it shall be obtained prior to the start of the remodel. Following is a listing of the general requiremerts based on the 2007 California Building Code, 2007 California Electrical Code, 2008 California Energy Efficiency Standards. For additional information, including requirements for new/altered plumbing (water, sewer, or gas lines), contact the Building • All counter receptacles shall be GFCI protected and located so that no point is more than 24- inches from a receptacle outlet. Counter top areas with a minimum dimension of 12" in width shall be provided with a receptacle. Receptacles shall be located no more than 20" above counter top. Islands/peninsulas shall have at least orn� receptacle. (CEC 210.52) • Countertop receptacles shall be on two 20-arnp branch circuits. Separate circuits shall be provided for the garbage disposal and the dishwasher. (CEC 210.11) • Smoke detectors shall be provided in all sleeping rooms and adjacent hallways, multi-levels, and basements. (CBC 907.2.10.2) • A minimum of 50% of the total rated lighting wattage (based on the maximum allowed for each fixture) shall be high efficiency fixtures (e g. fluorescent). The Kitchen Lighting Section of the "Residential Lightin!" forrn-j(locatecLon, the Lack of this page) shall be completed and provided to the building inspector agNthe roiW electrical inspection. The following table defines the requirements for high effi ncy,lig g (2008 California Energy Efficiency Standards Section 150): HI :EF IENCY LIGHTING REQUIREMENTS Lamp owecRa . Minimum Lamp Efficiency 15 atts &11e 40 lumens per watt over 15 atts 1 40,watts 50 lumens per watt ov r 40 wattj!,',' 60 lumens per watt Location of Counter Top Receptacles Small Appliance-Circuit Application Does not count for counter top 24 in I 24 in _': 24 in i The small'appliance circuit can 12 Max aB in i supply outlets for the kitchen Max Max RefrigeWw Range Max counter tops,refrigerator,dining. I ® room,and similar areas,but.. A countertop 12 inches or larger Max requires a receptacle(s). r 24 in ® oI LA Island i ® o . Peninsular j circuit cannot su I dis osals, Islands and peninsular counter tops the small appliance PP Y Peach required one receptacle. F—o-T1,11dishwashers,other appliances,or`outdoor receptacles. NOTE: Counter top sections A through D. O 24 in Max i are treated as individual counter tops for the purpose of determinina the location of receptacles. -: _. Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 YCITY OF Fax(408)777-3333 ;UPEkTINO Buildi n De artment JOB ADDRESS: PERMIT # '�2 Z Y L o ZOO OWNER'S NAME: i PHONE # GENERAL CONTRACTOR: ,,. 6&4 e- FAX# I am not using any subcontractors: 1z I. Sr /0 Si;nature Date Please check applicable subcontractors and com Mete the followin information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date