13080087 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10563 ESQUIRE PL CONTRACTOR:PATRICK POWERS PERMIT NO: 13080087
PLUMBING
OWNER'S NAME: BARRON RICHARD P JR AND BARBAR P O BOX 5427 DATE ISSUED:08/12/2013
OWNER'S PHONE: 4087382713 REDWOOD CITY,CA 94063 PHONE NO:(650)537-1263
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License C1assC—3L B Lic.# 7 REMODEL MASTER BATHROOM 115 SQ FT TO INCLUDE
n 1VI,E,P'S
ContractordM-fi1 � FOwt� Date 3
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 Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$30000
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:32644020.00 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 F OM LAST CALLED INSPE TION.
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:
Signature �-��� Date LF 1'3 4-3 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 isnot 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 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,Se i05,25533,and 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,after 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 oto
Lo COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
.10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildingOlcupertino.oig �3
CUPERTINO
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED �ORIGINAL PERMIT#
PROJECT ADDRESS Os-6 3
OWNER NAME � �Wk)73,5` _.2
/ E-MAIL
STREET ADDRESS �� CITY,, S TE, �P./� 1, �r� FAX
J CTT c.0 l+l /./L>6'1V 0 y (7
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME �L LICENSE NUMBER LICENSE TYPE BUS.LIC#
COMPANY ME E-MAIL ta/11 f u P O FAX
STRE DREC STATE,ZIP PHONE
Jg" S' 2 ? C°'� `��b�3 c�S3 /2�3
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC 4
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE CONSTR.TYPE 1 #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA X0 AREA AREA NET AREA
BATHROOM KITCHEN OTHER
MOD L AREA REMODEL AREA REMODEL AREA
PORCH ARE DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES
BEING ADDED? ONO ADDITION? 'QR70
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YESRECE $_ rh S" TOTAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LEITER EICHLER HOME? ISO .?Y �.
By my signature below,I certify to each of the following: I am the property owner or authorize agent to act on the property owner's behalf. I have read this
application and the information I lKve 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 buildi construction. I authorize representatives of Cupertino to enter the PP
identlf d property for inspection purposes.
Signature of Applicant/Agent: Date: dry// Z_hs
SUPPLEMENTAL INFORMATION REQUIRED
Q _J ffi—I E ``r`t a + ,_:,,,°:.'y RO.IITING SLIP• ,s..-.....s 3M.
_New SFD or Multifamily dwellings: Apply for demolition permit for
I�OVERT® COUNTER ❑ BuuDINGPLANkE .
existingbuilding(s). Demolition ermit is required prior to issuance of builds
re u1? 9 P r IFkSC z a 4� �4Y t :t
permit for new building. ry � � I n� xEY[Ew �r
_Commercial Bldgs: Provide a completed Hazardous Materials DisclosureOsTnrITiARD � , rustic Woks f 3 F{-
S
form if any Hazardous Materials are being used as part of this project. �0 BARGE E IIF DEPT 1r�Fi }I ;
Copy of Planning Approval Letter or Meeting with Planning prior to
MAJO`It �' ❑ SANTrARY.SEW1,`RDISTRICT E!
submittal of Building Permit application. �' , �, � ,
My
5, ,. - .yM� ❑.,-ENYIItONMENTAL`HEALTH i^: �3,.
BldgApp_201 Ldoc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 10563 Esquire pi DATE: 08/12/2013 REVIEWED BY: Mendez
APN: BP#: *VALUATION: 1$30,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY 2nd Unit? Yes No PENTAMATION 1 R3SFDREM
USE: SFD or Duplex OTC? ®Yes No PERMIT TYPE: i
WORK bathroom remodel 115 sq ft
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
R-3 (Custom) II-B,111-B,IV,V-B 0 $0.00 $0.00
E $0 00
TOTALS: 0 $0.00 = rr
ON 1
Llech. Plan Check Phuub.Plan Check Elec..Plan Check
Meeh.Perrnit Fee: Plumb.Permit Pee: EW. Permit Fee:
Other Afech.Insp. Other Plumb InsP. Other Elec.Insp. Lj
nlech.Insp.Pee: Plumb. Insp.Fee: Elec,Insp,Fee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). Theseees are based on the relimina information available and are onlyan estimate- Contact the Dept or addn'l in o.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 115 s.f. Remodel,Bath(<=300 A)
Suppl.PC Fee: Reg. ® OT 0.0 1us $0.00 $626.00 IREMRESBAT
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Feer Reg. ® OT F0701hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Consiruction 1«r:
Adtninistrative Fee:
Work Without Permit? ®Yes (E) No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential G
Travel Z�ocrttnentutiort Fees: Building or Structure
Strong Motion Fee: IBSEISMICR $3.00 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $2.00
rij-7w
$5.00 $626.00 �X $631.00
Revised: 07/01/2013
NOTES
�� 6-3 1 /2" 5'-711
0 0 0 0 0 0
Master Bath
1. Demo bathroom down to studs. Reframe for barrier free shower pan. ESE332211
2. Relocate waste and water for shower,toilet and sink. 4DB2121 I 4DB2221 j SB2421R 4DB1221
3. Douglas fir lumber to be used as needed. Recess Medicine cabinet
Reframe to except 16"x 36" rough opening 14"x 34. - - - - _L- - - - - - - -- - - - - - L - - - - - -J-
4.
- - - - -J-
4. R-13 Insulation at exterior walls. R-19 - R-30 Ceiling
5. Ceiling exhaust fan with heater 60 minute timer for each
6. Pressure balance shower valve as per code requirement.
7. 1.28 gpf toilet
8.Tempered glass enclosure
9. Heater vent to stay in same location.
10. Occupancy sensor Light switch for incandescent light fixtures
as per code requirement.
11. Led night light wall switch.
12. Purple gypsum mold and water resistant will be used in shower
walls and regular gypsum board in all dry areas.
13.Tile will be used in Shower walls and floor in shower room only.
14. Mirrors in both dressing room and bathroom
15. Install grab bars and accessories
r Electrical
1. 20 amp breaker dedicated to bathroom.
2. 20 amp breaker for Panasonic FV-11VH2 110 cfm 4" duct-120/60vhz -
17 3/8" x 12 5/8" rough 1400 watts heating element. 2 60 minute timer.
3. 15 amp breaker dedicated to bathroom GFIC outlet next to toilet. CD
4. Single gang box for lighted mirror in dressing room.
S. 2 incandescent light fixtures with occupancy sensor switch. N
6. 2 4" led recess light waterproof for shower.
Mechanical
-:4"vent for Panasonic fan/heater.
Smoke and carbon monoxide alarms as per code `
requirement.
E. UIfTINO
�tBuilding Department
eft°" .
AUG 12 2013 ; �.
tt e:(2'ff0(il, liofitt+vuL 4ad
NµtuWdl li u 11 'i,. L'... _ ..I,
VIEV,!=.' FOR CODE COMPLIANCE FFICE uopy
The n of this Ian and ;reviewed BY:
Stan>Ipi 0 p specifications Sii�Li.Ki+3T
be heM to permit or to be an approval of the vioiation
d of of my C►Ordinance or SW I.M. Barron Residence Drawn By. Ana Powers
Plumbing Studio Richard & Barbara
°A� 2265 Old Middlefield Way 10563 Esquire Place Master Bath Remodel SCALE: DATE:
r=���:� Existing Floor Plan
Mountain View, Ca 94043 Cu ertiono, Ca 95014
P Notes V-o-_1/2,
650 938-4502 408 - 738 -2713
(N)LED
Night Light Switch
Occupancy switch
60 minute timer
(N) 15 amp
gfic outlet (N)
6'-3
1_3 1 /2 11 36"x21"x 34.5"Vanity
&Toilet 1.28gpf
Vanity 56"x 21"x 34.5" Granite Counter Top
with Tall Linen cabient 1 11
18"x 22.5 x 84" 7 1 11 1 11
Granite Counter Top 'T —7 1 /2' —7 (N)
Tile Floor (N)Recessed
Medicine Cabinet
16"x 36" >:: Y SUi/017 SRT
/NO
9 Daparb.
o
_ 12 2013 nent
I o I I I o I RC
° r ���' A L10, CDS COMP
By- �Z DANCE
L— —
1
I Panasonic
Exaust Fan
&Heater
' (N) r281"
Lighted Make up
Mirror
(E)Closet
Closet (0
to R R —1 (N)2-4"LED
Recess Lights
/ —Approved for Shower
++
/
51-6"
1 G 11 Tile Redi Barrier Free
—V Shower Pan
1-Li ht Switch with shaving steep
(E) g to except the
Carpet 1-60 minute timer (N)
I 2 Shampoo
&Soap Niche
I
Barron Residence Drawn By:
Ana Powers
Plumbing Studio Richard & Barbara Master Bath Remodel
2265 Old Middlefield Way 10563 Esquire Place New Floor Plan & SCALE: DATE:
Mountain View, Ca 94043 Cupertiono Ca 95014 Electrical 2
650 938-4502 1/2"=1 7/7/13
M M M
D M O M M M
a
—
2 7 n �
E ' 1
4'-7 1 /2" - �� jl d. � Rr,
AU& No
�pa 0
f�Evi ��L
12 .2013
g . .Co opt fAN
� ' '
Barron Residence Draw"By: Ana Powers
Plumbing Studio Richard & Barbara Master Bath Remodel
2265 Old Middlefield Way SCALE: DATE:
Mountain View, Ca 94043 10563 Esquire Place Elevations
650 938-4502 Cupertiono, Ca 95014 1/2"=1 7/7/13