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13090157 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21450 VAI AVE CONTRACTOR:R J HOOPER PERMIT NO:13090157 CONSTRUCTION OWNER'S NAME: WEIMAN LYLE A AND KATHY A 996 MINNESOTA AVE#102 DATE ISSUED:09/23/2013 OWNER'S PHONE: 4084991594 SAN JOSE,CA 95125 PHONE NO:(408)298-2994 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALE] License ass Lie.# Yl REMODEL(E)KITCHEN WITH(N)CABINETS,(N) RECESSED LIGHTING,(N)APPLIANCES&PLUMBING Contractor' Date FIXTURES �� FIXTURES 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 ompensation,as provided for by Section3700of the Labor Code,for the erformance of the work for which this permit is issued. Sq.Ft.Floor Area: Valuation:$50000 ve and will maintain Worker's Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this APN Number:36205024.00 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 S NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating wlTFmv SOF T 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 10 S FROM LED INSPECTION. indemnifyep eharmless the City of Cupertino against liabilities,judgments, costs,and xpens which may accrue against said City in consequence of the ate: granting okis t. itio the.applicant understands and will compl uewith all n -000 so ce re i per the Cupertino Municipal Code,Section 9.18. �j RE-ROOFS: Signature Date 1. 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. 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(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, old I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as deli ed thetBreit AirQuality Management District I performance of the work for which this permit is issued. will maintain compliant with t Municipal Code,Chapte 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for bythe Health&Safety Cngen' ectio533,and 25534. yy Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized : Date: ft 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 petmitshall 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 is COMMUNITY',DEVELOPMENT DEPARTMENT•BUILDING DIVISION C O` 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 O P R O (408)777-3228•FAX(408)777-3333•buildinaCcDcugertino.orgCUI ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRES f APN#-5-L= 11413/ 2 _ 0 C 0 "') -14 OWNER NAM rr PH / _ `� V E-MAIL TMA_ STREET ADDRES�I CITY,S TEI ,[� FAX CONTAC Pr E-MAIL 292K ,Q STRE S CITY, ZIP rL-; yj F ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ` CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTc LI E�IIjI�4B� LICE E TYPE BUS.LIC# t�4 � [J COMPANY NAME E-MAIL FAX 4-1 STREET •, C� CITY,ST ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK l EXISTING USE PROPOSED USE CONSTR.TYPE I #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA If '7 REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? ❑NO PRE-APPLICATION El 1,FYES,PR VIDE COPY OF IS THE BLDG AN ❑YES TONAL VALUATION: 4a 00 PLANNING APPL# ❑NO ANNING A ROVAL LETTER EICHLER HOME? ❑NO ; JL" i� By my signature below,I certito each of th dtlow I am the property owner or auth age n t on the p wner's behalf. I ve read this application and the infonmation have provid is c ec I have read the Description of ork and it is accu te. gre "to comply with all applicable local ordinances and state laws relati to build' ons I authorize representatives emno to enter the abo -I entifi erty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED w PLAN TYPE::;, RG SIIP x. _New SFD or Multifamily dwellings: Apply for demolition permit for �y _gOVER THE COUNTER ❑ „BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ©EXPRESS © PLANNING PIAN RKVVIEw'`� 3 Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Q STANDARD �tj ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. `x ' PiRE DEPT TARGE k r Copy of Planning Approval Letter or Meeting with Planning prior to , ❑ NWOR .© SANITARI SE�yERllISTRtC7 � submittal of Building Permit application. „ '_0 ENVIRONMENTALHEALTII. BldgApp_2011.doc revised 06/21111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 21450 VAI AVE DATE: 09/23/2013 REVIEWED BY: MELISSA APN: 362 05 024 BP#: "VALUATION: 1$50,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE WORK REMODEL E KITCHEN WITH N CABINETS N RECESSED LIGHTING N APPLIANCES & SCOPE PLUMBING FIXTURES ra y Xfech. Plan Check Phttnb.Plan Check Dec..Plan Check :�1e51. Pertnit F ee.: Plumh.Permit Fee: E'lec. Permit t°'ee: Other;L1ech.Insp. Other Plumb Insp. Other Elec.Insp. Bfech. Insp.Fee: Ptunab. Lrsp.Fee: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(ie.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the prelimWina information available and are on an estimate. Contact the Dept-for addn I info. FEE ITEMS (Fee Resolution 11-053 Ef' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 217 s.f Remodel,Kitchen(<=300 sf) Suppl.PC Fee: E) Reg. 0.01T 0.0 hrs $0.00 $626.00 1REMRESUT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:Q Reg. ® OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C;onswuction Tax: ..fllnlnistrative Fee: Work Without Permit? ® Yes No $0.00 Advanced Planning Fee. $0.00 Select a Non-Residential E) Travel Documentation Fees: Building or Structure i Strong Motion Fee: IBSEISMICR $5.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 ` $7.00 $626.00 � . TOT $633.00 Revised: 08/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 C O P E RT I N O :Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: # ",,X- PERMIT# l 3. O 1.,. OWNER'S NAME: L •Q 4, ov cl vyt-taswo.) PHONE# -U` F r')- >P7f' 19 GENERAL CONTRACTOR: R T BUSINESS LICENSE# '. ADDRESS �I� � /,mac. 4LV CITY/ZIPCODE: 9?h-✓`, *Our municipal code requires all businesses working in the city to have a City.of;CuWrtino-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. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete 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 Sfrct,ZAetal S eet Roc Til r V. Owner/Contractor Signature Date CUPERTINO W Building Department V. SEP 2 3 2013 cif 't, <� ' s � f £.� = I �Jg EVIEWED FOR CODE COMPLIANCE Reviewed By T ` 1�� \ �-..a....wx-..•.>Ko•.vom.'•°a.'�'.s.F.>..,..n--....L�>.._,su..w,<'«w�z.:d.:, ...,,.. .,., ,....n�,....n....,1_.a,.c...s �:L_+.. ,,...e.. ,ez,.-.. ......�<<w,. 1�"«y`.�.,,..,.. „.� U.�., L "--4 i. J 11, J"I_1L -:2 R. V0 & 0? C" 00, .51,De ,,\,e 001 "�o ee vPt \Ov\s te ate�J\,a \p\?c 6e WkGO- to -an r'ov\ Sao VN Vs e'0 0 �\'aVs stv'j, SO\, t\-,e dog XA01 ----------- �\OVN t ok 9 GO�N a V00 &ak\0 Se 6')Xv\9 e'\kev 0 yi es 0� �a \60 pe 'G 0, 151\ 0-4\0 01 S'Le"" 01 -t-01 !R!e::�K<�ttq Remodel. L OPE F moog -'o I �.Slca gel\ to with thga�alifornila Building�Base code 2009 IBC),2010 Residential UPC),Mechanical(2009 UMIC),Electrical(�008 NEC),Fire(2009 IFC) ner.g 2008 Building Energy Efficiency Standards) 01 eray code mandatory fighting measures: 1, All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires. (150(kX7)) 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)) X Plumbing Plan notes: 3. Faucets in kitchens,wet bars,lavatories,laundry sinksetc shall have a water flow not to, I exceed 2.2 gallons per minute. (CPC 402.1.2) • lei r) 4-1 Electrical Plan Notes: 4. 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. be provided: 5. The installation of carbon monoxide alarms in thp following areas shall (R31 5.1) 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. 6. 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)) 7 grinders,dishwashers,washing In every dwelling unit fixed appliances such as food waste 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. 8. '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. (CEC210,B) led 9. In all areas specified in 210.52,all 125-volt,15-and 20-a OVE I tamper-resistant receptacles. (CEC406.11) M 1\11-2/1 SEP 23 2013 11 By