13090003CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10435 NORWICH AVE
CONTRACTOR: GRIDLEY COMPANY
PERMIT NO: 13090003
OWNER'S NAME: ERIC HO
122 ORCHARD CITY DR
DATE ISSUED: 09/03/2013
OWNER'S PHONE: 3106899006
CAMPBELL, CA 95008
PHONE NO: (408)374 -0900
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
/j �'
REMODEL KITCHEN TO INCLUDE M,E,P'S 162 SQ FT &
License Class Li.. # J�,SU
P i s �lI'i`i�'y~ %
PANEL UPGRADE 200 AMP
Contractor C;� 1 % Date
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: $70000
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 31629075.00
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
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAY OM LAST CALLED INSP CTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
City in consequence of the
costs, and expenses which may accrue against said
Issued by: Date /3
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.
/
RE- ROOFS:
If is
Signature r - ate.
All roofs shall be inspected prior to any roofing material being installed. a roof
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
1, 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)
1, 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, 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 hnsurance, as provided for by
Section 3700 the Labor Code, for the of the work for which this
the Health &Safety Code, Sectio)ts2 553 nd 25534.
� C( S
of performance
Owner or authorized agen Dater_
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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • building0cuaertino.org
F— NEW CONSTRUCTION M ADDITION I Y( AI.TFR ATION / Ti n DPX7TQ7nu / nrcnDD Cn
1561 0.2
BldgApp_201 1. doc revised 03116111
am
PROJECT ADDRESS }�
V � (�l �/`� � GIB v�
APN # 3
OWNER NAME Aee �
Pilot. 0191 90D /
E -MAIL
STREET ADDRESS a y3 g JjrOtt Ij lG/ V �
CITY> STAT�UiE> Z�n n` �o
O� -/
FAX
J
CONTACT NAME I f1'/
//Cl'�w�
PH 13F,Op ' / yj _ q(5 9y
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f�
STREET q�SS��
/Cry �l�
CITY,ST�/E, ZIP
FA
❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT ❑ CONTRACTOR I CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
r
ONTRACT R NAME
N . lvcf tur riy
LICENSE NUM R
��cw6
LICENSE TYPE
BUS. LTC #
7555
/,K
COMPANY NAME / l I / '
L r !
E -MAIL
FAX
v
STREET ADDRESS /?,Z 09400-, G
CITY, STATE, ZIP S A L ` ��DUQ
p O
PHO U
V „fU v
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
EXISTING USE/, PROPOSED U ' CONSTRE # STORIES3YT�
EXLSTG NEW FLOOR DEMO TOTAL"
AREA AREA AREA
BATHROOM KITCHEN g/ OTHER
REMODELAREA REMODELAREA /v REMODELAREA
PORCH AREA DECK AREA TOTAL DECKIPORCH AREA I GARAGE AREA: ❑ DETACH , ` �; ° , gyp• b `, .- 4$ �.€ �, '�a� "
❑ ATTACH
# DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES
BEING ADDED? NO ADDITION! NO
PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNER'SNAME:
PLANNING APPL# ❑ NO PLANNBNGAPPROVALLETTIIt tea$
�:
By my signature below, I certify to each of the following: I am the property owner or autho ' d agent to act on the property owner's behalf. I have read this-
application and the information I have provided is coqw. I have read the Description of Work and verify it is accurate. I agree to comply with all ap`pTicable local
ordinances an � Yaws relating to on. I authorize representatives of o to ent a above ideati5ed
Cupemn property for inspection purposes.
Signature of App hcani/Agent: lisle: �
SUPPLEMENTAIL4INFORMATION REQUIRED
,r <� „gIrsMi.,__�i'aYPE.:.
rROil_��IGS,SLIP _ � T
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
. -r vNTER
permit for new building.
I7 E CPRESS
'
❑ PI e�INI1v� LANREVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ srAlvuARU
❑ ruauc woRKS
form if any Hazardous Materials are being used as part of this project.
o LARGE
�7 FfR1; AEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
P Moot
p sANtTnttx
submittal of Building Permit application.
SE�YERA1sT1tICT
ENVIRONMENTALHEALM ;
BldgApp_201 1. doc revised 03116111
am
CITY OF CUPERTINO
Ti F.F. FCTIMATnR — RITII.DING DIVISION
imiADDRESS:
10435 norwich ave
DATE: 09/03/2013
REVIEWED BY: Mendez
APN:
I BP #:
"VALUATION:
1$70,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
0.0
PENTAMATION 1 R3SFDREM
USE:
PME Plan Check:
PERMIT TYPE:
WORK
e
Electrical
IBELEC200 Services
SCOPE
$0.00
.11 <ch. Plan Check
;Vk(,,h. Permit lee:
Other Alech. lnsp.
PhwiL Plum Check
Plumb. Permit Fee:
Other Plumb Insp.
Elec. Plan Check 10.0 1 hrs $0.001
Elec. Permit Fee: IEPERMIT
Other Elec. Insp. 1 0.0 1 hrs 1 $47.00
:laech. Inch. Fee: I Plumb. Irish. Fee: I I-:lec, Imp. Fce:
Awrr . T/.- r.,,,. f� Z... nM :.,,./.,.lo faac d,.o to nthor nvnart/nentc /i0- Planning. Public Works. Fire. Sanitary Sewer District, School
f nntart tho Dont for addn'l info.
FEE ITEMS (Fee Resolution 11 -053 E . 7(f /1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
= s.£
$626.00
Remodel, Kitchen (< =300 sf)
IREMRESKIT
Suppl. PC Fee: 0 Reg. ® OT
0.0
hrs
$0.00
PME Plan Check:
$O.OoF-2-0-0-1
amps
$47.00
Electrical
IBELEC200 Services
Permit Fee:
$0.00
Suppl. Insp. Fee.-(E) Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$47.00
_F_T_ Consiruction Tar:
Administrative Fee: 1ADMIN
$44.00
Work Without Permit? ® Yes (j) No
$0.00
Advanced Planning Fee.
$0.00
Select a Non - Residential
Building or Structure
®,
Travel Documentation Fee: ITRAVDOC
$47.00
Strong Motion Fee: IBSEISMICR
$7.00
Select an Administrative Item
Bl.dg_Stds Commission. Fee: 1BCBSC
$3.00
' `'
148.00
$673.00
" ` "
821.00
Revised: 07/01/2013
NMI
S Note: All dimensions to be verified in field
5730
36 314' AFF 2668 (E) 2x6 AT 16" O.G.
r ENT REMOVE (E) NON - BEARING WALLS
JPER i 1N0 /
at the
�MUST kkept t
cc 1 r It is Unlavvful maize any ANN RY
i
r I,� on �.anne, or t� �,_ a i» ' 2" x ' -0"
vv; he si rovaI from the Bd g Official. :fl
i "i; " F:?LMiNi pl-m and c ,pccification , A wR 2068 ENTRY �
------- - - - - -;
1 r . t!z1 "-x 1t� W "�0 .. , an E-pproval Of t. i O O 5' -5" x 14' -4" -v
I I
of L': pbT(�, f ary Qty Ordinance Or Bt O O m� I I Carpet
(No Hardwood Un — — — —L — — J
BY
DXFE
of
Q' My N
PERMIT IVO. a ht/ ht �± HEN �o
r \ F
CH: T -11 'I/8" w
Vinyl Skylight �
CL
o I I I 1 q._61. 5066
I C'h 1
I \ / 3104050 AFF
3104056
EXI5TING FLOORPLAN /DEMO PLAN
W
(E)
5150FT
36314' AFF
(N) casing and sill /apron on (E) passthrough
DINING
1' -T' x 14' -10"
GH: T -11 '718
(N) HdM
PROPOSED FLOORPLAN
2668
i
(E)
';,
KITCHEN
15' -0" x V -8"
CH: T -11 T /8"
(N) HdWd
REF
44 111' AFF
T1030TG
Building Depr"ent
SEEP 032013
REVIEWED FOR CODE CyOMMPLIANCE
Reviewed By. IN`"' �'
(N) doorway ud Jamb & casing to
3,68 ENTRY
+ F -5" x 14' -4" v
Refinish (E) HdWd
— J
ry (E)
I
I
L_
— 1- -- M/a - - -- — - --i --
Tip doom fronts I Trash
' p p
(N)5030R5
5' < 3' -2 1 /2" -
2q' -11 5/8"
5068
(E)
d
r
C
INDEX:
A -1 EX15TING & PROP05ED FLOORPLAN5
A -2 PROP05ED PLAN W/ NEW GA5 LINE 5HOWN
A -3 PROP05ED ELECTRICAL
SCOPE OF WORK:
- KITCHEN REMODEL
-NEW GA5 LINE FOR THE RANGE (60 LF, 3/4 ", qbk BTU)
-ALL NEW CABINETS AND COUNTERS IN THE KITCHEN
-NEW HARDWOOD FLOORS
- REMOVE (1) WINDOW
- REPLACE (1) WINDOW W/ NEW 51ZE
2010 California Building Code (based on the 200q IBC Gode)
2010 California Residential Gode (based on the 200q IRG Gode)
2010 California Plumbing Gode (based on the 200q UPC Gode
2010 California Mechanical Gode (based on the 200q UMG Gode
2010 California Electrical Gode (based on the 2008 NEC Gode)
2010 California Energy Gode (based on the 2008 Building Energy
Efficiency Standards)
LEGEND:
Q EXI5TING WALL5
- NEW WALL5
DEMO WALL5
DESIGNER:
LEMMA CLARK ce,
d
> 00
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IL
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C .0 co 2. 6.
C E
N
N
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0
0
V
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0 �
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Scale:
1 /4" = 1' -011
Date:
8/23/13
Page:
A -1
E)
111-13/161,
11040TG (E)
32" AFF
LIVING
11' -7" x 11' -5"
CH: 7' -11 111b"
(N)HdWd
11
513OFT
�3b3/4 "AFF 2668 r
(N) casing and sill /apron on (E) passthrough
I
(E) DINING
1' -7" x 14' -10"
GH: 7' -11 7/8"
(N) HdWd
16' -7 3/4" -
'I1040TG (E)
32" AFF
10' -11 15/16"
44 1/2 "AFF
elnan (E)
BEDROOM 1
11' -0" x 9' -11"
Refinish (E) HdV4d
LU
x
00
v�
FAMILY N
16' -8" x 17' -7"
O
CKV -0 1/2" x
Refinish (E) HdY4d
(� HALL I °
PEATINC) 9' 8" x 3' 0" L —
,r. � Guild n — — —
ar'fAertrnent HALL BATH (E)
f SEP p 3 20 13 NOT MEASURED r
REVIEWED FOR C CL05ET
ODE C LIANGt4" x 2' -1"
Reviewed By.
doonuay ug Jamb &casing cn
El 0
3768 - ENTRY v
5' -5" x 14'-4"
Refinish (E) HdVVd (E)
TER BAT
m NOT MEASURED ^ _
� m
KITOAS GAS — '— — — — -e`S -GAS— — — — 6A5 — — — — — — — 6A5 — — — — W - t-
MASTER BDRM
CH: 7-11 7/8" I iA I (V
(N) HdINd I 11' -1" x 13' -2 o I m
4" filler Refinish (E) HdYVd '-
REF
T NVa Tip down fronts T Trash — J x
I 5068 6, N an
(N) 5030R5
5' >.!c 3' -2 1/2"
Note: All dimensions to be verified in field
111-13/1611—
441/2 "AFF
a1nan (E)
BEDROOM 2
x T -11"
Refinish (E) HdY4d
29' -11 5/8"
441 /2 "AFF (E)
11030TG
5' -5 30" 11' -1 31811—
- PROP05ED FLOORPLAN W/ NEW 6A5 LINE 51-10WN
4' -2 11 /16"
2' -0 11/161,
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0
IL
E
O 0 �
a W
c c ao
N V
0 r
O 'c
>1
4)-
.y
�o
to
to
0
� 7-
Ln 112
�
a.
Q) :3
Scale:
1/411 = 1' -011
Date:
8/23/13
Page:
A-2
luminaire
type
high efficiency
yes no
watts
x
quantity
=
high efficlena
watts
or
other
watts
Recessed
LED
Chandelier Light Fixture eVie Wed 13y.
❑
14.6
Q
8
wv^ "10
116.8
VVP
$ $ 3$ `$
Switches: Single Pole, Weather Proof, 3 -Way, 4 -Way
Undercab
L D
Switches: Dimmer, Timer
sa sP
El
4.5/ft.
Wall Jacks: CATS, CAT5 + TV, TV /Cable
13ft
Telephone Jack
58.5
Thermostat
® Q
Door Chime, Door Bell Button
❑ ❑
Smoke Detectors: Ceiling Mounted, Wall Mounted
EP
Electrical Breaker Panel
totals
a
175.3
b
0
Complies if a is greater than or equal to b: yes
❑
no
❑
- PROP05ED ELECTRICAL
ELECTRICAL - DATA LEGEND
SYMBOL
DESCRIPTION
Ventilation Fans: Call ' Wall Mounteckul/
®
Ceiling Mounted Lig ' urfacd�t�
Recessed, Heat L m Low o to e
®
Wall Mounted Light 44:ftrSbIPD6ltedd,
Wall Sconce i11( con
Chandelier Light Fixture eVie Wed 13y.
❑
Fluorescent Light Fixture
Q
240V Receptacle
wv^ "10
110V Receptacles: Duplex, Weather Proof, GFCI
VVP
$ $ 3$ `$
Switches: Single Pole, Weather Proof, 3 -Way, 4 -Way
DM$ T$
Switches: Dimmer, Timer
sa sP
Speakers: Ceiling Mounted, Wall Mounted
CSVCSf ICI
Wall Jacks: CATS, CAT5 + TV, TV /Cable
g
Telephone Jack
Q
Thermostat
® Q
Door Chime, Door Bell Button
5o a
Smoke Detectors: Ceiling Mounted, Wall Mounted
EP
Electrical Breaker Panel
- All permanently installed high efficacy luminaires shall be
switched separately from low efficacy
luminaires. (150(k)(1))
- 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)(5))
- Permanently installed luminaires in bathrooms, garages,
laundry rooms and utility rooms shall be
high efficacy luminaires OR are controlled by an occupant
sensors) certified to comply with Section
119 that does not turn on automatically or have an always
on option. (150(k)(10))
- 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.
- 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.
JPER�" 'nimum of two 20 amp small appliance branch
Ij"9 Dep j Uchen, hall be provided for all receptacle outlets
113 in the dining room, pantry, or other similar areas.
(GEC 210.11(0)(1))
�MPL� -At least one 20 amp branch circuit shall be provided to
ly bathroom receptacle outlets. Such
circuits shall have no other outlets. (GEC 210.11(0)(3))
- 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 f h.p. or larger
shall be on a separate 20 amp. branch
circuit.
- 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 210.5)
- In all areas specified in 210.52, all 125 -volt, 15- and 20-
ampere receptacles shall be listed tamperresistant
receptacles. (CEC 406.11) /''
> QO
C 10 0
0
E v v °
0 = n
>` 0 O
N v
y
0
y'
C
o0
pod
M
�CD
0
� ttl
43.2 � V
0
2 CO a
o�
Scale:
1/411 = 1' -0"
Date:
5/23/13
Page:
A -3
` CUPERTINO
CONTRACTOR I SUBCONTRACTOR LIST
$uilding Elepartment
City Of Cupertino
10300 Torre Avenue 4`
Cupertino, CA 95014 -325.5
Telephone: 408- 777 -3228 `
Fax: 408- 777 - 3333
Rg- �Y
JOB ADDRESS: 10439 r
PERMIT # j 30 o o o
OWNER'S NAME: INO
PHONE 0f3)3.-�-q-01960
GENERAL CONTRACTOR: Cb
BUSINESS LICENSE #
ADDRESS:
CITY /ZIPCODE o
*Our municipal code requires all businesses working ip the city to have a City of Cupert'io 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 apphcabie subs °ontractors:and complete the - following information:
Owner / Contractor Mgnature
Date
SUBCONTRACTOR _
= :;BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
a
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing .
Heating
Insulation
Landscaping
Lathing
Masonry
i/
Painting / Wallpaper
?4) rvG
Paving
Plastering Plastering S7U cc va
t 7 ,� N 5 ► c Sj� l� v
C13
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
f
Tile
l
Owner / Contractor Mgnature
Date