Loading...
13110074 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22741 MEDINA LN CONTRACTOR:ARNOLDS KITCHENS& PERMIT NO: 13110074 BATHS OWNER'S NAME: EVANS VIRGINIA L 779 ORKNEY AVE DATE ISSUED: 11/12/2013 OWNER'S PHONE: 4083981124 SANTA CLARA,CA 95054 PHONE NO:(408)314-4969 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALS License Class Lic.# 49( UNIT B- REMODEL KITCHEN 130 SQ FT&BATH ROOM 50 Contractor Date r\-12-13 SQ FT TO INCLUDE M,E,P'S REMOVE AND REPLACE I hereby affirm that I am licensed under the provisions of Chapter 9 WATER (commencing with Section 7000)of Division 3 of.the Business&Professions HEATER 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 Libor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$25000 I have 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:34230005.00 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 DA OM LAST CALLED INSPECTION. 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 bw Date: with all non-point source regulations>9fte Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date [ 2"l 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. ❑ ER-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 wagesas 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,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700:ofthe.Libor 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 Cupert Mu 'cipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections ,-2 nd 2553 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agen• Date: 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 STRUCTION 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 a COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION \� 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 GUPERTtN4 (408)777-3228•FAX(408)777-3333•buildina(@cupertino.org \� [—]NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAAL PERMIT# PROJECT ADDRESS 1Z21Lk\` `N L-N �� AP14 OWNERNAME V PHONE `j E-MAIL � ih„�.9N ��►.,o�, µ.a6" 3R 4S-112 STREET ADDRESS 2 Z, E t N A CITY,STATE,ZIP" FAX CONTACT NAME PHONE E-MAIL ,..�.�es rGdGt-tig.c.-kx- 1 40�-Loa_T2��j STREET ADDRESS CITY,STATE,ZIP e 5 �6 FAX 3�z2 1�cc�1� � �,� C,56 ❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR XCONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N�L LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX l-00�;;)6 k-T s k Ci�TV s STREET ADDRESS CITY,STATE,ZIP aNT�► ���� PHONE,,, ^3L T lit b� atG -44 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL, FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK 1 �'lUt.o Q -- � l T e.Vl.�� 't+. ?r T� 1�h►t7 NOT EXISTING USE PROPOSED USE CONSTR TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA �© REMODEL AREA, o REMODEL AREA PORCH AREA DECK AREA TOTALDECK/PORCHAREA -GARAGEAREA: U DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES1;,RECTO AL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO - 1 By my signature below,I certify to each of the following: I am the property owner or authorized agent to ac on the property owner's behalf. I have ad this application and the information I have 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 to build tru ' n. I r tives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/AgeDate: l (Z-- L 3 _ SUPPLEM I NREQUIRED i x,,,PL�.AvT CHE K^T NG SIIP... lpp1 for SFD or Muldemolition permit for OYER THE CO[JI��E LDING PLANT2EVIEw existing building(s). Demolition permit is required prior to issuance of building , permit for new building. P_,�J�EXPIiBSS NINGPLANRESIEw R Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STAI1DARp4 1 PUBLrC�sotucs fo_rm if any Hazardous Materials are being used as part of this project. M z _Copy of Planning Approval Letter or Meeting with Planning prior to fiA70 ❑ ARYSERERDISTRICT submittal of Building Permit application. � ��: �._ � s;' �ENV.IIZON7CIENT,ALaHEALTH �5: B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 22741 medina In unit b DATE: 11/12/2013 REVIEWED BY: MENDEZ APN: BP#: VALUATION: 1$25,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE i WORK remodel kitchen & bath room to include m e 's remove and replace water heater SCOPE q �a�.._s ,t.x-�.4,..;� »„�.. .� - .��. .�n'.. �. Mech. Plan Check Plumb.Plan Check 0.0 hrs $0.00 Elec. Plan Check 17 tech.Pernzit.Fee. Plumb.Permit Fee: 1PPERMIT lace. Permit Fee: L Meeh.Insp. Other PIumb Insp. 0.0 hrs $47.00 Cather Elec.Insp.lash. Fee: P/urnb. Insp. Fee: Dec.Insp Fee: E—LA NOTE.This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based onthe relimina information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS(Fee Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 50 1 s.f. Remodel,Bath(<=300 sf) Suppl.PC Fee: 0 Reg.. ® OT0.0 hrs $0.00 $626.001 IREMRESBAT PME Plan Check: $0.00 130 s.f. Remodel,Kitchen(<=300 sf) Permit Fee: $0.00 $626.00 1REMRES.T Suppl. Insp. Feer Reg. ® OT 00 1 hrs $0.00 0 # Plumbing PME Unit Fee: $0.00 $28.00 1PRWHEATR Water Heater PME Permit Fee: $47.00 Conso-taction Tax: Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes (E) No $0.00 (F) Advanced Planning Fee. $0.00 Select a Non-Residential (E) Travel Documentation Fee: ITRAVDOC $47.00 1 Building or Structure i Strong Motion Fee: IBSEISMICR $2.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 141 50 1,280.00 ktOT .FEE $1,421.50 $ $ Revised: 10/01/2013 L 41 L. > �tVA, --------------- -------- IA 4-L ...... PER IN ._Buldjng-Dep� eftmem 2 0 13: REVIEWED FOR CODE COMPLiAN.CE.- !Reviewo d By: y � t } > 20 3 10 } 11 a ��' N �� � • i 1 i f a , up Er Im k} m: 1 v j 7 f I S r 1 i t Od3 Paz[4.r� F y e , ,ru z,• a.�.: � � �a rY ,fit �t , G 4 2 FIC6 P£ r £ ! T - _._.,. . _. . . .. ._.... N�?' 2 � _ { ! tA IN it T I I I 1 � - -. -- --- � I I I ' I I I i i I I I , I i I i i i ; I I � , - _ - -----.. COMMUNITY DEVELOPMENT DEPARTMENT C BUILDING DIVISION "t `�• ��t�l CITY HALL 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 By C U P E RT I N O (408)777-1 3228•FAX(408)777-3333 SCOPE OF WORK: Kitchen and 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 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)) 3. 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: 4. Water closets shall have an average water consumption of not more than 1.28 gallons per flush. (CPC 402.2) 5. Shower heads shall have a water flow not to exceed 2.5 gallons per minute. (CPC 402.1.1) 6. 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) V�i� 7. Shower stalls shall have a clear interior finish area of 7.1 sq fPs�at3le�t accommodate a minimum 30 inch circle at the t reshold level', �s® nces shall be maintained up to a height of 70 inches wer drains 411.7) 8. Shower compartments and walls abov with installed s � zr heads shall be finished with a smooth, nonabsorbent s heij odds 9 n 72 inch6 ft . (CRC R307.2) � °`� COMpL1P�� 9. The maximum hot water temperature dis ng from Mj;�W@&' showeOe irlpool bathtub filler shall be limited to 120 degree -fit -f"he wat metermoostat shall not be considered a control for meeting thi� rovisiov�, ,gdq 41 &418.0) 10.A 30-inch clear width for water closet compartmA and 24 inch clearance in front of water closet. (CPC 407.5) Electrical Plan Notes: COEN ONT11W'>OF� 14f 1 ms in all of the following areas shall be provided: (R314.3) BUILDINE-DI a al 1ppwall outside of each separate sleeping area in the immediate � WY' m edrooms. used for sleeping purposes. This set of 012,nsTiaeiisptaIf inrditdbM-bbtlbxfdbealarms in the following areas shall be provided: job site;during P89+.5uti on. It is unlawful to m ra'<e any changes or alt;EgaticAplqFb @ 969r0fiY6 xide alarms shall be installed outside of each separate therefrom,without apprg�IYM ft&9tMq1W A&AIiate vicinity of the bedrooms and on every level The stamping of this planiqq�1010 eg4 JpLftO. ing units that have fuel-fired appliances or attached be held to permit or to W&Aftroval of the viol .tion of y ro%k,"Pi a�q R�@�F,maL ppliance branch circuits shall be provided for all receptacle outlets in the kitchen, dining room, pantry, or other similar areas. (CEC BY ) DATE PERMIT NO. iI MOWOFFICE COPY'11 14.At least one 20 amp branch_ circuit shall.be provided to supply bathroom receptacle outlets: Such circuits shall have no other outlets.(CEC 21D.11(C)(3)) 15. 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% h.p. or lar ger'ball.be on a separate 20 amp..branch circuit. 16.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) 17. In all areas specified in 210.52, all 125-volt, 15-and 20- ampere receptacles shall be listed tamper-resistant receptacles.. (C.EC 406.11)