14020067 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7543 FALLENLEAF LN CONTRACTOR:AMERICAN KITCHEN& PERMIT NO: 14020067
BATH INC
OWNER'S NAME: SCHUTTE KATHLEEN 1758 JUNCTION AVE UNIT D DATE ISSUED:02/12/2014
OWNER'S PHONE: 4082559719 SAN JOSE,CA 95112 PHONE NO:(408)436-8151
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑
REMODEL(E)HALL BATH INCLUDING REPLACING(E)
License Class_ Lic.# 2`,{�1��3�J7� WINDOW(SAME SIZE&LOCATION,TEMPERED DUE TO
Contractor Arree"C-rx K,1cG'�nd1�-'LSate LOCATION)
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 effe%.
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:$22000
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:35928037 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 LED 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 Z
granting of this permit. Additionally,the applicant understands and will comp -Date;
with all non-points rce regulations per the Cupertino Municipal Code,Swgav-
9 18.
RE-ROOFS:
Signature Date 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
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
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. 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 CupPlritino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectio 505, 33,apd 25 4.
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 '1
01h COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
VO
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 v�o
CUPERTINO (408)777-3228•FAX(408)777-3333•building(�cupertino.org \
❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS / Va-A/� .3Liu APN# C C' — 7-7—,? — O 3 7—
OWNER NAM �I I� PHONE _ � [ _2 / E L
STREET ADDRESS ,/n/ CITY, STATE,ZIP FAX
,,,,,�..� �'Slo
CONTACT NAME PHONE E-MAIL
STREET ADDRESS LCITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAMELICENSE BER LICENSE BUS.LIC,,*7 /j//
a J &
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIPC �S/ PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUSS.•L1IICC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTI OF WO
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Q %1 Ct rl LL7S ar
r
EXLVINGUSE PROPOSEP USE CONSTR TYPE #STORIES
oN USE TYPE OCC. SQ.FT. VALUATION($)
EXISTGM/� NEW FLOOR /r DEMO TOTAL
AREA �t' AREA IAC/J AREA NET AREA
BATHROOM I KITCHEN OTHER
REMODEL AREA 59 REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 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 ❑YES _ UATION:
PLANNING APPI,# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO y12 =__22,
leap,.rs
'Pjt- & W Q
By my signature below,I certify to each of the following: I am the property owner or authoriz agent to act on the rope er's behalf. I have read this
application and the information I have rovided is correct. I have read the Description of Work and verify it is acc agree to comply with all applicable local
ordinances and state laws relating o ilding tructio . I authorize representatives of Cupertino to enter the above-identified p9rope for inspection purposes.
Signature of Applicant/Agent. Date:
SUPPLEMENTAL INFORMA ION REQUIRED
_New SFD or Multifamily dwellings: Apply for demolition permit for f � " ❑ s DDiG PLANREVIEW,-'
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. S ❑
#I+ANNIN G PLA REv>Ew-
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure $TAD ❑ rpBt3c WURx&
form if any Hazardous Materials are being used as part of this project.
T ARGE ❑ FIRE DEPT°
_Copy of Planning Approval Letter or Meering with Planning prior to
CI AOR z` ❑ -R
submittal submittal of Building Permit application. �p
ENpIRONMENTALATEA1,TH
BldgApp_201 Ldoc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
DDRESS: 7543 FALLENLEAF LN DATE: 02/12/2014 REVIEWED BY: MELISSA
PN: 359 28 037 BP#: EVALUATION: $22,000
;��PEkRMITPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE
WORK REMODEL E HALL BATH INCLUDING REPLACING E WINDOW SAME SIZE & LOCATION
SCOPE TEMPERED DUE TO LOCATION)
"A", A, T lon Che-ci
1crr. 11"rrrrrt Fee: J'tr,rnf> l'trtnitLi
T'd<.;:
.. ztrrr'� /rs�;. l�ry 1."e<.Etat
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). Theseees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS (Fee Resolution 11-053 Lff.' 7/1/131 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 75 s.f. Remodel,Bath(<=300 sf)
Suppl. PC Fee: (F) Reg. ® OT 0.01 hr's $0.00 $626.00 1REMRESBAT
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:C) Reg. ® OT0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
("onsirliciion
�rrtratn�;r,-crjr�°> 'c>2:
Work Without Permit? ®Yes (F) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
l''e'�'s•:
Building or Structure
I F"L; 5'h �3c)r'ZtTrte'Yt/�9r'jt�Yf 0
Strang Motion Fee: IBSEISMICR $2.20 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
A
L , $3.20 $626.00 ; TOTAL FEE: $629.20
Revised: 01/15/2014
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT 1 N O Fax: 408-777-3333
CONTRACTOR/SUBCONTRACTOR LIST
JOB ADDRESS: EA WOeAP, 4r), P RMIT# 07,00
OWNER'S NAME:
GENERAL CONTRACTOR: r,,e,�fc�,n c(-rzy�,�t- �o BUSINESS LICENSE#;" ,OG 17e2,2
ADDRESS: p, CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino 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:
V 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
Sheet Metal
Sheet Rock
Tile
Owner/Contr ctor Signature Date
AMERICAN KITCHEN AND BATH INC.
1758 Junction Ave # D San Jose Ca. 95112
Ph. 408-436-8151 Fax 408-436-8153 Cell 408-316-8050 ic. 513838
Revised Bathroom remodel estimates for: -Z1(2 014
Kathleen Schutte&Michael Lenihan
7543 Fallenleaf Lane
Cupertino, CA 95014
408-255-9719
email: kathleen schutteCcD-yahoo.com
Hallway bath remodel
Prep work:
EPA lead testing is included, abatement/containment is not
Prep all areas to protect floors and install dust barriers as needed
Design services
Contractor to prepare drawings, pull permits and stand inspections, permit cost is extra
Remove vanity, tub/tub walls/glass enclosure, toilet(to go in other bathroom), soffit,
fixtures and flooring
Dispose of debris at an approve facility
Framing:
Roof penetration, roof jack needed for new fan/light combo
Framing for shower pan/curb
Frame for recess niches in shower and tub and blocking for glass panel
Electrical:
Supply and install GFIC dedicated circuit to need code requirements
Run electrical for fan/light combo on separate switch legs
Supply and install up to(6)recess LED can lights
Supply and install dimmer switch for the can lights
Install Panasonic Whisperlite FV11QL5
Plumbing:
Install shower drain and copper from floor for new shower location
Hot mop and install shower tile drain assembly
Does not include relocation of sink plumbing, believed to be in correct location
Supply and install Kohler K-1123 apron front
Supply and install Grohe tub valve 35026000, spout 13191000 and trim 19869000,
Supply and install Grohe valve 35026000, shower system 27421000 and trim 19869000
Reinstall existing toilet with seal, stop and supply line
Supply and install (1)Kohler Ladena K2214 undermount sink
Supply and install Grohe 32642001 sink faucet
Supply and install sink drain, stops and supply lines
Mechanical:
Supply and install ducting for fan/light combo
Relocate HVAC vent to be between toilet and vanity, customer to provide cover
Pantry Door:
Replace closet door with slab smooth painted door,fill and repaint casing and jamb
Primer and paint pantry door and trim KM4683-2 Sweet Dough Semi gloss finish
Install customer provided door knob, contractor provided chrome hinges
Wall finishes:
Sheet rock repair as needed after demolition
Texture walls and ceiling as needed to smooth level 3
Sheet rock wet room in water resistant wall boards
Primer and paint walls Kelly Moore KM-4683-2 Sweet Dough Satin finish
Primer and paint ceiling Kelly Moore KM-23 Swiss Coffee Satin finish
Main entry casing to be Swiss Coffee Semi Gloss
` Tile:
Supply and install wet room floor in a standard pattern, Runway 2 x 2 Ebony mosaic
Supply and install wet room walls to the ceiling in a standard pattern, Runway 12 x 24
Sand and Ebony,with deco, includes recess niches and finish trim
Supply and install bathroom flooring in a standard pattern, Stonepeak Oatmeal 12 x 12
*not sure if this comes with base, if not can either be made or can be wood
Trucolor grout for Ebony is French Gray H142&caulk
Trucolor grout for Sand is Linen H163 and caulk
Trucolor grout for the floor Stonepeak Oatmeal is Alabaster DG50 and caulk
Cabinetry and Counter top:
Supply and install Merillat Classic Fusion Maple Sedona vanity
Supply and install prefab/remnant counter top with splashes
Supply and install Liberty P84612-PC-C(3)&PN2001-PC-C(2)
Trim and finish work:
Supply and install heavy glass stationary panel approx 30"W
Supply and install beveled mirror approx 48"W x 42"H
Supply and install customer provided towel bars and tp holder
TOTAL COST OF PROJECT$22,000
F
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SCHUTTE EXISTING LAYOUT
7543 FALLENLEAF L
CUPERTIN, O
CA
95014
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All dimensions_size designations SCHUTTE This is an original design and must Designed: 2/11/2014
given are subject to verification on EXISTING LAYOUT not be released or copied unless Printed: 2/11/2014
job site and adjustment to fit job applicable fee has been paid or job
conditions. order placed.
PERMIT INFO.kit ;a v, es 031 All D 1 No Scale.
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SCHUTTE PROPOSED LAYOUT
7543 FALLENLEAF LANE
. CU PERTI NO , CA 95014
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�- - ALL RECEPTICLES WILL BE DEDICATED
GFCI, TAMPER RESISTANT AS NEEDED
TO MEET CURRENT CODES.
ULF
' ALL LIGHTING WILL BE HIGH EFFICIENT
AND/OR ON A MOTION SENSOR.
NO WINDOWS, DOORS OR WALLS WILL
o BE RELOCATE
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All dimensions_size designations SCHUTTE This is an original design and must Designed: 2/11/2014
given are subject to verification on PROPOSED LAYOUT not be released or copied unless Printed: 2/11/2014
job site and adjustment to fit job applicable fee has been paid or job
conditions. order placed.
PROPOSED LAYOUT.kit Drawing#: 1 No Scale.
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