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14020141 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10435 NORWICH AVE CONTRACTOR:GRIDLEY COMPANY PERMIT NO: 14020141 OWNER'S NAME: ERIC HO 122 ORCHARD CITY DR DATE ISSUED:02/24/2014 OWNER'S PHONE: 3106899006 CAMPBELL,CA 95008 PHONE NO:(408)374-0900 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL /, �i� INSTALL 25 RECECESSED LED LIGHTS, 11 SWITCHES License Class Lic.# ���b AND REPLACE VENTS IN(2)BATHROOMS Contractor �Date I herebym 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 e'formance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$3900 I ve 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:31629075 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 DAYS M LAST CALLED'NSP CTION. 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. C� RE-ROOFS: Signature a e ! ( 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. 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,Sections 2 2 ,an 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 cons4ruction 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 111 12 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ,� v 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 ArrV l (408)777-3228•FAX(408)777-3333•buildinq(&cupertino.org ` CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 10 /� /Gt� Ilei-, vi-, APN# 2/(p OWNER NAME ^ (L / ©�(Ur�I /i'41.lad -4 PHONE/v' ly G E-MAIL STREET ADDRESS/` 7 CITY, S TE,ZIP (� FAX CONTACT NA E p� FC� UNA( It�� ?Sv�Y PHO "Y' y AIL 2. f / ID ^ aH,�A Lo STREET ADDRESS C ,STATE,ZIP .n/r3��6 . ,% ,revs 37y e�yz 5� ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC#/�SS� COMPA)W NAME E-MAIL FAX / rp 4Y STREE )7RESS� � G,,-1 d� CITY,STAT QIP GG / ` (� PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER ! rj BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK �f�7coy EXISTING USE PROPOSED USE CONSTR TYPE I #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: _ IS A SECOND UNrr ❑YES SECOND STORY [3YES BEING ADDED? []NO ADDITION? [:]NO PRE-APPLICATION [I YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECE yED'I v'* ` '� a * T ATI N: PLANNING APPL# ❑NO PLANNING APPROVAL LEITER EICHLER HOME? ❑NO '`5i" - b ' r. . By my signature below,I certify to each of the following: I am the property owner or authorized agent t the property owner's behalf. I have read this application and the information I have pro ' correct. I have ird the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to di io rize representatives of Cupertino to enter the above-iden(ified property for inspection purposes. Signature of Applicant/Agent: ___ _ ....._.. Date:_ i L/ F 15e- SUPPLEMENTAL INFORMATION REQUIRED ' New SFD or Multifamily dwellings: Apply for demolition permit for " "° O R >_ CO TER '- s ❑ UILDI:IYGhL,t,1PTREV,J,EW ,� _ existing building(s). Demolition permit is required prior to issuance of building- permit uildm permit for new building. EXPRE I $ pD " GpLAN� Ew _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure P ��❑ IdUBLle wq � � . form if any Hazardous Materials are being used as part of this project. ~ _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. . ,ar'+�S" `�6,� ❑.�E RONMENTALEALTH `. BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10435 norwich ave DATE: REVIEWED BY: APN: BP#: `VALUATION: 1$3,900 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 REAP1 WORK install 25 rececessed led lights, 11 switches and replace vents in 2 bathrooms SCOPE 6 n n sks� Mech.Plan Check 0.0 hrs $0.00 11hw"b, t'lcrrt{'dreck Elec.Plan Check 0.0 hrs $0.00 Mech.Permit Fee: IMPERMIT Elec.Permit Fee: IEPERMIT Other Mech.Insp. 0.0 hrs $47.00 Chhe>r Pimm!)7rj'pLl I Other Elea Insp. 0.0 hrs $47.00 NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc . Theseees are based on the prelimina information available and are only an estimate. Contact the Dept-for addn7 info. FEE ITEMS (Fee Resolution 11-053 E . 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 25 # Electrical Suppl.PC Fee: Q) Reg. ® OT0.0 hrs $0.00 $100.00 IBRE7;;�IXT7 Fixtures,Lighting PME Plan Check: $0.00 11 1 Electrical Permit Fee: $0.00 $47.00 1 1BREMRECEP I Recep/Switch/Outlets Suppl. Insp. Feer Reg. ® OT Fo 0 hrs $0.00 # Mechanical PME Unit Fee: $0.00 $48.00 1BREMVENF Ventilation Fan PME Permit Fee: $94.00 T'kv.' F Administrative Fee: IADMIN $44.00 0 Work Without Permit? ® Yes (F) No $0.00 E) Advanced Planning Fee. $0.00 Select a Non-Residential Travel Documentation Fee: ITRAVDOC $47.00 Building or Structure 0 i Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg,Stds Commission Fee: IBCBSC $1.00 h„ r r ��L _ $186.50 $1011 95.00 : TONAL FEE: $381.50 Revised: 01/15/2014 Note: All dimensions to be verified in field 4) 11 32"AFF (E) 52"AFF (E) 44 112"AFF(E) 44 1/2"AFF (E) co 0 U C aO (E) (E) E LU C? TO U CE N >1 BEDROOM 2 E (E) LLJ BEDROOM 1 11'-1"x q'-1 2 Ic 0 E 0 11,-0,,x q'-11" C4 LIVING <f' C4 L 1) '-'. LU 4LY (3 -x -7 1 -u (N)LED (E) v N (E) of U- (E) i fJj ti IS,70 2 HALL p 36314"AFF L L x 2 4 d HALL BATH (E) 0 2 E V-2"x T-0" LL �5 C6 (E) J�' CL05ET >4 6'-4"x 2'- z 0 (E) 57( OFF,ICE COPY"j, -T ❑ V (E)YqR El SF4 LU (E) DINING F)OUAD(DED rz)56"LE ENTRY (F) 5-5"x 14'-4" (E) lu (E)5kLjIght/Ught (E')LED TER BAT o -A=- 1'-'7"x 14'-10" d L --L --L L x rD '-UR�-��R (E) W- �E)LED (E)LED (E)LED TCHEN 11(E) x 8'-b' R B0Rt1P r- Upm (E)5141ght/Ught 13'-2" B uilding Depar r gt Ln REF IM MDQ L .2 0 rR � E (E)LF I ANO FEB 2 2014 Tlpd fronts -,---Tmsh rn 40 (E) (A E)48 LE 0 37-LED (E) REVIEWED FOR CODE COMPLIAV q, --i (a)LE (F) E L t! Zwnn�� I Reviewed By: P�4;yl!.� (n 0 (E) It 0- (E) (F) MAP: 5COPE OF WORK: ri z 44 112"AFF (E) Scale. -NEWRECE55ED LED LI&HT5 IN FAMILY ROOM, -011 DINING ROOM, ENTRY, HALL, AND BEDROOM5 1/411 -NEYq EXHAUST FANS IN HALL AND MASTER BATI-15 INDEX: Date: ! r 2010 California Building Code (based on the 200q IBC Code) A-1 EXISTING ELECTRICAL 2/19/14 Code) 2010 California Residential Code (based on the 2009 IRC A-2 PROPOBED ELECTRICAL 2010 California Plumbing Code (based on the 200q UPC code Page: 2010 California Mechanical Code (based on the 200,1 UMC Code DESIGNER: 2010 California Electrical Code (based on the 2008 NEC, Code) GEMMA CLARK A- 1 2010 California Energy Code (based on the 2005 Building Energy LK Efflciency Standards) Note: All dimensions to be verified in field > 00 c p o 0 E ._ 44 44 32"AFF (E) 52"AFF (E) 117"AFF(E) 112"AFF c v o(E) CJ ► v L (E) (E) (E) (E) (E) E)\ L it o IIX (N)LED (N'�ED V C4 0 \ F) / (N)LED (N)LED O O \ cm /1 (N)LED (N)LED ��(N) $;�( (N)LED (N)L D BEDROOM 2 _ (E) W BEDROOM 1 11'-?"X q'-11" LIVING 11'-0"x 9'-11" R 11'-7X 11'-5" ft— O ( LED_ __ (N)LED FAMILY W w- _ R y\ (N)LED O X W n. Z J O GL05ET AREA (RN)LN LED z. / (E) (V (E) J / (N)LED (N)LED (E) ----/ w _ O (N)LED HALL v J 3b 3/4"AFF x3�-Q" +. HALL BATH (E) W (E) R —� R GLO5ET (N))Exhaust - EL \ ( ED (N)LED CE 6'-4"x 2'-1" - 2 (N)LED / o rc r w (E) (E) / (E) (E) DIN NG (EjQUAD(DED ENTRY (N)Exhaust 1'T"X 14'-1�" Ii (E) LED E)56"LE 5'-5"X 14'-4" (E)5kyllght/L'Ight L_ --L _ —__l_ _ �� _ _ _ J (E)LED v (N)L (N)L TER BAT fLn R R 6. (E) (E)LED (E).9D (E)LED (E)LED- (N)LED ul V g ITGH _ -, V I- MASTER BDRM v N 0 0 (E)5kyltght/Llght I 1 �/ Z r Ln I� 11'-1"x 13-2" (E)LED _ _ L — — v I N r T V, Q w NUa — —T — — —�-- —v— X 0 3 I\ I / M Tip down fronts mash I _J X (E)( (E)\ (E (E P O O (E) W rn V E)48'LE (E)LED (E) )32"LED (E) R _ -jD )LED (E) Scale: (E) 1/4" = 1'-001 Date: 441/TAFf (E) '.. ` • .. - ant =<x 2/19/14 LU FGR OL)" c Page: Ravi@Wed ��� �.t,��rE. A-2 pP P R• I5E17 ELECTRICAL