14010022 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20365 VIA VOLANTE CONTRACTOR:BILL GILLIGAN PERMIT NO:14010022
GENERAL CONTRACTOR
OWNER'S NAME: PENG DAVID Y AND YING 1820 HOLIDAY ST DATE ISSUED:01/06/2014
OWNER'S PHONE: 4089300862 SANTA ROSA,CA 95403 PHONE NO:(707)480-1642
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
INSTALL WALK IN BATH IN EXISTING BATH/SHOWER
License Class Lie.# 3. E a C.) AREA,
Contractor
Q'�� y �', a4"'— Date I_ `(?1� INSTALLATION OF GFCI TO INCLUDE E,P
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:$2050
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:31601033 00 Occupancy Type:
permit is issued. —4— .
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 189fiAYS 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 DA7Z 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 /
Issued by: Date:
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
918.
RE
-ROOFS:
Signature �1 ��Cl JlA rY at,
��(4 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)
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 Insurance,as provided for by the Health&Safety Code,Sections�255�05,225533,and 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 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
918.
Signature Date
CONSTRUCTION PERMIT APPLICATION nil
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 v�
GUPJE:RTINO (408)777-322.8•FAX(408)777-3333•building(-cupertino.org \�
❑NEW CONSTRUCTION El2 ADDITION t LTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERNIIT#
PROJECT ADDRESS ® /� //' �_/yh/ APN# �l / 0 O
OWNER NAME PHONE /�� d MAIL
STREET ADD
RFS, (/ Cr�r, STATE,ZIP FAX
v�CJ
CONTACT NAM PHONE L lj E MAIL Oo
STREET ADDRESS CI}F STATE,ZIP �1S rjr 1 FAX
❑OwNER ❑ OwNER-BUn.DER ❑ owNERAGENT 2-L-6NTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTO N j ^� LICENSE�UMBSER�v LICENSE?;YPE BUS.LIC# ��
w f(n /
COMPANY NAME '.l/ (� .L /,. �e.r�••T/Z %E 4l4T7,1--?T FAX
5 79- - 26>/
STREET ADDRESS/ � i/O/.4�cI �• C 64�`?�4 t�G� /3 �GQ /5 d� O,
ARCHITECT/ENGINEER NAME H / LICENSE NJUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESSCITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
�"�' <� /`iL?rr`mom•-- � L�'9 v�- "..a- �/rr?�• � �' �' ,'Jr'T v �
EXIS G SE PROPOS U E . CONSTR.TYPE #STO�S
�� �S/ � USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG. ,C NEW FLOOR ' ^DEMO; TOTAL / �7
AREA ..� AREA S4,C AREA `�r. •` NET AREA
BATHROOM .L KITCHEN OTHER
REMODEL AREA p?T_P� REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: DETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT DYES SECONDSTORY OYES
BEING ADDED? 2NO ADDITION? [w*&
❑ THE BLDG AN ❑YES TOTAL VALUATION:
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF is
PLANNING APPL# NO PLANNING APPROVAL LEITER EICHLER ROME? Imi NO �?Q
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf I have read 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 building construction. I authorize repre Ives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent:Zeu—Z 1Z w� mil g� Date: —LJ
SUPPLEMENTAL INFORMATION REQUIRED
_New SFD or Multifamily dwellings: Apply'for demolition permit for
existing building(s). Demolition permit is required prior to issuance of buildi
permit for new building.
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
form if any Hazardous Materials are being used as:part of this project.
_Copy of Planning Approval Leiter or Meeting withTlanning prior to
submittal of Building Permit application.
B1dgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR BUILDING DIVISION
ADDRESS: 20365 via volante DATE: 01/06/2014 REVIEWED BY: Mendez
APN: BP#: "VALUATION: 1$2,050
%PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY SFD or Duplex PENTAMATION 1 RPFIX
USE: I I PERMIT TYPE:
WORK install walk in bath in existing bath/shower area installation of GFCI
SCOPE
Nk
mom
Ltech.Plan Check 7P11umb.Plan Check 0.0 hrs $0.00 f'Iec.flan Check
ittecla.Permit Fee: [Plumb.Permit Fee: 1PPERMIT Elec. Permit Fee.
()thcr;Ylech.Insp. Other Plumb Insp. 0.0 hrs $47.00 C)iher Stec.Insp.
/tech.Insp FCC: Plurnb. Insp.Fee: I•lce.Insp.Fee:
NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). These fees are based on:the prefindna information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS(Fee Resolution 11-053 Eff. 7/1/132 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 = # Plumbing
Suppl.PC Fee: E) Reg. ® OT 0,0 1 hrs $0.00 $20.00 1BPFI=RE Fixture or Trap
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Feer Reg. .®OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $47.00
('onso-tiction :Tar.*
Administrative Fee: IADAffN $44.00
Work Without Permit? ®:Yes (F) No $0.00
Advanced Planning Fee $0.00 Select a Non-Residential
Travel Documentation fee: ITRAVDOC $47.00 Building or Structure
i
Strong Motion Feer IBSEISMICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
fti $139.50 $20.00
O
$159.50
9�...
Revised: 10/01/2013
t �
0 P(7-
0
(7
1(
DEPARTMENT
CUNER TIrvo C UPERTINO
`?'Jilding Department
- :ions MUST be kept at the
t r n It s;unlawfu!to mie any
',s Oil or to dovia.
oval from the Bu :ODE COMPLIANCE
Building official. pp
morel S%ec ifications SHALL NOT "vsuvbed By;
o a,'1 royal of t;p violation{
n V r=e City Or nance or€'-late Law,1
vlQ 020-920PI(101r
i i +
1
1 i
r itr
1 i IYA
OFFICE COPY"",
r
. ,_ '
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
CITY HALL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
C U P E RT I N O (408)777-3228-FAX(408)777-3333
SCOPE OF WORK: 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 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:
3. Water closets shall have an average water consumption of not more than 1.28 gallons per
flush. (CPC 402.2)
4. Shower heads shall have a water flow not to exceed 2.5 gallons per minute. (CPC 402.1.1)
5. 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)
6. Shower stalls shall have a clear interior finish area of 7.1 sq.ft. and be able to
accommodate a minimum 30 inch circle at the threshold level.These clearances shall be
maintained up to a height of 70 inches above shower drain. (CPC 411.7)
7. Shower compartments and walls above bathtubs with installed shower heads shall be
finished with a smooth, nonabsorbent surface to a height not less than 72 inches(6 ft).
(CRC R307.2)
8. The maximum hot water temperature discharging from the bathtub, shower and whirlpool
bathtub filler shall be limited to 120 degrees Fahrenheit. The water heater thermostat shall
not be considered a control for meeting this provision. (CPC 414.5 &418.0)
9. A 30-inch clear width for water closet compartment and 24 inch clearance in front of water
closet. (CPC 407.5)
Electrical Plan Notes:
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.
11. 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 se dee
sleeping area in the.immediate vicinity of the bedrooms and on eve Poa
including basements in dwelling units that have fuel-fired a. N\�'itwhed
garages. ��?� -
12. At least one 20 amp branch circuit shall be provided to supplbathroom receptacte�butlets. �'
Such circuits shall have no other outlets. (CEC 210.11(C %N) P�
13. All receptacles in bathrooms, garages, accessory buil ' cf_,prs, cr.4 v' space�,G J,
unfinished basements, kitchens (where receptacles se o fer top surface�IQN 5f�
utility, wet bar sinks (within 6 feet of the edge of the sink), `pe' rou A ult cofuit
interrupter(GFCI) protection. (CEC 210.8)