14070071 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20978 FAIRWOODS CT CONTRACTOR:GRIDLEY COMPANY PERMIT NO: 14070071
OWNER'S NAME: CHAN RODDY C AND BRENDA M 122 ORCHARD CITY DR DATE ISSUED:07/17/2014
OWNER'S PHONE: 4087258866 CAMPBELL,CA 95008 PHONE NO:(408)374-0900
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E]
C KITCHEN REMODEL 238 SQ FT
License Class_ Lie.# ✓ 7�U� G
t -7 '
Contractor i� /���`/ ' Date
1 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
p2af, of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$90000
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:35913108.00 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 WITHIN1 0 D YS 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' AY ROM 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: g-
granting of this permit. Additionally,the applicant understands and will comply Y
with all non-point source regulations exp r the Cupertino Municipal Code,Section
9 18. —7RE-ROOFS:
Signature Date / 1' ( 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-2333 and
Section 3700 of the Labor Code,for the performance of the work for which this 7 1 7 �y
p Owner or authorized agent. —�' Date: r
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
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION A�
19 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•building5cuoertino.ora
❑NEW CONSTRUCTION ❑ ADDITION �ALTERATION/TI ❑ REVISION/DEFERRED ORIGINALPERMIT#
V
PROJECT ADDRESS !, APN# 41 1-5 /ogfdro
OWNERNAME rPHONE�De' /-7,,1,57 pQ// E-MAIL
STREET ADDRESS � �! CITY,ST�TEdIZI� �v � J� FAX
PHHO'N o
CONTACT NAME E- IL
N
�� kr9�'
STREET ADDRESS Z2 �1� 7 /'r/_ �� TCITY,ST ����1'`C /� �UJ�j FAX 37 y a 2 y
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT li CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRAC R NAME LICENS LICENSE T BUS.LIC#
r rJLG o x
COMPANY A2 E-MAIL FAX
STREET ADDRE (..� PHONE Z 2 0PCf7 UgU p vJ6 /f
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK L
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
is
EXISTG NEW FLOOR DEMO TOTAL µr
AREA AREA AREA NETAREA
BATHROOM KITCHEN OTHER
Jyy/ i
REMODEL AREA REMODEL AREA 1' REMODEL AREA ,'moi" "
f r,
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA:❑ DETACH
E] 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'S NAME: 'iW,,5�_ 'AYkJa�iO
PLANNING APPL# ❑ NO PLANNING APPROVAL LETTER
By my signature below,I certify to each of the following: I am the property owner or authorized agent to ac,k/oon the ftle
wner's behalf."I have read this
n
application and the information I have provided is ect. I ve read the Description of Work and verify it is accura to comply with all applicable local
ordinances and state laws relating t ctio authorize representatives of Cupertino to enter the abov�idea fle�dproperty for inspection purposes.
Signature of Applicant/Agei � � Date: �/' ?tl f
-r r
SUPPLEMINTAL INFORMATION REQUIRED zam <LU[JTINGrSLIP
_New SFD or Multifamily dwellings- Apply for demolition permit for
3'F T7COUIVTEIr , ❑ $UII.DING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. PLANNING PLAN REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure C js�A D fD r' ❑ PUBLIC WORM
form if any Hazardous Materials are being used as part of this project. _
z❑ AttGE� ❑F FIRE DEPT
Copy of Planning Approval Letter or Meering with Planning prior to
submittal of Building Permit application.
MAbt)R ❑ SANITARYSEWERDISTRICT
,.,;,, ;, ❑ tENVIRONMENTAI;HEALTH
B1dgApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20978 fairwood ct DATE: 07/17/2014 REVIEWED BY: Mendez
APN: BP#: -VALUATION: $90,000
xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM
USE: p PERMIT TYPE: i
woRK kitchen remodel 238 sq ft
SCOPE
4
Ptrrnr„h. Plan C he ci ck
ul 'Permit c
z Tr feP• m .�
0117c'r Plumb['t;v"
F"_'.; f'hu"& hu'y.
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 on the prelimina information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 L 711/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 238 s.f. Remodel,Kitchen(<=300 sf)
Suppl. PC Fee: E) Reg. ® OT 0.0 hrs $0.00 $645.00 IREMRESKIT
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee-.(F) Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Work Without Permit? ® Yes (j) No $0.00 1 E)
Advanced Planning Fee_: $0.00 Select a Non-Residential G
Building or Structure 0
;1t5w{,lior7 I`ees: /
Strong Motion Fee: IBSEISMICR $11.70 Select an Administrative Item
Bldp,Stds Commission Fee: IBCBSC $4.00
=; TTBSAL $15.70 $645.00 , TOTAL FEE: $660.70
x ,
Revised: 07/10/2014
Note: All dimensions to be verified in field
46-11/2" MUN"DEVELOPMENT DEP ARTMENT
;
BERTINO = p O
OC
5'-2 3/4" 51-111/161, b'-b 1/511 a,_T P P �VkQ 1 N O
1 t the C p� O
A4 This set of plans and sped cations MUS be kep
223/4"AFF job site during constructi . it is unlawful to ma a any C p O
611410T5 hanger or alterations on same, or to deviat14
FIXED 2168 FI ED ial. =
ere >, M
O
GD! i g ods plan and specifications SHAL
8' pW FR
The !r p ^r or to be an a4,, 1,,t,
l f the viola ion L p, O
be hcz!dE
— — — — — — — — — — — — e` a,, pr ' i� ns of any City OLaw.
O E
N V
I KITCHEN
CAS WI HOOD
I 15'-11"x 12'-6" I -"
T-6"CH O. I T�a�T N'O.
m I VINYL I O°r— O�O- - -I � I W W I N OKiv '------------ wELEG�D�Urc 9'-0" 12'-4"ilk
FAMILY FIREPLACE NOT MEAURED
/�� L— — — — — — — — J o \ \ — — T 1 V//YL CH \\ 19'-11"x 14'-0" I r
T-11 1/2"CH \
CARPET
/ I / RAILING TO BE REMOVED
VACUUM' - �- - - -� / / T \"RI Poo
69REF 171PANTRY �Fflc—#
INTERCOM Gp"/0 4'-0"x 1'-8" CL05ET - - 11114
" x 3'-1" v4'-4" 4'-11 1/8" UNDER STAIPOWDER CL05ET
3'4"x 7'-1" :n 3'-2"x T-0" 1 b'-2"x 5'-3" m
UP 3'-11 1/8"CH 6'-11 13/16"CH in
Q :p 4k!
� VINYL o
Cn
B68 Q v CA
ON.(TO GARAGE) In O
00� as � Mm
DO. l'-.1b?/8" b'-2 1/8" 4'-b 5/8" 5'-4 3/4' to O V
Ln
EXI5TING FLOORPLAN m ►_ -t z
� r �<
n 8 ADDITIONAL NOTES/STAMPS: o vINDEX: _ rg
A-1 EXI5TING FLOORPLANQ � i' v
A-2 PROPOSED FLOORPLAN --Can Me -Typical insulation at 2x4 wall to be R-13, and R-30 for ceiling
A-3 ELECTRICAL FLOORPLAN ---S�eD K r �- insulation. Title 24
pePperTnne La z�-[L r��
A-4 EXISTING & PROP05ED KITCHEN 5ECTION \ �, a r i 'I ' --- ""�= `y CUPERTINO Scale:
I Sbdlyo,_3nalyn I Building Department 1/411 = 1'-0"
GODS EDITION:
o f 1 .Sam y
i_ I = _'� i' I l JUL 1 20%
56OPE OF WORK: �_- �, , Date:
—_—_ '� `�y U_ � - M � ( Padfica Ur 2010 G RG
IeflanRd �� -- —I 1_p ave __:Su
j'I 1 1�4 3 3- 2010 CMC REVIEWED FOR CODE COMPLIANCE 7/15/14
KITCHEN REMODEL TO INCLUDE: s 11 ILpof
-ALL NEW a�
HIGH EFFICACY LIGHTING =Q �� K�A" .=-a a � 2010 CPC Reviewed By: '
Page:
-NEW FLOORS THROUGHOUT KITCHEN AND FAMILY ROOM �����= - w �� '� � �W jl ! 2010 NEC
prtAr ii °� a r r
-ALL NEW APPLIANCES (NOTE: INDUCTION RANGE) ' - m l�(
_ T
° '� PLANSET DRAFTED BY: GEMMA CLARK
- 1.ti..... .�n Dr'• I.... as �dl�x r»:c I ��. 1� .a
Note: All dimensions to be verified in field
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5-2 3/4" 5'7 11 116" 6'-b 1/8" 8'9" 5'-3 1/2" O M
(E) v .0 co
1 (E) fl
'a_ L . O
A4 22 3/4"AFF (E) Ic O
611410T5 FIXED 21068 FIXED N
N V
0
—TRASH - - - DW
REF
KITCHEN - °
x 12'-b" m CABINET PANEL
RA15E CEILING TO FAM.RM.HT. FLU5H WITH Q
(N)HDWD CABINET FACE
INDUCTION
E
SPICMICRO
� i "
NOOK Q
(y
8, x 124$(N) " FIREPLACE NOT MEAURED
I____________1 i -3 FAMILY
= T-T 1/2" 19' 11"x 16'-4" '
T-11 1/2"GH �
LL (N)HDND
9-4
c.
FLAT PANEL ON BACK OF 00 CD
PONY WALL TO MATCH
CABINET FIN15H lime v
Q
(4)ROS � (4)R05 BROOM
° (E)
r(E) 05ET 2868 - - -"x 3'-1"
4'-4"��4'-11 1/8" 3' T t:
UNDER 5TAIR5 _ s
CLOSET
POWDER(E)D LAUNDRY
3'-8"x'I'-1" '°
3'-2"x T-0" x 5'-3" r N Co
m WE
UP n 3'-11 1/8"GH 6'-11 13/16"GH in N r
(N)TILE (N)TILE o
M
cn °ova
(E)
eee � � •�m
DN.(TO IGARAGE)
13
61-21/8', �-4'455/8" 5'-4 3/4" <
s
vl�� 3'-11 1/41,
16'-b" V N v
CUPERTINO Scale:
;3ui1ding Department 1/411 = 1'-011
JUL i , 201
Date:
REVIEWED FOR CODE COMPLIANCE x/15/14
a
Reviewed By: � Page:
PROP05ED FLOORPLAN PLAN5ET DRAFTED BY: GEMMA CLARK
A-2
Note: All dimensions to be verified in field
>777
00
(N)11—b'�E0
-- (N)LED
V
rFKITGHE __ �) v M
)LEDIN)LEDIL 0
(N)LED O- I NOOK \ FIREPLACE NOT MEAURED N
R I (N). I � FAMILY I r
(N)LED (N)L D \ R 1
\ (N) ED \ \\
L — — — J
v
(N)LED (N)LED \ \
(N)LED ( )LED \\ / \ / \
U tj
(N)LED (N)LED N \ \ R a N
i (N) t (E)Thermostat (E) (E)
T \ /
rc I
w �..
(E)VACUUM
—w (N) "LED ?-' IN)(N)�(E) (E)
%r
N) o y GL05ET
w N) (N) � —
N)PHON
O � �
1 UNDER 5TAIR5 W (E)
POWDER GL05ET LAUNDR
I NO ELECTR1CAL*WRK TOLrWNDRY
Kitchens -At least one receptacle shall be installed
—UP ■
at each island counter space. GEC 210-52(cl(2) (N)CO/BD o a
Two or more 20-amp small appliance branch ON.(TO GARAGE)
circuits in the Kitchen shall be required. GEC 210- 00 / ELECTRICAL-DATA-AUDIO LEGEND -
52(b)(1) ° SYMBOL DESCRIPTION
O(E
Kitchens shall have clear passageway of not less Ceiling Fan o
CUpERTiN�
than 5 feet between counter fronts and appliances, artment ❑® � Ven0ladonFans:CeflingMounted,WallMounted o v o d3
Smoke detectors shall be located in all bedrooms & in Building DeP ® CellingMountad1PubFbdures:Surface/Pendant to o
or counter fronts and walls. GBG 1205.1 Rued,Heat Lam,Low Vo"e N W
hallways in the immediate vicinity outside of bedrooms as :� allWalMSc°nceLight Fixtures:Flush Mounted, 06 0 m
per GBG 901.2.12. Smoke detectors in the remodel and/or t JUL 1 , 2�1q Chandelier Light Fixture o v
At least half(50%)of installed wattage of luminaries addition shall be hardwired with battery backup. CE o FluorescerdLigMFbdure o m
In
in Kitchens shall be high efficacy and the luminaries REVIEWED FOR CODE CG��(, //phLipN 240V Receptacle ' Ca ISL � Z
that are not must be switched separately. T-b and Smoke detectors in the existing construction may be �° //' .110VReceptacles:Duplex,WeatherProof,GFC1 a� cL
9 y Reviewed By. w�� r- 3
compact fluorescent are high efFcacy luminaries. T- Switches: away >s
24 battery operated only. s"$$$ y s
$ Switches:Dimmer,Timer ON
Carbon monoxide detectors shall be located outside and in 4$ Audio Video:Control Panel,Switch
In the kitchen GFGI protection required for all luminaire high effidency watts x quantihj = hlgh efflcien or otWattesr O- Speakers:Ceiling Mounted,Wall Mounted
the immediate vicinity of bedroom(s). watits Seale:
e yes no "SZ-'JZ 4 Wall Jacks:CAT5,CAT5+TV,TV/Cable
countertop receptacles. GEG 210-8(a)(b)
All new electrical outlets to be tamper proof. GEIS 406.12 ReD sled E] 1:114.6 12 115.2 g Telephone Jack 1/411 = 1'-0"
Un
In the kitchen GFGI protection required for all LEdercab ❑ 4.5/ft. 10.6 ft 471 Intercom
countertop receptacles. GEC, 210-b(a)(6) Date:
All branch circuits that supply outlets installed anywhere in Pendants x 10 s 30 Q Thermostat
the dwelling shall be protected by an arc-fault interrupter, ❑ ❑ o Q Door Chime,Door Bell Button x/15/14
Other Rooms-All luminaries in these rooms shallexcept outlets at kitchen counters, in bathrooms, and in
totals a 222.q b 50 0= Smoke Detectors:Ceiling Mounted,Wall Mounted
either be high efficacy or shall be controlled by a unfinished basements. All outlets not required to be GFGI Complies if a Is greater than or equal to b: yes❑ no ❑ Electrical Breaker Panel Page:
dimmer switch. shall use AFGI breakers. A-3
PROF05ED ELECTRICAL PLAN5ET DRAFTED BY: GEMMA CLARK EC,.
Note: All dimensions to be verified in field
4)
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1 EXI5TINO KITCHEN 5ECTION 2 PROPOBED KITCHEN SECTION
A4 A4 C U PE.RTI NCS
Ruilding Department Scale:
,! Not to Scale
s
JUL I -� 201
Date:
REVIEWED FOR COD(;OMPLIAf�CE' 1/15/14
Reviewed By. �°
Page:
A-4
PLAN5ET DRAFTED BY: GEMMA CLARK
c.