15010071 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 878 FERNGROVE DR CONTRACTOR:VANNI BROTHERS PERMIT NO: 15010071
CONSTRUCTION
OWNER'S NAME:
SARATOGA,CA 95070 PHONE NO:(408)253-7028
0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
RECONFIGURE AND REMODEL KITCHEN,INCLUDING
License Class Lic.# OPENING
/3�� WALL FROM DINNING RM TO LIVING RM(260 S.F.).
Contractor Date REPLACE 3(E)WINDOWS
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:$40000
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:37538035 00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 D S$F' RMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter i INSPECTION.
upon the above mentioned property for inspection purposes. (We)agree to save 180 D
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the RQ1 Date:
granting of this permit. Additionally,the applicant understands and will comply
with all non-point so ce regulations per the Cupertino Municipal Code,Section
9 18.
RE-ROOFS:
Signature DateZ' '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 Munici al Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 5 ,2553 d 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age 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 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
918.
Signature Date
........__.._..._.............
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTENO (408)777-3228• FAX(408)777-3333•buildincl(a)-cupertino.org w'
F-1NEWCONSTRUCTION ElADDITION Er
ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS 9 79 R rty o-o u r• APN# � �—,� 3� 0 33
!
STREET ADDRESS.?79 CITY, STATE, eiZIP FAX
CONTACT NAME A '�f / // PHO O d 6O 9- s2s3L E v����0Je
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STREET ADDRESS `V t/ CIT STATE,i IOP'� g ^T�T IT 1fFAX
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❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT. ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC#
e s Z
COMPANY NAMEf/ DD E-M
Vi�NN� i7r'v5. mFA
s�S�hp. reF• �p --26Zy
STREET ADDRESS,rdy CITY STATE,ZIP PHONE
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ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK '�G �Q/ /C)
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL �J.
AREA AREA AREA NET AREATA 6'Y
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA p 9_ REMODEL AREA
PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH
ATTACH
#DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY [I YES
BEING ADDED? []NO ADDITION? F]NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN (] r''„ , ',�"� S ) TOTAL VALUATION:
PLANNING APPL# (-]NO PLANNING APPROVAL LETTER EICHLER HOME? []NO _ a �'�" ' V
By my signature below,I certify to each of the following: I am the property owner or author n 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 b ' n onstruction. u orize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED �� r
New SFD or Multifamily dwellings: Apply for demolition permit for G �
❑ OVER THE-COUNTER ❑ ,BUILDING PLAN REVIEW .�
existing building(s). Demolition permit is required prior to issuance of building I
permit for new building: ? REss' ❑ PLANNING PLAN REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 3sTnNnARnt 0i7BT IC WORKS
form if any Hazardous Materials are being used as part of this project. ❑ EmE DEP
_
Copy of Planning Approval Letter or Meeting with Planning prior to
�` ❑� Arux�,RXsE_ERDISTRICTP
submittal of Building Permit application. I n � }I �� �� .w
=Nw ?'vc`.. .T, 3 m ,f ',. `o•u -1`IVIRONMENTAI:,HEALTH.
BldgApp 201].doe revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
WAPN:
DDRESS: 878 FERNGROVE DR DATE: 01/13/2015 REVIEWED BY: MELISSA
375 38 035 BP#: -VALUATION: 1$40,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM
USE: p PERMIT TYPE:
WORKRECONFIGURE AND REMODEL KITCHEN INCLUDING OPENING WALL FROM DINNING RM TO
SCOPE LIVING RM (260 S.F.). REPLACE 3 (E) WINDOWS
A
_.
L9ec-=. 1'Irrn t , Phriri?>. I luta{'tactti 1 e�'. t' l t=tele
Pei,iii;t rate: Pti n:F. Permif Fee: 1 4�cPv,tP�iF t� :
( ,Iiei �r Iec li, rrs,5;- Ea—L—_
Other Pluinb Trash. Ot,'tcr`1 a c.Ips:
firs). I Phuiib. hisp. Fee: 1;le;,
NOTE:This estimate does not include fees due to other Departments(Le.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 De t or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 F, . 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 2-6 07 s.f. Remodel,Kitchen(<=300 sf)
Suppl. PC Fee: Reg. 0 OT0.0 hr's $0.00 $645.00 1REMRESKIT
PME Plan Check: $0.00 L--L-j # Window/Sliding Glass Door
Permit Fee: $0.00 $431.00 IWINREP Replacement
Suppl. Insp. Fee: Reg. 0 OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C onstri.ich.on 7'ay., F
Ahn;" itrafive !"C,,�, 0
Work Without Permit? 0 Yes Q) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
Building or Structure 0
T I'L t t'el l)/)C't t}i'1C'.nl al iorl Fees:
Strong Motion Fee: 1BSEISMICR $5.20 Select an Administrative Item
Bldg Stds Commission.Fee: IBCBSC $2.00
- m_ .>
$7.20 $1,076.00 TOTAL FEE: $1,083.20
Revised: 01/06/2015
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MMUNITY DEVELOPMENT DEPARTME CL
BUILDING DIVISION - CUPERTINO r i X11CL
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APPROVED 29Z i r8.6'LK72.6 V/1(13.SH i „ W4 O
This set of Plans and specifications MUST be kept at t 692" -----L________J „y,, �,�w ,. O
BELow as
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be held to permit or to be an a royal of the viol N KITCHEN 0
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EXACT WIDTH TO BE DECIDED BASED ON SITE CONDITION %12-205 l.D-
•+3�._p-0.
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COMMUNITY DEVELOPMENT DEPARTMENT VU
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BUILDING DIVISION 1 z
CITY HALL t e�
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 � V
C U P S RT 1 N O (408)777-3228• FAX(408)777-3333 O v CIO fl
SCOPE OF WORK: Kitchen and Bathroom Remodel.
Project shall comply with the 2013 California Building (Base code 2012 IBC), 2013taal•;f
(2012 IRC), Plumbing (2012 UPC), Mechanical (2012 UMC), Electrical (2011 NEC), '`r. 2g42'IFC,J�
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 403.2)
5. Showerheads shall have a maximum flow rate of 2.0 gallons per minute measured at 80 psi
and must comply with CALGreen. (CPC 408.2)
6. Kitchen faucets shall have a maximum flow rate not to exceed 1.8 gallons per minute at 60
psi. (CPC 403.6)
7. Residential lavatory faucets shall have a maximum flow rate not to exceed 1.5 gallons per
minute at 60 psi. (CPC 403.7)
8. Shower compartments, regardless of shape, shall have a minimum finished interior of 1024
square inches and shall also be capable of encompassing a 30 inch circle. These
clearances shall be maintained up to a height of 70 inches above shower drain. (CPC
408.6)
9. 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)
10. 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 408.3&409.4)
11. A 30-inch clear width for water closet compartment and 24 inch clearance in front of water
closet. (CPC 402.5)
Electrical Plan.Notes:
12. 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.
13. 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 separate
sleeping area in the immediate vicinity of the bedrooms and on every level
including basements in dwelling units that have fuel-fired appliances or attached
garages.
14. A minimum of two 20 amp small appliance branch circuits shall be provided for all
receptacle outlets in the kitchen, dining room, pantry, or other similar areas. (CEC
210.11(C)(1))
15. At least one 20 amp branch circuit shall.be provided to supply bathroom receptacle outlets.
Such circuits shall have no other outlets. (CEC 210.11(C)(3))
16. 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 larger shall be
on a separate 20 amp. branch circuit.
17. 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(A))
18. In sll,areas specified in 210.52, all nonlocking type 125-volt, 15-and 20-ampere
receptacles shall be listed tamper-resistant receptacles. (CEC 406.12)
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