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14120068CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10241 STONYDALE DR CONTRACTOR: HUY THE BUI ELECTRIC PERMIT NO: 14120068 OWNER'S NAME: FREMONT, CA 94539 PHONE NO: (408) 206-0337 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LICENSED CONTRACTOR'S DECLARATION REMODEL (E) MASTER & HALL BATHROOMS, Tic. # �� h License Class cI C jrr��. NON-STRUCTURAL WALL RECONFIGURATION (127 S.F.) �" Date Contractor } ��[ 1 I hereby affirm that I a9d 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 Valuation: $18000 pe formance of the work for which this permit is issued. Sq. Ft Floor Area: Zave 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: 32637017 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 DA I2MIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DA CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, of the costs, and expenses which may accrue against said City in consequence e: !i granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. RE -ROOFS: " ( Signature Date 2 All roofs shall be inspected prior to any roofing material being installed. If a roof is for installed without first obtaining an inspection, I agree to remove all new materials inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: 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) HAZARDOUS MATERIALS DISCLOSURE 1, as owner of the property, am exclusively contracting with licensed contractors to the (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the construct project 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 Section 25532(a) should I store or handle hazardous declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, material. Additionally, should I use equipment or devices which emit hazardous defined by the Bay Area Air Quality Management District I Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sectio 5505, 25533, a d 25534. t - for this Date: r Section 3700 of the Labor Code, for the performance of the work which Owner or authorized agent: 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 I hereby affirm that there is a construction lending agency for the performance of become subject to the Worker's Compensation provisions of the Labor Code, I must work's for which this permit is issued (Sec. 3097, Civ C ) forthwith comply with such provisions or this permit shall be deemed revoked. 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, may accrue against said City in consequence of the I understand my plans shall be used as public records. costs, and expenses which 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 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 • building Ccupertino.org GUPERTINCerrru diFeTN/TT RFVTCT(N/T)FF FRRR) 7RTOTNAT. PF.RMTT #n ntcm !nXTLTT Tf"rTnAT PROJECT ADDRESS 7APN # �? �J / _ 2 9 ` (D I - • OWNERNAME CONTACT NAMEJ a n+ PHONE q06 - /-10 / E-MAIL' n; . Sar "1 STREET ADDRESS ^ � / CITY, STATE, ZIPP C �, FAX OWNER ❑ OWNER•BU2DE OWNER AGENT 11 CONTRACTOR ❑ CONTRACTOR AGENT [n ARCHITECT ❑ ENGINEER 11 DEVELOPER 11 TENANT O T Q AMF, 00,11 LI SE F 5 ;2) J LICENS YPE BUS. LIC G� 3 U Y NAME r C_l]')iAE-MAIL \ FAX STREET A DRE CITYTAS TE, ZIP V P ONNol 7 ARCHITECT/ENGrNEER NAME LICENSENUMBER BUS. LIC #/ COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK permi vvv m re de-(-% k EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREt NEW FLOOR AREAVS-0 DEMO AREA I TOTAL NET AREA T �� BATHROOM KITCHEN OTHER REMODEL AREA `n REMODEL AREA ��. REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT DYES SECOND STORY DYES BEING ADDED? ❑NO ADDITION? QiiO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO O O O� By my signature below, I certify to each of the following: I the property owner or authorized on the property own 's behalf. I have read this application and the information I have provided is correct. ave 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 constructio authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 1 0 — / W ('-I> SUPPLEMENTAL INFORMWiTNREQUIRED.,+ ° " •�°''' OTJNT�E�2 LDI�'G;PLANTRE,,VIEW�s� ��. New SFD or Multifamily dwellings: Apply for demolition permit for _ existing building(s). Demolition permit is required prior to issuance of building permit for new building. � �-B _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure I { uBLlcwolixs7 form if any Hazardous Materials are being used as part of this project.h _ Copy of Planning Approval Letter or Meeting with Planning prior to 0"iaSEWR AIS submittal of Building Permit application. RON]YIEN'IIALHEAI BldgApp_2011.doc revised 06/21/11 M CITY OF CUPERTINO 7n C1T7A ii A Tl113 lDTTTT 7 ll%Td" nl[VTCT(lN 1' iJ1:J JJ1.l 1 ilrlt 1 i — — — -- QTY/FEE ADDRESS: 10241 STONYDALE DR DATE: 12/15/2014 REVIEWED BY: MELISSA 19APN: 326 37 017 BP#: *VALUATION: $18,000--� ':PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY—.—[ SFD or Duplex PENTAMATION 1 R3SFDREM PERMIT TYPE: i USE: PME Plan Check: WORK REMODEL E MASTER & HALL BATHROOMS NON-STRUCTURAL WALL RECONFIGURATION SCOPE (127 S.F.) 1'Ixrsxl7. 1'(ari (r c� I_ he"". Plan C hack Peiv 1 F,e'e: l'ltd af3. I'r:r»Z;t l ee: f 01her Plumb Tnap. tJst�eti �<:€. ffts7:�. Li Tl711Ytt"). Fee: aee. Imp. L'C6: rc_ rv__.•_.. c:.... 0,...s...... Q,,...,r• [)icfrint .Qrbnn/ NOTE: This estimate does not include fees aue to other uepartmems (i.e. uturtamg, . �..r�... �• ��, - •• ��•-- _.. __ _ ____ _ _ _, _ fir, [)ant inr ndfln'l info_ District, etc.. these tees are oasea on me preurrurtu, FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) rra vrnouoav1. FEE — -- QTY/FEE _._ MISC ITEMS Plan Check Fee: $0.00 = s.£ $645.00 Remodel, Bath (<=300 sf) IREMRESBAT Suppl. PC Fee: (D Reg. ® OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.(E) Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction TUX." 1cdnr'tri tr ti °> 1'£ f: 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 A Tra ol, %.)oel'arle:ntatio n Fees: Strony Motion Fee: IBSEISMICR $2.34 Select an Administrative Item $645.00 TOTAL FEE': $648.34 Bldg Stds Commission .Fee: IBCBSC ` $1.00 3.34 meviseu. UO// -U// -U 1•+ Corridor II � II � 2'-6" 0'-4" New closet openingrR - t,/1 o UPER t INO Medicine \ R' ® '1 S(li djna CA cabinet y N .1n,;3rtMent N (Bench' 7 - 7 GFCI SI SV Step/ U GJ Shower U R R Vanity enclRosure ed By (,ply��t-1ANCa� I I eV BW R I i1 T _ Vanity Tub =_ J 32"x60" o d' , ' I - Bedroom 1' -101. 3' - 0" 2'- 6" J,-JO.. iO 3' - 10" 8 Master Bedroom YRS( 64.33 SF eo kq 00 74.22 SF 17'7 r/7 GFCI /, 7'-4" -8" SS Level 1 Eexisting New plan L Eexisting 1 window window sarit B. Schwarz Design 960 Terrace Drive l_.os Altos 10241 Stonydale Drive, Cupertino APN# 326-37-017 650.863.4702 saritbschwarz@gmail.com Scope of work: remodeling 2 bathroom, reconfigure the space, uptate lighting and Address t o2 c, I SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingQa cuoertino.org /_I f, Permit No. i (2-0()6� 0/U �'1� �1 # of Alarms Smoke: -AT Carbon Monoxide: PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: I AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: h -t dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree ............. ....................................... Date: ,. .4b ... . Contractor Name: — k-IC4 t Si nature..... .................... ........................ Lic.# ... ....... Date: �6 — / _.-%.3 Smoke and CO form.doc revised 03/18/14 CUPERTINO Owner N Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 9/ -No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. "o Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. fro Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. t? Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one.of the three following statements and sign bottom of form.. Please check ONE of the following: "y property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-cornpliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the followine page. / Division in order to final your building rmit. SB4072015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doc revised 08/26115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 si Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doc revised 08/26115