15030110 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10311 N BLANEY AVE CONTRACTOR!'gBft—'F '$E PERMIT NO: 15030110
DSD
OWNER'S NAME: RAJ MAISURIA 27�� Z��
DATE ISSUED:03/17/2015
OWNER'S PHONE: 17 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL
REMODEL(2)BATHROOMS 82 SQ FT TO INCLUDE M,E,P'S
License Class CIO Lic.#
Contractor Date Q= 7-0
I hereby affirm th t I am licensed under the provisions of Chapter 9
(commencing with ection 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:$12000
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:31633008.00 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 FRO T CALLED INSPECTION.
indemnify and keep h less the City of Cupertino against liabilities,judgments,
costs,and expenses w ch may accrue against said City in consequence of the
granting of this permi Additionally, Ii understands and will comply Issued by: Date
with all no oint so ce regulatio per the ertin!unicipal Code,Section
918
RE-ROOFS:
Signature Date 2—o S 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.
❑ O ER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that 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. 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 Cu ertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Section 5 ,. 533 nd 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized agent: Date:
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 hanniess 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 O
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 6�\
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333•buildinclaa CUDertino.OrC] \
CUPERTINO �-}
Q.1�TEW CONSTRUCTION,.,.•,.O._ADDITION ALTERATION/TI ❑_,REVISION/11DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS +O v� ` (� tT, �APN �L 1 /I -53
OWNER NAME NA n! %A PHONE�jrG E-MAIL
STREET ADDRESSN
CITY, TA ZIP. F.AX
tui _ a '�. _ �� G-i��,'W� cp► 9So�4
CONTACT NAME ♦ PHONY' /�f E-MAIL
STREET ADDRESS.
f CT CITY;STATE,:ZIP N Y-0
iy a FAX
zigA �I C.(
.. ❑ O)ANTR ❑ OWNER-BUILDER' ❑ OWATER-AGENT" CONTRACTOR.':-> CONTRACTOR.AGENT ❑ .ARCHITECT ❑ENGINEER -❑ DEVELOPER - -❑TENANT
CONTRACTOR NAME LICENSE ATUMBER LICENSE TYPE BUS.LIC;V
COMPAINTY NAMEb E-MAIL FAX
e- aQAeA- i r� t .re)l 'k-0 gob.-.6 r!)
STREET ADDRESb STATE,ZIPPHONE
45
ARCHITECT/ENGINEER NAME LICENSE NUMBE BUS.LIC 4
1923 y
COMPAINTY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK V n A-
EXISTING USE PROPOSED USE CONSTR TYPE 9 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 DECKAREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH
❑ATTACH
R DWELLING UNCTS: IS A SECOND UNIT ❑YES SECOND STORY [:]YESBEiNGADDED? E]NO ADDITION? E]NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OFI IS THE BLDG AN ❑YES "•RECEIV;E .'B� xt�b;� ,?. '
...D = TOTAL VALUATION:
PLAN'.NING APPL 9 []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO ��� '` ��
By my signature below,I certify to each of the following: I am the property owner or authorized agent t ct o e pro rty 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 i ccurate. agree to comply with all applicable local
ordinances and state laws relating to bui �o tion. I authorize representatives of Cupertino to enter e a ove-Id tifIied property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED fCICKTYPE � nam
Ra13TincsLtr { ,
New SFD or Multifamily dv ellings: Apply for demolition permit for
DYER TI _VNTER £BUII DAG PL S Ia TtEVIE\3
existing building s). Demolition permit is required prior to issuance of buildingRE
_ #�
pen-nit for new building. EXPRESS a? � �P�A2�^��G PLAItREViE�V "
�� m �
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure SMAADART) '
form if any Hazardous Materials are being used as part of this project.
_Copy of Planning Approval Letter or Meeting with Planning prior to �
C]�atis rox �� � I r R si RSIs J c� f'-
submittal of Building Permit application. � �
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10311 n blaney ave DATE: 03/17/2015 REVIEWED BY: Mendez
APN: BP#: *VALUATION: 1$12,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1 R3SFDREM
WORK remodel 2 bathrooms 82 sq ft to include m e 's
SCOPE
RY
:Ifech. Flan Check Phimb. Plan Check Elec..Plan Check
L1ec/z. Pernail Fee: Plumb. Permit Fee: lslec. Permit Fee:
Other A(ech. Irup. Other Plumb Insp. Lj I Other L'lec.Ins/,.
Ltech. Ins)). Fee: Plumb. hasp. Fee: Elec.Insp.Fee:
NOTE:This estimate does not include fees due to other Departments(La Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). Theseees are based on therelimina information available and are only an estimate Contact the De t or addn7 info,
FEE ITEMS(Fee Resolution 11-053 E . 7/1/131 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00F_82 s.f. Remodel,Bath(<=300 sf)
Suppl.PC Fee: (j) Reg. ® 076.6 hrs $0.00 $645.00 IREMRESBAT
PME Plan Check: $0.00
Permit Fee: $0.00
Supp/. Insp. Fee Reg. ® OT0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C'onstruction Tax:
r dininistrative Fee: 0
Work Without Permit? ®Yes (E) No $0.00 0
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Travel Documentation Fees: Building or Structure
i
Strong Motion Fee: IBSEISMICR $1.56 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
$2.56 $645.00
Revised: 02/14/2015
10311 North Blaney Avenue, Cupertino CA 95014 J : 3/11/2015
FT).PE A-
Family Bathroom (current and plan)
98.5"
z
2211
F
Z
s
. # 60
11
31" 37.5"
1
Cis +°
� k
a
zC
LEI
o` m
LA 30"
- = CUPERTINO
Ruildina, Department;
-13
n ItVL Ai
FY
4 't-
J ' REVIEWED FOR CODE COMPLIANCEa OFFI 'T
Reviewed fay: G�
Page 1 of 3
10311 North Blaney Avenue, Cupertino CA 95014 3/11/2015
EnSuite(current)
to Garage
Entrance
41.5"
35"
73"
Nt t` 2
D.
2211
98.5"
CUPERTNO
Bt. Iain � p�a tTr1eY1Z
..:
REVIEWED FOR COCA=ACOMPLIANCE
fteut�vred BY, ��:
Page 2 of 3
10311 North Blaney Avenue, Cupertino CA 95014 3/11/2015
EnSuite-Plan
Entrance
73°
98.5° i� ���
00
Page 3 of 3
ADDITIONAL CODE REQUIRMENTS
Energy code mandatory lighting measures:
1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy
luminaires. (150(k)(7))
2. Permaneritly'iristalled-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 installedluminaires 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. Shower heads shall have a water flow not to exceed 2.0 gallons per minute @ 80 psi. (CPC 408.2)
6. Faucets in kitchens,wet bars,lavatories, laundry sinks,etc shall have a water flow not to exceed 1.8
gallons per minute @ 60 psi. (CPC 403.6)
7. 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 408.6)
8. 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 8307.2)
9. 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 409.4&408.3)
10. A 30-inch clear width for water closet compartment and 24 inch clearance in front of water closet.
(CPC 402.5)
Electrical Plan Notes:
11. The installation of smoke alarms in all of the following areas shall be provided: (CRC 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.
12. The installation of carbon monoxide alarms in the following areas shall be provided: (CRC 8315.1)
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.
13. 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))
14. 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))
15. 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/4 h.p.or larger shall be on a separate 20 amp.branch
circuit.
16. 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))
17. In all areas specified in 210.52,all non-locking type 125-volt, 15-and 20-ampere receptacles shall be
listed tamper-resistant receptacles. (CEC 406.12)
ResKitBathPolicy_2014.doc revised 01115/14
CUPERTINO
Owner Name ti
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE I L E
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
- 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 o FAX (408) 777-3333 • building
(a)cupertino.org
Permit No. �So.&c.
%.avu %-VUR v LLUIIO a oauy u awl v ----
Owner' Signature: Date:
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?
es Civil Code Sections 1101.1 through 1101.8 do not apply.
he licensed plumber's certification has been provided to the Building Division.
Sign below and skip the r of rm.
Owner' Signature: Date: S1 v olc
No Go to Question 3.
Is water service permanently disco 'ted for y ur building?
El Yes Civil Code Sections 11 .1 thr 101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: Date: 4.1 1z. 1 2l -i`
l No Go to Question 4.
Is your real property built and availabl use or occupancy on or before January 1, 1994?
El No My real property is built d ailable fo,puse or occupancy after January 1, 1994.
Civil Code SecZe
ou 1 1. do not apply. Sign below and skip the rest of the form.
Owner' SignatuDate: 4, sal 2,0)(
Yes My real propeland available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
My 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).
❑ Myproperty 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-conservingplurnbing fixtures.
SB407 2014. doc revised 03118/14
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).
I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have -been replaced
with water -conserving plumbing fixtures in accordance with Civil Code Sections 110 1. 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 co ly wi!-Lhepoquirements as indicated in the table below.
Owner's (or Owner Agent's) Signature: Date:
Upon completing and signing this Certificate, please return it to the Building Division in order to final your, permit. _
-
- Non -Compliant
' Water -Conserving Plumbing Fixture
Plumbing Fixture.
(Fixture Coni plying with Current Code Applicable to -New Construction)
MaximumVllater'Usa
'Flo'
Rate
Fixture -Type
Wafer Usage
2013 CPC Ch'. ,
2013 CPC Ch: 4
2013 CPC Ch. 4
/Flow .Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div': 4.3-
2013 CALGreen Div. °6.3"
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 psi
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 tigure shown, it is not required to be upgraded.
SB4072014.doc revised 03/18/14