15040004 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20133 NORTHCREST SQ CONTRACTOR:PLANET PERMIT NO: 15040004
CONSTRUCTION
OWNER'S NAME: MACK CATHERINE G 1347 MAIN AVE DATE ISSUED:04/01/2015
OWNER'S PHONE: 4089962667 SACRAMENTO,CA 95838 PHONE NO:(916)2754171
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ 1
R. S n/ �� KITCHEN REMODEL 250 SQ FT TO INCLUDE M,E,P S
License Class Lic.# `� b
11 S
Contractor. I l�f�rvt "late
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
CWe and that my license is in full force and effect.
Il►ereby 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:$19000
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:31638078.00 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 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 b Date:
granting of this permit. Additionally,the applicant understands and will comply y'
with all non-point source regulati erg Cupert icipal Code,Section
918.
RE-ROOFS:
Signature Date 1 J 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. 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
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date:—'`�-45
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
GENERAL PERMIT APPLICATION � MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
� � (408)777-3228•FAX(408)777-3333•buildina(a)cupertino.org NO MISC
®PLUMBING rte. MECHANICAL ELECTRICAL ❑MISCELLANEO/UUS
PROJECT ADDRESS 20 3 3 4r4 Gr-es APN#
OWNERNAME /.I /1 /y / I(J PHONE, o p - pr9` Z(z) E-MAIL
STREET ADDRESS 3 N �C li•` �c`Tyj,��
{EE ZIP o (CI`P `l FAX
t �o J "(
- CONTACT NAME PHO E-MAIL
C�c< < O Sere (6 V7 7-733
STREET ADDRESS !L(j J�, p CITY, �,��` ,_ „r r l�SO FAX
❑ OWNER ❑ OWNER--BDER ER ❑ OWNER AGENT- CONTRACTOR ❑CONTRACTOR RAA EENNT 't't❑ ARCHITECT']❑ENGINEER ❑ DEVELOPIIt ❑ TENANT
CONTRACTOR NAME r C ` 4� ' ^y 0 LICEN NUMBEIj�/ 77LICENSE YPE BUS.LI I^ �/
COMPANY NAME �yr _ � ,wn� /� E-MAIL, js t0 FAX Go
STREET ADDRESS �?rA �t\_ L(,, Q STATE,ZIP ^�� PHONE n 7� 1117(
ARCHITECT/ENGINEER NAME Y i `,/LIICENSE NUMBER l/ BUS.LIC# G _1
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑SFD or DUPLEX MULTI-FAMILY PROJECT IN WMDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES
BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER/HOME? ❑ NO
DESCRIPTION OF WORK
yW ri L
TOTAL VALUATION:
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 hav the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to builcons ction. I e oto enter the aboverltified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED , r
LA�'iCE,„USE �.
k99,
� _ a MMU COM.T,EIt
�FXPRESS a
AN
MEPMiscApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20133 northcrest sq DATE: 04/01/2015 REVIEWED BY: Mendez
APN: BP#: *VALUATION: 1$19,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM
USE: P PERMIT TYPE: i
WORK kitchen remodel 250 sq ft to include m e 's
SCOPE
k4
,L1ech. i''lan(7heck Phenrh. Plan Cheek 1,lec_Plan Check
rllech. 7'etnrit Fee: Ptr mh.Permit Fee: Elec. Permit Fee:
C)th<:r Alech, rrtsn. Other Plumb Inslr. EIF __ Other LYx.Insp.
1lerh. 0
Insp. Fee: Phw?b. rasp. Fee: 1>l1ec_Insp. Fee:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). Theseees are based on the relimina information available and are onlyan estimate. Contact the Det or addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 F-250-1 s.£ Remodel,Kitchen(<=300 sf)
Suppl.PC Fee: (E) Reg. ® OT 0.0 hrs $0.00 $645.00 LUMRESKIT
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: $0.00
C onsiruction Tax:
Administrative Fee: 0
Work Without Permit? ®Yes (E) No $0.00 0
Advanced Planning Fee: $0.00 Select a Non-Residential E)
Building or Structure 0
Truvel Uoc°ulnentation Fees: i
Strong Motion.Fee: IBSEISMICR $2.47 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
Now
$3.47 $645.00 TO .FEE $648.47
Revised: 02/14/2015
r i
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. : Perinanently'installed lighting in Kitchens shall be high efficacy luminaires. Up to 50%o of the
"vatta a of ermarientl instaledlighting-inkitchens may be in lights,that are not high efficacy. .
(150(k)(8))
3.- Permanentlyinstalled'luminaires-in bathrooms;garages,laundry rooms and utility rooms shall be
high'effieacy,luminaires OR are controlled by an occupant.sensor(s)certified to comply with Section
119 that does nat turri.on'automatcally or have an always on option. (150(k)(10))
Plumbing elan notes:
4.` Waterclosets`shdIFhave 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 interio -area of 7.1 sq.ft.and be able to accommodate a
minimum 30 inch circle at the threshovel.These clearances shall be maintained up to a height of
70 inches above shower drain. (CPC
8. Shower compartments and walls abov bs with installed shower heads shall be finished with a
smooth,nonabsorbent surface to a hei less than 72 inches(6 ft). (CRC R307.2)
9. The maximum hot water temperature tching from the bathtub, shower and whirlpool bathtub
filler shall be limited to 120 degrees FaIlMeit. The water heater thermostat shall not be considered
a control for meeting this provision. 9.4&408.3)
10. A 30-inch clear width for water close ment and 24 inch clearance in front of water closet.
(CPC 402.5)
a
Electrical Plan Notes:
11. The installation of smoke alarms ina following areas shall be provided: (CRC R314.3)
a. On the ceiling or wall outsid !h separate sleeping area in the immediate vicinity of
bedrooms.
b. In each room used for sleepin oses.
12. The installation of carbon monoxide alarms in the following areas shall be provided: (CRC 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.
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 01/15/14
Mask pathway to working area, includes masking walls and flooring as needed for dust control. Haul away construction
debris existing Remove v 'sting c ou
rater tops, cabinets and appliances at kitchen location. Remove existing drop down ceiling at
kitchen ceiling location to match ceiling at riving room. *Additional plumbing, electrical or mechanical work may need to be
Y f done.Remove and reset floor register.Remove existing light fixture at dinning area. Remove existing linoleum f1
, '• : ,���SINK � '.
g floor
WASHER ;..:.floor, Remove existing carpet, pad and tack strip at first floor location.Some concrete may need to patched- Price TSDat after
------------
al„ removal.Remove existing hardwood floor at first floor location.Prep frame after drop down ceiling removal, Remove and
reset outlet at hood location. Add switch for under cabinet light/s at location. Hard-wire for(3) under cabinet light/s Install
(3) under Cabinet light/s.CustO
mer will provide lighting.Replace(3)existing outlet/s to GFCi tamper resistant outlets at
kitchen location. Add(2) GFCI outlets as needed per code. Run 110 volt dedicated electrical line to refrigerator location.To
mined by inspector-price not yet included. *Additional drywall work may need to be done which is not included in
f th slineritem. Repair drywall at framed in ceiling. Re
k- 3 f ,� � g pair drywall after demolition location: Any texturing work that will be
n
dans will be matched as close as possible 10(3/a match no guaranteed. Refloat/texture ceiling as needed. 100%match no
� w ° -guaranteed, Item Description Total PAINT Paint 2 tone color at kitchen walls, ceiling and trim. Paint 2 tone color at living
LU
M room walls,ceiling and trim. Paint 2 Mone color at upstairs hall room walls,ceiling and trim. Paint 2 tone color at dinning
3 " M1n4f l room wails, ceiling and trim. *No doors included for paint. Customer will provide paint. Install free floating vinyl floor at
kitchen,dinning and living room locations.Customer will provide flooring and instructions. - Price to be determined.Install
new baseboard MDF paint grade.Customer will supply baseboard.365.001PRPFNSH Prep, paint and finish baseboard. Labor
4 i onl nst l 1/4 round at(3)door locations.Labor only, Finish plumbing at kitchen sink only. Install garbage disposal. Labor
t y I1
H , only. lnsipll angle stops with hammer valves at kitchen sink location for hot and cold. (Any additional angle stops will be
Y rt charged$35 each.) Install dishwasher.Labor only; After counter tops and backsplash are installed. Install refri
gesto L b
or
r only. Aft�r counter tops and backsplash are installed.install free standing range. Labor only. After counter tops and r, a
.`'' backsplas; are installed. If old range is being reset new brackets are required per CA code. Install standard hood vent. Labor
w
r only. After counter taps and backsplash are installed, install osmosis water filer. Labor only.
s ,I
CUPERTINO
Cathy Mack r
quildinQ Department
20133 lVorthcrest S are COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DI%ASION -CUPERTINO
Cupertino, CA 95014 APPROVED REVIEWED FOR CODE COMPLIANCE
This set of plans and specifications MUST be keit at the
job site during construction. It is unlavelul -,ke any Reviewed By
i �C/� changes or 2,1t¢r�,t�cns ol saw , or Y ;
therefrom, with+t:t a,
pef-,! } U,: t
S Tp.e @taping ci t rss �� rr, j T
2� Y'
M
CUPERTINO
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300.TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 buildina(a)cupertino.org
Owner Name CO -T Y -e- 1 rte— /V1 a cPermit No. 15 0 00D
Address o;0
_ .... .._.....
Please refer to the attached California Civil Code Sections 1101.1— 110 1. 8 which -are part of this Certification form. .
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply.` Sign below and skip the rest of the fori'i.
Owner' Signature:
CX' No Go to Question 2.
Date: (a/�!1s
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:
Sign below and skip the rest of the form
Owner' Signature: a
V' No Go to Question 3.
Date: V' Lff
3. Is water service permanently disconnected for your building?
❑ Yes. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: �j�N Date:
No 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. Sign below and skip the rest of the form.
Owner' Signature: Date:
D� 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. 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).
1K My property is a »zult jmnily 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).
❑ Myproperty 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.
SB4072014.doc revised 03118/14
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving `i
pltiinbing .fixtures throughout the building (regardless of whether property undergoes alterations or
rovements).
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 1101.1 through 1101 78, 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 with the requireme is as indicated in the table below.
Owner's (or Owner Agent's) Signature: Date: OWLS
Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit.
i. u the existing piumomg nxture water usageinow rate is equal to or lower than the tigure shown, it is not required to be upgraded.
SB40 7 2014. doc revised 03/18/14
Non -Compliant
Water -Conserving Plumbing Fixture.
P_lumbin Fixturel,
(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-CALG'een 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
I 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.
i. u the existing piumomg nxture water usageinow rate is equal to or lower than the tigure shown, it is not required to be upgraded.
SB40 7 2014. doc revised 03/18/14