15070015 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10893 SWEET OAK ST CONTRACTOR:CHEN'S CONSTRUCT[ON PERNIIT NO: 15070015
CO
OWNER'S NAME: DOS SANTOS CARLOS AND VIJAYA 1271 WASHINGTON AVE DATE ISSUED:07/02/2015
OWNER'S PHONE: 4085066164 SAN LEANDRO,CA 94577 PHONE NO:(408)655-9488
LICENSED CONTRACTOR'S DECLARt1TION JOB DESCRIPTION:RESIDENTIAL � COMMERCIAL �
KITCHEN REMODEL(126 SQ FT); REMODEL(2)
License Class Lic. � BATHROOMS
(105 SQ FT).
Contractor J � Da[e �
I hereby affirm that I am licensed under the provision of C apter 9
(commencing with Section 7000)of Division 3 of the Business&ProTessions
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.4rea: Valuation:$30000
t have and will maintain Worker's Compensa[ion Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. APN Number:32651040.00 Occupancy Type:
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 FROM 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 [ssued b /�/l� �IG� Date: / r���
granting of this permit. Additionally,the applicant understands and will comply Y�
with all non-point source regulations per[he Cupertino Municipal Code,Sec[ion
9.18.
r� RE-ROOFS:
Signature ___�Date �c All roofs shall be inspected prior to any rooting material being installed. If a roof is
installed withou[first obtaining an inspection,[agree to remove all new materials for
inspection.
❑ OWNER-BUI ER DECLARATION
Signature of Applicant: Date:
I hereby affirm that 1 am exempt from the Contractor's License Law for one of
the following hvo reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I,as owner of the property,or my employees wi[h wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
l,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOL�S MA7'ERIALS DISCLOSLJRF,
construct the project(Sec.7044,Business&Professions Code). 1 have read the haaardous 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 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as deTined 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
1 have and will maintain Worker's Compensation lnsurance,as provided for by the Health&Safety Code,Sections 25505,25_d�,and 25
Section 3700 of the Labor Code,for the performance of the work for which this /;�
permit is issued.
Owner or authorized agent: ' � ate:
I certify that in the performance of the work for which this permit is issued,I shall v
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 exemptioq 1 CONSTRUCTION LENDING AGENCI'
become subject to the Worker's Compensation provisions of the Labor Code,I must 1 hereby aftirm that[here 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[his permit is issued(Sec.3097,Civ C.)
Lender's Name
APPL[C�NT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above inYormation is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representa[ives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
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 PERMfT APPLICATI�N
�
- ,� COM�diUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333 • buildinq(�a cupertino.orq r ,' L_-�j "
CUPERT(NO �
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT T
PROTECf ADDRESS �� �7 � APN# . �
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OW1Q NA P/�� �` PHO. _ �� E-M.AIL
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STREET ADDRESS CITY, STATE,ZIP FAX
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COMACT NAME 1 PHO � ' E-MAIL(� �
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STRE I'ADDRESS A CITY,ST , ZIP FAX � `
❑ O�l'NER ❑ OWNER-BUILDER ❑ OVl1�cR AGENT ONCRACTOR �CO1vTRACTOR AGENT ❑ ARCFIITECT �ENGII�TEER ❑ DEVELOPER ❑ TEI�AI�T
CONTRACTOR A'AME \ LICENSE NUNIBER � LICENSE TYPE BUS.LIC#
C01viPANY NA1J ' E-M.A1 � FAX
' �.
S7'REET ADDRES � � F � CITY,S E ZIP � � PHO ,�C/e' (""�
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ARCHITECT/ENGIl�'EER NP.ME LICEI�SE I��'1�iBER BUS.LIC#
COMPA?�^.'NAME E-MAIL FAX
STFEET P.DDRESS CITY,STATE;ZIP PHOPIE
DESCRIPTION OF WORK ��� � ? � �� � �
— � � '�--
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E\7STING S PROPOSE USE �ONSTR TY #STO USE � TYPE I OCC. SQ.FT. VALUATION(5)
EY.ISTG NEW FLOOR DEr40 TOTAL
AREA AREA AREA I�'EIAREA
BATHROOM KiTCHEN 077-IER
REMODEL AREA/� REMODEL.4REA/�/� REMODEL AREA
(�J
PORCH AREA DECK AREA TOTAL DECI:/PORCH.AREA GARAGE AREA: DETACH
�ATI ACH
R DN'ELLING 1J!JI'I'S: IS A SEi.OND UNIT �YES SECOI�D STORY �1'ES I
BEII�GADDED? �NO ADDITION? �NO
PRE•.4.pPLICATION ❑1'ES IF�'ES,PROVIDE COPY OF IS THE BLDG AN �YES ;��,Cg� % gl�� TOT VALU.4TION:
PLANNIt�G.4PPL� �NO PLANNLNGAPPROVALLE"ITER EiCHLERHOME? �TO _ _ D �
By my signature belo���,I ceRify to each of the follo«�ing: I am the property c��ner or authorized z�er.t to zct cn the proper:y o�,;-,:cr's behal£ I have;ead this
applica[ion and the information I have provided is correct. I have read the Description of�T��ork and verii��it is accurate. I a�ree to comply with all applicable local
ordinances and state laws relating to building constructio authorize represe atives of Cupertino to enter the�above-identified rope for inspection pu�o;es.
SignatureofApplicanUAgent: �� / �� Date: � f�
SUPPLEMENTAL 'FORI� ION RF, RED -,rL��cr�:cx-r��r�E � �oi�-ri�c cirr
New SFD or Multifamily d���ellin�s: Apply for demolition permit for �❑ o«R 1 E�coL�TE�� ��''6��tit��:c pi�ti xE��i�F«�
existin�buildinQ(s). Demolition permit is required prior to issuance of building
permit for new building• � �, Ekrr.Fss � � YT:_���l�c i�ii���zE«�«�`�
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure C; sT v�-n.�� � ❑ F�t i>>i,rc«oi:h�
form if any Hazardous Materials are being used as part of this project
�❑ L:1RGE ❑ F'LI:b:DFPT-� �
Copy of Planning Approval Letter or Meeting with Planning prior to 1—i ` .-, ,
!-1 DI1.lOF - - -� �.-�.'�ITAK]'SERF}�I)ISCIICT.'-
submittal of Buildin�Permit application.
- � . . � � � . �❑ E'�A'[FO�ASES1'.1LI�E.4LTH -
BldgApp_�011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: 10893 Sweet Oak St DATE: 07/02/2015 REVIEWED BY: Sean
APN: BP#: �� 'VALUATION: $30,000
PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE�
WORK Kitchen remodel 126 s ft � Remodel 2 Bathrooms 105 s ft .
SCOPE
NOTE: This estimate does not include fees due to other Departments(i.e. Planning,Public Works, Fire,Sanitary Sewer District,Schoo!
District, etc. . These ees are based on tlre relimina in ormation available and are onl an estimate. Contact the De t or addn'1 in o.
FEE ITEMS (Fec Resoh��inn I1-0�3 E�� %:7�"13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 126 s.f. Remodel, Kitchen(<=300 sfj
Suppl. PC Fee: Q Reg. Q OT p.p hrs $0.00 $645.00 IREti1RES�T
PME Plan Check: $0.00 105 s.f. Remodel, Bath(<=300 s�
Permit Fee: $0.00 $645.00 ��Mn�seAT
Suppl. Insp. Fee:Q Reg. Q OT Q.Q hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
�
Work Without Permit? o Yes � No $0.00 �
Advanced Plannin��Fee: $0.00 Select a Non-Residential �
: Building or Structure �
i
Stron� Motion Fee: 18SEls�t�1/CR $3.90 Select an Administrative Item
Bld<� Stds Con�>»>issi��n I�'ec: IBCBSC $2.00
SUBTOTALs: $5.90 $1,290.00 TOTAL FEE: $1,295.90
Revised: 07/01/2015
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: � 3 .Q , c� r PERMIT# SO �
OWNER'S NAME: PHONE#
GENERAL CONTRA TOR: � v ' USINESS LICENSE #
ADDRESS: � ' ' TY/ZIPCODE:
*Our municipal code requires 1 businesses working in t e c�ty to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTI N(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCON C ORS AVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE. rC ! � � � `
I am not using any subcontractors: S
gnature ate
Please check applicable subcontractors and complete the following information:
�/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum /Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
� n � � � �
O er/ ontract Signature Date
' ADDITIONAL CODE REQUIRMENTS
Ener�y code mandatorv li6htinQ 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 li�hts 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 a.utomatically or have an always on option. (150(k)(10))
Plumbina plan notes:
4. Water�losets sha1T have an avera�e water consumptio�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 R307.2)
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 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 sinl:), 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, I S- and 20- ampere receptacles shall be
listed tamper-resistant receptacles. (CEC 406.12)
ResKitBathPolicy_2014.doc revised 01/IS/14
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