15070010 CITY OF CUPERTINO BUILDING PERMIT
QUILDING ADDRESS: 10103 SENATE WAY CONTRACTOR:BAY AREA CUSTOM PER1111T NO: 15070010
QUILDERS INC
OWNER'S NAM11E: BRIJGSH KHANNA LIV TR 1002 S DE ANZA BLVD STE A1 DATE ISSUED:07/O1/2015
O�YNER'S PHONE: 4084462 1 1 0 SAN JOSE,CA 95129 PHONE NO:(408)446-1200
❑ LiCENSED CONTRACTOR'S DECLARATION �OR DESCRIPTION:RESIDENTIAL � COMMERCIAL �
` , KITCHEN REMODEL(130 SQ FT).
License Class Lic.# � C�O G —7 `►
Contractor �i7q Y[F> /�Cl/dl��1 Date E1 ( �
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.
1 hereby aftirm under penalty of perjury one of the following two declarations:
1 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
ormance of the work for which this permit is issued Sq.Ft Floor Area: Valuation:$15000
„`��k 1 I f e 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:32653048.00 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
conect. 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.
indemnity and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence ofthe � /� Date: 7'/ �l
gran[ing of this permit. Additionally,the applicant understands and will comply Issued by:�f��',✓v� ' � /� �
with all non-poin[source regulations per the Cupertino Municipal Code,Section
9.18.
/� / RE-ROOFS:
Signature �,/ Date__L�/ �� All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection,1 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)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). 1 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 aftirm under penalty of perjury one of the following three maintain compliance with the Cupertino M1lunicipal 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 M1tunicipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the liealth&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this ��"' ��
Owner or authorized agent:�� Date:1���-`la-t/
permit is issued.
1 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 AGENCI'
become subject to the Worker's Compensation provisions of the Labor Code,I mus[ 1 hereby aftirm that there is a cons[ruction 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.)
I�ender's Name
APPLICANT CERTIFICATION Lender's Address
l 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
indemnify and keep harmless the City of Cupertino against liabili[ies,judgments, ARCHITECT'S DECLARATION
costs,and expenses which may accrue against said City in consequence of the 1 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,Sec[ion Licensed Professional
9.I 8.
Signature Date
CONSTRUCTION PERMIT APPLICATfON
�
- � COM�ti�iUNITY DEVELOPh��ENT DEPART�4ENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �
(408)777-3228 • FAX (408)777-3333• buildinq a(�cu�ertino.orq �,,>`���%���,
CUPERTINO --
❑NEW CONSTRUCTION ❑ ADDITiON .4LTER4TION i TI ❑ REVISION(DEFERRED ORIGIN.AL PERMIT�
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USE TYPE I OCC. SQFT. I V�.LUATIO'�(Sj
E�STG NEW FLOOR DEriO TOTAL --
AREA hF:A .4REn TtI�hREA ..
B.AT.'�OO��t K7TCI-L�N 01'r.r.R
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�D\1FLL�'G tJ?�Tf'S: IS A cE�OND U1KIT �l'ES SECOtiD ST'ORY �1'ES —
BEIiVG.4DDED1 �NO ADD[TION? �NO
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FP.L-.L�PLICATIOV ❑1 cS ff�'ES,PRO\'�E CCPY OF IS THE BLDG:.N �1'cS �,(,�,�'�j,,3 �� _ �� TOTAL.V.-^.LUATIO'�`:
PLA'.T'1TG.^3PL� �NO PLAI�T'L�G.APF?.0\'P.L LETI'E� EICHLER H0�1E' �NO - �
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By my signaturz belo���,I certiy to each of the fello•�ving: I am the prope��o��ner or zuthorized�Qent to act en tne proper�y o��ner's be;lalf. I have read this
zpplie2tion and the information I have pro��ided is correct. I have read the Description of��'ork 2nd verify it is accurate. I agree to comp!y��i?h 2(1 appliczble loczi
ordinznces 2nd s?2te 12���s relatin�to building const;uction. I authorize representztives of Cup:rtino to enter the abo�e-identified propery fur inspectien pu„e;es.
Si=nztureofApplicant/.'�;ent: � � D�;�: � � �`
SUPPLEMENTAL I�'FOR1'��L�TION REQL'IRED PL,��c�cxri-eE :I; - . r,oL�i�c�si;ii�
�e�,v SFD or Multifamily d���ellinQs: Aoply for demolition permit for `- `` '
existin�buildinQ(s). Demolition perm�t is r�quired prior to issuance of bui!din' �otY;�t Tx� coL�r��i rilnL�c rL�*�F,[.��it;��
p�rmit for new buildin�. L_ t��Fr,Ess "
� �. ���»:�L�c��L.ti��:r.�-�T,�ti°
Commercial Bld�s: Provide a completed Hazardous I��faterials Disclosure :�❑ sr,4nrnl�n � � ❑ F�tiLL�c«��,r;c
ior,n if any Hzzardous Materials arz b�ina used as part of this project. : -
y ❑ L�RGE � FII�E D�PT :
Copy of Plannin�Appro��al Letter or��eeting«�ith PlanninQ prior to � �L�f�� `_ _ ; ❑ s�u.rr,�r�} �E,���_���,I�rr�ci'
sub�iittal of Build::i,Pernit applicztion. __ -
- - ❑-Ei1�"If�!)11iF:;�I':1LHE4I,7�13 . .
BldgApp_?01 Ldoc r��,-ised 06/11%11
CITY OF CUPERTINO
� FEE ESTIMATOR— BUILDING DIVISION
' ADDRESS: 10103 Senate Way DATE: 07/01/2015 REVIEWED BY: Sean
� APN: BP#: j�� � 'VALUATION: $15,000
`PER111"I�TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1 R3SFDRE�
WORK Kitchen Remodel 130 s ft .
SCOPE
� � � , . r��,r,� �
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 the relimina in ormation nvailable and are onl an estimate. Contact t/re De t or addn'1 in o.
FEE ITEMS (FEe Resolzt�ion ll-O.i3 E � 7:"1 '13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 130 s.f. Remodel, Kitchen(<=300 s fl
Suppl. PC Fee: � Reg. � OT p.p hrs $0.00 $645.00 /RE�t�t2ESKIT
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg. Q OT p,p hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
�
Work Without Permit? � Yes � No $0.00 �
Advai�ced Plannir��Fee: $0.00 Select a Non-Residential �
Building or Structure 0
�
Strong Motion Fee: 1BSEISMICR $1.95 Select an Administrative Item
131d� Stds Co�t�tY�ission Fee: IBCBSC $1.00
SUBTOTALs: $2.95 $645.00 TOTAL FEE: $647.95
Revised: 05/07/2015
. i
ADDITIONAL CODE REQUIRMENTS
_ Ener�v code mandatorv li6htina measur.es:
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 fhe
' ' wattage of permanently installed lighting in kitchens may be in lights that are not high efficacy.
(150(k)(8))
3. Permanently installed luminaires in batl�rooms,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))
PlumbinQ plan notes:
4. Water closets shalT have an average wafer 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 R307.2)
9. The maYimum 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
2. Granite counter top(black or near black) � `�"�'r�' � � ��< < vrT
3. New Tlled Kitchen floor(wooclen floor to be removed kom kitchen area) Kitchen remodel 10103 5enate Way �ATE 7. � - � �'j
4. New gas RangelOven,Down DraR Jenn-Air r E RM lT # 7
a. Nau Gas aCension for Range /��j �� 1�
5. Existing Rekigerator Samsung(36x'10�c34deep)Samsung double door
a. Rehigerator to be relocated wRh Ndu water line for rekigerotor
b 8 New recessed ceifing lights,remove exis:i^�`L ii;��s
1. Two new 110V duplex elecYricai ou?lets
8. New sink.Existing new faucets
9. Existing DiSYwasher , I
1� Existing Miuou:ave,new pouter line � ��� �G'.�6 YY30'-b ✓'+�j�q � •'.� ��
, i `���
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p ,4 B30 B30 DisFwasher � �B33 � B15R LGB36R �
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LIVING ,�REA
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