Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
15070136
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10148 RIDGEWAY DR CONTRACTOR:STERLING GENERAL PERMIT NO:15070136 CONSTRUCTION OWNER'S NAME: QUITORIANO,JOHN 1506 DELL AVE STE D DATE ISSUED:07/21/2015 OWNER'S PHONE: 4087575777 CAMPBELL,CA 95008 PHONE NO:(408)871-1372 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ /� V REMOVE AND REPLACE SHEETROCK IN LIVING ROOM, License Class) g_ Lic.# ENTRY,MASTER BEDROOM AND BATHROOM DUE TO SMOKE Contractor e ate DAMAGE; REMOVE AND REPLACE MASTER SHOWER I hereby affirm that I ad. used under the provisions of Ch liter 9 AND (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 qgFferrmance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$20000 51 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 .4PN Number:34241012.00 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 WITffiN 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 Issued b � � � Date: '�C f granting of this permit. Additionally,the applicant understands and will comply y:,� , with all no - omt source regulations per the Cupertino Municipal Code,Section l RE-ROOFS: ate,,, l 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 I hereby affirm that Iam exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,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). I 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 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,SectiQn&25505 2 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authori Dat4- __Z6l 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 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 PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 C U P E RT I NO (408)777-3228•FAX(408)777-3333•building( cupertino.org [--]NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS / QI �/£71� r, „d / �• APN#�L7� OWNER NAME -TO (3V rfl3 I A fJ V 757• 77 E-MAIL#L. r Tl�"1 C,1�1•A �w STREET ADDRESS 5n C+CITY,STATE,ZIP U / ` FAX CONTACT NAME 1kriV � ) K 'Tl N f l`.'C! eL" 1 , 0 AJ STREET RESS_ r CITY,STATE, IP FAX ,41 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CACTOR ❑CONTRACTORAGENT ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR N f LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME N1' � A 1. LICENSE NUMBER 1 2 0 BUS.LIC# COMPANY NAME / E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHO DESCRIPTION OF WORK -?FR1�X 5/1,70/46F //,7014 6F 41A -6 6- I iZOA� T� /� ()A)17- s ) JT- FIX 6- NEW 6 y P ��'Ill Y l f��N,�1 �' }`/� ��p� ! �t�jFpc -C e- Sfto 6K CN( � EXISTING US GONj PROPOSED USE C STR.TY #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG S NEW FLOOR DEMO I I.eTOTAL AREA 1 1 fa - AREA "r5- AREA NET AREA BATHROOM •J µ}} KTTCHEN OTHER REMODEL AREA �L4-� REMODEL AREA REMODEL AREA PORCH AREA DEC{K{{{ TOTAL DEC RC�13 AREA GARAGE AREA: DETACH �iJy ATTACH #DWELLING UNITS: 1S A SECOND UNIT ❑ S SECOND STORY ❑YgS BEING ADDED? ADDITION? ;990 PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑ REOEEIVl?D _ / - TOT/ ,VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? O „„�/ _ sf' .� r,�O By my signature below,I certify to each of the following: 1 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 have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws rel nstructiOn. I authorize representatives of C to enter thev -identifiedroroperty for inspection purpose Signature of Applicant/ III: Date: SUPPLEMENTAL INFORMATION REQUIRED etc sia New SFD or Multifamily dwellings: Apply for demolition permit for tWFR-SH4COUN'fER911JUAtIrIG PLAY REvnrw existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ 17 M A,rINMFLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure C STAB 0 i W0W form if any Hazardous Materials are being used as part of this project © LARGE 0 FIRE OWT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. fl MAJOR ❑ SA1�IITARYSEWE1ti)75TR1t T B1dgApp_MLdoe revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 10148 Ridgeway Dr DATE: 07/20/2015 REVIEWED BY: Sean APN: BP#: 'VALUATION: 1$20,000 TPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: PERMIT TYPE: WORK Remove and replace sheetrock in living room entry, master bedroom and bathroom due to smoke SCOPE damage; remove and replace master shower and closet. El -t- Lj NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Thesefees are based on the prelimina information available and are only an estimate. Contact the Dept/or addh 7 info, FEE ITEMS (Fee Resolution 11-053 a.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes Q No $0.00 1 hours Plan Check,Hourly Suppl.PC Fee: E) Reg. Q OT O.Q hrs $0.00 $143.00 1sTPLNcK PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes Q No $0.00 Suppl. Insp. Fee.e Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? Yes No $0.00 E) Advanced Planning I''ee: $0.00 4 hours Inspections E) $572.00 /STINSP Inspection,Hourly i Stronp,Motion Fee: 1BSE1SMICR $2.60 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $3.601 $715.00 ' TOTAL FEE: $718.60 Revised: 07/02/2015 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RTI NO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: Cl J ry ,de, PERMIT# el.S d / j e OWNER'S NAME: vb t l✓ PHONE# '/ 6 Y GENERAL CONTRACTOR: f, - BUSINESS LICENSE# ADDRESS: .-,< CITY/ZIPCODE: 5 5—C>6 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SU ORS HAVE OBTAINED A CI Y OF CUPERTINO BUSINESS LICENSE. ) I am not using any subcontract Signature Date 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 Owner/Contractor Signature Date i F 11 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 CV.PERTINO 1 (408)777-3228• FAX(408)777-3333• building a()cupertino.org Owner Name 3 0 Y1 Y1 So_1 ckr-0. Q Ai jo r La-r)o Permit No. k50 l D 13(o Address 1014' IR i b e.u)a_U M Y iy eu-D e�r�i+n o15 PERMIT CANNOT BE FII�ALED.A VAkCOOTETEUINTMITE11 CERTIFICATE HAS BEEN STTNFD RN A RFTIIED T�T�3EBYIILD1l� DIST�N Please refer to the attached California Civil Code Sections 1101.1-1101.8 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 form. Owner' Signature: Date: L"No Go to Question 2. 42, 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: Date: R(No 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. Sign below and skip the rest of the form. —/ Owner' Signature: Date: N No Go to Question 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: 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). ❑ 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 irnprovernents shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. SB40 7 2015.doc revised 02104/15 'r. " l 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). IAsde,the owner(s)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 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-Conserv' _&g_fixtures comply with the requirements as indicated in the table below%' Owner's(or Owner Agent's) Signature: �" - `j- Date:0417�5m Upon completing and signing this Certifice,please return it to the Building Division in order to final your permit. Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /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 Gallons/flush 0:5 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 figure shown,it is not required to be upgraded. SB4072015.doc revised 02104/15