15050004?P
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10591 CASTINE AVE
CONTRACTOR: PATRICK POWERS
PERMIT NO: 15050004
PLUMBING
OWNER'S NAME: SHAPIRO LAWRENCE AND MARY E
P O BOX 5427
DATE ISSUED: 05/01/2015
OWNER'S PHONE: 4087490717
REDWOOD CITY, CA 94063
PHONE NO: (650) 537-1263
LICENSED CONTRACTOR'S DECLARATION
PC
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL ❑
REMODEL (E) 90 S.F. MASTER BATH INCLUDING
License Clas 3 Lic. #
REPLACING THE 2 (E) WINDOWS, LIKE FOR LIKE
p
A'PfL1 tl� TOW n1tb Date 3
REV # 1 - ADD HALL BATH REMODEL TO ORIGINAL
Contractor
SCOPE (46 S.F.) - ISSUED 7/23/15
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.
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: $28000
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 32644032.00
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
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_ IT 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 DAY AS ALLED 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
Issue Date: /-7
granting of this permit. Additionally, the applicant understands and will comply
with all no- oint s rce regulations per the Cupertino Municipal Code, Section
9.18.
�7 2
J&
RE -ROOFS:
is
Signature DateG�
All roofs shall be inspected prior to any roofing material being installed. If a roof
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, Sec ols05, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Z 3
Owner or authorized agent: Dater
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
CONSTRUCTION LENDING AGENCY
Compensation laws of California. If, after making this certificate of exemption, I
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
ARCHTPECT'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
9.18.
Signature Date
LWJ44Z11f(1[*1
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISI
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingaQcuperbno.org fo
[:]NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFER.RED
ORIGINAL PERMIT # 11-&J 06
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PROJECT ADDRESS I O'S
APN # A y y ✓ / ^�
-
OWNER NAME e It PHONE q ,71Y_� �// E-MAIL
STREET ADDRESSCITY,
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STATE, ZIP FAX
CONTACT NAME PHONE E-MAIL
Po C�5-0�371Z10
STREET ADDRESSD y
CITY, STATE, ZIP
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1:3 owNER ❑. OWNER -BUILDER ❑ OVINERAGENT OCONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME
Ar
LICENSENUMl R • 6 LICENSE TYPE
e
BUS. LIC #
COMPANY NAME.E-MAIL
FAX
rl� � fc,/id Ldfo cc,I.�t,
STREET ADD o - . 0, / `Z 7 CITY, STATE, ZIP
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PHONE
ARCHITECT/ENGINEER NAME III CENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTIONOF W �/ /,✓�� . f� 6 • l� C/�' ,>
�Al—xlz
EXISTING USE
PROPOSED USE CONSTRTYPE
#STORIES
USE TYPE I OCC. SQ.FT.
VALUATION (S)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA -
BATHROOM KITCHEN
OTHER
REMODEL ARE REMODEL AREA
REMODEL AREA
PORCH AREA DEC AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
❑ ATTACH
I
# DWELLING UNITS:
IS A SECOND UNIT ❑ YES
SECOND STORY ❑ YES –
BEING ADDED? ❑ NO
ADDITION? [:]NO
PRE -.APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNING APP, ❑NO PLANNING APPROVAL LETTER
IS THE BLD $ z.
EICHLER 0A1E?
TOTAL VALUATION:
_- _
��.
By my signature below, I certify to each of the following: I am the property owner or autonzed g="eact orthe property owner -'S -behalf. I Tave 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 complyv✓yh all applicable local
o
ordinances and state lays relating uil I a construction. I authorize representatives of Cupertino to enter the abo -idents ed property for Inspection purposes.
SignatureofApplicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED'
LAIC CHECE
- - i20UTjI�GS :_..
New SFD or Multifamilyd�� e1linQs: Apply for demolition permit for
a PP Y P
existing building(s). Demolition permit is required prior to issuance of building
���
VER THJ<COUhTER
;
BL1LDIl<G LP __.RE
permit for new building.
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
srgnDAxD
PIIBI?cvso
_
form if any Hazardous Materials are being used as part of this project.
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑�,�gGEa �
_ FIRZ•i:DEP'iw
-;
submittal of Building Permit application.
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BldgApp_2 011. doc revised 06/21/11
CITY OF CUPERTINO
9W FEE ESTIMATOR - BUILDING DIVISION
iaADDRESS:
10591 CASTINE AVE
DATE: 07/23/2015
REVIEWED BY: MELISSA
Yllech. l', 40 Fee
APN: 326 44 032
BP#: 15050004
*VALUATION: Iso
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
0.0
PENTAMATION
PERMIT TYPE: A
WORK
REV # 1 - ADD HALL BATH REMODEL TO ORIGINAL SCOPE 46 S.F. - ISSUED 7/23/15
SCOPE
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc )_ These fees are haled on the nreliminary information availahle and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff 7i1.i13)
,ilech. Plan Check
111unrb. Plan Check
Elec. Flan Chet-
Yllech. l', 40 Fee
Plumb. Permit Fee:
Elec. Permit Fee -
Other Afech. Inst=
; Mier Plumb Irisr,
Suppl. PC Fee: 0 Reg. OT
0.0
hrs
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc )_ These fees are haled on the nreliminary information availahle and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff 7i1.i13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: 0 Reg. OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee: Hourly Only? 0 Yes 0 No
$0.00
Suppl. Insp. Fee:O Reg. 0 OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
(%ottstruc'lir)n t a,`i: T
-T
dministr(ative Fee:
0
0
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
0
Strong Motion Fee:
$0.00
1.0 hrs
$143.00
Inspections
ISTINSP Inspection, Hourly
Bldg Stds Commission Fee:
$0.001
SUBTOTALS:
$0.00
$143.00
TOTAL FEE:
1 $143.00
Revised: 07/02/2015
SCOPE OF JOB
Remodel Hall Bath
NOTES
HALL BATH
1. Demo Bathroom down to studs.
2. Install blocking for grab bars in shower.
3. Douglas fir lumber to be used as needed.
4. Install new bath tub.
5. R-13 inslulation at erterior walls and R-30 at ceiling, R-19 floor.
6. Pressure balance or thermostatic shower valve as per code requirement.
7. Shower Enclosure tempeard glass.
8. Dura sheild board, cement board or mildew gypsum board will be used in tub and shower
walls and regular gypsum in all other areas
gypsum board in dry area.
9. Tile will be used in Shower walls shower pan and floor.
10. Install new granite counter top with 2 undermount 17" x 14" bowl .
11.Install new mirror.
12.Install 1 medicine on side wall. �pART% ENT
13. Install grab bars. r. LC%�'rTINO
�E,dT
CONtti'IUNiT`(r
14. New 2'-8" x 6'-8" interior door to match existing. SUILD1*' G DINISl`)11 �yR
APpRpVED the
'his set of plans a d Specli��atirns "' 3 ul okmaketany
Plumbing ' CGI �rruCtion. It is
}cb site during s.-In�t, or to deviate
1. Install new1.28 gpf toilet. changes or altera+.laps on Building Official.
2 .Shower heads shall have a water flow not to exceed 2.0 gpm. the,efrom, w tncuc a�pro'�at'f`'m te - SHALL NOT
� p�1}�w3i, ,J
The Stamping of thy; pian and s;' � _,� al of the violation
3. Lavatory Faucets shall have a water flow not to exceed 1.8 gpm. r,err:,,t c, an 'j mor state Law.
a held tor
acommodate a minimum 30 circle at the threshid level. q ro f arv� 3
4.Shower stall shall have a clear interior finish area of 7.1 s ft. and be able tol, any P
5. The maximum hot water temperature discharging from the bathtub filler, showev-
shall be limited to 120 degrees Fahernheit. The water heater thermostat shall rfdt bi
considered a control for meeting the provision.
6. A 60' x 32" castiron tub right hand.
Electrical
1. 20 amp breaker dedicated to gfi outlets as per code requirement
2. Occupant sensor Light switch for incandescent light fixtures
as per code requirement.
3. Install new light over vanity.
4. Install carbon monoxide in hall and smoke detector in all bedrooms and hall.
Mechanical
1. Install new Panasonic exhaust fan with 60 minute timer.
(E) = Existing 0
(N) = New WV%
WP = Water Proof WAI
0
= EXISTING WALL
= NEW WALL
SD = SMOKE DETECTOR
INDEX
A - 1 NOTES
A - 2 EXISTING LAYOUT
A - 3 NEW LAYOUt & ELECTRICAL CUPER-Firvo
-uildl
REVIEWED FUk
Reviewed-UPvif' 4t1;
Revised /
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Drawn By
Ana Powers
Scale:
4/30/15
A-1
= OUTLET
GFC
C�
= OUTLET
GOUND FAULT INTERUPTER
O
=
LIGHT
010
R =
RECESS LIGHT 4"
104
t�
= SINGLE POLE SWITCH
❑®
= EXHAUST FAN
®
= HEAT REGISTER
GO
= CARBON MONOXIDE
SD = SMOKE DETECTOR
INDEX
A - 1 NOTES
A - 2 EXISTING LAYOUT
A - 3 NEW LAYOUt & ELECTRICAL CUPER-Firvo
-uildl
REVIEWED FUk
Reviewed-UPvif' 4t1;
Revised /
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Master Bath
Floor Plan
Shapiro Residence
Maryelen & Lawrence
10591 Castine Ave
Cupertino, Ca 95014 408 -749-0717
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Maryelen & Lawrence
10591 Castine Ave
Cupertino, Ca 95014 408 -749-0717
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Plumbing Studio
2265 Old Middlefield Way
Mountain View, Ca 94043
650 938-4502
-6
(N) 3'-6" x 2'-0"
XO and OX Milgard
White Vinyl -Tempered Glass
REVISION #-L
Rev*sed
2/6/15
Rey4ged
7/22/15
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Scale:
1/411 = 1'-0"
Date:
2/6/15
Page A - 3