15050036CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1157 CANDLELIGHT WAY
CONTRACTOR: M & S REMODELING
PERMIT NO: 15050036
SPECIALISTS
OWNER'S NAME: DINGER GARY M AND CAROL A ET A
P O BOX 24135
DATE ISSUED: 05/06/2015
OWNER'S PHONE: 4083548910
SAN JOSE, CA 95154
PHONE NO: (408) 829-6771
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E]
❑ LICENSED CONTRACTOR'S DECLARATION
KITCHEN REMODEL (95 SQ FT).
Lic. # g 2 S__ 0
License Class
Contractor��
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
erformance of the work for which this permit is issued.
Sq. Ft Floor Area:
Valuation: $8500
have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 36224045.00
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
WITIHN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
180 DAYS FROM LAST CALLED INSPECTION.
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
/
�%TGt`—! Date: l
granting of this permit. Additionally, the applicant understands and will comply
Issued byg�� , V
with all non -point source regulations per the Cupertino Municipal Code, Section
918.
Date —(O
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
Signature
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. 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:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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
compliance with the Cupertino Municipal Code, Chapter 9.12 and
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
will maintain
the Health &Safety Code, Sections 25505, 25533, an 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent✓�� Date: S
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
I
I hereby affirm that there is a construction lending agency for the performance of
become subject to the Worker's Compensation provisions of the Labor Code, must
work's for which this permit is issued (Sec. 3097, Civ C.)
forthwith comply with such provisions or this permit shall be deemed revoked.
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
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINQ
_:(408.) 777-3228 • FAX (408) 777-3333 • building aacupertino.org I`7 TTL'TT) nnXTO- TT/` TnI AT I A-T1TlTTTnAT rZ .AT TL'D ATT(1TT /'rT F -I AT;VTQTIIAT / TIRFT=RRPTI r)RTr,TNAT PFRTvrTT #
ADDRESS//, �L/14y
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#PROJECT
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OWNER NAME
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PHONE
E-MAIL
STREET ADDRESS'
�HaUD� E �a
CITY STATE; ZIP i FAX
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CONTACT NAMEP NE E-MAIL
STREET ADDRES
o. aux y I3�
CTIY; STATE, ZIP IP
N J 5(:F
FAX
11 OWNER- ❑-OWNER-BUILDER' ❑ OWNER AGENT I�CON'rRACIOR_-- ❑ CONTRACTOR AGENT - El ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
Sc
LICENSE NUMBER
2 9.fo
LICENSE TYP
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BUS. LIC #
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COMPANY NAM
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E-MAIL 1
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STREET ADDRESS O' 9ax r� /��
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77
ARCHITECT/ENGI\BER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK t// ._J_v*eov R Giw a®rL . lZe wo n /
�W,
-5x1'116,/
N 12EPL GC rev j /t/ UGP� M-6 GL�L/TIv�<Vr/�(L/, l�'1fl�/E 6Ct4,1Z1JC0ft
e X s r Pit GT l #6 C. SE 4 0 "I Z, . FOX All kl G1i8 //167 -9 -
EXISTING USE
PROPOSED USE CONSTR
TYPE
# STORIES
USE
TYPE
OCC. SQ.FT.
VALUATION (S)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
ODEL AREA
REMODEL AREA
PiC/�
POACH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: 0DETACH
❑ ATTACH
I
# DWELLING U\TrS:
IS A SECOND UNrr ❑ YES
SECOND STORY [:]YES
BEING ADDED? ❑ NO
ADDITION? ❑ NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNINGAPPL# ❑NO PLANNING APPROVAL
IS THE BLDG AN ❑ YES
EICHLERHOME? ❑NO
F2ECEI. -=�
"T.
TOTAL�TJALUATION:.�
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 hake 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 relating to building con traction. I a th ize re resentatives of Cupertino to enter the above -identified property for inspection purposes.
3c
Signature of Applicant/Agent: .'/� Date: S — 5-
SUPPLEMENTAL INFORMATION REQUIRED�3
SUPPLEMENTAL
VER THE COUItTER
�&
BTJII DII�GPLANREVIEW
y i
New SFD or Multifamily dwellings: Apply for demolition permit for;
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
�� h
ExPxEss��AN
3
PLAN^.INCPLAI�RE�tEw `X
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
"T sr DAxD
❑ PUBLIcwoRTcs '
_
form if any Hazardous Materials are being used as part of this project.�zs`
_ Co of Planning Approval Letter or Meeting with Planning prior for
PY PP b b
submittal of Building Permit application.
¢
Qsr.ITARYSER ERbISTRiCT
"-7. �`
_ENViRON'NIENTAi; HEALTFC �,x . _•,e.:
BldgApp_201 1. doc revised 06/21/11
CITY OF CUPERTINO
UV -V Ti C'T7M A 9PnR — RTTTI< .11IN(f DIVISION
NOTE: This estimate does not include jees due to other ueparrments (Ne. i-tunneng, X-uunc .. .,..•�....•y �� -� - -�- -- _._ __
Contact the Dent for addn'1 info.
utstreet, uj" . hear GGJ !L/G UuuGu Vs asc ,c....... ..
FEE ITEMS (Fee Resolution 11-053 E . 7if 11/13)
1157 CANDLELIGHT WAY
DATE: 05106/2015
REVIEWED BY: SEAN
1:lec. Plan Check
[ADDRESS:
APN:
BP#:
*VALUATION:
1$8,500
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY
SFD or Duplex
Pl unb. Bash. Tee:
PENTAMATION 1 R3SFDREM
PERMIT TYPE: i
USE:
PME Plan Check:
$0.00
WORK
KITCHEN REMODEL 95 SQ FT).
Permit Fee:
$0.00
SCOPE
O,Q
NOTE: This estimate does not include jees due to other ueparrments (Ne. i-tunneng, X-uunc .. .,..•�....•y �� -� - -�- -- _._ __
Contact the Dent for addn'1 info.
utstreet, uj" . hear GGJ !L/G UuuGu Vs asc ,c....... ..
FEE ITEMS (Fee Resolution 11-053 E . 7if 11/13)
Plunab. Plan Check
_ s
61ech. flan ("heck
1:lec. Plan Check
blecrla. Permit Fee:
Plumb, Permit Fee:
Elec. Permit lee:
Oilser .i�erdt. 1nsp.
-L-
C?llaer Plumb 7raslt.
tuber L-lec. Imp.
EIF
11ec,{a. Insp. Fee:
Pl unb. Bash. Tee:
Elec. Inst, Pee:
$0.00
PME Plan Check:
NOTE: This estimate does not include jees due to other ueparrments (Ne. i-tunneng, X-uunc .. .,..•�....•y �� -� - -�- -- _._ __
Contact the Dent for addn'1 info.
utstreet, uj" . hear GGJ !L/G UuuGu Vs asc ,c....... ..
FEE ITEMS (Fee Resolution 11-053 E . 7if 11/13)
_. �--
FEE
--- ------ ---
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
=s.f.
$645.00
Remodel, Kitchen (<=300 sf)
1REMRESKIT
Suppl. PC Fee: (E) Reg. ® OT
0.0 1
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. ® OT
O,Q
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
("onsiruction 7"ax:
FA
Administredive P'C;e:
E)
Work Without Permit? ® Yes Q No
$0.00
Advanced Plannin& Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
Trat,el Documenlation Fees:
Strong Motion Fee: IBSEISMICR
$1.11
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
$2.11
$645.00
r TO LFEE:-
647.11
Revised: 04/01/2015
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: PERMIT #
OWNER'S NAME: PHONE # 77
GENERAL CONTRACTOR: BUSINESS LICENSE #
ADDRESS:, ri _ t �j CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A. CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
Owner / Contractor Signature
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
Date
F,X (,s T/Ald KM14w LAYovr
14-Z
MAY 0 6 2015
BY
8 . - CMD1. A. h1JV6Z-R
-9�6 * ,
1157 MW-ek'"T WAY
tvec—AIrwo j CAL `MON
StOPS Of
_)gM),f : :rYVfTKL. AMW tAWAff_TKr/(rPhATE' ELECTAIML
ZZO V.
0 Vt- n
FLovAfi5JWT .2 -Out$
IN is
ALL :2013 CAL. WiLblot Cbbfs AWr sem: Vz lroo-r
C(Di`,,l%l',,_!NlTY DEVELOPMENT [DEPARTMENT
13UILDIN� DIVISION - CUPERTINO
APPROVED
71',,iS
set ,,-)flplans r specifications MUST be kept at the
�b SJe dun`j It is unla,,tiful to make any
,_,hanC,c.!,i or rifions on same. or to deviate
Terefroni,,,.o,,,)roval from the Building Official.
:.�Je Stamping - i plan and specifications SHALL NOT
�j
^e held to pe.rr,�jt ur to be an appi-c-val cf the violation
f a f I Y , Pi'ovjs,-ns )f any City Ordi:) , ance or State Law.
BY
DATE
,-)ERMI-r
•
V.
;4F -W Frwo eb KiT"tN LAydv7"
-2 09
gN1Lc
CAM' L A . bm16g
:))SI CAmbLEI-IMiT WAY
Cope .-7' Ara, CAL. 95oJy
Copp. OF Mfotuc : 7N5'TALs. REV e-AWAIETM,r/ VPbATC EI.Etr�JdAL`
liq
1201, — l
ALL 2013 CAL. BVIOING C.AbO AMY ICALe : V-2 t Rar
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 • building a�cupertino.org
rv,vr Name C/� �'. 0 L i /Ul-;�0� �1tr1% S0 6
70
gdg&e s to -1- 5'? C4 IV lP LeLIGif l I 1
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
a. *� 0 Go to Question 2.
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.
Skip the rest of the form and sign bottom of form.
9 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. Skip the rest of the form and sign bottom of form.
No Go to Question 4.
f
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. Skip the rest of the form and sign bottom of form.
PlYes 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. Check one of the three following statements and sign
bottom of form..
Please check ONE of the following:
AO 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 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).
I, as the owner or owner's agent 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 1101.1
through 110 1.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's
installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the
table on the followu a e.1
Upon comp signing this Certificate, please return it to e Building Division in order to fin 1 your building permit.
SB407 2015.doc revised 08/26/15
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.
SB407 2015.doc revised 08/26/15
Pion -Compliant
Water -Conserving Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
-PlumbingFixture
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 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
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
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.
SB407 2015.doc revised 08/26/15