15050060CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10845 DRYDEN AVE CONTRACTOR: SGK HOME SOLUTIONS, PERMIT NO: 15050060
INC.
OWNER'S NAME: MCCRORY JOHN 3801 CHARTER PARK CT STE B DATE ISSUED: 05/12/2015
OWNER'S PHONE: 4082575407 SAN JOSE, CA 95136 PHONE NO: (408) 264-6964
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 0
REMOVE (E) WOOD SIDING, REPLACE WITH (N) STUCCO
License Class • Lic.#
9'0MO (640 S.F.) & STONE FACE 36" ON FRONT ELEVATION
5
���• — ONLY (210 S.F.). REPLACE 3 (E) WINDOWS, LIKE FOR
Contractor. Date-�► _ } �
I hereby affirm that i am lice sed 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
r rformance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $10600
e I 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 APN Number: 35614012.00 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. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAY&OUERMIT 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 INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments, T
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply I Date:
with all non -point source regulations per the Cupertino Municipal Code, ection
918. ,
RE -ROOFS:
Signature Date O ✓ 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
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). 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 ad
I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 5 05 533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: l Date:
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 Leader's Address
I certify that 1 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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION �O
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 O
(408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION
ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS
APN
OWNERNAME
PHONE
STREET ADDRESS no O�
CITY, STATE, I
CONTACT NAME f7 /
(P
E-MAIL
STREET ADDRESS -
CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER-BUH.DER ❑ OWNER AGENT ❑ CONTRACTOR A&IIACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAMELam/ j
U
LICENSE NUMBER2m�
LICENS E j�
/
BUS. LIC #
COMPANY NAME Q
E -MA i "
FAX
STREET ADDRESS
L [A
CITY, STATE, Z
/
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK / 15
—'&Lnz� -4�4,q 01 Xe
EXISTINGFUSE P OPOSED USE CONSTR
TYPE
# ST014ES
USE TYPE OCC. SQ.FT.
1
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKIPORCH AREA
GARAGE AREA: DETACH
❑ ATTACH
I
# DWELLING UMTS:
IS A SECOND UNIT ❑ YES
SECOND STORY []YES
BEING ADDED? []NO
ADDITION? []NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN[] YES VALUATION:
PLANNING APPL# 0 N PLANNING APPROVAL LEITER
EICHLER HOME? /O 4-66
By my signature below, I certify to each of the followin : I am the property owner or authorizOTagent to act a pr, owner's behalf. I have read this
all
application and the information I hav, pr ded is co ct. I have read the Description of Work and ver' it i eeifrate. I agree t comply w' all applicable local
ordinances and state laws relating to rl � g uction. I an representatives of Cupertino to enter the above -identified ropeI t f purposes.
Signature of Applicant/Agent: Date:
SUPPLE TAL INFORMATION REQUMED
PLAN CHECK TYPE
ROUTING SLIP
El OVER -THE COUNTER
El BUILDING PLAN REVIEW
_ 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.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp 2011. doe revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
liaADDRESS:
10845 DRYDEN AVE
DATE: 05/12/2015
REVIEWED BY: MELISSA
Llech. Permit Fire;
l APN: 35614 012
BP#:
I `VALUATION: 1$10,600
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
I
PENTAMATION 1GENRES
I PERMIT TYPE:
WORK
REMOVE E WOOD SIDING REPLACE WITH N STUCCO 640 S.F. & STONE FACE 36" ON
SCOPE
FRONT ELEVATION ONLY (210 S.F.). REPLACE 3 (E) WINDOWS, LIKE FOR LIKE
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc). These ees are based on the Dreffitniina information available and are only an estimate. Contact the De t or addn'l in o.
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13)
Mech. Plan Check
Phunh. Plan Check
P'lec. Plan Check
Llech. Permit Fire;
Plumb. Permit Fee:
Islec. Permit Fee:
Other rtlech. Insp.
Other Plumb Insp.
Other Elec. Insp.
t9�zch. Insp. Fee:
Plumb. Insp. Fee:
Elec. Insp, Fee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc). These ees are based on the Dreffitniina information available and are only an estimate. Contact the De t or addn'l in o.
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
= s.f.
$645.00
Siding
1SIDEST/BK Stone and Brick Veneer (Int
Suppl. PC Fee: Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
640 s.f.
$646.00
Siding
1 iSIDEOTHER All Other
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. 0 OT
0.0
hrs
$0.00
0 # Window / Sliding Glass Door
$431.00 1 WINREP Replacement
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax:
Administrative Fee:
0
Work Without Permit? 0 Yes No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
0
Travel Documenlalicrri Ferns:
Strong Motion Fee: IBSEISMICR
$1.38
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
,'SUBTOTALS:"
$2.38
$1,722.00 �� TOTAL FEE:.
$1,724.38
Revised: 04/01/2015
COIN, 1^fIUNITY DEV uC ;
BUILDING DIVISION - CUPERTINO
APPROVED
�NI1.�I�df1� T his set of plans aad specifications P:?UST be kept at the
1dW JNINNVId - ;yob site during construction. It is unlawful to make any
changes or alterations on same, or to deviate
y 3Ib® therefrom, without approval from the Building Official.
The Stamping of ;his plan and sn ations SHALL NOT
A"'JCO) �Iv��j �� be h�eF�t�iic; : e proval of the violation
of ar State .Law.
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CUPERTINO
Owner Name
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-cupertino.oro
Address eF�i(,3a
Please refer to the attached California Civil Code Sections 1101.1-1101.8 which -are part of this Certification fdrm. .
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:
�No Go to Question 2.
Date:
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.
Sign below and skip the rest of the form
Owner' Signature:
�No Go to Question 3.
Date:
3. Is mater service permanently disconnected foryour building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature:
No Go to Question 4.
Date:
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 fon-n.
XYCIS
Owner' Signature:
Date:
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).
❑ Myproperty is a niultfamily residential real properly. 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 cominercial 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.
SB407 2014.doc revised 03/18/14
+a
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).
MVe, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced
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 . dicated in the table below.
Owner's (or Owner Agent's) Signature: Date:
Upon completing and signing this Certificate, please.zeturn it to the Building Division in order to final your permit.
"
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.
SB4072014.doc revised 03118/14
Non -Compliant
._Water
-Conserving Plumbing Fixture -
ixture_Plumbin
P1 . umbinFixturel,
(Fixture Complying with Current Code Applicable to New. Construction)
Maximum Water Usage/Flow Rate
Fixture Type
e.
-
Water Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rafe
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
q�- t,, ,4,.
I Ivvverl icavo
1 a n r
"AC UZv 4.v
n ii �- � on nt ,+;r,..a;_ 44.,, rr. a s
�.v gallcl S per liliilutc � vv poi. rm ecl 11HUU tv tl U pcl Ivrlmnance critcl is U1
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
j
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
1 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 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.
SB4072014.doc revised 03118/14
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(abcupertino.org
/ �p Permit No. l.�oS�a60
Address 10W5 %IRV bt tV e_ Cu��� # of Alarms Smoke: Carbon Monoxide:
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
"AC RFFNRTGNFn ANn RFTIJRNFn TO THE BUILDING DIVISION
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
1 have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name: y�
*tilL�/1� Si nature ................................................ ...............!:.fit.... °1.. ............... Date: ... .
Contractor Name:
Signature...................................................................Licl...................................... Date: ...................,'
Smoke and CO form.doc revised 03/18/14