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15060082 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10319 AINSWORTH DR CONTRACTOR:VALLEY HOME PERMIT NO: 15060082 BUILDERS,INC. OWNER'S NAME: DESCAMP RAYMOND M AND CAROL A 3466 EDWARD AVE DATE ISSUED:06/10/2015 OWNER'S PHONE: 4084720615 SANTA CLARA,CA 95054 PHONE NO:(408)248-8000 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL I _ M KITCHEN REMODEL(175 S.F.)-NO STRUCTURAL WORK, License Class '_ Lic.# = INSTALL NEW(40')GAS LINE TO STOVE,INSTALL NEW KITCHEN WINDOW IN EXISTING LOCATION Contractor ... _ / r Date _409 ��, "�17/S 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:$60000 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:32613114 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 WITFIIN 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 D S FROM LAST CALLED INSPE TI N. indemnify and keep harmless the City of Cupertino against liabilities,judgments, ft costs, �� �S' costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per t e Cupertino Municipal Code,Section 9.18. MA19:2—, RE-ROOFS: Signature /� Date 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 I am 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 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: 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,Secti 25505,2 533, 534. Section 3700 of the Labor Code,for the performance of the work for which this " .� Owner or authorized agent: ' ;ate permit is issued. a s&iU/ 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 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 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building(Qcuoertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT PROJECT ADDRESS J D rl �I /�D f• APN# 2- � /3 OWNER NAME JR a L7 (fa d,U 5� PHOT�E �c� 6�/4 E-MAIL STREET ADDRESS /p� /I/ G�1�/y / CITY, STATE,ZIP (APe rf IVIG C_/`\ FAX D N� CONTACT NAME /V �' �f J (J PHONE I E-MAIL OLJ STRPET ADDRESS touf'"S g_ve, CITY,STATE,ZIP 5���� , o,&AFAX 11 OWNER ❑ OWNER-BUILDER ElM%WFRAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINTEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME `� e k J r VL r a LICENSE NUMBER LICENSE TYPE BUS.LIC R COMPANY NAME I/�'IV� t Tj_ E-MAIL / / / F�°x Vafttl41 101a le 14017 e— 11 f d e r:5, CO 1-1 STREET ADDRESS CITY,STA ZIP PHONE '-f 6 � �� r� vim• Su �c G14' of ( qS vs" V:of—o7 cl8-966L ARCHITECT/ENGLNEFR NAME LICENSE NUMBER BUS.LIC R COMPANY NAME E-I`SAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK ✓1�B'L I°�eWIO Cl Ci 70 /II��/�//e•{� �QvV�sd�. •YtG i•.. We�'�c� �,✓9 ®� �. (� 6l eta, k� Ys � a �� � �/•zC EXISTING USE PROPOSED USE CONSTR TYPE n STORIES USE TYPE OCC. SQ.FT. VALUATION(S) E>aSTG NEW FLOOR, DEMO TOTAL AREA AREA AREA NET AREA BATHROOM. KITCHEN, OTHER. I ���• , REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: El DETACH ❑ATTACH n DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEINGADDED? []NO ADDITION? NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF I IS THE BLDG.4N ❑YES - _ ' TOT VALUATION: � ❑ PLANNING APPL NO- PLANNING APPROVAL LETTER EICHLER HORSE? ❑NO - - - 4 By my signature below,I certify to each of the folloNNring: I am the property o�imt 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 ofWork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to build*ig nstriction. I authyHze representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: • ,�I Date: 6 /10 12Q1S_ SUPPLEMENTAL D FORMATION REQUIRED P in c ixT�PEv � New SFD or Multifamily dwellings: Apply for demolition permit for {- — existing building(s). Demolition permit is required prior to issuance of building E� OSERTHE CO[7hTER NAM IAG PLA1REVIEF permit for new building. =m�PLArRL�GPlANREYIE�V g _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure UBc�oRxs F form if any Hazardous Materials are being used as part of this project. 1] LARGE �' fl I IREDEQT _Copy of Planning Approval Letter or Meeting with Planning prior to =© Mr170R �SARITARI SE\iPRDISTRICT�x submittal of Building Permit application. >OAMENTA.LXIEATvT'"H•,,..,r B1dgr4pp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10319 AINSWORTH DR DATE: 06/10/2015 REVIEWED BY: PAUL APN: 326 13 114 BP#: 150 VALUATION: 1$60,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM USE: p PERMIT TYPE: i WORK Kitchen remodel 175 S.f. - No structural work Install new 40' as line to stove Install new kitchen SCOPE window in existing location d afech. Plan Check Plumb.Plan Check 0.0 hrs $0.00 £lec.flan Check Lleclr, ilera it Pepe: Plumb.Permit Fee: IPPER�LIIT Dec. Pcrnzir Fee: Ocher Heck Ins[). Other Plumb Insp. 0.0 hrs $48.00 Other Lilec.Imp, lrteclt.hap,Fee: P111111b. hasp. Pecs: Lilco.Insp,1.ee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Tee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F175 1 s.f. Remodel,Kitchen(<=300 sf) Suppl.PC Fee: ) Reg. 0 OT 0.0 hrs $0.00 $645.00 IREMRESKIT PME Plan Check: $0.00 = # Plumbing Permit Fee: $0.00 $72.00 IPGASRES Piping, Gas<=4 Outlets Suppl. Insp.Fee:) Reg. 0 OT 1 0.0 1 hrs $0.00 I # Window/Sliding Glass Door PME Unit Fee: $0.00 $431.00 1 WINMP Replacement PME Permit Fee: T-T $48.00 Construction 7,ax: Administrative Fee: ]ADMIN $45.00 0 Work Without Permit? 0 Yes ) No $0.00 ) Advanced Planning Fee: $0.00 Select a Non-Residential ) Travel Documentation Fee: ITRAVDOC $48.00 Building or Structure 0 i Strona Motion Fee: IBSEISMICR $7.80 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $151.80 $1,148.00 "` TOTAL=FEE,r Revised: 05/07/2015 c VICINITY MAP: RECE IVED REVISIONS BY ya•�. z JUN 10 2015F 'O"t, man 'Ova, 0 BY 1 319.Air � w W cb .. O N COMMUNITY DEVELOPMENT DEPARTMENT m s PROJECT DATA: DING DIVISION - CUPERTINO Leo ASSESSOR'S PARCEL NUMBER: 32613-174 ' APPROVED J � a"8 PROJECT TYPE: KITCHEN REMODEL Z 0 } Q g N PROJECT LOCATION: 10319 Ainsworth Cupertino. 014 �ooao This set of plans and specifications MUST be kept at the (9 ❑ O W Q ZONING: RI-7.5 (n _ OCCUPANCY GROUP: R-3/U fob site during construction. It is unlawful to make any J W W �; CONSTRUCTION TYPE: V-B NUMBER OF FLOORS: ONE(1)STORY changes or alterations on same, or to deviate ❑ m "�'~ FIRE PROTECTION: SPRINKLERED 4 therefrom, without approval from toe Building Official. CODE EDITIONS: __ _° _LO —: D/W N The Stamping•ofthis plan and specifications SHALL NOT _ A.CALIFORNIA RESIDENTIAL 2013 EDITION r 'b�� be held to permit or to be an approval of the violation B.CALIFORNIA BUILDING 2013 EDITION N C.CALIFORNIA MECHANICAL 2013 EDITION of any isions of any Cit Ordinance or State Law. D.CALIFORNIA PLUMBING 2013 EDITION I ' e E.CALIFORNIA ELECTRICAL 2013 EDITION 20'_�" BY , F. CALIFORNIA ENERGY: 2013 EDITION G.CALIFORNIA FIRE: 2013 EDITION DATE O ®! H.ANY OTHER APPLICABLE LOCAL AND STATE O� LAWS AND REGULATIONS. _ I PERMIT# 1;5 :2Q08a KITCHEN o PROJECT CONTACT: CO 20'-F'xIF-1" M 10 OWNER: RAY&CAROL DESCAMP Z 10319 AINSWORTH DR.CUPERTINO,CA 95014 Q DESIGNER: VALLEY HOME BUILDERS J (408(248-8000j3il DD x- 10 3466EDWARDAVESANTA CLARA,CA95050 — — — — — 10 — ARMAN®VALLEYHOMEBUILDERS.COMO O CN 0 STRUCTURAL: --- O O 2668 i SCOPE OF WORK: X Remodel existing kitchen.Update electrical to new LED recessed W lights,remove and replace sink in existing location.Remove and replace cooktap in existing location,with new gas line.Remove and replace frig in existing location.Remove and replace existing window with new window of same size In existing location. O Q. U DRAWING INDEX: ° U A0: COVER SHEET&EXISTING PLAN EXISTING FLOOR PLAN z H o AI: PROPOSED PLAN SC:1/4"=V-0" J W EI: ELECTRICAL PLAN Q Q Q 0 J Z) W p U 0 U p 3 0 c ❑ Q Q Q G` M )!S4 O DATE: June 2015 LEGEND: SALE: 1/4"=1' DRAWN BY: GRAPHIC SCALE: V.H.B s JOB NO: V-15-04 SHEET: A_0 i c REVISIONS BY N NQ LL 8 w ob N J � m �� w o LL :E >¢o 10040 J 0 o¢8 Z C, ag ----------- 2 -1 2 J w r 4 wE5w ¢ Z- D/W KITCHEN - 00 20'-1"x 11'-1" .. 'o 1 �3a 1 10 0 — — 2668 LLL Z —3-4.. D Q LU J O 0- 0 O Ll L IL O Ol O U PROPOSED FLOOR PLAN — W LU � � Q OJ U w z U 0. 3 o Q a Q o. 0 DATE LEGEND: June 2015 SCALE: 1/4"=1' GRAPHIC SCALE: DRAWN BY: s V.H.B JOB NO: V-15-04 SHEET: A_1 c REVISIONS BY ELECTRICAL - DATA - AUDIO LEGEND SYMBOL DESCRIPTION Energy Code Mandatory Lighting Measurements: 1.All permanently installed high efficacy luminaries shall 8 be switch separately from low efficacy luminaires(150(k)(7) o Ceiling Fan 2. Permanently installed lighting in kitchens shall be high efficacy luminaires.Up to 50% of the wattage of permanently installed m lighting in kitchens may be in lights that are not high efficacy(150(k)(8) wA W; o ❑® Ventilation Fans: Ceiling Mounted,Wall Mounted 0 a s Plumbing Plan Notes: uJ = ------------ Ceiling Mounted Light Fixtures:Surface/Pendant, ` n ❑ p w o C)0 ® — wP;iGFcl R i 3. Faucets in kitchens,wet bars,lavatories, laundry sinks,etc � 2 _j W Recessed, Heat Lamp, Low Voltage GFgI R i Wall Mounted Light Fixtures: Flush Mounted, I DAA FCI FCI shall have a water flow not to exceed 1.8 gallons per minute W ❑ W Q Z at 60 psi. (CPC 403.6) ❑ m ~ ® Wall Sconce -- Chandelier Light Fixture 4. A minimum of two 20 amp small appliance branch circuits shall be provided. (CRC R3151.1)the immediate vicinity of the bedrooms _ and on every level including basements in dwelling units that have 0 Fluorescent Light Fixture 1 fuel-fired appliances or attached garages. � Q 240V Receptacle I KITCHEN Electrical Plan Notes: _ ^ WP^ GF10 110V Receptacles: Duplex,Weather Proof, GFCI (i-�(o a�-(D R P r R 5. The installation of smoke alarms in all of the following areas shall be provided: (CRC R3151.1) WP$ 3$ 4$ Switches:Single Pole,Weather Proof,3-Way,4-Way / �3a a. On the ceiling or wall outside of each separate sleeping s area in the immediate vicinity of bedrooms. DM$ r$ Switches: Dimmer,Timer 0 b.In each room used for sleeping purposes O C —0 FC AV CoNml ^$ Audio Video: Control Panel, Switch �-- -------- = I 6.The installation of carbon monoxide alarms in the following L1_ Z areas shall be provided: CRC R315.1) _1 a.Approved carbon monoxide alarms shall be installed U sP sP Speakers: Ceiling Mounted,Wall Mounted ' outside of each separate sleeping area in the immediate vicinity of the bedrooms and on every level including basements csg csm� n Wall Jacks: CATS, CAT5+TV,TV/Cable I in dwelling units that have fuel-fired appliances or attached garages. W �( T __J g Telephone Jack 7. A minimum of two 20 amp branch circuits shall be provided for all LU •receptacle outlets in the kitchen,dining room, pantry,or other •similar areas. (CEC210.11 (C)(1). � Intercom 8.In every dwelling unit,fixed appliances such as food waste grinders, Q Thermostat •dishwashers,washing machines,dryers, laundry tray locations, 6� a. a •built-in refrigerators, freezers,furnaces,AC units,built-in heaters or O g Q o r ELECTRICAL FLOOR PLAN •any other fixed appliance with a motor of 1/4 h.p. or larger be on a U Q Door Chime, Door Bell Button sc:,ia°=r-o• •a separate 20 amp branch circuit. z U o —' W E 5o CO/Smoke Detector,, Smoke Detectors 9.In all areas specified in 210.52,all non-locking type 125-volt, o a •15- and 201 ampere receptacles shall be listed tamper-resistant O __j CJ •receptacles. (CEC 406.12) LU o EP Electrical Breaker Panel .6 U O 08 3 � � C <Q IM O" C7 O DATE June 2015 SCALE: LEGEND: 114"=r DRAWN BY: V.H.B GRAPHIC SCALE: e JOB NO: V-15-04 SHEEr: E-1