15120134CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10254 MINER PL
CONTRACTOR: THD AT-HOME PERMIT NO: 15120134
SERVICES, INC.
OWNER'S NAME: DUTT MOHAN T AND SHIKHA TRUSTEE
2690 CUMBERLAND PKWY STE 300 DATE ISSUED: 12/15/2015
OWNER'S PHONE: 6507047164
ATLANTA, GA 30339-3913 PHONE NO: (510) 731-1004
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL F] COMMERCIALE]
q 36 G 2—
REPLACE 12 WINDOWS & 1 PATIO DOOR, LIKE FOR LIKE
License Clas " C 1-7 Lic. AOO
(WILL MEET EGRESS & BE TEMPERED WHERE
0041
Contractor Hi( ) A -T �'f ow E Date I -- 1
REQUIRED BY
CODE)
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.
oreby affirm under penalty of perjury one of the following two declarations:
lave and will maintain a certificate of consent to self -insure for Worker's
ompensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $14177
e rmance of the work for which this permit is issued.
'. d will maintain Worker's Compensation Insurance, as provided for by
-
s
1�S cti n 3700 of the Labor Code, for the performance of the work for which this
APN Number: 31646019.00
Occupancy Type:
permi is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF W9AK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 18 S ERMIT 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 T CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence f -the
ed b Date: /
granting of this permit. Additionally, the applicant understan will compl
with all non -point source regulations per the Cupertin .M micipal Code, Se ion
9.18.
A
Signatufe' Date V24
RE -ROOFS:
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.
❑ OW -B13I DER 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:
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 Di it Y�
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, C a -p er 9.12 and
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
the Health & Safety Code, Sections'25505, 25533, and 2 •34. S
f
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
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 a CUPERTINO, CA 95014-3255 � J ��
CIJPEl€ TING (408) 777-3228 • FAX (408) 777-3333 a building(d)cupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS I Q /' I jj t
APN # i 0
OWNER NAME � 00 , I A J 1�I
U T Tri
PgTo - 70 ,/ -716
Y
T_
E-MAIL
�^�
STREET ADDRESS '/1}'i�- r [,� yy/ j C y' C12,STATE, ZIP
VL/ I I•, /SIJ J- I- 1- �-tJC r� FAX
ell ZZ I I.Jd G/� " 50f -i
CONTACT NAME JEFF RAINEY
PHONE 510-427-4260 E-MAILJEFFREY.RAINEY@ATT. NET
STREET ADDRESS 1069 EDGEMERE LANE
CITY, STATE, ZIP HAYWARD, CA 94545
FAX 510-783-1041
1-1 OWNER El ORTIER-BUILDER ❑ OWNER AGENT
❑ CONTRACTOR 'PJ CONTRACTOR AGENT El ARCHITECT ❑ ENGiNEER El DEVELOPER 1:1TEN.ANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPEBUS.
LIC #
836021
13,C39,C13,C17
COMPANYNAME THD AT HOME SERVICES
E-MAIL
FAX 510-783-1041
STREETADDRESS 2456 VERNA COURT
CITY, STATE, ZIP SAN LEANDRO, CA 94577
PHONE510-785-6340
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE. ZIP
PHONE
DESCRIPTION OF WORK
R-C-7RoF-iT 0I JDoJJ n A!D OA) �/, ► to
® i 2-C:. 61+4 A)G
EXISTING USE
PROPOSED USE CONSTR.
TYPE
# STORIES
I USE TYPE OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOMKITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: ❑ DETACH
❑ ATTACH
# 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 ❑ YES .EINE T TAL VALUATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
EICHL OME? ❑ Ni f j I
By my signature below, i certify to each of the following:
1 am the property owner or razed 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 relating to building constructiI
Iz resentativesof Cuter the above -identified propert for insp tion purposes.
Signature of Applicant/Agent:
Date:
SUPP TALINFO)71VIATIO
SQ�RE
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
❑
_ New SFD or Multifamily dwellings: Ap fo
oermitfor
existing building(s). Demolition permit is required
prior to issuance of building
BUILDING PLAN REVIEW
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 SEINER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_201 1. doc revised 06/21// 1
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10254 MINER PL
va"d
DATE: 12/15/2015
REVIEWED BY: MELISSA
APN: 316 46 019
BP#:
'EVALUATION: 1$14,177
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
Window / Sliding Glass Door
1 WINREP Replacement
PENTAMATION
PERMIT TYPE: 1GENRES�
WORK
REPLACE 12 WINDOWS & 1 PATIO DOOR LIKE FOR LIKE WILL MEET EGRESS & BE
SCOPE
TEMPERED WHERE REQUIRED BY CODE)
r-
I'�Z."'„'.i?tI.j.
Fee:
Z�1BC, I'c�✓tf?i? l`i'e:
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
,utstrtct, etc.). Iliese fees are based on tete preumtnary information available ana are only an estimate. contact the Uept_for aaan-t info.
FEE ITEMS (Fee Resolution 1.1-053 Eft.' 7/1/13,
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
= #
$574.00
Window / Sliding Glass Door
1 WINREP Replacement
Suppl. PC Fee: (E) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Work Without Permit? 0 Yes (D No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
G
0
D`fdi'C'.l1.)fiL;L,i?37C.'wat1tJn 1c'f'.4:
Strong Motion Fee:
IBSEISMICR
$1.84
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS '
$2.84
$574.00
TOTAL FEE: ,''
$576.84
Revised: 10/01/2015
_LEGEND: SCOPE OF WORK: INSTALL (12) RETROFIT VINYL, DUAL =
® = RETROFIT WINDOW/ PATIO DOOR LOCATION GLAZED, LOW E WINDOWS & (1) PATIO DOOR. NO (N)
(PW/XO) = PICTURE WINDOW OVER SLIDER cc
CONSTRUCTION, FRAMES WILL NOT BE DISTURBED. C:)(XO) = HORIZONTAL SLIDER Z ti
(PW) = PICTURE WINDOW NOTE; WINDOWS /PATIO DOORS �~
MASTER BEDROOM °C rn
(SH) = SINGLE HUNG i' i .f ?;1; w
WINDOW (SH) U -FACTOR = 0.30 � O v
2CD 3"w x 57"h SHGC = 0.25
MASTER BEDROOMLu
T FLANS CHECKED WINDOW (XO) MASTER BEDROOM KITCHEN_ KITCHEN z cl
LO3411w x 57"h PATIO DOOR WINDOW (XO) Lu Lu z
1 WINDOW (XO '` s 94"w x 80"h 33"w x 45"hQ
70"w x 57"h e, ` `��N KITCHEN c� w
DATE _ /y f�'�' �:`` -�< -, WINDOW (XO)
FAMILY ROO 33"w x 45"h ¢ N Q
PLANNIIqDEPT
Ct�PEI�TINC) cn
BEDROOM 2 MASTER BEDROOM KITCHEN
WINDOW (XO) KITCHEN
58"w x 42"h /ROUGH OPENING^�A WINDOW (XO)
16.9 sq ft. ROUGH OPENING BEDROOM 2 �� �- " '. O �` 70"w x 57"h
27"w x 38"h / NET CLEAR
7.1 sq ft. NET CLEAR DINING ROOM;
CQ 7,,DINING ROOM
BEDROOM 1 e'�i,Q WINDOW (XO)
WINDOW (XO) OFFICE �� 70"w x 57"h m
-_ . R -q , �Grp,F2TV9ENl' BEDROOM 1 WINDOW (SH) 'z
-_; ;,, 58"w x 42"h / ROUGH OPENING C Z
c- ; '" -,,.. _ va..:t�cR`l iIVO 16,9 sq ft. ROUGH OPENING 34"w x 81 "h
(TEMPERED)
27"w x 38"h / NET CLEAR
-7 be leapt at th7.1 sq ft. NET CLEAR ENTRY LIVING ROOM
1 to rake any LIVING ROOM w
`. ,1111a"Aqu
,,r to da\,iate WINDOW (PW -XO) Q o
F:;uilGi� -O I✓fiiicial GARAGE 70"w x 68"h --� m
i i; o�'n the ca-
��itic tiu is SNj\LI FJ' LIVING ROOM U
Q
WINDOWIPz z
c• _°.1 ;;ro r y or Stag✓ La CO
,rdin ,nr� _ 5 z
OFFICE
y J
SINGLE STORY HOME N w
(FRONT YARD)
FLOOR PLAN ((�r+o�ni
NOTE: MINER PLACE v
-! 1). SMOKE DETECTORS: WHEN A BUILDING PERMIT IS REQUIRED, SMOKE DETECTORS SHALL BE INSTALLED; (a) IN EACH SLEEPING ROOM, (b) OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE DATE
BEDROOMS, (c) ON EACH ADDITIONAL STORY OF THE DWELLING, INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS. (CRC 314) 11.30.15
SCALE NTS
2). CARBON MONOXIDE ALARMS: WHERE A PERMIT IS REQUIRED FOR ALTERATIONS, REPAIRS OR ADDITIONS EXCEEDING $1,000,00, EXISTING DWELLINGS OR SLEEPING UNITS THAT HAVE ATTACHED GARAGES OR FUEL BURNING DRAWN BY DKW
APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS; (a) OUTSIDE OF EACH SEPARATE DWELLING UNIT SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOM(S), (b) ON
EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENTS. (CBC 420.4, CRC R315). JOB 6731533
(HOME OWNER TO PROVIDE BEFORE FINAL INSPECTION). S"E: A-1
OWNER CMnFMATE foF CoMpLilAt4CE
COMMUNITY DEVELOPMENT -DEPARTM'ENT-,BUIUb`ING,DIVIS:ION
10300 TORRE AVENUE - CUPERTINO, CA 95014-325,5
(408) 777-3228 - F- (408) 777-3333 buIIdin--Q(@cunf0no:or-q
Owner Name */'.)V101Aa4.jT 'beal' . -
i - No.
Address 1-1 t 0-
1 Is your real property a registered -historical site?
0 yes Civil COde Sections 11011 through 1101.8 do not apply Skip the rest of the form and sign bottom of form.
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?
0 Yes Civil Code Sections 1101 1 through 1101.8 do not apply
n The licensed plumber's certification has been provided to the Building Division.
-kip the test of the form and sign bottom of form.
0 No G6 to Question 3
3 Is water service permanently disconnected for your building?
A-�Yes Civil Code' Sections 11011 through 1101.8 do not apply Skip the rest of the form and sign bottom of form
El No GO to Question 4
�j
4 18 your real property built and available for use; or occupancy r b u 9
an n for-, Jan. 0 before January 1, 4? 1 9
D No MY real property is built and available for use of occupancy after January 1, 1994
Civil Code, Sections 11011 through 1101.8 -do not apply Skip the rest of the form and sign bottom of form.
cbf Yes My real property is built and available for use or occupancy on or hafore January 1, 1994
-iv' Code Sections, 1101, 1 through 1101.8 apply Check one of the three following statements and sign
Civil
bottom of form.
g�r 5 1 F ! -Please check ONE of the fallowing: Y PrOV60Y fl a singte- family regiden t
M J% ial real property See Civil Code Section 1101.4
On and after Jantiaty f,,, 201 4, building alterations Or improvements shall require all fton-comyliarmt, plumbing fixtures
to be repfaced with, water -conserving, plan1ing fixtures, throughout the bufldizig. (Y n or before. January 1, 2017, all non-
compliant PIVIftidrig, flixtures; shall be replaced with water -conserving, plunibiftg fixtures (regardless of whether
property tiridergoe5, alteratioii& or' i ovemerits).
0 Mtyproperty is.. a muftf�imi'l� iesiAnttaf real property See Civit Code Sne-atiall, 1I0&1.5
On and 8ffer January 1, 2014, speeffifedi building, alterations at impfrovefuent.'s shall require non- compliant
pla-robing fixtures to bc replaced with, water -conserving plumbing fixtures,
GA, Or before January 1, 2049,. all, non-compliant plumbing fixtures, shall be replaced, with water=
comer, ving plunabing, fixtures, throughout the building (regardless of whether, property undergoes, alterations or
See', Civil Code Stctimi, 1101.5
O,n,and. after January l,.20"14,,speGiifr'..cdbuilding alterations orh-np,rovei-,nen,tsshall req,tiitrenon- coanpli,a,at
p,luimb,i,n-.gfLx,turestoy btrepl,,a,cedwith,.water-conserving plumbing fixtures.
0fit or beffbie, January 1, 20119,, all, non-coinpliant plumbing fixtures, shall be replaced with water- conserving
plumbing Ex—tures, throuigliout the, building (regardless of whether property undergoes alterations, Or =Proveirfte nts).
1,, asthe owner or, owner's; agent, orfthisl property, certify under penalty of perjury that non-compliant PTIRRbinig fixtures: be,
replacers prior to,date; specifredabove with water-conseivngpluirib,ing, f,xtur,p
3 in, � accordance with Civil Code S'ecticag 1101 1
through- T1011.9the: cunmerit C6§66rm i-aPlumbing Code an'dCalifioinia, Green Building Standiartd-.s� C'o.de,,,and imainufaeturer�s,
installation Mquiimmients,, and; that the: water -conserving plumbing COMPlY With the FeqA'ireMeaf'& as indicated in the
fable- on the U2awing, p -a e;
Owner or Owner, AgenTs,
Uponcompleting and, signing, this: Certilficate;,, please return: it to the Building Division., in Order to, final yourbifilldii'ag, perm
SB467 2011VUbc mWs.ed,0'&126yrjj5-,
SMOKE f CARBON MONOXIDE ALARMS
WIN R CERTIFICATE OF COMPLIANCE
COMMUNITY 4DEVELOPMENT DEPARTMENT, BUILDING DIVISION
L-L-
(CUPERTINO 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 -------
(408) 777-3228 - FAX (408) 777-3333 - buildin4(c1cupertino.org
K& 30254 11AINF-R, PL, 1CVP6RT%N0
inis ainctavit is a seir-certilication 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.
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or fepairs 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:
AIMA
SMOKE AI RM
CO ALXRM
Outside of each separate sleeping area in the immediate vicinity of the
bed,room'(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-bum.mg appliances and that
i
do not have, an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 4120-.6 and shall be approved', by the Office of tlae State Fire Marshal.
Power Supply: Th, dwelling units with, no commercial power supply, alarm(s-) may be solely battery operated.
In, existing, dwellliiirtg, units, alarms are permitted to be solely battery operated where repairs or, alterations do
not result ih- the removal of wall and ceiling finishes or there, is no access by means of attaic, basement or crawl
ace. Zefer ia , R,,,C, 'ectio.rtR.,'3,1,,4-and,-,CBC-Sec-t-io-ns-9&7-.2-.4-1-.4-an,&4,20�:6-2'�-An,-elec-t-r-ical-perm.-.it--isrequir-i�df-c�-r
-p -R �-t -C -S'
alari-t,tst which mwist be connected to, the building wiring.
As, owner of the above -referenced property, I hereby certify that t1he alarms) referenced above has/have been
hqst,a)ITed in, a-ccutdancewith the manufacture s in stmictions and in, cump.,111i, a niee with, the California Rui-i'lldffin-S
Codes. The alarnishave been tested and are operational, as, of the datesigned
bellow.,
,have read, and aarea to, corna1v mag, ma Abrow s, andl conadipthana of fhAs,.,d;4fPmPw
Sn.zok,eaiid,'CO,�fo,i,i7,z!.dmc, twAsed03Y118/110
O1 Ata
MA� Tkkj-
........... I .............................. ........................
Sn.zok,eaiid,'CO,�fo,i,i7,z!.dmc, twAsed03Y118/110