B-2016-1267CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-1267
19425 GREENWOOD DR APT 2 CUPERTINO, CA 95014-7406 (375 04 031)
( SERA
CONSTRUCTION INC)
FREMONT, CA 94536
OWNER'S NAME: NO REBECCA13 ET AL
DATE ISSUED: 01/27/2016
OWNER'S PHONE: 408-832-7889
PHONE NO: 650467-9606
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class Lic. # S �i ^0 ,. S-b I /y7 /24 16
Contractor Date ( `
X BLDG — ELECT — PLUMB
—
MECH X RESIDENTIAL— COMMERCIAL
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.
JOB DESCRIPTION:
Convert tat floor half bathroom to full bathroom (43 SF)
I hereby affirm under penalty of perjury one of the following two declarations:
1. 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.
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
Sq. Ft Floor Area:
Valuation: $9000,00
this permit is issued.
APPLICANT CERTIFICATION
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
APN Number:
Occupancy Type:
ordinances and state laws relating to building construction, and hereby
375 04 031
authorize representatives of this city to enter 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
PERMIT EXPIRES IF WORK IS NOT STARTED
expenses which may accrue against said City in consequence of the
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally, the applicant understands and will
comply with all non -point source regulations per the Cupertino Municipal
180 DAYS FROM LAST CALLED INSPECTION.
Code, Section 9.18.
( k {a7 /741 I
Signature Date G `y— y
,,,--g
-Issued by; Phuone (\/—
Date: +6
OWNER -BUILDER DECLARATION
RE -ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the
All roofs shall be inspected prior to any roofing material being installed. If a roof is
fallowing two reasons:
installed without first obtaining an inspection, I agree to remove all new materials for
1. 1, as owner of the property, or my employees with wages as their sole
inspection.
compensation, will do the work, and the structure is not intended or offered
for sale (Sce.7044, Business & Professions Code)
Signature of Applicant:
z. I, as owner of the property, am exclusively contracting with licensed
Date:
contractors to construct the project (Sec.7044, Business & Professions Code).
-
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1. 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
HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued,
I have read the hazardous materials requirements under Chapter 6.95 of the
z. I have and will maintain Worker's Compensation Insurance, as provided for
Califm'nfa health & Safety Code, Sections 25505, 25533, and 25534. f will
by Section 3700 of the Labor Cade, for the performance of the work for which
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
this permit is issued.
Health & Safety Code, Section 25532(a) should I store or handle hazardous
s. I certify that in the performance of the work for which this permit is 'issued, I
material. Additionally, should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Cade, Chapter 9.12 and
Worker's Compensation laws of California. If, after making this certificate of
the Health & Safety Cod , Sections 25505, 25533, and 25534.
exemption, I become subject to the Worker's Compensation provisions of the
Labor Code, I must forthwith comply with such provisions or this permit shall
Owner or agent:
be deemed revoked.
Date: t 1�A/l L
APPLICANT CERTIFICATION
l �'Gb 6 CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information Is
I hereby affirm that there is a construction lending agency for the performance
correct. I agree to comply with all city and county ordinances and state laws
of work's for which this permit is issued (Sec. 3097, Civ C.)
relating to building construction, and hereby authorize representatives of this city
Lender's Name
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
Lender's Address
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant
ARCHITECT'S DECLARATION
understands and will comply with all non -point source regulations per the
I understand my plans shall be used as public records.
Cupertino Municipal Code, Section 9.18.
Licensed
Professional
Signature Date
CUPERTINO-
CONSTRUCTION PERMIT APPLICATION
pp -AV
COMPUNlTfDEVELOPIdiENTDEPARTMENT SUILDIN-GDIVISION
10300TORRE AVENUE • CUPERTINO, CA 95014:-3255
(408) 777-3228 + FAX (4D8) 777-3333 + buddinG(a.DUoertino.oro
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EMSTA'G USE PROPOSED L'S CONSTR. T1PE ESTOP. �S
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B,y .my si;nature to each of the f ollo'ain2: lam the properj, o;;rer or zuthor'- _ t1oto zct3 the p-ope,-y ovmer's behalf. I svc rend this
a.vOicetion and the infoTmation I have Provided is co, ect, I have ; ead the Description Df Work and veri`y it is accurate. I aeTee to corply avith all znplic=eL=local
o; dinances and state la:vs Tel zting to b iidi•� -rs„ +cnon. I -uxhori-^ oresena:ives of Cepe.rtiaa to eTter the abov-identi{led orope; ;y :or insoeMion Pu�eses.
S+.'mzture ofkpplicant/A enC 1 Date;
SUPPLE?TF—NTALS'FOR.` ATiCNRBQUTRED
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subrnirtaj of Buildmg Pe mt applic_ton
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31dg _pa_?OII, c'oc rerised 06/21 /J I
Assessor's Parcel Number:35 - y `7%%^ 0,3l '1
Name of Owner: Kfi�Jecea VC
Contact Person: (� on Phone:
16 Sr6)
Project Address: f7 LOI (,mil rePii' w Lod ,Dr. # a
Scope of Work: (-
Code Editions: 2013 California Residential Code
2013 California Plumbing Code
2013 California Mechanical Code
2013 California Electrical Code
2013 California Energy Code
Mechanical Notes:
&44-A { 0
Bathroom vents shall terminate not less than 3 feet from openings and property lines. (CMC 504,1)
CUPERTINO
e� r d a i l
v.;; iI Building Department
1Yv .1 .JAN 2 i 2016
REVIEWED FOR CODE COMPLIANCE.
Reviewed By:
Energy Code Mandatory Measures:
1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires (150(k)(7))
2. Permanently installed luminaires In bathrooms shall be high efficacy luminaires OR are controlled by an occupant sensors(s) certified to comply with Section 119 that
does not turn on automatically or have an always on option. (150(k)(10))
PEPARI AiENT
'' liPt_Dli i:; iiIVISiON - CIJPEf2TINO
APPROVED
-his set of plan- ' ' specifications tv1'JST be kept at the
co s1e d n ;, - -' -'_' 1c;ion. It Is unlawful to make any
changes or cite;rations on same, or to deviate
theretronl, \N thcut approval from the Building Official.
The ScampNOT
i ei rut for tlo ban e all al) trance
of he violation
be held tt p City Ordinance or State Law.
of any prov'
BY I 6
DATE
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EXISTING BATHROOM FLOOR PLAN I-
Plumbino Notes:
1. Water closets shall have an average water consumption of not more than 1.28 gallons per effective flush. (CPC 403.2)
2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psl. (CPC 408.2)
S. Faucets' v In lavatories shall have a water flow not exceed 1.5 gallons per minutes @ 60 psi and shall not be less than .8 gallons per minutes at 20 psi. (CPC 403.6)
4. Shower stalls shall have a clear interior finish area of 7.1 sq.ft. and be able to accommodate a minimum 30 Inch circle at the threshold level. These clearances shall be
maintained up to a height of 70 Inches able the shower drain. (CPC 408.6)
5. Shower compartments and walls above bathtubs with Installed shower heads shall be finished with a smooth, nonabsorbent surface to a height not less than 72 inches
(6ft). (CRC R307.2)
6. The maximum hot water temperature discharging from the bathtub, shower and whirlpool bathtub filler shall be limited to 120 degrees Fahrenheit. The water healer
thermostat shall not be considered a control for meeting this provision. (CPC 409.4 & 408.3)
7. Water closet shall be set minimum 15 inches from Its center to a side wall or obstruction and 24 inch clearance in front of water closet. (CPC 402.5)
Electrical Notes:
1. The Installation of smoke alarms in all of the following areas shall be provided: (R314.3)
a. On the ceiling or wall outside of each separate sleeping area in the Immediate vicinity of bedrooms.
b. In each room used for sleeping purposes.
c. In each story within a dwelling unit, Including basements but not including crawl spaces and uninhabitable attics.
2. Approved carbon monoxide alarms shall be Installed outside of each separate sleeping area In the Immediate vicinity of the bedrooms and on every level including
basements in dwelling units that have fuel -fired appliances or attached garages. (CRC R315.1)
3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlets. (CEO 210.11(C)(3))
4. All receptacles in bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve counter top surfaces),
laundry, utility, wet bar sinks (within 5 feet of the edge of the sink), shall have ground -fault circuit interrupter (GFCI) protection. (CEC 210.6)
5. In all areas specified in 210.52. all 125-volt, 15- and 20- ampere receptacles shall be listed tamper -resistant receptacles. (CEC 406.11)
OFFICE
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