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B-2016-1447CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1447 22285 CARTA BLANCA ST CUPERTINO, CA 95014-1062 (326 13 05 1) HAN YONG-GYU AND MOON SAM-LYEON 22285 CARTA BLANCA ST OWNER'S NAME: HAN YONG-GYU AND MOON SAM-LYEON DATE ISSUED: 02/29/2016 OWNER'S PHONE: 408-862-0188 PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor HAN YONG-GYU AND MOON SAM-LYEON Date02/29/16X 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: KITCHEN REMODEL - NON STRUCTURAL (222 SQ FT), REMODEL I hereby affirm under penalty of perjury one of the following two declarations: (2) BATHROOMS - HALLWAY 67 SQ FT, MASTER BATHROOM 83 SQ ..-OLV00phave and will maintain a certificate of consent to self -insure for Worker's FT. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. 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: $40000.00 this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 326 13 051 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. Issued by: PAUL O'SULLIVAN I 52_ Date 02/29/16 Date: 02/29/16 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 following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for i. I, 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 (Sec.7044, Business & Professions Code) Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 02/29/16 contractors to construct the project (See.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: i. 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 2. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, 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 a. 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 �,. air contaminants as defined by the Bay Area Air Quality Management District I shall not employ any person in any manner so as to become subject to the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, 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 0 Truer, or U1, cgent A be deemed revoked. Da e: 2 2 1 APPLICANT CERTIFICATION 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 �Sd itattur Date 02/29/16 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT . BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ' ' (408) 777-3228 • FAX (408) 777 3333 • building()_cupertino.org CUPERTINlO T3Z�'IrI44_ " NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS ZZ_L B /'9 n ,Z I^ �n e p ,�` APN II 7 / 0 L i OWNER NAME YV p. i C, P PHONE (�C t Z E-MAIL C-0 ice` cz& S -f , vck, STREET ADDRESS Af 7L q t,) A ( 1 CITY, STATE, ZIP ®y ` ` FAX CONTACT NAME C. ^ Cjy(A k � 1�' PHONE _ 3 � E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX VOWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME _ �- /\ y LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK iM d �l Z Y►� r' 4� i 'C'LA - --r_Y'v^ C'tl �- �` _ z Z �� C AY0-1 -- 6f ('tA cr e -GI.. �� ©:�- — � 7, S EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOMOTHER ODEL AREA ' � MOAREA �ZZZ REMODEL AREA (yam PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH # DWELLING UNITS: 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 RECEIVE Y: TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 0, O 0 G '40, By my signature below, I certify to each of the following: I am the property owner or authorized aged 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 const on. uth 'ze representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: �-� Date: Z'� 2-1 01 16 SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _ New SFD or Multifamily dwellings: Apply for demolition permit for OVER-THE-COUNTER BUILDING PLAN REVIEW 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 ❑ ❑ submittal of Building Permit application. MAJOR SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121/11 CITY OF CUPERTINO FF.F. F CTIM A TOR — RITII,DING DIVISION ialADDRESS: 22285 CARTA BLANCA ST -7 DATE: 02/29/2016 REVIEWED BY: PAUL QTY/FEE APN: 32613 051 BP#: $0.00 `VALUATION: 1$40,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair pglRy USE: SFD or Duplex $0.00 PME Plan Check: PENTAMATION PERMIT TYPE: 1 R3SFDRE WORK KITCHEN REMODEL - NON STRUCTURAL 222 SQ FT),REMODEL 2 BATHROOMS - HALLWAY SCOPE 67 SQ FT, MASTER BATHROOM 83 SQ FT. 0,0 NOTE: This estimate does not includefees due to other Departments (i.e. Planning, Public Works, Nire, sanuaty sewerutstrtct, scnoot District, etc.. These ees are based on the relimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (fee Resolution 11-053 Eff j/1%13Z FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =s.£ Remodel, Bath (<=300 st) $645.00 1REMRESBAT Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 =s.f. Remodel, Kitchen (<=300 sf) $645.00 1REMRESKIT Permit Fee: $0.00 Suppl. Insp. Fee -(F) Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 s':.'... ti f E) Work Without Permit? 0 Yes No $0.00 Advanced Plannins Fee: $0.00 Select a Non -Residential G Building or Structure 7' ;.> :� Df, �;�, ': =�4�,sz ""; £ :�°°: Stronay Motion Fee: 1BSEISMICR $5.20 Select an Administrative Item _ Bldg Stds Commission Fee: 1BCBSC $2.00 SUBTOTALS $7.20 $1,290.00 TOTAL:: $1,297.20 evised: 01 /01 /2A*e CUPERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 e building(a�cupertino.org — Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS ' 1 APIC.. - BP# y OWNER NAMEOWNER .... `Co,� J.. .. ADDRESS: : , DESCRIPTION OF WORK: � � -�[ } We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit_ until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) L1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - der" building permit that erroneously implies that the property owner is providing his or her own labor and material tonally. I, as an. Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by inlicensed person and his or her employees while working on my property. My homeowner's insurance may not side coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my trance coverage for injuries to workers on my property. understand building permits are not required to be signed by property owners unless they are responsible for truction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may ect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her ie instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license bers on permits and contracts. 15. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, al value of my construction is at least five hundred dollars ($500), including labor and materials, I may be nsidered an "employer" under state and federal law. and the 'Pi. 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and :deral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to nemployment compensation for each "employee." I also understand my failure to abide by these laws may subject ie to serious financial risk. L-1 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family esidential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by icensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work s performed under contract with a licensed general building Contractor. '0_8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for ny financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction efects in the workmanship or materials. a merBuilderForm 2010, doc revised 09/14/10 e' 9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal enue Service, the United Stat Reves Small Business Administration, the California Department of Benefit Payments, FM the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State Liense Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. _10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I the party legally and financially responsible for proposed construction activity at the site address listed above. Ll 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abtde all applicable laws and requirements that govern Owner -Builders as well as employers. J@1 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information -I-have-provided on this form. Licensed contractors are regulated by..laws designed to protect .the..pubiic. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a. result of a complaint.. -Your only remedy against unlicensed Contractors maybe in civil court. If is also important for. you -to understand that if an unlicensed Contractor or employee of that individual or firm is injured .while working on your property, you may be held liable for damages. If you obtain a permit. as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date; Z/Z§' //6 --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: Ox,nerBuilderForm 2010.doc revised 04/14/10 I .% Assessor's Parcel Number: :> -L ( -�, 6) -5 1 Narne of Owner: Yo N `-► _ G,Y CA H A-0 Contact Person: C -t - Cl,-( V1 HSN Phone: 40 9 , 3 I Y ^ -�-+" 9 Z Project Address: 2.222$ CY�� tc.►riQt �-G ,,�e�-�i IrIQ C� �(5C7 �-}- Scope of Work: Ma moo VC) C, 1"', I� -►� a a Za Code Editions: 2013 California Residential Code 2013 California Plumbing Code 2013 California Mechanical Code KUPERTIN 2013 California Electrical Code'` Building Department 2013 California Energy Coded Energy Code mandatory lighting measures: _ FEB2 9 2016 1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminair(�� (� n� q F 2. Permanently installed lighting in Kitchens shall be high efficacy luminaires. Up to 50% of the wattage of pemanently instal4edTiRtl^gUin7Ci%hens� ypb�lin9lgh�'s`that are not high efficacy, (150(k)(8)} Reviewed By: �v S EXISTING FLOOR PLAN 0 G tn-- Assessor's Parcel Number: 2-6 ( 3 6 5 1 Name of Owner: Yo N 61 _ G (A n A-0 Contact Person: YoC-1-1--( LA � ��' Phone: 4-0 Project Address. 2'21" co"l, -0, co, �PG �r�v-�j � � CA 9(-�- Scope of Work: Mac-tev j�ec1. ��a�.�. ��atL� �uGam- �2 ►�1r� o Code Editions: 2013 California Residential Code 2013 California Plumbing Code _ 2013 California Mechanical Code CUPER TIIV® 2013 California Electrical Code L Building Department 2013 California Energy Code 3 016 Eneray Code mandatory liahtina measures: 1. All permanently installed high efficacy luminaires shall be switched separately from low effiaFg�ZaW&[Q E09)5)PODE COMPLIANCE 2. Permanently installed lighting in Kitchens shall be high efficacy luminaires. Up to 50% of the wattage of permanent) inst I' i ns may be in lights that are not high efficacy. (150(k)(8)) Reviewed 1' Vo J FLOOR PLAN 0 0 tM- 5 A Assessor's Parcel Number: Z� Na me of Owner: ,�0 N C� G', (A H .A- ►� Contact Person: l U (I\c LA 4 ,,,A 0- Phone: Project Address: 1 11. Q CGkV-t-cx 9 ICA t-, ca, t i Scope of Work: H-ro \yoaq, �'t�-►1r�c� :�.. ��� i��•- C; c� �I Code Editions: 2013 California Residential Code 2013 California Plumbing Code 2013 California Mechanical Code 2013 California Electrical Code 2013 California Energy Code Eneroy Code mandatory lighting measures: (f®�-3I�--51+ -ti ha; (-.A 9�;oILi- 57. F 61 1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires. (150(k)(7)) 2. Permanently installed lighting in Kitchens shall be high efficacy luminaires. Up to 50% of the wattage of permanently installed lighting in kitchens may be in lights that are not high efficacy. (150(k)(8)) {- 11 11 7 42 EXISTING FLOOR PLAN Plumbing Notes: 1. Faucets in kitchens, wet bars, lavatories, laundry sinks, etc shall have a water flow not to exceed 1.8 gallons per minute @ 60 psi. (CPC 403.6) Electrical Notes: 2. 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. 3. 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) 4. A minimum of two 20 amp small appliance branch circuits shall be provided for all receptacle outlets in the kitchen, dining room, pantry, or other similar areas. (CEC 210.11(C)(1)) 5. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlets. (CEC 210.11(C)(3)). 6. In every dwelling unit, fixed appliances such as food waste grinders, dishwashers, washing machines, dryers, laundry tray locations, built-in refrigerators or freezers, furnaces, AC units, built-in heaters or any other fixed appliance with a motor of 114 h.p. or larger shall be on a separate 20 amp, branch circuit. 7. All receptacles in bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve countertop surfaces), laundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground fault circuit interrupter (GFCI) protection. (CEC 210.8(A)) 8. In all areas specified in 210.52, all non-locking type 125 -volt, 15- and 20- ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.12) Al, . I.'' I COMMUNITY DEVELOPMENT-DEPART.MENT BUILDING DIVISION - CUPERTINO APPROVED This set of plans anis specifications MUST be kept at the job site during construction.. It is unlawful to make any changes or alterations on same, or to deviate therefrom; without approval from the Building Official. -T.he, Stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of an 'ovisions�of any City Ordinance or State Law. BY. cJ DATE UPERTINO BuildIng Department FEB 2 2016 REVIEWED FOR CODE COMPLIANCE Reviewed By: Thv"4`olvt� PROPOSED FLOOR PLAN kr-,ii i r, P -t,_% %- BY Assessor's Parcel Number: L6 o Name of Owner: �` G-rY�( HAA Contact Person: Yp Ivy — C-i�r� %1 �-I� Phone: Project Address: I' — i Scope of Work: I'�i'G�Ir2�• IZ�i�v�o d-� (e.0 o>�& T� atom — S`Nv04NJ Code Editions: 2013 California Residential Code 2013 California Plumbing Code 2013 California Mechanical Code 2013 California Electrical Code 2013 California Energy Code 2 LZ :3, j Energy Code mandatory lighting measures: 1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires. (150(k)(7)) 2. Permanently installed lighting in Kitchens shall be high efficacy luminaires. Up to 50% of the wattage of permanently installed lighting in kitchens may be in lights that are not high efficacy. (150(k)(8)) 91 6 SiVnk ;175 DC, 04 O0 � 4r: ®v�u� EXISTING KITCHEN FLOOR PLAN Plumbing Notes: 1. Faucets in kitchens, wet bars, lavatories, laundry sinks, etc shall have a water flow not to exceed 1.8 gallons per minute @ 60 psi. (CPC 403.6) Electrical Notes: 2. 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. 3. 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) 4. A minimum of two 20 amp small appliance branch circuits shall be provided for all receptacle outlets in the kitchen, dining room, pantry, or other similar areas. (CEC 210.11(C)(1)) 5. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlets. (CEC 210:11(C)(3)). 6. In every dwelling unit, fixed appliances such as food waste grinders, dishwashers, washing machines, dryers, laundry tray locations, built-in refrigerators or freezers, furnaces, AC units, built-in heaters or any other fixed appliance with a motor of 114 h.p. or larger shall be on a separate 20 amp, branch circuit. 7. All receptacles in bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve countertop surfaces), laundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground -fault circuit interrupter (GFCI) protection. (CEC 210.8(A)) 8. In all areas specified in 210.52, all non-locking type 125 -volt, 15- and 20- ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.12) .,.�.s�, Cui�ERYl�10 '! •>: '` »N Eu.-iiding Department f*=: FEB 2 9 2016 REWEWED FOR CO�7DE COMPLIANCE PROPOSED KITCHEN FLOOR PLAN V- La CUPERTINO � CONTRACTOR /SUBCONTRACTOR LIST Duila-Ing vepartlucut City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone• 408-777-3228 Fax. 408-777-3333 JOB ADDRESS ZZZ S �;- CAVTA IFLP,- -A 5--r PERMIT # 13- ZO16 — 1 4 -Lt? OWNER'S NAME �oNC-, ®C-?ytt H410 , S, M ---L EON MOON, PHONE # 4oS A X64- �74-72 j GENERAL CONTRACTOR. BUSINESS LICENSE # k ADDRESS CITY/ZIPCODE uur municipal code requires all businesses working in the city to have a City of Cupertino business ficense. 10 BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE 'ENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO 1USINESS LICENSE. / f am not using an subcontractors. Y Signature Date 'lease check applicable subcontractors and complete the following information: BUSINESS NAME 0 0 KA''i BUSINESS LICENSE # SUBCONTRACTOR Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry V Painting / Wallpaper Paving Plastering ✓ Plumbing Roofing Septic Tank Sheet Metal V Sheet Rock V Tile BUSINESS NAME 0 0 KA''i BUSINESS LICENSE # OWNEIR CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT a, BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE u CUPERTINO, CA 95014-3255 (408) 777-3228 -'FAX (408) 777-3333 ® building (cDcuperho.org -016 - -7 V-9 M am 7-0 1 �1— I tr UWN—RUMSHIM: 7 e: 5 P FR -M 1 T C A: N -N 0T BE V I N N 1 , tbWD COMPLETED UN T 11, T 1H S CFRTfF1CATE HM DUN S�= AND affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for pliance with 2013 CRC Section 8314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for ections are required. IN, PORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Mc noxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling -units exceeds $1000.00, CRC Section R314 and CDC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: I AIRIA SMOKE AILAIRIM4 CO` A, tAAM— Outside of each-, separate sleeping area in the immediate vicinity of the X X On every level, of dwelling, unit including basementsI �' Within each slee ; in . room T X bolt, Monoxide alarms are not required in dwellings which do not contain fu- el-bumin, Lg appliances and that not have an attached garage. Carbon monoxide alarms corn, bR Led with sm A e alarms shall comply with C Section VEY.& and shall be appy. ovedby the Office of the State Fire Mar sha-11. ever.' Supply: in dwell2ng. units with no commercial power supply, alarm-(s)� nay be solely battery o�peratedi. existing, dwell1haig.tmits,, alarms are permitted to be, solely battery operated where repairs or alterations & t result ham thite, removal of walft and ceifing. firdshes; oz there, is, nwv; access, by meairts of attlic, base mm ,enlf or C, raw, ace. R'efer,to,,CRC'Section. R3,14and CBC Sections 90V.2.11.4and 4--2O4.6,.2.A\n,,electrical per RA itisreq, ired for rriTn's" Wd%ick' Mn'ast, be-, coim-ected to, the building widnig. owner @4 the above - r, e fe r eirtc e d p r op eT, Iy , I hereby cer,t ijf, y that. thn e all ar, mn (s) r e f e it e irtc e di above ]h asjh av, ebff I e 1. , tabled m accordain�ce, with, the mwani �uf act uir er's instm-mcgion6- and in, com, pfilaRce with the Cailliifwmia, %jij!dtjini ,a, I QJklamia, Residenha-1 Codes,,. The Alarms have beent tested a„,d are eperationail, as, of the date, ggrfedi q16117 Yom C-1 — .................................................... . ................. h Smoke an&COf6mit db..c. reidsed'031T'811,431 'WA�T!,ER,-CONSERVMG,�PL'UMMNIXTU,,R�ES OMER CERnOMATE OF COMPMANCE COMMU NJ iTYiD�E)ELMr--.WTI,DEPARTM--NT -MILDING DMIS(ON 10300 TORREANIENLE -OUPERTINO.CA95014-3255 f(Q8)M,T -322-81-FfiX(,(408) 777-3333 a WildingAacupertino Nam 0 N 6— GY(A f a A M Permit No 6— 2-o 1 6 9 14-4- -7 is 4— VZ -L C-A-r-tc, � cA q_�-O I LI_ your real property a registered historical site? es Ci CordeSections liol.1throu 1101.8 do not apply. Skip the rest of the form and sign bottomof form. No Go to Question 2. roes your real property have a licensed plumber ceffifft that, &e to the age or configuration of the property or its lumbitig, installation of water-wriserving plumbing fiXtures is not technically feasible? I Yes Civil Code Sections 1101.1 through 11'01.8 donot apply. 0 The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. rNo Go to Question 3. 3. 13 water service permanently ently disconnected for your building? El Yes Civil Code Sncctjiahs 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. MR 01"ko Go to Question 4. 4. 13 your real property built and available for use or occupancy on or before January 1,1994? M No My real property is built and available for use or occupancy after January 1,19'94. Civil Code Sections 1101.1 through 1101.9 do not apply. Skip the rest of the form, and sign bottom of form. -e built and available for use or occupancy on or before January 1, 1994. iy real prop - rty is b M �ry6s Civil, Code Sections 1101.1 through. 1101..8 apply. Check one of the three following statements and sign bottom, of form.. P ase check ONE of the following: N See Civil Code Seeti on, 11011.4. On amid after Januaty1, 2014„ building alterations or improvements shall require all non-compliant pitmmbing, fixtures to be replaced withtwater-conserving plumbing fixtures ll-Irbughout the build -mg. Un, or before January 1, 2017, all, non- compliant plumbing: fixtures shall be replaced, with water-conservitig, phimhimg ffigaves (regardless of whether propeity undergoes= alterations or unprovemenfs}. E MYPMPertyis, a>mzdfifamlly residential realproperty. Set Civil Code Section,, 1101.5. On and after January 1, 2014, specifie'd, bv6ldiag alterations or m pkovemne,'nts shall tegnim non- compliant plutnbirfg fixtures to be replaced with, Watar-cOnsetvitig. plu. m bing fixtures. ©nor before January 1, 2019t, all'': non-com, pliantpliumbing fixtures Shalt be repl'ace'd with water- coriserving.pluinbirig fixtures throughout the building (regardless of wliefher propertyunzergoes alteratigns or im, provenienb)� El Mypropadyis acomrnercktreal property. Ste CiNvil Code Section 11011.5. On and affer, January 1, 2G14,, specified building alterations, or improvements shall, rieqgiie non- compliant plumbing fixtures. to, be replaced with water -conserving plumbing fixtures. On, Gr b6i6m. Tanuaqv 1, 2019„ all non-compliant pluimwbinig, Eixtures, shall be replaced with water= conserving plus fktwesidkrougfioutthey building, (regaT(fless of Whether property undergoes aftmations; or, impEovementisq. I,ag,the owner ,orowner"& agent, of this property, certify under penalty of perjury that be reptacedIPITior, to, elate SPeciErdlabove- .with ,wafter -conserving plumbing Fixtures in, accordancewith Civil Code. Sections 1101.1 throigh 110%1.8°,, the euiarentt CaliformiaPlumbng Code and Standards Code,n d' a - m anufac, turer"s i<nstaTila.t,ou�requiriemtatsi,,and that the water -conserving p)l;um.�b, g fixtures complywith the requirtments, as- indicated in the table le o n the fo 11b.wing,, va ze-.. O'wneror ftent,"s, S-igp aturieq�,�L,' Da:e '7 7 Upon compietftig, and sigiiing this, C-6ttifizateplease return it for the B`uil-diRgDivision; intorder, tofin-af,.your building, permit . SW -720 -lid. doe revised 0812611..,5