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16010039 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10320 LOCKWOOD DR CONTRACTOR:SGK HOME SOLUTIONS, PERMIT NO: 16010039 INC. OWNER'S NAME: SHENOY RAJESH K AND BALIGA PRIYA 3801 CHARTER PARK CT STE B DATE ISSUED:01/06/2016 OWNER'S PHONE: 4088369332 SAN JOSE,CA 95136 PHONE NO:(408)264-6964 QLICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL �� ,z �� REMODEL(E)MASTER BATH(UPSTAIRS)90 S.F.,LIKE License Class/;45Lia# � FOR LIKE WITH NO STRUCTURAL CHANGES 49 Contracto S�/� Date wF 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 ,prformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$15000 IdaTa 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:34215053.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES I NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITBI AY OF P M111T 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 INSPECT401Y. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of granting of this permit. Additionally,the applicant understands and ' p y !susDate: with all non-point source regulations per the Cupertino Municipal.Code,Section 9.18. RE-ROOFS: Signature-/ Dat — �e 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. ❑ O ER-BUILDER DECLARATION Signature of Applicant: Date: I hereby,a i.rm 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. 1 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 thepert o Municipal Code,Chapter 9.1 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 5 ,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:� 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 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 ------------ 0014STRUC T ION PERMIT APPLICATION COMPiUNI1 f DEVELOPI'VENT D=PA,PTi�liENT.'BUiLDIN'G DIVISION 0300 TORID E AVENUE- CUPERTINO, CA 9501A-3255 goo/ CUPERT[t�IO (4DB)777-3228 - FAX 77 7-3333 - buildino(a�cuoerrino.ora ��,a (]1.ETI W CONSTRUCON u ADD1i ❑ =. l0W . LiE�4TION/TI V75iON/DHF R( CCS// OPTG-1NAT-F, ?ROtiCf ADDRESS � / �✓ s�`��"'V"FJ�G/l / �- I �rNn � � � � [ J_ �� J35-4 ST=--1 CiiY, STAT Z3 � , C0?75ACT>\A` goD /M P&2-. -D I'a01\= (J�fC��J —363 V ty. STR �:fJDn 55 C.-TY,Y,STATE, ZIP r An ❑ OVF .Z ❑. OW?T_R-Bli D ❑ 0A^�AG-1'T CO:,�kCTOR ❑CON\ 4CTO�ZAGT-i ❑ E?C=C:T ❑cnG-, ❑ D1=L0 � E3 COlvTRACi O7�TAIJE �/? _ Y �b I z I ' Uj�Z�� I L10ENISE T Yr27I SUS.LiC COl✓u A11Y?�A} I E-1✓t3L I FAX ST'i ET ADDR SS �/ /f IL Cl TY,S T.ki=,Z? J /f ts?C:7TECiit?4GDF-r�N",UVR LICZ;\SEI\,UbGEP. EL'S.LiC R CCIM.42\Y �JY� I 7Vy^�L I rAj STREET ADID?.ESS I C-11-Y,571Aits;ZIP D?SCP-TPTIGINT OF WO?.i: 15��/!��(✓u' '/ I /� �G16��� `� -`i�/�B.��1:� ���J / � .�•�, h jL-11G �j�� o S�J co1,s�TrFE 14S:O?=,-S USE I TVP Z- I OCC• I SQ.:T. VALUATION(S) :v v NDN rL00iZ f' DE140 TOTAL '- -� BA HKOOMC• 7:11 . 0Tr•.R :<i- Rr170DELcR=.4 �4 ?ET40 LAREA FaMODELA._'EA I - TOT-1DECi:-?ORC3FtiA G.==RkGE:?=.k: [IDETACH .rT� I— ED AisAC3 DV=LLD G"u is: 15ASECOND UNrr ❑Y=S SECONDSTORY 1=S -- BEING ADDED? ❑No I ADD71 x\10 PP`-cn?L?CLTION ❑1'=s Y=S,PRO-v,"D=COPY OF IS T-:E BLDG e Tl �) ��. ❑Xo E?CHEER 01 �U l! By my sib la l re belo;v,I ce;:i y to each of the Te],oh'in_: I am t=:e property o�„er or authoriz _pert to ct on the prODe,: ov•ler's behalf I hive rend his application and the i--l;ornation I have provided is cor-,eet. I have read the Description of and 1-erij it is acc'u-ate. I Fz7ee to-comply P„'ith all applicable local Ordinances and State la\;'s rela'i. _ .�Con-st,L''ction. I author• .-s'e;,_tives'oi Cu pe.r<ino to enter the property i for lnsp9Ct10n purposes. Sin;a t!re oTApplicant,A=ent: Date: CD^ F T FQ _ _ New SFD 0. ^ T�Ciit:lla hL;' Ci1�e:!Lncs. . ?Jy1y OI Cci]011._0 1 70-hit:Or - txistin-building(s). De7molition pt,%,lt is required iS ance 0 buil •n� _O� T)=COLhT - �L?IIDLRG�T 3�cZ5?e Ftp prier i0 Sll_. I L d1_ _ a'r-nn;t for new builriin,cr, .511 _Co:=,merclal BidCS: Prov-ide a co nr)T5Led P_a?ardcius Mla'er?als DISC!Osu-e CTld E - 1 =0r-1 lr -y 1ieZ_^OUS hf curia 15 bei' used as"fli i Oi ih:S vr0]eGt., — _ - - - - f r aA- al L 4' iro :`t1P — z- Copy o_Pla,__1 Approval _ Letter cr'\!..e:._: ;;,:• 1`-!�1-!�odor to � f riOR - s � �1TiY Sn��t n�I�3 RICT SL'•b'?ii:al Or B11Ldu-1g t�e_i_?it application. -- � .�Id��a,�_?D_71.doc revised 06/�?/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ;1 ADDRESS: 10320 lockwood dr DATE: 01/06/2016 REVIEWED BY: melissa APN: 34215 053 BP#: 'EVALUATION: 1$15,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION USE: SFD or DuplexT PERMIT TYPE: 1 R3SFDRE WORK remodel a master bath (upstairs) 90 s.f., like for like with no structural changes SCOPE S ) a >t s, >r z. et" srr.. ',, >w s#-... .'tit , "lt'G n. f.:.t ,. 1"13r"d ,zre-%.. F_111eafi,J3C.'r,ti,1:80; /jlidl3f!?. 111:. PNY'i?`t:'': lz C.PE'p`"id.f Fee. __[_0';h'f` .;S.Leuh. htt p. Imp. x.c.. NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District, etc. . These ees are based on the preliminar information available and are only an estimate. Contact the De t or addn'l h o. FEE ITEMS (Tee Resolution 11-053 Eff. 7/1/132 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 90 s.f. Remodel,Bath(<=300 sf) Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 $645.00 IREMRESBAT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 sPME Permit Fee: $0.00 \..f{.3�i.'.SLf�ZR4.lio Km Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential E Building or Structure 0 Strong Motion Fee: IBSEISMICR $1.95 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS. $2.951 $645.00 TOTAL FEE: $647.95 Revised: 10/01/2015 Assessor's Parcel Number: �"[ L 05 Plumbing Notes: / ! 1. Water closets shall have an average water consumption of not more than 1.28 gallons per effective flush.(CPC 403.2) Name of Owner: � ! ���/ 1'/ � ! 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi.(CPC 408.2) 3. Faucets 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) r � 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 Contact Person: Phone: j 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) Project Address: 6. The maximum hot water temperature discharging from the bathtub,shower and whirlpool bathtub filler shall be limited to 120 degrees Fahrenheit.The water heater i thermostat shall not be considered a control for meeting this provision.(CPC 409.4&408.3) 7( �� ` ,��- I 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) Scope of Work: �"1 ���-- �� �f f- i / y -(fYi �! Electrical Notes: (J ! 1. The installation of smoke alarms in all of the following areas shall be provided: (R314.3) Code Editions: 2013 California Residential Code 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. 2013 California Plumbing Code C. In each story within a dwelling unit,including basements but not including crawl spaces and uninhabitable attics. 2013 California Mechanical Code 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 2013 California Electrical Code 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.(CEC 210.11(C)(3)) 2013 California Energy Code 4. 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) Mechanical Notes; 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) 1. Bathroom vents shall terminate not less than 3 feet from openings and property lines.(CMC 504.1) =: Y Energy Code Mandatory Measures: -t.,'rl ,, ;.��:! _,.,�-' _ :•. 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 ot t� does not turn on automatically or have an always on option.(150(k)(10)) ~`=' !. ` 'k_ PER �Ullding ©e,P8ftrnen% A J6� 0 2016 RE EWERFCR COD l E r;;Oflfii=Li.'1NCL eviewed By, DFOE7LOP M:NT DEPARTMENT RLIlL;11NG���jjj ,�L.11�i��i�1i`�-Cit='i7il INO !!�� Th';,r--r'f Qf nitnnl,Find l/T!_IST be ki:-- t at the � � (1, j(.`iv �ti�l[: !rlll. it �L unlawful '`.re in'.l i�r1y ,\V t. lr':i __ i c_'i L,_•�'-:ii!Gil �jn ='-me, Or to t�s;vi to t!iC : VdiiE:'1E T rat p li,pct fy:. ildng Official. "I ` ti,;,-- r I,- -cIHAILL!40T �'- 1C; I',: ,` oval (DI' ''�'1r1! n q- G""__;,� Iii VI;01 �;I'Ly r ilc�CfCt?�i{'�`ic:'LC Lc W. A 0 DC7 - y. EXISTING BATHROOM FLOOR rLHIN PROPOSED BATHROOM FLOOR PLAN Assessor's Parcel Number: Plumbing Notes; � , /� z 1. water closets shall have an average water consumption of not more than 1.28 gallons per effective flush.(CPC 403.2) Name of Owner: 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi.(CPC 408.2) 3. Faucets 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) `, r � 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 Contact Person: �� 1J�� l / �! _ y j maintained up to a height of 70 inches able the shower drain.(CPC 408.6) Phone: `f o 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 OPro ect Address: / � (6ft).(CRC R307.2)p I 6. The maximum hot water temperature discharging from the bathtub,shower and whirlpool bathtub filler shall be limited to 120 degrees Fahrenheit.The water heater thermostat shall not be considered a control for meeting this provision.(CPC 409.4&408.3) Scope of Work: / P--T �� J����} , J 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) Code Editions: 2013 California Residential Code a. On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms. 2013 California Plumbing Code b. In each room used for sleeping purposes. a C. In each story within a dwelling unit,including basements but not including crawl spaces and uninhabitable attics. 2013 California Mechanical Code 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 2013 California Electrical Code 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,(CEC 210.11(C)(3)) 2013 California Energy Code 4. All receptacles in bathrooms,garages,accessory buildings,outdoors,crawl spaces,unfinished basements,kitchens(where receptacles serve countertop sur- faces), 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) Mechanical Notes; 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) 1. Bathroom vents shall terminate not less than 3 feet from openings and property lines.(CMC 504.1) V� Energy Code Mandatory Measures: N 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)) l RFSg�%rzz !tcy�,Fo �� Oepa NO FOR c ?016' IT G�-� Mph/,qNL' r ASSESSOR COPY IV v. a JAN 0 6 2010 I I -- ------ EXISTING BATHROOM FLOOR rL,yiv PROPOSED BATHROOM FLOOR PLAN