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B-2016-1510 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1510 21979 OAKDELL PL CUPERTINO,CA 95014-1104(326 39 004) FUTURE VISION REMODELING INC VAN NUYS,CA 91406 OWNER'S NAME: SHERWOOD CHRISTOPHER R AND RACHEL M DATE ISSUED:03/14/2016 OWNER'S PHONE:408-835-0900 PHONE NO:(818)284-9890 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#991840 Contractor FUTURE VISION REMODELING INC Date 04/30/2016 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: BATHROOM REMODEL(54 S.F.)fN HALLWAY 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 /1performance 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 this ` permit is issued. Sq.Ft Floor Area:54 Valuation:$7000.00 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 ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 326 39 004 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 expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CA E I SPE TION. FIS@na"`�t'ou e� Date 03/14/2016 Issued by:ALEX VALLELUNGA Date:03/14/2016 OWNER-BUILDE DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is i. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:03/14/2016 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER i. 1 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the a. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. IsLdwnet oa�autnorlVE' ag nE APPLICANT CERTIFICATION Date:03/14/2016 I certify that I have read this application and state that the above information is CONSTRUCTIENDINGAGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a con uction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 03/14/2016 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTIPIO (408)777-3228• FAX(408)777-3333• building(ab-cupertino.org161 _ � ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROTECT ADDRESS �I Ir-/I �au� APN# 5;LU 39 00 Lf OWNER NAME PHONE �U EMAIL fC4 N/eA111 _li STREET ADDRESS n �/��� �)a�/ �� CITY, STATE,ZIP /__ � / ,� 'FAX CONTACT NAME �I L PHONE)� LG 60 E-MAIL STREET ADDRESS /q� J CITYoy ,STATE, ZIP 7/, FAX ❑ OWNER ❑ OWNER-BUILDER �.Q•WNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I^br LICENSE NUMBER QJ/� LICENSE TYPE BUS.LIC# COMPANY NAMEJ J E-MAIL I/ ( [ FAX !n q fbA STREET ADDRESS ()O"f U CITY,STATE,ZIP / ,/ I PHONEro, ARCHITECT/ENGINEEER(N(AM V�i LICENS NUMBER Y�'/ V�' �(f BUS.LIC#L/ _1lJ 7 K COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK �l/w J� � 3G 1 J 2 &.f A 4- EXISTING TISE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE_ OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMOTOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AXZ REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH 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 RECEIVED'BY /// TOTVALUATION: PLAN'N NG APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOI%TE? ❑NO „ 0 By my signature below,I certify to each of the following: I am the property owner 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 of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constrvctiop" auth rite representatives of Cupertino to enter the above-ide ttifyied pro erty for inspection purposes. Signature of Applicant/Agent: Date: 3/ ('1�I SUPPLEMENTAL INFO ' ATION REQUIREDrL.an cxEcit PE ROUTING star. New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building OVER THE COU\TER + BUILDI\G PL:AA RENTER' permit for new building. EXTRESS ❑ PLANNING PLAN REVIER' _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STA.\DAR. PUBLIC`VORKS form if any Hazardous Materials are being used as part of this project. p LARGE, ❑ .FrRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to MAaoR ❑ SA VIT4R1 SE}1 ER DISTRICT submittal of Building Permit application. ❑ EV VIROVAIENTAL HEALTH­ B1doApp_2011.doc revised 06/21/11 Assessor's Parcel Number: Plumbing Notes: t 1. Neater closets shall have an average water consumption of not more than 1.28 gallons per effective flush.(CPC 403.2) NarneofOwner: L41 G(�r� S 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes@ 80 psi.(CPC 408.2) i 3. Faucets.in lavatories shall have a water flow not exceed 1.5 gallons per minutes @ 60 psi and shall not be less than0'etieshoid 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 ablic zcpt71{tlt t{a[Qh5i5,ir?I3)'�i �i�iFt�i level.These clearances shall be Contact Person: ✓c a � Phone: � �� maintained up to a height of 70 inches able the shower drain.(CPC 408.6) gUILD•ING DIVISION-CUPEP 5. Shower compartments and walls above bathtubs with Installed shower heads shall be fini ht..wit I,s o©fkt; nabsorbeni surface to a height not less than 72 inches �] /' (611t).(CRC 8307.2) �"b 6 1=11JProject Address: / ��u l //!�t ��j y � i� 6. The maximum hot water temperature discharging from the bathtub,shower and whirlpool athtub f"Jett a e i e. e&*Arenheit.The water heater _pec��,���1Jh�¢r�� d thermostat shall not be considered a control for meeting this provisi6h.'(t•�'0f46��V49'8.` y 7. Water closet shall be set minimum 15 Inches from its center to a slde wall or o'bsi�uctl i�� ' c�irl��le ce I wfUlf G make CPC 402,5) Scope of Work: PM �� (� � ,.� �' �r �r�� ��b�8 u"'�iA�.ls { 1 Electrical Notes: tGS Gt'alterations Oil Sam , Code Editions: 2013 California Residential Code 1. The installation of smoke alarms in all of the following areas shall b�t�ro�v!oed;0�R3j1�;4} )3 approval from the Building Official. a, On the ceiling or wall outside of each separate sleeping area in foie immedlate vicinity of bedrooms b, In each room used for sleeping purposes. , 2013 California Plumbing Code Ttte;; ALL NOT �,rnpino,of this plan and Sr,ecif' ations P vola on c. In each story within a dwelling unit,including basements butPoLinclU i g I ac&p_andlulhih ttic I sr.lk, iu i (pig Vr�R_ 2013 California Mechanical Code 2. Approved carbon monoxide alarms shall be installed outside of each'separate sleepl g r I tt ,�'•'r't✓a�f�t�i et�i�dr�r�nd on every level including L { p t 2013 California Electrical Code basements in dwelling units that have fuel-fired appliances or attacheit carargr'ersf'(� � .1) 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. h hav . hfl ajoutletsv*E--_210.11(C)(3)) 2013 California Energy Code 4. AJ!-receptacles In bathrooms,garages,accessory buildings,outdoors;crawl=spaces fln�in e` ns(where receptacles serve counter top-surfaces), laundry,utility,wet bar sinks(within 6 feet of the edge of the sink)✓shalLhave grown -fault lt.nt t FCi)Tprron. '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 rece tacp le gEC:—LII6-%— pi;rt;AiT NO. �o I. Bathroom vents shall terminate not less than 3 feet from openings and property lines.(CLIC 504.1) 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 complywith Section 1 19 that r does not turn on automatically or have an always on option,(150(k)(10)) t �,n LU CUPEPTINO V F Building Department 2016 REVIEWED FOR CODE COMPLIANCE f Reviewed By: r ip i I EXISTING BATHROOM FLOOR PLAN PROPOSED BATHROOM FLOOR PLAN