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B-2016-2062 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2062 895 BROOKGRO.VE IN CUPERTINO,CA 95014-4633(375 39 022) C&ABUILDERS SAN CARLOS,CA 94070 OWNER'S NAME: NEUBRAND HANS WAND BOHLE-NEUBCORNELIA DATE ISSUED:06/02/2016 OWNER'S PHONE:408-425-3929 PHONE 0:(650)632-1622 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#615065 X BLDG _ELECT —PLUMB Contractor C&A BUILDERS Date 03/31/2017 — I hereby affirm that I am licensed under the provisions of Chapter MECH X RESIDENTIAL—COMMERCIAL (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(36 S.F.) I hereby affirm under penalty of perjury one of the following two declarations: t. I have and will maintain a certificate of consent to self-ins ur for Worker's Compensation,as provided for by Section 3700 of the Labot Code,for the performance of the work for which this permit is issued. z'. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the vork for which this permit is issued. Sq.Ft Floor Area:36 Valuation:$5000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancye: information is correct.I agree to comply with all city and county,dinances Type: 375 39 022 and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned prrperty for inspection purposes. (We)agree to save indemnify and keep hamless 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, a pplic t undejstTnNs and will comply with all non-point source reg la s p r th C ertino unicipal Code,Section 9.18. 180 DAYS FROM LAST CALL ECTION. Signature Date 6/2/2016 Issued by:Alex Vallelunea Date:06/02/2016 i OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License L w for one of the RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is following two reasons: their sole installed without first obtaining an inspection,I agree to remove all new materials for 1. I,as owner of the property,or my employees with wages as inspection. compensation,will do the work,and the structure is not mte ded or offered for 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:6/2/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER t. I have and will maintain a Certificate of Consent to self-insi irc 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 ermit is issued. maintain compliance with the Cupertino Municipal.Code,Chapter 9.12 and the p 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 ernvt 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 I subject to the air contaminants as defined by the ay a Qu lity Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance wit a upe o Muni ai Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensatioq provisions of the the Health&Safety C ,Sec ns 25505, 533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION l Date:6/2/2016 I certify that I have read this application and state that the above'information is STRUCTIO LENDINGAGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction 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 saidlCity 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 6/2/2016 professional f CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTlNO (408)777-3228•FAX(408)777-3333•buildingC)a cupertino.org Is ❑NEW CONSTRUCTION ❑ ADDITION 0 ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS '0001 '5- (3Y©O B C r C)v � / APN# 'K— 2q— 67-Z OWNER NAME �r�1Zll•� it PHO SIV ���� E-MAIL le& STREET ADDRESS�,yio� e v� CITY,STATE, �� •C �6J FAX CONTACT NAMEl PHONE�P�� E STREET ADDRESS CITY,ST E,ZIP A d®1U/(/Q/ V � j� X ❑OWNER ❑ OWNER-BUILDER ❑,OWNER AGENT °tom CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAM O'/ I.,,-� LICENSE NUMBER g � LICENSE TYPE 6 BUS.LIC# COMPANY NAMEE-MAIL FAX G�i�!'s��ccn Lea)I's IN CA-�ll=/ .Cep STREET ADDRESS n n� ? CITY,STATE, t �I®S � �a PHONE W�� -2-e•77 ARCHITECT/ENGINEER NAME /G LICENSE NUMBER ( BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK •I ®® 6 n /4c^ 7446 t7 EXISTING USE PROPOSED USE CONSTR.7YJPE 0 STORIES OFFICE USE NLY C. TYPE DESCRIPTION SOIFT, VALUATI N EXISTG NEW FLOOR DEMO TOTAL. AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK'PORCH AREA I GARAGE AREA:❑ DETACH ❑ ATTACH I n DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND TORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑ YES IF YES.PROVIDE COPY OF PLANNER'S NAME: RECEIVED ! / (�N TOTALVAi#6 ry�q7J, /(y� PLANNINGAPPLn ❑ NO PLANNING APPROVALLETTER _ 'VV`) By my signature below,I certify to each Zcons wina' s the property owner or authorized age�t to act ion the roperty owner's behalf. I have read this application and the information I ha r -ct. I h ve read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating iltion th rize representatives of Cupertino to enter the abov -identif d property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL ,NFORbJATION REQ TIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for VER-THE-COUNTER -QLBuiLDING 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 Plapm ng prior to submittal of Building Permit application. I ❑ MAJOR SANITARY SEINER DISTRICT ' ❑'ENVIRONMENTAL HEALTH B1dgApp_M1.doc revised 03/16/11 Assessor's Parcel Number; P �� !��.r0 vl� Plumbing Notes: r 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: �J �Q r r'`.,�'' GL ` U� 02. Shower heads shall have a water low 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 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 shaRbe Contact Person' T'"r ��L� t✓V l (� Phone: } �F' } ' 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: -3),o 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; 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. g c. In each story within a dwelling unit,including basements but not including crawl spaces and uninhabitable attics. 2013 California Mechanical Code2. 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 j 2013 California Electrical Code basements in dwelling units that have fuel appliances attached garages.(CRC R315. )pro 3. At least one 20 amp branch circuli shall be provided to supplly bathroom receptacle outlets.Suuch circuits shall have no other ouflets.(CEC 210.11(C)(3)) OFFICE i 2013 California Energy Code COPY 4. All receptacles In bathrooms,garages,accessory buildings,outdoors,crawl spaces,unfinished basements,kitchens(where receptacles serve countertop surfaces), 1 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.(Cid1C 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 occupantsensors(s)certified to comply with Section 119 that does not turn on automatically or have an always on option.(150(k)(10)) a q 6 r it t � LE TD i SFr' r" '•-_ ___ �_� COMMUNITY r)Fttn ami-- C1 --- nLIV I DEPARTMENT t BUILDING DIVISION-CUPERTINO z APPROVED �= This Est of plans and specifications MUST be kept at the li J4U s to du`in>a construction. It is unlawful to make any char:,es or alterations on same,or to deviate tFrrs,r01T1, without a pproval from the Building Official Thi+=''amping of this plan and specifications SHALL N I I ; } I I be h-ld t0 permit r � �ECEI �D °b?an royal of the viol�{ion P It 1. t o. any provisl0 o ny i ance or State Law. ` 3`J f I F i Iq EMAIT Ni EXISTING BATHROOM FLOOR PLAN PROPOSED BATHROOM FLOOR PLAN ,