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15040056
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1157 S STELLING RD CONTRACTOR: JAHAN CONSTRUCTION PERMIT NO: 15040056 OWNER'S NAME: BOUDREAU JERAULD F AND PATRICI P O BOX 2494 DATE ISSUED: 06/05/2015 OWNER'S PHONE: 4088999274 MORGAN HILL, CA 95038 PHONE NO: (408) 375-9694 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ 952 SQ FT ADDITION TO FRONT & (2) SIDES OF SFDWL; License Class Lic. # 20 1 s'- REMODEL 140 SQ FT TO INCLUDE (2) BATHROOMS AND -1,2) Contractor—1�r,r-._6�r� Date (o4,�iTl '.� KITCHEN AREA; 200 AMP PANEL UPGRADE 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 performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $180000 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36222017.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT 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 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the �C�� 4Ei� Date:granting of this permit. Additionally, the applicant understands and will comply Issued b Y� with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature .. d... Dates; ,e S+ RE -ROOFS: 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm 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. I 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 the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this� \ / �-� , S-� Owner or authorized agent: 1,d a Date: t-'� 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I 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 CONSTRUCTION PERMIT APPLICATION 12 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO J O� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 /� (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org CUPERTINO ❑ NEW CONSTRUCTION ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECf ADDRESS 1 1 5 7 5 1, 1� APN # 62-2— Z { "'� OWNER NAME A-514- Ij I ` � n PHONE A T1 -,72-7q- 1_ ,7 2-77- E-MAILct" A-qa 1- - '�Yw � STREET ADDRESS N - " CITY, STATE, ZIP O % , 'FAXX CONTACT NAME \ PHONE E-MAIL ` a Yt 0 37-c,-17694 ` a.. `� mq; ' e STREET ADDRESS U 6-3CITY, STATE ZIP J hFAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICE E TYPE BUS. LIC # �ahani .�1aen COMPANY NAME E-MAIL 11 FAX STREET ADDRESS S a CITY, STATE, ZIP PHONE 0 ARCHITECT/ENGINEER NAME a LICENSE NUMBER, C BUS. LIC # YG6 2k) COMPANY NAME I E-MAIL a a� ,a� FAX STREET ADDRESS [) ! P CITY, STATE, ZIP -t, - IP -t^ .n PH( NE DESCRIPTION OF WORK j Li�-- q 1 (D _ � � t1.f-I '6 n. a � -T � �— 1.� � � � v� S PyxP A f P jiy, d le, a>pJ.. EXISTING USE P OPOSED USE CONSTK TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL /�,,,. AREA AREA CS42 AREA NET AREA /I iama . BATHROOM KITCHEN OTHER }, - �j�' REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKRORCH AREA GARAGE AREA: 0 DETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION ❑YDS IF YES, PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED TO AL VALU O PLANNING APPL # 0 [JO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO,y.. `• y+^""�"' r, i 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 construction. I authorize representatives of Cupertino to enter the above-identifiedproperty for inspection purposes. PP g SignatureofA licant/A ent: Date: SUPPLEMENT -Al INFORMATIO REQUIRED PLAN CHECK TYPE xbuiuvcStTP' `' _ New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-TH)<coUhTER �"p L G LAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. EXPRESS ,1,cPLAN REVIEW , _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLTc woxres.,` form if any Hazardous Materials are being used as part of this project. E LARGE F Irl,T _ Copy of Planning Approval Letter or Meeting with Planning prior to El Maroii lsAIVrrARY sERERDISTRrCT+ = submittal of Building Permit application. BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 1157 s stelling rd DATE: 04/08/2015 REVIEWED BY: PC FEE ID APN: BP#: EVALUATION: $180,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? Yes •' No OTC? 0 Yes 0 No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK 952 SQ FT ADDITION TO FRONT & 2 SIDES OF SFDWL• REMODEL 140 SQ FT TO INCLUDE 2 SCOPE BATHROOMS AND KITCHEN AREA; 200 AMP PANEL UPGRADE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 952 $2,654.00 IR3PLNCK $1,666.00 IR3INSP PME Plan Check: $0.00 F200 amps $48.00 Electrical IBELEc200 Services Permit Fee: $1,666.00 Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 T77:::1 TOTALS: 952 $2,654.00 $1,666.00 MECH, HOURLY 0 Yes (F) No PLUMB, HOURLY Q Yes E) No ELEC, HOURLY 0 Yes Q No MISC ITEMS Elec. Plan Check 0.0 1 hrs $0.00 $2,654.00 51-46-1 s.f. $431.00 Elec. Permit Fee: IEPERMIT Suppl. PC Fee: (j) Reg. 0 OT Other Elec. Insp. 0.0 hrs $48.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, SanitarySewer District, School TL f h . -1 _#h" nroliLninnne inFnrmntinn availahle and are only an estimate. Contact the Dept for addn'1 info. District, CLL.. . / LL ese CCs ILL. as cu vis risa. • a.rr.. rr.. w. FEE ITEMS (&e Resolution 11-053 Efl.' 7,1/13) r.- ...... --.- _- FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 51-46-1 s.f. $431.00 Remodel, Other IREMRESOTH Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 F200 amps $48.00 Electrical IBELEc200 Services Permit Fee: $1,666.00 Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 T77:::1 0 Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee. IPLLONGR $133.28 Select a Non -Residential Building or Structure E) ©� Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee_ IBSEISMICR $23.40 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $8.00 SUBTOTALS: $4,580.68 $479.00 TOTAL FEE: r $5,059.68 Revised: 04/01/2015 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: I ,S % P_ A, h v 2 PERMIT # 5 D O D g -i OWNER'S NAME:VA,k �g y PHONE # GENERAL CONTRAC OR:a ✓+ G. BUSINESS LICENSE # ADDRESS: E ,' r a" r- CITY/ZIPCODE: a ) j *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing h j4a nct e," ' 6c,A P &S r F20 Masonry Painting / Wallpaper Paving Oo n cre a S$ O Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile ontractor Signaiure CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL \ J 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 SUN 5 2015 (408) 777-3228 • FAX (408) 777-3333 • buildinga(�cugertino.org PURPOSE: The 2013 CalGreen Code applies to additions or alterations of existing residential buildings where the addition or alteration increases the building's conditioned area, volume, or size and also applies to all new low-rise residential buildings, high-rise residential buildings, or both. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name: Project Address: 11,0 Q Project Description: - ,� ,,� r, ,� cr,� 2, , M // 6Q Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the o"- �rhe design �� initial Column y�. 2 of this checklist, sign and date Section 1 -Design Y;�if�,ii� ,. n at the @0,A,,pbund have the checklist printed on the approved plans for the 3. Prior to final inspection by the Building Department, the�U nsbd professional shall complete Column 3 and sign and date Section 2 - Implementation Verificaiiorat the end of this checklist and submit the completed form to the Building Inspector. REVIEWED t-IJK WOE COMPLIANCE Reviewed By _. A4, Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification Reauirements Planning and Design - Site Development 4.106.2 Storm water drainage and retention during construction. A plan is El and implemented to manage storm water drainage during construction. 4.106.3 Grading and paving. The site shall be planned and developed to ❑ keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. OFFICE COPY CalGreen 2014.doc revised 11/04/14 Page 1 of 5 — General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum El' standard design required by the California Energy Standards. A4.3 WATER EFFICIENCY AND CONSERVATION Indoor Water Use 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: ❑ 4.303.1.3.2 Water Closets. The effective flush volume of all water closets shall not exceed 1.28 gallons per flush. Tank -type water closets shall be certified to the performance criteria of the U.S. EPA WaterSense Specifications for Tank -type Toilets. ❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not exceed 0.5 gallons per flush. ❑ 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for showerheads. ❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve be El not exceed 2.0 gallons per minute at 80 psi, or the shower shall designed to allow only one shower outlet to be in operation at a time. ❑ 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. ❑ 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen_2014.doc revised 11104114 Outdoor Water Use 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the time of final inspection shall be weather -based. ❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. E ❑ 4.304.1.2 Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicated with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. A4.4 MATERIAL• •RESOURCE EFFICIENCY Enhanced Durability and Reduced Maintenance 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected d against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Reduction, Disposal and Recycling 4.408.2 Construction waste management plan. Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. Building Maintenance and Operation 4.410.1 Operation and maintenance manual. At the time of final inspection, ❑ building an operation and maintenance manual shall be provided to the occupant or owner. A4.5 ENVIRONMENTALQUALITY Fireplaces 4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed Er LYJ wood -burning fireplace, or a sealed woodstove. Pollutant Control 4.504.1 Covering of duct openings and protection of mechanical ❑ equipment during construction. Duct openings and other related air distribution component openings shall be covered during construction. 4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks rY LJ shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be compliant with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings❑ shall be compliant with product weighted MIR Limits for ROC and other toxic compounds. Page 3 of 5 CalGreen_2014.doc revised 11/04114 4.504.2.4 Verification. Documentation shall be provided to verify that ❑ compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with ff lJ VOC limits. 4.504.4 Resilient flooring systems. Eighty (80) percent of floor area receiving resilient flooring shall comply with the VOC-emission limits defined in Elthe Collaborative for High Performance Schools (CHPS) Low -emitting Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard, medium density El (MDF), and hardwood plywood used in interior finish systems shall comply with low formaldehyde emission standards. Interior Moisture Control 4.505.2 Concrete slab foundation. Required vapor retarders and capillary rY LJ El breaks are also required to comply with CalGreen Section 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building Ell" El materials used in wall and floor framing is checked before enclosure. Indoor Air Quality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the �' El building are provided in every bathroom. Environmental Comfort 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to ACCA Manual J or ❑ Q equivalent. 2. Size duct systems according to ACCA 29-D (Manual D) or equivalent. 3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent. INSPECTORINSTALLER AND SPECIAL QUALIFICATIONS Qualifications 702.1 Installer training. HVAC system installers are trained and certified in U the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify in the Q ❑ CALGreen compliance is qualified and able to demonstrate competence discipline they inspect and verify. Verifications 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Page 4of5 CalGreen —2014.doc revised 11/04/14 CALGREEN SIGNATURE DECLARATIONS Project Name: Project Address: Project Description: SECTION 1 - DESIGN VERIFICATION Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Owner's Signature Date Owner's Name (Please Print) Desig ofessional's Signature Date Design Professional's Name (Please Print) Signa of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License ProfessionafYesponsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen 2014.doc revised 11/04/14