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B-2016-2435 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:'B-2016-2435 10380 BRET AVE CUPERTINO,CA 95014-3521(375 10 032) DOUG PERKINS APTOS,CA 95003 OWNER'S NAME: HSIEH CHUNG C AND JUN C DATE ISSUED:08/01/2016 OWNER'S PHONE:408-252-2278 PHONE NO:(408)593-2454 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Uc.#727312 X BLDG ELECT PLUMB Contractor DOUG PERKINS Date 09/30/2016 — — — 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: MASTER BATH;REMODEL TO INCLUDE ACCESSIBLE SHOWER I hereby affirm under penalty of perjury one of the following two declarations: W/GRAB BARS&M.E.R'S,(50 S.F.) 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 ,',performance of the work for which this permit is issued. Q 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 this permit is issued. Sq.Ft Floor Area: Valuation:$3000.00 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 Number: Occupancy Type: 375 and state laws relating to building construction,and hereby authorize 375 10 032 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 Cupertin Municipal Code,Section 9.18, 180 DAYS FROM LAST CALLED INSPECTION. Signature'. Date 08/01/2016 Issued ISSANAME Date:08/01/2016 OWNER-BUILDER 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 1. 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:08/01/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 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 maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 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 the material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject t 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 ections 505,25 3,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:08/01/2016 I.certify.that I have read this application and state that the above information is CONSTRUCTION ENDING AGENCY 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 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 I understand my plans shall be used as public records. Code,Section 9.18. Licensed Signature Date 08/01/2016 professional CONSTRUCTION PERMIT APPLICATION 2 - COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 Ci.1PEttTtNa —t (408)777-3228•FAX(408)777-3333•building?b-cupertino.orcl � — a0 /6 r ZK 3 ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS APN# °t to � O 3 �L OWNERNAME PHONEE-MAIL — 77 -- STREET ADDRESS /�� CITY,STATE,ZIP b9noFAX — CONTACT NANI (J PHONE E-MAIL STREET ADDRESS CITY,M ,ZIP FAX ❑OWNER ❑ OWNER-BUILDER 1:1 `�-I'/OWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHUECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR ME LICENSE NUMBER LICENSE TYPE BUS.LIC# a COMPANY E- IL FAX -/�trvf / STREET ADDRESS CITY,STATE,ZIP PH NE 7Ad ARCHITECT/ENGINE R NAME LICENSE NUMBS BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE i DESCRIPTION OF WORK &02 415a C eS r l /l Tb 6W429zE EXIST G USE PROPOSED USE CONSTR.TYPE #STORIES S � � USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL 1 n�O AREA AREA .t/I„/ AREA I �� NET ARIA L7 n BATHROOM KITCHEN J OTHER �•/ J REMODEL AREA REMODEL AREA REMODEL AREA .� PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YE� SECOND STORY ❑YES ^� BEING ADDED? Q.PdO ADDITION. PO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES CEN ,�' T02&L VAALUAJION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? [ -N0 g a fr r r o By my signature below,I certify to each of the following: I am the property owner or o ' d agenct on the property er's behalf. I have read this application and the information I have provided is c ect.,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 Il g cons tion. I thorize resentatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: all SUPPLEMENTAL RMATIONREQUIRED PIAN(CHECKTYPE,.. ROIITINGSIP „''' New SFD or Multifamily dwellings: Apply for demolition permit for OVER THE COUNTER ❑ BUD DENG PLANRENi existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS P ❑ YLANNING.PLAN REVIEW µ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure . STANVA1tn ❑ PUBLIC WORKS rm If any Hazardous Materials are being used as part of this project. fos �!7 LARGE g ❑ EIRE DEPTH Copy of Planning Approval Letter or Meeting with Planning prior to l]' MAaoR;X ❑sANrrARYSEwERDISTRICT submittal of Building Permit application. ❑,�^EIWIRONMENTAtIEALTH BldgApp_2011.doc revised 06/21/11 Assessor's Parcel Number: �S ' (y 0 Z Plumbing Notes: 1. Water closets shall have an average water consumption of not more than 1.28 gallons per effective flush.(CPC 403.2) �./, 'N G,.' I 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi.(CPC 408,2) Name of Owner: "v C tT 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 shall be C I maintained up to a height of 70 Inches able the shower drain.(CPC 408.6) Contact Person: NQ C ��i2fLl/�I S Phone: [ Q� y9?j - Z J`y 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 F D n L The (CRC m hot) Project Address: i C/_I �}� 6. The maximum hot water temperature discharging from the bathtub,shower and whirlpool bathtub filler shall be limited to 120 degrees Fahrenheit.The wafer heater ` thermostat shall not be considered a control for meeting this provision.{CPC bstr 408,3} Scope of Work: O (�, 5o 0 n C V UL-- aaczs'S( b1-•e Elect7. Wafer closet shall be set minimum 15 Inches from Its center to a side wall or obstruction ion and 24 Inch clearance in front of water closet.(CPC 402.5) Electrical Notes: l /� j ,r1 l r 1, The Installation of smoke alarms in all of the following areas shall be provided: (R314.3) Code Editions 2013 California Residential Code / �� L`� , �r•��'� � /,� a. On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms. 2013 California PlumbingCode /��c1��� Oe-l) FA-9 WIN �C4 ! W-P LA�tk 43P M i D b• In each room withinsed a wells sleeping purposes. Including C. In each story within s 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 basements in dwelling units that have fuel-fired appliances or attached garages.(CRC R315,1) 2013 California Electrical Code 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets.Such circuits shall have no other outlets.(GEC 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. (CEG 406.11) 1. Bathroom vents shall terminate not less than 3 feet from openings and property lines.(CMC 504.1) Energy Code Mandatory Measures: �� C p�'wl 1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires(150(k)(7)) ___' Cit l f V ent yam 2. Permanently installed luminaires in bathrooms shall be high efficacy luminaires OR are controlled by an occupant sensors(s)certified to complyv,4th Section 119 That z t wilding Depaltm does not turn on automatically or have an always on option.(150(k)(10)) ' Z'�=`I �5� REIAEWED FOR CODE COfVIPL1AhICE Reviewed BY t--Ck 1141-P A4(1- �r If 011n 50 0 \,% -- COMMUNITY DEVELOPMENT DEPARTMENT FIVE BUILDING DIVISION-CUPERTINO C) Ap6 �0VED °� �e �J J � ::�s � This set of puns and specifications MUST be kept at the job slf:=during constfuCt on. it is unlawful to make any or alterations on same,or to deviate p therefrorn,without approval from the Building Official. ,r The Stan,^.p'np of this plan and specifications SHALL NOT to ,Lid to p°sr,T-.!or to be an approval of the violation of any provision ^¢�:,r �� dinance or State Law. r _ .s � ��0� PERMIT NO. OF" FICEm COPY J BATHROOM FLOOR PLAN NO 51-K-u CTv A-L - E JCA NUONOXIDEALARMS FILE COM,MU G.BUILDING (VISION C'm41PER O 10300 TORRE AVER E-CU;P8FRTCNO;1GA 95044-3255 (408)777-3228 FAX-,C498j,177-3333 I• i PURFOS T1ris alficlavit i a self certification for the installatoiz of afl required Srnohe and Carbon lvlonoide Alarms for compliance with,2013 CIBC Section 8314,2013 CBC Sections 420.6 and 507.2.11.2 where no interior access for inspections are required. g �' Y g' �>�tat� ski,.to farn�I d rn�I�-fail• d�vellfn�s shall lie provide with',Snohe Alarms and Carbon lvfonM.fde alarms Wt,en tf e valuation of addjtioins,alteratiox1s,or repairs to exiat a g dw,elling UMit4 exceeds $1,60 001,CUC See IWit A314 aid CBC Sectioiis 90'7.2.11.5 and 420.6 requite that lila nns � air Smohe �r a�d�o�C- t© Idonnox de Alanntsbe,u stalled in the following lacataons: ARMA SI1 (DUKE ALARM COQ 0149idle of eacl�separate sleep!Tig area in the im ediate�ictnity of the ®�xe`�e� lever oi�a dv�ellim, un�%�tincl�dtn basem�nt� r Iii in7 eadn Slee inti roam I Cazbnni l IEonoiX cleala in=ls aze not regru�red ini,dwel+ cgs wkich du mt cootain. fuel-buzzing a+pyBanc ea andi tliaf dog xwftll e an attached galzage. Carbonml of o ide altarzsms co=t limed if�I zmc I ea�la mss s1�a�11 co r Cl3'SC Se�t�o�ti42OF.6 a��d s�I�lallle at=p�o`wed b�the O�ftee©�t�.eS�t`afe�'i�rehllarshal. I''o�ver Sz+ppl3.,:, cl�vel tagms�vithzvo cm ,erc�aal power'sku �l P alar ,(s)?v2a be soel�;berY oerafie,cl., a Z�Il!eX1iS�L�itl',d�'e�Ih�';u�il�ts,;c1'la`rIIRs�ate` `eTI1rll�ted t0 be s031e1 batiie`r`, Oi 'eTa�e i '': e z i, d` not resu ��tltie�rexn2o�al o �al�adr�?d ceilr�-�g, ;�nsl�e`s o�ifi�xei�no>aceess�b;y means of attic,b�as'e 1=end o�•cra�nrl space.I de r to CRC SeetzorL RM ail =CB{C Sections 911?7.2..11.4 d 420c6.2..Ail electrzcalipeg:; istr gummed fo :• e . aurins whivc,it,.must:be cod for the° oddI ft vxbnfllg As owner of fihe abase-refexerticed pzrojp rtY,I Tt�erebyr eertnfp tltrai t1 e alarz s�?r=eferencedF abate has; game br—er1; it stail'ed ac ordallce tali thez+zla l fractuxer<'s:instructioma a�d iii comyfila ee wit;tr the Ca-MmummInj, i amd,Calk& Res dentitaJ?Cordes.The ala=rn�s Itave been,tested and are&peratL.o all,as o f they date s gL�ed bel'ow'., _. IJhs read,anda; tee t4,com. �6withtf�:e; r2nssand�c©nd%t�.on ,ofrfirs;stfinenf �ip Gs ti atrr2..n:.. .....;,_. .�bat'e� {#$ , .. :a Li `.. •7f. >.. Date /�,` WATER-CONSERVING PLUMBING FIXTURES FILE OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014.3255 (408) 7-3228• AX(40$)77 -3333-buildin ertino.or Owner Name'` F Permit No;�, 13 WV V � Address 0 6 y ®. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 'X No Go to Question 2. 2. Does your real property have a licensed plumber certifying that,due to the age or configuration ofthe property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? D Yes Civil Code Sections 1101.1 through 1101.8,do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. _ Skip the rest of the form and sign bottom of form. No Go to Question 3. 3. Is water service permanently disconnected for your building? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. ° . No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January'l, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014,building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017,all non- compliant plumbing fixtures shalt be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). El My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1,2019,all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements),. El My property is a commercial real property. See Civil Code Section 1101.5, On and after January 1,2014„specified building alterations or improvements shall require non-compliant plumbing,fixtures to be replaced with water-conserving plumbing fixtures. On or before. January 1, 2019, all non-co mpliant plumbing fixtures shall be replaced with water= conserving, plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). I,,as the owner or owner's agent of thisproperty,certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water-conserving plumbing fixtures,in accordance with Civil Code Sections 110:1.1 through 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer.'s installation requirements,and that the water-conserving plumbing f tur comply with the requirements,as indicatedin the table on the following page, A - Owner or Owner;Agent's Signature; Date Upon completing and signing this C -tificate,;please return it to the Building Division in order to final your bur ding,permit.. SB407 20'15.clot revised 08/26/15 i