Loading...
14020066CITY OF CUPERTINO BUILDING PERMIT 1 BUILDING ADDRESS: 21970 MCCLELLAN RD I CONS RUCTOO VARGAS I PERMIT NO: 14020066 OWNER'S NAME: JAIN GIRIRAJ OWNER'S PHONE: 9259988201 ❑ LICENSED CONTRACTOR'S DECLARATION License Class_ Lic. #�� Contractor �/�fig /(I�7�DateZ 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. 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. APPLICANT CERTIFICATION I certify that 1 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments. costs, and expenses which may accrue against said City in consequence of the granting of this permit. Ad onally, the applicant understands and will comply with all non -point source lations per the Cupertino Municipal Code, Section 9.18. _ „ _ Date -- IN hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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. 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. 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, 1 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct 1 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence ofthe granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 664 RED ROME LN I DATE ISSUED: 07/07/2014 BRENTWOOD, CA 94513 1 PHONE NO: (925) 437 -9468 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] CONSTRUCT A (350 SQ FT) ONE STORY ADDITION; COVERED FRONT PATIO (400 SQ FT); REMODEL AND REPLACE ROOF STRUCTURE OF EXISTING RESIDENCE (1193 Sq. Ft Floor Area: I Valuation: $200000 I APN Number: 35608032.00 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITffK 180 DAYS 0F'PERMIT ISSUANCE OR 180 DAYS AST CALLE1) INSPECTION. Issued by: ate: % C_ 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipme or devices which emit hazardous air contaminants as defined by the Bay Ar r Quality Management District I will maintain compliance with the Cope o unicipal Code, Chapter 9.12 and the Health &Safety Code, Sections 2 33 _""5534. Owner or authorized agent: Zy Z gor� Date>� I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Profess CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • build ing(a-)cupertino.orq ❑ NEW CONSTRUCTION BO ADDITION �a o/,D°e b B ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PRO APN # � OWNER N PP' MAIL S -% 1 � F FAX CO E Pyi C C S C TE Z FAX LEWv El OWNER 11 ER I- 0 AGENT ❑CONTRACTOR ❑CONTRACTOR AGENT ARCHITECT ❑ENGINEER ❑ DEVELOPER El TENANT R LICENSE NUMBER LIC E BUS. LIC # COMP E -MAIL 000l FAX i IL 2 PHONE C E BUS. LIC # v AIL FAX DESCRIPTION OF WORK �-- rIFM r fey M.t. TING USE PR OSED USE C NS TYPE # STO S USE TYPE OCC. SQ.FT. VALUATION ($) E S G ARE ,1) ,;'_ NEW FLOOR AREA 3 5. ) DEMO AREA TOTAL NET AREA BA OOYY KIT CHEN OTHER REMODEL AREA 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' E) NO ADDITION' ❑NO PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES , �,,. ��i ' " �,; rI"12 ``"y4 OTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME' ❑ NO ,.". �,, ` Zoo aop By my signature below, I certify to each of the following: I am the property o er or autho ze geVtac erty owner's behalf. I read this application and the information I have provided is correct I have read the on of r ccurate. I agree t mply wi applicable local ordinances and state laws relating t c rep pe n e abov tiff erty tion purposes. Signature of Appl icant/Age WEN SUPPLEMENTAL INFORMATION REQUIRED PHECIZYPE, y; =a r ROIITII�GSLIP.. C� ^�� $i31LDINGPLANREYiEW� New SFD or Multifamily dwellings: Apply for demolition permit for _ existing building(s). Demolition permit is required prior to issuance of building for building. OVEILTHECOUNTER K ���� i� . permit new Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 1 � ss ©sus ANnnn rIeLlCwo form if any Hazardous Materials are being used as part of this projects _ Copy of Planning Approval Letter or Meeting with Planning prior to �c submittal of Building Permit application. MAJOR* DIST SEWERRTGT rENYIIiONMENTAT HEALTH.a B1dgApp_2011.doc revised 06121111 d it Fm_ff CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 21970 MCCLELLAN RD DATE: 02/11/2014 REVIEWED BY: MELISSA PC FEE ID APN: 356 08 032 BP #: 'VALUATION: 1$200,000 - PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex 2nd Unit? Yes • No OTC? 0 Yes (DNo PENTAMATION PERMIT TYPE: 1 R3SFDADD WORK ADD 350 S.F. TO CREATE N FAMILY RM INTERIOR RECOIVFIGURATION & REMODEL 900S.F. SCOPE ADDING 2 (N) BATHROOMS & 1 (N) BEDROOM. UPGRADE PANEL (200AMPS). 10 WINDOW 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 350 $1,579.00 1,4DDPLCK $1,284.00 1,4DDINSP $0.00 PME Plan Check: $0.00 10 1 # $557.00 Window / Sliding Glass Door IWINREP Replacement Permit Fee: $1,284.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 200 amps Electrical $47.00 IBELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $47.00 TOTALS: 350 $1,579.00 $1,284.00 MECH, HOURLY 0 Yes (j) No PLUMB, HOURLY Q Yes (F) No ELEC, HOURLY Q Yes Q No MISC ITEMS Elec. Plan Check 0.0 1 hrs $0.00 - Elec. Permit Fee: IEPERMIT 7- Lj _L_ Other Elec. Insp. 0.0 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff' 71 -%13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $1,579.00 900 1 s.f. $558.00 Remodel, Other IREMRESOTx Suppl. PC Fee: (j) Reg. () OT 0,0 hrs $0.00 PME Plan Check: $0.00 10 1 # $557.00 Window / Sliding Glass Door IWINREP Replacement Permit Fee: $1,284.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 200 amps Electrical $47.00 IBELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $47.00 = s.f. $626.00 Remodel, Bath (< =300 sf) IREMRESBAT F-1 0 E) Work Without Permit? ® Yes (F) No $0.00 Advanced Planning Fee: 1PLLONGR $49.00 Select a Non - Residential Building or Structure E) 0 Travel Documentation Fee: ITRAVDOC $47.00 Strong, Motion Fee: 1BSEISMICR $20.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $8.00 SUBTOTALS: $3,034.00 $1,788.00J TOTAL FEE: $4,822.00 Revised: 01/15/2014 CUPERTINO PURPOSE: CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS r. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION `6 1 ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL' ; 10300 TORRE AVENUE • CUPERTINO, CA 95014 -32554 (408) 777 -3228 • FAX (408) 777 -3333 • building acupertino.org s The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory-built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name: Project Address: Project Description: Instructions: GIRIRAJ RESIDENCE 21970 McCLELLAN ROAD RESIDENCE REMODEL and 350 SQ FT ADDITION 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 collabor with the owner and the design professional shall initial Column 2 of this checklist, sign and date Sec sign Ver n &9TjN0nd of this checklist and have the checklist printed on the approved pla o project. sinning Deparhent 3. Prior to final inspection by the Buildin r` anent, the licensed professional shall complete Column 3 and sign and date Section 2 - Imple n VJtWkitl`6q^aJ4the end of this checklist and submit the completed form to the Building Inspe�9r. VIF-WE G r COMPLIANCE RevievvCV MANDATORY FEATURE OR MEASURE Column 2 Column 3 Project Verification ,quirements 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during ❑X ❑ 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. Page 1 of 5 CalGreen 2014.doc revised 0l /15/14 4.201.1 Low -rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. 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 shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be ® ❑ 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 01 115114 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. ❑ 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. 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. 4.410.1 Operation and maintenance manual. At the time of final inspection, an operation and maintenance manual shall be provided to the building occupant or owner. 4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks 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 ❑X compounds. Page 3 of 5 CalGreen 2014.doc revised 01115114 4.504.2.4 Verification. Documentation shall be provided to verify that ED [I VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with ED 11 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 the Collaborative for High Performance Schools (CHIPS) Low - emitting X❑ ❑ Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.505.3 Moisture content of building materials. Moisture content of building ❑ ❑ materials used in wall and floor framing is checked before enclosure. 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the ED 1:1 are provided in every bathroom. 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 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. Quai fic"o"ns 702.1 Installer training. HVAC system installers are trained and certified in ❑ ❑ the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify CALGreen compliance is qualified and able to demonstrate competence in the ❑X ❑ discipline they inspect and verify. V ifica Q s 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 4 of 5 CalGreen_2014.doe revised 01 /15 114 Project Name: Project Address: Project Description: CALGREEN SIGNATURE DECLARATIONS GIRIRAJ RESIDENCE 21970 McCLELLAN ROAD RESIDENCE REMODEL and 350 SQ FT ADDITION 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) Design P�Wfessional's Sign re D ee rofessional's e ( a Print) j r icen a e i I r sponsi for Gre liance Date 1/,�I, 408.506.9846 ame of Licen Professio al respbn le for CalGreen compliance (Please Print) Phone STEVE McGINTY Email Address for License Professional responsible 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 408.506.9846 Name of License Professional responsible for CalGreen compliance (Please Print) Phone STEVE McGINTY Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen_2014.doc revised 01115114