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B-2016-2212CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2212 22346 RANCHO VENTURA ST CUPERTINO, CA 95014-2736 (357 03 056) J S MILLER CONSTRUCTION INC CUPERTINO, CA 95015-0292 OWNER'S NAME: CHEN ZONESON AND XUE TRUSTEE DATE ISSUED: 09/02/2016 OWNER'S PHONE: 408-390-8454 PHONE NO: (408) 446-1407 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ]a Lie. #899728 Contractor J S MILLER CONSTRUCTION INC Date 07/31/2017 X BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing _ MECH X RESIDENTIAL _ COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REMODEL MASTER BATHROOM (197 S.F.)- 2ND FLOOR; REMODEL I hereby affirm under penalty of perjury one of the following two declarations: BEDROOM, KITCHEN & DINING ROOM (400 S.F.)- 1 ST FLOOR 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. f I have and will maintain Worker's Compensation Insurance, as provided for by " on 00 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: 197 Valuation: $120000.00 ermit is issued. APPLICANT CERTIFICATION 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 357 03 056 R-3 (Custom) 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 CuperffikNMunicipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature % e Issued by: SEAN HATCH ` OWNFR-BUILDERDECL TION Date: 09/02/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RF—ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 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 ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 9/2/16 1 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. 9. 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 material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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 505, 25533, 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: 9/2/16 I certify that I have read this application and state that the above information is 1 hereby affirm that there is a constructio lendin agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit Is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city 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, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S l understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature _ Date 9/2/16 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE.AVENUE CUPERTINO, CA 95014-3255 +�ii l'�ER.T11b7C� f(40x' 8) 777-3226 • FAX (408) 777-3333 • build!ncj@cupertino.org I INTMMNCTRTTr..TI0M k AT)T1TTTnm n AT'rPPATTn?,TITT n F7nlTTCTn1tiTITiRnRR.nRil nDIMMAT nCDAfiVr,i PROJECT ADDRESS APN ft _ OWNERNAME P}LONEE MAIL STREET ADDRESS 2?34� R�vl�G.o Vea�ciYqL;4e-V-rktsI CITY, STATE, ZIP a Cq_ � FAX CONTACT NAME � PHONE � E-MAIL I. -IM) td w IM) c? STREET ADDRESSa 6 'P>m0 f to -'�tO2 CITY, STATE, ZIP ; 58 ( Ir P❑ FAX OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT \ CONT RACTORNAME l` I. `,� LICENSE NUMBER 8 n -y9 LICENSETYPE Bus. LTC COMPANYNAME E-MAIL - FAX STREET ADDRESS 1-7 0e T r- I 61-1C- CITY R E C V -P -r I N E /, 1( s T PHON$q� ®(� ARCHITECTIENGINEER NAME V 1 $ t LICENSE NUMDER 3 8 { 7b BUS. LIC # COMPANYNAME 1 E-MAIL FAX STREET ADDRI SS CITY, STATE, ZIP PHONE DESCRTPTIO"F-WORK. a -x( (� ~f s- Ll lA Jk VL -e W key/ EXISTING USE PROPOSED USE CONSTR. TYPE V # STORIES USE TYPE OCC, SQ.F7'. - VALVA ON ($} EXISTO 4'-x C*) NEW FLOOR DEMO TOTAL AREA�-Z.4,d,,;. AREA 1.9 I ( AREA NET AREA "tom - - DATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA S� REMODELAREA p Q PORCH AREA - DECKAREA— TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH - - TI DiVELLTNG UNITS: ISA SECOND UNIT - [] YES SECOND STORY []YES - BEING ADDED? �R.IJO ADDITION? � . A. PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE 6_G AN ❑'YES 2.RECEI VF.D &Y- "..: -c'. : -' -.:., _ , ; -.... -.. TOTAL VALUATION: PLANNINGAPPLII ❑NO PLANNEYG APPROVALI.SrrER E1CIH.ER.Hoimm 0 " ?ti4" - By my signature below, I certify to each of the following: I am the propeity owner or authorized agent lo act ou the property owner's behalf, l have read this application and the infonnation I have provided is colr-ect. I have read (lie Description of Work and verify it is accurate. I agree to comply with all applicable local olrlhiances and staff laws reiathig wilding canshuction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of ApplicantlAgent: Date: SUPPLEMENTAL INFORMATION REQUIRED ::.: = Pi an:cliEctt TYPE .. .: s : -=:; .. <-:. ,• :- Ro[iTJNG SLIP:.. _ ...... ``. ❑:�OVER-THL,COUNTER -- -iIIIII.DIi\G PLAI\RC\ - _New S"D or Mul fa lilYdweilin s' Applyfor demolition olition permit for existing building(s). Demolition permit is required prior to issuance of building --_':_ `:: =•_ ; _ ' :.::: _ .;:: ':. __ , . pet'D1it for new building, --k - - ,- PI=AI�;YII3G PLAN IiEVIER_ . Commercial Bldgs: Provide.a completed Hazardous Materials Disclosure ❑ .STAnDARD CI PusLlcti\oiucs form if any Hazardous Materials are being used as part of this project. LARGE. ...; .:::_._•-: _.' ❑..DIRE DFP?. . Copy of Planning Approval Letter or Meeting -, pith Planning prior to z L .i9A70R -� SANTT'ARYS1;}i'ERDISTRICT' - Submittal of Building Permit application. - _-:.:::.::_-�..::-:CI-�EN\'IRONA4ENTALIIGALTn-': BldgApp 2011.doc revised 06121111 CALGREEN RESIDENTIAL CHECKLIST_MANDATORY IT'EMS COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION CUPERTINO ALBERTSALVADOR, P.E., C.B4O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 717-3228 -FAQ (408) 777-3333 ji d I nc W_c e r -i i L�rLqfrg, jC _!I� PURPOSE: 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 CAI -Green. Project Name: CHEN'S ADDITION Project Address: 22,346 RANCHO VENTURA T. Project DescriptionENLARGE GUEST SUITES, KITCHEN & DINNINING ROOM, MASTER BATH : Instructions: 1. The Owner or the Owner's agent shall ernploy a licensed profeSEJonal experienced with the California Green Building Standards Codes to verity and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section I - Design Verification at the end of this checklist and have the checklist printed on the approved pians for, the project. I Prior to final inspection by the Building Department, the licensed professional shall complete Column 3 and sign and date Section 2 -- Implementation Verification at Me end of this checklist and submit the completed form to the Building Inspector. Collurnin 2 1 MANDATORY FEATURE OR MEASURE IP 12,eaL Planning and Design{- Site Development 4,106.2 Storm water drainage and retention during constructions /\ plan is 173 0 developed 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. cupIII�111�11111�111JI"z n1 IImo ("uiGreen 2014,doc revised 01/15114 Page I ol'5 ILP�� lll�lluildiing 1)epairtmeirrt FOR COL K 1(1`101M[IIl iANCE iteviewed l3yArndd long i ��ate. n9/01/16 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. I El 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: El 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 WaterSe;nse Specification for showerheads. El 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' ll', showerheads and/or other shower OLItiets, 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 ore shower outlet to be in operation at a time. El 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. ❑ 4.3011 .3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and pub be 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 mere than 0,25 gallons per cycle 4.;303.1.4.4 Kitchen Faucets. The maKirnUrn 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 130 psi, and must default to a maximum flow rate of 1,8 gallons Per rninute at 60 psi. 4.30.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, El and shall meet the appficable standards referenced in Table 1401.1 of the California Plumbing Code. 1111111°°1111i Page 2 k)1'5 I Lie-, I 113ufldling Depairtyinen't CaiGree?7 2()'14.d,)c revised ON 5/14 RlI'IVfl'IIWlI'1D V OR CODE COM[IiVAN( I Reviewed ByArndd I .......... oni DateN/01/16 4.3041 Irrigation controllers. Automatic irrigation systems installed at the time offinal inspection shall beweether-bmoed, [] 4.304.1.1 Controllers shm||beweather- orsoil nmiatun*baaadcontrollers that automatically adjust irrigation in response 1ochanges in plants' needs eaweather conditions change. �� [ll 4.304.1.2 Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired orwireless rain sensor which connects orcommunicated with the controller(s). Soil moisture -based controllers are not required tohave rain sensor input. Enhanced Durability and Reduced Maintenance 4.406.1 Rodent proolling. �mnulai spaces around pipes, electric: cables, conduits or other operings in plates at exterior walls shall be protected ar, against the passage of rodents by c�osing such openings with cement mort 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 dernolition waste management ordinance, a construction waste rranagernent plan shall be submitted for approval to the enforcing agency. Building Maintenance and Operation 4,410.1 Operation and maintenancemanuall. At the time of final inspection, an operation and maintenance manual shall be., provided to the building occupant or owner. Fireplaces 4,503.1 General. Install only a direct -vent sealed -combustion gas or sealed Pollutant Controll 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 shall be compliant with VOC and other, toxic compound limits 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be El compliant with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings shall be compliant with product weightp_d_UIP.l im ts or ROC and otheir toxic El �IEV|EMEDFOR CODE COMPLMCE Ie*|evved ByArndd ��on�i Date� 0901/16 4,504.2.4 Verification. Documentation shall be provided to verify that El compliant VOC limit finish materials have been used. . . ....... . . 4,504.3 Carpet Systems. Carpet and carpet systems shall be compliant with 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 �n the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or be certified under the Resilient Floor Covering Institute (RCi#l) FloorScoire program 4.604.5 Composite wood products. Particleboard, medium density fiberboard (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 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 materials used in wall and floor framing is, checked before enclosure. Indoor lair Quality and Exhaust - - - --------------- __ ---- 4,506.1 Bathroom exhaust -fans. Exhaust fans which terminate outside the, ry building are provided in evens/ bathroom. Environmental COrnfort 4,507.2. Duct systems are sized and designed and equipment is selected using the following rnethod& 1. Establish heat loss and heat gain values, according to RCCA Manual J or equivalent. 2. Size duct systems according to ACOA 29-D (Manual D) or equivalent, 3. Select heating andcooling equipment according to ACCA 36-S (Manual S) or equivalent. 0' e Qualifications 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 discipline they inspect and verify. Verifications 703,1 Documentation, Verification of compliance with CAL.Green may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing ID agency which show substantial conformance. Implementation verification shall be submitted to the Building Deparimentafter-i plementation of all reqUired measures and prior to final inspection CalGreen 2014,docrevisedO11151,'� Pagc 4 o C5 1113ufldiing Depaiii1vinevit 11l"'Alfl,"Wl"I'D FOR CODE COWIi ANCE IeOewed l3yArndd II .......... oIn' i Date09/01/16 Project Name� CHEN'S ADDITION Project Address: �22346 RANCHO VENTURA ST 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 pnqectplans and will beimplemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted bXthe City ofCupertino. Ck L Owner's Signature 0 (Please Pil �ntolf Design Professional's DAVID PERING, Signature ofLicense PmfdTsinnm|reepnnswle for Co|Geencompliance JASONWLER Name of License Professional responsible foxCelGreen complia e (Please Pnm) Email Address for Ucense Professional responsible for CalGreen compliance RIMMIL011 1:4 1! 11 Fill III Do- 011 L VVION3 QB/18/2Q16 Date, Date 08118/2016 Phone Complete, sign and submittheoompeaedchaoNkst.imdudinQco|umn3.togetherwbhal|ohgma|siQnatuna on Section 2 to the Building Department prior to Building Depariment 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 withthis Green Building Checklist and in accordance with the requirements of the2O13CaUhmio6eenBui|dingStendardeCodmoaadmpLadbytheCitycfCupenUno Signature ofLicense Professional responsible for CelGeencompliance Date Name ofLicense Professional eapunoimefor CalGreencompliance (Please Pnn> Phone for Licem..w, Professional responsible for CalGreen compliance rKiqo page 5vf5 | | l3uiUdhng Department REV|EWEDFOR CODE COWIL|ANCE Reviewed ByArndd ��on�i Date� 0901/16