Loading...
B-2016-1340CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1340 22525 SALEM AVE CUPERTINO, CA 95014-5648 (342 12 096) PRADHAN BUILDERS/WONDER HOMES INC 5321 TAFT DR OWNER'S NAME: AGGARWAL ASHOK AND USHA TRUSTEE DATE ISSUED: 02/10/2016 OWNER'S PHONE: 510-593-0636 PHONE NO: 408-821-2052 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #899346 Contractor PRADHAN BUILDERS/WONDER HOMES INC Date 02/10/2016 X BLDG _ELECT _PLUMB 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: REMODEL 4 (E) BATHROOMS (225 S.F.) & 1 (E) KITCHEN (180 S.F.), I hereby affirm under penalty of perjury one of the following two declarations: ALL LIKE FOR LIKE, NO STRUCTURAL CHANGES 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. i. 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 Sq. Ft Floor Area: Valuation: $150000.00 this permit is issued. 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 APN Number: Occupancy Type: ordinances and state laws relating to building construction, and hereby 342 12 096 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 PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal 180 DAYS FROM LAST CALLED INSPECTION. Code, Section 9.18. Issued by: MELISSA NAMES Signature Date 02/10/2016 Date: 02/10/2016 OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 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 their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: z I, as owner of the property, am exclusively contracting with licensed Date: 02/10/2016 contractors to construct the project (Sec.7044, Business & Professions Code). 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the z I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit 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 subject to the air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, Sections 25505, 25533, and 25534. exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall Owner or authorized agent: be deemed revoked. Date: 02/10/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending 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 Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree 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 ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date 02/10/2016 Ulm CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1340 22525 SALEM AVE CUPERTINO, CA 95014-5648 (342 12 096) OWNER -BUILDER ASHOKAGGARWAL 22525 SALEM AVE, j CUPERTINO CA 95014 OWNER'S NAME: Ashok Aggarwal DATE ISSUED: 02/10/2016 OWNER'S PHONE: 510-593-5900 i PHONE NO: LICENSED CONTRACTOR'S DECLARATION i BUILDING PERMIT INFO: License Class Lic. # Contractor OWNER -BUILDER ASHOK A GARWAL Date X BLDG —ELECT — PLUMB I hereby affirm that I am licensed under the ., provfisions 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: I hereby affirm under penalty of perjury one of the following two declarations: REMODEL 4 (E) BATHROOMS (225 S.F.) & 1 (E) KITCHEN (180 S.F.), ALL LIKE i. I have and will maintain a cert Ii_ficate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the FOR LIKE, NO STRUCTURAL CHANGES REV#1; (N) SUB -PANEL (125 AMP) LAUNDRY ROOM 9/16/2016 performance of the work for which this permit is issued. 2. I have and will maintain Workr'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: $150000.00 i APPLICANT CERTIFICATION I certify that l have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 342 12 096 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 this permit. Additionally, the applicant understands and, will comply with all ll non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date Issued b MELISSA_ NAMESFF Date: 0210/2016 OWNER -BUILDER DECLARATION i I I hereby affirm that I am exempt from the C'ontractor'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 i. 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 wort and the structure is not intended or offered for inspection. sale (See.7044, Business & Professions Code) 1, as owner of the property, am!, exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). i Date: I hereby affirm under penalty of perjury one of the following tthree declarations: 1. I have and will maintain a Cerffrcat- of Consent to sel! -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided forl by Section 3700 of the -abor Code, for the - performance of the work for which this permit is issue''1. HAZARDOUS MATERIALS DISCLOSURE " I have and will maintain Worker's Compensation Insm nce, 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 o f the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which his permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any in manner to become material. Additionally, should I use equipment or devices which emit hazardous person any so as subject to the Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I 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 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized ag ' APPLICANT CERTIFICATION ®ate: I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AbWNCY 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 Code, Section 9.18. 1 understand my plans shall be used as public records. 101�Professional Licensed --- Date Ulm CONSTRUCTION PERMIT APPLICATION t _- `0"� COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 1030dTORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingQcupertino.org CUPERTINO- ❑ NEW CONSTRUCTION ! ❑ ADDITION ❑ ALTERATION / TI ' REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS APN OWNER TNAMEi A /J _ yx PHONE �� 3 •� (�` i E-1 ZAIL STREET ADDRESS L^ • �`�. !/ _"/w_ CITY, STATE, ZIPAte- •moi Pa X tJf CONTTACT NAME e PHONE IA E-MAIL, STREET ADDRESS CITY, STATE, ZIP PAX ❑ OWNER ❑ OWNER -BUILDER I� ❑ OWNER AGENT ❑ CONTRACTOR ❑ CON'TRACTORAGENI' ❑ ARCHITECT ❑ ENGLR'EER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSENTUM13ER LICENSETYPE BUS. LIC COMPANY DAME E-MAILFAX STREET ADDRESS , CITY, STATE, ZIP PHONE ARCHITECTIENGINEER NAME I LICENSE NUMBER BUS. LIC' l COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPT[ON OF WORK EXISTBNG USE PROPOSED USE CONSTR TYPE =STORIES USE TYPE OCC, SQ.FT. VALUATION' (S) EXISTG NEW FLOOR DEMO - TOTAL AREA. AREA AREA NET AREA i BATHROOM KITCHEN OTHER REMODEL AREA REMO EL AREA REMODEL AREA PORCH AREA DECK AREA TOTALDECK,TORCH AREA GARAGE AREA: DETACH ❑ ATTACH DWELLING UNITS: IS A SECOND UNrr LJ YES SECOND STORY 0 YES BEING DDED? ❑NTO ADDITION? ❑NO 1 PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLAN'NL\GAPPL- ❑NO PLANNIN4GAPPROVALLETTER IS THE BLDG AIN El EICHLERHOME? ❑NO > ED X , { W -TOTAL VALUATION: 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 rovided 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 b in- construction. I mhonze represen es of Cupertino to enter the above-identi edpr erty for inspection purposes. Signature of Applicant/Agent: i l Date: 1 C.17 SUPPLEMENTAL INFORMATION RE DT A. NT CRECKTIPE ROUTI)\G SLiP New SF'D or Multifamily dWelli`ngs: Apply for demolition permit for � O� ER'i3iE-COUiSTER � ' ❑� BUILDING PLAN` RE1'IEVi existing building(s). Demolition' permit is required prior to issuance of building permit for new building. l' fl EaPREss 1] PLANNL�NGPLANREtiIEt! Commercial Bldgs: Provide a completed Hazardous Materials Disclosure � sTA �D�RD ❑ :PLBLIcz� oRis _ fonn if any Hazardous Materials are being used as part of this project. I] � LARGE PIRE DEPT v -.Copy of Planning ApprovaJ,l Letter or Meeting with Planning prior to � k � ❑ submittal of Building Permit application. 3TZSJOR � s sn�.rrARl sE�iERDISTRICT BldgApp_2011.docrevised 06121111 5 Dear Property Owner(s): An application for a build improvements specified; ILDER DISCLOSURE FORM NITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION JRRE AVENUE - CUPERTINO, CA 95014-3255 7-3228 FAX (408) 777-3333 ` building(a)-cupertino.org permit has been submitted in your name listing yourself as the builder of the property SITE ADDRESS 0) OWNER NAME OWNER �DDRESS DESCRIPTION OF WORK: I �► n1 We are providing you with an,: Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, Pbtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage forithose injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage fpr injuries to workers on my property. . I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner -Builder" i am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring,a licensed Contractor and having the permit filed in his or her name instead of my own.. 4. I understandContractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. A�n understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. understand if I am considered an "employer' under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financi l risk. W. _I understand I rider California Contractors' State License Law, an Owner -Builder who builds single-family residential structures�cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. W-8. 1 understand Ias an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for .any financial or personal: injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuildeYForm 2010.doc revised 04114110 9'1 understand Revenue Service, th and the California D License- Board (CSL contractors. M. I am aware he party legally 11. 1 agree that, y all applicable lawE agree to nc i formation I have pn you contract with son assist you with any ft Contractors may be i employee of that indi you obtain a permit a those Contractors ar( )N LEN Please may obtain more information regarding my obligations as an "employer" from the Internal United States Small Business Administration, the California Department of Benefit Payments, ision of Industrial Accidents. I also understand I may contact the California Contractors' State at'.1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed f and consent to an Owner -Builder building permit applied for in my name, and understand that I nd financially responsible for proposed construction activity at the site address listed above. as the party legally and financially responsible for this proposed construction activity, t will abide and requirements that govern Owner -Builders as well as employers. tify the issuer of this form immediately of any additions, deletions, or changes to any of the vided on this form. Licensed contractors are regulated by laws designed to protect the public. If eone who does not have a license, the Contractors' State License Board may be unable to ancial loss you may sustain as a result of a complaint. Your only remedy against unlicensed civil court. It is also important for you to understand that if an unlicensed Contractor or idual or firm is injured while working on your property, you may be held liable for damages. If Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not properly licensed and the status of their workers' compensation insurance coverage. the following construction lending agency information.) I hereby affirm that there its a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or othe verification acceptable to the city may be required to be presented when the permit is issued to verify the property ownar's si nat e. Property Owner's Signature: Dater t - ----------------------r --- I ----------------------------- ------------------------------------------------------------------------ (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). Excluding the Notice to P authorize the following pe Owner -Builder Permit for Scope of Construction Pr Project Location or Addre Name of Authorized Ag Address of Authorized N OF AGENT TO ACT ON PROPERTY ( Owner, the execution of which I understand is my personal responsibility, I hereby to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an (or Description of Work): Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and ce�ify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to Ithe city may be required to be presented when the permit is issued to verify the property owner's signature. I Property Owner's Date: OwnerBuilderFonn 2010.doc revised 04/14110 CITY OF CUPERTINO BUILDING PERMIT BU"ING ADDRESS: 1 22525 SALEMAVE CUPERTINO; CA 95014-5648 (342 12 096) CONTRACTOR; PRADHAN PERMIT NO: H-2016-1340 BUILDERS/WO_NDER DOMES INC 5321 TAFT DR OWNER'S NAME: ACGARWALASIIOKANDUSHATRUSTEE DATE ISSUED: 02/1012016 OWNER'S PHONE, 510-593-06361 i PHONE N0: 408-821-2052 LUMNSEDbC NTRACTOR'@ DiCLARA ZION r BUILDINGS PIr+ RMIT INFO: License Class I3 Lic. #899346 Contractor PRADHAN BUILDERS/WONDER HOMES INC Date D2/1012016 X BLDG —ELECT `PLUM 3 I hereby affirm that Iam 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: ' I hereby affirm under penalty of perjury one of the following two declarations: REMODEL (E) BATHROOMS (225 S.F.) & 1 (E) KITCHEN (180 S.F.), I have and will maintain a� certificate of consent to self -insure for Worker's ALL, LIKE FOR LIKE, NO STRUCTURAL CHANGES Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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, I Sq. Ft Floor Area: Valuation: $150000.00 APPLICANT CERTIFICATION I certify that I have read this applications and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 342 f2 096 authorize representatives of this city toienter upon the above mentioned propertyforInspection purposes. ;(We)jagree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, casts, and PERMIT EXPIRES IF WORD IS NOT STARTED expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will WITHIN 180 DAYS OF PERMIT ISSUANCE OR comply with all non-potnt source regulations per the Cupertino Municipal 180 DAYS FROM LAST C PECTION. Code, Section 9.18. Issued lay: MELISSA Signature Date 02/10/2016 i Date: 021101201E OdMER-B717i.DFRDECLARATION n, RF-ROOFSI I hereby affirm that I am exempt frthe Contractor's License Law for one of the . Alt roofs shalt be inspected prior to any roofing material being installed. If a roof is iom following two reasons: 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 their sole inspection. compensation, will do the Work and the structure is not intended or offered for sale (Seo,7044, Business & Professions Code) Signature of Applicant; z. 1, as owner of the proper%t am exclusively contracting with licensed Date: 02110/2016 contractors to construct the project (Scc.7044, Business & Professions Code), I hereby affirm under penalty of perJuryone of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR 13E'1TER 1. 1 have and will maintain a-Cortifreate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the HAZARDOUS MATERIALS DISCLOSURE performance of the work fur which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. t health & Safety Code, Section 25532(x) should I store or handle hazardous 3. I certify that in the performance ofthe work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner se as to become subject to the air contaminants as defined by the Bay Area Air Quality Managemaent District I Worker's Compensation laws of California. If, atter making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533; and 25534. exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall Owner be deemed revoked. 21 authorized agent: Date: 021101201ti APPLIC�NT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending 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, a�md hereby authorize representatives of this city Lender's Name to enter upon the above menttonetl property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses whichmay accrue against said City in consequence of the granting of this permit. Additionally, the applicant ARCIIITFCT'SI)FCLA1tATION understands and will comply with all noh-polnt source regulations per the l understand my plans shall he used as public records. Cupertino Municipal Code, Section 9,18. Licensed Date 02012016 !1 ProfessionalSignature CUPERTINO I i CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 1030CYTORRE AVENUE f CUPERTINO, CA 95014-3255 (408) 777-3228* FAX (408) 777-3333 • buildin cu ertina rg t t(,Q 1 I 4 r ❑ 1~ FW CONSTRUCTION ! F1 ADDITION 1 I AT.TR"R ATTf1TT 1 TT I F RF\TTcif15:T / nFRi tzaxn nurr-rKTA r Din 1 u PRO]ECTADDRESSA}A-./J57 MI- PN AV APN#f U +] (1Zj -09 o9 PHONE OWNER NAME A AA-Qk - &Jf11* A e4-. wAL f E-MAIL E-MAIL "�� 3 ` C 3 g STR£ETADDRESS CITY, STATE, ZIP FAX +4M62 9149 et"Vew I!N e4 V.so/ CONTACT (SAME �s�,�/fi+�1/ PHONE � '�$'' S2C-Za�S E-MAIL 2. oraa/er f STREET ADDRESS CITY, STATE ZIP FAX ® OWNER ❑ OWNER -BUILDER I ® OWNER AGENT CONTRACTOR ❑ CONTRACTORAGENT 11 ARCHITECT Il ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMLdCENSENUMBER Ff99 344 L10EidSETYPE BUS. LIC # COMPANY NAME /'V ri Yi fMO�illtJ rs�t f a(� [J �: FAX STREET ADDRESS.. CITY, STATE, ZIP PHONE ARCHTTECTIENGINEER NAME LICENSE NUMBER SUS. LIC COMPANY NAA4E 1 E -NAIL FAX STREET ADDRESS i I CITY, STATE, ZIP PHONE DESCRIPTION OF WORK,/ �_ / 7P�.�r'! e , D - /! �^v---24e. /� /���� r / EXISTING USE PROPOWD USE CONSTR TYPE #STORIES - USE TYPE OCC. SQ.FT. VALUATION {$) EXISTG NEW FLOOR DEMO TOTAL - - AREA AREA AREA NETAREA BATHROOA4I{ITCHEN OTHER -. - - REMODELAREA Q� RETMCOHEELAREA � � REMODEL AREA PORCH -AREA. DEiiCKAREA TOTAL DECWORCH AREA GARAGEAREA! DETACH - [] ATTACH I #DWELLING UNITS: IS A SECOT D UNIT EIYES SECOND STORY[f YES BEINGADDIEM EJNO ADDITION? rlNo PRE -APPLICATION El YES IF YES, PROVIDE COPY OF IS TIM 13LDG AN © YEs--- TOTAL VALUATION: FLANNIING.APPL# MNO PLANNING APPROVAL LETTER EICHLER HORIE? QNO By any signature below, I certify to each of the following: I am the property owner or authori re pro ti owner's behalf. I have read this application and the information I have provided is correct, l have read the Description of Work and verify i rate_ I agree to comply with all applicable local ordinances and state laws relat$ngto ing Sgestruction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Ag ent: Bate: SUPPLBMEN INFORMATION REQUIRED �_� L�M1 CIiEChTYPE _.R011TI'�G$LIP :.y 'ER'iHE COUiTEIir � BUILDIIG P7,,i\ R8} IEVi New SFD or Multifamily p Apply dwellings: Aly for demolition ermit for existing building(s). Demolition perinit is required prior to issuance of building � " a pen -nit for nein building. fl > xPless Q rI mc PL4riIi> vll ri Conunercial Bldgs Provide a completed Hazardous Materials Disclosure sT4�DAItD © PUBISCYT ORhs form if any Hazardous Material' are'beiing used as part of this project. } L�Itcx Q FrREp PT Copy of Planniing Approval Letter or Meeting with Planning prior to =� niaTalz s � l] sA�ITAR] sEi�EItDISTRICT subrnittai of Building Permit application. - �_"El"\'IR0111SEATAt,IIEAI.TIi = B1dg.4pp__M11.doc revised 06121111 312 — Assessor's Parcel Number: % 2 - O PlumWnoN 1. W Go ,I GUN have an -,.toga we+ sum-Nrwl moralhen 126 a-11— per eRecgve flush(CPC 4032) Name of Owner: AS!/d)K 1iJS ,.41 i 2,snowen da snaN ne rzlerflcw---d20 gsNoaa Permlmres� e0 ps.(CPC 4062) 3- rel rabde ah llh le fl r,t aceetl l 5 gallon. perm msla 0 SOp l and shell mt be lass than 8gal par minutes at 20 p?L(CPC 4036) 0. 11 Nlto shall M1ev . 'I I derflnl h Ni:tsq.R and be able to acco cd teamIm 30Mh drda at lh tlr 11,4 T I shall.. Contact Person: f/rfa2 /ICALYJAN Phline: 48'$2/•2oS2, +toed wte a height Iti .m91 blthe 1-- dI4r. (CPC 408 0) - s. Sh miipanmand ts1—bathtubs tNN msl?Aad shower heads shall ba gnlehetl Wha th nonabprhenl sudace Wa height l thn]2(fahea ProjQC[Addfess: j'2yZS 6ALE.7 A,B (Oft). (CRC R307.2)?/ eA 9Sa/4 - 6. Th al mirol 1 ttoper tl J rt, gf h bagelb fw ntl tvhidpA-Wb flllar shah tie Imr-1p120 de0ees Fahrpnhall Ta water healer the mpsiat'M1eA pN be Itl tl Vlfo I�gW Pmvfi (CPC6096adOa $) Scope of Work:_&yup / 4yjNd /6.�. 221 /_ �O ]. W Isrd (¢hall be MmtNn i61rKM i tts nt b Ida it bstructlonand 241nshG aran�.lntronl of I Iosel(CPC 4025) Ele.trlcalN Code Editions: 2013 California Residential Codev 1 1. Th Nmpstlan el k ala 'i II ofN til p s M1llb'm W (R3143) I a. On gta ping Iloulslde Ueach separde sleeping area In Nei tlal4 vItWry of bedmom4 2013 California Plumbing Code b (n eaan I. I.eplmprpges. f In each + r, Prht d 11sm KI -tl bat.—ftlml thcl dlra A P d ninhIblttwe w,,. 2013 California Mechanical Coda 2. Apprvedeadmn mpnond atoll be1-11.6 ls.d M ch p I. leepinp area in Nemmedal. AhlryNNa b.drooms and on e,o,1 el inplud'ng 2013 California Electrical Code baawtxNslnd 1" la Nat have"-flred appliances Oh garage4(CRC Rat S,) l A Aleastene 20 atop. cM1 1Idt.hall be pmvded t4 supply.N ptd oWl StcJt 'IIs hall to hN Ortts,(CEC 210.11(C)(3)) 2013 California Energy Code a. All places In teeth. sa—., axessory bulldogs, d lspa fnl.h.d b.—Ir., utch(,t, receptacles serve cpuker4op surfaces), nlacM1enlczl Hat is tory utility, wel6arsinks(ty lMn6feetof lite edge o(Ihe slrikj, shall M1ave gmtmd-fault clrcu LNlerrvptar(GFCI)piotscllon (CEC2108) 5. to N eaz apad!ktl In 21052: s11.125-vd1. 15-aM 20-ampereR.eplules chall ba l's[ed lamp?t-reslafant receptacles (CEC 406.11) 1. OaWoom vemash. lean ,e,4 less than 3 NIII .IP.Nnps end propedyimei.(CMC 504.1) Enerev Code Mand ¢tor,} - i. Ailpsm —3, nstalled high siflra yl b h Nbcepa i IYf love ei6wcyl (150(kNi)) 2 Pemienervdylnstalkdl.aNrielre4hbdhoo sh Ib h!,=, 1pml k oR�are cpNrolletl.yen exupanl —rt(t) .—d bcomplyx4N Secllan 11tt t d—N rum on cul IrtIVly shave an always on Wjw.(1sa(6J(10)} •.-..,«aw.,-.....w.nw.....w w.e.�w,-d.,....._>....e...,.yiy 96xya OFFICE 36x tr8!r/Jh/i3 d� ,v.,,m., y (..�.-.._..�... �. ^°K3". uT.o. .wet kms+ � ...e....,...-ed.........n... _.,.,,...----- .-_.----- ._._.e....-_.._�...�{ t t CUPERTINO ' 6a�• v s>;" - Y Building Deaafinent c �, COh1AtUM1J!ry if FEB I Q 2w la. BU!l Q!N T'iV!SIpNENT OG, Et'ARTf 1�N REVIEWED FOR COD"EECOMPLIANCE ' F This set of oh;; A_EhT!NO PPROVEp. Reviewed By: changes o i ct on 11be kept a!!ry F ; ?• • he,ercm t L` Ihons on S. Crto''najte an `ti f f�f P yP he iUmFFown c.nn90liciadi� t i. Bran - SHF,CL NOT: I eo Stalea I I pEW,11T,g i ci n -L i RsT�� fjR i % EXISTING BATHROOM FLOOR PLAN EX t ST7N r7 BATHROOM FLOOR PLAN Assessor's Parcel Number: _ 3 `Z — 11 ' b1a Name of Owner. _g, (jam $ e _ Contact Person: ­ra— �.,/,{„� Phone; 4n8•$21-zo V2 Project Address: eelSXa— ��wn �fy. U f��S Scope of Work: R+mndeY tXft�satJ le �pl_T._�� p 21S f Mo ✓CTtJr2 Ji'L. Code Editlons: 2013:Callfornla Residential Code 2013 California Plumbing Code 2013 California Mechanical Code 2013 California Electrical Code 2013 California Energy Code MecM1znlcel Notes' 1. Bathroom. vents Nialltemiinaq nolless Nan 3fes((rom epenWgsard Properly1nes.(CMC5o4.1) En CodoM d as 1 AU nomarency lrallgdl Igh egk:ary luminaPesshall be Itched sep:m[lyh icw. illw yl alres(150(kk])) 2 Pounmenavinotaled Nminalrestnbathmoms shaP b. Mgh e(Ocacylumin lres OR'ere conVdktl by an lcdupanlse:�ws(s)pedifletl tpcomplywiN SeNon 119 (hat Elea nos tum on addmatcapy whave an always on option: (15M10)) POtyo�R /�a�t EXISTING BATHROOM FLOOR PLAN mmol x a i. Water Gosels shall have eti evaragewat=.rconsumptbn dnbtmore thin l.2a gallons per eYeGlve gush. (CPC 403.]) 2, Sh htl ch 11 ha Sow nd axaeed20paNenap Inures®60p1 (CPC 4082) 3. 4. e,=' h tb 1ml hllh qr (.owrtd exceotl l.5gq permin'le r�60 Amend chap mlt¢lass than Bpebns perminules at 20 psi (CPC403.8) 9sahalhe aGearinteiwrfiNsh aread]1 aq ft. ntl ba Ge 11a otlataemAlmum 3o Inch clltll at Ne Nreshob level. These Gearenpessfall be mamglned up to a height d ]Oltrcdtas ads the sha..urtlrmn. (CPC 408.6) 5. Showercompa+Meme end rratls above balMubs with lrrsglletl sM1owerhaetls shall be l.nishetl twNesmolN, npnehsorbenl surfacemahagMrxtl less (hao]2lrohes (eh). (CRC R30i1) 5. The maximum hdwaler tempamture dlschmgingfrdn the b."ub,sind,—nd whldpool bathtub gllershap ba ltmlted to 120 dos—FIN—ItThswaterFe— thamasiatshegndbe11n51Ceredac ntiol for —na Nls p—odon.(CPC4o9.4&408.3) ]. Weser dlaefstall 4 set minlmwn 15 IMIS'from u canter 111111' wall orclId Son and 24 Inch ceeranca in trod oflvater 0-1.JCPC 4025) Elealrl'el Nolel: i. Theirltobllonorsmoke alaimsin a9 of the follaMn9 areas shall ba proWtletl:(R314.3) a. On(he cdlirg or waN oNsldeolearh separaq.Geapirg area M1ha Immediate vldndyof botllobms. L In each mom used for sleepitp puryosez In each sioryv4NNatlwellinp unit InclutlNg base —bm not inGudag prowl spaces and uninhabhabq anks: 2. Approvedpallon mlmxge...s shall be insglled.-de of'ach repamte sleepitg area in the ImmediatevlclMly of the bedroomsend on every level lrtcltellre b M In 4'amo that hal. fu H d PPIa es uhedg g s.(CRC R31e.1) 9. Atl t 20 eZb nM At W1 b, Wollood Wsupplyb Itcoo plado outlets. Such -n, -11 h- at Ikq (CEC 21011iC)13)) 4. AO eP Ge qb Nr g. gas, orybll111n95 Worn, mvA spaces, ungMsintlbasem Ms klldw iwh pt iss serve un er lopsuigcea), Inns. tuitY. wt par alas(Wthn Biet N the.etla, If Ne Ak1 and have ground-fadt c1ru1rlam,idtr(GFCI) pmts Lon (CEC 210.9) 5. In ell areas 1pedF.ed in 210.52, ep 125 (, 15�aM2aalnpbr reupgdes shaVba.YsieC ta.2 Hesmtedmrepgcles.(CEC406.11) g, upl�r 7-11v ,r a �eua O +2BW8 ed By OODF OOMPUANO� VANITY Z;0A1MSs/f,1_5 A47,W6,V1 6Xt5-rin1C, 6ATHROOM FLOOR PLAN UI —a. ' N Assessor's Parcel Number. 3 i 2 Nameofowner: AsIlo'k-IM" AeWAKe Al- Contact Person: FACOZ JpAAZW 1hV Phone: 4400•$2/20sg, Pro]ect Address: 82525 SRe6H hkEv [croFi¢r¢� G}gSe/y Stype of Work: Rz ».W / P,xi �si to 4�1-{sr• G+�e . Ne s➢iD/a%p Grw Code Editions: 2013 California Resldentla] Code 2013 California Plumbing Code 2013. California Mechanical Code 2013 California Electrical Code 2013 California Energy Code E M tla IMhXI ' 1. All perms Myllm(slktlhlgh eF yl Inalressh 11 be ich iaepe lyimmlow ei8ca yl elrea(150(kj(]J) 2 PermareMly u�sla0atl righ8npl KHh shaX be hlph yl inalie Up 50N. Mihe flag of pxmananOy Mstalled rghmg MkllcAens meybeln BBMa that am ret t2gh etOLacy. (15p(kJ;e)) M,y � F�rorrE B i � Plumbina NMes: ' ' 1. Faucem MkkcAam, wel bars, levelaies, kuntlry sinks eL^shallhave swalerfiownWtoexcebtl 5.9gallonaperminuta ®fi0 psi. (CPC 403;6) Elec 'cal Notea: ' 2. ThalnstilMeon of smoke alaimsMall of Ne rolbwin0 areas shall be prmaetl: (8314.3) on Ma cHIInO or wall oulslde of sato seperafa sleepmyarea Mare Immetllsfe vialrvtyof betlrooms. b. Mauer loom lase for slspPMa pamo¢�. IneacA sbrywillgha dwelllrg unk, InJNLIn06asemenm but m1l:kudl�gcravA spaces anaunhfhandabldaNs. s. app etl bon inonaauao alwma snag be msanedomaiaeoreacn¢eparass aleeplpgamain lyre lrc,inaamtempu,uy Orme baamoma aaeoa everylavauadatlmg ba 4. A nmlmenLModwwa2011puLsmfialahpapveef.c.. br a,Appr6acnckeson r tlbecphedko_aartla0foerse.(llCeRCzpRlaaclI outlpls.In dw ktteM1en, dlDllp mom, pznlry, orpNersimllaraleas (CEC 21011401)) 5. Alk 20 amp bra ch I t tall! p vM 01 WDIY bethmom receptacle owem. Such urc I hall hs eao ower olRlets. (CEC 21 e.11(CK3j). 6; I ryd ur8s; elle-,MI d ppl' - ¢h -food 1 9drlaers, tlishwashem washlnO macHres tlrya I dry Vey b¢aho0s, bu 11 nrefaperafors orfreezers, fum ,AGM81Hn heaters ora yth fi tlepplanoe wiNemofpr af'/.hp er larger alcp bs pa. to 20 amp. brencn clrcWl i. W placke In belhrooms, paraBes ryC i10"mgs, outdoors cmwi spaces unflnmhed baso. fs,W h s4whsre reuepmple¢serve pdumerlop surfaces), dy wilily, wel barsMks (wahM Br' lof the doe otma sink), shaX havepeunZ(aullcmuX lmertupler(eFClJ prole.'1"'n. (CEC 210.8(A)) 8. In.1-as speGfled In 210.52. all r—ilkft type 125-, 4.15-antl 20. ampere earspiatles shall ba W.dtamper.res¢ epaplesles..(CEC 408.12} I J jryC Pj�RTIf�0 IT, , 1 }Q 1 0 �epa�ment REVI Q zais Reviewee 8Y. Fp FUR r�-D�Cxo��p�fAA'C� EXISTING KITCHEN FLOOR PLAN PROPOSED KITCHEN FLOOR PLAN