B-2016-3226CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-3226
22535 SALEM AVE CUPERTINO, CA 95014-5648 (342 12 097) JIMMY
CONSTRUCTION
SAN JOSE, CA 95127
OWNER'S NAME: ONORATO STEVEN J
OWNER'S PHONE: 415-305-3269
LICENSED ED ONT A TOR' RATION
License Class B Lic. #752045
Contractor JIMMY CONSTRUCTION Date 07/31/2018
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and. effect.
I hereby affirm under penalty of perjury one of the following two declarations:
1. 1 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 I have read this application, and state that the above
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save 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.
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
Date 12/7/2016,
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
1. 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)
2. 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
hereby affirm under penalty of perjury one of the following three declarations:
1. 1 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.
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 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, I 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
certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws
relating to building construction, and hereby authorize representatives of this city
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said Cityin
consequence of the 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.
a . - iFal7P*TiI.
DATE ISSUED: 12/07/2016
PHONE NO: (408) 838-3689
BUILDING PERMIT INFO:
X BLDG —ELECT _ PLUMB
MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
FLOOR BATHROOM REMODEL - M.E.P.. (80 SF)
Sq. Ft Floor Area: I Valuation: $7000.00
"N Number: Occupancy Type:
342 12 097
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Kim Dunbar
Date: 12/07/2016
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 ofApplicant:
Date: 12/7/2016
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 equipment or devices which emit hazardous
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
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent:!2sa.
Date: 12!7/2016
CONSTRUCTION LENDING YGENCY
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
understand my plans shall be used as public records.
Licensed
Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION
10300 TORRE AVENUE m CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(akupertino.org —2—o I
2—o(
0 NEW CONSTRUCTION 0 ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS/t E% J I►-` - V APN # <� P
OWNER NAME rbc �• � V � tv � � ® \ `� � l� PHONE/,�Cj '��.J „r�j -MAII,
STREET ADDRESS j�� CITY,. STATE, ZIP FAX
CONTACT NAME 1 1 f \ i I, PHO E -MAH.
STREET ADDRESS () S � CITY, STATE, ZIP Y , � ^ � FAX
❑ OWNER. ❑ OWNER -BUILDER. ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME - r Uk:LICENSE NUMBER 4' LICENSE TYPE ep BUS. LIC # -35 2 1 -SL
157
COMPANY NAME �p y R �(^ E- L �i FAX 111 VVV
STREET ADDRESS _ _ @ CITY, STATE, ZIP r
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC #
COMPANY NAME E -MAH FAX
STREET ADDRESS. CITY, STATE, ZIP PHONE
U�
DESCRIPTION RIC bet, k V L�
LIP
EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES - - USE TYPE OCC. SQ.FT. VALUATION ($)
EXISTG NEW FLOOR DEMO TOTAL _
AREA AREA AREA NETAREA ..
BATHROOM - - KITCHEN OTHER -
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE. AREA: : DETACH _
❑ ATTACH
#DWELLING UNITS: IS ASECOND UNIT ❑YES SECOND.STORY ❑YES
BEINGADDED? ❑NO ADDITION? [:]NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES • , - $ "^ `'i TOTAL VALUATION:
PLANNING APPL # - ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. Qthorize representatives of Cupertino to enter the abov-iPentifie¢ property for inspection purposes.
y1l ICIC (1
Signature of Applicant/Agent: Date: �
�r
SUPPLEMENTAL, INFORMAT N REQUIRED YtHCiP..
LTIN�`SLIP ,
New SFD or Multifamily dwellings: Apply for demolition permit for
D�OVERTRE-COUlu ER ❑ $THT.DINCtPLANI2EViEw
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. IIrl ArNING.x,AyEtiv
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑, ST SNDAR" D El ri BLr Wo axs
form if any Hazardous Materials are being used as part of this project.
LARGE �.: ,, ❑ IIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
MAJOR ❑ SANITARY SEWER DLSTRICT
submittal of Building Permit application.
;ENVIRONMENT HEALT ,
Bldgflpp_2011.doc revised 06121111
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - building(a cupertino.oro
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where ho interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA SMOKE ALARM CO ALARM
Outside of each separate sleeping area in the immediate vicinity of X X
the bedroom(s)
On every level of a dwelling unit including basements X X_T��
Within each sleeping- room X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do riot have an attached garage. Carbon monoxide alarms combined with, smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: Izl dwelling units with no commercial power supply, alarm(s) may be solely battery. operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finish
es or there is no access by means of attic, basement or crawl
space. Refer to CRC Section 8314 and CBC Sectio Zs 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be corrected to the building wiring.
As owner of the above -referenced property, I heby certify that the alarm(s) referenced above has/have been
installed. in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms specified below have been tested and are operational, as of the
date signed below.
r
Addressz
e .OW Permit No. 5—a&-_3226
Specify Number of Alarms: r Smoke Alanils:
�S7 # Carbon Monoxide Detectors: ,
l have read and agree to comply with the terms and conditions of this statement
Owner'
or Owner Agent's) Owner(
� u 9 ) Name:
ii��
_Xk
Signature .............
........... ........
...........................................,................................................ Date: I --1:2 °-�
Contractor
1 Name: g' /
V LL
........S .............. .....� � � Qy�
nature ........... ......................... .
9........ ......... Lic.# ......t...........................Date: I►J��
...................
Smoke and CO f07777.doc rerised 09/27/16
CUPERTINO
Owner Naive
WATER -CONSERVING PLUMBING FIXTURES,_
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DI ISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(d)_cupertino.ora
ao°f(v® 10
Address " Q&_Q141
1
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 th form and sign bottom.of form.
eRr'N'o Go to Question 2.
2. Does your real property have a licensed plumber certtify_ing that, due to the age or confiation of the property or its
plumbing, installation of water -conserving plumbing fixtures is not technically feasible`
❑ 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?
E] Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of th 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, 19'94?
❑ No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
�2"Yes My real property is built and available for use or occupancy on or before Jan jary 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three llowing statements and sign
bottom of form..
Ple e 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 dor before January 1, 2017, all non-
compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether
property undergoes alterations or improvements).
❑ My property is a multifamily residential real property. See Civil Code Section 1101.x.
On and after January 1, 2014, specified building alterations or improvements shall r esquire 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 proper undergoes alterations or
improvements). 111
. ❑ My property is a c07727aercial 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. i
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 undergoe alterations. or improvements).
I, as the owner or owner's agent of this property, certify under penalty of perjury that rrgn-compliant
plumbing fixtures will be
replaced prior to date specified above with water -conserving plumbing fixtures in accordance
through 1101.8, the current California Plumbing Code and California Green Building S4ndards
with Civil Code Sections 110 1. 1
Code, and manufacturer's
installation requirements, and that the water -conserving plumbing fixtures comply with
the requirements as indicated in the
table on the following page.
Owner or Owner Agent's Signature: �'%idttA7W.'�Y`6�
R
Date:
Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit.
SB4072015.doc revised 08/26/15
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
SB4072015.doc revised 08/26/15
Non -Compliant
Water -Conserving Plu
Bing Fixture
PlumbingFixture
(Fixture Complying with Current Code Applicable
to New Construction)
Fixture Type
Maximum Water Usage/Flow
Rate
2013 CPC Ch. 4
2013 CPC C
4
)iv.
2013 CPC Ch. 4
Water Usage
/Flow Rate
2013 CALGreen Div. 4.3
201.3 CALGreen
4.3
2013 CALGreen Div. 5.3
Single -Family
Multi-Famijy
Commercial
Residential
Residential
Water Closets
Exceed 1.6
Single flush toilets: 1.2�
gallons/flush
(Toilets)
Gallons/flush
Dual flush toilets: 1.28 gallons/flush effective
flush volume (the composite,
average flush volume of two reduce
flushes and one full flush
Urinals
Exceed 1.0
Gallons/flush
0.5 gallons/flush
Showerheads
Exceed 2.5
2.0 gallons per minute @ 80 psi. Also certifiedl
to the performance criteria of
gallons per minute
U.S. EPA WaterSense Specification for Show
rheads
(A hand-held shower is considered a showerh
ad.)
For multiple showerheads serving one shower,
the combined flow rate of all
showerheads and/or other shower outlets cont
oiled by a single valve shall not
exceed 2.0 gallons per minute @ 80 psi, or the
shower shall be designed to
allow only one shower outlet to be in operation!
at a time.
Faucets —
Exceed 2.2 gallons
Maximum 1.5 gallons per
Within units:
0.5 gallons per minute @ 60
Lavatory
per minute
minute @ 60 psi; minimum
Maximum 1.5 gallons
psi
Faucets
0.8 gallons per minute @
per minute @ 60
psi;
20 psi
minimum 0.8 gallons
per minute @ 20I
psi
In common and public
use areas: 0.5 gallons
per minute @ 60
psi
1.8 gallons per rr
inute
60 psi
Faucets —
Exceed 2.2 gallons
1.8 gallons per minute @
1.8 gallons per
inute
1.8 gallons per minute @ 60
Kitchen
per minute
60 psi
@ 60 psi
psi
Faucets
May temporarily increase
May temporarily
up to 2.2 gallons per
increase up to 2.?
minute @ 60 psi, and must
gallons per minute
@
default to maximum
60 psi, and must'
1.8 gallons per minute @
default to maximum
60 psi
1.8 gallons per minute
Where faucets meeting
@ 60 psi
the above are unavailable,
Where faucets meeting
aerators or other means
may be used to achieve
the above are
unavailable, aerators
or
reduction.
other means may
be
used to achieve
reduction.
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
SB4072015.doc revised 08/26/15
Assessor's Parcel NuCCm'�ber:
Name of Owner: ,\\j Li �-A o
Contact Person: -S � oke 7 Phone:
Project Address: %ILL
Scope of Work:
Code Editions: 2013 California Residential Code
2013 California Plumbing Code
2013 California Mechan(cal Code
2013 California Electrical Code
2013 California Energy Code
Mechanical Notes:
Bathroom vents shall terminate rot less than 3 feet from openings and property Ilnes, (CMC 504.1)
EneraVCode PAandatory M,asures•
1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires (150(kx7))
2, Permanently Instalied luminaires In bathrooms shall be high efnoacy Iuminalres OR are controlled by an occupanCaensors(s) cerrrfled to comply with section 119 that
does not turn on automatically or have an always on option, (150(k)(10))
+mbinn Notes:
1. Water closets shall have an average waver consumptlon of not more than 1.28 gallons per effective flush. (CPC 403.2)
2. Shower heads shall have a water fbw not exceed 2.0 gallons per minutes @ 80 psi. (CPC 408,2)
3. Faucets In lavatories shall have a waterflow not exceed 1.5 gallons per minutes @ 60 psi and shall net be less than.8 gallons per minutes at 20 psi. (CPG 403,6)
4. Shower stalls shaft have a clear Interior Finish arae of 7.1 sq.ft, and be able to accornmodare a minimum 30 Inch circle at the threshold level. These clearances shall be
maintained up to a height of 70 Inches able the shower drain. (CPC 408.6)
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
(611). (CRC R307.2)
6. The maximum hot water temperature discharging fromtha 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 403.4 & 408,3)
7. Water closet shall be set mm mum 15 Inches from Its center to a side wall or obstruction and 24 Inch clearance In front of water closet. (CPC 402.5)
Electrical Notes:
1. The Installation of smoke alarms In all of the following areas shall be provided; (8314,3)
a. On the ceiling or wall outside ofeach separate sleepirg area In the Immediate vicinity of bedrooms.
b, In eachroom used for sleeping purposes.
c. In each story within a dvrelling unk, Including basements but not Includirg crawl spaces and uninhatettable slakes.
2. Approved carbon monoxide alarms shall be Installed outside of each separate sleeping area In the Immediate vidnity, of fire bedrooms end on every leval Including
basements In dwelling units that have fuel -fired appliances or attached garages. (CRC 8315.1)
3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlots. Such onsulls shall have no other outlets. (CEO 210.11(C)(3))
4. All receptacles In bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve counter top surfaces),
laundry, utility, wet bar sinks (within 6 feet of the edge spire sink), shall have ground -fault cliouit hlerrupter (GFCI) protection. (CEG 210.8)
5, In all areas specified In 210.52, all 125 -volt, 15- and 20- ampere receptacles shzll be listed tamper-resistant receptacles. (CEO 406.11)
CUPERTINO -wilding Department
v DEC 0 7 2096
REVIEVvEC, s < GODE COMPLIANCE
i<evieWe4 By J% 6
Vl D 6 v `(
Q� S
EXISTING BATHROOM FLOOR PLAN
UEC 07 2016
OFFICE COPY
•nv=7 ale1S)u'•>ueuipl0 R11�
uo9e(oln awl }o leno;dde ue aq u: E)
,ON l,,VHS sue;leogioeds puri a
lelo!110 6ufpl!19 eql wa} )ono d
0le(Aap of do 'aides uv suet y
n me un s(11 'uoI r - 6
Rue a>letu of I } I
at(l le }da>( eq isf1W suogeo(}iaad. , .,E , 10 Id s!'4i
G3Aa1AddV
ONWd3clD0' NOISlAK-1 JNIOIi(l9
gN3W-LWd�0 iN-NdO 13/\30 LiiNni,4v, ;
PROPOSED BATHROOM FLOOR PLAN