B-2017-0049CITY OF CUPERTINO BUILDING PEM
IT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-0049
11655 WILDFLOWER CT CUPERTINO, CA 95014-5337 (366 19 064)
PRECISION
FLOORING AND
CARPET CARE
SAN RAMON, CA
94583
OWNER'S NAME: KING ROSA R ET AL
DTE ISSUED: 01/09/2017
OWNER'S PHONE: 925-487-3532
PHONE
NO: (925) 548-0998
LICENSED CONTCTOR'S DECLARATION
BUILDING PERMIT
O:
License Class 0-155 Lic. #244B55
Contractor PRECISION FLOORING AND CARPET CARE Date 03/31/2018
X BLDG —ELECT _
PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
_ MECH X RESIDENT
— 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 - 2 BATHROOMS
(192 SF)
I hereby affirm under penalty of perjury one of the following two declarations:
i. 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 this
permit is issued.
Sq. Ft Floor Area: Valuation:
$15000.00
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
APN Number:
O cupancy Type:
information is correct. I agree to comply_with all city and county ordinances
and state laws relating to building construction, and hereby authorize
36619 064
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 EXPI
S IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
WITHIN 180 DAYS
OF PERMIT ISSUANCE OR
source regulations per the Cupertino r4unicipal Code, Section 9.18.
180 DAYS FROM
LAST CALLED INSPECTION.
Signature way 1_ A 04Date1-9/2017
Issued by: Kim Dunbar
OWNER -BUILDER D RATION
Date: 01/09/2017
,
I hereby affirm that I am exempt from the Contractor's License Law for one of the
RE -ROOFS:
following two reasons:
All roofs shall be inspected
prior to any roofing material being installed. If a roof is
m. I, as owner of the property, or my employees with wages as their sole
installed without first obtainii
igobtain' 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)
z. I, as owner of the property am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 1-9/2017
I hereby affirm under penalty of perjury one of the following three declarations:ALL
ROOF COVERINGS
TO BE CLASS "A" OR BETTER
m. 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.
HAZAR
:)US MATERIALS DISCLOSURE
i. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardou
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 & Sal
ty Code, Sections 25505, 25533, and 25534. I will
permit is issued.
maintain compliance with
ke Cupertino Municipal Code, Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued, I
, Health & Safety Code, S
ction 25532(a) should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the
material. Additionally, sho
ld I use equipment or devices which emit hazardous
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 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall,
i
>
be deemed revoked.
Owner or authorized agent.
!0 VAm1
RUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read this application' and state that the above information is
Date: 1-9/2017
ONST
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 peri
nit 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
'
Code, Section 9.18.
1 understand my plans shall
be used as public records.
Signature Date 1.9/2017
Licensed
CUPERTINO
El NEW CONSTRUCTION
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISICN
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 -FAX (408) 777-3333 - build ing2cu pertaino.org,
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1� ADDITION ALTRRATTON ITT Fj RPXnqT0-NJ/T)I:;PPT?T?M11 nl?T(' TAT DUDIAIT4;
PROJECT ADDRESS
APN#
OWNERNAME C
PHONE 4,
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STREET ADDRESSe
STATE P FAX
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CONTACT NAME fn /4 a) A I c -P, J(e_MDss
PHONE
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Mary
STREET ADDRESS
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El OWNER El OWNER -BUILDER 13 OWNERAGENT 13 CONTRACTOR El CONTRACTOR AGENT El ARCHnECT El ENGINEER El DEVELOPER El TENANT
CONTRACTOR NAME \
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LICENTSENUMBER
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LICENSE T� TE
BUS. LIC #
COMPANY, 10dri'm WN
E-MAIL 44 r_n4t
FAX
STREET ADDRE
CIT Y, STATE,
- 293
PHONE
ARCHITECT/ENGINEER NAM!K)/8
LICENSE NUMBER
BUS. LIC 4
COMPANY NTAMEE
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
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EXISTING USE PROPOSED USE CONSTR-TYPE #STORIE§------ ------ ------
USE TYPE OCC. SQ.FT. VALUATION
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
I NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH ARE
GARAGE AREA: DETACH
I
❑ ATTACH
I
DWELLING UNITS:
IS A SECOND UNIT
C E]YES
SECOND STORY F)YES
BEINGADDED? FIND
ADDITION? E]NO
PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF
IS THE BLDG AN LJ YES
COVE
TOTAL VALUATION:
LANNING ADPL 4 ING APPROVAL LETTER
P E]NO PLANN
EICHLER HOME? E] NO 1:
F C
By my signature below, I certify to each of the following: 1 am the property owner or authorizedagent to act on the prDperty owner's behalf. have read this
application and the information Ihave 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 relatin ildin authorize s ofCupertmo to enter the above- dentified o e -ty for inspection Purposes.
"aim
Signature ofApplicant/Ag_.. Date:
SUPPLEMENTAL INFO RMATION REQUIRED
PLAN CHECKTYP
ROUTING SLIP
fl OVER-THE-COUNTER
L_J BUILDING PLAN REVI EW:
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
fl E XT Rt S S
PtA�\N� PLAN REVIEW.,
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
,
fl STANDARD;t
PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
LARGE
fl FIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
0 AMAJOR%
SANITARY SEIVVERDISTRICT
Zbmittal of Building Permit application.
E TN-IRONAIENTAL HEALTH
B1dgAp,p_,2011.doC revised 06121111
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PROPO",ED BATHROOM FLOOR PLAN
Assessor's Parcel Number: ..i` l(J—l�
PlembimNot—:
1. Neater c'.osels shall have an average water consumption of not more than 1.28 gallons per effective flush. (CPC 403.2)
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Namf Owner: e o{,� 0i" I i rj J V TQ
: 2. Shower heads shall have a water flow not exceed 2.0gallons per minutes @ 80 pal. (CPC 408.2)
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r 3. Faucetsinlavatories shall have a water flaw not exceed 1.5 gallons per minutes C 60 pal and shall not be less than it gallons per minutes at 20 psi. (CPC 403.8)
Contact Person: ) 1 I' -G( --l( I't t. e_ (}j Phone:
4. Shows, stalls shall have a clear Irterior finish area of 7.1 sgft and be able to accommodate a minimum 30 Inch circle at the threshold level. These clearances shall be
malntolned up to a height of 70 Inches ablethe shower dmli (CPC 408.6)
- -
5. Sh 'ver—mparton-ts and walls above bathtubs with Instated shower heads shall be flmshed with a -smooth, nonele—local surface b a height not lace than 72 Inches
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Project AddfesS:
(fiHJ, (CRC 8307.2)
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B. 'he maximum hot water temperature discharging from the bathtub, shower and whirlpool bathtub filler shall be limited to 120 degrees rehreahaif. The waterheater
p�
- thermostat shall not be considered a control for meeting this provision. (CPC 409.4 &408.3)
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SCOj]e Of W01'IC C10A �-'/' , {�-t7y y f j . f1 Q (,� "{'tQA., (�' �.Qy )- �i4 je �
7. Water closet shall be set minimum 15 Inches from Its center to a side vrall er obstruction and 2e inch clearance In front of water closet. (CPC 402.5)
pz ri
Elaefrlsel Notes:
1. The Installation of smoke alarms in all of the following areas shall be provided; (8314.3)
Code Editions: 2013 California Residential Code
a. On the selling or wall outside of each. separata sleeping area In the Immediate viclnity of becroams.
2D13 California Plumbing Code
b. In each room used for steeping purposes. '
2013 California Mechanical Code
c. In each story within a dwelling unit, including basements but not including crawl spaces and uninhabitable attics.
2. A proved carbon monoxide alarms shall be Installed outside of each separate sleeping area In the Imn adlaCa vicinity of the bedrooms and on every level Including
2013 California Electrical Code
DEVELOPMENT DEPARTME semens In dwelling units that have fuel -fired apprances or attached garages. (CRC R315.1)
At leastone 20 amp branch circuli shall be provided to supply bathroom receptacle outlets. Such circuits shall haver no other nuflets. (CEC 21 Q11(C)(3))
2013 California Energy Code -
COMMUNITY
/ OIJPERTIN All raceptacles In bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve countertop -surfaces),
BUILDING DIS ISION - �.
laundry,utility, wel bar sin.,s(Wiithin 6 feet of the edge of the sink), shall have ground -fault oirouit interrupter(GFCI) protedian. (CEC210.8)
Mochanical Notes:
APPROVED
MUST be kepi• at tirl®p areae spedned In 210.52, all 125 -volt, 15- and 20 -ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.11)
1. Bathroom vents shall terminate not less than 3 feet from openings and propery [loss. (CMC 504.1)
This set of plans and specifications
It is, un,'3,ful to make any
Enerav Code Mandatory Measures:
1. All permanently Installed highefficacyluminaires shall beswitched se arstel fromloweiflcac luminaires 15Gk 7
p y y ))
job site duringCorstruction.
C'nan. es oralterationson same, or t- deviate
9 from the 3uilding Official.
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2. Permanently Installed luminaires In bathrooms shall be high efficacy luminaires OR are controlled by anoccupanrsersnrsts)
nt
y, a t,oval
SHALL NOT
cert'rfletfld ddfrOr �tvi �sbcii n 1 �apdhi
does not turn on automa9cally or have an always on option. (1Ep(k)(10))
-�, �tarrping of 1�1s p nd specifica'.rorrs
of the violation �,
,Huai
ne held toper t er to be an apt r
or State Law-
at any pr vii ss :�fcity Ordinarce
.
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RECEIVED
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PROPO",ED BATHROOM FLOOR PLAN
RM Ua,,lr:gDepartment
REVIEWED FOR CODE COMPLIANCE
Reviewed By: -��
EXISTING BATHROOM FLOOR PLAN
ECEivrD a ��
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artment
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;OMPLIANCE
PROPOSED BATHROOM FLOOR PLAN
Cl '
Assessor's Parcel Number; l(J l I✓ `
Plumbmn Net..,
1. Water closets shall have an average water consumption of not more thsh 128 gallon=. per effective flush. (CPC 403.2)
Name of Owner: rj i7 C _ _.
2. Shower heads shall have a water flow not exceed 2.0 gallons per minu! a @ 80 pal. (CPC 468.2)
r 3. Faucetain lavatories shall have a water flow not exceed 1.5 gallons per minutes @ 60 psl and shall not be less than .8 gallons per minutes at 20 pal. (CPC 403.8)
�n7 r _ 4. Shower stalls shall have a clear Interior finish area of Zft ', cq.and be able to accommodate a minimum 30 inch circle at the threshold level. These clearances shahl e
Contact �(('.t�1'
Person: iG IjJY Ul0'},S Phone:
malutained up to a helght of 70 Inches able the shower drain, (PPO 408.6)
5. Shower compartments and wells above bathWbs with Installed shower heads shall be finished with a smooth, nonabsorbent surface to a height not less than 72 inches
Project Address:''� ++ 'r�
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9 (611(CRC Ra07.2)
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6, The* maximum hot water temperature discharging from Ina bathtub, shower and whirlpool bathtub filler shall be limited Is 120 degrees Fahrenheit. The Crater heater
thermostat shall net be considered a control for meeting this provision. (CPC 409.4 & 408.3)
Scope of Work: L ZQf� l / (�
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7. Water cluszt shall be set minimum 151nches from Its center to a side wall or obstruction and 2e Inch clearance n front of water closet. CPC 402.5
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I�i� Electrical Notes! ,
1. The'mstallatlon of smoke alarms In all of the following areas shall be pmelded; (8314.3)
Code Editions: 2013 California Residential Code
a. On the selling or wall outside of each separate sleeping area Inthe Immediate vicinity of bedrooms.
2013 California Plumbing Code
b. In each room used for sleeping purposes.
2013 California Mechanical Code
c. In each story within a dwelling unit, including basements but not including crawl spaces and uninhabitable attics.
2. Approved carbon monoxide alarms shall be Installed outside of cath separate sleeping area In the Innu adlate vicinity of the bedrooms and on every level Including
2013 California Electrical Code
basements In dwelling units that have fuel -fired appliances or attached garages. (CRC 83151)
3. At least one 20 amp branch circult shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlate. (CEC MAI(C)(3))
2013 California Energy Code
4. All receptacles In bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve countertop surfaces),
laundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground -fault cimuit Interrupter(GFCI) promeli n. (CEC 210.8)
Mechanical Notes,
5. In all areas specified In 210.52, all 125 -volt, 15- and 20 -ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.11)
1, bathroom vents shall term hate not less than 3feet from openings and property lines. (CMG 504.1)
COMMUNITY DEVELOPMENT DEPARTMENT
Energybode Mandatory Measures•
BUILDING DIVISION - CUPERTINO j� t`, lnje"s Oiir pd" gall!
1. All permanently installed high efficacy luminaires shall be switched separately foam low efficacy luminaires (150!1,)(7))
k
APPROVED
TThhi� c1
2. Per manonlly installed luminaires In bathrooms shall be high efficacy luminaires OR am controlled byan.occuleantsencors(c) cartitledto comply MIT pkR6iPs and specifications MUST be kept at the y) 1,-t lt, af,. tR}c1. !
does not turn on automatically or have an always on option. (150(k)(10))
job site during construction. It is unlawful to make any
changes or alteratinns on same, or to deviate
&1�
therefrom, without approval from the Building Official.
OFFICE
The Stamping c this plan and specifica,.ons SHALL NOT
bo held to perrrit or to be an apornval cf the violation
of any Irl' ns of y City Ordinar re or Slate Law.
BY
DATE J —�t
RM Ua,,lr:gDepartment
REVIEWED FOR CODE COMPLIANCE
Reviewed By: -��
EXISTING BATHROOM FLOOR PLAN
ECEivrD a ��
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artment
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;OMPLIANCE
PROPOSED BATHROOM FLOOR PLAN