B-2017-0264CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0264
10385 RIVERCREST CT CUPERTINO, CA 95014-1027 (326 37 005) ATP 168
CONSTRUCTION
MILPITAS, CA 95035
OWNER'S NAME: PILLAIPAKKAMNATT DILIP AND RAGHUNATH PREETI
OWNER'S PHONE: 408-242-7636
LICENSED CONTRACTOR'S DECLARATION
License Class Q Lic. #1010093
Contractor AT P 168 CONSTRUCTION Date 01/31/2018
hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
'ith Section 7000) of Division 3 of the Business & Professions Code and that my
cense is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
1. I have and will maintain a certificate of consent to self -insure for Worker's
DATE ISSUED: 02/16/2017
PHONE NO: (408) 726-2766
BUILDING PERMIT INFO:
X BLDG _ ELECT —PLUMB
_ MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
1 ST FLOOR BATHROOM ADDITION (36 S.F.)
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
J2. 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: $10000.00
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 pef_ a Cupertino Municipal Code, Section 9.18.
Date 02/16/2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
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.
a 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.
s. 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
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.
Signature Date 02/16/2017
APN Number: Occupancy Type:
326 37 005
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Kim Dunbar
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date: 02/16/2017
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use 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 & Saf Code, SSin,�5533, s2and 25534.
Owner or authorized agent• c f ✓
Date: 02/16/2017
CONSTRUCTION LENDINGA
I hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
Professional
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CONSTRUCT [QBE PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
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CUPEFt"FINC� (408) 777-3228 • FAX (408) 777-3333 • buildim'd�Cupertino.org
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DESCPIPTIO?,Z OF WORT: ryRCA
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EXISTL\GtiSE PROPOSED USE CONSTRiYPE
STORIES
USE
TYPE
OCC. I
SQ.FT.
VALUATION (S)
EXISTG
i IGEN FLOOR
DE1,40 TOTAL
AREA
I AREA
AREA ?,'ET AREA
BATh,00A4 KIE.A KITCHEN
RFA40'FLAREA "'1 RE1,10DELAR
OTHER
REJAMDELAREA
PORCH AREA DECRA_KE.A
TOT.SLDECK-POkCA.vZEA
GARAGE AREA: .[-]DETACH
❑ ATTACH
D'WELLNIG UNITS:
ISA SECOND LTIT ❑ YES
SECOND STORY []YES
BELNG.ADDED? ❑NO
ADDITION? EINO
PRE,UPLICATIO_y [_]YES IF TTS; PROVIDE COPT OF
PLA2\NLKG.APPL' ONO PLAN:\-GA.PPROVALLETTER
IS THE BLDG AIN ❑ YES
EICHLERHOME? ❑NO
-r-RE '-IV D,
_.TL VALUATION: .
By my signature below, I certify to each of the following: I ana the property oN,ner or authorized agent tb act on the property om-Ders behalf. I have read this
application and the information _ ave provided is cor ect, I have read the Description of �Vork and Ver fy it is accurate. I a fire to comply 1a ith all applicable local
ordinances and state ]a"" re]ati e to ]dzna s I auth�prize representatives of Cupertino to enter theeaab ve-identiv"e property for inspection purposes.
Signature of Applicant/Agen' Date: G� �—� � �}Lk
SUPPLEME'_TTA L II�FOR�2_ TIONT QUIRED
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e. I_ ,n_ building(s). De1nOl]trOn pernit r5 requiredrror a t Issuance of bulaL.._
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CO]11111erCrel Bides: Provide a completed Hzzardrnls h4atena]s Disclosure
"El ST4N"DARD .: .-
fornl If any Hazardous l�Ipterlals are being used as pari Of t111S eC
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Copy o Plannrng ypprol-al Letter or hleetmg with Planning prior to
submittal of Building Permit application.-
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LASOR54tZI4I2YSE«Ei2DISTRICT
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1 Bldo,pp_Ml.doc r•erised 06111/11
WPERTINO SANITARY DISTRICT
20863 Stevens Creek Blvd #100, Cupertino, CA 95014
Tel (408) 253-7071 • Fax (408) 253-5173
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�'s111;ism sn ='ham CUPERTINO
SANITARY DISTRICT PERMIT LE�I'ER
Cupertino Sanitary District has adopted Resolution No. 9263.
Building Permit Request
(Over -the -Counter)
Single Family Project ❑ Multi -Family Project ❑ Commercial Project
Project Address:
Permit Number:
Scope of Work: 'V\�t
Owner/Applicant Name:
Address:
Date: 0Z I ) q 11::?,
1, as property owner or authorized agent, acknowledge that all Cupertino Sanitary District requirements
will be met and all required fees will be paP44,or to the approval of final inspection for proposed project.
Date: �( )q 1 Signature:
Owner uthorized Agent
CUPERTINO SANITARY DISTRICT OFFICE USE ONLY
❑ Pre -inspection Required j Final Inspection Required
Date Scheduled-
Date:.)
cheduled- �`-
Date: • _ Conditional Approval By
t"
Authorized presentative
Cupertino SaOitary District
District will notify owner of the required fee within 5 days after Pre -Inspection has been completed and cc
City of Cupertino.
❑ Inspection Fee Paid Date Paid:
Inspection Fees:
$250/unit - Single Family Residential already connected, but new cleanout is required
$150/unit - Single Family Residential already connected with existing cleanout in working order
D $350 Minimum — Commercial and Retail Actual Amount:
D $200/each — Disconnect and/or abandon lateral service
Connection Permit Fees:
D $350/unit - Single Family Residential connecting to existing lateral
$650/unit — Single Family Residential connecting with new lateral
D $100/unit — Multi, Hotel, Living Units, etc. Actual Amount:
D $500/connection - Commercial and Retail Actual Amount:
Connection Use Fees (See Attached Calculation Sheet):
Area and Frontage Fees Amount:
Residential Excess Fees over 3.5 unittacre Amount:
Commercial and Retail Connection Fees Amount:
D Commercial and Retail Change in Use Fees Amount:
Date: Final Approval By: 9A A( A -t
Authorized presentative
Cupertino S itary District
Assessor's Parcel Number: f,,
Name of Owner: P 1 [ (� I A ] P A k k Ant ki-Aft / /� / (( f
Contact Person: c AA.-- r Phone: r C[ -— l ,` h
Project Address: e\'Z��
lC) a`r C'v' r, 5�-�r-FN- , ot�rCCPfi:r+t00
Scope of Work:
Applicable Code: 2016 California Residential Code (CRC)
2016 California Plumbing Code (CPC)
2016 California Mechanical Code (CMC)
2016 California Electrical Code (CEC)
2016 California Energy Code (CEnerC)
2016 California Green Building Standards Code (GRN)
PLUMBING:
• All piping % inch or more In diameter and all hot water pipes associated with a recirculation system must be Insulated with min. 1 inch thick insulation. Existing
inaccessible piping does not require insulation [CEnerC 1501
• Water clas&ats shall not exceed 1.28 gallons per flush, showerheads shall not exceed 2.0 GPM and new lavatory faucets shall not exceed 1.2 GPM at 60 PSI. OPC
407.2, 408.2 411.21
• Water closet and bidets require a minimum 15 Inches of clearance from the center line of the bowl to seen side, and 24 inches of clearance from the front edge of
the bowl [CPC 402.51.
• Lavatory sinks require a minimum of 24 inches front clearance [CPC 402.51
• Showers require a minimum 2 inch drain and trap [CPC Table 702.1].
• All shower compartments shall have a minimum finished interior of 1024 square inches and shall be capable of encompassing a 30 Irch diameter circle [CPC
408.6i curb may encroach on these size requirements. All surfaces shall be waterproof up to 72 Inches above the drain inlet [CRC R307.2]. Thresholds shall be
of sufficient width to accommodate a mmininium 22 Inch clear egress opening from the shower [CPC 408.51.
• Safety glass (tempered or laminated) Is required forail glass shower doors and parttlons and for windows in walls facing the tub or shower and located less than 60
inches above the standing surface of the tublehower and within 60 Inches horizontally [CRC R308.4.1&5].
• The maximum water temperature to a shower or tub/shower combination Is 120F. The water heater thermostat cannot be used as the control for this temperas re
Valves shall provide scald and thermal shock protection, and be pressure -balanced, thermostatic or combination pressure -balance lArtermostah, mixing in
accordance with ASSE 1016 or ASME Al 12,18,1/CSA 8125.1. [CPC 408.3]
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MECHANICAL:
• Mechanical ventilation is required in all bathrooms with tubs or showers. The fan must move a minimum 50 CFM of air and be separately switched from :he'..ighting.
Fans that operate continuously can be 20 CFM. The duct must terminate on the exterior not less than 3 feet from openings Into the building [CMC 502.2.1].
• Baths with no tub or shower (half baths) do not require mechanical ventilation If they are provided with a window at least 3 sq. ft. half of which Is operable [CRC
R303.3I.
ELECTRICAL:
• All Installed lighting shall be high efficacy. jCEnerC150.0(k)tA]
• At least one light shall be controlled by z vacancy sensor (a manual -on, automatic -off occupancy sensor). [CEnerC 150.0(k)2A]
• All receptacle outlets In bathrooms shall be GFCI protected ICEC210.8A1].
• All receptacle outlets In bathrooms shall be tamper resistant [CEC406.12A].
When a bathtub a shower stall is in an area not technically considered a bathroom (by the definitions in the electrical code), receptacles within 6 ft. of the
tub/shower stall must be GFCI- protected. [CEC210.8A9].
• A receptacle cutlet is required within 3 feet of each wash basin location. It may be on the wall, or an adjacent partition, or or the face or side of the cabinet not
more than 12 Inches below the top of the basin [CEC 210.52D].
• Receptacles cenrot be face -up In a vanity surface; listed pop-up receptacles are allowed [CEC 406.5E & 210.52D].
• A minimum of one 20 -amp circuit is required for the receptacles in the bathroom(s). This clrcultean have no other outlets, Including lights [CEG 210.11 C3]. If a
20 -amp circuit serves only one bathroom, lights and fans can be on the same circuit with the receptacles In that bathroom [CEC 210.11C3 exception].
• Hydro -massage tubs require an individual (dedicated) branch circuit and readily accessible GFCI protection [CEC 680.711. An access door is required and must be
large enough to remove the motor and pump. Cord -connected equ'''.pment must have the receptacle facing the opening and be no more than one foot behind the
access hatch ;CEC 680.73].
• Recessed light fixtures in shower enclosures must be listed for a damp or wet location [CEC 410.10A]
• Pendant light fixtures, track lights, and paddle fans shall not be Installed lower than 8 feet above the flood -level rim of a tub, including the area 3 feet past the edge of
the tub [CEC 410.1 ODI.
• Electrical panels shall not be installed in bathrooms [CEC 240.24B
• Switches and receptacles are not allowed In bathtub or shows paces [CEC 404AC & 406.9C].
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MECHANICAL:
• Mechanical ventilation is required in all bathrooms with tubs or showers. The fan must move a minimum 50 CFM of air and be separately switched from :he'..ighting.
Fans that operate continuously can be 20 CFM. The duct must terminate on the exterior not less than 3 feet from openings Into the building [CMC 502.2.1].
• Baths with no tub or shower (half baths) do not require mechanical ventilation If they are provided with a window at least 3 sq. ft. half of which Is operable [CRC
R303.3I.
ELECTRICAL:
• All Installed lighting shall be high efficacy. jCEnerC150.0(k)tA]
• At least one light shall be controlled by z vacancy sensor (a manual -on, automatic -off occupancy sensor). [CEnerC 150.0(k)2A]
• All receptacle outlets In bathrooms shall be GFCI protected ICEC210.8A1].
• All receptacle outlets In bathrooms shall be tamper resistant [CEC406.12A].
When a bathtub a shower stall is in an area not technically considered a bathroom (by the definitions in the electrical code), receptacles within 6 ft. of the
tub/shower stall must be GFCI- protected. [CEC210.8A9].
• A receptacle cutlet is required within 3 feet of each wash basin location. It may be on the wall, or an adjacent partition, or or the face or side of the cabinet not
more than 12 Inches below the top of the basin [CEC 210.52D].
• Receptacles cenrot be face -up In a vanity surface; listed pop-up receptacles are allowed [CEC 406.5E & 210.52D].
• A minimum of one 20 -amp circuit is required for the receptacles in the bathroom(s). This clrcultean have no other outlets, Including lights [CEG 210.11 C3]. If a
20 -amp circuit serves only one bathroom, lights and fans can be on the same circuit with the receptacles In that bathroom [CEC 210.11C3 exception].
• Hydro -massage tubs require an individual (dedicated) branch circuit and readily accessible GFCI protection [CEC 680.711. An access door is required and must be
large enough to remove the motor and pump. Cord -connected equ'''.pment must have the receptacle facing the opening and be no more than one foot behind the
access hatch ;CEC 680.73].
• Recessed light fixtures in shower enclosures must be listed for a damp or wet location [CEC 410.10A]
• Pendant light fixtures, track lights, and paddle fans shall not be Installed lower than 8 feet above the flood -level rim of a tub, including the area 3 feet past the edge of
the tub [CEC 410.1 ODI.
• Electrical panels shall not be installed in bathrooms [CEC 240.24B
• Switches and receptacles are not allowed In bathtub or shows paces [CEC 404AC & 406.9C].
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EXISTING BATHROOM FLOOR PLAN PROPOSED BATHROOM FLOOR PLAN