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14090025CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10901 MAXIIYE AVE ............. CONTRACTOR: BAY AREA CUSTOM PERMIT NO:/4090025 BUILDERS INC OWNER'S NAME: KHALILNEJAD HEIDEH SEDIGHEH 1002 S DE ANZA BLVD STE AI DATE ISSUED: 09104!2014 OWNER'S PHONE: 4087606231 SAN JOSE, CA 95129 PHONE NO: (408) 446-1200 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E 2'' ` 346 SQ FT ADDITION TO SIDE OF SFDWL, REMODEL 312 License Class JK _ Lie. # SQ FT THROUGH OUT ,,' r Contractor �r�_�fk- Date_S`r' � 1 hereby affirm that I am licensed under the provisions of Ch pter 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: I have and will maintain a certificate of consent to self -insure for Worker's Compen ation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $50000 erfo ante of the work for which this permit is issued. ve and will maintain Worker's Compensation Insurance, as provided for by Al S ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 32602013.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITH PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DA � FROM LAST CALLED INSPE TION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue a inst said City in consequence of the ; n Issued by: ` Date: granting of this permit. Additionall e applicant understands and will comply with all non -point source regul ' s per the pertino Municipal Code, Section 9.18. e RE -ROOFS: Signature Date C A 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. ❑ OWNER -BUILDER DECLARATION : Signature of ApplicantDate: I hereby affirm that [ am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality \Management District l performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municide, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533,-nd-2 534. Section 3700 of the Labor Code, for the performance of the work for which thise. Owner or authorized agent: permit is issued. __.Da-te: 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; 1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO CONSTRUCT[ON PERNriiTAPPLICAT[ON COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildinci5cucieffino.ora [I NEW CONSTRUCTION ADD1710N, EIALTERATION /71 [I REVISION /DEFERRED ORIGINAL PERMIT'-' PROJECT ADDRESS�7 A_PN 0? 01WKIERNAME C STREEBT ADDRESS f,' .... . .. ... CIT Y, STATE, ZIP FAX CONTACT NAME E-MAIL STREET ADDRESS CJTY, STATE ZIP FAX L P'i ❑ 0gTM- 0W1,_-R-BTJILDER ❑ 0 WIN E R A G B T ❑ CONTRACTOR ❑CON7P_kCTOR ACENq ARC-_-U—IECT ❑ENGNB=-R ❑ DF\ -,LOP -R CONTRACTOR \�44B C-FINISF x'U',m'=_R C;�'o0LICENSETYPEE, c, I" S. L�5' A COMPANY NAME E-MAIL ?A_X' STREET ADDRESS CITY, STATE, ZIP A_RChTrECT/ENG11N-EERN,4_\4E415 -' 'JJCE-P"SEN1Jm3BR . BUS. LIC 4, ..... COWPAN'Y NAME E-MAIL re FAX STP,EFr,',DDP,ESS CITY, STATE, ZIP I PHONE DESCRIPTION OF WORK 0 C"I V'Ippel q vo- A�A u Y'r Vr 7 E)LISTINIG USE PROPOSED USE U CO'N'STR_ TNTE4 STORIES J USE TYPE OCC. SQ FT. A VALUATION (S) E=G ARZA '- NEW FFLO�� AREA DEMO AREA TOTAL NET AREA L' BATHROOM KITCHEN 07kmR REMODEL AREA REMODELAREA REMODEL AREA `5 PORCH AREA DECK AREA TOTAL DECKIPORC-HARFAR GA A GF AREA: [W7DETACH [].ATTACH D\t1.111NG WITS: is A SECOND UNIT E] YES SECOND STORY []YES BMG ADDED? E]NO ADDITION? []'.,'0 ­]NO -N _ELDG �N B?FD "E'tV OT., I VALUATION: W. `0 5 PLANNFINGAPPL-W F ? LANNFLN' G A?? 0 V A L LETT ER EICHLER HOME? [_110 1, i _g Z ' P:. 'up 1, �' ........... .1, 05, gar � By my Signature below, I certify to each of the following: I am the property owner or authorized agent to act on trAproperty owner's behalf. I have read this application and the information I have provided is con ect. I have read the Description of Work and verifyl�)r__torl ..urate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature ofApplicant/Agent: Date: SUPPLE-MENTTAL TNTFPI� ATION REQU'lREED New SFD or Multifamily d-ovellings: Apply for demolition permit for existing b0ding(s). Demolition is required to issuance ofbuild jF',@- permit prior permit for new building. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. Q, Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Per -mit application. pti.P - ." I g - N4. .......... Bld.-App_201 1. doc revised 06121111 CIO CITY OF CUPERTINO F" -Mi FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10901 maxine ave DATE: 0910412014 REVIEWED BY: Mendez PC FEE ID APN: BP#: 06� 'VALUATION: 1$50,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex 2nd Unit? Yes No OTC? 0 Yes GNo PENTAMATION PERMIT TYPE: 1 R3SFDADD WORK 346 sq ft addition to side of sfdwl remodel 312 sq ft through out SCOPE PME Plan Check: OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.L PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 346 $1,626.00 IADDPLCK $1,323.00 IADDINSP $0.00 PME Plan Check: $0.00 Permit Fee: $1,323.00 Suppl. Insp. Fee.0 Reg. Q OT Q.Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: TOTALS: 346 $1,626.00 $1,323.00 MECH, HOURLY 0 Yes G No ` PLUMB, HOURLY 0 Yes (D No ELEC, HOURLY 0 Yes- (E) No Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,323.00 Suppl. Insp. Fee.0 Reg. Q OT Q.Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School hiclrii•1 olr ) Thoco fooc nro hacod nn tho nroliminnnv infnrinalian avnilahlo and aro nn117 /in oclinrula rnntart tho vont fnr nddn'l infn. FEE ITEMS /Fee Resolution 11-053 Ej�. 7%1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,626.00 312 s.f. $503.00 Remodel, Other IREI9RESOTH Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,323.00 Suppl. Insp. Fee.0 Reg. Q OT Q.Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes) No $0.00 Advanced Planning Fee: IPLLONGR $48.44Select allon-Residential Building or Structure E) i Strom Motion Fee: IBSEISMICR $6.50 Select an Administrative Item 131dg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS:' $3,005.94 $503.00 TOTAL FEE. F$3,508.94 Revised: 07/10/2014 02/05/2015 11:18AM FAX 4084461241 _ BAY AREA CUSTOM BUILDERS 00001/0001 CUPERTINO Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS:10901 MAXINE AVE PERMIT#14090025 OWNER'S NAME:HEIDEH KHALII_NEJAD PHONE #4087606231 GENERAL CONTIZACTOIZ:BAY AREA CUSTOM BUILDERS BUSINESS LICENSE#31905 AODRESS:1002 S. DE ANZA BLVD. #1 CITY/ZIPCODE: SAN JOSE, CA 95129 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL. OCCUPANCY INSPECTION(S) WILL HE SCHEDULED UNTIL -rHE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE 9 Cabinets & Millwork Cement Finishing X Electrical EDEN ELECTRIC 34369 Excavation Fencing }Mooring / Carpeting Linoleum / Wood Glass / Glazing _ X Heating EDCO CONSTRUCTION 29545 Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing _ X Roofing A. Q. ROOFING 29852 Septic Tank Sheet. Metal Sheet Rock Tile / Contractor Signature lla e CUPERTINO PURPOSE: CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION C EIV ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �;E? 0 4 2014, (408) 777-3228 • FAX (408) 777-3333 • building@cupertino.org Y The 2013. CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name: G 41/4( PE }mTIiV J;n9 thea tit Project Address:, ✓11 `� :_ 2014 p Project DeSCr! tlOn: y �,�-�`� �,l•`,`t;'.l,�i s�i_� ( Eai.?G, r,..,�,r-igk A�.. Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the checklist printed on the approved plans for the project. 3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3 and sign and date Section 2 - Implementation Verification at the end of this checklist and submit the completed form to the Building Inspector. Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification Reauirements 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during OX construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how ® El site grading or a drainage system will manA- a' § _ vote Page I of 5 CalGreen_2014.doe revised 01/15/14 A4.2 General 4.201.1 Low-rise residential' buildings shall meet or exceed the minimum El standard design required by the California Energy Standards. A4.3 - EFFICIENCY AND CONSERVATION Indoor Water Use 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: ❑ 4.303.1.3.2 Water Closets. The effective flush volume of all water closets shall not exceed 1.28 gallons per flush. Tank -type water closets shall be certified to the performance criteria of the U.S. EPA WaterSense Specifications for Tank -type Toilets. ❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not exceed 0.5 gallons per flush. ❑ 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for showerheads. ❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. ❑ 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. ❑ 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, 0 and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen_2014.doc revised 01/15/14 Outdoor Water Use 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the time of final inspection shall be weather-based. ❑ 4.304.1.1 Controllers shall be weather- or soil moisture-based controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. ❑ 4.304.1.2 Weather-based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicated with the controller(s). Soil moisture-based controllers are not required to have rain sensor input. A4.4 MATERIAL CONSERVATION AND RESOURCE EFFICIENCY Enhanced Durability and Reduced'Maintenance 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Reduction; ©loosal and Recycling 4.408.2 Construction waste management plan. Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. Building Maintenance artd'Operatian , 4.410.1 Operation and maintenance manual. At the time of final inspection, an operation and maintenance manual shall be provided to the building occupant or owner. A4.5 ENVIRONMENTAL QUALITY Fireplaces 4.503.1 General. Install only a direct-vent sealed-combustion gas or sealed wood-burning fireplace, or a sealed woodstove. PollutantControl 4.504.1 Coveringring of duct openings andprotection of mechanical equipment during construction. Duct openings and other related air 0 �] distribution component openings shall be covered during construction. 4.504,2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks ❑ shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be compliant with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings shall be compliant with product weighted MIR Limits for ROC and other toxic []X compounds. Page 3 of 5 CalGreen_2014.doc revised 01/15/14 4.504.2.4 Verification. Documentation shall be provided to verify that El compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with VOC limits. 4.504.4 Resilient flooring systems. Eighty (80) percent of floor area receiving resilient flooring shall comply with the VOC-emission limits defined in the Collaborative for High Performance Schools (CHPS) Low -emitting ❑X Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard, medium density fiberboard (MDF), and hardwood plywood used in interior finish systems shall OX El comply with low formaldehyde emission standards. Interior Molsture Control 4.505.2 Concrete slab foundation. Required vapor retarders and capillary El breaks are also required to comply with CalGreen Section 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building materials used in wall and floor framing is checked before enclosure. Indoor Air Quality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the building are provided in every bathroom. Environmental Comfort 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. 2. Size duct systems according to ACCA 29-D (Manual D) or equivalent. 3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent. INSPECTORINSTALLER AND SPECIAL QUALIFICATIONS Quallflcaticains 702.1 Installer training. HVAC system installers are trained and certified in, L_I the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify CALGreen compliance is qualified and able to demonstrate competence in the QX discipline they inspect and verify. 1%ef#��Itiurt5 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Page 4 of 5 CalGreen_2014.doe revised 01/15/14 n CALGREEN SIGNATURE DECLARATIONS Project Name:�,� Project Address: Project Description:��,�'�. SECTION 1 - DESIGN VERIFICATION Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the C y4f Cupertino - Owne��nature Owner's Name (Pleas . ' t) Desig ro essional's Signature Design Pro_WsI96al's Name ( of License Professional responsible for CalGreen compliance Name of License Professional responsible for CalGreen compliance (Please Print) Email Address for License PrSf6s46nal responsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION q Date Date I & %<I- 655 Phone Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CcdGreen_2014.doc revised 01115/14 Footing Calculation - Bid Residence Section Drawing - Tributary Width Variables & Factors Max. Shear (0.5 x Beam Spam x Total Disributed Load) 1,423.13 lbs Soil Press per Code 1,500.00 psf Footing Size b= 24.00 d 1 24.00 in Tributary Area 4.00 sf Footing Pressure - P=F/A Footing Force - Actual „< �'�1;�9,.: lbs Footing Force - Allowable 6,000.00 lbs Footing Size Required Footing Size b= 36.00 d = 36.00 in Tributary Area 9.00 sf Footing Force - New Actual lbs Footing Force - Required 1,423.13 lbs