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B-2017-0770CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0770 10981 NORTHSKY SQ CUPERTINO, CA 95014-0538 (316 40 043) HARRELL REMODELING INC PALO ALTO, CA 94303 OWNER'S NAME: WALKER KATHRYN M DATE ISSUED: 05/16/2017 OWNER'S PHONE: 408-255-9095 PHONE NO: (650) 230-2900 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class j3 Lic. #479799 Contractor HARRELL REMODELING INC Date 09/30/2017 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: 2ND FLOOR MASTER BEDROOM BATHROOM REMODEL (48 S.F.) 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 Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. 1 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 Sq. Ft Floor Area: Valuation: $28000.00 permit is issued. APP .I NT RTIFICATION 1 certify that I 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 31640 043 316 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 of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR and Additionally, the applicant stands and will comply with all non -point source regulations per a Cup rtino Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 5/16/2017 Issued by: Abby Avende BUILD DECLARATION Date: 05/16/2017 OWNER I hereby affirm that I am exempt from the Contractor's License Law for one of the RF ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 1. 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 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: 5/16/2017 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, 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 of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. 3. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous 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 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 e s 15= 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 5/16/2017 I certify that I have read this application and state that the above information is N TR I E i hereby affirm that there is a ction 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 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 I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 5/16/2017 Professional co � A4J,_ IF -NL x4_111' 't-;-Zo J� _ CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 C ^UPERTINO (408) 777-3228 • FAX (408) 777-3333 • building(ftupertino.org I INGIU(`()NCTRT T(`TT()N I8)I Anr)TTTOM XATTFRATIONI/TT IinI RFVTST(lN/TIFFFRRFr) ORTGTNAT PFRMITV PROJECT ADDRESS 1 O A 10 C C • J APN # Z,I _ LAO -04- ) OWNER NAME / W STREET ADDRESS 00 �O CITY, STATE, ZIP FAX CONTACT NAMESO.2 Harrel ( ICe►rXk(,' PHON�SO.^�/� 'f �{� V ST ET ADDRESS I ITY, STATE, ZIP im 16 A FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Har �A ; LICE N I� �(•� LICENSE T E BUS. LIC # ; �� I �] ' L COMPANY NAME E -MAI FAX STREET ADS i w ITY, S ATE I /� qQ3QPHO .A 3O- /�� M n ` ARCHITECT/ENGINEER NAME LICENSE NUMBER - BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK &It�roorn ' EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES 1 USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA t [`i( REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑ NO ADDITION? []NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RM: BY: TOTy L Vyk UATION: PLANNING APPL # E] NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO L�p1;J LL�SU( QA) 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 t tzg construn. uthorize representatives of Cupertino to enter the above -i ntified operty for inspection purposes. 1!1 Signature of Applicant/Agent: Date: 71 SUPPLEMENTANNARMATION REQUIRED PLAN CHECK TYP ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW 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. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06/21/11 May 11, 2017 Northpoint Homeowners Association 10880 Northpoint Way, Cupertino, CA 95015 Donovan Lazaro Planning Intern City of Cupertino Community Development 10300 Torre Avenue, Cupertino, CA 95014 RE: 10981 Northsky, Cupertino, CA 95014 Dear Mr. Lazaro, The Northpoint HOA Board of Directors has reviewed and accepted the proposed architectural plan submitted by Kathryn Walker the owner of 10981 Northsky Square to repair the interior of the unit with a licensed, insured and bonded contractor and to obtain permits from the City of Cupertino per their requirements. If you have any questions or concerns regarding this approval, please contact the onsite manager at the information below. On behalf of the Northpoint HOA, ~` Za' yra Ives, Gen al Manager Northpoint HOA 10880 Northpoint Way Cupertino, CA 95014 Office: 408-996-3734 Fax: 408-996-0226 email: manager@northpointhoa.com 10800 Northpoint Way, Cupertino, CA 95015 managerianorthpointhoa.cont CUPERTINO PERMIT R SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE Pt COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(- cupertino.org ANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN ED, SIGNED. AND RETURNED TO THE BUILDING DIVISION PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314, R315, 2016 CBC Sections 420.6 and 907.2.11.2 where no 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, R315, 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 the bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable attics X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not 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: In 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 finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above hasihave 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. i� / y Address: j d ja' 1 NORTg5ky Si�i �` UKRT)�� S 0 �� Permit No. B"2t7� .- d T7o Specify Number of Alarms: # Smoke Alarms: F7_1 l # Carbon Monoxide Detectors: 1 L I have read and -area to rmmnty with the terms and renditions of this statement OwnerOwner Agent's) Name: k ltlk� 6 ja-e Sinaure........................................................................................................................ Date:........ . Contractor Name: MI Q Q / -1— Signature...................................................................... Lic.# .. ...!... ..J..... Date: Smoke and CO form.doe revised 01/1012017 Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 777-3333 • buildina(ccuoertino.ora Address 109Q I 1�0 �C.Y �� P RTI�� Q r 01 � 7-0(,; _ Oil 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 the form and sign bottom of form. it No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration 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. 1f1 No. Go to Question 3. 3. Is water service permanently disconnected for your building? D Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. I' No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ 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. Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: ,I 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 or 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 1101.5. 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. 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 undergoes alterations or improvements). ❑ My property is a c0772777ercial 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. 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 undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-conseiving plumbing fixtures comply with the requirements as indicated in the table on the following pace. Owner or Owner Agent's Signature: X oe?`Gc44wc. - Dater -716 //-7 1 Upon completing and signing this Certificate, please return it to the Building Division in order to final Your building hermit. SB4072015.doc remised 01/05/17 SE407 M5.d6c i ei,ised 01/05/17 Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixtured (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa a/Flow Rate Fixture Type Water Usage 2016 CPC Ch. 4 2016 CPC Ch. 4 2016 CPC Ch. 4 !Flow Rate 2016 CALGreen Div. 4.3 2016 CALGreen Div. 4.3 2016 CALGreen Div. 5.3 Single -Family Multi'-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, 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 @ 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 @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60"psi:: Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 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 2.2 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 the above are unavailable, Where faucets meeting aerators or other means t"above are may be used to achieve un'available,-aerators or. reduction. `: other means maybe used to achieve reduction: SE407 M5.d6c i ei,ised 01/05/17 ELECTRICAL LEGEND ,+. VICINITY MAP WALKER oTE 5AND Raz, Pry»ESE NTT WULscoecE Donor ons 61 s�,LE ORa,-�rvas. .. ... RELESSED LED DOWN LIGHT FORMlG= _ ao' F DAMP LOLATION P GFLI INTERRUPTER li AaT SINGLE POLE SWITLH ON TIMER a, e � i ry C v � ry cE « m s K _ �+ SINGLE POLE DIMMER SWITLH P errrrar wR. wR m VD WITH VALANLY SENSOR - - .0 jl ID SINGLE POLE DIMMER SWITLH ErvE ra U s»u�RerArvu� 6 6 6 d 51NOLE POLE 5WITLH x BATH FO EXHAU5T FAN WITH LED LIGHT PTR6NTTry /tel — W QQ ogpw oenocnreeeT F Mo L F v \ 0 GEILINO RE015TER m Wvr� n„ r/ tro I A IBence core ewnewv '£ NO u`N� 1 V m m Tre rs ienanuea 'ry J U 0 5 pQ ncacssTHewnu. � � DETAIL -SHELF (PLAN VIEW) 4, _ EXISTING FLOOR PLAN n PROP05ED & ELECTRIGAL FLOOR PLAN 1 s,a.. SHEET INDEX 5GOPE OF WORK �$ Ll LI Ll � SITE INFORMATION n rereore �In m 4 JH a _ IreuLrzE 111 LIIT (IEREALGUEsso[PERREOL T1 - -1Fa N a ro ala [PER REOLauEsn ❑ TAL IE) FLooR AREA sF (PER REALau EST) APPLICABLE GODE5 s o W LEGEND II .oaAL Ll =NEWRL ll.F' ALL BULK= EX15TING a ao� _ >- DEMO -ALL e ecerwn.,,. wood eon wood ensWmoureo To, woo p RP -NEW ELELTRILAL NANcssTn RevuuroNs. D, D'} 'S1 N e �^ PONY WALL PROJECT CONSULTANTZ�l a' V z a ry a, „" a,. s, a,.Z�l NEW WALL e° eo a _ DEMO WALL d LUNA �. - ❑ NIA ARe 15 R4L ENV NEER oi3o e9oo LL oUN�. E J �su u m sureer.ce ,o - = AREA OF NO WORK rnE.a Nsu—NT ux p j SI A __F_ r�fewcK 3 . ` m core _ � s fl m L i I Al ��.\ \ .A\A ,r \\. �� LOPYRI6HT STAMP j NINE; GOVER \ — .. SHEET DATE: 01 D9201"1 \\\`_V O �m � � REV15E¢04.40.40„ }� ppp A, Elk JOE#SCALE AS NO1620`T _ r\ TED cur No All fiicow ieezna II �ea pan y IY� Ierre