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14090074Z, I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10021 CARMONA CT l CONSTRUCT I PERMIT NO: 14090074 OWNER'S NAME: MAK GEEWAH ET AL 11571 MENDENHALL DR l DATE ISSUED: 09/12/2014 OWNER'S PHONE: 2132682572 I SAN JOSE, CA 95130 I PHONE NO: (408) 482-0008 M LICENSED CONTRACTOR'S DECLARATION License ClassA Li�c.j# 23 Contractor l H/Vr 1 (' " t Date F 3O 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 declaration.: 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 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 coy with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature "-' V Date y �� ❑ OWNER -BUILDER DECLARATION 1 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) 1, 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: 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 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 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 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL REMODEL BOTH (E) BATHROOMS ON 2ND FLR (85 S.F.) Sq. Ft Floor Area: Valuation: $12000 APN Number: 35716113.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DA BALLED INSPECTION. �_I]ate: Z 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: 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 & Safety Code, Sections 25505, 25533, and 25534. (hrner or authorized agent: C e\-,�-,Date: CONSTRUCTION LENDING AGENCY 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional URR CONSTRUCTION PERMIT APPLICATION nv COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 O (408).777-3228 • FAX (408) 777-3333 • building a0cupertino.org I—I NF.W CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS APN # r I OWNER NAME " i ' 1l J� I J I`A/�(1V/ 75 �/ ( ' ` `- ` PHONE(.l y�n _ y E-MAIL STREET ADDRESS CTTY, STATE, ZIPC I' [„w / FAX D O �t G til V CONTACT NAME nj-4-eo4,�, PHONE ES -MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER A4J ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME J hAI LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME OE -MAIL Q� FAX STREET ADDRESS y CITY, STATE, ZIP5A 4 PHONEW)42, _ HeNrI J LL v O wDIF ARCHITECT/ENGrNEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK woo e -q- -+,WU EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) Z EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA k 5 REMODEL AREA REMODEL AREA - PORCH AREA DECK AREA TOTAL DECK/PORCH AREFGARAGE AREA: DETACH ACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES TORY S BEING ADDED? j}'jji� ? NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OFF IS THE BLDG AN ❑ YES CEIVED BY: ,,. J - --"' - -TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO ^" + /J, t! /' `l By my signature below, I certify to each of the following: I am the property owner or authorized agent- ' `ct t e else er's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work amikerify it acc agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter—e— above -identified property or inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE 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 B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO NOTE: This estimate does not include jeer due to other uepartmenw (i.e. Fn,r g, • ,..,. •• •• - •• --------- District, etc.. These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info, FEE ITEMS (Fee Resolution 11-053 Ef: 7i1%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.0085 s.f. Remodel, Bath (<=300 sf) Suppl. PC Fee: (F) Reg. ®OT 0.0 hr's $0.00 $645.00 /REMRESBAT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 FEE ESTIMATOR - BUILDING DIVISION WDRESS: 10021 CARMONA CT DATE: 09/12/2014 REVIEWED BY: MELISSA $0.00 Select a Non -Residential 0 Building or Structure Q T7= 1'r,,ivel L'locumenlatiun t"Lle., *VALUATION: $12,000 Strong Motion Fee: 1BSEISMICR N: 357 16 113 BP#: Select an Administrative Item Bldg Stds Commission Fee: IBCBSC 'PERMIT TYPE: Building Permit PLA CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex $647.56 PENTAMATION 1 R3SFDREM PERMIT TYPE: USE: WORK REMODEL BOTH E BATHROOMS ON 2ND FLR 85 S.F. SCOPE NOTE: This estimate does not include jeer due to other uepartmenw (i.e. Fn,r g, • ,..,. •• •• - •• --------- District, etc.. These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info, FEE ITEMS (Fee Resolution 11-053 Ef: 7i1%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.0085 s.f. Remodel, Bath (<=300 sf) Suppl. PC Fee: (F) Reg. ®OT 0.0 hr's $0.00 $645.00 /REMRESBAT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Revised: 08/20/2014 0 Work Without Permit? Q Yes 0jNo Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure Q T7= 1'r,,ivel L'locumenlatiun t"Lle., Strong Motion Fee: 1BSEISMICR $1.56 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.+6$ SUBTOTALS: $2.645.00 TOTAL FEE: $647.56 Revised: 08/20/2014 a 'o WNTJ J A macelml GEEWAH MAK (213')268- 2527 10021 CARMONA CT CUPERTIN. O,CA.95014 REMODEL AREA: TOTAL 85 SF DRAWING INDEX 1-1 COVER SHEET 1-2 (E) FLOOR PLAN AND PROPOSED PLAN ReV�e�ed �UpER -0�N� nt �nddPa COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - cUPERTINO APPROVED This set of plans and specifications MUST be kept at the job site during construction. R is unlawful to mak® any changes or alterations on same, or to deviate therefrom, without approval from the Building Official, The stamping of this pian and specifications SHALL NOT of en ld to permit or to Y City OuafiFrev tion P r �a n Law. DATE PERMIT NO. y OFFICE COPS' II&C�I� SFp �-U �y 12 ?��¢ LE) 2TJD FLOOR PLAN SCOPE OF WORK -REMOVE (E) PLUMBING AND ELECTRICAL FIXTURE. -REMOVE (E) TUB AND SHOWER FAN. -REMOVE (E) TOILETS,FAN,SHOWER DOOR. -REMOVE (E) TILES,VANITY. -INSTALL(N)TILES,VANITY,TOILETS,FAN, SHOWER DOOR,TUB,PLUMBING AND ELECTRICAL FIXTURE. PROPOSED PLAN BATHROOM AND SHOWER NOTES: A. FINISHED WALL W/ NONABSORBENT SURFACE UP TO 72" ABOVE FLOOR. B. TEMPERED GLASS ENCLOSURE. C. PROVEDE FIBER,REINFORCED GYPSUM BACKERS (OR APPR.Eq) D. BATHROOM FANS SHALL HAVE A MIN,50 CFM EXHAUST RATE W/ BACKDRAFT DAMPER. E. SHOWERS NOT TO EXCEED 2.0 GPM,AT 80PSI. LAVATORY FAUCETS NOT TO EXCEED 1.5 GPM AT 60 PSI. MIN 0.8 GPM AT 20 PSI. F. TOILETS SHALL HAVE A MAX, FLOOR RATEOF 1.28 GALLON PER EFFECTIVE FLUSH, GREEN BLDG REQUIRES TO DEMOSTRATE 20% REDUCTION OF WATER USAGE. CUPERTINO ,iwidlna nenertrnent REVI .AFD AOR CODE CONIPLIANGE eviewetl BY y�� -- 0