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14030173 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10225 ANTHONY PL CONTRACTOR:BURKETT'S POOL PERMIT NO: 14030173 PLASTER INC. OWNER'S NAME: MINOGUE DAVID 600 N FRONTAGE RD DATE ISSUED:03/31/2014 O WNER'S PHONE: 6505448005 RIPON,CA 95366 PHONE NO:(209)529-6944 LSV LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E] POOL REMODEL TO INCLUDE ADDING(N)RAISED SPA, License Class 5'1-35 Lic.4 6(J �j i b 2- REMOVING&UPDATING ALL ELECTRICAL AND Contractor B(l,i-ei Date 3 31 l PLUMBING. ADD(N)CONCRETE PERIMETER 1 hereby affirm that 1 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. hereby affirm under penalty of perjury one of the following two declarations: 1 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. Sq.Ft Floor Area: Valuation:$60000 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 APN Number:34212075.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 WITHIN 180 DAYS T 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 DAYS LAST LED INSPECTION. 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 Issue Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. y RE-ROOFS: Signature Date / lU All roofs shall be inspected prior to any roofing material being installed. If a roof is l installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,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). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 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(a)should 1 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 I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 255 5,25533,an 25634. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: te: 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 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 1 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, ARCHITECT'S DECLARATION 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 IsSWIMMING POOL / SPA PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 C�4JPERTIN® (408)777-3228 o FAX(408)777-3333^building(ftupetno.org \�J� PROJECT ADDRESS 10 2 Zs f� o�` � APN# 3 O OWNER NAME 80 O� E-MAIL CA STREET ADDRESS 1 r� �7� Y 1 j _ CITY, STATE,ZIP � 4,00 to I FAX CONTACT NAME I� RIIC��I���� PHO )/52__f7,g3 E-MAIL/k��19 6 411,�v STREET ADDRESS n' v� e CITY,STATE,ZIP �b, / h _i/ [ 3//' FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT �❑ ARCHITECT 10❑(OENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEr l//Cr e ff-5 5,6 1fq LICENSE NUMBERED flg-Z LICENSE TYPE%53 BUS.LIC# COMPANY NAME &(-6e# /G-5'�,� E-MAIL FAX STREET ADDRESS �D l� (��� 1 CITY,STATE,ZIP /� / �5PHONFf�O� ARCHITECT/ENGINEER NAME r LICENSE NUMBER °l C J BUS.LTC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK PCnire madelG peg's 6V vG 1S'e a' 00, USE OF ❑ SFD or Duplex ❑ Multi-Family TYPE MATERIAL TYPE(CODE) AREA (SQ.FT.) VALUATION(S) STRUCTURE: ❑ Commercial POOL61 1 POOLISPA MATERIAL TYPE CODES: SpA J V - VINYL-LINED F - FIBERGLASS DEMO G - GUNTTE P - PREFABRICATED RECEIVED B TOT )�LUATOON- By my signature below,l certify to each of the following: I am the p o r authori agent to act on the prop wner's behalf. I have read this application and the information I have provided is correct. I have read the Descriptio rk and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to Wilding constru ti n. I authorize representatives of Cupertino to enter the above-iden fled pr erty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED d„...� OFFICEwUSE 'PLAN CRECK TYPE' ```_ ,'ROUTING SLIP ° !` _Commercial or Multi-Family Buildings with Public Swimming Pools: Department of Environmental Health approval required. x-THE cQIIrvTER 'El:BUILDING DEPT ❑ 'EXPRESS ❑a'�P"'ANIYING DEPT ❑'STANDARD ❑?PUBLIC WORKS DEPT �❑ LARG.E ❑�ENVIRONMENTALIIEALTH ❑, MAJOR ' ❑'-SANITARY SEWER DLSTRICT, SwimPoolApp_201 Ldoc revised 03/16/11 CITY OF SCUP ER' INO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10225 ANTHONY PL DATE: 03/31/2014 REVIEWED BY: MELISSA APN: 342 12 075 BP#: 3D�7 3 "VALIDATION: $60,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION USE: PERMIT TYPE: RBSPA WORN POOL REMODEL TO INCLUDE ADDING N RAISED SPA REMOVING & UPDATING ALL SCOPE ELECTRICAL AND PLUMBING. ADD (N) CONCRETE PERIMETER L;..•,JI Plan Chct!l Phnnb. P/an C i2eCA Elec. Plan Check �i,- !i. P!nmh. Pc:,•mil Fee: 1>lorr. Pcrmu Fee., E3--[-- 0111er EIC(.Msp, Ll PIM11h hl�/). FI'L' Elec, Insp,Fee: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc). These,fees are based on the prelimina information available and are onl an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 1/-053 E(L711,113) FEE QTY/FEE lb ISC ITEMS Plan Check Fee: $0.00 0 # Swimming Pool Suppl. PC Fee: (!) Reg. ® OT 0.0 hrs $0.00 $349.00 1SPAPREFAB Spa or Hot Tub(Pre-Fab) PME Plan Check: $0.00 600 s.f. Swimming Pool Permit Fee: $0.00 $1,528.00 1POOLGUNIT Gunite Suppl. Insp. Fee-.0 Reg. ® OT Q,Q hrs $0.00 PME Unit Fee: $0,00 PME Permit Fee: $0.00 (cJti�J '?a'IicJf' Tc'.1: ,1 c1/;2�� 1SIl"c?T� 'c Tet': Work Without Permit? ® Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential /;.nv_/ !)nlrrrtcstn_/inn i�t:c.,. Building or Structure d Strong Motion Fee: IBSEISMICR $6.00 Select an Administrative Item B1dpStds Commission Fee: 1BCBSC $3.00 SUBTOTALS: $9.00 $1,877.00 TOTAL FEE: $1,886.00 Revised: 01/15/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR SUB C®I TPkACTOR ILHST JOB ADDRESS: PERMIT# I 1D3 " OWNER'S NAME: PHONE (-D') tj —90OS' GENERAL CONTRACTOR: BUSINESS LICENSE# (,(� ADDRESS: ®v Al vAd. CITY/ZIPCODE: � *Our municipal code requires all businesses working in the city to have a City of Cupertino Mousiness license. NO BUILDING FINAL OILS FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT CTORS HAVE OBTAINED A CITY OF CUIPIERTINO BUSINESS LICENSE. I[am not using any subcontractors: Signature Date PI ease check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CALL FORMA RESIDENTIAL CODE - MATRIX ADOPTION TABLE APPENDIIX G - SWIMMING POOLS, SPAS AND HOT TUBS (Matrix Adoption Tables are non-regulatory, intended only as an aid to the user. See Chapter 1 for state agency authority and building applications.) Adopting agency BSC SFM HCD DSA OSHPD BSCC DHS AGR DWR CEC CA SL SLC 1 2 1/AC AC SS 1 2 3 1 4 Adopt entire chapter Adopt entire chapter as amended (amended sections listed below) Adopt only those sections that are listed below (California Code of Regulations, Title 19, Division 1] Chapter/Section * The California Code of Regulations(CCR),Title 19,Division 1 provisions that are found in the California Fire Code are a reprint from the current CCR, Title 19,Division 1 text for the code user's convenience only.The scope,applicability and appeals procedures of CCR,Title 19,Division I remain the same. APPENDIX G SW[Rlfi��I:If110 p0O0L,99 SPAS AND HOT TUBS (The provisions contained in this appendix are not mandatory unless specifically referenced in the adopting ordinance. Note:See Chapter 31, Section 3109 of the California Building Code, Title 24,Part 2.) SECTIONAG100 or for the use of the members and guests of a private club. / SWIMMIiVG FOOL SAFETYACT Public swimming pool does not include a swimming pool AGI00 Private swimming pools (statewide). These regula- located on the grounds of a private single-family home. tions are subject to local government modification. The appli- SUCTION OUTLET means a fitting or fixture typically cable local government requirements at the time of located at the bottom or on the sides of a swimming pool that application for a building permit should be verified. These conducts water to a recirculating pump. standards become applicable commencing January 1, 1998, to a private, single-family home for which a construction per- SWIMMING POOL or POOL means any structure intended mit for a new swimming pool has been issued on or after Jan- for swimming or recreational bathing that contains water uary 1, 1998. over 18 inches (457 mm) deep. Swimming pool includes in- ground and above-ground structures and includes, but is not terms h 1 Definitions. As used in this division, the following limited to, hot tubs,spas,portable spas and nonportable wad- ing pools. ANSI/APSP PERFORMANCE STANDARD means a stan- Authority:Health and Safety Code Section 18942(b) dard that is accredited by the American National Standards Reference:Health and Safety Code Section 115921 Institute(ANSI)and published by the Association of Pool and Ab 3305, (Statutes 1996, C.925);Ab 2697, (Statutes 2012, c. Spa Professionals(APSP). 770) APPROVED SAFETY POOL COVER means a manually or power-operated safety pool cover that meets all of the perfor- AG100.2 Construction permit; safety features required. mance standards of the American Society for Testing and Commencing January 1, 2007, except as provided in Section Materials(ASTM), in compliance with Standard F 1346-91. AGI00.5, whenever a building permit is issued for construc- tENCLOSURE means a fence, wall or other barrier that iso- tion of a new swimming pool or spa, or any building permit is • lates a swimming pool from access to the home. issued for remodeling of an existing pool or spa, at a private, single-family home, it shall be equipped with at least one of EXIT ALARMS means devices that make audible, continu- the following seven drowning prevention safetyfeatures: ous alarm sounds when any door or window that permits access from the residence to the pool area, that is without any 1. The pool shall be isolatedfrom access to a home by an intervening enclosure, is opened or is left ajar. Exit alarms enclosure that meets the requirements of Section � ) may be battery operated or may be connected to the electrical AGI00.3. J wiring of the building. 2. The pool shall incorporate removable mesh pool fenc- PUBLIC SWIMMING POOL means a swimming pool oper- ing that meets American Societyfor Testing and Mate- ated for the use of the general public with or without charge, rials (ASTM) Specifications F 2286 standards in 2013 CALIFORNIA RESIDENTIAL CODE 599 C � o APPENDIX G AGI00.7 Modification and interpretation of division. Not- dard designated by the federal Consumer Product v withstanding any other provision of law, this article shall not Safety Commission. be subject to fiirther modification or interpretation by any Authority:Health and Safety Code Section 18942(b) regulatory agency of the state, this authority being reserved Reference:Health and Safety Code Section 115928 AB 3305 exclusively to local jurisdictions, as provided for in Item 5 of (Statutes 1996, c.925); AB 2977 (Statutes 2006, c.926); AB AG100.2 and Item 3 of AGI00.5. 382(Statutes 2007, c.596);AB 2697, (Statutes 2012, c. 770) Authority:Health and Safety Code Section 18942(b) AGI00.9 Informative documents. Reference:Health and Safety Code Section 115927 1. The legislature encourages a private entity, in consul- AB 3305(Statutes 1996, c.925);AB 2977 (Statutes 2006, c.926); AB 382 (Statutes 2007, c.596); AB talion with the Epidemiology and Prevention for 2697, (Statutes 2012, c. 770) Injury Control Branch of the department, to produce an informative brochure or booklet,for consumer use, AGI00.8 Construction requirements for building a pool or explaining the child drowning hazards of, possible spa. Whenever a building permit is issued for the construc- safety measures for,and appropriate drowning hazard tion a new swimming pool or spa, the pool or spa shall meet prevention measures for, home swimming pools and all of the following requirements: spas, and to donate the document to the department. 1. The suction outlets of the pool or spa for which the 2. The legislature encourages the private entity to use permit is issued shall be equipped to provide circula- existing documents from the United States Consumer tion throughout the pool or spa as prescribed in Para- Product Safety Commission on pool safety. graphs 2 and 3. 3. If a private entity produces the document described in 2. The swimming pool or spa shall either have at least Subdivisions 1 and 2 and donates it to the department, two circulation suction outlets per pump that shall be the department shall review and approve the brochure hydraulically balanced and symmetrically plumbed or booklet. through one or more "T"fittings, and that are sepa- 4. Upon approval of the document by the department, the rated by a distance of at least three feet in any dimen- document shall become the property of the state and a sion between the suction outlets, or be designed to use part of the public domain. The department shall place alternatives to suction outlets, including, but not lim- the document on its website in a format that is readily ited to, skimmers or perimeter overflow systems to available for downloading and for publication. The conduct water to the recirculation pump. department shall review the document in a timely and 3. The circulation system shall have the capacity to pro- prudent fashion and shall complete the review within vide a complete turnover of pool water, as specified in 18 months of receipt of the document from a private Section 3124B of Chapter 31B of the California Build- entity. ing Standards Code(Title 24 of the California Code of Regulations). SECTION AG101 4. Suction outlets shall be covered with anti-entrapment GENERAL grates, as specified in the ANSIIAPSP-16 performance AG101.1 General.The provisions of this appendix shall con- standard or successor standard designated by the fed- trol the design and construction of swimming pools,spas and eral Consumer Product Safety Commission, that can- hot tubs installed in or on the lot of a one- or two-family not be removed except with the use of tools. Slots of dwelling. openings in the grates or similar protective devices shall be of a shape, area and arrangement that would AG101.2 Pools in flood hazard areas.Pools that are located prevent physical entrapment and would not pose any in flood hazard areas established by Table R301.2(1),includ- suction hazard to bathers. ing above-ground pools, on-ground pools and in-ground pools that involve placement of fill, shall comply with Sec- 5. Any backup safety system that an owner of a new tion AG 10 1.2.1 or AG 101.2.2. swimming pools or spa may choose to install in addi- tion to the requirements set forth in subdivisions (1) Exception: Pools located in riverine flood hazard areas through (4) above shall meet the standards as pub- which are outside of designated floodways. j lished in the document, "Guidelines for Entrapment AG101.2.1 Pools located in designated floodways. Hazards: Making Pools and Spas Safer," Publication Where pools are located in designated floodways, docu- Number 363, March 2005, United States Consumer mentation shall be submitted to the building official which Products Safety Commission. demonstrates that the construction of the pool will not 6. Whenever a building permit is for the remodel or mod- increase the design flood elevation at any point within the ification of any existing swimming pool, toddler pool, jurisdiction. l or spa, the permit shall require that the suction outlet AG101.2.2 Pools located where floodways have not J or suction outlets of the existing swimming pool, tod- been designated. Where pools are located where design dler pool, or spa be upgraded so as to be equipped flood elevations are specified but floodways have not been with anti-entrapment grates, as specified in the ANSU designated,the applicant shall provide a floodway analysis APSP-16 performance standard or a successor stan- that demonstrates that the proposed pool will not increase 2013 CALIFORNIA RESIDENTIAL CODE 601 � 4 APPENDIX G 1 7. Where the barrier is composed of diagonal members, AG105.4 Prohibited locations. Barriers shall be located to i ) such as a lattice fence, the maximum opening formed prohibit permanent structures, equipment or similar objects by the diagonal members shall not be more than 13/4 from being used to climb them. inches(44 mm). AG105.5 Barrier exceptions. Spas or hot tubs with a safety 8. Access gates shall comply with the requirements of cover which comply with ASTM F 1346 shall be exempt Items 1 through 7,and shall be equipped to accommo- from the provisions of this appendix. date a locking device. Pedestrian access gates shall open outward away from the pool, and shall be self- SECTION AG106 closing and have a self-latching device. Gates, other ENTRAPMENT PROTECTION FOR SWIMMING than pedestrian access gates, shall have a self-latching POOL AND SPA SUCTION OUTLETS device.Where the release mechanism of the self-latch- ing device is located less than 54 inches (1372 mm) AG106.1 General. Suction outlets shall be designed and from the bottom of the gate, the release mechanism installed in accordance with ANSUAPSP-7. and openings shall comply with the following: 8.1. The release mechanism shall be located on the SECTION AG107 pool side of the gate at least 3 inches(76 nun) ABBREVIATIONS below the top of the gate;and AG107.1 General. 8.2. The gate and barrier shall have no opening ANSI—American National Standards Institute larger than '/2 inch(12.7 mm)within 18 inches 11 West 42nd Street (457 mm)of the release mechanism. New York,NY 10036 APSP—Association of Pool and Spa Professionals 9. Where a wall of a dwelling serves as part of the bar- NSPI—National Spa and Pool Institute rier,one of the following conditions shall be met: 2111 Eisenhower Avenue 9.1. The pool shall be equipped with a powered Alexandria,VA 22314 safety cover in compliance with ASTM F ASCE—American Society of Civil Engineers 1346; 1801 Alexander Bell Drive Reston,VA 98411-0700 9.2. Doors with direct access to the pool through ASTM—ASTM International that wall shall be equipped with an alarm 100 Barr Harbor Drive which produces an audible warning when the West Conshohocken,PA 19428 door and/or its screen, if present, are opened. UL—Underwriters Laboratories,Inc. The alarm shall be listed and labeled in accor- 333 Pfingsten Road dance with UL 2017. The deactivation Northbrook,IL 60062-2096 switch(es) shall be located at least 54 inches (1372 mm)above the threshold of the door;or SECTION AG108 9.3. Other means of protection, such as self-clos- REFERENCED STANDARDS ing doors with self-latching devices, which AG108.1 General. are approved by the governing body, shall be acceptable as long as the degree of protection ANSI/NSP afforded is not less than the protection ANSUNSPI-3-99 Standard for Permanently Installed afforded by Item 9.1 or 9.2 described herein. Residential Spas . . . . . . . . . . AG104.1 j 10. Where an above-ground pool structure is used as a ANSUNSPI-4-99 Standard for Above-ground/ barrier or where the barrier is mounted on top of the On-ground Residential pool structure, and the means of access is a ladder or Swimming Pools. . . . . . . . . . AG103.2 steps: ANSUNSPI-5-03 Standard for Residential 10.1. The ladder or steps shall be capable of being In-ground Swimming Pools . AG103.1 secured,locked or removed to prevent access; ANSUNSPI-6-99 Standard for Residential J or Portable Spas. . . . . . . . . . . . . AG104.2 10.2. The ladder or steps shall be surrounded by a ANSI/APSP barrier which meets the requirements of Items 1 through 9. When the ladder or steps are ANSUAPSP-7-06 Standard for Suction Entrapment Avoidance in Swimming Pools, secured,locked or removed, any opening cre- Wading Pools,Spas,Hot Tubs ated shall not allow the passage of a 4-inch- and Catch Basins. . . . . . . . . . AG106.1 diameter(102 nun)sphere. AG105.3 Indoor swimming pool. Walls surrounding an ASCE indoor swimming pool shall comply with Item 9 of Section ASCE/SEI-24-05 Flood-resistant Design and AG105.2. Construction . . . . . . . . . . . . . AG103.3 2013 CALIFORNIA RESIDENTIAL CODE 603 ,