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14020117 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 949 BROOKGROVE LN CONTRACTOR:T-B')TTnMf_ PERMIT NO: 14020117 I�ER1vEI�CD OWNER'S NAME: CHANG THOMAS T AND OLIVIA H DATE ISSUED:02/20/2014 OWNER'S PHONE: 4083159859 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] REMODEL KITCHEN(140); (3)BATHROOM REMODEL License Class__E ___ Lic.# 'rO 71 Ij (250); RECONFIGURE M.SUITE(234)SQ FT Contractor Date—,7Z d I hereby affirm at[—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 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. Sq.Ft Floor Area: Valuation:$40000 l 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:37539030.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that l 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 I SOF 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 DAY ROM LAST ST CALLED 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 Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature ''� Date I— Z a 1 t{ All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,1 agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of 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) I,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. 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 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 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 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent: t� Date: 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,l 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. 1 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 CONSTRUCTION PERMIT APPLICATION \\� COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION O�/O 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUpERTINO (408) 777-3228• FAX(408)777-3333•building aacugertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS r 'ive ri -7 APN# :3 75- 3 C?_ 0 3,Vl OWNER NAME .—T 4 �p1 ff5{ F E-MAIL STREET ADDRESS �J CITY,, STATE,ZIP (� J FAX CONTACT NAME PHONE �//�� E-MAIL 0S� ( Ct S l � f 3 _t F,5 SrnicanC�S_ nl�/ "�G/? G�nIG�(c� STREET ADDRESS. T' STATE, ZIP FAX 2 f© r� os If (8 s ct � �)>t c A S-r Z�- ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 4—CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# 0 COMPANY NAME ( E-111, . g I FAX STREET DRESS CITY,STATE,ZIP^ PHO i V' f-r J r5-� C r`Z S'' � 3/5 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK //__ u lanky k� �Cc ( 3 Ck r(6041 EXISTING USE PROPOSED USE CONSTR TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA 'j��, S REMODEL AREA L/ S. REMODEL AREA 7 /J� PORCH AREA DECK A TOTAL DECK/PORCH AREA GARAGE AREA: '7LJ DETACH ❑ATTACH #DWELLING UNITS: ISASECOND UNIT E]YES SECOND STORY YES BEING ADDED! 5,NO ADDITION! RLNO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY rr tOTAL VALUATION:I/1, PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME' ❑NO 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 beh f 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 to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. � Signature of Applicant/Agent: < =` Date: 1 SUPPLEMENINFORMATION REQUIRED tcizmE ,x � xoec"s% ` 'k New SFD or Multifamily dwellings: Apply for demolition permit for OVERfiTfECOUNTER � � IN AN RE �- existing building(s). Demolition permit is required prior to issuance ofbuildiae permit for new building. L7�xpR s " ° Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. L�t G3 �F _Copy of Planning Approval Letter or Meeting with Planning prior to © oR � t ` snsRiISRJUX� ' submittal of Building Permit application. oPq a , yt� .•y^n s :,- E ONMENTAI HEALTH „- 4m.: BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION WPERMIT DDRESS: 949 BROOKGROVE LN DATE: 0212012014 REVIEWED BY: MENDEZ PN: BP#: O� ` 'VALUATION: $40,000 PE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1 R3SFDRE USE: PERMIT TYPE: WORxremodel kitchen 140 3 bathroom remodel 250 reconfigure m.suite 234 s ft SCOPE Ll NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc. . Thesefees 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 Eff 7'1%131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F-14-0-1 s.f. Remodel,Kitchen(<=300 sf) __ _ Suppl. PC Fee: (j) Reg. Q OT 0.0 Frs $0.00 $626.00 IREMRESKIT PME Plan Check: $0.00 LL50 s.f. Remodel,Bath(<=300 sf) Permit Fee: $0.00 $626.00 IREMRESBAT Suppl. Insp. Fee:Q Reg. C) OT0.0 hrs $0.00234 s.f. Remodel, Other PME Unit Fee: $0.00 $418.00 IREMRESOTH PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes (D No $0.00 D Advanced Planning Fee: $0.00 Select a Non-Residential (2) Building or Structure Strom Motion Fee: IBSEISMICR $4.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $6.001$1,670.00 TOTALFEE: 1 $1,676.00 Revised: 01/15/2014 64'-6" 21'-11 7/16" 12'-6 3/6" 6-4 1/2" 14'-4" 10'-3 7/8" 304ODH 304ODH 304ODH 30400H 3040DH 2620DH 26200H 4040DH Applicable Codes _ __ __ A LU California Building Code ( CBC ) 2012 ¢ California Electrical code ( CEC ) 2012 California Mechanic] Code ( CMC ) 2012 California Plumbing Code ( CPC ) 2012 m California Energy Code 2012 California Residential Code CRC ) 2012 BEDROOM BAT w - 5-0" ,_ " _ , i 0 12'-2" x 0'-1° x - STER BAT ° o r o FAMILY 9'-5° x 12'-11 N I ® H 2668 cl� 21'-5" x 13'-8" MASTER BDRM - - L 14'-0" x 17'-7" o _ w ° o r- - - - - - - 5068 M N Project Data ° , z 2668 A.P.N. 375-39-030 0 N OCCUPANCY GROUP R-3/u p O CONSTRUCTION TYPE V-B 5068 (f) UJ 8068 CLOSET o LFY-- ZONING R-1 Pantry ' LAUNDR 6-0 x9-9 °o i N HALL 8'-1 " x -1 Z F o0N BEDROOM s'-3" x 5'-1° m DINING 0 T' Q 10'-5" x 10'-11" 13'-7" x 17'-4" 2668LLJ Q LU - - - 1i - - - - - - - - 1'-8" Site Area I I Y w A) Lot Size 6,098 sgft I I V) B) Existing Dwelling 2,494 sgft HALL I f = I I I BATH '-8" x 10'-7' _ 10'-5" x 7'-2" GARAGE N I I LU T 22'-2" x 20'-2" I I I I � ' ENTRY ;, D,-\7,T�tLl\ W U 2668 tow r"t4 6'-5" x 12'-7'. a n - �� -' Scope Of Work I ► �V ��� ;��� �, A, z p o LIVING OFFICE I I F- - Relocate Master Bathroom $ 8-10 x 19-11 i I Tht n � �s M 8'-6" x 15'-7.. O /W^ r I I is,J r t - Remodel 3 Bathrooms r L— — — — — — — — r � O C, a m U - Remodel Kitchen N BEDROOM 5 8 N T n , U 12'-1" x 11'-6" - ON U d' LU 304ODH 3040DH C vJ P � 21- x 7 ul µ, IIo 0 3040DH 2620DH 30400H 3040DH 30400H 12'-7 1/2" 2'-4 1/2" 9'-10" 6' 9'-6" 22'-6" 62'-10" \� ant LIVING AREA z General Notes Mechanical - Plumbing - Electrical (Votes 2491 sq Le end 4 a - 9 1) Emergency Egress from sleeping rooms, MIN. 24" 1) Termination of all environmental air ducts shall be a minimum of aft. from any opening in the building. > Remove Wall CLEAR HEIGHT, 20" clear width, 5.7 min.area opening /� O z height dimension shall be 44" max. above finish floor 2) Water closets shall have a maximum of 1.28 GPF. EXISTING FLOORPLAN o # and egress window for bedrooms shall be openable. (DU) v 3) Tub/shower combination shall be provided with individual control valves of the pressure balance for the Remove windows � z 2) Provide smoke detectorsin each existing sleeping thermostatic mixing valve type per CPC 418. area and at central pointin hallway solely battery o , 4) :shower head shall a Max. flow of 2.4 GPM and faucets to have a max. of 2.2 GPM, Existing Walls 3) All smoke detectors in new construction area shall have pimary power and eqquiped with battery backup. 5) All branch circuits that supply 125 volt single phase 15 amp and 20 amp receptacle outlets installed , ',]ding Qepa` `Y DATE: in dwelling unit shall be protected by an arch-fault circuit interrupter. 4) Shower/tub wall backing material shall be cementious wonderboard or durock, extended to a minimum height All built-in appliances such as, stove, range hood, dishwasher, garbage disposal, etc. shall have dedicated a circuit. 2/19/2014 92014 of 72" above the drain inlet per CRC R308.4 6) Smoke detectors in each bedroom, in each hallway adjacent to a bedroom, and on each floor. 5) Glazing in hazardous location shall be tempered. SCALE 7) Electrical, mechanical, and plumbing scope of work will be subject to field inspectors comment/ corrections during construction phase. 8) All lighting in bathrooms, kitchen, laundry rooms , garage and utility rooms to be high efficiency. 9) Provide 2 small appliance branch circuit for the kitchen limited to supplying wall and counter space outlets only. SHEET: 10) All 125- volt , 15 and 20 amp receptacle outlets shall be listed tamper resistant. 11) Install CO alarms outside of each separatedwellind unit sleeping areain the immediate vicinity of the bedrooms, and on every level of the dwelling including basements. CRC315 64'-6° r k •��t�tQNxvf 21'-11 7/16" 12'-6 3/16" -5'-4 1/2' 24'-7 7/8" oz 304ODH 304ODH 30400H 3040CH 30400H 304ODH i= ` u3 � '" ' �:[ BEDROOMT ' z BAT ` fl ewUJ to ° ' MASTER BATH s��1�e �ko, �cy� � a � (� ° o (I F � i � I " X 1 '-1" I o } gni Vov� �, v FAMILY N o 9 7 3 ! �S �.� c S� I - MASTER BDRM I 2 NAY, e 5 G � �-e akcin I 13'-10" x 17'-7" sosa M o N i N . N 2469 A266 uj Fr 0 LU 'y 2668 2669 ; ' C ET 0 _ � L S r ; 3_ rp 2 - KITCHEN 1 I o �xr; a X z z o - " ` - - i 14'�7Ax 5'-1 � ' o BEDROOM CLOSE 1 I DINING - ' r- O O I I 2666 ui o I I W 2 ! m 00 !— I I H Y - - - - - I I r - - - - - - - - '1'-8" ° ° 1 it I W ° N I HALL i ° o BATH I I I o i - w N _ T GARAGE i i o w U I I ®°v ® ® ENTRY I I > O 2668 I I 0 LIVING OFFICE I I 0 w z O a- c� :D L - Q 00 u .- - - - - - - -- 01 BEDROOM ; 8 N a CoQ = U C / �S 3040DH 304ODH LU VV - � 3040DH I- 304ODH 3040DH 3040DH 12'-71/2" 2'-4112" g'-10" 6' 9'-6" 22'-6" 62'-10" z LIVING AREA ' 0 2964 sq ft ° Legend 2 � � � No z a 0 0 U N U Q New Walls z PROPOSED FLOORPLAN Existing !PMIS _ CUPS ' n! DATE: /19/2014 SCALE: SHEET: I ----------------