13030034 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10158 RIDGEWAY DR CONTRACTOR:GRANT H AND PERMIT NO: 13030034
ELIZABETH H GOWER
OWNER'S NAME: GRANT H AND ELIZABETH H GOWER 10158 RIDGEWAY DR DATE ISSUED:03/072013
OWNER'S PHONE: 6507221074 . . CUPERTINO,CA 95014 PHONE NO:
❑ . - LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALS
License Class • Lie,# REMODEL M.BATH TO INCLUDE NEW SKYLIGHT,NEW
SHOWER,VANITY AND DOUBLE SINKS,ADD
Contractor Date LIGHTINING
I hereby affirm that I am licensed under the provisions of Chapter 9 CEILING TO M.BATH AND 3 BEDROOM AND FAMILY
(commencing with Section 7000)of Division 3 of the Business&Professions ROOM
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 thispermit is issued. Sq.Ft Floor Area: Valuation:$20000
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:34241011.00 Occupancy Type:
permit is issued.
• 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 WITHIN 180 DAYS OF 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 r::LAST CALLED INSPECTION.
indemnify and nses harmlwhich the City of Cupertinot sidagainst onsei uen judgments,fthe �y� �e�
costs,and expenses A may accrue hea ppm said City in cands and il of the Issued by: Dat
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.
RE-ROOFS:
Signature Date 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. .
$~ry,/ 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
I,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is notintended 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. 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(a)should I store or handle hazardous
I have and will maintain aCertificate 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 15,2 j. and 25534. 9� r7,,
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: /i 1.:/�l.d Datei,y 7�Ccrt7
permit is issued. // / •• ll
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 CONSTRUCTION LENDING AGENCY
Compensation laws of California. If,after making this certificate of exemption,l
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 re: lations per the Cupertino Municipal Code,Section Licensed Professional
///�Xz3 i
4Signature . Date a�//'01
\ / CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
s,.,,\ 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 ,/
CUPERTINO (408)777-3228•FAX(408)777-3333•buildinq(G�cuoertino.orq I . 3 CO3Y
❑NEW CONSTRUCTION 0 ADDITION ALTERATION/TI 0 REVISION/DEFERRED ORIGINAL PERMIT ft
PROJECT ADDRESS IQ ICQ R►t�eiAgk( m/J APN# /z /41 U ) I
OWNER NAME C40--(✓✓ (/'f.j ^ v/I V PHONE E-MAIL
STREET ADDRESSICI % n `D�/'�, IWC/��f[y/�/1n , CITY,STATE,ZIPok)jib�� `^ i.,A isti FAX
CONTACT NAME �(, (J[.NJ.{�( „J/tG, PHONE it,)�I7Y J E-E-MMAIL�e. O..k2 Tec cc€t . \QAJ
lQ.�A►ST ��_ � 722-Io7�-� V-lJV
STREET ADDRESS ^ , CITY,STATE,ZIP FAX
WNER 0 OWNER-BUDDER 0 OWNER AGENT ❑ CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT ID ENGINEER 0 DEVELOPER 0 TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK 0 fats( _- It �I„V`tt�j maitot baa�.0 parysor2i
6dA-64004, ngktf sk AtA¢u ) jcitci -ivJtits�tk -i t(i - Add-
1 t uticiatli s c MaieJpari6L. 64./aaks -4---aviAll a> vim.
ExG USE PROPOSED CONSUL TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT DYES SECOND STORY ❑YES /q
BEING ADDED? ONO ADDITION? ONO l
t
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ID YES RECENEIJBY AL VALUATION:
PLANNING APPL# 0 NO PLANNING APPROVAL LETTER EICHLER HOME? ONO
By my signature below,I certify to each of the following: I am the property owner or authorized gent act on the property owner's behalf. I hate read this
application and the information I have provided'•a•rrect. I .av- �d the Description of Work and ye it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildin• • '.,At -m00% -representatives of Cupertino to enter the abov -ident fled property for inspection purposes.
Signature of Applicant/Agent: / �i//i / Date:
SUPPLEMENTAL I ORMATION REQUIRED PLAN CRECKTYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for OVER-THE-COUNTER —❑-BUILDING LAN REVIEW
existing building(s). Demolition permit is required prior to issuance of buildin
permit for new building. ❑ EXPRESSLANNINC 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 0 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
CITY OF CUPERTINO
• FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 10158 RIDGEWAY DR DATE: 03/07/2013 REVIEWED BY: SYLVIA
,5•I'ri APN: BP#: 'VALUATION: $20,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY PENTAMATION IR3SFDRE 4
USE: SFD or Duplex PERMIT TYPE:
WORK REMODEL M.BATH TO INCLUDE NEW SKYLIGHT, NEW SHOWER, VANITY AND DOUBLE SINKS,
SCOPE ADD 23 (N) LIGHTINING FIXTURES TO M.BATH AND 3 BEDROOMS AND FAMILY ROOM
4
' t iP.`' hl M.5lR4 t1. ....... .. u 4 f M ( � s:.. t igra .>.x d < �",^' l i ;.,1 il.
�u��lj� sd,ll�dl�"+�1s^p.a��Vie,`, e � Y�
^v ,r�.'s:,$"1,��_A'�,'`. ,;L� rcki w�s�k r 2 "� Ih.'To�a,^:� ..L., a ' �.�,8n-s.l�.:,
Meeh. Plan Check I Plmb. Plan Cheek I J Elec.Plan Check 10.0, hrs $0.00
,Mech Permit Fee• Plumb.Permit Fee: Elec.Permit Fee: IEPERMIT
Other Mech. lrsp: u Other Plumb lnsp. Other Elec.Insp. 0.0 hrs $45.00
A-lech. lnsp. Fee: u Plumb. hap. Fee. Elect.lnsp.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 preliminary information available and are only an estimate. Contact the Dept for addn'I info.
FEE ITEMS/Fee Resolution 11-053 Eli 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 I 120 I s.£ Remodel,Bath(<=300 st)
Suppl. PC Fee: 0 Reg. OOT (10i hrs $0.00 $600.00 1REMRESBAT 4
PME Plan Check: $0.00 1 3 I Electrical
Permit Fee: $0.00 $67.00 IBREMFIXT Fixtures,Lighting
Suppl. Insp. Fee:0 Reg. 0 OT 10,0J hrs $0.00 I 23 I Electrical
PME Unit Fee: $0.00 $57.00 IBREMRECEP Recep/Switch/Outlets
PME Permit Fee: $45.00
Construction Tax. I j
Administrative Fee: /ADMIN $42.00 0
Work Without Permit? 0 Yes Q No $0.00 0
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure o
Strong Motion Fee: IBSEISMICR $2.00 Select an Administrative Item-
Bldg StdsSt�yp�Commission Fee: IBCBSC $1.00
l;Il�,`'^'>ti ullpn r t ` it o-sp% , $135.00 $724.00 at '. -' 21);,TOTAI, '1 I $859.00
Revised: 01/01/2013
Electric venting deck mounted skylight(VSE) I VELUX Page 1 of 3
Electric venting deck mounted skylight(VSE)
Designed for deck mounted installations,the VSE ril..1119ENERGY
INIIIIL electric venting skylight Is the perfect daylighting STAR
Solution for overhead applications.It brings in
abundant natural light and with the touch of a PARTNER
button,opens to let In fresh air.And If you forget
to close it,the VSE also closes automatically in
case of rain. The VSE skylight meets ENERGY
STAR®approval guidelines for
__-V -_ enemy efficiency in all climatic
regions of the US.
AliNext steps
Dealer&installer locator
Related areas
VSE specs
VSE CAD files
VSE instructions
VSE sizes
i Inspirational imaaps
Blinds ENERGY STAR®site
Some sizes have limited or no blind options.Visit www.veluxusa.com/blindsdirect
Electrical components
The VSE skylight comes with a pre-installed concealed motor and control system.One rain sensor that
automatically closes your skylight during Inclement weather is also included.
Installation slope
The VSE skylight installs on roofs with slopes between 14°(3:12)and 85°(137:12).
Compliant with FCC:license ID:
Skylight:FCC ID:XSG863765
Remote:FCC ID:XSG833429
r/�. Blinds Convenient remote
VELUX is a specialised control
--- and experienced •---' The KU 110 wall
j/ manufacturer of blinds 4.......A mounted keypad and
/ that fit perfectly with the KLF 100 interface
!} our roof windows and to home automation
skylights. systems are also
Details available.
Details
Venting skylights Warranties you can
reduce the need for air No leak trust
conditioning during the Our warranty covers
year,and thanks to skylight 20 years on insulated
the chimney effect 10-year product glass,10 years on the
they improve indoor and installation skylight,10 years on
GREEN friendly air quality,removing warranty installation and 5 years
moisture,odors and on the electronics.
other indoor Details
pollutants.
Product details
Convenient remote control
The VSE skylight opens and closes quietly from anywhere in the house using our new innovate RF
remote control(included).
Simple installation
The VSE skylight installs right Out of the box using a single 14 gauge hard wire that connects into a
standard junction box unlike other motorized skylights.20 feet of wire is included.
Pick&Clickl TM pre-Installed
The new innovative Pick&Clickl'^brackets make blind installation a snap!Every VSE(VS,FS)skylight
comes pre-installed with Pick&Click!""brackets that allows for fast and easy installation of
sunscreening blinds and accessories.
Energy efficient glass options for added safety and energy efficiency
All VELUX skylight glazings are built using energy efficient,LOE3,Argon gas injected dual glass panes.
The VSE skylight comes with your choice of the following glazing options,each designed to meet the
needs of specific building situations:
*Impact glass-Special safety glass designed to meet code requirements for hurricane prone areas
(Available for select sizes).
*Laminated glass-Tempered safety glass with extra laminated pane for added safety and comfort
http://www.veluxusa.com/consumer/products/residential_skylights/the_no_leak_skylight/vs... 3/7/20 1 3
Electric venting deck mounted skylight(VSE) I VELUX Page 2 of 3
*Snowload glass-Special safety glass required in some heavy snow areas
Flashing options for a weathertight installation
A complete Ilne of flashing systems help ensure a weathertight installation for your VSE skylight,no
matter what your roofing material:
*Shingles and shakes
*High profile roofing
*Metal roofing
Sunscreening options for optimal light control
The VSE skylight comes pre-wired for an interior blind.This skylight model is compatible with several
blinds to control the light and heat entering the space.
*Electric Blackout Blinds-Blocks the light.
*Electric Venetian Blinds-Accurate glare and light control.
*Electric Roller Blinds-Diffuse the light.
Quality construction
The VSE skylight comes with pre-finished white frames and sashes that eliminate the need for
secondary high cost trips by a painter.An insect screen,a stainless steel chain operator and aluminum
or copper cladding is also included in the package.
Streamlined exterior
Smooth,low-profile does not obstruct your roofline.
Wide range of sizes
The VSE skylight comes in a variety of sizes that work with rafter or truss roofs,so that you can select
the one that is right for your project.For details on these sizes,please download a copy of our
Residential product sizes.
Glass 0406** I 08 10
Air infiltration/exfiltratiIn*
max...h tS Pa Q1.57&sift')differential pressu re'I
v'stkn' 0.7 0.5 0.7 0.7
cfrrlft' 0.13 0.09 0.13 0.13
Water resistance•3A L/m'/min(5 USgai/ft`/hr)
(ranc tested deferential'pressure with no Ileakage;i
Pascals 720 720 720 720
atePYt' 3 S 3 S 15 15
Thermal performance (Certified,complete ueet values)
1V5LL X Glass Skt'tigh5s are rated at 20'sl-pe and labeled w•,rth
SFlRC-certified U-Factor,SHGC,and VT ratings Isted in,the
NI-RC Certified Products Drrectcsy)
(BtU-Factor0.42 0.41 0.42 0.41
SHGC 0.23 0.23 0.22 0.23
VT 0.53 0.52 0.39 0.52
IN protection,.%
(380-3e0 molt 99.9 99.9 99.9 99.9
Fading protections% (i(rochmatrn damage function)
(390-605 nm) 83.1 84,6 88.4 83.2
Structural Performance "Performance Grade or Dpi)
Tested Sue Uplift()batty)
S06 50 55 50 60
M08 85 °5 85 65
C06 e.r. o.r. o.r. 70
Vested;Sue
Download
S06 235 175 235 365
M08 280 230 280 1/0
C06 n.r, e.g. n.►. 605
tested in accordance worth A+LYtA/Wt1MWCSA 101/1.5.2/M40-
08 and-05. VSE slkylrgit•rts are 59,014.04 Hall/nark testified.
See wwa.wdrmra.c'Cenq,Hallmark So.426-H(not applicable to
copp.er-c93di variants)
K*06 variant is tested and WilMA.Hallmark certified for Wmd-
trcrmre debrz5 nnpact,rn,accordance with;ASt'M 11886 and ASTM
61996. Hated for Wand Lone 3,Missn6 Level C,Cycle Pressure
+501-SO
04 glass: tempered over ilammated HS(0.030"ir6erlayer)
06 glass; tempered over!laminated HS(0.090"imterfayes)
08 glass:Same as 04,.with white nnteslayer
30 glass: ?temp.over laminated temp.(0.030'mterllayer)
http://www.veluxusa.com/consumer/products/residential_skylights/the no_leak skylight/vs... 3/7/2013
Deck mounted skylights and roof windows
<\f k
Models VSE and VS 14°-85°
3:12-137:12
I NY size code . , I
I
I
. I
■
(Old size code) COl C04 C06 C08 M04 M06 M08 SOl S06
(101) (104) (106) (108) (304) (306) (308) (601) (606)
Outside frame in. 21'/2x273/8 21'/2x383/8 21'/2x46'/ 21'/2x54"16 30°/16x383/6 30°/16x46'/4 30"/26x5415/16 443/4x273/6 443/4x46'/4
Rough opening in. 21 x26'/8 21 x 37'/6 21 x 453/4 21 x 547/16 30'/.x37'/6 30'/45453/4 30'/16x54'/16 44'/4X267/a 441/4X453/4
Daylight Area in. 16x20.44 16x31.5 16x39.38 16x48 25x31.5 25x39.38 25x48 30.25x20.44 39.25x39.38
Ventilation Area sq.ft. 2.60 3.56 4.14 4.71 4.17 4.75 5.32 4.31 5.84
Model FS
(Old code)
Iii
'
(Old size code) i
A06 COl C04 C06 C08 C12 D26 D06 M02 M04 M06 M08 501 S06
(056) (101) (104) (106) (108) (112) (150) (156) (302) (304) (306) (308) (601) (606)
15'/4 x 21'/2 x 21'/2 x 21'/2 x 21'/2 x 54 21'/2 x 23'/4 x 23 23'/4 x 30%,x 30'/6 x 30°16 x 30°16 x 54 44 3/4 x 44 3/4 x
Outside frame in. 46'/4 27% 383/6 46'/4 1616 703/4 'ho 461/4 301 383/6 46'/4 15/16 273/6 46'/4
Rough opening in. 14'3zx 21x 21x 21x4 21x 21x 221/2x22 22'3zx 30'/.x30 301/6x 30226x 30'16x 44'/4x 44/x
45/4 267 /e/e 37 45/ 54/16 70/4 /. 45/a 377/s 45/4 547A. 26/6 45/4
11'3/16x 4 183/16x 183/16x 183/16x 183/.x 183/6,x 191°14 x 1915/16x 4 4 271/4 x 271/4 x 271/4 x 271/4 x 411/2.x 4171/26x
Daylight Area in. 15/16 24116 35116 421516 515/s 67716 201/6 15/16 273/16 35/6 421516 515/s 24116 421516
® Model FS sizes D26 and D06 fit perfectly
between roof trusses.
Model GDL CABRIOTM
Model GPL
Size code
I ■
Size code
M08 SO6
.. Outside frame in. 305/8x55 443/4x463/6
P19 Rough opening in. 311/4x551/z 45'/4x46'/6
Outside frame in. 37/6x99-/: Daylightareaigiassi in. 233/4x45'/4 3715/.x365/8
Rough opening in. 393/6x101 Ventilation area(opening) sq.ft. 11.34 11.64
Daylight area(upper section) in. 30x531/ Ventialtion area(flap) sq.in. 30.00 47.81
Daylight area()ower section) in. 30x283/4 Net wt.(w/Lam.glass) lbs. 111 123
Ventilation area(upper section) sq.ft. 22.5
Ventilation area Leap) sq.in. 36.7
Net wt(w/tam.glass) lbs. 160
' \\lig/ OWNER-BUILDER DISCLOSURE FORM
%' COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
4,-(.1,2.„, 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777.3333• buildingOcuoertino.orq
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at:
SITE ADDRESS ( b r5'B RIDGY I APN I BP#
OWNER NAME/.? 60visc lOW.NEITII"���E,�5���g1bu,,W I :-DL
9 ^ ��p
DESCRIPTION OF WORK: (.49�n$,k& Sl (r µT t.�'Lf vDVUL(Xd(f.QD A.L�Ot�t -( t,(LKQ.LL(�y.{', Q�J.t'.Gp,{4�!/�)
net sf�awtz QStubs)ilt % ) Si 2Vno;C; l Ir&c ti d t au -e-3ksa4evwd
We are providing you with an Owner`-Builder Acknowledgment and Information Verification Form to make you aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We
will not issue a building permit until you have read, initialed your understanding of each provision, signed, and
returned this form to us at our official address Indicated. An agent of the owner cannot execute this notice unless
you,the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
(DIRECT/O S:Please read and initial each statement below to signify you understand or verify this information.)
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an"Owner-
ilder"building permit that erroneously implies that the property owner is providing his or her own labor and material .
personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not
provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
`
�� 2.-1 understand building permits are not required to be signed by property owners unless they are responsible for
kfie co truction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an"Owner-Builder" I am the responsible party of record on the permit. I understand that I may
otect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her
ame instead of my own.
•
I understand Contractors are required by law to be licensed and bonded in California and to list their license
4.
embers on permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
tal value of my construction Is at least five hundred dollars ($500), including labor and materials, I may be
considered an "employer"under state and federal law.
I6. I understand if I am considered an"employer"under state and federal law, I must register with the state and
eral government,withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation for each"employee." I also understand my failure to abide by these laws may subject
me to serious financial risk. "
7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family
sidential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by
licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work
is performed under contract with a licensed general building Contractor.
I8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for
y financial or personal injuries sustained by any subsequent owner(s)that result from any latent construction
defects in the workmanship or materials.
OirnerBuilderFonn 2010.doc revised 04/14/10
ieven
I understand I may obtain more information regarding my obligations as an"employer from the Internal
uee Service,the United States Small Business Administration,the California Department of Benefit Payments,
and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State
License Board (CSLB)at 1-800-321-CSLB (2752)or www.cslb.ca.gov for more information about licensed
contractors.
10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I
the party legally and financially responsible for proposed construction activity at the site address listed above.
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
all applicable laws and requirements that govern Owner-Builders as well as employers.
�2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
formation I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If
ou contract with someone who does not have a license, the Contractors' State License Board may be unable to
assist you with any.financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed
Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or
employee of that individual or firm Is injured while working on your property, you may be held liable for damages. If
you obtain a permit as Owner-Builder and wish to hire Contractors,you will be responsible for verifying whether or not
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS:Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec 3097 Civ.)
Lender Name: Lender Address:
Before a building permit can be Issued,this form must be completed and signed by the property owner and
returned to the agency responsible for Issuing the permit. Note:A copy of the property owner's driver's license,
form notarization, or other verification ac : able to the city maybe required to be presented when the permit is issued
to verify the property owner's signet -. •
Property Owner's Signature: .i �,"J Date: _3
(NOTE: The following Authorization Form is required to be completed by the property owner only when designating an
agent of the property owner to apply for a construction permit for the Owner-Builder).
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner,the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s)to act as my agent(s)to apply for, sign,and file the documents necessary to obtain an
Owner-Builder Permit for my project.
Scope of Construction Project(or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note:A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's
signature.
Property Owner's Signature: Date:
PnnerBuilderForm 2010.doc revised 04/14/10
De Anza Oaks Homeowners Association
Architectural Application
NAME OF OWNER(S):Grant& Elizabeth Gower
ADDRESS OF HOME: 10158 Ridgeway Dr. UNIT# 137
TELEPHONE NUMBERS: (H) (408) 253 4621 (W) (650) 722 1074
GENERAL DESCRIPTION OF PROPOSED WORK: •
Install a 21"x46"ventilating skylight on the east roof,approximately 1'from the roofs ridge line,
and 18"from the north wall. The installation will be covered by a permit from the City of
Cupertino,and will be_serformed by a licenred contractor
CONDITIONS OF APPROVAL:
Applicant understands and agrees that this Application does not fulfill all of the conditions and requirements for an
approval.In addition to this completed"Architect ural Application'from,the applicant must submit to the Architectural
Committee drawings and specifications showing the nature,kind,shale,height,materials and locations of the proposed
architectural alteration. The submission must be in writing. The Architectural Committee may require additional
information as it deems necessary to make a decision. Until all information is submitted to the committee,the
application will be deemed to be incomplete and the application will stand disapproved.
Applicant further understands and agrees that in the event that the modification is approved by the Committee that they
may impose"Special Conditions"of construction and maintenance on the approval of the Application. Any special
conditions shall be attached and be a par of the approval. Any deviation from the approved plans specifications or
special conditions will cause the permit to automatically terminate and become null and void. Applicant understands
and agrees that if applicant fails to conform to each requirement then applicant authorizes De Anza Oaks Homeowners
Association to have the work brought into conformance with approved plans,specifications and special conditions.
Applicant further understands and agrees that all costs incurred by the Association as a result of bringing said work into
compliance will be a personal obligation of the owner. Such costs shall include the costs of construction,
reconstruction,administration,fees,attorney fees,experts and consultants charges,and court costs,if incurred. It is
also agreed that no work will(1)be initiated which will be a violation of any of the provisions of the Association's
Declaration of Covenants,Conditions and Restrictions or any applicable building code,(2)be an annoyance to any
resident;or(3)increase the cost of insurance maintained by the Association.
It is further agreed that,in the event the application is approved,all maintenance,repair or replacement of the approved
item will be the sole responsibility of the lot owner,and further that any expense incurred by the Association that is the
direct or indirect result of the approved change shall also be the sole responsibility of the lot owner. All work shall be
initiated with consideration of the terrain,slope,esthetics,time and noise considerations.
Applicant understands that all necessary permits and approvals from applicable governmental jurisdictions are the sole
responsibility of the applicant and that Committee approval of this application is subject to the applicant receiving all
such necessary permits and approvals.
Applicant agrees to use licensed and insured contractors for any and all installations or to make the Architectural
Committee aware when this is the exception. Applicant agrees to notify the Architectural Committee upon
completion of the project so the Committee may inspect and determine compliance with each and all of the
•
conditions of approval of the application.
THE LENDERS D: TO THE ABOVE CONDITIONS /
.,.� 'k" - DATE: �'C(09/�a3
Ho %Si•pi•:._ "
FOR COMMITTEE USE ONLY
Approved Denied r Date —2 1 "BY: /9 C
Comments: SQ-a nrrreef'pZ L-rzj&z-
lO(58 Ridgeway DR
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I V ;# Building Department
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REVIEWED FOR CODE COMPLIANCE
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REVIEWED FOR CODE COMPLIANCE
Existing 21& s ,� ; „ ,
24" o.c. (typ.)
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Location of new skylight
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--- `^.- ---W9TOAEk DRAWN% REVISION% DRAM Br: Steve PAGE NO:
Grant's Bathroom Skylight Roof framing plan -- —SCALE
DATE —_ �/
03/06/13
10158 Ridgeway Dr. Cupertino APPROVED EM
CUPERTINO '
S4Budding Department
MAR 0 7 2013
REVIEWED FOR CODE COMPLIANCE
(N) 2- 2x6 stitched nailed Reviewed By: "fit .
Location of new skylight well
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Grant's Bathroom Skylight Ceiling framing plan DALE /`
03/06/13 ` 1
10158 Ridgeway Dr. Cupertino sc ` APPROVED BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
(I. J CITY HALL
A, .1,�9s1, 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333
SCOPE OF WORK: Bathroom Remodel.
Project shall comply with the 2010 California Building(Base code 2009 IBC), 2010 Residential
(2009 IRC), Plumbing (2009 UPC), Mechanical (2009 UMC), Electrical (2008 NEC), Fire (2009 IFC)
and Energy Codes (2008 Building Energy Efficiency Standards)
Energy code mandatory lighting measures:
1. All permanently installed high efficacy luminaires shall be switched separately from low
efficacy luminaires. (150(k)(7))
2. Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms
shall be high efficacy luminaires OR are controlled by an occupant sensor(s)certified to
comply with Section 119 that does not turn on automatically or have an always on option.
(150(k)(10))
Plumbing plan notes:
3. Water closets shall have an average water consumption of not more than 1.28 gallons per
flush. (CPC 402.2)
4. Shower heads shall have a water flow not to exceed 2.5 gallons per minute. (CPC 402.1.1)
5. Faucets in kitchens, wet bars, lavatories, laundry sinks, etc shall have a water flow not to
exceed 2.2 gallons per minute. (CPC 402.1.2)
6. Shower stalls shall have a clear interior finish area of 7.1 sq.ft. and be able to
accommodate a minimum 30 inch circle at the threshold level.These clearances shall be
maintained up to a height of 70 inches above shower drain. (CPC 411.7)
7. Shower compartments and walls above bathtubs with installed shower heads shall be
finished with a smooth, nonabsorbent surface to a height not less than 72 inches (6 ft).
(CRC R307.2)
8. The maximum hot water temperature discharging from the bathtub, shower and whirlpool
bathtub filler shall be limited to 120 degrees Fahrenheit. The water heater thermostat shall
not be considered a control for meeting this provision. (CPC 414.5 &418.0)
9. A 30-inch clear width for water closet compartment and 24 inch clearance in front of water
closet. (CPC 407.5) m
Electrical Plan Notes: A m I
10. The installation of smoke alarms in all of the following areas shall be provided: (RSI4.3 l
a. On the ceiling or wall outside of each separate sleeping area in the immed@ite
vicinity of bedrooms. a -7
b. In each room used for sleeping purposes. w T
11. The installation of carbon monoxide alarms in the following areas shall be provided` c
(R315.1) O c u
a. Approved carbon monoxide alarms shall be installed outside of each separ rrr _ = 0
sleeping area in the immediate vicinity of the bedrooms and on every level 4. n i C
including basements in dwelling units that have fuel-fired appliances or attQ w ( m
garages. v
12. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outs. d —I-I
Such circuits shall have no other outlets. (CEC 210.11(C)(3)) 4 z
13. All receptacles in bathrooms, garages, accessory buildings, outdoors, crawl spaces, m al 0
unfinished basements, kitchens (where receptacles serve counter top surfaces), laundry,
utility, wet bar sinks(within 6 feet of the edge of the sink), shall have ground-fault circuit
interrupter(GFCI) protection. (CEC 210.8)
14. In all areas specified in 210.52, all 125-volt, 15-and 20-ampere receptacles shall be listed
tamper-resistant receptacles. (CEC 406.11)
10158 RIDGEWAY DR.
BATHROOM REMODEL & CEILING LIGHTING
SCOPE OF WORK
1. INSTALL SKYLIGHT IN MASTER BATHROOM ON SECOND FLOOR
2. REMODEL MASTER BATHROOM WITH NEW SHOWER, TWIN SINKS IN VANITY,
TILING OF FLOORS & SHOWER WALLS.
3. INSTALL CEILING LIGHTING IN 3 BEDROOMS ON SECOND FLOOR AND FAMILY
ROOM ON THIRD FLOOR.
ATTACHED:
1 & 2: BEFORE & AFTER PLAN OF MASTER BATHROOM
2 & 3: CEILING FRAMING PLAN FOR BATHROOM SKYLIGHT
4 - 7: SKETCH LAYOUT OF WIRING FOR CEILING LIGHTING
Ott
COP
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