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15100025 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22600 RICARDO RD CONTRACTOR:ARGON CONSTRUCTION PERMIT NO: 15100025 OWNER'S NAME: WENDT CRISTOPHER K AND WOLFGRAM TRI 17265 TORREY CT DATE ISSUED: 10/05/2015 OWN S PHONE: 4082325143 MORGAN HILL,CA 95037 PHONE NO:(408)778-6835 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ OD REMODEL(E)HALL BATH,LIKE FOR LIKE(NO License Class iY Lic. O STRUCTURAL CHANGES)80 S.F. Contractor �� (::0AJS/ .Date 10- 5-IS 1 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. 1 hereby affirm under penalty of perjury one of the following two declarations: Sq.I,t Floor Area: Valuation:$12500 t. 1 have and will maintain a certificate of consent to self-insure for Worker's Com ensation,as provided for by Section 3700 of the Labor Code,for the APN Number:35601004.00 Occupancy Type: ormance 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR I certify that I have read this application and state that the above information is 180 DAYS FR LED INSPECTION. 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 tied by: � Date: D S 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 regulatio per a Cupertino Municipal Code,Section 9.18. RE ROOFS. All roofs shall be inspe prior to any roofing material being installed.If a roof is Signature Date installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant Date: l 1 hereby affirm that I am exempt from the Contractor's License Law for one of ALL RINGS TO BE CLASSa" 7e "A"OR BETTER the following two reasons: t. 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 IIA7.ARDOUS MATERIALS DISCLOSURE sale(Sec.7044,Business&Professions Code) I have read the hazardous materials requirements under Chapter 6.95 of the 2. 1,as owner of the property,am exclusively contracting with licensed contractors to California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain construct the project(Sec.7044,Business&Professions Code). compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(x)should I store or handle hazardous material. I hereby affirm under penalty of perjury one of the following three declarations: Additionally,should 1 use equipment or devices which emit hazardous air t. I have and will maintain a Certificate of Consent to self-insure for Worker's contaminants as defined by the Bay Area Air Quality Management District I will Compensation,as provided for by Section 3700 of the Labor Code,for the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I performance of the work for which this permit is issued. lealth&Safety Code,Sections 25505,25533,and 25534. 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by Owner u Ii 'ze e 00, Section 3700 of the Labor Code,for the performance of the work for which this Datc:1_(/ �• /� permit is issued. 3 1 certify that in the performance of the work for which this permit is issued,I shall CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code,I for which this permit is issued(Sec.3097,Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION ARCHITECT'S DECLARATION I certify that I have read this application and state that the above information is I understand my plans shall be used as public records. 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 Licensed Professional 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION \ 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•building(d)cupertino.org l s�� OL) Z� CUPERTINO ❑NEW CONSTRUCTION ❑ P.DDITIONALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT T PROJECT PD 5I ^ A -nn ?40 APN k �' C_�/ O / ` o O OWNER NAME o n. C l/ , ,/Ov�r� �' PHONE t^CI�� O L(% ,!/�� ((/ STREET ADDRESS CITY, STATE,ZIP FAX CONTACT N.S\1E PHOIE-MAIL STREET ADDRESS �r CFf ,STA , ZIP ' n FAX ✓O L C. NUJ' OWJNER ❑ OWNER-BUILDER ❑ OW11:EER AGENTOIN7RACTOR ❑CONTRACTOR AGFN-r ❑ ARCHITECT ❑ENGWEER ❑ DE\cLOPER ❑ 7.-NA.\T CONTRACTOR NAME ' X'e' LICENSE TS BUS.LIC k 7� 'J l o CO1vfPANYNAA E ae- l L FAX �1 STREE � CITY,STATE IPI r .0.RCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC k COMPANY NAME E-MAIL FAX STREET'AXDRESS CITY,STATE,ZIP.�/ /may PHONE DESCRIPTION OF WORK / � A I/r1✓/� _O p/ V^ L-1 /Le"�f oe-Df i/l—' 'SC'� E-a7STP.NG USE PROPOSED USE CONSTR.TYPE I k 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 DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJ DETACH []ATTACH DWELLING UNTrS: IS A SECOND UNrr ❑YES SECONDSID 1'ES BEING ADDED! []NO ❑NO PRE-.APPLICATION ❑YES IFYES,PROVIDE COPY OF IS THE BLDG AN ISE_-r B1'c _ TOTAL LU.4 ION: a�Qi. PLAN INGAPPLk ❑NO PLANNING APPROVAL LETTER EICHLERHOAS NO - - - �. By my signature below,I certify to each of the following: I am the property o\\ner or out onzed age act 09,*6 property owner's behalf. I h ,e read this application and the information I have provided is correct. I have read the Description of Wor veri accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction, ut ze representatives of erti enter the above-identified property for in ection purposes. Signature of Applicant/Agent: _ _ Date: SUPPLEMENTAL Q TION REQUIRED New SFD or Multifamily dw� lings: Apply for demolition permit for — - - C� i THE-COTJhTER . : :I .EVIF' existing building(s). Demolition permit is required prior to issuance of building s � permit for new building. I sss=g * _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure -DARD rl I Llc�io Tor—in if any Hazardous Materials are being used as part of this project. - w . 1REDFPi _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BIdgApp_2011.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION WPERMITTYPE: DDRESS: 22600 RICARDO RD DATE: 10/05/2015 REVIEWED BY: MELISSA PN: 356 01 004 BP#: *VALUATION: $12,500 Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1R3SFDREM USE: PERMIT TYPE: WORK REMODEL E HALL BATH LIKE FOR LIKE NO STRUCTURAL CHANGES 80 S.F. SCOPE Ll Li I 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 preliminarl information available and are only an estimate. Contact the De 1 or addn'l info. FEE ITEMS (Fee Resolution 11-053 Elt. 7;'1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = s.f. Remodel, Bath(<=300 sf) Suppl. PC Fee: Q Reg. O OT 0.0 1 hrs $0.00 $645.00 IREMRESBAT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OTTO-01 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 n�nn.V�ul�ri'. 0 Work Without Permit? 0 Yes (E) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential E) //.(11 c/ 1)n' 111110it "I'e n FCCc Building or Structure 0 Strong Motion Fee: IBSEISMICR $1.63 Select an Administrative Item Bldg( Stds Commission Fee: IR('16C $1.001 1 SUBTOTALS: $2.631 $645.00 TOTAL FEE: $647.63 Revised: 07/02/2015 (,') �'J'j �61 Re-do shower area: Repair subflooring, new pan and tiles around shower area to roof, raise shower head, add small bench on back side of shower area, re-seat existing window; replace door New, additional light switch for shower light/fan next to existing switch ® Replace ceiling light • Replace existing fan with new fan and light assembly Remove wainscoting around perimeter and replace with drywall Owner: Cris Wendt �%VLu,lvuwviblON-CUPEZ • RT ",22600 Ricardo Rd INO Reframe cabinet fascia APPROVED M: 408.497.0632 • Thk��'�t of plans and specifications MUST be4 8.252.5143 Replace toilet �'�s to during construction. It is unlawful to 111; y9Jch?r,JOS or alterations on same,or to doW .4,08.642.3893 Replace linoleum floor with the Ii'erefrom,without approval from the Building Official. ^�Rn of hhig plan and specifications SHALL NOT 51 to be an a,:nroval of the violation ny 0i', or State Law, O 31" SHOWER S Fan& 0 LU U AREA Head new) Z U Q Light cU � a) __j 1 � 0 0 o: OShower Door No U U O � U y D O uj � v� � Replace i y a, '�`" �� ® Light 1415 rn > n 5 O v o Door Switch 52 ft2 Floor Ceiling Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 L U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: _ �,u L /21C/'61 PERMIT# OWNER'S NAME: PHONE# GENERAL CONTRACTOR: /'/ pti' „l s;i `T/u BUSINESS LICENSE# ADDRESS: > ?` CITY/ZIPCODE: v� *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. _ am not using any subcontractors: Signature Date Please 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 4z� Lathing Masonry Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228- FAX(408) 777-3333- building(d)cupertino.org t� Wewrm%�1fc'N__b. 1,�I Q (YZ : (a) WMEN MS_9_ QCrbehn0kidd._tAdaess lax3 .......... ........ ............ .:. PERMIT CANNOT,BE:FINAL-EDAND.,COMPLETED UNTIL.TRIS.CERTIFICATE 1...' '.z: FIAS RETURNET01 T BEEN SIGNED 0 HE B1110L NG DIVISION .......... . ......... ...... ... .. ...... PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 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 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 X X bedroom(s) On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required h-i 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 ffi-Lishes 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 has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. have read and aLree to comply with the terms and conditions of this statement t0X5br0k,97wW--A—eht'-§yNffm--e,___1 .................................................... .......... G��Wla—ct 6,�W�m: e: COA).0-11ttIC-7701-1 -17� .. ... .. . ..................... ....LIT L Smoke and COforin.doe revised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinaCa)cuQertino.ora Owner Name 00( Permit No. Lj I UIQ oe,� Address o �e�g C�0 RcC C4 ; . �5 o I T 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. ,51-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. No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 'V� 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. if 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: Y 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 commercial 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-conserving plumbing fixtures comply with the requirements as indicated in the table on the following age. Owner or Owner Agent's Signature:— lu Date: 1 O r 1 Upon completing and signing this Certificate, ase return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15