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10050177CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10040 PHAR LAP DR ER'S NAME: MEENAKSHI GUPTA OWNER'S PHONE: 4082532482 ❑ LICENSED CONTRACTOR'S DECLARATION J License Class Lic. # 0'0 2 b Z Contractor AN l J vt 0 3E NGUy Date O S 2 S 0 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 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. 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. iture ` Date __q l- 40 ❑ OWNER- BUILDER DECLARATION CON I RACTOR: TBD - TO BE I PERMIT NO: 10050177 DETI RMINED I 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) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). DATE ISSUED: 05 /24/2010 PHONE NO: IOB DESCRIPTION: RESIDENTIAL RE MODEL 240 SQ FT TO KITCHEN (M,E,P) NO v- STRUCTURAL 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 Sq. Ft Floor Area: 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 Nuilding construction, and hereby authorize representatives of this city to enter the above mentioned property for inspection purposes. (We) agree to save maemnify 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 t Cupertino Municipal Code, Section 9.18. !� regulations / i Date ds Z oro Valuation: $24000 APII Number: 32618037.00 I Occupancy Type: I PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Iss aed bye Date: s= V_�7 RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is ins alled without first obtaining an inspection, I agree to remove all new materials for ins mection. SiI nature of Appli Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I I ave read the hazardous materials requirements under Chapter 6.95 of the C:.lifornia Health & Safety Code, Sections 25505, 25533, and 25534. I will m dritain compliance with the Cupertino Municipal Code, Chapter 9.12 and the H :alth & Safety Code, Section 25532(a) should I store or handle hazardous m iterial. Additionally, should I use equipment or devices which emit hazardous ai - contaminants as defined by the Bay Area Air Quality Management District I w 11 maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 5 Owner or authorized agent Date: �� Z CONSTRUCTION LENDING AGENCY I mereby affirm that there is a construction lending agency for the performance of m ork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name L ender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Iicensed Professional CITY OF CUPEkTINO CITY OF CUPERTINO ADDITION /REMODEL PERMIT APPLICATION FORM l0050 1-1.7 APN #�� Q :3`-r Date: Is a 2 nd unit being added? Yes ❑ No If yes, please fill out the per 'application for 2" unit. Building Address: /00" R V1". L"D f Mailing Address (if different from building address): Owner's Name: r Hello G 1 P I`'I (�V Phone # : �g Contractor: TN3Q Phone #: Fax #: Contractor License #: Cupertino Business License #: Contact: -1 T)"izc> . _ 01 C Phone #: / Fax #: Z Building Permit Info: Bldg. Elect. �' Plumb. [�-- --""�- Mech. Hillside ❑ Job Description: Addition -What is being added ?(Be Specific): What is being remodeled (n t including addition)? 1c z& —i 0% L, ea S I ("o Remodel Includes Re -Roof. Yes ❑ No If yes list number of squares Remodel Includes Structural: Yes ❑ No 9 Do you have the pre- application planning approval? Yes ❑ No ❑ If yes, please provide a copy of your planning approval letter. Planners name: Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen {Lyo Bath Other Type of Construction (Usage Class): Occupancy Type: 1 -A, 1 -B ❑ II /III/V -A ❑ II/III B, IV -HT, V -B Valuation: � Zy,00 a J Please check this box if the project is a second -story addition ❑ Project Size: Express Standard ❑ Large ❑ Major E] Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, Green Building Points Achieved: include in plan set & the sheet index. ** *For Office Use Only * ** Over - the - Counter Revised 07/06/09 '1. CITY OF CUPEkTINO CITY OF CUPERTINO ADDITION /REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type ADDITIONS 1R3SFDADD 1PLLONGRNGR Long Range Planning/Residential PL 1R31NSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat Inspection B 1 R3REPPLNC Dwellings Repeat Plan Check B 1R3HINSP Dwellings Hillside inspection B 1R3HPLNCK Dwellings Hillside plan check B 1 R3HREINSP Dwellings Hillside Repeat Inspection B 1R3HREPLNC Dwellings Hillside Repeat Plan Check B 1R3ALTINSP Dwellings Alternate Materials Inspection B 1R3ALTPLNC Dwellings Alternate Materials Plan Check B 1 PCESS Cesspool P 1PPRSEWG Ea. Private Sewage Disposal System P 1PRSEWER Sewers P 1BPSPRINK Lawn Sprinkler /Backflow P 1BPWSVCS Main Water Service P 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES ` 1BSEISMICRE SeismicResidential B 1RER00FRES Residential Re -roof Each 100 SF B Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014 -3255 C O P E RT I N O Telephone: 408 - 777 -3228 Fax: 408 -777 -3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: ® Y PERMIT ' #d�s6 OWNER'S NAME: He e I a k 4,1 PHONE # Zf W'L GENERAL CONTRACTOR: v i l Cawy 7 to BUSINESS LICENSE # ADDRESS: CITY /ZIPCODE: ..... l = =ullmipa= �vuc . Cyu., es 2111 uusinesses worKing in the city to. have a Uityof Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE' SCI III -DULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: .. -OS-Z, SA Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature Date 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 TTile Owner / Contractor Signature Date SITE MAP OWNER MEENAKSHI GUPTA 10040 PHAR LAP DR. CUPERTINO, 95014 408.253.2482 SHOKIEG @YAHOO.COM iCBflteng St`veq Creek Btvd S ,�,\ 83��r��"' Clee Scene ierrnosa Ave ek C 0811 {OFIIIF `History ter Lomita Ave- O ' Corte,Madna,Ln � �'. Lomita Ave il Brovm John Woodbury Dr 9 m H DDS Vanan PaAc Universky v4ay__ K _ N Ct 3'I Imaden Ave OR_ve Ave j & 6 oakiwl P OWNER MEENAKSHI GUPTA 10040 PHAR LAP DR. CUPERTINO, 95014 408.253.2482 SHOKIEG @YAHOO.COM Stevens Cri a bN.d ._.11.. ICE m. By Ct. O "Vwig s"arn a rteea ct m - Granada Ave _ W DESIGNER DARKO DEKOVIC 905 RUSSELL AVE. LOS ALTOS, 94024 650 - 464 -2520 email: darkod @mac.com T -24 ENERGY COMPLIANCE NOTES 1. AT LEAST 50% OF INSTALLED WATTAGE AT KITCHEN MUST BE HIGH EFFICACY. 2. HIGH EFFICACY LIGHTING MUST BE SWITCHED SEPARATELY FROM LOW EFFICACY LIGHTING. 3. ALL RECESSED LUMINARIES IN INSULATED CEILINGS. SHALL BE IC RATED, ELECTRONIC BALLAST AND AIR -TIGHT (AT). APPROVED IN ACCORDANCE WITH THE CITY O S CUPERTINO CODES AND ORDINA DATE SIGNED - -rfit of �s MUST RumiordithlS set of Plans and spec be kept on the lob at all times r alterations unlawful to make any Chang - on same without wntten permission from he Building De ailment, City of Cupertino. t The stamping of this plan and specifications be SHALL NOT bi, held to permit orro provisions n of any G* approval ��� prF °n �iO e of State Law . of any Paul a Ecsdie 3( US Po'ii I,IOMa Viste Inn iCBflteng St`veq Creek Btvd S ,�,\ 83��r��"' Clee Scene ierrnosa Ave _...> C 0811 {OFIIIF `History ter Lomita Ave- O ' Corte,Madna,Ln � �'. Lomita Ave il Brovm John Woodbury Dr - C "ustodal m H DDS Universky v4ay__ K _ N Ct 3'I Imaden Ave OR_ve Ave j & 6 oakiwl P s9� o Cardmview In .p T Stevens Cri a bN.d ._.11.. ICE m. By Ct. O "Vwig s"arn a rteea ct m - Granada Ave _ W DESIGNER DARKO DEKOVIC 905 RUSSELL AVE. LOS ALTOS, 94024 650 - 464 -2520 email: darkod @mac.com T -24 ENERGY COMPLIANCE NOTES 1. AT LEAST 50% OF INSTALLED WATTAGE AT KITCHEN MUST BE HIGH EFFICACY. 2. HIGH EFFICACY LIGHTING MUST BE SWITCHED SEPARATELY FROM LOW EFFICACY LIGHTING. 3. ALL RECESSED LUMINARIES IN INSULATED CEILINGS. SHALL BE IC RATED, ELECTRONIC BALLAST AND AIR -TIGHT (AT). APPROVED IN ACCORDANCE WITH THE CITY O S CUPERTINO CODES AND ORDINA DATE SIGNED - -rfit of �s MUST RumiordithlS set of Plans and spec be kept on the lob at all times r alterations unlawful to make any Chang - on same without wntten permission from he Building De ailment, City of Cupertino. t The stamping of this plan and specifications be SHALL NOT bi, held to permit orro provisions n of any G* approval ��� prF °n �iO e of State Law . of any Paul a Ecsdie 3( US Po'ii I,IOMa Viste Inn iCBflteng St`veq Creek Btvd S ,�,\ 83��r��"' Clee Scene ierrnosa Ave SHEET INDEX COVER/ SITE PLAN EXISTING PLAN SCOPE OF WORK NEW KITCHEN CABINET, REPLACE WINDOW WITH A DOOR, AND REMOVE KITCHEN SOFFIT. NEW LIGHTING AT KITCHEN AND FAMILY ROOM. APPLICABLE CODES 12008 CBC, CPC, CIVIC AND CEC as Amended by the state California and local Jurisdictions. 12008 CALIFORNIA ENERGY CODE PROTECT IMFORMATION APN No. ADDRESS STORIES USE OCCUPANCY ZONING TYPE. OF CONST. SPRINKLERS LOT BUILDING PROPERTY LINE 103.00' 326 -18 -037 10040 PHAR LAP DR. 1 SINGLE FAMILY RESIDENCE R3, TYPE U (GARAGE) R1 -7.5 TYPE V -B NONE 8,040 SF 1,893 SF 10040 PHAR LAP REM M N 00 N W Z J W a O� O O 905 RUSSELL AVE. LOS ALTOS.CA, 9402 darkod@mac.com 650.464.252( ierrnosa Ave _...> C 0811 {OFIIIF `History ter Lomita Ave- O 4 _ - GrotndsM Lomita Ave il Brovm John - C "ustodal m H DDS VJaiebougt -j {' K 5 N tj,(I Dt Imaden Ave OR_ve Ave & 6 pE SHEET INDEX COVER/ SITE PLAN EXISTING PLAN SCOPE OF WORK NEW KITCHEN CABINET, REPLACE WINDOW WITH A DOOR, AND REMOVE KITCHEN SOFFIT. NEW LIGHTING AT KITCHEN AND FAMILY ROOM. APPLICABLE CODES 12008 CBC, CPC, CIVIC AND CEC as Amended by the state California and local Jurisdictions. 12008 CALIFORNIA ENERGY CODE PROTECT IMFORMATION APN No. ADDRESS STORIES USE OCCUPANCY ZONING TYPE. OF CONST. SPRINKLERS LOT BUILDING PROPERTY LINE 103.00' 326 -18 -037 10040 PHAR LAP DR. 1 SINGLE FAMILY RESIDENCE R3, TYPE U (GARAGE) R1 -7.5 TYPE V -B NONE 8,040 SF 1,893 SF 10040 PHAR LAP REM M N 00 N W Z J W a O� O O 905 RUSSELL AVE. LOS ALTOS.CA, 9402 darkod@mac.com 650.464.252( I i PROPERTY LINE 100.89' FXISTINC; Fl OnP PI AN 0040 PHAR LAP REM PLAN 905 RUSSELL AVE, LOS ALTOS,CA, 9402 darkod @mac.com 650.464.252 4'. NEW FLOOR PLAN (E) GENERAL NOTES Al. PROVIDE DOORS AND PANELS OF SHOWER AND BATHTUB ENCLOSURES FULLY TEMPERED, LAMINATED SAFETY GLASS OR APPROVED PLASTIC. A2. PROVIDE TEMPERED GLAZING AT HAZARDOUS LOCATIONS: WINDOWS GREATER THAN 9 SF AND CLOSER THAN 18" TO THE FLOOR. A3. AT SHOWER-AND TUB /SHOWER WALLS PROVIDE A SMOOTH, HARD, NONABSORBENT SURFACE (e.g. CERAMIC TILE OR FIBERGLASS).OVERAMOISTURE RESISTANT UNDERLAY.MENT (e.g. W.R. GYP.) TO A HEIGHT OF70 INCHES ABOVE THE DRAIN INLET. A4. PROVIDE MINIMUM 30 -INCH WIDE CLEAR SPACE AT WATER CLOSET, EXTENDING AT LEAST24 INCHES IN FRONT A5. PROVIDE TILE, ZA "'MIN. ABOVE DRAIN A6. SHOWER AND TUBSHOWER SHALL BE PROVIDED WITH INDIVIDUAL CONTROL VALVES OF THE PRESSURE BALANCE OR THE THERMOSTATIC MIXING VALVE TYPE. A7. PROVIDE SMOKE DETECTORS AT ALL BEDROOMS AND AT HALLWAYS OUTSIDE OF ,BCRF,Qj�Q$.ED p �s� 10040 PHAR LAP REMO. 905 RUSSELL AVE, LOS ALTOS,CA, 9402' darkods^mac.com 650.464.252( `s R it LEGEND Dim DIMMER SWITCH SWITCH O.S. OCCUPANCY SENSOR 0 RECEPTACLE OUTLET 9). ALL COUNTER RECEPTACLE OUTLET AT KITCHEN AND BATHROOM SHALL BE GFI 10). ALL E NVI RON ME NTAL Al R DUCTS SHALL TERMINATE A MIN. OF 3 FEET FROM ANY OPENING INTO THE BUILDING 11). PROVIDE ARC -FAULT CIRCUIT - INTERRUPTER PROTECTION FOR ALL BRANCH CIRCUITS THAT SUPPLY 125 VOLT, SINGLE -PHASE 15- & 20 AMPERE RECEPTACLE IN BEDROOMS 12). WATER CLOSET SHALL BE 1.6 GALLONS /FLUSH MAX. 13). PROVIDE SHOWER DOORS WITH A MIN. OF 22" 14). PROVIDE ALL CLEANOUTS' AT EXTERIOR OF THE BUILDING 15). PROVIDE BACK FLOW DEVICE ON ALL HOSE BIBS. 16). PROVIDE A MIN. CLEARANCE OF 6" BETWEEN FLOURESCENT LIGHT OR LED LIGHTS TO COMBUSTIBLE MATERIAL AT STORAGE SPACE. 17). PROVIDE LIGHT FIXTURE IN TUB OR SHOWER ENCLOSURE WITH!LABEL "SUITABLE FOR DAMP LOCATIONS." 18). PROVIDE SEPARATE CIRCUIT FOR DISHWASHER, GARBAGE DISPOSAL AND FURNACE IN ATTIC. (E) EXISTING ® 6" RECESED LIGHT— CFL OR DIMMING CFL OR LED ® 4" RECESED LIGHT— CFL OR DIMMING CFL OR LED UNDER CABINET FLOURESCENT LIGHT O FLOURESCENT LIGHT BATHROOM VENT /LIGHT COMBO —50 CFM MIN. 2-2 VANITY WALL SCONCE WALL SCONCE FLOURESCENT LIGHT ORINCANDESCENT WALL SCONCE FLOURESCENT LIGHT WALL SCONCE LIGHT EXTERIOR WALL SCONCE o LIGHT —CFL W/ MOTION SENSOR u 0° SMOKE DETECTOR CEILING PENDANT LIGHTING —LED OR CFL BATHROOM I I I NDRY NOTES 1). PROVIDE A DEDICATED 20 -AMP CIRCUIT TO SERVE BATHROOM OUTLETS. 2). PROVIDE TWO 20 -AMP SMALL APPLIANCE BRANCH CIRCUITS FOR THE KITCHEN COUNTER OUTLETS. 3). PROVIDE A DEDICATED 20 -AMP BRANCH CIRCUIT TO SUPPLY THE LAUNDRY RECEPTACLE OUTLET. 4). ALL BEDROOM RECEPTACLE OUTLETS SHALL BE PROTECTED BY AN ARC -FAULT CIRCUIT INTERRUPTER. PER CEC Article 210.12(B). 5). SHOWER AND TUB - SHOWER COMBINATIONS SHALL BE PROVIDED WITH INDIVIDUAL CONTROL VALVES OF THE PRESSURE BALANCE OR THE TERMOSTATIC MIXING VALVE TYPE. 6). EXHAUST FAN IN THE BATHROOM SHALL BE CAPABLE TO PROVIDE 5 AIR CHANGES PER HOUR. 7). PROVIDE DRYER EXHAUST TO OUTSIDE. 8). PROVIDE @ WASHER AND DISHWASHER A PRESSURE ABSORBING DEVICES ON WATER LINES THAT ABSORB HIGH PRESSURES RESULTING FROM THE QUICK CLOSING OF QUICK ACTING VALVES. -- OVEN I KITCHEN - -� D W,- rrlii all - - WP GFI FAMILY ROOM 0 ©(D o o© o � 0__LAND S FLOOR PLAN KITCHEN SCALE: 1 /4" = 1'-0" 10040 PHAR LAP R FIVBD 6YZ IO 905 RUSSELL AVE, LOS ALTOS.CA, 9402 darkod@mac.com 650.464.252(