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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
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OWNER
MEENAKSHI GUPTA
10040 PHAR LAP DR.
CUPERTINO, 95014
408.253.2482
SHOKIEG @YAHOO.COM
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- 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(
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ierrnosa Ave
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Lomita Ave-
O
' Corte,Madna,Ln
�
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Lomita Ave il Brovm John
Woodbury Dr
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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
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O
O
905 RUSSELL AVE. LOS ALTOS.CA, 9402
darkod@mac.com 650.464.252(
ierrnosa Ave
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`History ter
Lomita Ave-
O
4
_ -
GrotndsM
Lomita Ave il Brovm John
- C "ustodal
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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'
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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(