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14060131CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22126 HIBISCUS DR CONTRACTOPo-+BI--444� r)FTXD E i PERMIT NO: 14060131 OWNER'S NAME: MICHAEL MILAN DATE ISSUED: 06/19/2014 OWNER'S PHONE: 4082450657 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ REMODEL BATHROOM AND KITCHEN LIKE FOR LIKE License Class_ Lic. # O I G 2 SEE PLANS FOR KITCHEN Contractor TyPf, UM Date 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 Sq. Ft Floor Area: Valuation: $17000 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 APN Number: 32602027 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 DAYS FRCALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, =T ✓� costs, and expenses which may accrue against said City in consequence of the Issued by: Date: 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. ❑ 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 Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, Sections 25505, 25533, and 25534. �/f 9 I y Owner or authorized agent: f�QA Date: 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 CONSTRUCTION LENDING AGENCY 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 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 regulations per the Cupertino Municipal Code, Section Licensed Professional 9 18. Signature Date CUPERTINO r --i CONSTRUCTION PERMIT APPLICATION 613 1 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �U 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(@cypertino.org 1 1-1 . M . ,T , err I 1 vtAllcTnXT / IIT=FFRRPT) C)RTC',TNAL PERMIT # LJ NEW CONS IKUUIION " HLIJ111VN IJ , . u ­­-" I -- --- - - PROTECT ADDRESS 1 Qj_ ` �ip APN# -1 . 02 0Pc1 b{ qs U J1 I _3:ZL4r OWNERNAME PHONE L70s E-MAIL ` STREET ADDRESS I CITY, STATE, ZIP! ( (_ I FAX `M CONTACT NAME1 PHONE �-7 Q -6 p E-MAIL a a STREET ADD SSCITY, S STATE, ZIP�p y� ' ) 1�n FA X • . ❑ OWNER ❑ oANER.BUILDER ❑ OWNER AGENT ❑ CONTRACTOR CoNTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME x ZR LICENSE NUMBER ` LICENSE TYPE BUS. LIC # COMPANY NAME{ 1 n /� ( 1 t rC Cr E-MAIL FAX STREET ADDRESS ! � g� ( � u CITY, STATE, ZIP j n n 'r� � 14 (4 qK (j C V I r PHONE r `LIV ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION O RK O VI I mpou1I-or eh C;P ` k; Xi eLS Cal, .T No ) -A >;►R//l k W (a r h px- m EXISTING USE PROPO USE CONS E #STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL NET AREA AREA AREA AREA BATHROOM R.EMODELARFAi KITCHEN ,,�,,,,,,,,_. / REMODEL OTHER REMODEL AREA vDECK PORCH AREA AREA TOTAL DECKIPORCH AREA - GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT - ❑ YES SECOND STORY El YES BEING ADDED? []NO ADDITION? ❑ NO PRE -APPLICATION ❑YES IF YES. PROV]DE COPY OF IS THE BLDG AN ❑ YESRECEIVED,Bar TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LEITER EICHLER HOME? []NO By my signature below, I certify to each of the following: I am the property owner or authorizeda gen property oNmer's behalf. 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 �a ith all applicable local ordinances and state laws relating to building construction. 1 authorize representatives of Cupertino to enter the abov/e-idgentifie(d property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED IICHECKTYPE = x OEM siTPz New SFD or Multifamily dwellings: Apply for demolition permit for x❑ a z>cotmTER 5�TtTl�il.erLAI.'RzylEw existing building(s). Demolition permit is required prior to issuance of building Y , q,+ 5 ` - �s' PLAIQNLNG PLAIN REVTE�Y for new building. = permit woxxs;' Bldgs: Provide a completed Hazardous Materials Disclosure�3i5.nRDtrTTSIac _Commercial form if any Hazardous Materials are being used as part of this project. 3 � ]; I�E L.P�Ti T 'T+ y � w ❑.ry 21 � �'�.* K - .�� �3L � � _ Copy of Planning Approval Letter or Meeting with Planning prior to�� ����-AAIT-ARI SESiRDISTRICD�,, t submittal of Building Permit application. R`�e`�.,.4 �1, :EN�'.TROhT4ENT I.]3EALT: �% BldgApp_201 Ldoc revised 06/21/11 CITY OF CUPERTINO FF.F. FCTIMATnR — RITILDING MVIRION imADDRESS: 22126 hibiscus dr DATE: 06/19/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: 1$17,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex p Suppl. PC Fee: (E) Reg. ® OT PENTAMATION 1 R3SFDREM USE: $0.00 PERMIT TYPE: A WORK remodel bathroom and kitchen like for like see plans for kitchen 120 s.£ $626.00 Remodel, Kitchen (<=300 sf) 1REMRESKIT SCOPE Permit Fee: NOTE: This estimate does not include fees due to other Departments (tie. tZammng, ruouc works, rare, aamrary,3ewer utsrru;y uciaoor T1.1—;Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Elf. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 -4-07 s.f. $626.00 Remodel, Bath (<=300 sf) IREMRESBAT Suppl. PC Fee: (E) Reg. ® OT f 0.0 hrs $0.00 PME Plan Check: $0.00 120 s.£ $626.00 Remodel, Kitchen (<=300 sf) 1REMRESKIT Permit Fee: $0.00 Suppl. Insp. Fee -.(E) Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 i *if? 11'ftt'I7CT TIX. FCC.' Work Without Permit? 0 Yes Q) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 1"a(1'c'/ L.)C)f ItT#,'t'f;?iLd17f>t7 fie("S: Stroniz Motion Fee: IBSEISMICR $1.70 Select an Administrative Item Bldg, Stds Commission Fee: 1BCBSC $1.00 e $2.70 $1,252.00 TOTAL FEE: $1,254.70 Revised: 10/01/2013 U Permit Information Project number: Z i o ly Contractor: (Dee Adm O-FFICE COPY. Project manager: E.4_.,. Address: 221L6 1�iscu, i�r- 60Pfe4*11,P G,4 as -o I Owner name: /VL; k t1 �I,t.; c CUPERTINO Owner phone: WOq _ZLfs_ CGS.., Building Department JUN 19 2014 Value Of job; � 1 poo REVIEWED FOR CODE COMPLIANCE Scope of work --please list all work and label on scope or on siteplffl§ifti fir. re4ce,?,*for Existing to remain., and (N) for new: please note if any fixtures/appliances are being moved to a new location, 1 130,16-10 -, t* i �L� �o �r�G2- / %G ► F c V�2� ��n�o t� �� COMMUNITY DEVELOPMENT DEPARTU �� UAtiI� BUILDING DNIISION - CUPERTINO Aeu) 4ol'1�,l. APPROVED �J.tw v�, This set of plaits and specifications MUST be kep nye 0 CAV, job site during construction. It is unlawful to m changes or alterations on same, or to devia Te f,, h Pf,.L, therefrom, without approval from the Building 0 �,'I{ a n Walls a er g of this plan and specifications SH held to permit t be an approval of the v' P W Sl'lawer- (-20� provision+ n C' 0 t a e anyopw ) icial. l�� a�-11 1Pn,,��, �Q �'/oar � �•q�� abo� in�rr✓� y ��' rdmance or S e91���' ►1��1 1 � �r � �" %' 1, W d 8 X DATE �arv�i PERNT NO. G a e ��%'s �;�� LoW E, o�bl� �A►� /,�I aOvJ vlv� 1 UF+�c4ar Sit r A• o . 21 dT SBA, ss Site plan: please include one unless told you do not need one, show outlets, lights and vents, mark location windows being replaced, give outer dimensions of room, note if room is on second floor of house, Y I } i 3 ADDITIONAL CODE REQUIRMENTS 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 lighting in Kitchens shall be high efficacy luminaires. Up to 50% of the wattage of permanently installed lighting in kitchens may be in lights that are not high efficacy. (150(k)(8)) 3. 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: 4. Water closets shall have an average water consumption of not more than 1.28 gallons per flush. (CPC 403.2) 5. Shower heads shall have a water flow not to exceed 2.0 gallons per minute @ 80 psi. (CPC 408.2) 6. Faucets in kitchens, wet bars, lavatories, laundry sinks, etc shall have a water flow not to exceed 1.8 gallons per minute @ 60 psi. (CPC 403.6) 7. 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 408.6) 8. 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) 9. 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 409.4 & 408.3) 10. A 30 -inch clear width for water closet compartment and 24 inch clearance in front of water closet. (CPC 402.5) Electrical Plan Notes: 11. The installation of smoke alarms in all of the following areas shall be provided: (CRC R314.3) a. On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms. b. In each room used for sleeping purposes. 12. The installation of carbon monoxide alarms in the following areas shall be provided: (CRC R315.1) a. Approved carbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on every level including basements in dwelling units that have fuel -fired appliances or attached garages. 13. A minimum of two 20 amp small appliance branch circuits shall be provided for all receptacle outlets in the kitchen, dining room, pantry, or other similar areas. (CEC 210.11(C)(1)) 14. At least one.20 amp branch circuit shall be provided to supply bathroom receptac, l�gl(�uch circuits, shall have no other outlets. (CEC 210.1 l(C)(3)) ,, _ . tt au 15. In every dwelling unit, fixed appliances such as foo, nders, dishnent 0G,9@Fing machines, dryers, laundry tray locations, built-in refrigerators , furnaces, AC units, built-in heaters or any other fined appliance with a motor of'/ h.p. or 'shall be on e� amp. branch circuit. yy�C� 16. All receptacles in bathrooms, garages, accessory bui oritdoors, cra f tcC, i�i %s led basements, kitchens (where receptacles serve counter t� .dew y;®r ar sinks (within 6 feet of the edge of the sink), shall have groAfault circu (CFC) protection. (CEC 210.8(A)) Review 17. In all areas specified in 210.52, all non-locking type 125 -volt, 15- and 20- ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.12) ResKitBathPolicy_2014.doc revised 01115114 V I - CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22126 HIBISCUS DR CONTRACTOR: TREEIUM INC PERMIT NO: 14060131 OWNER'S NAME: MICHAEL MINN 433 HEGENGERGER RD STE 108 DATE ISSUED: 06/19/2014 OWNER'S PHONE: 4082450657 OAKLAND, CA 94621 PHONE NO: (510) 300-1922 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ IV REMODEL BATHROOM AND KITCHEN LIKE FOR LIKE License Class_ Lic. # C:1(1141 SEE PLANS FOR KITCHEN REV # 1 - REVISE WINDOW SIZE IN BATHROOM, WIDEN Contractor ��^QQrUM N. Date TO 36" X 18" - ISSUED 7/21/14 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 of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $17000 'Performance o I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32602027 00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WIT ERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 D CA ED INSPECTION. 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 sued Date: granting of this permit. Additionally, the applicant understands and will compl with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. j `A RE -ROOFS: Signature V /X /1 „� Date 1 111n All roofs shall be inspected prior to any roofing material being installed. If a roof is ' t installed without first obtaining an inspection, I 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 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 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 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 Owner or authorized agent: Dater 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 CONSTRUCTION LENDING AGENCY 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 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 regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CCUPERTINO r_1 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT. DEPARTMENT • BUILDING DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(d)cuoertino.org �j ORIGrNTAL PERMIT n( r � O V 0` ! � 1 l r'_7 a ­"nM F-1 AT TcD A-Mnm/TT 5PRFVIC7r11J/T)F7F'RRE0 LJ NEW CONSIRUl.11UIN LJ - PROJECT ADDRESS [aL) ( / /) APN R OWNERNP.ME D PHONE (lr ^! r7I E-M.AIL d"� IcJl9 I T. i a 1 (, I FA STREET ADDRESS u I CITY, STATE, ZIPC"0 PeV CA 9 'ro FAX � Vv)j E CONTACT NAME PHON6.7 ,� E-MAIL ��0 STREET ADDRESS J 1 _N J y CITY, STATE, ZIP /n, I FAX ❑ OR NER ❑ OV,WM_BT,.TL EER Q OV4\Tk AGENP, ❑ CONTRACTORCO17P_1CTOR AGr. 'T ❑ ARC iifsCT ❑ ENaINEER ❑ DEVELOPER ❑ TENAJN7 CONTRACTOR NAME I LICENSE NUMBER f . I LICENSE TYPE I BUS. LIC R T e COMPANY NAME E-MAIL I FAX STREET .ADDRFss S 3 Gh e (r�/ ' l CITY, STATE, ZIP ! V' G I PHONE ARCH17iNCT/ENGIEER NAME I LICENSE NUMBER I BUS. LIC n COMPANY NAME E-MAIL I FAX STREET ADDRESS CITY, STATE, ZIP I PHONE DESCRIPTION OF WORK U , G r 1 - ') V 771" EXISTING USE I PROPOSED USE CONSTR TYPE T STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA I AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA To DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH DWELLING "NIT ISA SECOND tNIT ❑ YES SECOND STORY EYES BEING ADDED? NO ADDITION? ❑NO O.\�E.COPY OF STH BLDG AN YES = -F_{3 _ _ _ =--?`— TOT�.L. VALUATION: - PLANNINGAPPL: ❑NO PLANNING APPROVAL LEITER EICHLERHOME. - _ By my signature below, I certify to each of the following: I am the property owner or aut e property owner's behalf. I have read this m application and the inform, I have provided is correct. I have read the Description of Work and verify it is accurate. I armee to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified r((operty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEIMENT.4L 1NFOR4A ON REQUIRED L CI z� _ _v Roirnnc Apply for demolition for � SRI � � � ` New SFD or Ivlultifamil dwellings: permit Y PP P fl 4 'ER xH>rGOUNTER �BUabINGF . EiaEN existing building(s). Demolition permit is required prior to issuance of buildingz permit for neer building.L�t'1���EW x Commercial Bldgs: Provide a completed Hazardous Materials Disclosure3sRD Woxxs� _ form if any Hazardous Materials are being used as art of this project. P P 1 of Planning Approval Letter or Meeting with Planning prior to �e.�3�?^��-�i:,� .: 4 D — =1 WN WA' R10 - sRnisrRlCr���_ _Copy submittal of Building Permit application. ,Jofiii - -; 0INTiENTA1HEA3,'I'FL - - Blda4pp_201 Ldoc revised 06/21/11 . CITY OF CUPERTINO ! FFF FQTTMST"'P _ RIIII.nIN(i' IIIVIgInN i0iADDRESS: 22126 HIBISCUS DR DATE: 07/21/2014 REVIEWED BY: MELISSA APN: 326 02 027 BP#: 14060131 *VALUATION: Iso xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: p PENTAMATION 1GENRES PERMIT TYPE: WORK REV # 1 - REVISE WINDOW SIZE IN BATHROOM WIDEN TO 36" X 18" - ISSUED 7/21/14 SCOPE PME Plan Check: P" I'la€tuft, Plot r ..,. "'r, it Fee: T i mh. Peri; 1' ee; Insp. I`e e «:'c s!"" NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Pumic works, rare, aamraly Sewer Lasarlct acauut _ c _ _a _ aI-- .. i:.... ...! .. s:,...........7..l.Jn -i- n s.hr n. o t;mato ra"tart the A-nt fnr addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (F) No $0.0021 hours Plan Check, Hourly $286.00 1STPLNCK Suppl. PC Fee: Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t. i,U}i t#'t,fC'ti'rt sti.b. `3.i�?yfj tJn ifs •? £'_,lit.. 1 0 G Work Without Permit? 0 Yes Q) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 � ( � it{TC ttdiZt'f„Itdl7..)Y1 1''k''CS: Strong- Motion Fee: $0.00 Select an Administrative Item Bldg: Stds Commission Fee: $0.00 aimg ALSO 1 yMW ro,, $0.00 $286.00 TOTAL FEE:. $286.00 Revised: 07/10/2014 kiaj, tAox >e- Z'�5 errs, t 61, C.C. rA 114+'all Framing • Elevation CUPERTINO Suilding Department Z Framing A lain I PLIANCF Japk (Cripp Header— Wit') ry I Spay, v1�y1 U;r4, ,J G�"YL joLatj 2�- t c�v, b(4- P°-" '� a Xo 3b� (3 Tnmrnef- stj d TriMo — L©we✓- U f 4"0 r S H a<- �- � Y �e lac. �xr5- lJ. epe cA . COMMUNITY pYENTU EepNDDEPARTM ENT'. Q'd S 40, Th' PERTINo s of pI `� � ED le . f 4 -ft YOC 0/;/ ans and specifications /�4'"�.5 . 7-2-1" 6 Job alto during construction. MUsr chap be kept at the change or aiteraticns o it is unlav�ffu to therefrom, without n sane, or to ria atey Gny C� `r✓c'O1 The ata aAproVal from the Buiili.7 be hs;" ����Ftis faIan and U official. Permit or to specifications SHALL of an be an a- H �i L ,^drJT Rough Opew �E D aw. DATE�L � 12014