Loading...
15100112CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20665 CELESTE CIR I CONTRACTOR: RE -BATH BY SCHICKER I PERMIT NO: 15100112 OWNER'S NAME: KUM NANCY 11059 DETROIT AVE I DATE ISSUED: 10/14/2015 1 OWNER'S PHONE: 6502838244 1 CONCORD, CA 94518 1 PHONE NO: (925) 676-8422 LICENSED CONTRACTOR'S DECLARATION License Class Lic. # 9/ � DJ Contractor!/bate /o//40 I herebyaffirm that I am licensed under the provisions of Chapter 9 P P (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: 1. 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 j 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 expe which may accrue against said City in consequence of the granting of thi pe ift. Addifonally, the applicant understands and will comply with all non -point o r �o eregul do s per t e Cupertino Municipal C, Section 9 Signature Date.18. �t l ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1 . 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. 2. 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. s. 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 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. Signature Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ REMOVE (E) SHOWER ENCLOSURE - INSTALL (N) UNIT SHOWER WITH PAN AND WALLS; RELOCATE THE SHOWER DRAIN (17 SF) Sq. Ft Floor Area: I Valuation: $9000 APN Number: 32658065.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. ,1� y ,� Issued by` Date: RE -ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintai compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health'&ISafety Code, Sections 25505, 25533, and 25534. Own r aut'h i nt: o Date: % 7 ,� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build ing(Qcupertino.org FI ATFUU (nM rTRT T('TT()N FI AT)DTTT(1N J/vl. A T .TFR A TION / TI I ls�IDUII 2 n REVISION /DEFERRED ORIGINAL PERMIT # u - PROJECT ADDRESS vp D 6 S- (,e J ! APN # 3Q6 - Q6 -OWNER OWNER NAME k',, L , PHONE6 ✓v � jJ Z E-MAIL STREET ADDRESS ""7 11 �� e� �l 1 ` CITY, STATE, ZIP �V �vh y? J o/ 9 �0) Y FAX CONTACT NAMET� G / �,) \ PHONE t� 2 �' 1 �� / ��� E-MAIL �G 01, Ln 1 / n STREET ADDRESS / 05GjOeqlL) �n� CITY, STATE, ZIP '`.4 91-j� / J7 FAX q2 0 G ❑ OWNER ❑ OWNE -BUILDER ❑ OWNER AGENT CONTRACTORCONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAM' ( Ci It ,� r r LICENSE NUMBER QI/ LICENSE TYPE yJ BUS. LIC #��J.�� COMPANY NAMEp' / �4 j %G) �.L'/ E-MAIL FAX Q2S r�(� L}2_ STREET ADDRESS +� S (� oe r�1 CITY, STATE, ZIP �(� i7 L �� 1 /' vO 9%% 1 (J Gf / 7 `1 PHONE 7T �� J _J)�2Z ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC #C• COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK l J Y►'1 v �x + J �7 !� S J w' -�. ►� G , f u ,� >i in ,� ;Y �j C / J ,� d- >" a ,, c%,� y, c d<r7t2CI4 1 v2-�✓ G, Yl EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA BATHROOM REMODEL AREA ' l KITCHEN REMODEL AREA OTHER REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UMTS: IS A SECOND UNIT YFS SECOND STORY E] YES ' .E] BEING ADDED? O ADDITION? ❑ NO PRE -APPLICATION F] YES IF YES, PROVIDE COPY OF IS THE BLDG AN E] YES Y; TOTAL V ALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO a 0 ,y (J By my signature below, I certify to ea of the following: I am the property owner or author age t act on the property owner's behalf. I have read this application and the information I ha rovided is corr t. I have read the Description of Work erify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t b ldirc nst uthorize representatives of Cupertino to enter the above-identifi d property for inspection purposes. Signature of Applicant/Agent: Date: 0 Ll SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _ New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING 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 ❑ 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 MARC, CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION M1 ADDRESS: 20665 Celester Cr 7DA 10/14/2015 REVIEWED BY: Phuong APN: 326-58-997 BP#: *VALUATION: 1$9,000 PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Du lex PENTAMATION 1 RPFIX USE: p PERMIT TYPE: WORK Remove E shower enclosure - install N unit shower with pan and walls; relocate the shower drain SCOPE (17 sf) APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan Check 0.0 1 hrs 0.00 QTY UNITS BP FEES Flea. Permit Fee Fixture or Trap 1BPFIXTURE Other Elec. lush. L I 2 # $20 PME Plan Check: $0.00 ' ?nppl. Insp 1 ec PME Unit Fee: $20.00 PME Permit Fee: $48.00 =`.'obstruction Tctx: TOTALS: F Administrative Fee: $20.00 $45.00 NOTE: This estimate does not include fees due to other vepartments (i.e. vianning, ,vumic works, rare, aamiary newer utstrtct, acnoot 11:,..-...� ..�.. 1 7Z ,... ,. — --- /.,,..,..t __ 41„ r„t. u.•.u.. IN Aras•/•f/AN niinitnt.ta nsfd nra n"Iv nN actirsinfa i'nN1n/'1 fila nanl fnr nddN'/ %il fn_ FEE ITEMS (Fee Resolution I1-053 E . 7/1/13) :tech. Plan Check Plumb. Plan Check 0.0 1 hrs 0.00 [;IeC;. PlCIF7 C'/►e(,`lf' 11ech..Permit Fee: Plumb. Permit Fee: IPPERMIT Flea. Permit Fee <)ther Meek Insp. Other Plumb Insp. 0.0 hrs $48.00 Other Elec. lush. L I 14ech. Insp. Fee: Plumb, Insp. Fec: Elec. I11sp. Fee: NOTE: This estimate does not include fees due to other vepartments (i.e. vianning, ,vumic works, rare, aamiary newer utstrtct, acnoot 11:,..-...� ..�.. 1 7Z ,... ,. — --- /.,,..,..t __ 41„ r„t. u.•.u.. IN Aras•/•f/AN niinitnt.ta nsfd nra n"Iv nN actirsinfa i'nN1n/'1 fila nanl fnr nddN'/ %il fn_ FEE ITEMS (Fee Resolution I1-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS "Itin Check Fee: Suppl..PC Fee PME Plan Check: $0.00 ' ?nppl. Insp 1 ec PME Unit Fee: $20.00 PME Permit Fee: $48.00 =`.'obstruction Tctx: Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes (j) No $0.00 I cJvance(] Planning .I1'c,c:,s. Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: 1BSEISMICR $1.17 1.0 hrs $143.00 Inspections 1STINSP Inspection, Hourly Bldg Stds Commission Fee: 1BCBSC $1.001 SUBTOTALS: $163.17 $143.00 TOTAL FEE: 1 $306.17 Revised: 10/01/2015 vvlll .! The Re -Bath Experience'"' This agreement is bettiveen ReBath by Schicker and owner/purchaser Mr./Mrs. s. Purchaser Work Order00 0 10 2') Date Address Media Installed on '� l7:14 City.Zip Desi Consultant � Installed by A\ C-,USTGY1nV_S -f _C6 C )) 12emeX`J}-r'n9 S�ot,�C - f" V1 c /)oJV✓'e —� In.S �-er)/ h E•w .tkIo;n.e.Y 09n r wq%I fvr✓ovn�. 0 ve— a C 0 M M cp Ae t) rJ 0 0 1 e -S C ?_ C_-, A C? C D cwGth P c � CUPERTINO S:!'Iding Department } OCT 14 2015 REVIEWED FOR CODA COMPLIANCE Reviewed By- 6 ' COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO APPROVED This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. �IVED The Stamping of this pian and specifications SHALL NOT E be held to permit or to be an approval of the violation of any provisions of any Ordinance or State Law. OCT 14 2015 BY_ DATE _ ,, Pt=RMIT # /.—C(Qd) // BY OFFICE COPY CUPERTINO Owner Name Wo_y\ WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE , CUPERTINO, CA 95014-3255 �08) 777-3228 • FAX (408) 777-3333 • buildingCaD-cupertino.org �UV✓� Permit No. � 15 In 0 1 ` � Address (D (.0 ce WS—ye C ` EC e__ Go( i ,Q b No C `1/4s- © � 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. No Go to Question 2. .4#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. 1 No Go to Question 3. wo Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. --[;Q_ No Go to Question 4. 040, 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. T 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.. ? ease check ONE of the following: My property is a, single-family residential real property. See Civil Code Section 1101.4. /r 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 improvernents 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-copsprving plumbing fixtures comply with the requirements as indicated in the table on the following page. "� �/ / wr r�7pr n:r #+. , 4:r :7 S'"�-T,ra,n��,ir E -C�--7 RI l.a /-)-D//4 Upon completing and signing this Certificate, please retu�A it to the Building Division in order to final your building patrmit. SB40 7 2015. doe revised 08/26/15 iw�. ! 1 1. If the existing plumbing fixture water usage/flow rate i� equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doe revised 08/26/15 r Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch, 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 _ Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush) Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of�' gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets . 0.8 gallons per minute @ per minute @ 60 psi; i 20 psi minimum 0.8 gallons per minute @ 20 psi I In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi _@ Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute (a7 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 _ minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate i� equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doe revised 08/26/15 r '>ress _o 6 (06 SMOKE / CARBON MONOX0E ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE ® CUPERTINO, CA 95014-3255 (408) 777-3228 o FAX (408) 777-3333 o building(�)cupertino.org M PERMIT CANNOT BE FLN&LED AND COMPLETED UNTIL TIRE CERTIFICATE HAS BEEN fi NED AND RF.T <D TO THE BUILDING 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 bedroom(s) X )C On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -bunging 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: Iii 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 finishes 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. i nave reaa ano agree to com t �witn the terms andcorrditlons of this statement rise: ,, / tO SinaEu e.................................................................................... D'ate:........... ....:e :::ac Na e: r Si,.(afUr ... is#'....f .L�............... Dafe: V ...... Stroke and CO.fonn.doc remised 03/18/14