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B-2016-1625CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10225 PARKSIDE LN CUPERTINO, CA 95014-6600 (369 04 048) OWNER'S NAME: CAMPBELL BRIAN AND FLOY TRUSTEE OWNER'S PHONE: 4088330900 LICENSED CONTRACTOR'S DECLARATION License Class GENERAL BUILDING CONTRACTOR Lic. #991840 Contractor FUTURE VISION REMODELING INC Date 04/30/2016 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: 1. 1 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 bav"e 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. Signature Date 03/24/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 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. 3. 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 revolted. 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. Date 03/24/2016 CONTRACTOR: PERMIT NO: B-2016-1625 FUTURE VISION REMODELING INC VAN NUYS, CA 91406 DATE ISSUED: 03/24/2016 PHONE NO: (818) 284-9890 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REMODEL GUEST, HALL AND MASTER BATHROOMS (250 S.F.) Sq. Ft Floor Area: Valuation: $20000.00 APN Number: Occupancy Type: 369 04 048 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED TINCTION. Issued by: ALEX VALLELUNGA 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 App] Date: 03/24/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUSMATERIALSDISCLOSURE 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 maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533,, and 25534. l� Owner or authorized agent: Date: 03/24/2016 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! ng.(a,cupert! no, org ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL D-111.' PROJECTADDRESS Q �� 1 1 / / / _ I APN r �- y` ,,, 9 04, o !//�jJrl �S!- OWNER NAME � / �^n j I /' PHONE �dg- ��(.��,1 E-MAIL , r I/ !1I L� STREETADDRESS }' 1 /+/S!� if Oma- /� 4i v - (� � V � l � � FAX Vt�! CITY, STATE,ZIPP ///t f� CONTACT NAME PHONE L 0� E-IvLAIL STREET ADDRESS �j fA U C' / 1_ CITY, STATE, ZIP ' C'k FAX ❑ OWNER ❑ OININER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR OICIOXTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT I LICENSENU1,11BER �j�jj / LICENSE TYPE CONTRACTOR NAMEFq BUS. LIC COMPANY NAA / E-MAIL e A Il' FAX STREET ADDRES G / / CITY, STATE, ZIP PHOX&`vjI r ARCHITECTENGINEERNAMELICENSE NUMB BUS. LIC' COMPANTY NAME E-NIIAIL FAX STREETADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WOItIi � }� � (S ' ( ^y - I ®/ � �� ✓ V � !gin' �•� rr'l, k ems( EXISTING USE ---j PPPOSEDL'SE CONSTR. TSTE _ STORIES USE I TYPE OCC. SQ.FT. VALUATION (S) EMSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM � /J KITCHEN OTHER REMODELAREA '/�(ss REMODEL AREA I REMODELAREA 7- PORCH AREA. DECK AREA TOTLAL DECKPORCH .AREA GARAGE AREA: Lj DETACH - - E] ATTACH D\�%ELLiNG L,1\4TS: , IS A SECOND UNIT []YES SECON-D STORY ❑ YES BELNGADDED? El NO ADDITION? []NO l PRE -APPLICATION ❑ YES IFYES. ES. PROVIDE COPY OF IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNING ADPL m I] NO PLANNING APPROVAL LETTER EICHLER HOME? []NO �`/`] JVL—) By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on theroperty owner'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 with all applicable local ordinances and state laws relating to building construction. I auth 'ze entatives of Cupertino to enter the above-identined property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEI (ENTAL FNTFORIA_aT�YON REQUIRED �s ,, PLA'�CHECI>TIPE I � �; ROUTI'tiGSLIP� E '� / I\Tew SFD or Multifamily dwellings: Apply for demolition permit for ',,'-EON-ERTxE coU�TER BUILD(\G Pa �� 7tEt IE1� �, existing building(s). Demolition permit is required prior to issuance of buildings g z E permit for new building. x 31� E�REss❑ PLA�inQ L�G PL�n 72E� IEi ' Commercial BIdas: Provide a completed Hazardous Materials Disclosure L sT� D�RD ❑E PusliCiNoRI ' _ form if any Hazardous Materials are being used as part of this project. 3 I ry LARGE s aPIREDEPT ss s a' _Copy of Planning A pproVal Letter or Meeting with Planning prior to ©� JOR ' x ❑'s��Ir. submittal of Building Permit application. Az uu sEi� ER�IsrlucT E\�ZRO\14ENT`AL HEALTH Bldo jpp_Z011.doe revised 06/21/11 c' l A sensor's Parcel Number: 6L 0q9 Narne of Owner: i Contact Person: ���� Phone: Project Address: �A fb'k je— /G4 rw_ �f4 Scope of Work: Code Editions: 2013 California Residential Code 2013 California Plumbing Code 2013 California Mechanical Code 2013 California Electrical Code 2013 California Energy Code _ifo � ___ P _� — 0 9 J COI _4� '��O(bf Mechanical Notes: OFFICE CO'P�Y 1. bathroom vents shall terminate not less than 3 feet from openings p fngs and property lines. (CIVIC 504.1) Energy Code Mandatory Measures: 1. All permanently installed high efficacy luminaires shall be switched separately from low efficacy luminaires (150(k)(7)) 2, Permanently installed luminaires in bathrooms shall be high efficacy luminaires OR are controlled by an occupant-sensors(s) certified to comply with Section 119 that does not turn on automatically or have an always on option. (150(k)(10)) COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO This s�Dt of plans and specifications %,JUST be kept at the job iSz:s c3tlring colIstruction. It is unlawful to make any cl langss or alterations on Safe, or to deviate therefrom, without approval from the Building CafflCial. Tho starnping of this plan and specifications SHALL NOT bre 'hold to permit 0 F a anaryl-roval of the violation of any provision r rn Cit e u'e,^rice or State Law. BY 31;vq DATE PERMIT NO. L�: Plumbing Notes: 1. Water closets shall have an average water consumption of not more than 1.28 gallons per effective flush, (CPC 403.2) 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi. (CPC 408,2) 3. Faucets -in lavatories shall have. a water flow not exceed 1.5 gallons per minutes C 60 psi and shall not be less than :8 gallons per minutes at 20 psi. (CPC -403.6) 4. 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 able the shower drain. (CPC 408.6) 5, Shower compartments and walls above bathtubs with Installed shouter heads shall be finished with a smooth, nonabsorbent surface to a height not less than 72 inches (6ft). (CRC 8307.2) 6, The maximum hot water temperature discharging from the bathtub, shouter 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) 7. Water closet shall be set minimum 15 Inches from its center to a side wall or obstruction and 24 inch clearance in front of water closet. (CPC 402.5) Electrical Notes: 1. The installation of smoke alarms in all of the following areas shall be provided: (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, C. In each story within a dwelling unit, including basements but not including crawl spaces and uninhabitable attics. 2. 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. (CRC R315.1) 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlets. (CEC 210.11(C)(3)) 4. All receptacles in bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve counter top- surfaces), laundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground -fault circuit interrupter (GFCi) protection. (CEC 210.8) 5. In all areas specified in 210.52, all 125 -volt, 15- and 20- ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.11) 7 y f Y - E?C1STING BATHROOM FLOOR PLAN �LnwI, r-ru/m�i 4r �� i2b Av;,,r sU'r REVIEWED FOR CODE COMPLIANCE Reviewed By: Tkv'o�mvw PROPOSED BATHROOM FLOOR PLAN/ to Building DePartment , s, NAR 2 4 2016 REVIEWED FOR CODE COMPLIANCE Reviewed By: Tkv'o�mvw PROPOSED BATHROOM FLOOR PLAN/ Assessor's Parcel Number: 36q 04 046. Name of Owner: Contact Person; V4 Project Address: Scope of Work: Code Editions: 2013 California Residential Code 2013 California Plumbing Code 2013 California Mechanical Code 2013 California Rlectrical Code 2013 California Energy Code Mechanical Notes: 9/3b� ��vo Phone; — C-tl� Gf I4bIL� Bathroom vents shall terminate not less than 3 feet from openings and property Imes. (CIVIC 504.1) Energy Code Mandatory Measures: I. All permanently installed high efficacy luminaires shall be switched separately from lour efficacy luminaires (150(k)(7)) 2, Permanently installed luminaires in bathrooms shall be high efficacy luminaires OR are controlled by an occupantsensors(s) certified to complywith Section 119 that does not turn on automatically or have an always on option. (150(k)(10)) =F7 EXISTING BATHROOM FLOOR PLAN 3z � Plumbing Notes: 1. Water closets shall have an average water consumption of not more than 1.28 gallons per effective flush. (CPC 403.2) 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi. (CPC 408.2) 3. Faucets -in lavatories shall have a water flow not exceed 1.5 gallons per minutes @ 60 psi and shall not be less than :8 gallons per minutes at 20 psi, (CPC -403,6) 4. 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 able the shower drain. (CPC 408.6) 5. 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 (6ft). (CRC R307.2). 6, 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) 7. Water closet shall be set minimum 15 Inches from its center to a side wall or obstruction and 24 inch clearance in front of water closet. (CPC 402,5) Electrical Notes: 1, The installation of smoke alarms in all of the following areas shall be provided: (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, C. In each story within a dwelling unit, including basements but not including crawl spaces and uninhabitable attics, 2. 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. (CRC R315,1) 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlets. (CEO 210.11(C)(3)) 4. All receptacles In bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kltchens'(where receptacles serve counter top- surfaces), IGundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground -fault circuit interrupter (GFCi) protection. (CEC 210.8) 5. In all areas specified in 210.52, all 125 -volt, 15- and 20- ampere receptacles shall be listed tamper-resistant receptacles. (CEO 406.11) ------------ OvI)l�v /--z G-� Building epartmet t 2616 REVIEWED FOR CODE COMPLIANCE Reviewed By: T&Kp��Old PROPOSED BATHROOM FLOOR PLAN 4 (' Assessors Parcel Number;_3M C04-0 Name of Owner: i Contact Person: I)AVi 6 �G Project Address: Scope of Work: Code Editions: 2013 California Residential Code 2013 California Plumbing Code 2013 -California Mechanical Code 2013 California Electrical Code 2013 California Energy Code Mechanical Notes: Bathroom vents shall terminate not less than 3 feet from openings and property lines. (CIVIC 504.1) Energy Code Mandatory Measures: I. All permanently installed high efficacy luminaires shall be switched separately from lour efficacy luminaires (150(k)(7)) 2, Permanently installed luminaires in bathrooms shall be high efficacy luminaires OR are controlled by an occupantsensors(s) certified to complywith Section 119 that does not turn on automatically or have an always on option, (150(k)(10)) 2, d EXISTING BATHROOM FLOOR PLAN Plumbing Notes: 1. Neater closets shall have an average water consumption of not more than 1.28 gallons per effective flush, (CPC 403.2) 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi. (CPC 408.2) 3. Faucets•in lavatories shall have a water flow not exceed 1,5 gallons per minutes @ 60 psi and shall not be less than .8 gallons per minutes at 20 psi. (CPC -403,6) 4. 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 able the shower drain. (CAC 408.6) 5. Shouter 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 (6ft). (CRC R307.2) 6. The maximum hot water temperature discharging from the bathtub, shouter and whirlpool bathtub filler shall be limited to 120 degrees Fahrenheit The water heater thermostat shall not be oonsidered a control for meeting this provision. (CPC 400,4 & 408,3) 7. Water closet shall be set minimum 15 Inches from its center to a side wall or obstruction and 24 inch clearance in front of water closet, (CPC 402.5) Electrical Notes: 1, The installation of smoke alarms -in all of the following areas shall be provided: (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, C. In each story within a dwelling unit, including basements but not including crawl spaces and uninhabitable attics. 2. 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. (CRC R315.1) 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlets. (CEO 210.11(C)(3)) 4. All receptacles In bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve counter top- surfaces), laundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground -fault circuit interrupter (GFCI) protection. (CEC 210.8) 5. In all areas specified in 210.52, all 125 -volt, 15- and 20- ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.11) Bu'Iding Department �VWV�= E 40C ANCE Reviewed By: Tpw ku � PROPOSED BATHROOM FLOOR PLAN WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT , BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a(Dcupertino org Owner Name Perin 21()t6 -j6 Address lJ� ®�? 5 �'�nr�c S i Q - i^ �+rr Ck l 1. Is your real property a registered historical site? 4 C71 Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 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. _1 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. Li i6o 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. %j)�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 ease check ONE of the following: 1� 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 110 1.8, 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 nage. Owner or Owner Agent's Upon completing and signing this Certificate, please return it to the Building Division in order to final vnnr bn;lrhna „Pr mit SB407 2015. doe revised 08/26/15