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B-2016-1983 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1983 10350 CASTINE AVE CUPERTINO,CA 95014-1353(326 41 023) KITCHEN EXPERTS OF CALIFORNIA INCORPORATED PLEASANTON,CA 94588 OWNER'S NAME: NAGARAJ DEVI TRUSTEE DATE ISSUED:05/19/2016 OWNER'S PHONE:408-569-0577 PHONE NO:(925)2724927 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.# 8384 X BLDG —ELECT X PLUMB Contractor KITCHEN EXPERTS OF CALIFORNIA INCORPORATED Date 05/31/2017 MECH X RESIDENTIAL—COMMERCIAL 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 JOB DESCRIPTION: license is in full force and effect. KITCHEN REMODEL(190 S.F.);BATHROOM REMODEL(54 S.F.); AND GAS LINE FROM SOURCE. I hereby affirm under penalty of perjury one of the following two declarations: t. 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 Sq.Ft Floor Area: Valuation:$45000.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct.I agree to comply with all city and county ordinances 326 41 023 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 PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per the C Municipal Code,Section 9.18. Issued by:Alex VallelunQa Signature Date 5/19/2016 Date:05/19/2016 hAr OWNER-BUILDER DECLARATION RF,-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for r. I,as owner of the property,or my employees with wages as their sole inspection. compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044,Business&Professions Code) Signature of Applicant: 2. I,as owner of the property,am exclusively contracting with licensed Date:5/19/2016 contractors to construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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 Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Code,Sections 25505 25533,and 25534. 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 Owner or authorized agent: be deemed revoked. Date:5/19/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.) relating to building construction,and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments,costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code,Section 9.18. Licensed CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTlNQ (408)777-3228•FAX(408)777-3333•building0kupertino.org f � � U ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS1 APN# 's Z(_ O NAME PHONE E-MAIL ( (f a - STREETDRES o CrrY FATE,ZIP FAX ft Q C T T NAME PHO6E-MAIL ' STREET ADR S C CIT ,STATE,ZIP FAX G ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT C NI C OR NAME D ENSE B 7 N C PE BUS.LIC# e COMP N ME V 1 EMAIL FAX Le \'l �ST� R$SS r CI ,STATE,ZIP PHO ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK " 1 C e t� iC� Coe L- (, 1A EXISTING EXISTING USE PROPOSED USE CONSTR.TYPE #'STORIES 3- r.. ? ° '� "•• OFFICE`iI5EONLY. DES R>PTi NS .FT. -• `VALUATION ' EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREANET AREA BATHROOM KTTCHEN �© OTHER REMODEL AREA REMODEL AREA REMODEL AREA in- ti y, PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGEAREA:❑ DETACH '- ❑ ATTACH N DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO , , PRE-APPLICATION ❑ YES IF YES,PROVIDE COPY OF PLANNER'S NAME: IEC IVEp$Y y € TOTAL VALUATION PLANNAG ADPLP ❑NO PLANNING APPROVAL LETTER By my signature below,I certify to each of the following: I am the property owner or authorized agent t act on the kdpe n 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 authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: `eleT, _ Date: /(� SUPPLEMENTAL INFORMATION REQUIRED FLANCHEcx TPE, r ,RotTlNcsLif _New SFD or Multifamily dwellings: Apply for demolition permit for O�ER TIIE COUNTER BUILDING P AN REVTEW z existing building(s). Demolition permit is required prior to issuance of building L , permit for new building. ❑ EXPRI�SS ❑ PLANNING PLAN REVIEW , r Commercial Bldgs: Provide a completed Hazardous Materials Disclosure © STANDARD 5 ❑ PUBLIC woRKs � v' for_m if any Hazardous Materials are being used as part of this project. ❑i AGE l ❑ FiRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to 01;"MAdOR ❑ SANITARY SEWERDI5TRICT , submittal of Building Permit application. y ❑ .ENS IRON1vIENTAL'HEALTH ._.``: B1dgApp_2011.doc revised 03116111 RECEIVED Job Address: 10350 CaStille Ave. Cupertino, 95014 . 124-- Scope of Work: Kitchen ReitiGdej. 1 t 1—35 —34— BY PY ------ 1) Replace Cab!nets,Counters and Appliances A) 30" Electric Single Over B) 36" Gas Cooktop C) 36" Exha4st Hood D) 30" micro-Speed OLlen E) 24" Dishwasher 2) Run Now Gas Line for Cooktop . (see Attached Diagram) Line From Main, Tnstall Seismic Shut-o;, Valve at Main i i JJ � — `, 3) Hook lip piumbj_ng foz 14,,,S __j irik,Faucet,Disposai 11) Install 7 Led Can Lights / Title 24 Compliant 5) Install Undercabinet flourescent lights 6) Dedicate all Appliance CircuiLry as needed. 7) Install Tamper -Res-is-tant plugs to ex-isLingii-OV/20.7, 2 Branch GFCI X Splash Circuit. 8) Install Smoke and Carbon Detectors as Required. / �'•� 9) Patch, Texture, Pa-*nt Ready 10) Install New r Flooi�ng 1"n all areas shown N COMMUNITY DEVELOPMENT DPPARTMENT BUILDING DIVISION-CUPERTINO APPROVED This set of plans and specifications IN '1UST be kept at the I — - jl I =1 job site during construction. -ion. It is unlawful to make any - es or alterations on same" d-vint dhan6 ons el or to e therefrom,without approval from A Build icial. The stamping of this plan and specifications Sn.A 1 NOT 4\1 be held to ps-ornit or to be an -pri.-val of the"�-atlon ofany provisi- i ofa r 'inA ice or Stat* ' aw. DY,,fE PERMIT NO. --t;- T[ 4 2—1.,. �I �-- A visin io"ofar, IQ,, y a l .I —I Building Department I CUPERTINO ——————————— k 18 2016 4 6� 206 17 — — — — — — — — — —— — �EVIEVVED FOR CODE COMPLIANCE Reviewed By: L [Kitchen Experts of Californi NagaraD (Cupertino ) Floorplan __L_S cale : N p i ! 5 5 I ! 32 1 -21 — I _ ne stiAve. �1 36'- I — _ ,sl Cupertino, 95014 Job I�dress: 10350 CaI Scope of Work: 1/2 Bath Remodel �i ! ilLVe,se N I , 1) Replace Shower Walls and New Tile Pan _ 2) Raise Shower Head I � 3) Install New Low Flow Mixer and Head N 2"0 rain, - r ! 4) Replace small Vanity and Sink with Low. Flow Faucet t I 5) Install New 1 .6Gpf Toilet 6) Install Tamper Resistant Plug to Gfci — r 7) Replace 2 lights above sink (Customer to Provide) � Exi s-ting � 8) , Install New Floor Tile I _ Fa —� — © 9) Patch and Finish Texture as needed 7-14 6- 1a4-1X,--5�CD4 Ln I 58 I 28 -91 - CUPERTINO Building Department MAY 18 2016 s REViEVVEC FOR GUUE COMPLIANCE R eviewed By: Kitchen Experts of California ' NI (agaraj { Guest Bath). Fl oorplan ��10-14111 21 -C Scaled NTS WATER-CONSERVING PLUMBING FIXTURES JLE OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION" CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 9501.4-3255 (408)777-3228•FAX(408)777-3333 buildinaC@cupertino.ora_ f f OlviierNa re( EV1 NAG APAJ 1 Permit Na. Acic�ress C S CAS-TWE A-Vc GuPcri'1 Ao CA qSp i 1. 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. E) [A 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 oi 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. 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. 0 171 No 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. IX 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. Please check ONE of the following: 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 plumbin 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 o irnprovernents).. ❑ 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- cons rving 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 110 1.1 through 1101.8,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 indic ated in the table on the following page. r.. Owner or Owner Agent's Signature E � ` ` t ���� 1 F� Dae Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB4072015.doe revised 08/26115