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B-2017-0502CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0502 6190 DISNEY LN CUPERTINO, CA 950144635 (375 41 017) REMODO KITCHENS & BATHS CONCORD, CA 94520 OWNER'S NAME: MCAULIFFE PATRICK G TRUSTEE DATE ISSUED: 03/29/2017 OWNER'S PHONE: 408-896-0201 PHONE NO: (408) 914-8666 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 5 Lic. #955200 Contractor REMODO KITCHENS & BATHS Date 05/31/2018 X BLDG —ELECT _ PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing T MECH X RESIDENIAL COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: KITCHEN REMODEL (1Q8 S.F.) 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. .� � \z. 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: $8500.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 375 41017 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. SignatureDate 3/29/2017 Issued by: AbbyAyende 0 R_ ZZDECLARATION Date: 03/29/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 1. 1, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 3/29/2017 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous 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 Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. - Owner or authorized agent: = �- APPLICANT CERTIFICATION Date: 3/29/2017 1 certify that I have read this application and state that the above information is N TR N LE A I hereby affirm that there is a construction lendin gency 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 Signature Date 3/29/2017 Professional ❑ NEW CONSTRUCTION ® �-- f. CONSTRICTION PERMIT APPLICATION - COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (403) 777-3228 > FAX ((408) 777-3333 • buildingQcupertino.oLg ❑ ADDITION I I ALTERATTCIN / TT ❑ RFVT-,I0N / T)FFRuu PTi nurr;TNTAT nVT?AATT 44 PROJECT ADDRESS 15– 41 ray OWNER NAME , kb L 0 /�/e ` J �/� e PHONE c(-os-zc`L!-1 ' W' Ka ly EMAIL STREET ADDRESS CITY, STATE,�ZIF FAX CONTACT NAME rl�/) Ki L/ 6"- y J PHOt.(0' '31l Ut NE E-MAIL�c� STREET ADDRESS2 2-d �� f lL�t1JI IFK I 4,�_; CITY, STATE, ZIP ` j r 3 AX / ❑ OwNER 11OWNER-BUILDER ElOWNER AGENT CO_*PI'RACTOR ❑ CONTRACTOR AGENT ❑ ARCHrrECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT, CONTRACTOR NAME y� 1 L CENSE NUMBER LICENSE TYPE BUS. LIC # Q o,3 G� COMPANYNAME t ^� E A e � t�q\ ( L Cts Irl �t 5 COL— FAX STREET ADDRESS STATE, ZIP2z PHONE Lt G .��CITY, _f ARCHITECT/ENGINEER NAME LICENSE NUMBER �- BUS. LIC # - COMPANY NAME I E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP I PHONE s DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR._ TYPE # S'TORIE?S �l o , :HOCC.USE SQ.FT. VALUATION (g) 1 ,,,L EXISTG AREA y ().g NEW FLOOR e AREA �0 7I DEMO AREA TOTAL NET AREA " BATHROOM REMODEL AREA KITCHEN REMODEL AREA O OTHER REMODEL AREA PORCH AREA DECK AREA " TOTAL DECIJPORCH AREA GARAGE AREA: DETACH - ❑ ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑ ,YES SECOND STORY []YES BEINGADDED? 0 ADDITION? ' ❑NO ' PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RE IVSD BY: TOTAL VA ATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO g 51--:, C, By my signature below, I certify to each of the following: I am the property owner or authorized agent to Act.. the roperty 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 authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: (� SUPPLEMENT ORMAT _QUIRED PLAN CHECKTYPE ROUTING SLIP {] OVER—TM—COUNTER Q BUILDING PLAN REVIEW New SFD or Multifaml y dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. Q 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 ❑ EIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ElmAaoR © SANITARY SEWER DISTRICT submittal of Building Permit application. El ENVIRONAIENTAL HEALTH BldgApp 2011.doc revised 06121111 111 Assessors Parcel Number: 'lam Name ofOwnec Contact Person: �fla. /1 7/ i C CS coo, , / / Phone: i -I o / 7 � l Projec Scopetof Works �\ t/ L.l -t' L t b" E'i-tt �� :/ £.{' f %t't-, C'42 � CCS 1/ '�( �4 C'Q L_. L. �{ L_J f' it %J , ��-, Apidicable Code: 201E California Residential Code (CRC) 2016 California Plumbing Code (CPC) 2016 California Mechanical Code (CMC) 2016 Califomia Electrical Code (CEC) 2016 California Energy Code (CEnerC) 2016 California Greer Building Starrrdar-ds Code (GRN) PLUMBING: • Dishwashers shill be connected with an approved drainage in, gap devices'iocated above the flood level rim of the sink ;CPC 807 3], • Newy installed kitchen faucets shall not exceed 1.8 gallens per minute [GRN 4.203-1-4 41. • All plains ''/< inch or more in ciameter and all hot water pipes fromthe heating source to the kitchen fixtur=_s must be insuated with min. 1 -inch th,.ck insulation [CEro-C 150.00;2]. Existing inaccessible piping does no require insulation. MECHANICAL: • A mechanical permit is required to replace a kitchen exhaust hood that includes an outside air vent. The ,or must terminate on the building ex.enor at least 3 ft. com other openings into the building [CMC502.2.1]. Flexible (corrugated) ducting is not allowed for exhaust hoods [CMO 504.3]. [�v JOB clopl." rig S PLANHALL REMAIN ON n , u , EXISTING KITCHEN FLOOR PLAN ELECTRICAL' • All'installed lighting shall be high efficacy. [CEnerC 150a(k)1A] • Under cabinet light rig must be switched separately from other ght' g.[CEnerC 150 0(k)2Ll • A minimum of two 20 amp small appliance branch dreuits are max red to serve countertop and wall receptacles In the kitchen, pantry and dining room [CEC 210.11A]. No built-in appliances are allowed on these circuits (except an electro clock or the ignition of a gas range). • Individual (dedicated) circuts are required for garbage illness s, microwaves compactors, and dishwashers, [CEC210.1 9A1 b • AFt;I(arc-faultc wlt tempter) protecton -s.equ ed for all 120V 15& 20 -amp kltehen ciromck.[CEC21012A] • Receptacles shall be lustial ':ad at each countertop _pace 2 12 in In width [CEC 210.52C1]. Receptades shall be installed so that no point along the wall line is more than 24 Inches horson:allyfront an outlet in that space [CEC 210 52C']. Tre mansmum spacing between receotac es measured on the wall countertop line, is 48 ind es. • All receptacles serving kitchen countertop surfaces shall have GFCI protection [210.8A6]. • Countertop receptacles shall not be installed i, a face up position [CEC 406.5E]. Listed "pop-up' receptacles are allowed [CEC 210.52C5]. Receptacles or strip outlets can be'—tailed on the underside of the cabinet above the countertop if within 20 inches of ;he countertop. • Dishwashers require GFCI prosection, including 240 -volt dishwashers. (new in 2015 codes) • All GFCI device controls must be in readily accessible location->. Outlets behind a dishwasher are not readily accessible. GFCI protection can be provided by using a GFCI circuit breaker. • All general purpose and countertop receptacles must be tamper-resistant [CEC 406,12A] • Corner sinks separate the space on each side when the distance between the corner and the sink is < 18 inches. If >_ 18 in., the 2 ft, / 4 ft. rule continues behind the sink [CEC 210-5204]. • On islands and peninsulas only, receptacles are allowed on the side of the cabinet, not more than 12 inches below the countertop and with no overhanging countertop greater than 6 inches [CEC 210.52 C5 exc.1 • Bar -type counters are considered wall space. wall spaces? 2 ftrequire receptacles so that no portion of the wall Is more than 6 ft, from a receptacle outlet, measured at the 9oorlwall line [CEC 210.52A1&2]. • A range hood microwave combination can be cord -and -plug connected if the circuit is an individual (dedicated) branch circuit. The receptacle outiet shall be a single type, not a duplex receptacle that would accept Me plugs [CEC 422.1684]. • The 24-inch/48-inch Id. does .of appy to island or peninsular countertops. These re dn, only one receptacle per countertop space, regardless of length [CEC 210.52C20]. An island or peninsula is considered divided into separate coup ertep spaces when a sink or range is Installed and does not have 12 inches of space demon R. see me diagram on page 2. U!:m° O 4—�= s Pe.v,0 CUPERTINO PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCELF `'° .. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION L 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org A 1VXTn r Ri'i Ti TN A T T. 7n YTNTTT: TUTQ; C1r137TT7i Td- A 'rV T7:A'C RTi Ti XT This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314; R315, 2016 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, R315, and CSC 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 ALAR_ M Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable attics X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning 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: In 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 specified below have been tested and are operational, as of the date signed below. JJ Address: 6150 P j S h eH 4N CcpteA, (vim /� Permit No. Specify Number of Alarms: # Smoke Alarms: F—T� # Carbon Monoxide Detectors: I l l 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: Signature........................................................................................................................ Date:................... Contractor Name: / /�/ fl?AK I -S I k ffl �FL Signature.."... ...................... Lic.# ... ...`.` .v... Date:D�. Smoke and CO form.doc remised 0111012017 CUPERTitwtE> WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 77 228 • FAX (408) 777-3333 • building(a)cupertino.org Owner Name ��}'��� �5� Permit No. T —OS-02— Address OS0Z Address 01 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. No Go to Question 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. 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. K51 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. 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. PI se 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 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 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 indicated in the table on the following page. Owner or Owner Agent's Signature: Date: l)S-- / h Upon completing and signing 's e leas rn it to the Building Division in order to final your building permit. SB4072015.doe revised 01105117 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 01/05/17 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 2016 CPC Ch. 4 2016 CPC Ch. 4 2016 CPC Ch. 4 /Flow Rate 2016 CALGreen Div. 4.3 2016 CALGreen Div. 4.3 2016 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; 20 psi minimum 0.8 gallons per minute @ 20 psi 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 @ 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 is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 01/05/17