B-2017-0847CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-0847
19503 STEVENS CREEK BLVD UNIT 223 CUPERTINO, CA 95014 (316 49 057)
ATLAS
CONSTRUCTION &
DEVELOPMENT INC
ENCINO, CA 91316
OWNER'S NAME: KO PEI HAN ET AL
DATE ISSUED: 05/30/2017
OWNER'S PHONE: 412-330-8388
PHONE NO: (818) 728-9611
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class @ Lic. #893448
Contractor ATLAS CONSTRUCTION & DEVELOPMENT INC Date 07/31/2018
X BLDG X ELECT —PLUMB
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
license is in full force and effect.
JOB DESCRIPTION:
UNIT 223; MASTER BEDROOM BATHROOM REMODEL (90 S.F.)
I hereby affirm under penalty of perjury one of the following two declarations:
r. I have and will maintain a certificate of consent to self -insure for Worker's
REV #1 - INSTALL 23 (N) RECESS LIGHTS - ISSUED 6/5/2017
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. /pj'}_
Sq. Ft Floor Area:
Valuation: $10000.00
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
316 49 057
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.
Signature Date 6/5/2017
Issued by: AbbyAygnde
OWN .R -B TILD •R DECLARATION
Date: 05/30/2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
RE -ROOFS:
following two reasons:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
1. 1, as owner of the property, or my employees with wages as their sole
installed without fust 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: 6/5/2017
1 hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
r. 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
2. 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
s. 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
shall not employ any person in any manner so as to become subject to the
material. Additionally, should I use equipment or devices which emit hazardous
Worker's Compensation laws of California. If, after making this certificate of
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
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, Sec s 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: 6/5/2017
I certify that I have read this application and state that the above information is
CONSTRUCT14 LENDING AGENCY
correct. I agree to comply with all city and county ordinances and state laws
I hereby affirm that there is a construction lending agency for the performance
relating to building construction, and hereby authorize representatives of this city
of work's for which this permit is issued (Sec. 3097, Civ C.)
to enter upon the above mentioned property for inspection purposes. (We) agree
Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
Lender's Address
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Section 9.18.
1 understand my plans shall be used as public records.
Signature Date 6/5/2017
Licensed
Professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
19503 STEVENS CREEK BLVD UNIT 223 CUPERTINO, CA 95014 (316 49 057)
OWNER'S NAME: KO PEI HAN ET AL
CONTRACTOR: I PERMIT NO: B-2017-0847
CONSTRUCTION &
DEVELOPMENT INC
ENCINO, CA 91316
DATE ISSUED: 05/30/2017
OWNER'S PHONE: 412-330-8388 1 1 PHONE NO: (818) 728-9611
License Class @ Lic. #693448
Contractor ATLAS CONSTRUCTION & DEVELOPMENT INC Date 07/31/2018
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:
t. I have and will maintain a certificate of consent to self -insure for Worker's
BUILDING PERMIT INFO:
BLDG —ELECT —PLUMB
MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
MASTER BEDROOM BATHROOM REMODEL (90 S.F.)
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
2, r, I have and will maintain Worker's Compensation Insurance, as provided for by
r -F' Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. Sq. Ft Floor Area: Valuation: $10000.00
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 5/30/2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
L 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
APN Number: Occupancy Type:
316 49 057
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby A ey ride
Date: 05/30/2017
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.
sale (Sec.7044, Business & Professions Code)
z. 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: 5/30/2017
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.
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
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 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 5/30/2017
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 maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sectiq s 25505, 25533, and 25534.
Owner or authorized agent:
Date: 5/30/2017
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
CUPERTINO
r,
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingacugertino.org
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PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNING # NO PLANNING APPROVAL LETTER
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EICHLER HOME? NO
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BUS. LIC #
CITY, STATE, ZIP
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_ New SFD or Multifamily dwellings: Apply for demolition permit for(]
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❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT
❑ CONTRACTOR ~QCONTRACTOR AGENT
❑ ARCHITECT
❑ ENGINEER ❑ DEVELOPER ❑ TENANT
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PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
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ordinances and state laws relating to building construction. 1 onze representatives of Cupertino to enter the above -id
tified pr erty for inspection purposes.
LICENSE NUMBER
Date:
BUS. LIC #
COMPANY NAME
ROUrnvcsLIP
_ New SFD or Multifamily dwellings: Apply for demolition permit for(]
E-MAIL
❑ Butt nin GPnNREvii w ;
FAX
STREET ADDRESS
permit for new building.
CITY, STATE, ZIP
❑ PT ANNING PLAN REVIEW'
PHONE
❑ iSTANDARD
DESCRIPTION OF WORK
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EXISTING USE PROPOSED USE CONSTR. TYPE I # STORIES
USE I TYPE I OCC. I SQ.FT, I VALUATION ($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM///111 KITCHEN OTHER
REMODELAREA (JI0 REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA I TOTAL DECK/PORCH AREA I GARAGE AREA: DETACH
ATTACH
# DWELLING UNITS:
IS A SECOND UNIT U YES
SECOND STORY (J YES
-
BEING ADDED? []NO
ADDITION? []NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNING # NO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES
EICHLER HOME? NO
RECEIVED BY:--.
-
TI)t VALUATION:
APPL ❑
❑
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on thl property 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. 1 onze representatives of Cupertino to enter the above -id
tified pr erty for inspection purposes.
Signature of Applicant/Agent:
Date:
SUPPLEMENTAL INFORMATION REQUUIED
PLAN CHECKTIPE
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OVER Tom -COUNTER
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existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑_ ; EXPRESS'
❑ PT ANNING PLAN REVIEW'
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ iSTANDARD
❑ PVBiIcwolxs
form if any Hazardous Materials are being used as part ofthis project.
❑ LARGE
❑ 'FIRE DEPT .
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑
❑ SANITARY DISTRICT
submittal of Building Permit application.
MAJOR
SEVPER
❑,. ENVIRONMENTAL HEALTH
B1dgApp_2011.doc revised 06/21/11
Assessor's Parcel Number.
Name of Owner. d C
Contact Person: Phone: k412_—'� 61-�.1-�-
ProjectAddress: �/� -
Scope of Work: �K A.j_n,YJJ _�(7�
Applicable Code: 2016 California Residential Code (CRC)
2016 California Plumbing Code (CPC)
2016 California Mechanical Code (CMC)
2016 California Electrical Code (CEC)
2016 California Energy Code (CEnerC)
2016 California Green Building Standards Code (GRN)
PW RING:
• All piping 334 inch or more In diameter and all hot water japes associated with a recirculation system must be insulated with min. -inch thick insulation. Exis£.ng
Inaccessible piping does not require insulation (CEnerC 150.06)2).
Water closets shall not exceed 1.28 gallons per flush, showerheads shall not exceed 2.0 GPM and new lavatory faucets shall not exceed 1.2 GPM at 60 PSI, [CPC
4U7.2, 408.2 & 411.2]
• Water closet and bidets require a minimum 15 Inches of clearance from the center line of the bowl to each side, and 24 inches of clearance from the front edge of
the bowl [CPC 402.5].
o Lavatory sinks require a minimum of 24 inches front clearance [CPC 402,5]
Showers require a minimum 2 inch drain and trap [CPC Table 702.1].
• All shower compartments shall have a minimum finished interior of 1024 square inches and shall be capable of encompassing a 30 inch diameter circle [CPC
408,61.The curb may encroach on these size requirements, All surfaces shall be waterproof up to 72 inches above the drain inlet [CRC R307.2]. Thresholds shall be
of sufficient width to accommodate a minimum 22 inch clea.• egress opening from the shower [CPC 408.5].
• Safety glass (tampered or laminated) Is required torsi glass shower doors and pardllons and for windows in walls facing the tub or shower and located less than 60
inches above the standing surface of the tub/shower and within 60 Inches horizontally [CRC R308.4.1 &5].
• 1'he maximum water temperature to a shower or lub!showcr combination Is 120F. The water heater thermostat cannot be used as the control for this temperature.
Valves shall provide scald and thermal shock protection, anal be pessure balanced, thermostatic, or combination pre,,su.�e halanced/thermostat c m x ng in
accordance with ASSE 1016 of ASME A112.18."ICSA B125.1. [CPC 408.31
EXISTING BATHROOM FLOOR PLAN
MECHANICAL:
• Mechanical ventilation is required In all bathrooms with tubs or showers. The fan must move a minimum 50 CFM of air and be separately swtched'rom the lighting,
Fans that operate continuouslycan be 20 CFM. The duct must terminate on the exterior not less than 3 feet from openings Into the building ICIJ.0 502.2.11.
• Baths with no tub or shower (half baths) do not require mechanical ventilation If they are provided with a window at least 3 sq. ft. half of which Is epenable [CRC
R303.3].
ELECTRICAL:
• All Installed lighting shall be high effwacy. tCEnarC150L0(k)`A]
• At least one light shall be controlled by a vacancy sensor (a manual -on, automatic -off occupancy sensor). [CEnerC 150.0(k)2A]
• All receptacle outlets in bathrooms shall be GFCI protected [CEC210.8A1].
• All receptacle outlets In bathrooms shall be tamper resistant [CEC406.12A].
• When a bathtubor shower stall Is in an area not technical'..y considered a bathroom (by the definitions In the electrical code), receptacles within 6 ft. of the
Witc,hower stall must be GFCI- protected. [CEC210.8A9].
A receptacle outlet is required within 3 feet of each wash basin location. It maybe on the wall, Oran adjacent partition, or on the face or side of the cabinet not
more than 12 Inches below the top of the basin [CEC 210.52D].
• Receptacles cannot be face -up Ina vanity surface; listed pop-up receptacles are allowed [CEC 406.5E & 210.52D].
• A minimum of one 20 -amp circuit Is required for the receptacles in the bathroom(,,). This circuit can have no other outlets, Including lights [CEC 210.11 C31. If a
20 -amp circuit serves only one bathroom, lights and fans can be on the same circuit with the receptacles in that bathroom [CEC 210.11 C3 exception].
• Hydro -massage tubs require an individual (dedicated) branch circuit and readily accessible GFCI protection [CEC 630.71]. An access door is required and must be
large enough to remove the =for and pump. Cord -connected equipment must have the receptacle facing the opening and be no more than one fool behind the
access hatch [CEC 680.73).
• Recessed light fixtures in shower enclosures must be listed for a damp or wet location (CEG 410.10A)
• Pendant light fixtures, track lights, and paddle fans shall not be installed lower than 8 feet above the flood -level dm of a tub, Including the area 3 feet past the edge of
the tub [CEC 410.10D1.
• Electrical panels shall not be installed in bathrooms [CEC 240.24[11,
• Switches and receplac'es are not allowed In bathtub or shower spaces [CEC 404.4C & 406,9C].
IMCUPERTINO
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PROPOSED BATHROOM FLOOR PLAN