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14050148 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22126 DEAN CT CONTRACTOR:KITCHENS BY PERMIT NO: 14050148 MEYER OWNER'S NAME: ARMSTRONG, SHARON 861 E EL CAMINO REAL DATE ISSUED:05/23/2014 OWNER'S PHONE: 4082574670 MOUNTAIN VIEW,CA 94040 PHONE NO:(415)968-8318 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# �-/ � Hor MECH RESIDENTIAL COMMERCIAL Contractor E� ate JOB DESCRIPTION BATHROOM REMODEL 55 SQFT,INSTALL 3 SKYLIGHTS 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: 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. Sq.Ft Floor Area: Valuation:$40000 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 APN Number:35709031 00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. 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 / granting of this permit. all a applicant understands and will comply Issued by: �e9/✓ L G!'L Date: �,3 'l f� with non-point so a re p Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature ate 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. ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cu ino M nicipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Cod Section 55 ,2 3,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent- Date 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9 18. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 19 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINC3 (408)777-3228•FAX(408)777-3333•buildingo cupertino.org F-1NEWCONSTRUCTION ElADDITION lamA TION/TI ElREVISION/DEFERRED ORIGINAL PERMIT# y/F 0 PROJECT ADDRESS n 2 1 n/„ 1��� \ j�.a Q ^I APN# ,t, �j OWNER NAME�Iy`ib (i,r +-fT�� `/10. � V PHONE�8-2 57-40 0 B-MAIL STREET ADDRESS 11'1���]��p��1V CT. CITY,STATE,ZIP W � -\V Y .q%H FAX CONTACT NAME j`h.``.� A JI o y m PHONE/50.,9 Q-70& (1 E-MAIL kl l P CY+CO� STREETADDRESS 9 U1/e 0- V•11-■WO g� CITY.STATE,ZIPS AeO/UfJTA tN N(E I A FAX/'� Q/ ' 04101 ❑OwNER ❑ OwNER•BUILDER ❑OwNER AGENT NTRACTOR ❑CONTRACTOR AGENT 1❑V ARCCHIYTEECT•JT❑ENGINEER `❑3 DEVELOPER 11/TENNASNr CONTRAC 0R NAME�i'�`n-" A � LICENSE NUMBER�1'�'72/yC,i LICENSE TYPE �' BUS.LIC COMPANY NAME F"I 1 I�TU'7�j W �wro aG:Jsl.�+ R�C�fh Sob STREET ADDRESS ' el CITY,STATE, NUJ��1a�,IV Yt la-Hi PHONE , , rLIm'1(o ARCHITECT/ENGINEER NAME LICENSENUMBER r BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK -F R> n�y.,�m , PL' e Vr9,i 1 A 1 IL A�0ttC/I- iG[ �J,-1v�l✓r',�,y1 Y1 C-7:A Tb C00,4� I is U)C N D.OcJ lM.2 EXISTING USE PROPOSED USE CONST?.TYPE I #Sr RMS USE TYPE OCC. SQXT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL +/ AREA AREA AREA NET AREA BATHROOM OTHER (� REMODELAREA REMODEL AREA REMODELAREA PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: HDETACH ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECONDSTORY BEING ADDED? ANO A21TION? T•�EIO PRE-APPLICATION ❑yyS IF YES,PROVIDE COPY OFF IS THE BLDG AN J�❑'AYES TOTAL jVALUATION: PLANNING APPL# O PLANNING APPROVAL LETTER EICHLER HOME? [].NO C O By my signature below,I certify to each of the follo am the property owner or authorized agent to act on the property owner's behalf. I hav read this application and the infbimatiorl.1 have provi s correct have a Description of Work and verify it is accurate. I agree to comply With all applicable local ordinances and state laws relat 1i uil ' g c on. i resentatives of Cupertino to enter the above entified property for inspection purposes. Signature of Applicant/Agent: Date: G SUPPLE AL INFORMATION REQUIRED --_New SFD or Multifamil dwellin s: _ y- g Applyfor�del�olltinn p�rmlt"for""' ' existing building(s). Demolition permit is required prior to issuance of building permit for new building. _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 22126 Dean Ct DATE: 05/23/2014 REVIEWED BY: Sean APN: BP#: d67 *VALUATION: 1$40,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM USE: PERMIT TYPE: WORK Bathroom remodel 55 Sq ft • install 3 skylights. SCOPE t . Wit k z aT Alech.Plan Check Plumb.Plan Check E/ec. P14711 Check tte=cl;.I'ermit.Fee: Plrtrrrh.Permit Fee: Dec.Permit Pee: Other.Wech. rl,p. Other Plumb Insp. Other E,lec. hup. /Wch. Insp. fee. Plumb.Insp. fee: 1'lec.Iarclz Fee: NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based on the relimin information available and are onI an estimate. Contact the De t or addn'1 info, FEE ITEMS (Tee Resolution 11-053 E . 71'1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = s.f. Remodel,Bath(<=300 sf) Suppl. PC Fee: Q Reg. ® OT 0.0 I hrs $0.00 $626.00 1REMRESBAT PME Plan Check: $0.00 F-T-1 # Window/Sliding Glass Door Permit Fee: $0.00 $418.00 1WINREP Replacement Suppl. Insp.Fee-0 Reg. ®OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ('roti action :Tax: Adnfifristrative Fee,: 0 Work Without Permit? ®Yes (D No $0.00 0 Advanced.Planning Fee: $0.00 Select a Non-Residential E) Tr'cx�ca 17r.>cr�nxent�rtiort.E-ees: Building or Structure Strony,Motion Fee: IBSEISMICR $4.00 Select an Administrative Item Bld€'•Stds Commission Fee: IBCBSC $2.00 no $6.00 $1,044.00 3 r TOTAL FEE: $1,050.00 Revised: 04/01/2014 ....Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: 26 PERMIT# d OWNER'S NAME: PHONE# – — GENERAL CONTRACTOR: vy BUSINESS LICENSE# ADDRESS: N� CITY/ZIPCODE; *Our municipal code requires all businesses working in the city to have a City of Cupertino.business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A-CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature ate P[A'WO Paslnar OOP*P[0Z dO!lody1ng11}Isag (ZI'90t DgD) 'salouldaoaz lulelsisa�-aadunlel palsil oq imus saloleldooai ondunle -OZ Pus-SI `IIOA-SZI aCMl iiui�lool-uou JIB`ZS'OIZ let Pa Toods suatu IIs ul 'Li ((V)8'0IZ DaD) •uotlooloid(I33D)aaldn.uolul lino.no Ilnuj-punoa ansa llugs `Qms all jo 3Op3 all jo laaj 9 uiglim) s�luis TLq lam`giltln`X.npunlel `(saolejms do; miunoo anzas sololeldoow ongm)suagolq`sluaunasleq palsruijun`saoleds Imszo `s.zoopino`s2uuiplmq kioss000le`sa2lenu�`suioozglsq ui soln1doow IIV '9I -lino.no gouleiq -dun OZ alleiudas le uo aq llugs joRml zo •d•g/I jo aoloui u iilim oouletlddu poxg jallo Mule .io sialleal ul-llinq `s;tun DV`sooleumg`siozaaij.to s.zolsza2ivaa let-Ilinq`suoilleool Xv.4 X.npunlel `SJOXJp `soungouw 2unlsum`s.tagsumgsip `s.tapuuiialsum pooj ss Bons soouutlddu poxg`lmn�iutllannp Ajc)Aa uI 'S i ((£)O)I i'OIZ DaD) 'slallno zaglo ou anleg illels slmo.go lonS •slallno olouldaoa.i unooiglug XIddns Ol papinO.id oq Ilugs linolo gouszq duce OZ ouo lsual IV 'tbI ((I)(D)I 1'01Z DaD) 'slea.re aullmis aaglo.zo`faluud`imai i?uiuip`uatjalpl all let slallno ololeldaoat Its JO3 papinoid oq llugs slinono gousnq aouuilddle Ilums duns OZ ow jo ummiunun V '£I •sa&lezle2 pagoullu JO saousildds paztg-lanj anleg Imp sliun i umllamp to sluaunassq$unpnloui lanal faana uo pus sunoo.zpoq all jo Xliutonn oimpoutunt all un leare Ouidaals oluxedos golea jo opislno palllelsun oq Illegs suuulle opixououi uoq uo panozddV •le (i'SIEll DUD) :Papinoid aq Illels suoxe 2utmolloj all ul sunnlelle opixououn uogmo jo uonll?iislsun agL 'ZI •sasodmd iiuidaals aoj posn umoi gosa ul •q -sunooapag Jo,�liutoin alsipaununi all ut lea.re 2undaals allezledos gosa jo opislno Ilsnn ao Builiao all up •le (£'tI£2I DUD) :papinoid oq Illegs sleare 2utmolloj all jo Its let suuulu a3louts jo uotlunuisut Oqj 'I I :sa;om UVId Iwai a;aal:4 (S'Z0-v DdD) •lasolo.zalum jo luoij ul aouletualo gout bZ pus luounitudunoo lasolo.ialum zoj glpim zualo gout-0£V '01 (£'80t,W b'60t,DJD) 'uonsinoid sill 2upoam joj joiluoo le pampisuoo oq lou Illels Ilelsouuog4.talleag zallem ags •ltaguazgu3 saoaop OZI of Paliu!I.oq Iiugs jallg gnlllleq loodliigm pus.tamogs `gnlgluq all unog gu mgosip amluzadunal;alum log mnugxuun ag,I, '6 (Z'LO£2I DID) '(U 9)sagoui ZL ulell ssol lou Il2iag le of aonjms;uogtosgvuou`lloouns le glim pagsiuTj oq Illegs spuag aamogs polluisui flim sgnlgluq anoqu sllum pus sluotaindimo nmogS '8 (9'80b Ddo) 'utsap zamols anogv saloui OL jo Ig.9iag le of do poutlelutleun oq Ilugs soommolo osags •lanai piogsaiill al;it,ola go goui O£mnuniuiun u ollepounuioom,of olgu oq pus •l3 •bs I•L JO sasu gsiuTJ.1oizalui molo u an g Ilutjs siluls zamOgS 'L (9'£Ob Ddo) 'isd 09 @n olnuiut.tad suollu2 8'I paaoxa OI lou moll aallem le ansg Illegs ola `s3lms fzpunlel `sanzollenlel`snq lam`suagoj7 ul sloonle3 '9 (Z'80tb DdD) 'isd 08 @n olnutun iod suollle2 0'Z paaoxo of lou moll aalum u ansg Ilugs spsag zamogS 'S (Z'£Ot, DcID) •gsnll zad suollle2 8Z'I ulell a.zoui lou jo uotldunmsuoo aallem O&JOAle leu anug Ilugs slasolo JNUAk •I, . :sa;ou ulalcl Buiqmnla ((OI)(:I)OSI) 'uoildo leo SXlemlle ule ansg ao AlluotltEaolnleuo uml lou scop Ilegl 6i i uoilooS glim Xldunoo of poUlpoo(s).iosuos luledn000 ule Aq pallo4wo on gp saquutumi Xoleou g2ig oq Illels sunoo i AI?Iiln pule stuoo.t k punul`sa�?lesu2`swooRpuq ul sazreuiuml pollulsu[Alluommuod -C ((8)(x)OS i) 'Aououja gBig lou anile Isgl slg2il ul oq Xum suagoli4 ul iiuiloll pollulsul Alluoumabd jo a$lelllem all jo%OS of do •saXtuittunnl Aoleoi-Ta g2ig oq Illels suagoliX un 2uilg2il Pailslsut Allwuleuuad 'Z ((L WOSi) 'sa�ileiniunnl XouoUjo mol unog Alaluzledos pagolims ag Illegs samununl Anou o g ig Paillelsut_Alluoumuod IIV 'I :sa.znscaruu. q tl o;npu�ui apoa AIMM51 , S,LAIawmfloau aQOa 'IvNog LIQQv RECEIVED Kikhmu �y Mgff KITCHENS a BATHS DESIGN • SALES • INSTALMAY 2 3 Z014 D. 278 Gatto MD1=tZin Vi9%CA 94041 650.96a,7066 JOB SITE ARMSTONG RESIDENCE CONTRACTOR : KITCHENS BY MEYER 22126 DEAN COURT 861 E. EL CAMINO REAL CUPERTINO, CA. 95014 MOUNTAIN VIEW, CA 94040 CUPERTINO Building Department CONTACT: ROD MEYER MAY 2 .1 2014 650-279-8161 REVIEWED FOR CODE COMPLIANCE Reviewed By 'J"',r 16Ar-10/ SCOPE OF WK: BASIC R & R OF BATHROOM, PLUMBING UPGRADE, ADDITION OF 3 SKYLIGHTS AND ELECTRICAL TO BRING TO CODE. 55 SQFT oFF,ICE SHEET INDEX: C-1: FLOOR PLAN., ELECTRICAL, ELEVATION W/SKYLIGHT C-2: ELEVATION OF MAKE-UP AREA C-3: HALL SKYLIGHT WELL AN'D LIGHTING DETAILS. "ON IIM43d MlVC) 'ka e U'u �n on CODES: CBC, CRC, CEC, CMC, CPC, CALIF. ENERGY CODE, FIRE CODE, CUPERTINO MUNI CODE 2013-1 flum;o Suols!Ao.;d ALM,10 01jo;pd 01Pj!:%jqcq 'J "N'l WOJ�1PAC.Iddn inoq;!pA ,wo)p,!Eqj 0;Jo ISWPS Uo ul Sui.mp q;3 aor oq isn""'I'su.014P.1i ,poods pue suald;o jGs siq ; _L C.17 c ' y NO!�3!!Vn_ S GAINCIVW100 l� -, �,� � �� r�3s. > -.Ked �� � �.✓ ,� � , 'r. op F; 00 - - t X kk � a. �Uildin�,©epa _ ,ff� st GOOE M61. C 00OFF, �.zeviewetl r ' Electrical and Liahting-Legend Switch, single pole Switch, 3 way ;pM Switch, dimmer Switch 3-way dimmer(electronic) p Switch, manual on, motion sensor with adjustable time delay settings Switch, low voltage dimmer rent Switch,fluorescent dimmer FL Outlet,duplex Outlet, ground fault interrupter Outlet,7 dedicated 110v' Nutlet, dedicated 220v Outlet, ceiling light F Suiidinq C carr en. 0— Outlet,will sconce SAY � Cutlet, cable tv ~ COMPLIANCE Outlet,08t8 Recessed light,5"incandescent i>?L1 Recessed light,6" LED, Cree LR6 Recessed light, 5" uorescent Recessed light,4"incandescent Recessed light,4"low voltage Door bail El Low voltage transformer or power supply ' under-cabinet,fluorescent e Under-cabinet incandescent --- Fluorescent strip light Telephone . <1 Telephone, powered ?Au 31, 41 rX 4" ... Li Al Grp +iri 1 -,.+�^:'tr"�y a �all R .. i5 - 4 t �Irwrsa�,.}s!' Y rpt a �'• .`ar { ri r. ,i • ,yr�?� ty., .i. o1 40 J/�,,y�yj r. 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