No preview available
14060031CITY OF CUPERTINO BUILDING PERMIT 1 BUILDING ADDRESS: 10081 PHAR LAP DR I WINDOWS INC CONTRACTOR: AMERICAN VISION I PERMIT NO: 14060031 OWNER'S NAME: JIGNESH DESAI 1 400 MATHEW ST ' DATE ISSUED: 06/06/2014 O ER'S PHONE: 6504327140 I SANTA CLARA, CA 95050 1 PHONE NO: (408)617 -0901 LICENSED CONTRACTOR'S DECLARATION License Class_ Lic. # Contractor A mc, -ttyj,_ V l si;� 1W''nDate 6 -6 " 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. 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. 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 compl with all non -point source regulations per the Cupert. 'o Municipal Code, ion 9 18. Signature Ave Date ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 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: 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 permit is issued. 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 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL REPLACE 5 WINDOWS, SAME SIZE & LOCATIONS (WILL BE BE TEMPERED AND MEET EGRESS WHERE REQUIRED BY CODE) Sq. Ft Floor Area: I Valuation: $3988 APN Number: 32618025 00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS ECT19N, 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 Applicant: Date: 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, Sections 25501 2553 n 2553. 1 Owner or authorized agent: A��'IZDate: 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION o� COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(a cupertino.org r-1 r—t M /1D r!_TXTAT Dr7DT.RrT44 LJ NEW C;UNJIKUUIIUN LJ twutttvry u ni iuiv.a.� i• i . u - - -- PROJECT ADDRESS 1 2^ OD APN a OWNERNAME! �Q ^ W PHONE 6-M ,_ � 31 V O l E -MAIL STREET D E S Q ( U ( Pin , rl CITY, STATE, IPr /°A ,r-n / YQ V/ 3 V FAX CONTACT NAME IL PHONE E -MAIL STR�( ��O DRE S I/V . r �1 CITY, ST TE, �� FAX ❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME( �Z LICF,➢� � (' "1 � I LICEN TYPE BUS. LIC 4 rl•l�' COMA E -MAIL FAX STREET ADDRESS CIj;Y, ST TE, ZIP G� �y J�O '1 PH u L S-61 f _ O �y O 1 V _' I ARCHTTECT/ENGrNEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE i DESCRIPTION OF WORK V, EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNrr ❑ YES SECOND STORY []YES BEING ADDED? ❑NO ADDITION? []NO PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES , -- CE �;� E" : - TOTAL VA[,UATIO2 (x uv PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? 3— S By my signature below, I certify to each of the following: I am the property owner a ho a ntFto act on t perry owner s behalf. I have read this application and the information I have provided is correct. I have read the Description o ork and veri curate. I agree to comply with all applicable local ordinances and state laws relating to buil ing construction. I au . e representatives of Cupert ino to4ktl5r the above - identified property for inspection purposes. Date: Signature of Applicant/Agent: SUPPLEMENTAL INFORMATION REQUIRED ". ALAN c>FECx TYPE: xouTUVC 5LIr New SFD or Multifamily dwellings: Apply for demolition permit for OVER SHE couNTER CI'sUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. >C) ExPxss ©; rLANIViNG rL w iii vlEw Bldgs: Provide a completed Hazardous Materials Disclosure ❑ szaNpaD ❑ _ ruBLlc woxxs _Commercial form if any Hazardous Materials are being used as part of this project. ©L t ❑ IFTRE DEPT Planning to �%ARGE 5 ?. + i �7 _ Copy of Planning Approval Letter or Meeting with prior x ❑��,q,J¢R �, i� SANITARXSER'ERDISTRTCT submittal of Building Permit application.0 ; '❑ ENVIRONMENT'ALHEALTH>. BldgApp_2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ;11 ADDRESS: 10081 PHAR LAP DR DATE: 06/06/2014 REVIEWED BY: MELISSA APN: 326 18 025 BP #: "VALUATION: $3,988 ,PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION 1 GENRES USE: SFD or Duplex PERMIT TYPE: WORK REPLACE 5 WINDOWS SAME SIZE & LOCATIONS WILL BE BE TEMPERED AND MEET EGRESS SCOPE WHERE REQUIRED BY CODE) L9.�c;n 137rrn 7tE(h Tlon Chccl e"? Tlarmis. I'< • mil luet. Ne(,, _ Per. -ir C)tlr�t 9tcccb,. /m:,?" other I'lu bTraci). 01her11eC mare. 1 >72 ?rztis. I,rs /�. ,Ere: l 'e C. hnp, F° e....ir...,, Q—,,, nictrirt_ Rrhnn% NOTE: This estimate does not inctuae fees aue to orner "eparanena (. e. < ...iiii —s, - ��• -� - __, _ _ _ _ r—tnrt tha nant finr addn'1 info. District, etc . [nese ees are oasea on nne re....u..u. y FEE ITEMS (Fee Resolution 11 -053 Eff 7111132 ... �••�•�•• ». »• FEE - -� -- •_- _ _ QTY/FEE ____ -__ MISC ITEMS Plan Check Fee: $0.00 0 # Window / Sliding Glass Door $418.00 1 WINREP Replacement Suppl. PC Fee: (F) Reg. 0 OT 0.0 ht's $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee :Q Reg. 0 OT ro.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 / r. 1.1J13,5' =i`1,tC't�Ff1Y 1 C7Y: . ,lministraliv,> F' e: 0 Work Without Permit? ® Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential 0 Building or Structure 0 jr," 'L 7 I }o(°tdlYde'nlaliord Fees: ' Strom Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 n $1.50 $418.00 TOTAL FEE: $419.50 Revised: 04/01/2014 66-fa) J (c)o e ( Qty- L A f pv . GP4m/ , ep qn t q J r�N R a a ��kOAAW DVVI a �W �y � tigN / J 8046 )(0,)( P-4 LA !oh �t of App /" °cBup- , PZ4%, a ��O N7' hrOfr�s or hstrUC • ratio The `t^ ®m' witho teratiorsn Its a �UgTb , bahe mo eofthis aapro�a/ foSam a' 01toaetkaktatth �4dgY Y'Pro �is J rfi�t or o b andspe a euildin �'�ate �y a oifoati 9 Offici DA onS 3y al. RMiT. rpinanca vj /at/o/7 Nor ly° a ation I h CUPERTINO Owner Name 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 • buildingna cupertino.ora Address 10 0 g t P V l0,y L" bi- , CuP( -r h ` tO r CA � cS6 t, — Please refer to the attached California Civil Code Sections 1101.1 - 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: >V No Go to Question 2. Date: 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 Divisio!rest Sign below and skip the rest of the form. Owner' Signature: Dat— e: �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. Sign below and skip th the form. Owner' Signature: No Go to Question 4. Date: 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. Sign below and skip the rest of the form. p� Owner' Signature: Date: 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. Refer to the attached. 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. SB4072014.doe revised 03118114 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). UWe, the owner(s) of this property, certify under penalty of perjury that non - compliant plumbing fixtures have been replaced 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 fix s comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signatur V Date: kZf Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 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. SB407 2014.doc revised 03118114 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 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 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 gov r minute U.S. EPA WaterSense Specification for Showerheads oil °= _:- (A hand -held shower is considered a showerhead.) RW 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. SB407 2014.doc revised 03118114