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14090084 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19756 WHEATON DR CONTRACTOR:THD AT-HOME PERMIT NO: 14090084 SERVICES,INC. OWNER'S NAME: ATLANTA,GA 30339-3913 PHONE NO:(510)731-1004 Ja' LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL F] COMMERCIAL E] REPLACE(E)&INSTALL 8(N)RETROFIT WINDOWS, License Class G I Lic.# 302 ( LIKE f C FOR LIKE.WILL MEET EGRESS&BE TEMPERED WHERE Contractor7m 137 �ICyutl<.0 Date f S REQUIRED BY CODE 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 p rformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$6635 have and will maintain Worker's Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this APN Number:31628003 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 FRO _ SLED 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 of this permit. Additionally,the applicant under5aKids and will comply Iss E: with all non-point source regulations per the Cuperti unicipal Code,Section 9 18. RE-ROOFS: Signature Date �l 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. ❑ OW BUILDER DECLARATION Signature of Applicant: Date I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,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 Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: / �5 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 CONSTRUCT 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, 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 b 6111 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CU ' RTtNC3 (408)777-3228•FAX(408)777-3333•buildinaCcDcuaertino.ora \ ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS /' OH I✓,47O I IC APN# OWNER NAME / ?'V E-MAIL /" lv STIE T ADDR S C[TY, ATE,ZIP FAX ? J 1-F E A 7v/J D IZ GcJj�c�2 7 t,J d G,4 . '/ 50 t `f CONTACT NAME JEFF RAINEY PHONE 510-427-4260 E-MAILJEFFREY.RAINEY@ATT.NET STREET ADDRESS 1069 EDGEMERE LANE CITY,STATE,ZIP HAYWARD, CA 94545 FAX 510-783-1041 ❑OWNER ❑ OWNER-BuiLDER E3OWNER AGENT 11CONTRACTOR YO CONTRACTOR AGENT ❑i](AR�WC,HITECT11 ENGINEER 11 DEVELOPER 11 TENANT CONTRACTOR NAME LICENSE NUMBER 836021 —SEC. a3,C17 BUS.LIC# COMPANYNAME THD AT HOME SERVICES E-MAIL FAX 510-783-1041 STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP SAN LEANDRO,CA 94577 PHONE 510-7 8 5-6 3 4 0 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK lJIA) / L)CAJ �O S/zC C-�fA ,j I ll C7 Vl 1!�/ EXISTING USE PROPOSED USE CONSTR.TYPE I #STORIES D� USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO. TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: ODETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF, IS THE BLDG AN ❑YES [ TALVAL ATION- PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑N i� By my signature below,I certify to each of the following: I am the property owner or authorized agent to a perry owner's behalf. I have read this application and the information I have provided is correct. I have ption of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constru authorize repres tatives of Cupertino to enter the above-identified property for inspection purposes. c Signature of Applicant/Agent: Date: /f I S/1 tf SUPPLEM TAL INFORMATION REQU PLnlv�IHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply fib molitio t for ( OVER THE COUNTER- ❑`BUILDING PLAN fREVIEW existing building(s). Demolition permit is requi o Issuance of building ;: , permit for new building. ,EXP SS,-; ❑. PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 sTArmaRo; ❑<PUBLIC woRHKS form if any Hazardous Materials are being used as partof this project. p �LARGE ❑ FIHEDEPT _Copy of Planning Approval Letter or Meeting with Planning prior to IrIA rali' ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. •r:❑:.E1VbMONWNTAL.HEALTH BldgApp_2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 19756 WHEATON DR DATE: 09/15/2014 REVIEWED BY: MELISSA APN: 316 28 003 BP#: 'VALUATION: 1$6,635 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1GENRE i WORK REPLACE E & INSTALL 8 N RETROFIT WINDOWS LIKE FOR LIKE. WILL MEET EGRESS & BE SCOPE TEMPERED WHERE REQUIRED BY CODE _ �E n J L1�'c:i. T'lerrr "'heck Phunb- Plan('Arca=', A/C"_ (`h cic L1>c;h. " wait Fee: Numb, Pc •,nit Pe Permif b`<"' Ot/acf P/umh/'W, Ll (J r,€>,.1 <'c P7s,"". P?rsmiz I1csp. Fee: lir-:c. lr sr ? : NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Efj.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 ® # Window/Sliding Glass Door Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 $431.00 I WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (',)1zsti'tiction l art: 4,bpini,�IrdtiVC FCC: Work Without Permit? ® Yes (j) No $0.00 E) Advanced Plannin&Fee: $0.00 Select allon-Residential Trai-!Ducufn(c uwz.on Fees: Building or Structure i Strong Motion Fee: IBSEISMICR $0.86 Select an Administrative Item BldgStds Commission.Fee: IBCBSC $1.00 ti QTALS $1.86 $431.00 TOTAL FEE: $432.86 Revised: 08/20/2014 LEGEND' SCOPE OF WORK:INSTALL(8)RETROFIT VINYL,DUAL = GLAZED,LOW E WINDOWS.NO(N)CONSTRUCTION, o~C ® = RETROFIT WINDOW/ENTRY DOOR LOCATION (XOX) = 3 PANEL HORIZONTAL SLIDER FRAMES WILL NOT BE DISTURBED. LO (XO) = 1 PANEL HORIZONTAL SLIDER NOTE;WINDOWS/ENTRY DOORS; LU KITCHEN BATHROOM U-FACTOR=0.30 >CD U WINDOW(XO) WINDOW(XO) SHGC =0.25 Q 47"w x 34"h 24"w x 34"h coli � LU w o LIVING ROOM BEDROOM > ¢ COMMUNITY DEVELOPMENT DEPARTMENT WINDOW(XO) BATHROOM L WINDOW(XOX 1/3 1/3 1/3) =Loci� BUILDING DIVISION-CUPERTINO 71"W x 58"h KITCHEN BEDROOM 95'w x 34"h/ROUGH OPENING APPROVED 22.4 sq ft.ROUGH OPENING Q 30"w x 30"h/NET CLEAR p This set of plans and specifications MUST be kept at the LIVING ROOM 6.3 sq ft.NET CLEAR = job site during construction. It is unlawful to make any �— changes or alterations on same,or to deviate BEDROOM BEDROOM therefrom,without approval from the Building Official. WINDOW(XOX 1/31/31/3) 3l The stamping of this Ian and s ecifications SHALL NOT 95"w x 340h/ROUGH OPENING p g R BATHROOM ggTHROOM 30"w x 30"h/NET CLEAR 22.4 sq ft.ROUGH OPENING "' .'�! be held t o e an a of the violation ENTRY WINDOW(XO) a Law. 24"w x 34"h 6.3 sq ft.NET CLEAR BEDROOM BEDROOM 0 L �a DATE PERMIT NO. GARAGE BEDROOM BEDROOM > r WINDOW(XOX 1/4 1/2 1/4) WINDOW(XOX 1/4 1/2 1/4) - 0o 95"w x 46"h/ROUGH OPENING 9511w x 46"h/ROUGH OPENING o p 30.3 sq ft.ROUGH OPENING 30.3 sq it.ROUGH OPENING 23V x 42"h/NET CLEAR 230w x 42"h/NET CLEAR = o I- 6.7 sq ft.NET CLEAR U) 6.7 sq ft.NET CLEAR (FRONT YARD) c0 Cr__ SINGLE STORY HOME —� L0 Cop,WHEATON DRIVE FLOOR PLAN qP r V NOTE: 1).SMOKE DETECTORS:WHEN A BUILDING PERMIT IS REQUIRED,SMOKE DETECTORS SHALL BE INSTALLED;(a)IN EACH SLEEPING ROOM,(b)OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE ons 09.11. Cup BEDROOMS,(c)ON EACH ADDITIONAL STORY OF THE DWELLING,INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS.(CRC 314) SCALE NT 4 d�nQ E n-. 0 2).CARBON MONOXIDE ALARMS:WHERE A PERMIT IS REQUIRED FOR ALTERATIONS,REPAIRS OR ADDITIONS EXCEEDING$1,000.00,EXISTING DWELLIN � R �CTTACHED GARAGES OR FUEL BURNING onAwNer OKW `W DA APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS;(a)OUTSIDE OF EACH SEPARATE DWELLING UNITS N T I I VICINITY OF THE BEDROOM(S),(b)ON �� !t rt 17D EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENTS.(CBC 420.4,CRC R315). SEr /:0 (HOMEOWNER TO PROVIDE BEFORE FINAL INSPECTION). �� 014 A-1 W ed By BY Lo CUPERTINO Owner Name Address WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255 / -3228 • FAX (408) 777 -3333 • building(a)-cugertino.orct FILE G 900 & 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: ❑ 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 Division. Sign below and skip the rest of the form Owner' Signature: ❑ No Go to Question 3. Date: 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 the rest of 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. Owner' Signature: Date: ❑ 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. SB407 2014. doc revised 03118114 On or before January 1, 2019, all non - compliant plumbing fixtures shall be replaced with water- conserving p fixtures throughout the buildin g (regardless of whether p rop e r hundergoes alterations or e nts). e, a 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 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 below. Owner's (or Owner Agent's) Signature: Date: Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 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 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. SB40 7 2014. doc revised 03118114 CUPERTINO Address _L1 SMOKE / CARBON MONOXIDE ALARMS FILE OWNER CERTIFICATE OF COMPLIANCE ` `/(ff' COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildingecupertino.gg Permit No. o U C I alt, # of Alarms Smoke: Carbon Monoxide: PURPOSE This affidavit is a self- certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section 8314, 2013 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 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed m' the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On ever level of a dwelling unit including basements X X Within each slee in 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 have been tested and are operational, as of the date signed below. d d ree Owner (or Owner Agent's) Name: Si nature ......... ..................................................................... ..........LLO Sig ate .t) Contractor Name: Signature.................................... ............................... Lic.# ....... ............................... Date: ................... Smoke and CO form.doc revised 03118114