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14100169 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7603 KIRWIN LN CONTRACTOR:GOGO ROOTER PERMIT NO: 14100169 OWNER'S NAME: SAN JOSE,CA 95132 PHONE NO:(408)282-7026 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] REPLACE/RELOCATE FOUNDATION CLEANOUT, License Class Lie.# INSTALL(N) `n © g C PROPERTY LINE CLEANOUT&REPLACE SEWER LINE IF Contractor dU T�G � Date 1 NEEDED(CUPERTINO SANITARY APPROVED) I hereby affirm that I am licensed under the provisions of Chap r 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 C pensation,as provided for by Section 3700 of the Labor Code,for the olrroance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$4600 I h e 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:35921010 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 + + IT 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 18 + L INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and es which may accrue against said Ci m consequence of th �_(U 2 granting G /1 `r 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- ELDER DECLARATION Signature of Applicant: Date: I hery affirm that I am exempt from the Contractor's License Law for one of the f wing 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) I,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 defin the Ba rea A' Quality Management District I performance of the work for which this permit is issued. will maintain co mplian • DateY 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 CO RUCTIO LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that ther s 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 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 7603 KIRWIN LN DATE: 10/28/2014 REVIEWED BY: MELISSA APN: 359 21 010 BP#: °'VALUATION: 1$4,600 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 RPS i WORK REPLACE/RELOCATE FOUNDATION CLEANOUT INSTALL N PROPERTY LINE CLEANOUT & SCOPE REPLACE SEWER LINE IF NEEDED (C Lj?6 LT7/%J0 S^Vi 77+rLL9 "pe-0 V t..!:v APPLIANCE/EQUIP TYPE FEE;ID QTY UNITS BP FEES Sewer, Sanitary 1 PRSEWER 1 # $25 TOTALS: $25.00 #r .k<?r. 1''iG rr t brrc.k Plumb.Plan Check 0.0 hrs $0.00 P-ec, P/an C l?eck fVerlr. M'>wtil Fee: Plumb.Permit Fee: 1PPERMIT €?rlrc= 1 tec°h Insp Other Plumb Insp. 0.0 �rs $48.00 0"h"",- Ian.:. I1himh. .h¢s Fee: 1---:c 1`;�� F-"": I,asi,�. J���e: � NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These.fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 in o. FEE ITEMS (Fee Resolution 11-053 E : 711/131 FEE QTY/FEE MISC ITEMS P161 l I"Ce: sopPl' PC FT A PME Plan Check: $0.00 J fusp eo PME Unit Fee: $25.00 PME Permit Fee: $48.00 Administrative Fee: ]ADMIN $45.00 Work Without Permit? ® Yes (F) No $0.00 �ti t 12C.'c.'Gl l'IUI—f my l'i'es: Travel Documentation Fee: ITRAVDOC $48.00 A Stronp,Motion Fee: IBSEISMICR $0.60 Select an Administrative Item 131da Stds Commission.Fee: 1BCBSC $1.00 ti $167.60 $0.00 TOTAL FEE: $167.60 Revised: 08/20/2014 II/I z/90 Fas rt�-t oo�'IIO� �� �✓�"d f� Cl`alna-zix±loLvy-Nmo j1Z 07 �'� 5.�'s(C- pC?SaCI?C?DSO (?OC(a(C13GijCC?[�Tj'}LN.r\[dLIiOG 01 einZ T ;T?.T.0�6 SI}[fica:l tirL'::j=0_b\,TTG i.EG i;d-iS7SaC ST{+{7G>!'•-- j •} 0 Si e•T7Cr10SQ A3'.i I CIG4�`�` ?iI['ett.(^iLR 40L?7l(GQ? 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CUPERTINO Address SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 FIL (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org z / Permit No L 0 ✓ j (` (/�/t. t/1 # 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 R314, 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 in 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 every level of a dwelling unit including basements 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 have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement --�� `�/ ,ry l%ft� �tr) fC.ton ! a. /^' v4'at­ ............... ...... ............. Lic.# .... ..G..�S...[1. ... Date: AIA Smoke and CO form. doc revised 03/18114 WATER-CONSERVING PLUMBING FIXTURES FILE Ils OWNER CERTIFICATE OF COMPLIANCE _ r COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION / f✓3-/Y CUPERTINO 10300 TORRE.AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - building(d)cuoertino.org Owner Name P6 Permit No. Q b Address 76,03- f_,03 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: ❑ 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 plurnber'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. s r real property built and available for use or occupancy on or before January 1, 1994? ' o 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 Nfy real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 110 1. 8 apply. Refer to the attached. �IT y 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). ❑ Myproperty 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 03118/14 or Jahimr . y -j'. 20.9'�;`­ "ill liani kii ifig�fi�kf46 I "eid with water -Ofrbr n6ril-cpmp P s� e4rep ad _-------plumbing fixtures throughout. the., building, (regardless ofwhether Probertv -'underRoes 9-fer,itio'Ifts or imnrnvPmantci IfWe, the owner(s) of this property, certify under penalty of P6ijury that non-compliant plumbing fixtures have been replaced with water -conserving plumbing fixtures in accordance with Civil Code Sections ,-1 101.1 through 1161.8*,* ifie current California' Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and water -conserving pjUn_jbin'L f that the water -cons fixtures ly wit � the requirements as&kA-ic%tedji� the table below. -g, ix res qqmp 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. 1. If the existing plumbing fixture water usageffloWra-td. is equal to or loW& tMii the figure shown, it is not required to be upgraded. SB40 7 2014. doc revised 03118114 Non -Compliant '- brvingpluNon-Compliantr--COng b Fixture,', PlumbinFixture g (Fixture Complying with Current rrent Code Applicable to New Construction) Maximum Water U sag 61F I oW Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPQ Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013CAI­Green.Div:4.3 2013CALGre'enDiv. 5.3 Single-Faffilly MUlti-Faimily Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 galldhs/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 t: Within units: 0.5 gallons per minute @ 60 Lavatory per minute minuter@ 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 u . se areas: as: 0.5 gallons per mjnbte.@ 60 psi 1.8 gallons per minute CcD, 60 psi Faucets - Exceed 2.2 gallons 1.8' gallons per minute @ 1.81.gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @,,;PQ psi psi Faucets May temporarily increase May temporarily Up to. 2.2 gallons per . . ! increase Up to 2.2 minute @.60:psjj-and must gallon s: per minute @ -,default to maximum �607psi; and. must -!. .08116n pi�pmiute S p �,Jffo jlt!tb;maxirhm.u 60.0si I...'R,­gallons per,minute , Where faucets.mbeting,,.... APRY(� �r e,,.unavailable,. Were faucets ..meeting Wlj d zlfv aerators or other means 7the­above arq, b d t h" May, e-,usp o. ac ieve- Q ' or h a deduction ."other 'means !.maiy'b'e -6966. to"'achieve 1. If the existing plumbing fixture water usageffloWra-td. is equal to or loW& tMii the figure shown, it is not required to be upgraded. SB40 7 2014. doc revised 03118114