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14110084I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10395 MELISSA CT CONTRACTOR: DELTA ELECTRIC PERMIT NO: 14110084 OWNER'S NAME: SAN JOSE, CA 95123 PHONE NO: (408)224-0176 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ UPGRADE PANEL TO 200 AMP, SUBPANEL IN GARAGE TO License Class LJ O # 42/� "/ cz 200 AMP %Lic. Contractor 0e141C4 I✓�PG�f I G Date ­ I hereby affirm that I am licensed under the provisions of Ch ter 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 Sq. Ft Floor Area: Valuation: $6000 erformance of the work for which this permit is issued. 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: 34245017 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 L:,ST CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM 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 Issued by: Date: < < with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9 18. Signature Date ( /� 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 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 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 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 255 5, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: 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 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 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 CUPERTINO GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(W-cuperiino.orci MEP misc PROJECT ADDRESS m t - Sso APPJ O �� - V 7 /v 1 FAX CONTACT NAME \ - + `• = # / CSU STREET ADDRESS b - ATE F ❑ OWNER ❑ OWNFX-BuLDER ❑ owmR Ama XpNntACTOR ❑ CONTRACTOR ACENT ❑ ARcmTECT ❑ ENQNEER ❑ DEVELOPER ❑ TENANT CONTRAGTORN6I -r'e% .^ --A---A 7- 1 LICENSE,NIJ1wm , r-- , I LICENSE rME I BUS. LIC W -Y h--7 , COMPANYNAME 4 STREET ADD a CITY, ST ,W ARCEIITEGT/ENWNEER NAME LICENSE NUMBER BUS. LTC # COMPANYNAME EMAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFDorDUPLEX ❑ mm-n-FAMQY BUIIDmcf. COMMERCIAL PROMTINVMDLAND [3LT YES URBAN INTERFACE AREA ❑ NO FROJEIN El YES FLOOD ZONE ❑ NO ISTHEBLDGAN 13 YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK , _ 1 J _ _ _ _ _ .. / I- _ 4 1 MEPM=App 2011.doc revised 06/21/11 CITY OF CUPERTINO WN FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10395 melissa ct DATE: QTY/FEE REVIEWED BY: Mendez UNITS APN: BP#: Services *VALUATION: 1$6,000 PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: Services PENTAMATION 1 REAP PERMIT TYPE: WORK u rade panel to 200 amp, subpanel in garage to 200 am Amps SCOPE PME Unit Fee: APPLIANCE / EQUIP TYPE FEE ID QTY/FEE QTY UNITS BP FEES Services 1 ERT<200 200 Amps $48 Services 1ERT<200 200 Amps $48 PME Unit Fee: $96.00 PME Permit Fee: $48.00 ('caea.V7V,1(171 7`61,v Administrative Fee: ]ADMIN $45.00 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: k `_ . $96.00 Strang Motion Fee: IBSEISMICR tla-ch. Plan t'lewi/7. Plata ChecA, Elec. Plan Check 10.0 1 hrs $0.00 ,t7,;1r. T'e>t°writ t"e<t: F'lum/a. Perrsit 1,ee, Elec. Permit Fee: IEPERMIT oflwr� ,llf'.Irr, rr. Odwc • Plumb ]rase. Other Elea Insp. 0.0 hrs $48.00 1111110, Bash. Fee: ED 1,.-ic �•. Inst, I�:<:: .�, NnTF. - This estimate does not include fees due to other Departments (i.e. Planninva. Public Works. Fire, Sanitary Sewer District, School District etc.. These fees are based on the prelimina information available and are on1v an estimate. Contact the Dept/or addn'l info. FEE ITEMS (Fee Resolution 11-053 Efj.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check F'ee: PME Plan Check: $0.00 Permit 1"e e: PME Unit Fee: $96.00 PME Permit Fee: $48.00 ('caea.V7V,1(171 7`61,v Administrative Fee: ]ADMIN $45.00 Work Without Permit? 0 Yes 0 No $0.00 Travel Documentation Fee: ITRA VDOC $48.00 Strang Motion Fee: IBSEISMICR $0.78 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 a $238.78 $0.00 TONAL FEE• $238.78 Revised: 10/01/2014 SMOKE I CARBON MONOXIDE ALARM COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISIOIJ 10300 TORRE A1gNUE CUPERTINO;. CA. 9.5014-3255 CUPER,f ('NO ( 08) 777-3228 • FAX (408):777-Z333 building cDcupertino crp. Fermifi No. 00 Address ((�. :�; S ���SS� f of Mal ms Smol e: ' Carbon Monoxide: PERMTIT CA v - NOT DE FIRALED AND COMPLETED .UNTIL THIS CERTIFICATE . HAS BEEN: O F PIVD 1RE �'Ii3RloED TO THE �1LTJCI�t)I11:G DYVYSIOi�T PURPOSE This :affidavit is a -self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliaizce ti' tlt 2013 :CRC'Section,R314; ?Oi3 CSC Sections 420.6 and, -,907.2.11.2 vk�here no interior access for - mspections are required GENERAL INFORMATION Existing sift,-,learid multi -family -&., ellings; shall be provided with Smoke Alarms.and' Carbon Monoxide alarms- 1,Vhen the,zali atzon of`add'iti'ons, alterations, or repairs to existing dwelling units exceeds $1000:00, CRC Section R314 and CBC Sections 907..11.5 and 420.6 require that Smoke Alarms and/or Carbon t2onoxide .Alarms be. iizstalled_iil:the follo,ti,ing locations: . AREA :, SMOKE ALAniI CO ALARM. Outside of each .- ni parate sleeping area in the in�ediate vicinity of tlieY ~� X bedroom(s) On every level of a dwelling: unit including basements X X X Within each sleeping roonm_ _-- Carbon Monoxide alarms are not required -in d�welli-ngs wliiclz 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 ^20.6.and, shall be approved by the.Office of the State Fire N4arshal. q. Power Suppler: Ii1 d�vellirtg U1l1tS TN1tll nO .cOnlrnerClal power supply►, al_arm(s) mag be solehi battery operated. In existing du'ell'ing units, alarms are permitted to be solely battery operated where repairs or alterations do not result in :the removal of tirall and ceiling f nishes,;or there .is. no access bv.means of attic, basement.or .crauTl space. Refer to CRC: Section, 8314 and. CSC Sections 907:2.11:4 and 420,6,2'a An electrical permit is required for alarms ��=hich:must be connected- to the building wiriing. As olv ner of the above -referenced pr opert}j,; I hereby certify that the alarms) referenced above has/hazre been installed ;in accordance -Vith the n-ianufacturer`s instructions and in compliance witn the: California Building - and California Residential Codes. The alarms l afire been tested and are.operationaI,: as of the -date sio ed . below. ! have read and agree to rr&r&Jv vAth the terms and conditions of this statement . Omer (o( Owner Agent's) Name: ` .. signature::............:......................... :......... :.::....::.......... Lic TM ::.::.:......:.............:...........Date: ................... Snionz and CO.Arm:,doc revised 03/1811- WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - budding6ftupertino.org Owner Name `�, , �, Permit No. /L&C00y Address 1PERIVIIT. CA1�TI�TOT BE FINA.11•_,]ED AND: COMPLETED UNTILTRIS :- H�I:,S _BEEi\l•SiGNEI) AND RETURNFIn: T THE BUILDING I 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 D,<A Owner' Signature: 0 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- 17 Owner' Signature: dNo 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 © Owner' Signature: 2_`N0 Go to Question 4. Date: EID Sign below and skip the res of the ,JALEr`0 7 2015 Date: ]BY - 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. I Owner' Signature: Date: D`es 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. LI My property is a single fancily 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 pluinbing 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 03118/14 �.. On or before .January 1; 2019; :allnon=compliant plumbing fixtures shall be replaced with. water- conserving plumbing ""fi3:turzs throughout the 'boilding (regardless of whether property, undergoes: alterations or improvements). 1A Ye, the owner(s) of this property, certify .underpenalty of pezjury, that non-compliant plumbing fixtures have.been replaced with water-consenving.plumbirig;fixt ups in accordance with.Civil Code Sections 1101.1 through 1101.8; the current California Plumbing Code and California "Green Building. Stan ds Code, and manufacturer's installation requixemerits; and thatthe water -conserving; plumbing a_tures ly th t e:" gtiirements as indicated in the table below. Owner's (or -Owner Agent's) Signature:. - Date:- Upon ate. Upon completing and signing this Certificate,,please reiurii:it to the Building Division in order to fatal your penrut. NonCompliant Water.=Conserving Plumbing. Fixture Plumbin2 Fixtured (Fixture Complying with Current Code Applicable "to. New Construction) Maximum -Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch .4 2013 CP.0 Ch. 4 . 201;3 .CPC Ch. 4 /F(oEnr Rate; 2013 CALGreen Div: 43 2013 CALGreen Div: 4_$ 2013 CALGreenDiv: 6.3 -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 :. Gallons/flush. 0.5 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: E:PA.WaterSense Specification for Showerheads . (A hand-held showe�_is considered a showerhead j' For multiple showerheads.servmg.one,shower, the combined flow rate.of all . ". shotwerheads arid/orother shower `outlefs.controlledby a, single valve shall.not: " exceed 20 gallons per minute @ "80 psi, or the shower shall be, designed to allow onlyone shower outlet.to be in o eration 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,ps1; 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.0: 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 , .. ; Mayfemporarily increase Mayaemporarily .. 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 168P?alions�per minute, @_ default:to maximum '- 6si. , 1.8:gallons per minute Where faucets meeting@ GO. 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. maybe.' used to achieve reduction...