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15070035 CITY OF CUPERTINO BUILDING PERMIT BUl��in'G anoREss: 1 1607 CEDAR SPRING CT Co�TaACTOa:AFFORDABLE PENn�I'r tio: 15070035 WATER HEATERS& ow�v�:H's NAmE: ALEX LYZSHEVSKY 28372 CONSTELLATION RD ��aTH: ►sst?F�:07/07/2015 OWNER'S PHONE: 4�gg651594 VALENCIA, CA 91355 PHOIVG NO:(661)259-7I31 ❑ LICENSED CONTRACTOR'S DECLARATION � � �� BUILDING PERMIT INFO: BLDG� ELECT PLUNi6 License Class Lic.# � � � MECH RESIDENTIAL COMMERCIAL Contractor Date JOB DESCRIPTION: REPLACE WATER�IEATER SAME LOCA"I�ION 1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Uivision 3 of the Business&Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following h►o declarations: I have and will maintain a certificate of consent to self-insure for Worher'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:0 �"aluation:$1000 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 �p,��umber:36654067.00 Occupancy 7'ypr. permit is issued. APPLICANT CERTIFICATION I certity 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 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 9.I 8. RE-ROOFS: Signature Date A�I roofs shall be inspected prior to any rooting material being installed. If a ruof is installed without tirst obtaining an inspection,I agree to remove all new materials ti>r inspection. ❑ OWNER-BUILDER DECLARA'I'ION Sienature of Applicant: Date: 1 hereby aftirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BF,CLASS"A"OR BETTE:R l,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 HAZARDOL�S MATERIALS DISCLOSI'RE 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 25505,2i533,and 25534. 1 H�ill 1 hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino�lunicipal Code,('hapter 9.12 and the declarations: Health&Safety Code,Sec6on 25532(a)should 1 store or handle hazardous I have and will maintain a Certificate of Consent to self-insure fior Worker's material. Additionally,should I use equipmcnt 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.4rea Air Quality M1lanagement District 1 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 Yor by the Health&Safety Code,Sections 25505,25533,and 2553�t. Section 3700 of the Labor Code,for the performance of the wark for which this permit is issued. Owner or authorized agent: Date: 1 certify that in the performance of the work for which this permit is issued,1 shall not employ any person in any manner so as to become suhject to[he Worker's Compensation laws of California. If,after making this certiticate of exemp[ion,I CONSTRI�CTIOI�LEtiDInG:�GENCY become subject to the Worker's Compensation provisions of the Labor Code,1 must I hereby affirn�that there is a construction lending agency for the perfonnance 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 Vame APPLICANT CERTIFICATION Lender's Address [certify that I have read this application and state that the above information is correct.t agree to compty 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 1 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 Address k L U SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE I COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 1 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a(2cupertino.org UA f)t+ t Vl'O / C" <ot lern CeAa r �'�� 1 � Ct. # of Alarms Smoke- G Carbon Monoxi PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING`DIVISION FILA16 05 1 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-buming 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 O er (or Owr)er Ag nt's) N me: �lol GSi Cpt nature............................................................................................................... Date: .Q�..`. ontractor Name: Signature................................................................... Lic.#...................................... Date:................... Smoke and CO form.doc revised 03/18/14 jS CUPERTIN Owner Name IFIL. WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777Zf) • FAX ( 8) 777-3333P--b'u/ildin cu ertino.or �+�,}��C (Mnl� C��S Nil / Permit No. I Jv I W3S, Address 1 b f A r ��VI 1�1 �,(il f?P/t�l V10, PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE jHAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 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 fonn. 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: I 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 fonn. 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? L No My real property is built and available for use or occupancy after January 1, 1994. I Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the fonn. Owner' Signature: Date: Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 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 plurnbing fixtures. SB407 201 S. doc revised 02/04/15 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving tA plmnbing fixtures throughout the building (regardless of whether property undergoes alterations or unprovements). I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above 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 corn ith the requirements as indicated in the tab e below. Owner's (or Owner Agent's) Signature: Date: O 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 2015.doc revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (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. SB407 2015.doc revised 02/04/15