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15070167R CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10720 PINOLE CT CONTRACTOR: CUPERTINO PLUMBING PERMIT NO: 15070167 OWNER'S NAME: MELVILLE PAUL F AND ANN S 2784 S BASCOM AVE DATE ISSUED: 07/23/2015 OWNER'S PHONE: 4082573626 CAMPBELL, CA 95124 PHONE NO: (408)253-0618 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL RESIDENTIAL RE -PIPE & REPLACE WATER HEATER, License Class Lic. # L2 V, 0,5 SAME LOCATION Contractor Date 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 Sq. Ft Floor Area: Valuation: $5000 performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by -S'e'ction 3700 of the Labor Code, for the performance of the work for which this APN Number: 36934021.00 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 DA ROM 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 I granting of this permit. Additionally, the applicant understands and will co Y: with all non -point source regulations per th upertino Municipal Co 9.18. s� Signature Date ! Z�7 —�� RE- FS: All roofs shall be insp ed prio y roofing material being installed. If a roof is installed without first o ung 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. 1 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 2 3, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized age tri"u: - Date: �,�> -11 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 ._. _....... GENERAL PERMIT APPLICATIONMEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 11-7 CUPERT[h10 (408) 777-3228 • FAX (408) 777-3333 • buildina(Dcupertino.ordPA I ®PLUMBING ❑ MECHANICAL ❑ ELECTRICAL ❑ IAIISCELLANEOUS PROSECT ADDRESS 0 1no[� APN R 3 �'5 - 3,Lfv 2 OW,L Ili% Ile_ ��a�' 2 i 7 "- 3 6 a j E-MAIL STREETADDRESS A Rb �� CITY, STATE, ZIP FAX COINT F NAME a PHONE E-MAIL 1qCe-309-3It STREET ADDRESS CITY, STATE, ZIP FF ❑ OWt ER ❑ OWNER -BUILDER ❑OWNER AGENT ❑CONTRACTOR ❑ COATRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENAATT CONT CTOR AAS LICENSE NUMBER LICENSE TY.Pg BUS. LIC # C Uf NAME E-MAIL FAX STDRESS V 21919(Y CITY, STATE, ZIP 02�N d -�2 'S 3 - 0618 ARCHITECT/ENGITEER NAME LICENSE NUMBER BUS. LIC n COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY BUILDING: ❑COMMERCIAL I PROSECT IN WILDLAND ❑ YES PROTECT IN ❑ YES URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO IS THE BLDG AN ❑ Y -S EICHLERHOME? ❑ NO DFSCPWION OF W� TOTAL VALUATION: ��QREC 1 By my signature below, I certify to each of the following: I am the property owner or authorize as o act on the property owner's behalf. I have read this application and the information I have provided is correct I ha the Desc 'ptioa of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws rela ' gte-b�aiiding cons u i upertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED z_/" LRZi .'E -CO ..__. �r_,_ X_>.;�t� A1fEPATiscApp_2011.doc revised 06/21/11 ,� CITY OF CUPERTINO I �''f/� I FEE ESTIMATOR - BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 10720 PINOLE CT DATE: 07/23/2015 REVIEWED BY: MELISSA UNITS APN: 369 34 021 BP#: `VALUATION: 1$5,000 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex p $14 PENTAMATION 1 RPRP USE: 1PRWHEATR PERMIT TYPE: WORK RESIDENTIAL RE -PIPE & REPLACE WATER HEATER SAME LOCATION $29 SCOPE $43.00 APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan Check 0.0 1 hrs $0.00 QTY UNITS BP FEES ls`lec. Permit 1.. Re -Pipe Interior 1PRREPIPE Other Elec. Insp. 1 # $14 Water Heater 1PRWHEATR Sulyd. Insp Fee 1 # $29 PME Unit Fee: $43.00 PME Permit Fee: $48.00 Construction Tax: Administrative Fee: IADVIAr $45.00 Work Without Permit? © Yes Q No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC $43.00 Strong, Motion Fee: IBSEISMICR NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Fewer District, Schoot District etc, These ees are based on the relimina information available and are on1v an estimate- Contact the Dept -for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711113) FEE Plumb. Plan Check 0.0 1 hrs $0.00 Elec. Plein Check Leech. Permit I Plumb. Permit Fee: IPPERMIT ls`lec. Permit 1.. Other Alech. Imp. Other Plumb Insp. 0.0 hrs $48.00 Other Elec. Insp. klech. Insp. Fee. Plumb. hup. Vee: Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Fewer District, Schoot District etc, These ees are based on the relimina information available and are on1v an estimate- Contact the Dept -for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suly)l. P(- Fee PME Plan Check: $0.00 Permit Fee: Sulyd. Insp Fee PME Unit Fee: $43.00 PME Permit Fee: $48.00 Construction Tax: Administrative Fee: IADVIAr $45.00 Work Without Permit? © Yes Q No $0.00 Advanced Planning Fees: Travel Documentation Fee: ITRA VDOC $48.00 Strong, Motion Fee: IBSEISMICR $0.65 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $185.65 $0.00 TOTAL FEE: $185.65 Revised: 07/02/2015 CUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 777 3228 • PAX (408) 777-3333 • building(cDcupertino ong FIL 11!Q: &- (408) - Owner Name �4 v /-7c 1 U, / I Pen -nit No. � SJ 7 � � 6 Address % 2 0 A'k 0 /C C PERMIT CANNOT BE FINALED AND CO1\1PLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED ANTI) RFTUIL TFD TO THE BUILDING DIVISION Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form. k 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: �l 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: 14 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. :9 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 2015.doc revised 02/04115 On ot—hefore January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving ^~g- fixtures throughout the building (regardless of whether property undergoes alterations or improvements). 1/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 plurnbing 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 p robing fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature:' rim Date: Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. SB4072015.doc revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture 7Fixture Plumbin Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate ^ 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 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. 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 — Kitchen Exceed 2.2 gallons minute 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Faucets per 60 psi May temporarily increase @ 60 psi May temporarily psi 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 1. If the existing plumbing fixture water usage/flow rate is equal to or lower reduction. than the figure shown, it is not required to be upgraded. SB4072015.doc revised 02/04/15 SMOKE / CARBON MONOXIDE ALARMS rr OWNER CERTIFICATE OF COMPLIANCE 29) COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 •FAX (408) 777-3333 • building(a)cupertino org Permit No. �-�? O (Gl 10720 ()11110 ' C+ # of Alarms Smoke: S Carbon Monoxide: 2 Address 111 -WHIT CANNOT BE LINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEE'v � (;N AND $LTI_�IZNEDTO THE BUILDING; UILDINDIVISION PURPOSE installation of all required Smoke and Carbon Monoxide Alarms for This affidavit is aself-certification for the 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 w $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 Outside of each separate sleeping area in the immediate vicinity of the On every level of a dwelling unit including basements Within each sleeping room SMOKE ALARM CO ALARM X X X IX 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. 1 have read and agree to Owner (or Owner Agent's) Name: Contractor Name: nature.. nature with the terms and conditions of this statement ........................ Date: Lic.#...................................... Date: ................... Smoke and CO for n.doc revised 03/18/14