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15070205#1 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10321 JUDY AVE CONTRACTOR: DRAIN DOCTOR PERMIT NO: 15070205 OWNER'S NAME: SONG HERKING AND HSUAN C 480 ALDO AVE DATE ISSUED: 07/29/2015 OWNER'S PHONE: SANTA CLARA, CA 95054 PHONE NO: (408)370-3082 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ INSTALL (N) PROPERTY LINE CLEANOUT, (N) BUILDING _ License Class C—'-66 Li.. # &'q CLEANOUT AND 60 FT OF TRENCHLESS SEWER LINE Contractor 4 iex � Date %`% "(� (SUNNYVALE SANITARY) 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. 1 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: $7500 performance of the work for which this permit is issued. 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 APN Number: 37508047 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 FROM LAST CALLED INSP CTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the f. granting of this permit. Additionally, the applicant understands and will comply Issued by: "` 'ci" Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature 14A Date RE -ROOFS: 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: 1 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 25505, 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 APPLICATION 15D4=5 COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO I (408) 777-3228 • FAX (408) 777-3333 - buildinO(a7CUDertino.Orq PLU ABING ❑ MECHANICAL ❑ ELECTRICAL ❑ MISCELLAATEOUS PROJECT ADDRESS APN 0 O/ q ` V ONWERNAME PHONE I E-MAIL STREET ADDRESS , `T�� ZIPV; v � �1 G'V � F.AX CONTACT NAME PHONEE-MAIL IZ \w �' STREET ADDRESS CITY, STATE, ZIP F.4 X CA - El OtiTcR ❑ OwR.'ER-3LTII.DER ❑ Ou'NERAGENTCOL1� >`TIFLACTOR ❑ CO\7RACTORAGEIvT ❑ ARCH1`JECT ❑ ENGII EER ❑ DEVELOPER ❑ T=—N J.T CONTRACTOR NAME, LICENSE NUMBER LICENSE TYPE BUS. LIC r COMPANY NAMEE-MAIL \ I FAX r J STREET ADDRESS CITY, STATE, ZIP_ PHONE ARCIETECT/ENGINEER NAME LICENSE NUMBER I BUS. LIC n COMPAATY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI-F.AhCLY PROJECT IN Wr DLA2.-D ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: ❑ COMMERCIAL URBAN LNTTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLER HOMO ❑ NO DES CRIPTI ON OF WORK c 'M %,J wcx llc TOTAL VALU.ATIONT: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct I have read the Description of Work and verify it is accurate. I agree comply with all applicable local ordinances and state laws relating to building nstruction. I authorize representatives of Cupertino to enter the above -i entifie operty for inspection purposes. Signature of ApplicanUAgent Date: SLVKEMENTTAL INFORMATION REQUIRED EK'RESS - - ❑ STAND r L "Gi: J J MEPATiscApp_2011.doc revised 06121111 CITY OF CUPERTINO 15WX5 . FM -7 FEE ESTIMATOR — BUILDING DIVISION laADDRESS: 10321 JUDY AVE DATE: 07/29/2015 REVIEWED BY: PAUL UNITS APN: 375 08 047 BP#: *VALUATION: 1$7,500 PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # PENTAMATION 1 RPS PERMIT TYPE: WORK Install N property line cleanout N building cleanout and 60 ft of trenchless sewer line SUNNYVALE SCOPE I SANITARY) APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan Check 0.0 1 hrs $0.00 QTY UNITS BP FEES Flec. Perinir Fee Sewer, Sanitary 1 PRSEWER ��ti,er lies. Insp, Lilcc 1 # $25 Sewer, Building 1PRSEWER slippl. Insp Fee 1 # $25 PME Unit Fee: $50.00 PME Permit Fee: $48.00 �.E1}Z4 tl �jir a PdtS: Administrative Fee: (ADMIN $45.00 Work Without Permit? 0 Yes (F) No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC $50.00 Strong; Motion Fee: IBSEISMICR 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 vreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Elf 711/13) Mech. Plan Check Plumb. Plan Check 0.0 1 hrs $0.00 H,, .Plan Check a1ec11. Perfrlit F(; Plumb. Permit Feer IPPERMIT Flec. Perinir Fee .Suppl..P(, I ee Other Plumb Insp.0.0 hrs $48.00 ��ti,er lies. Insp, Lilcc PME Plan Check: $0.00 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 vreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Elf 711/13) FEE QTY/FEE MISC ITEMS Plan Check k e : .Suppl..P(, I ee PME Plan Check: $0.00 Permit Fee: slippl. Insp Fee PME Unit Fee: $50.00 PME Permit Fee: $48.00 �.E1}Z4 tl �jir a PdtS: Administrative Fee: (ADMIN $45.00 Work Without Permit? 0 Yes (F) No $0.00 Travel Documentation Fee: ITRA VDOC $48.00 Strong; Motion Fee: IBSEISMICR $0.98 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $192.98 $0.00 TOTAL FEE: $192.98 Revised: 07/02/2015 0 Uti/U f /'LU15 5: 2dF'M FAX 14V6y IUJUJU UKAIN UUU I Uhti iNU 08/07/2015 2 31P FAX 14089703830 DRAIN DOCTOR INC WATER CONSERVING PLUMBINGFIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION Gt1.*pERTINO 10300 TORRE AVENUE - CUPERTINO. CA 95014-3255 (408) 777-32 a FAX (408) 777.3333 • ggiig euoantn0 ,ora . � - .. . %, I . .j ✓. Owner Name her&��_ �_ Address•-� 0 3 2-1 tttF Y yCA1(a1:BB U A M+ T t 9 Please refer to the attached California Civil Cc IgJVVV IJVVV4 80001/0004 FILE )rlo Zoe Sections 1101.1 --1101.8 which are part of this Certification form. 1. Is your real property a registered histor cal site? 0 Yes Civil Code Sections 1101.1 Orough 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: �No Go to Question 2. Date: 2. DoeA your real property bave a licensed plumber certifying that, due to the age or configuration -of the property or its plumbing, installation of water-consery ng plumbing fixtures is not technically feasible? es Civil Code Sections 1101.1 )ugh 1.101.8 do not apply. -Y ❑ The licensed plumber's c ztification has been providod to the Building Division. Sign below and skip the rest f the form Owner' Signature -Date: ❑ No Go to Question 3. 3. Is water service pennattently disconneo ad for your building? es Civil Code Sections 1101.1, ugh 1101.8 do not apply. Sign below and skip the rest of the form, Owner' Signature: Date: Vo Go to Question 4. 4. Is your real property built and availablefoot use or occupancy on or before Janus 1, 1994? 0 No My real property is built anis vailable for use or occupancy January 1, 1994. CM1 Code Sections 1101.1 through 1101.9 do not apply. Sign below and skip the rest of the form. � ow"', Signature: Cs My mal property is built and Civil Gods Sections 1101.1! I O My property is a single-fgmElyreside On and -after January 1, 2014, buil futures to be replaced with water -cc 2017, all non-compliant plumbing 5 of whether property undergoes alters ❑ Myproperty is a multifamily rerlden On and after JAnuary 1, 2014, spec-ifi plumbing fixtures to be replaced wits On or W010 Janutcy 1, 2019, all nor conxcrving plumbing fixtures thmugl ftnproveutents). 11 My Property is a comnmemial real pre On And a11er January 1, 2014, specifi plumbing fixtures to be replaced wilt Date: le for use or occupancy o qr of >, January 1, 1994, 1101.8 apply. Refer to the attached. Ictal meal property. Sex Civil Code Section 1101.4. ling alterations or improvements shall require all non-cotupliant plumbing ,serving pluolbing fixtures throughout the building. On ur bcfvre Jatruaty 1, :tures shall be replaced with water -conserving plutublug fixturca (regardless ions or itnproveineam). 41 real property. See Civil Code Section 1101-5- d building alterations or improvements shall require non. compliant water -conserving plwnbinE fixtures, eompllant plumbing fixtures shall be replaced with water out the, building (regardless of whether property tindergoec alttrations or forty. See Civil Coda Section 1101.3. d bu{lding alterations or itriprovemeats shall require non- compliant water- onserving plumbing fixtures. SB4072015.docravi ed 02/04/15 08/07/2015 5:28PH FAX 14089703830 UKAiN UUUIUK TNG o8/07/2015 2:32PH FAX 14089703830 DRAIN DOCTOR INC On or before January 1, 201?, all non-compliant plumbing fIxtttres sha plumbing fixtures through l the building (regardless of whetbar improvements), IVjVVVL/ VVV4 (60002/0004 be replaced with water- conserving ' property undergoms alterations or 1/Wo, the owner(s) of flus propeny,'cer* under penalty of perjury that non-copliaat plumbing fixtures wW be replaced prior to date specified above with water -conserving plumbing fixtures in acro re with Civil Code Sections l 101.1 through 1101.8, the Cun'eut California PIU14m,ode g Cand California Grccn 13uilding S dards Code, and manufacturer's installation reouirernents. and that the water-cortvervinv plumbing fix�res oomply with the Soquireu=ts as indicated In the table below. I Owner's (or Owner Agent's) Signature; Date: Kf��-� Upon corripx letutg and signing this, Certificate, please return it 10 the Building ) ivision in order to final yous permit. 1. If the misting plumbiag fixture wAter usagelflow rate is equal to or lower than if figure shown, it Is not required to he upgraded. SR407 2015-doc jv.vised 01/0VI S Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Wet,.r Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 PC Ch, 4 2013 CPC Ch. 4 2013 CALGrean Div. 4.3 2013 CA Green Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rafe I Single -Family AAUI I -Family Commercial Residential Re identlel Water Closets Exceed 1.6 Single flush toll I'll1.28 gallons/flush (Toilets) Gallonslflush Dual flush toilets: 1.26 gallons/flu effeotive flush volume (the composite, average flush volume of two educed flushes and one full flush Urinals Exceed 1.0 i 0.5 g Ilons/flush Gallons/flush Showorheads Exceed 2.5 2.0 gallons per minute Q 60 psi- Also ertifled to the performance Criteria of gallons per minute U.S. EPA WaterSense Specification for Showerhaeds (A hand-held shower Is comsldered a s owerhead.) For multiple showerheads serving oneshower, the combined flow rate of all showerhuads and/or other shower outlets controlled by a aingle valve shall not _ exceed 2.0 gallons per minute Q 80 p i, or the shower shall be designed to allow only one shower outlet to ba in o eratlon at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within un is: 0.5 gallons per minute Ca) 60 Lavatory per minute I minute (M 60 psi; minimum Maximurr 1.5 gallons psi Faucets 0.8 gallons per minute per minu e @ 60 psi; 20 psi minimum 0.8 gallons per minue Q 20 psi In comm n and public use area : 0.5 gallons 1 per minu (4) 60 psi 1.8 gallo s per minute 80 psi Faucets — Exceed 2.2 gallons) 1.8 gallons per minute Q 1.8 gallons per minute 1.6 ¢allows per minute (4 60 Kitchen per minule 80 psi Q 60 Ps psi Faucets May temporarily increase May temporarily up to 22 gallons per Increase ip to 2.2 minute Q 60 psi, and must gallons per minute Q default to maximum 60 psi, ar d must 1.8 gallons per minute default to maximum 50 psi 1,8 ®allor s per minute Where fauoats meeting @ 60 psi the above are unavailable, Where fa icets meeting aerators or other means the above are may be used to achieve unavaii-at le, aerators or i reduction, other means may be used to a hleve reduction 1. If the misting plumbiag fixture wAter usagelflow rate is equal to or lower than if figure shown, it Is not required to he upgraded. SR407 2015-doc jv.vised 01/0VI S