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15080014CITY OF CUPERTINO BUILDING PERMIT 13UILDING ADDRESS: 22931 VOSS AVE CONTRACTOR: HERITAGE DOORS & PERMIT NO: 15080014 WINDOWS OWNER'S NAME: CHUANG DAVID AND ZHENG HONG 274 HILLSDALE AVE DATE ISSUED: 08/03/2015 OWNER'S PHONE: 4087991583 SAN JOSE, CA 95136 PHONE NO: (408) 266-8306 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REPLACE 9 (E) WINDOWS IN THE SAME LOCATIONS, NO License ClassLic. # q �12_9_30 STRUCTURAL (WILL MEET EGRESS & BE TEMPERED r tN.N � o D3 WHERE Date \,t f V Contractor ��Tscknue_provisions REQUIRED BY CODE) I hereby affithat Ir the 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: N aluation: $6900 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 � PN Number: 34250002.00 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 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 DAY L SPECTIO . 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 s with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. �r �� RE -ROOFS: 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 25505, 5 3, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this d I7 permit is issued. Owner or authorized agent: Date: O 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building )cupertino.org /5- ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT PROJECT ADDRESS 2 q Vo55 qve. (4ed ,,D � JA 15'0) `1I APNR A �O C) (:)L�% OWNER NAIL. ��V I1 C�' a� PHO?1F_g0%4q ] 1� E -NAIL i' STREET ADDRESS � Z l 3) Vo 55 A V e . �`� I CITY, STATE, ZIP G, p t' /� � �� QI S� I 1 I FAX CONTACT NAME � (`V e � ^� � PHONE q O 4�Y_ LI 60 0 � E-MAIL l� C U STREET ADDRESS CITY, STATE, ZIP FAX 13 OWNER ❑. OWNER -BUILDER ❑ OHR.ERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DE\ELOPER ❑ 7.-N/,\T CONTRSCTORNAME l Ke LICENSE NUMBER- LICENSETYPE j� I BUS. LIC _ COIaANY NAME �Ie r`c `4, Dors �- w &v6A, Y'6(Jma' n �5-(, FAX STREET ADDRESS 2 6 �% x I Q 4L5 a Q e CITY. STATE, ZIP h" S e� C A '` �1 36C PHONE t� o� 6 a a$o 3 ARCHITECT/ENGINEER NAME LICENSE NUMBER q 312- l (.7 BUS. LIC d COMPANY NAME E-MAIL FAX STREET 16MDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK q E),7STING USE PROPOSED USE CONSTR TYPE I STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA - BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA M40DEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LIDETACH [_]ATTACH R DWELLING UNITS: ISA SECOND uNlr ❑ YES SECOND STORY ❑YES BEING ADDED? NO ADDITION? []NO - PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN TOTAL, VALUATION: PLANNING APPL: ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? .....= 6gQo By my signature below, I certify to each of the following: I am the property o;; au ed agent to on the prope men's behalf. I have read this application and the information I have provided is correct. I have read the Description o Work and v >i it is actor agree to comply with all applicable local ordinances and state laws relating to building c structi I authorize representatives of Cuperti to ente ove-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INTFORR4ATION REQUIRED New SFD or Multifamily d«vellings: Apply for demolition permit for � � _ '�"�. I]'�O«RTHPlCOTJhTER r- 0 = � r � ; BUIL-DInG ' existing building(s). Demolition permit is required prior to issuance of building' LAI\TRE . permit for new building. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure g P a, �.nAxn� L7 usl�c�o - form if any Hazardous Materials are being used as part of this project.®'' Copy of Planning Approval Letter or Meeting with Planning to _ prior c mml submittal of Building Permit application.fl° t �'i ' _ ,� � :..:_ "� � ��, ��E1Y.VIROT='MSI�.T,4�L. FIEATTiI � ` • Bldg,4pp_2011.dec revised 06/21/11 CITY OF CUPERTINO IM' FEE ESTIMATOR - BUILDING DIVISION igADDRESS: 22931 VOSS AVE DATE: 08/03/2015 REVIEWED BY: MELISSA ;bfeeh. Permit Ft", APN: 342 50 002 BP#: `VALUATION: 1$6,900 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Plumb. Insp. Fee: PENTAMATION 1GENRE PERMIT TYPE: i WORK REPLACE 9 E WINDOWS IN THE SAME LOCATIONS NO STRUCTURAL WILL MEET EGRESS & SCOPE BE TEMPERED WHERE REQUIRED BY CODE) 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 preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-033 E(f.' 7%1%13) Nfech. Plan Check Plumb. Plan Cheek F Elec, Plan Check ;bfeeh. Permit Ft", Plumb. Permit Fier F,&'c Permit heir Other .11cch. InspE17- Other Plumb Insp.Li ;;Ici Oec. Insp, Mech. 11zv, ('•>I Plumb. Insp. Fee: huh Fee 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 preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-033 E(f.' 7%1%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # $574.00 Window / Sliding Glass Door 1 WINREP Replacement Suppl. PC Fee: Q Reg. () OT Q.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT F0.0 rhrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1�.1ministrative F,,('' 1 ♦� E) Work Without Permit? Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure I) Tra►jel Uoc•urnentatiun Fees:� Strong Motion Fee: IBSEISMICR $0.90 Select an Administrative Item 1 Bldp, Stds Commission Fee: IBCBSC $1.001 SUBTOTALS: $1.90 $574.00 TOTAL FEE: 1 $575.90 Revised: 07/02/2015 DAVID CHLANG 22931 VOSaS XVE. CUPERTLNO, CA 15014 9 ENT ) L I k E FOK L I kE kU 2013 C.N PL.OG CODES APPLY GARAGE CUPERTINO Building Department i REVIEWED -OR CODE COMPLIANCE += eviewed By = ---� LAUNDRY ENTRY :3 6"x2 I COMMUNITY DEVELOPMENT LPERTRINOENT BUILDING D APPROVED This set of plans and specifications ?,"J ST be kept at the job site es or altercations onuction, It s ur11-3�'Auj to make any same, ort deviate changes or therefrom, without approval from the Building official . in of this pian and spe - `.cations SHALL NOT The Stamp 9 of the violation be held to permit or ni;e or State Law. of an 8 3 ! --- PERMIT # IO W 4+1 MAIN FLOOR OFFICE COPY OO 11141Iral*11l PLANNING DEPT CUPERTINO 15Y N X01 peMaaGy 90dgjWg|a]5 ±]ciay s2OOD Doig YD gOL7 TIV 'HAV SOAm 2 DK ilmD Ot\\Q DAVID CiiUAN- G 72931 VOSS AVE. CUPERTIN, O_ CA 95014 WINTDOXV REPLkCE\TENT i L 1 l� X ALL 2013 CA BLDG CODES APPLY CUPERTINO ` Building Department lam. r' 03 2015 I j REVIEWED FOR CODE COMPLIANCE Reviewed By %< UPPER F OOR SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building (c cuoertino.org Address PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section 8314, 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 I 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 I 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 corrlpk v✓ith the terms anll conditions of this statement Owner (or Owner Agent's) Name: ti�1 l% IAT Si nature.........kj ......... . ........................................................... Date: ..... ... .. Contractor Name: jo Signature........................................... .....................Lic.#...................................... Date: ................... Smoke and COform.doc revised 03/18/14 CUPERTINO I Owner Name �j Address >)-q-3 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building Ca7cupertino.org 6 x firm, LA 61 I S'yCX�`% '" PER11IT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN S C, I NEN A.ND RFTUR\F.D 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 fort. f Owner' Signature: Date: ><00 Go to Question 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: Date: \K?"No 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. 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: )Yes My real property is built and available for use or occupancy on or before January 1, 1994. yO Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. y property is a single-family residential real property. See Civil Code Section 1101.4. n 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 02/04/15 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). 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 nbing fixtures in accordance with Civil Code Sections 1101.1 Zough 1101.8, the current California Plumbing Code and alte4cowgIv" a Green Buil ' g Standards Code, and manufacturer's installation requirements, and that the water -conserving vl ii1 the-?equirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Y X?IC 4 /%[.r.`/ Date: / / &f /1-1 1 Upon completing and signing this Certificate,�lease return it to theg ilding 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 Plumbing Fixture (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