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15040230 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22434 RAMONA CT CONTRACTOR:CHIANG MING YANG PERMIT NO: 15040230 OWNER'S NAME: CHIANG MING YANG 22434 RAMONA CT DATE ISSUED:04/29/2015 OWNER'S PHONE: 4082538816 CUPERTINO,CA 95014-2733 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL E] REPLACE(E)WOOD SIDING WITH STUCCO,REMODEL License Class Lic.# (E) KITCHEN(169 S.F.)&REPLACE 2(E)WINDOWS WITH Contractor Date (N)BAY WINDOWS(NO STRUCTURAL) 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$24600 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:35701060.00 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 W IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WIT 18 O + IT 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 S FRO ED INSPECT N. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the �J granting of this permit. Additionally,the applicant understands and will comply Issued Date: with all non-point source regulations per the Cupertino Municipal Code,Section 918. 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: 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) er 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,Sectio s 25505,25553 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 7�/ Datey � permit is' sued. _T__ cc " 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 918. Signature Date v n ' 10 CONSTRUCTION PERMIT APPLICATION V COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building g0cuoertino.org \ ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS APN# C — O ' — Q /' O 22434 Ramona Ct. Cupertino �j 7 (9 OWNERNAME Yin-Wu Chen PHONE 408-253-8816 E-MAIL yin94087Qyahoo.com STREET ADDRESS 22434 Ramona Ct CITY,STATE,ZIP FAX Cupertino, CA 95014 CONTACT NAME yin-Wu Chen PHONE 408-829-6800 E-MAIL yin94087@yahoo.com STREET ADDRESS 22434 Ramona Ct. CITY,STATE,ZIP FAX Cupertino, CA 95014 ❑OWNER IN OWNER-BUL.DER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# T.B.D. COMPANY NAME E-MAL. FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER C-21230 BUS.LIC# Mike Chen COMPANY NAME E-MAIL FAX hmikechen@gmail.com STREET ADDRESS CITY,STATE,ZIP Saratoga, CA 95070 PHONE 408-446-8418 12280 Saratoga-Sunnyvale Rd. #209 DESCRIPTION OF WORK Replace the front wood siding with StaCco siding. Replace the kitchen cabinet and appliances. Replace the window in the kitchen with bay window. Replace window in the dinning area with bay window EXISTING USE PROPOSED USE CONSTR TYPE I #STORIES R-1 R-1 V-B 1 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEWFLOOR DEMO TOTAL Kitchen 169 sf AREA 2230 sf AREA 0 AREA NETAREA 2230 sf $20000 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL A 69 sf REMoDEL10 sf Siding 412 sf $3600 PORCH AREA I DECK AREA TOTAL DECKNORCH AREA GARAGE AREA: DETACH DR W1ndOW ATTACH 10 sf $1000 #DWELLING UNITS: IS A SECOND UNIT ❑TNOADDrTION? ND STORY ❑YES 1 BEING ADDED? ]❑ IN NOPRE-APPLICATION YES IF YES,PROVIDE COPY OFE BLDG AN ❑YES _ TOTAL VALUATION: PLANNING APPL# NO PLANNING APPROVAL LETLER HOME? g NO $24 600 By my signature below,I certify to each of the following: I am the property owner or authorized agent to act nthe owner's beha I have read this application and the information I have provided is correct. I havere the Description of Work and verify itis accurate. I agree to comply with all applicable local ordinances and state laws relating to building c nst ction. I autho a representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 4/29/2015 SUPPLEMENTAL INFOP ATION REQUIRED 'PLAN CHECK TYPE ROUTING SL>P q _New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE COUNTER ❑ suILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. 0 EXPRESS `❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. 11 LARGE'. ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to p IvrAaoR` ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 22434 RAMONA CT DATE: 04/29/2015 REVIEWED BY: MELISSA APN: 357 01 060 BP#: *VALUATION: $24,600 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARY SFD or Du lex PENTAMATION 1GENRES USE: p PERMIT TYPE: WORK REPLACE E WOOD SIDING WITH STUCCO REMODEL E KITCHEN 169 ST.) & REPLACE 2 E SCOPE WINDOWS WITH (N) BAY WINDOWS (NO STRUCTURAL) r� a I4hili ` rx + -,: ,L1ech. Plan Check Plumb. flan Check Elec.flan Check Mech. Permit Fee: Plumb. Permit Fee: Islee- Permit Fee' (?Iher Alech. /asp- Other Plumb Insp. Oilwr I.lec.In,, LJ clerk. Insp. Fee: Plumb. hash. Fie: l;iec_Insp. Iee;: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Theseees are based on the prefindna information available and are only an estimate- Contact the Dept for addn'l info. FEE ITEMS(Fee Resolution 11-053 E . 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F4T2 s.f. Siding Suppl.PC Fee: E) Reg. ® OT 0.0 hrs $0.00 $646.00 ISIDEOTHER All Other PME Plan Check: $0.00 = s.f. Remodel,Kitchen(<=300 sf) Permit Fee: $0.00 $645.00 1 1REMRESYIT Suppl. Insp. Fee:Q Reg. ® OT0,0 hrs $0.00 �2 # Window/Sliding Glass Door PME Unit Fee: $0.00 $431.00 1WINREP Replacement PME Permit Fee: $0.00 Construction Tar: Acltninistrative Fee: Work Without Permit? ® Yes Q No $0.00 0 Advanced Planning Fee. $0.00 Select a Non-Residential E) Building or Structure 0 Truvel Doeumenlation fees: I A Strong Motion Fee: IBSEISMICR $3.20 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 r TO L FEE: Am $4.20 $1,722.00 w $1,726.20 Revised: 04/01/2015 OWNER-BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTiNO (408)777-3228• FAX(408)777-3333•building(a)cupertino.org Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: ' p SITE ADDRESS m V» APN,3 /j U� BP# SV Yo Zap OWNER N E V OWNER ADDRESS � n ( 6 �} �M &4 C T DESCRIPTION OF WORK: We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS:Please read and initial each statement below to signify you understand or verify this information.) I understand a frequent practice of unlicensed persons is to have the property owner obtain an"Owner- Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 0✓t'-2. I understand building permits are not required to be signed by property owners unless they are responsible for II the construction and are not hiring a licensed Contractor to assume this responsibility. Cf�'`�3. 1 understand as an"Owner-Builder" I am the responsible party of record on the permit. I understand that I may 99 protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. Vu'4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. I understand if I am considered an"employer" under state and federal law, I must register with the state and federal government,withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. �� I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for a' ny financial or personal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or materials. OwneYBuildeYForm 2010.doc revised 04/14/10 I understand I may obtain more information regarding my obligations as an "employer"from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 0. 1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. �+ 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the ( information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property,you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors,you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS:Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued,this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s)to act as my agent(s)to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project(or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: OwnerBuildeYForm 2010.doe revised 04/14/10 A CUPERTINO i3uilding Department ` APR 2 g 2015 O. FFICEICOP EX. WOW � �d � wow s _ 1 Ll NCE �` 22434 Ramona Ct.Cupertino 6'x4' STEAM 6 15"X4' G. II Owner-builder:Yin-Wu Chen&Chiang Ming Yang ioy F OVEN RE. I Contact No: 408-829-6800 or 925-918-1139 I e 4 I 1. The total area of siding to be converted is 412 sf 0 K p R 2. The total area of kitchen to be remodeled is 169 sf GARAGE li 3. Replace existing kitchen window with bay window Loi I� (see attachment 1) 4 a i 4. Replace existing dining area window with bay window ` 4 O (see attachment 2) 2 F.P. II _ F FLOOR PLAN NOTES I I I1 REMOVE EX. SIDING AND REPLACE W/3—COAT CEMEN PLASTER IN 1 II PWD I PLOT P HE D LJ STUCCO NETTING ON 2 LAYERS'D' I I I GRADE BLDG PAPER. (WITH 26 GA. G.I. 'Z'FLASHIN AT TOP UNKEN IFLO R ii I EDGE OF BLDG PAPER). ii 1 �E MOVE EX. DOOR &REPLACE W/WALL I NEW CABINET _ P�P qO NEW KITCHEN COUNTER &APPLIANCES I O L. R. ii 1 RTINO a II I — — — I O BAY WINDIW W/SEAT I I ` — — — — — — — (TEMP. GL.) O BAY WINDIW aim I I I L----J --- B° j I COMMUNITY DEVELOPME(yT DEPA TMENT - i BR. #4 I I BUILDING DIVISION - �UPERT NO LO i I APP ROV D I This set of plans and specifications kIUST be ept at the j�job site during construction. It is u lawful to ake any I Changes or alterations on sa ne, or to deviate i I therefrom, without approval from �he B�_iildin Official, I I _ I The Stamping of Ihis plan and speciica',ions S ALL NOT . M. BR. BR. #2 1 be i BR. #3 I 1 of held to Permit or to be an'appr val of the violation I e or Sate Law. - I I _ I - DA PERMIT S� C � m m° co J Q ' l r i 01 � 2 r�tvo .; APR 2 9 2015 BEV/E�EU OR CC)L) Reviewers By, �U41POANCE pnn a� 14 �l SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION 10300 TORRE AVENUE- CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228- FAX(408)777-3333-building(5)cupertino.org Permit NO. Rpao 0 11 q im Address #of Alarms Smoke Carbon Monoxide:"D 77771,1_. .,.111, PERMIT CANNOT:BE, Ok ANDCOMPLETED JWtf TRIS-CERTIFICATE ON &NDRFT 1R1 A",&BEEN SIGZLF Y , ',,,T , BUILDING 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 X X bedroom(s) On every level of a dwelling unit including basements X X rI�Vi7thfi:-�i each sleeping room 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 comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: d. Si nature .. . ...................... ...I.................... ......... A, re......... .... ................ ............D Contractor Name: Signature�.......... ...........................................Lic.#kl.��) .............Date: Smoke and COform.doc revised 03118114 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)777-333T---budding(al-cupertino.or C V` \ y ° Permit No. OwnerName `°'�'��1/l.G� �C�, lt'�( �-� Address t.. 3.4t:: _- .} - L J'.'' }. R ERIYIITr C N '�BE F REED D C+DIVIl'i1 !U TWHEN. S UERFIFI�A'i'Er �" _�.a. �.�syt z`�.. .r-s` -[- - .A-5. "i..F...r. x :r•- e -'" k x=n x- - "k �a u .7 -.�.- -' a � Sl i i �rA �D 'rITE3�YT�THETJII�33 �GT?NIiO � tgs ..,, -�.�'� c '.2 :c 4""t.�.�.2F�& ,�„ - r c�-' Y'S'.�"`..er--ter,-.•"'�'-"n ? -F s- Via+,". .,'sy 1'x Ai`�--t .. •� a :+3.- -.� _ ;�,. -...7. _..3 'ti .'a '�.. .��•-,. �^"`'y `^. Ee ",,;-F-�-,�-3.-sem`+•'�- 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?. WE s. Civil Code Sections 1101.1 through 1101.8 do not apply.'Sign below and skip the rest of the form. Owner' Signature: Date: o Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its lumping,installation of water-conserving plumbing fixtures is.not technically feasible? H-=Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 4_.r n ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form.. Owner' Signature: Date: [o Go to Question 3. 3 Is water service penxianently 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: Date: Col. o Go to Question 4. 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 useor 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: . �Y e� M real roe is built and available for use or.occu anc on or before January 1 19 Y property�'S' p Y ary 94. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. en; Myproperty 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 `to be replaced with water-conserving plumbing fixtures throughout the building. On or before January 1, 017 a� non-compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of xhefher proper fy undergoes alterations or improvements). ❑ My property is a multi'ainily 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 pluimbing fixtures. SB407 2014.doc revised 03/18114 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 2 '71 R q}ryl oo, CT PERMIT# I�QQ 2�-O OWNER'S NAME: ` W A en P 6.ia✓a -0119 IAO'y PHONE# GENERAL CONTRACTOR: C!�I1 1,��^' BUSINESS LICENSE# ADDRESS: IL-1 M g.p fe `' I PV ��Uj 6�C CA- �i 0 CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. _ I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile otll?o Owner/Contractor Signature Date