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15080132CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18840 PENDERGAST AVE CONTRACTOR: YOUR WAY PERMIT NO: 15080132 CONSTRUCTION CENTER OWNER'S NAME: LEE CHEUK YIN AND LEUNG SUSANNA 433 AIRPORT BLVD STE 222 DATE ISSUED: 08/18/2015 OWNER'S PHONE: 4089314872 BURLINGAME, CA 94010 PHONE NO: (650) 678-3230 Ll� LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL p (, RAISE (E) CEILING HEIGHT FROM VAULTED TO 10'(N) License Class E7 Lic. # tT `1 Z d HEIGHT (KITCHEN, BED#2 AND BED#3 AREA ONLY) �,. ZO+r Contractor ate STRUCTURAL WORK ONLY, NO OTHER WORK IN THESE AREAS I hereby affirm that I am icensed 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: $25000 ,performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37533048.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that 1 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 D S ROM LAST CALLED INSPECTI 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 s 5 granting of this permit. Additionally, the applicant understands and will comply Issued by. Date: with all non-point ource regulations per the Cupertino Municipal Code, Section 9.18. / RE-ROOFS: .'`5 Signature Date ( �hr 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 thCupertino Municipal Code, Chapter 9.12 and 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 the Health & Safety Code, Sectio s 25505, 25533, and 2554. Owner or authorized agent: Date: 11 l 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 l 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION 15050). n COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(d)cuoertino.org ❑ NEW CONSTRUCTION ❑ ADDITION M ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT PROJECT ADDRESS �O�j N % h, e APNR �� ( J / V OV✓NER NAME 1 PHONE 0//9� J � � E-M� i..L 4?e @ e,e as roh c tea,/. FAX CITY, STATE, ZIP a 04 STREET ADDRESS/ k ^ I v K -��� CONTACT NAME PHONE / MAIL STREET ADDRESS CITY, STATE, ZIP FAX El O\VNER CI. OWNER -BUILDER ❑ OWhWcR/AGEhT CONTRACTOR ❑ COt�Ye TRSCTOR AGEt�T ❑ ARCI-.BCT ❑ ENrL\--ER ❑ DEVELOPER ❑ TENANT' CONTRACTORN'AME li j f `� L2 gi/bP Ln CENSE NUI4EER LICEI SE TYPE BUS. LICCOMPANY NAME /// /'� y�j pe7.-i/l.I ^ VV !iL`/7J E-MAIL r�1 / /�FAX �Vb'.'v"""s���111/ C;W' 2- M6, r FAX]J �� STREET ADDRESS ffj � �`� CITY, STATE, ZIP { W �n� pV PHONE 1' C to ARC''HTTECT/ENGINEERNAJ,4E LI CENSENU'W3ER BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CIT:', STATE, ZIP PHOFIE DESCRIPTION Or WORKaliw . ZD / ,� A.",/da C�/� /� h��.oY NO ajd/-f ,�, oG�/ o�► _ Ivo rK EXISTING USE PROPOSED USE CONSTR. TYPE 4 STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DE140 TOTAL AREA AREA AREA NET AREA - BATHROOM KITCHEN OTTER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGEAREA: LJDETACH ❑ATTACH DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑YES `- BEINGADDED? ❑NO ADDITION? []NO PRF-.4PPLIC.4T10N El IF 1 L5, PRO\ -'IDE COPY OF IS THE BLDG AN E] YES - •EI\TED B TOTAL VALUATION: PLANNING APPL C []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property w,\mer'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 to comply with all applicable local ordinances and state laws relating to building construction. I aut orize re resentatives'of Cupertino to enter the above -identified property for inspection purposes. Date: Signature of Applicant/Agent: SUPPLEMENTAL INFORMATION QUIRED New SFD or Multifamily d\\,ellings: Apply for demolition permit for O�ERTHE•COIT'�TER z. `� BLIJS,➢IRGPL�NI2EVIERr -- existing building(s). Demolition permit is required prior to issuance of building - permit for new building. �ExPFEss MEN 00 ❑VPL 4I�IiII\OPLAh R1 VLEW Comrnercial Bldgs: Provide a completed Hazardous Materials Disclosure C1 srsn�,R➢ _� R �Cfl PUBLTcvsoRxs � _ form if any Hazardous Materials are being used as part of this project. _ i�❑ `K ----------- I.4RGIr: � _ Copy of Planning Approval Letter or Meeting with Planning prior to f - `sA submittal cfBuilding Permit application. =fl�rLOR k4> xysER➢Is�RrCr 101 M B1dg,4pp_2011.doc revised 06/21/11 OdZ CITY OF CUPERTINO 1'4&0 1'�A FEE ESTIMATOR - BUILDING DIVISION ...E b � .. ri AIC" , ,!r: V _ i�' NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Dictrirt otc )_ Thoco fooc aro hacod an tho nroliminary infnrmatinn availahlo and ary nnly an-witnato. Contact tho Dont for addn'1 info_ FEE ITEMS (Fee Resolution 11-053 E(L711113) ADDRESS: 18840 Pendergast Ave DATE: 08/18/2015 REVIEWED BY: PAUL APN: 375 33 048 BP#: *VALUATION: 1$25,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex7 USE: PENTAMATION 1GENRES PERMIT TYPE: WORK Raise E Ceiling hei ht from Vaulted to 10'(N) height Kitchen Bed#2 and Bed#3 area only) Structural SCOPE work only, no other work in these areas ...E b � .. ri AIC" , ,!r: V _ i�' NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Dictrirt otc )_ Thoco fooc aro hacod an tho nroliminary infnrmatinn availahlo and ary nnly an-witnato. Contact tho Dont for addn'1 info_ FEE ITEMS (Fee Resolution 11-053 E(L711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No $0.00 F__17 hours $143.00 Plan Check, Hourly ISTPLNCx Suppl. PC Fee: Q Reg. Q OT0,0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ()Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure i iir.�,<�1I)+x t=ltnnrr�ri��ar 1tcrs Strong Motion Fee: IBSEISMICR /$3.25 4.0 hrs $572.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC /$1.00 SUBTOTALS: $4.25 $715.00 T©TAL FEE: $719.25 Revised: 07/02/2015 CupwrIINO Address PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE FILE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION l , 1 _ r 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 l �I (408) 777-3228 • FAX (408) 777-3333 • buildingCcDcupertino.org Permit No. /ST%TS'/32_ of PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 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 -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: f S se N^A Signature ..... ` r.,.:•:`.::::: ::.. ..... Date:.. �..... r�. Contractor Name: d¢p,L.W A CtMSA Yom"l Signature ............ ............................. .......................... Lica....................... ............... Date: ................... QIC,Q if Smoke and COfann.doc revised 03/18/14 CV PERT{NO Owner Name 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(a)cupertino.ora Yi`i //l/ -e_ l SGi`S"i� [.2uj Permit No. Address 1924o Aei, f`.E1Ye1Cu A, Ll e,'i/ikra FILE fE= PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUELDING DIVISION it f 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 form. Owner' Signature: 0 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 l 101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. 1 Owner' Signature: E� 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: C 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. 19 / Yes Owner' Signature: Date: 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. ❑ 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. doe revised 02104115 CALIFORNIA CIVIL CODE SECTIONS 1101.1-1101.8 Civil Code , Division 2. Property Fart 4. Acquisition of Property Title 4. Transfer " Chapter 2. Transfer of Real Property Article 1.4. Installation of Water Use Efficiency Improvements ........ 1101.1 — 1101.8 1101.1. The Legislature finds and declares all of the following: (a) Adequate water supply reliability for all uses is essential to the future economic and environmental health of California. (b) Environmentally sound strategies to meet future water supply and wastewater treatment needs are key to protecting and restoring -aquatic. resources in.Califomia:.. c There is a pressing -need to address _water supply-reliabilityissues raised b owing urban areas. () P g Y€7 (d-)-Ecoftbmic analysis by ufbarn Water agencies bas-identif ed urban water conservation as a cost -effective - approach to .addressing water supply needs. (e) There are many water conservation practices that produce significant energy and other resource savings that should be encouraged as a matter of state policy. (f) Since the 1991 signing of the "Memorandum of Understanding Regarding Urban Water Conservation in California," many urban water and wastewater treatment agencies have gained valuable experience that can be applied to produce significant statewide savings of water, energy, and associated infrastructure costs. This experience indicates a need to regularly revise and update water conservation methodologies and practices.. (g) To address these concerns, it is the intent of the Legislature to require that residential and commercial real property built and available for use or occupancy on or before January 1, 1994, be equipped with water -conserving plumbing fixtures. (h) It is further the intent of the Legislature that retail water suppliers are encouraged to provide incentives, financing mechanisms, and funding to assist property owners with these retrofit obligations. 1101.2. Except as provided in Section 1101.7, this article shall apply to residential and commercial real property built and available for use on or before January 1, 1994. 1101.3. For the purposes of this article: (a) "Commercial real property' means any real property that is improved with, or consisting of, a building that is intended for commercial use, including hotels and motels, that is not a single-family residential real property or a multifamily residential real property. (b) "Multifamily residential real property' means any real property that is improved with, or consisting of, a building containing more than one unit that is intended for human habitation, or any mixed residential -commercial buildings or portions thereof that are intended for human habitation. Multifamily residential real property includes residential hotels but does not include hotels and motels that are not residential hotels. (c) "Noncompliant plumbing fixture" means any of the following: (1) Any toilet manufactured to use more than 1.6 gallons of water per flush. (2) Any urinal manufactured to use more than one gallon of water per flush. (3) Any showerhead manufactured to have a flow capacity of more than 2.5 gallons of water per minute. (4) Any interior faucet that emits more than 2.2 gallons of water per minute. (d) "Single-family residential real property' means any real property that is improved with, or consisting of, a building containing not snore than one unit that is intended for human habitation. (e) "Water -conserving plumbing fixture" means any fixture that is in compliance with current building standards applicable to a newly constructed real property of the same type. (f) "Sale or transfer" means the sale or transfer of an entire real property estate or the fee interest in that real property estate and does not include the sale or transfer of a partial interest, including a leasehold. 1101.4. (a) On and after January 1, 2014, for all building alterations or improvements to single-family residential real property, as a condition for issuance of a certificate of final completion and occupancy or final pen -nit approval by the local building department, the pen -nit applicant shall replace all noncompliant plumbing fixtures with water - conserving plumbing fixtures.