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15050189CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10720 MARTINWOOD WAY CONTRACTOR: ROMANO ELECTRIC PERMIT NO: 15050189 OWNER'S NAME: LICENSED CONTRACTOR'S DECLARATION License Class ��- Lie. # G 41M k(o Contractor `�1YYk " °t ` Com' \ ►\ l 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. 1 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 permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the C granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. Signature L, Date s_ ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date SANTA CLARA, CA 95050 I PHONE NO: (408) 564-0583 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL INSTALL 3 (N) LIGHT FIXTURES IN SHOWERS IN HALL BATH (2) & MASTER BATH (1). INSTALL (N) EXHAUSTS IN BOTH BATHROOMS & INSTALL (N) DEDICATED CIRCUIT Sq. Ft Floor Area: I Valuation: $2500 APN Number: 36935032.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS F LED INSPEECTION. d by: Date: J Z 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 2(5_,5,34. Owner or authorized agent: %\�`t`5r Date CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 L—� (408) 777-3228 • FAX (408) 777-3333 • building a( cupertino.org 141 CUPERTIN© G B��QZ ❑ PLUMBING F1MECHANICAL ❑ ELECTRICAL ❑ misc.ELLANEOUS PROJECT ADDRESAPN # OVJI�TERNAME CITY, STATE, ZIP FAX r 1\e CONTACT NAME H N a - IR IV E-MAIL --CSvak -01 C J y � �• , STREET ADDRE ' r CIS', STATE, ZIP C - 1"�CA a FAX C 110 G ❑ OVNTR ❑ ONRdER-BuI1DER ❑ ORR.ERAGENT oN-JRACTOR ❑ coN RACTORAGENT ❑ ARCHITECT ❑ ENGINEER ' ❑ DEVELOPER ❑ TENANT CONT ORNA 1EC LICENSE E r LIC � BUS. LIC Vin / �1 l COMPANY E-MAILFAX lecl STREET SSI � � CITY, STATE, ' `ZIP ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC COMPANY NAME E-MAU, FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI-FAAffi.Y PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUIIALNG: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLERHOME? ❑ NO DESCRIPTION OF WORK c uc (ZdEC_ cj K qeaneaJ TOTAL VALUATION: g m By my signature below, I certify to each of the following: I am the property owner or authorized agent to on th e o s behalf. I have read this application and the information I of Cupertino to enter the above- den t(ifle�dp perty for inspection purposes. Signature of Applicant/Agent: Date: �-✓l �j �� SUPPLEMENTAL INTFORM7 TI0if#QU1RED z:,w t � OFFICEI SE01�Llh'� ti s� 5 F; OVER THE t 0I1�TER€,•: EXPRESS�x. kriPih x0",a�a: DENr MEPMiscApp 2011.doc revised 06/21/11 ir•'V� CITY OF CUPERTINO T1"71.1 I"ciT7lTl! A.Tl1D lDTTT7 7 IrT#JC iI1rVF4Z_FnN •:..:. 1'lJ1:LlJ ••LN1ilJ.c�i vim a�vs+-•�� - -- - -._-- � . � ate. i .. ADDRESS: 10720 MARTINWOOD WAY DATE: 05/29/2015 REVIEWED BY: MELISSA _, x..� . � Mech. Plan Check APN: 369 35 032 BP#: "VALUATION: 1$2,500 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex Elec. Plan Check PENTAMATION 1 REAP11 PERMIT TYPE: USE: $0.00 Mech. Permit Fee: IMPERMIT WORK INSTALL 3 N LIGHT FIXTURES IN SHOWERS IN HALL BATH 2 & MASTER BATH (1). INSTALL SCOPE (N) EXHAUSTS IN BOTH BATHROOMS & INSTALL (N) DEDICATED CIRCUIT FOR LIGHTING t ttt vt . •. `. � . � ate. i .. Plan Check Fee: _, x..� . � Mech. Plan Check .e 0.0 hrs $0.00 Phrrrrh. Plar7 C.'herk Supp/. PC Fee: Reg. Q OT 0.0 hrs Elec. Plan Check 0.0 hrs $0.00 $0.00 Mech. Permit Fee: IMPERMIT Electrical 1BREMMISC Special Circuits Plumb. Permit I ee: Permit Fee: $0.00 Elec. Permit Fee: IEPERMIT Insp.$48.00 FOtherMech.0.0 hrs �hrs $0.00 Other Pluinit 1rup.Li $0.00 Other Elec. Insp. 0.0 hrs $48.00 Insp. Pee: I'la�rrrh. Itas �. Fee: F Construction Tax: E''lec. Insp. Fire: Administrative Fee: ]ADMIN $45.00 NOTE: This estimate does not tnctuaejees rue to ower vepurtntertt3 It. V. ff ....... ,[s, _ - -• _ _.. __ s[.- nes fns• odds[°t inin_ District, eta). [hese fees are nasea on me reunaiiur FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/132 ttt vt ts[u..m. araswuo.� FEE ....» »•. QTY/FEE -•- _ _ _____ ___ _______ MISC ITEMS Plan Check Fee: $0.00 L_.J # $72.00 Electrical IBREMFIXT Fixtures, Lighting Supp/. PC Fee: Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 1 $143.00 Electrical 1BREMMISC Special Circuits Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT0.0 hrs $0.00 F 2 1# Mechanical $50.00 1BREMVENF Ventilation Fan PME Unit Fee: $0.00 PME Permit Fee: $96.00 Construction Tax: Administrative Fee: ]ADMIN $45.00 0 G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $190.50 $265.00 TOTAL.FEE: N n .�. ... a .: $455.50 Rt7V1.7CU. vv.v..cv i CUPERTINO Address 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 cDcupertino.org rms Sm ILE IDIS t�S t5 ro le( de 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 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 firiishes 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 belo . l have read and agree to-ow1o1v wiV;jhe er s and conditions of this statement Si natur..:................................. Lic.# ..Al.i..L. .1c3.......... Date:"... LTJ Smoke and CO form.doc revised 03/18/14 CUPER.TINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (40 77 -3228 • FAX (408) 777-3333 • building Owner Name , � � Permit No. Address b 7?,d °-s� poi wn W q GV &Z�T `oj C�- � Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form. 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. �NQr Go to Question 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the properly or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do net apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the - Owner' :Sx+gra ure date' k b N (za- o Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101 t'hro/u gh 111�01.8 do not apply. Sign below and skip the rest of the form. ON—®r i gnataile w R�::.(�($�2dcs 6_ 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 use or occupancy after January 1, 1994. Civil Code Sections �� date '' �%C$�Id1S 0 0Yes Myreal 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. � . Ts2y 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 futures t a -be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, x.017, allanon-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ Myproperty 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 plurnbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real properly. 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. SB40 7 2 015. doc revised 02/04/15 s 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). UWe, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtureswill be replaced. prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 110 1. 1 through 1101.8, the, current California Plumbing Codeand Calife •a Green Building Standards Code, and manufacturer's installation requirements; and that the water -corse comply with the requirements as indicated in the table below. f per's (or Owner Agent's) Signature: ✓! t:as Date: %1 ''`''i�� Upon completing and signing this Certificate, please return it to the Building Division in order to final your pen -nit. r No n=Go,dn,pliarit :. Water -Conserving Plumbing Fixture New Construction) Plu mbin Fixture (Fixture Complying with Current Code Applicable to Maximum Water Usage/Flow Rate Fixture Type; Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 ' /Flow Rate F 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial ;� 0 ;'„ , Residential Residential Water Closets; Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) rGa[Ions/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 i' t,Gallons/flush _ Showerheads-_; Exceed 2.5 -:.-,2.o gallons per minute @ 80 psi. Also certified to the performance criteria of !'< ',gallons per minute U.S. EPA WaterSense Specification for Showerheads ? ;(IA 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 — -`11 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 hsi 1.8 gallons per minute 4 ' @ 60 psi Faucets — '.-=tlExceed 2.2 gallons'.. f .8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen `.,;per minute =60 psi @ 60 psi psi Faucets ;' .j :May temporarily increase May temporarily ,.:.�pp to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ :3 'default to maximum 60;psi, and must r 1.8 gallons per minute @ default to maximum X60 psi 1 8 gallons per minute Where faucets meeting @ 60 ps1 + the above are unavailable, Where faucets meeting �. aeratois:orothermeans the,above _are :.may be used to achieve unavailable', aerators or reduction. other means may be used to "achieve 3 reduction. rjj If the extsb, gjp_'liimbtrig-fixture water usage/clow rate is equal to or lower man tne. ngure snown; Lt.5s�not requireotLo p��agra ea. SB4072015_doc revised 02104/15