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15090055I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1102 MILKY WAY I CONTRACTOR: GREENSTARR I PERMIT NO: 15090055 OWNER'S NAME: PARKVIEW EDGE PROPERTIES LLC ( 1155 VALENCIA WAY I DATE ISSUED: 09/09/2015 OWNER'S PHONE: PACIFICA, CA 94044 1 PHONE NO: (650) 834-2365 L7 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ DEMO (E) SWIMMING POOL (FOR LANDSCAPE PURPOSES ^ 75x9] J� ONLY) License Class �d•�% G� 1 Lic.# - Contractor C_7Ce M Ta Date��9V15- 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: t. 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 Ierformance of the work for which this permit is issued. 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 granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations pet the Cupertino Municipal Code, Section 9.18. Date 1 f%/S ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. 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: 1. 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. 2. 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. 3. 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 Sq. Ft Floor Area: I Valuation: $4800 APN Number: 36220006.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM (LAQST CALLED INSPQ. �/T� ION. Issued by: TPWI) L"'�• O Date: t/ 0V15 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. I 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 25534. Owner or auth ized agent: Date: —i>21 C NSTRUCTION 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 SWIMMING POOL / SPA PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE, CUPERTINO, CA 95014-3255 &0055.(408) 777-3228 - FAX (408) 777-3333 • buildincIO)cupertino.orq O7— h \' ` . o PROJECT ADDRESS 107— APN # '� n� PHO ID ,�y)re�� q �-, EMAIL _ O�iRJERNAME (%K �I � ' ^,[� \M A l 1 k/� ) 85 l J ! I ,STATE, ZIPQ� /� 1 � e FAX STREET ADDRESS 901:5 E-MAIL CONTACT NAME PHONE 6�o - 3 L/ � STREET ADDRESS 115"5 w CITY, STATE, P r7 FAX ❑ OwNER ❑ OWNER-BUn-DER ❑ O'W'NER AGENT /ElCONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMELICENSE _rrml NUMBER LICENSE TYPE C _61 I BUS. LIC # COMPANY NAME ( _ rAl f Is= E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHO ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK ooy / • r r/�a USE OF SFD or Duplex ❑ Multi -Family TYPE MATERIAL TYPE (CODE) AREA (SQ. Fr) VALUATION (S) POOL STRUCTURE: ❑ Commercial POOLJSPA MATERIAL TYPE CODES: SPA V - VINYL -LINED F - FIBERGLASS DEMO G - GUNITE P - PREFABRICATED -.RECEIVED-BY - _ Yom. � :� T VALUATION: P 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. hhakekal'Kis application and the information I have provided is correct. I haread 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 uth ri representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: _ Date: 4 `r 'L�T� SUPPLEMENT ORMA IO REQUIRED �oFrtc USI; ONLY PLAN CIIECF TYPE- ROUTING SLIP ov'EI2-TIII=-cot N rEx El BUILDING DEPT _ Commercial or Multi -Family Buildings with Public Swimming Pools: Department of Environmental Health approval required. ❑ EXPRESS - ❑ PLANNING DEPT - ❑ SrANDARD ❑ POBLICA1ORKS DPPT ❑ LARGI' ❑ i;NVIRONNILNTALIIE:U.111 ❑ NIAJOR ❑ SANITARY SEIVER DISTRIC"I. SwimPooUpp_2011.doc revised 03/16/11 CITY OF CUPERTINO 150055 FEE ESTIMATOR — BUILDING DIVISION L FEE ID # POOLS 1DEMOPRES 1 ADDRESS: 1102 Milky Way DATE: 09/09/2015 REVIEWED BY: PAUL Atech. Perri: APN: 362 20 006 BP#: `VALUATION: 1$4,800 *PERMIT TYPE: Demolition Permit PL,IN C:'HECK TTPE. PRIMARY USE: Swimming Pool, Res. tartm?b �; L1',D. Fl -c PENTAMATION PERMIT TYPE: 1SFPOOLDEC; WORK Demo (E) swimming pool For Landscape Purposes Only) SCOPE Suppl. Insp. Fee -.0 Reg. Q OT FEE ID # POOLS 1DEMOPRES 1 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 E('. 7/1/13) rbtech. Plan Check Plumb. Plan Clunk iec. Plan Check Atech. Perri: Plumb. Permit Fee: Elec. Permit Fee Other Alech. Insp Other Plumb Insp Other Elec. Insp. 11'L't2. lnsp_ 1 cc' tartm?b �; L1',D. Fl -c :` ie"i"- h7512 F"'., NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 E('. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl..PC Fee Plumb.&Iech./Elec Permit Fee: $329.00 Suppl. Insp. Fee -.0 Reg. Q OT F0.0 1 hrs $0.00 Plumb./Mech./Elec Plumb./Mech.!Elec Permit Fee: Construction Tax.- ar:Administrative AdministrativeFee: [fork Without Permit? Advanced Planning Fees: i Trcmel Documentation Fees: Strong Motion Fee: 1BSEISMICR $0.62 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $330.62 $0.00 TOTAL FEE: 1 $330.62 Revised: 07/02/2015 j l ur� lw� In� Foot r0a SCy( 0V\Ji"1 CUPERTINO Building Department SEP 0 9 2015 REVIEWED FOR CODE COMPLIANCE Reviewed By: TA.j+.4 Wvw FICE COPY , NN� OMMUNITY DEVELOP E EPARTMENT BUILDING DIVISIO - CUPERTINO —. APPR VED This set of plans and specifIca ions MUST be kept at the job site during construction. I is unlawful to make any changes or alterations o same, or to deviate erefrom, without approval f om the Building Official Th t mping of this plan and pecific:,' ons SHALL NO' be he o permit or to bean ppro.-i cf the violatief of any visions of any C!ty rdina�,c." -.r pp- ®d DATE V, — - PERM ts 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.org Owner Name .5: HH JA A K J• AN MA i ow Permit No. Address 110L tA(LK—\f WKY CO& kIn -cA `l'(,UIL�, 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. )Q No 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. Skip the rest of the form and sign bottom of form. 7 R 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. Skip the rest of the form and sign bottom of form. No 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 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. I Yes 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. Check one of the three following statements and sign bottom of form.. Please check ONE of the following: P 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. 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). 1, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. j , - A r n I Owner or Owner Agent's Signature:_ Z N I An > Date: _17,L/Li 12Jb1S Upon completing and signing this Certiticate, please return it to fhe'Building Division in order to final your building permit. SB4072015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 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 08126/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (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 08126/15 LIE SMOKE / CARBON MONOXIDE ALARMS F' OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CU P E RTI N O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • buildincacuoertino.org c 9Solq Permit No. I �d9OC) �< Address J C)% ��.�1—k�y �Uf'�-fzTl NCS 4 of Alarms Smoke: Ll Carbon Monoxide: 1 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 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. 1 have read and agree to cpmply vrith the terms and conditions of this statement Owner (or Owner Agent's) Name: � 4 P SAHIVHAk V. A0r ALV KU Signature ...................... ................................ .......................................... Date: �.�!...... Contractor Name: TOMV �qv�I Signature ..... �:.Y....'..1.1 Tv.....................Lic.;�...................................... Date.!............. Smoke and CO for•nzdoc remised 03/18/14