15050027 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20701 CELESTE CIR COTSTRACTOR t PERMIT NO: 15050027
OWNER'S NAME:
PHONE NO:
,I LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
l REPLACE 2(E)WINDOWS& I (E)SLIDING GLASS DOOR,
License Class da Lic.# 4� LIKE FOR LIKE(WILL MEET EGRESS&BE TEMPERED
A 9 ��/ WHERE REQUIRED BY CODE)
Contractor We 1,V Xe 1 �'RI�w s Date .
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
` t 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:$2500
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:32658097 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 WITIIIN 180 DAY RMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter ED INSPECTI N.
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Date:
granting of this permit. Additionally,the applicant understands and will comply su
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
���� ` -ROOFS:
Signature DatAll 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
1,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 25505,25533,
and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:
v
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 CONSTRUCTION LENDING AGENCY
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 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
1 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
/L" 1
CONSTRUCTION PERMIT APPLICATION bC�
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O�
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228?FAX(408)777-3333•building(ftupertino.orq
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# c
PRo.IECTADDRESS 20701 Celeste Cir APN# `? ZZ - 'i !,c
OIRNAME PHONE E-MAIL,
STREETADDRESS 20701 Celeste Cir CITY,STATE,ZIP Cupertino, CA 95014 FAX
CONTACT NAME Yanek Po es PHONE �j E-MAIL
ry (b,—Sb
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME Yanek Poryes LICENSE NUMBER 695262 LICENSE TYPE B,C-17 BUS.LIC#
COMPANY NAME DELUXE WINDOWS E-MAIL deluxwindows@gmail.com FAX 650-461-4446
STREET ADDRESS 105 22 AVENUE CITY'STATE,ZIP SAN MATEO, CA 94403 PHONE 650-461-4446
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
04� �,��C 7C- Pb
EXISTING USE PROPOSED USE CONSTR.TYPE 1 #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODELAREA REMODEL AREA
PORCH AREA DECKAREA LTAL DECK/PORCH AREA GARAGE AREA: ❑DETACH
ATTACH
#DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑YES
BEING ADDED? ❑NO ADDITION? []NO
PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEr TOTAL V ATIOI
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO
By my signature below,I certify to each of the following: I am the property owner or authori gent property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and vers it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building`construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: (/�► Date: ✓ 1
SUPPLEMENTAL INFORMATION REQUIRED Pi Ari cxLcx TYPE ROUTING SLIP
_New SFD or Multifamily dwellings: Apply for demolition permit for ❑ ovER-THEcor NTLR ❑.BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building r
permit for new building. ❑.'-EXPIiEss '❑ PLANNING PLAN REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑s STANDARD ❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project. ❑ LARGE, ❑ P>REDEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application. f7 .MAJOR ❑_�snivITARY SEWER DTSxRICi
❑ ENVIRON IEINTAL HEALTH
B1dgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20701 CELESTE CIR DATE: 05/06/2015 REVIEWED BY: MELISSA
APN: 326 58 996 BP#: "`VALUATION: 1$2,500
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY PENTAMATION 1GENRES
USE: SFD or Duplex PERMIT TYPE: i
WORK REPLACE 2 E WINDOWS & 1 E SLIDING GLASS DOOR LIKE FOR LIKE WILL MEET EGRESS
SCOPE & BE TEMPERED WHERE REQUIRED BY CODE)
11ec11. Plan Check Plumb. Plan Check Elec..Plan Ch�c�k
rblech. Permit Fee: Plumb,Permit Fee: mitFee:
Other Afech. Insp. Other Plumb Insp. Other Elec.Insp.
11ech. Insp. Fee: I'Iatnab. Insp. Fee: Elec.1nsEz Fee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E . 7ff /•1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1 3 1 # Window/Sliding Glass Door
Suppl.PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $431.00 IWINREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl.Insp.Fee.-(F) Reg. Q OT O,Q hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
(;onstruction Tax:
Adininistrative Fee:
Work Without Permit? 0 Yes 8 No $0.00 G
Advanced Planning Fee: $0.00 Select a Non-Residential E)
Building or Structure
Travel Documentaflon Fees:
Strong Motion.Fee: 1BSEISMICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
SiTBOTAiS: $1.50 $431.00 TOTAL FEE: $432.50
Revised: 04/01/2015
De Anza Forge
Association
4/20/2015
File Reference# A39180-SR2
20701 Celeste Circle
Cupertino, CA 95014
RE: Architectural Approval -Windows
Dear
At the April 2,2015 Board of Directors meeting for the De Anza Forge Association,the Board reviewed your
request for the installation of six(6)vinyl windows and one(1)slider door at your unit, 20701 Celeste Circle.
Please be advised that the Association approved your request as submitted, with the following conditions:
1)The windows and/or slider door are to be installed by the licensed contractor submitted with your request form.
2)The vinyl trim for the windows must be tan in color to the exterior.
3)The glass panes must be the plain glass style or grid glass style as shown on your application and consistent
with the windows in your building. In other words, if the existing window has grids,the replacement window must
have grids.You must replace"like for like".
4) No tinting of the window is allowed. Low"E"glass is allowed.
5)The homeowner assumes sole responsibility for the events creating the improvements(inclusive of any
damage), maintaining the improvements in good condition and any encroachment these improvements may make
on common area improvements
6)All work is to be done during reasonable hours(8:30am-5:OOpm). Homeowners are to notify neighbors and
Management of dates of installation.
7) No large construction debris is to be disposed of in the Association dumpsters.The Homeowner will be
responsible if the contractor does not dispose of debris correctly. Charges for hauling any debris will be billed back
to the unit owner.
8)The Homeowner is responsible for any permits required by the City of Cupertino.
9) Upon sale of the unit,these requirements must be disclosed to the buyer by the current homeowner.
Please contact our office, if you have any questions or need additional information.
Thank you for your cooperation with the rules and regulations for the Association.
Sincerely, <
al4w,uv
Jackie McGarry
Association Manager
cc: Board of Directors
Unit File
P.O. Box 320819 Los Gatos, CA 95032-0113
408.866.4537 - Fax: 408.866.4619
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 d b �S PERMIT# rSO 5-6 a Z
OWNER'S NAME: PHONE#
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: 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 usingan subcontractors: y�
Y -
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
Owner/Contractor Signature Date
q3 OFFICE � OPY
ITY DE�IELOPNIEN uPER jN'40 T
BtARAh 1u-- comBUILp1NG DNISION G®
�PPF'0v tai the
P�UST be kep
, ani zed specifications � �wSul to make any
' This set of pl It Is unl eviate
9 lob site during construction. or to d
royal from the Bu+lding Officiai.
# changes or alterations ofr sans e'ons SHALL NOT
therefrom,without aPP n and spea��c
c 3ATH 1 kJT g T'ne Stamp"19 of this p al of the violation
be held to permit or to" ance or State taw.
i I - of any pro sof an 5 b 6 13
o PERIv11TF"
DINE
PLA NI G DEPT
CUPERTINO
Building Department
Lft MAY 0 6 2015
�..� REVIEWED FOR CODE COMPLIANCE
{ Reviewed B
AT- BDRAA 2
e�gg� i
i� 1/ K, ! P 2 � i
SECOND LEVEL EIV'ED 0REC �
yell" doh
u i °av God�..�
CUPERTINO
Owner Name .L
91�y
Address O/l
P
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) 777-33337--buildina(c cuoertino.org
Permit No.
S (C., -CMZ. CA
Please refer to the attached California Civil Code Sections 1101.1-1101.8 v hich'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.
T a u erStg770re ate, 2 Z
�to Go to Question 2. J
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 rm
t wee Signature .. % Date; �p - 2 -
Go
Go to Question 3. /
3. Is water service pennarnently disconnected for your building?
❑ Yes Civil Code Sections I10ld-through 1101.8 do not apply. Sign below and skip the rest of the form.
`
%0_7197" tore€
VINo. 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. Sign below and skip the rest of the form.
r
. �n mer' 'S � adbmature:- 1D at:
x'�1r3` -
Ye's My real property is built and available for use or,occupancy on or before January , 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
army property is a single family residential real property. See Civil Code Section 1101.4.
On, nd after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing
es to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1,
2017, all . on -compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
of whether property undergoes alterations or improvements).
Myproperty is a 777UZtja777ily 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).
❑ Myproperty 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 2014. doc revised 03/18/14
.r
On or before+January 1, 2019, all'non=compliant plumbincr, fixtures shall.;be replaced with water=co riserving
plumbing fixtures throughout, the building (regardless of ` whether 'properly undergoes alterations or
improvements).
UWe, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced
with water-con�;rving 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
. at.the water -conserving plumbing fixtures complywith the requirements as indicated in the table below.
) dne° s (or Owner Agent's) Signature:,I� Date: N2f � —
Upon completing and signing this Certificate, please. return it to the Building Division in.order to final your permit..
}1 If=the existing plumbing fixture ater usage/flow rate is equal to or lower than the figure shown'it'is=dt�fequired'_to bexupgraded.
SB4072014.doc revised 03118114
lori'r �C�cp'lran'��I
Wafer -Conserving Plumbing Fixture_
Plum' b Fixtur�
(Fixtu.reComplying with Current Code Applicable.to New..Construction)
1 Maximum Water Usage/Flow Rate
Fixture Type
Wafer Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rafe
2013 CA Green Div. 4.3
2013 CALGreen Div. 4.3
2013-CALG-reen Div. 5.3-
Single -Family
Multi -Family
Commercial
f =
Residential
Residential
Water Closets
xceed 1.6
Single flush toilets: 1.28 gallons/flush
(Toilets)
<° allons/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 d
� Exceed 1.0
0.5 gallons/flush
'Gallons/flush . 1
-- --. -+ a
SIIuvvuIIluaUJY,
;'� a •-� �
„3 xceeU G.0
2 n i i +. ^ o n n l t'r, a +. +h rc a � r
.0 gallons per mi.Ju1C. `w 80 psi. Also certified to e performance cri e is UI
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
g p
Within units:
0.5 gallons per 60
g p @
Lavatory
$,.:
- per minute l
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
i
i =
per minute @ 20 psi
In
common and public
use areas: 0.5 gallons
per minute @ 60 psi
i.. "
1.8 gallons per minute
1 1
60 psi
Faucets –_
j Exceed 2.2 gallo 's . 1.8 gallons per minute @
1.8 gallons per minute
1.8 gallons per minute @ 60
Kitchen s.
per minute 60 psi
@ 60 psi
psi
Faucets
i ..- 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.. gallons per minute
Where faucets meeting
@--60.-psi .
the above are unavailable,
Where faucets meeting
aerators or other means
the above are
Y may be used to achieve
unavailable, aerators or
reduction.
other means—maybe
;.
used to -achieve
reduction.
}1 If=the existing plumbing fixture ater usage/flow rate is equal to or lower than the figure shown'it'is=dt�fequired'_to bexupgraded.
SB4072014.doc revised 03118114
CUPERTINO
Address
SMOKE 1 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 o-(�cupertino.orR
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
bedrooms
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, -alarms) 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.
f have read and agree to comoly with the terms and conditions of this statement
Owner (or Owner AgeM's) Name:
(� "I t" t� > Z
Si nature ............................................. ................................. Date:. ,......3/.
Contract r Name:
0 &,(efv�5
�y �+ z
SI nature ............... ......._...............,....,.............Llc.# ..�,Y....��CJ.,.�...... Date:.. ,.........,.,.
Smoke and CO form.doc revised 03118114