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15090176 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11624 OAK SPRING CT CONTRACTOR:S.EA.CONSTRUCTION PERMIT NO: 15090176 OWNER'S NAME: TO HING YAN AND WONG CHUI KIU TERES 1941 OTARRELL ST DATE ISSUED:09/28/2015 OWNER'S PHONE: 4088584466 SAN MATEO,CA 94403 PHONE NO:(650)2874202 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ REPLACE WOOD SIDING WITH(N)HARDIE SIDING,LIKE FOR LIKE(15 SQ) License Class 22 y Lic.# Contractor E 1\ 12635 I Ir vI-1bat, 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: Sq.Ft Floor Area: Valuation:$15000 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 APN Number:36652066.00 Occupancy Type: performance of the work for which this permit is issued. 2' I e and will maintain Worker's Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this 10 permit is issued. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR I certify that I have read this application and state that the above information is 180 DAYS FPDZkLAST CALLED INSPECTION. 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 Issued by: Date: indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which m crue against said City in consequence of the granting of this permit. iti ally,the applicant understands and will comply with RE-ROOFS: all non-point source gulat' .tlle.Cupeitina ici al Code,Section 9.18. 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 Signature inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: 1 hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER the following two reasons: t. 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 HAZARDOUS MATERIALS DISCLOSURE sale(Sec.7044,Business&Professions Code) I have read the hazardous materials requirements under Chapter 6.95 of the 2. I,as owner of the property,am exclusively contracting with licensed contractors to California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain construct the project(Sec.7044,Business&Professions Code). compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should I store or handle hazardous material. I hereby affirm under penalty of perjury one of the following three declarations: Additionally,should I use equipment or devices which emit hazardous air t. I have and will maintain a Certificate of Consent to self-insure for Worker's contaminants as defined by the Bay Area Air Quality Management District I will Compensation,as provided for by Section 3700 of the Labor Code,for the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code prdons 25505,25533,and 25534. performance of the work for which this permit is issued. 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by Owner or api e+►t �� Section 3700 of the Labor Code,for the performance of the work for which this �,` Dater permit is issued. ' 3. 1 certify that in the performance of the work for which this permit is issued,I shall 1;;1 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code,I for which this permit is issued(See.3097,Civ C.) Lender's Name must forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Address APPLICANT CERTIFICATION ARCHITECT'S DECLARATION I certify that I have read this application and state that the above information is 1 understand my plans shall be used as public records. 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 Licensed Professional 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION r10d N 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building(a�cupertino.org ( 50 9 tJ / ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT 4 PROJECT ADDRESS I AIN#t 2 ,6 L a/] U o V� W � � C +- OWNER NAME PHONE E-MAIL 141as- 1R59 Co C. L,mrcI, o STREET ADDRESS CITY, STATE,ZIP FAX t l(, X2 S C- �-. C-U nPA 4i U0 C- IIs CONTACT N /� PHONE E-MAIL Com J� l-1r (,!50- --;qlu r. 1,. STREET ADDRESS CITY,STATE,ZIP FAX o© `� r cz ,, P, o C*- V,0-2 to O- •�!-a a El OWNER 13 OWNER-BUILDER ❑ OWNERAGENT COCONTRACTOR JECONTIACTORAGENT ❑ ARCHITECT EI-ENGINEER ❑ DEVELOPER ❑TENANT CO CT A NAME LICENSE OBER LICENS E BUS.LIC# L 233 2-m COMPANY NAME E-MAI / FAX (/ t I Lt D -Z.9' '- O} STREET ADDRESS CITY,STATE,ZIP PRI�ONE loo ' S. 15Q-Al ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK a r (&92 I Inw 155 's ,} 0A1 EXISTING USE PROPO CONSTR TYPE #STORD3S USE TYPE OCC. SQ.FT. VALUATION(Sl EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA - BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND uNrr ❑YES SECOND STORY []YES BEING ADDED? []NO ADDITION? []NO PRE-APPLICATION ❑PES IFYES,PROVIDE COPY OF IS THE BLDG AN Y x TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? N _ - .F Mgamhi By my signature belo-,v,I certify to each of the following: I am thFiraty au _ent to on the property vmer . I have read this application and the information I have provided is correct. I have ron of r and ver' it is accurate. I a e to comply wi all applicable local ordinances and state laws relating to building c ruction. I authpives Cupertino enter the above-i tified property for inspection purposes. S ignature of Applicant/Agent: SUPPLEMENTAL INFORMATION REQUIRED New SFD or Multifamily&vellings: Apply for demolition permit for �f ' ❑ OFERTH]:COTJ-TER existing building(s). Demolition permit is required prior to issuance of building _ 1 permit for new building. 4 k' P =_flF ExPx>ssF _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure D sTANnAxn form if any Hazardous Materials are being used as part of this project. w® � �� _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. i BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 11624 OAK SPRING CT DATE: 09/28/2015 REVIEWED BY: PHUONG APN: 366-52-066 BP#: EVALUATION: 1$15,000 RPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex PENTAMATION 1GENRES USE: p PERMIT TYPE: WORK REPLACE WOOD SIDING WITH N HARDIE SIDING LIKE FOR LIKE 15 SQ SCOPE Mech. Plan Check i','norh. flan Checti ,cc:.Ilan Check Lleclr. P l''lumh. Permit Fee: Elec. Permit Fee:: Other A4ech. Insf, El--t- NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These _f -fees are based on the relimina information available and are onlyan estimate. Contact the Detor addn'l info. FEE ITEMS (Fee Resolution 11-033 Eff.' 7!I%73) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 FEE] s.f. Siding Suppl. PC Fee: (j) Reg. () OT0.0 hrs $0.00 $1,076.00 ISIDEOTHER All Other PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee.S Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: .4(hninistrat,ive Fee: Work Without Permit? Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential y tBuilding or Structure i Strong Motion Fee: 1BSEISMICR $1.95 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $2.95 $1,076.00 TOTAL FEE: $1,078.95 Revised: 07/02/2015 f .1 IV tit:l MzZi 1:1 u:.c�:7 rl L .T'• AMUtj jn.AJU.-)lrJi1X-1 P• re ,. q,..iY. ,7 "—pa,.Acl �' i:JtvlJl�j 77!'Ji.ARti` (tt."n�,.::ftttl':..a:;)�tt•t..t.7'{lYf}QUt:; V ,fir«; ry p. anrgr lwreorr�b AYt1P.1s3r,�re a,.:�q�iNla41nk.,lsm:"t J�2«1 VT}tt•tZ. 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'+,`'�- +-_I•- 41 f7�'•.. .311Vi{,I s/.l:h� '' %�1�,£,' -..f'�,.Y'� .r7.. .,I,Ir.ci•'Jm°= _���Z..�e'}t�'""T .M•� •, ',• ::e:J(1VY �'�-ti�rt�j �a r •.sump NSl:1t�;4�294SN(')F.1. ti3'11 3""tl.l 111}91 aLW11,i fire"1:11"a:'"c'vd.r.Jl�:�u�1,�-'c�•senha� ;d•h ;t,— :7AI1 •,t►a;.:lim srp R7Li...n4i'1.1:1.5 s�c�i.��'t c. : n°.pin:K}o traa!FF-a":•;n1a:3:+S'�6:alnl „ .• Rs':"rx�s;c!J..tu A:ci:ln.r.'.trr:: g.t(rratr%: uuld Mei 2:1:J:p.AJr su {{IE«j"t"j1::k:1fWM2DU:J)::/_•Mg1C3-V -VWA-;iSt.Y^{a� �u�tPP `��'mtsl.'11n.rn�aiy.q3AV ja 1ruuddVio;Pogras(ddv l�J vu.4ltci0islj �7p SMOKE / 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(a cupertino.oug Permit No. � � � 9 0 � }� Address 6Zt 0a C t ( , 4 L'AA1,, CAclSD4 #of Alarms Smoke: Carbon Monoxide: �— PERMIT CANNOT BE FINNLED AND COMPLETED UNTIL THIS CERTIFICATE IIAS BEEN SIGNAND RETURNED TO THE BUILDING DIVISION 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 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. 1 have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name- 7 1 bti /C 1 signature................... ... ..\.'....... ............................................................ Contractor Name: Signature...................................................................Lic.#......................................Date: ................... Smoke and CO.form.doc remised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION C U P E RT I N O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333• buildingacuoertino.oro Owner Name - 1 Permit No. 1;-0 0 ` ko r iJ�— k c. — -- Address �- �LIC SOYI�AZ, (;� C -�: CA C1 Sb ILI= 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. ERNo 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 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. * 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. C2'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. R'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.. 5. Please check ONE of the following: 2"'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). I,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. Owner or Owner Agent's Signature: Date:RZ2Z�1.v(S Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB407 2015.docrevised 08126/15 BUILDING PERMIT.CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RET1 RNFD TO THE BUILDING DIVISION Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rate 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