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1511004279 i . \L CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7940 FALL CT CONTRACTOR: DUKES HEATING & AIR PERMIT NO: 15110042 CONDITIONING OWNER'S NAME: R*A'MANATHAN ANU AND THAKKAR UMANG 5420 BORGIA RD DATE ISSUED: 11/06/2015 OWNER'S PHONE: 8583534817 FREMONT, CA 94538 PHONE NO: (510) 249-9636 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL License Cl•1A ..Lic. ZS Contractov-406,ka"." lo rJ Daie:L_// the reby affirm that I am licensed under the provisions of Chapter 9 (commencingw'i'th 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, is provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $3000 performance of work.for,which this permit is issued. have and will:mainiainW.6rker's Compensation Insurance, as provided for by Section 3700 of the t abo'r Code, -for the performance of the work for which this APN Number: 36213006.00 Occupancy Type: permit is issued. I 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.agre . e I to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter IS ISSUANCE OR WITHIN 180 D ISSUANCE OR upon the above mentioned pr, 6 property f6r inspection purposes. (We) agree to save op CTI 180TDAVY� LED INSPECTION. indemnify and keep'haimless, the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of &s• permit.- Additionally, the applicant understands and will co pl 'p Ro Ss Date: with all n omt rce regulations per the Cupertino Municipal Code, Section TT. 9.18.1:1 RE -ROOFS: v. Signatur;7 DateA4� All roofs shall be V' ppected DriOr to e 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 I hereby affirm that• a itien pt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons:7. 1, as owner of the-property;or'my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER will do the Work'andth6 structure is not intended or offered for sale (Sec. 7044, Business "& Professions. !CodO).' 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. 1 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,' I have and1will maintain' a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous Compensation; as provid6d 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 533, and 25534. Sectibn'3,.700,of,,the,Labor'Cod6 for the performance of the work for which this Owner or authorized agent: 0/ A, Date: permitis issued I certify that inthe l3drform,ance of the work for which this permit is issued, I shall not employ any person on. i , n any, manner so as to become subject to the Worker's Compensation . ,liws 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 I hereby affirm that there is a construction lending agency for the performance of forth,��ith''C'6m P'ly"�with'suchpfovisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I lidye'reAd this; application and state that the above information is I correct. g t.11 - e61td'cofiiply : with ith all city and county ordinances and state laws relating 'c6nk�uciion;iafidiiereby to building I;i 1 1.yard authorize representatives of this city to enter I 1 !, , mentioned c above mentioned property for inspection purposes. (We) agree to save upon;& iit� 1-1 � ify��nd,keoplfi�rinlegs'the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION costs',!and'expdhses which m4yaccrue against said City in consequence of the ' 's'p I understand my plans shall be used as public records. ei.rinit. Additionally, the applicant understands and will comply iii grantng 6fth , wi&A"noin_p oint. s . ource I regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18.' Signature Date CUPERTNO GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION C L c 10300 TORRE AVENUE • CUPERTINO, CA 85014-3255 (408) 777-3228 - FAX (408) 777-3333 • build ino(a-CUDerino.orq oa 6 -2-- m I ❑PI'u"mN-G ❑IIECNANTICAL ELECTRICA? ❑],,as CELLA-'\'- OLIS PROJECTADDRESSI APN _ 2 ( 3 - O D OS'✓TrRNA.]✓L. PAO�� _ =-1�aSL S T REST ADDP ESS 116 -, I CITY, STATE, ZIP I FAX CONTACT N:�2J:E PHONE STREET ADD=S CITY, STATE, ZIP FAX ❑ OFR. -a ❑ oVR.'-=-,-BumD? ❑ OtiVN`ER AGF-NTNI ACTOR ❑ CON71-1,CTOR AG:NT ❑ ARC MECT ❑ -t? GiINE-M ❑ D� tL0' ❑ 1-? t�7 CONTR% CTORNA.hL �+ I I LICENSE'NUMBER �}� I LICTSE TYPE G ^� I BUS. LIC-.-.' C01J2At Y N 44JE ` E-NAILdvG �14G r F.4n v� STREETADDRESS ' 6 CITY, STATE, Zi? PHOI\E A RCETZM NGINEER NA1\4E LICENSE NUh.BER I BUS. LIC f C01✓2ANf NA1✓i: I E-I✓L II I FAY. STREET ADDRESS I CITY, STATE, ZIP I PHOI1-E USE OF ❑ SF -D., DUPL ❑ 1J,ULTI-FAhffi.Y PROJECT LN W DLAND ❑ YFS PROJECT LN ❑ YES is Tr.- BLDG AN ❑ S B u=P\'G:❑ COAO.='CLAL URB NIN=E -ACE A1UA ❑ NO FLOOD ZOKF- El No I MCF LER HOME? ❑ NO DESCP.ffTION OF V,'ORJC / e- TOTALVALUATIONT: i-gggiiii By my signat--eLLbelow, I ce:Lily to each ofthe following: Izn the propety owner or authorized read this application and the information I have provided is correct. I have read the Description ofWork and verify it is accu; ate. 122—Tee to comply with all applicable local crc»ances gad sLte lzws relatir!g to buil�gctiuctioa. I author�e representatives ofCupertino to enter the zbove-ideati�r ed property for inspection pu,�oses. Signature of A..pplicant/Agent: Date: S _FATE.' ! ORi✓rATIOI�I REQULREDLSEfln S- �'-:k ;,oti�RTl�cov-'zaER��zS��Y: R- RAI ❑ T d SIVG h Y .ks L - .. } l k A/FP1,'is0,4Dp_7011.doc revised 06121/11 T� CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 7940 FALL CT DATE: 11/06/2015 REVIEWED BY: MELISSA UNITS APN: 36213 006 BP#: *VALUATION: 1$3,000 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex Amps PENTAMATION PERMIT TYPE: 1 REAP WORK REPLACE 100 AMP PANEL WITH N 200 AMP PANEL SAME LOCATION SCOPE Sz+19101. lnsl? Tee APPLIANCE / EQUIP TYPE FEE ID Phunb. Plan Check QTY UNITS BP FEES Elec. Permit Fee: IEPERMIT Services 1 ERT<200 Other Elec. Insp. 0.0hrs $48.00 200 Amps $48 Pez•znit Fee: Sz+19101. lnsl? Tee PME.Unit.Fee: . '_ $48.00 PME Permit Fee: $48.00 Corzstructi6h Tai: F� Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes Q No $0.00 TOTALS: Travel'Documentation Fee: ITRA VDOC 1 $48.00 :Strong Motion Fee: r IBSEISMICR M, ,heel,. Plan Check Phunb. Plan Check Elec. Plan Check 0.0 hrs $0.00 Afech. Perrnil Fee: Plumb. Pcrmil Fee: Elec. Permit Fee: IEPERMIT rl och. Insp. L'OVJI'1�11-ellz. niher Plumb Insp.Li I Other Elec. Insp. 0.0hrs $48.00 Insp. Fee: Phunb. Insp. I'eC<: Elec. Insp, Pee: 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 preliminary information available and are only an estimate. Contact the Dept_ for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Sujy3l. PC Fee PME Plan Check: $0.00 Pez•znit Fee: Sz+19101. lnsl? Tee PME.Unit.Fee: . '_ $48.00 PME Permit Fee: $48.00 Corzstructi6h Tai: F� Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fees: Travel'Documentation Fee: ITRA VDOC $48.00 :Strong Motion Fee: r IBSEISMICR $0.50 Select an Administrative Item Bldg Stds'Commission Fee: IBCBSC $1.00 SUBTOTALS; $190.50 $0.00 TOTAL FEE: $190.50 Revised: 10/01/2015 CUPERTINO1 Owner Name V WATER-CONSERV�NG PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 9501473255 (408) 777-3228 a FAX (408) 777-3333 o building(a.cupertino.org Address I Ci y U Fek i cr. c U R e y ti r J L A- I S O) �FILE 1�qllla RS � 5G I I COO.. 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 fonn. 1V No 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. IX 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. C9• Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: 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 nage. '✓' . Owner or Owner Agent's Signatu�&,:w- i J -_L_ Date_v?i21 Upon completing and signing this Certificate, vlease it to the Rnildina T)ivicinn in nrriPr to final vn„r 1-,'1A,*__ ..e._....:t SB407 2015.doc revised 08/26/15 " � 11� Ri�1�.U? "'1 `117 �3'�iCA!!)�% :1� '�t'�S ll'1T'LY� i�� Jl' 141.1.: � a •,1'r19./r. y,� 731.E .�`3:+'1�'!:S .il:o.L` it 1.7d'� 1� A .'SN..la� WL NQ DB751101 TO T - . 1. If the existing plumbing fixture water usageruow ra4c 4s oyual 4u V1 1V\'Yll L11- Ill.. i.F,. _ • ., -- _._ ____ - _1____ i SB407 2015.doe revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Plumbin Fixture Maximum Water Us a a/Flom► 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 Showerheads Gallons/flush Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criterid'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 Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons .per minute 1.8 gallons per minute @ 60 Faucets- 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 usageruow ra4c 4s oyual 4u V1 1V\'Yll L11- Ill.. i.F,. _ • ., -- _._ ____ - _1____ i SB407 2015.doe revised 08/26/15 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 MFILE I�Iqlog (408) 777-3228 o FAX (408) 777-3333 o building(a.cupertino.org e q W0 F,5i I 1 < i C 01,? •z, - no L� s 1 eke: z: t�� 7� WQ1x%Nide• Gi 5 Lq PERMIT CANNOT BE FINALED AND COMPLETE UNTIL THIS CERTIFICATE MkS B.E N S O1'xE) AN `fiUIRNED TO `iCF][E BiJIILDIIVTG DTVIS:IO. 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 su-igle-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 OUI 6KU gr_ merAgenf-s) Name: �G1 alt si nafirre....-"- ............................................................................... D_ate;� �................. Cb�iiPi�cfor=Names C. fl • r . SiCc aiui'e............. .... ...................................Lic �f=.:........A.I. /Rc..... D"afe:) I ? a.1.. . J mif Smoke and CO form.doc revised 03/18/14 J