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15110152CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20701 GARDEN MANOR CT CONTRACTOR: TRENCHFREE INC PERMIT NO: 15110152 OWNER'S NAME: THAGGERT HENRY L PO BOX U DATE ISSUED: 11/20/2015 OWNER'S PHONE: 4089730829 SAN JOSE, CA 95151 PHONE NO: (408) 726-7926 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class C AC'3fo Lic. # �L6� REPLACE MAIN WATER SERVICE FROM METER TO PROPERTY.. Contractor [ 6x1«"2 Date_q&4&ff 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 Sq. Ft Floor Area: Valuation: $2350 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 APN Number: 36230076.00 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 YS FROM LAST C D INSP CT N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, r C costs, and expenses which may accrue against said City in consequence of the 1 �� granting of this permit. Additionally, the applicant understands and will comply Iv[J Issued by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ROOFS: Signature Date [ any r All roofs shall be inspected prior to y 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 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 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 permit is issued. Owner or authorized agent: Date: 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 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 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 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, ARCHITECT'S DECLARATION 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 GENERAL PERI\lIT APPLICATION MEP C01 -AM -UNITY r r t t r r. + j, DEl: =L =-NAE � G_r- STI =� BV:LDUNG uiVISION, 10300 -0= V- - Ci���RTiE�O, C ; ��0 i ^ , (4Ct+B) 7 I-�,!G8 `rr-.i: (�.0$) f!%-33:;3•`JU!I clI�IG,D+Ju=-!iitO.:ir-D ou CUPERTINO m I i f Vr� ! r'LL?v3i'�G I' =C '.=C-'� ❑ L ECistiC? i fi,� :C7r \-,=ouS J 1 1 I coa ADr_» x070/ Gia JW WWDR- i `-?`" b " 3p -- n � PaRy Los -Dr' s STF=T : DD: M CITE', - I 7T ... ❑ nii1� L Gi::.--_u- J Cn-.:._� _CClki �.CT03 ❑CC:ttr<C..�C_,i +J:_._= C ❑ tiC ._� L� C Z Bus.LI:.- f C-0 I$% :_-Y r q#p 7 ��� l 3 Z FR-ar, 11660 1144URFIL 94. /nnQcoknl ,LL CA fox! :.�C'� =_ a. s.-1=c3�F1;... ��rl I iiC_•F�H?a.?.{=ci CIiI'r'_:2,YN ?rr' I �__. :C= l:s=_ o= :7 •=�=-':-._.._ �:_�. r, a�--����� ❑ -=' -= c _� . +! asse .:_v _ 1a0--.000Zv^',_ ❑ K•O t -3_D. 3 CN f-1 =s _._.�? o'✓.c? ?;0 Disc: rl0xc: ,;0. 1 "Aw e-boA) �3Soi �`� J G' _ �. .. v_:'C'� ....n:!-"�C�-.-r.� 11: Ly. _� i:J �, _ ? L� L'�: �. �-C7C l,l �y L .t . _ - - _ o:,==: _ cam_ -- _ to act c_ ` pr�e-y c:,ntr's b_hm-lf i �_ � r --pd this C4.7✓I:'__.iJ=_.-:2 L._.... '. 1..�. .'moi �.sC••�1t `pit •. -• V �`�F= .. ` ^tt1 7 o. .`Vr.. ..: 3:` -- ZCCU:G:�. - l•J ._r a - _n_.te ,•�.� ';::... .e Ay.• i,i _ _-'''SGL',_ __.,_. _Itil_A AT 0KMA T T ON RE iU-TRE O�'riGn LS 9�L1 , 0� fi -�t-rT4 1S' 70R �= 1 -:c1:- _U CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION imADDRESS: 0 -;to t V1 PA100fa DATE: 11/20/2015 REVIEWED BY: Paul APN: 36L) - 3 0 —0--yC I BP#: *VALUATION: 1$2,350 *PERMIT TYPE: Plumbing Permit PLAN CHECKTYPE: 'Alteration /Addition/ Repair PRIMARY SFD or Duplex USE: ("'Iher 1.111e,.-, h'isp, PENTAMATION 1 RPWS PERMIT TYPE: WORK Replace main water service from meter to property SCOPE A,fech. Non Chee.k Plumb. Plan Check 0.0 1 hrs $0.00 QTY/FEE A%hu,,h,, Fee,- Plumb. Permit Fee: IPPERMIT 1flec-Permit 1°F: f:: Ozhe- Afeeh. Other Plumb Insp. 1 0.0 1 hrs $48.00 ("'Iher 1.111e,.-, h'isp, 'hinib. Inv, 1,'Ce: ---e VOTE: This estimate does not includefees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School ,uistricr, etc). inese-tees are based on the preliminary information available ana are only an estimate contact IfteUeptfor aaan -1 info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1113 FEE QTY/FEE MISC ITEMS Plan PME Plan Check: $0.00 Per mil T, e�: sui,-rp 1. . lnsP 1""? e PME Unit Fee: $25.00 PME Permit Fee: $48.00 Administrative Fee: JADMIN $45.00 Work Without Permit? 0 Yes (F) No $0.00 Fees" Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS::.0 $167.50 $0. TOTAL, FEE $167.50 Revised: 10/01/2015 11/19/2015 To Whom it May Concern, GVT Homeowners Association has hired TrenchFree to run new pipe from the outside of the townhouse to the San Jose Water Dept's water main located in the common area of GVT property. Listed below are the addresses affected. Garden Crest Ct. 20713, 20717, 20727, 20729 (2 ckie Boyle President GVT HOA Garden Manor Ct. 20685, 20693, 20701 Garden Terrace Dr. 11410 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE FE, _LE COMMUNITY DEVELOPMENT DEPARTMENT m BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 777-3228 o FAX (408) 777=3333 m bulldina(d�cupertino.org Owner Name tr1 f A-liz Permit No. Address �D �D I f 7C)t� ;��141100;4_1G-�- 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 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 fonn and sign bottom of form. L 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. 10 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: T 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 irnprovernents). 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 11.01.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that th6 water -conserving plumbing fixture comply with the requirements as indicated in the table on the following nage. ,-, Owner or Owner Agent's Signat6� 1 `-` Date; r�1 d Upon completing and signing this Certificate, Please return it to the Building- Division in order to final vour hrtildino „P,,,,;+ SB407 2015.doc revised 08/26/15 BXfJ[ D1 y G 3C tCiZ'U7U1 CAaN!TOT BE, :r, u 7,\ ri D Arm c VmP.rLE, TED n, -M Il ra '� S CE TIF r� IIr B�); ' .�7 t 7�-ETrt i*l DIV3SI,{�r T1. If the existing plumbing fixture water usage/clow rate is equal to or lower than the liguic bLIU W11, lL 1J 11VL 1. �u._ _'V5 SB407 2015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Plumbin Fixture Maximum Water Us a a/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 Showerheads Gallons/flush 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 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. ll ll T1. If the existing plumbing fixture water usage/clow rate is equal to or lower than the liguic bLIU W11, lL 1J 11VL 1. �u._ _'V5 SB407 2015.doc revised 08126115 PURPOSE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 • building(a)cupertino.org %.=atr_w / 5/10 1 �Z 0�-0 10 W0001 PIERNUT CANNOT DE F'INALED AND COMPLETE D UNT11, THIS CERTIFICATE ISS J EEE S CNE AND ,_r N�D ' 0 'THE BUIL-D)<NCC DIVIS:IO.N 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 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 aqree to comply with the terms and conditions -of this statPmPnt bc�ir Dv�;erAge�€'s) i�Far�re: ------------ SiTnafUre ... ...................... .... �.................................... pate;, Coli " afor=Na e: G f� T Si0tute..........T.-, ; Ltc f Z c0i ' M Smoke and CO form.doc revised. 03118/14