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15110108-OLI CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 11238 TERRA BELLA DR I CONTRACTOR: T D ROOFING I PERMIT NO: 15110108 1 OWNER'S NAME: CHING-CHENG CHAI & YUNG-HUA CHANG 1675 TULLY RD l DATE ISSUED: 11/16/2015 1 OWNER'S PHONE: 4087183152 SAN JOSE, CA 95111 PHONE NO: (408)892-8872 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ REMOVE WOOD SHAKE INSTALL OSB 30# FELT AND License Class Lie. # PRESIDENTIAL TL 24 SQRS Contractor 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: 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. 1 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 per the Cupertino Municipal Code, Section 9.18. S ignature Date ❑ 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: 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 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: 0 I Valuation: $14500 APN Number: 35621006.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: 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 authorized agent: Date: CONSTRUCTION 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professiona WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org Owner Name i. f",•/._J 44/ i G, l 4:2�6 Permit N o l l Address _ /IZ /0 �, i(�f?/k �� 1� i,.�f� 'i,� .� /"� ;?r-7D1CL 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 form and sign bottom of form. I 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. V5 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: IX 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). - El 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��T - plumbing=fixtures=througghout the building-(regai dless of whefher propertyergoes alteons ratior improvements). the -owner -or -owner's agent -of this -property, certify under penalty of pei jury that non-compliant plumbing flxtw es 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 Signature./• Date`. Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15 Fixture Type Water Closets (Toilets) Urinals Showerheads Faucets — Lavatory Faucets Faucets— Kitchen Faucets BUI[ GD�TG PER�Hd' ��'� OT IgE FD QED A�"D COAIPLET-ED �7MTHIS ER1'IFl( lu IIS I3E ��... •�� D3I`DB«D T{� H;S3iII(I`, i�fl�+: Non -Compliant Water -Conserving Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Plumbing Fixture Maximum Water Usage/Flow Rate 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 Exceed 1.6 Single flush toilets: 1.28 gallons/flush Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, avera e flush volume of two reduced flushes and one full flush Exceed 1.0 0.5 gallons/flush Gallons/flush Exceed 2.5 Also certified 2.0 gallons per minute @ 80 psi. fied 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 and/or other shower outlets controlled by a single valve shall not showerheads 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. Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi 0.8 gallons per minute @ per minute @ 60 psi; 2U p51 ,T,i;,i,^ 0.8 nallnnc .. . . 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 per minute 60 psi @ 60 psi psi 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 sown mail 11ru— 01—YYAy 11 •� ••�• •-n ---- - -- -ro --- SB407 2015.doc revised 08/76115 ,t(I(Iress SMOKE / CARBON MONOXIDE ALARMS- OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT bEPA ITMENT - niLDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (40E1)' 777.3228 • SAX (408) 777-3333 - int it @ .0 Qd1i1R.W -r r( Pl'sRAHT CANNo'r im; rINALE A;NU COl►IPLI:' UNTIL IIS Crlt7'II-ICA.TiL HAS BEEN aLGEaz) ANI) i l:'1'hRNI?i1'I'n'17IL 13.UILI)ING l)lNIISION PURPOSE This affidavitis.asenf-certification for the nstallaiiotn.af 111 required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section 8314, 2013 CBC. Sections. 420.6 and -907:2.11:2 where no interior access for inspections are required, GENERAL INFORMATION Existing single-fainily and multifamily 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 imnlediate:vicinityof the bedroom(s) X X On every level of a divelling unit;includin -basements. X X Within each slee in ,room X Carbon Monoxide alarms are not required in dwellings which do not contain. -fuel -burning appliances and that .do not. have art attached garage. Carbon monoxide alarins cbmb.hied with smoke alarms shall comply with CBC Section 420:6 and shall be approved.by the Office of the State Fire Marshal. Powernupply:In dwelling units with 'no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted oto be battery operated where repairs or alterations do not result in the removal of wall and ceiling fiiiishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section 8314 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, hhereby certify. that the alarm(s) referenced above has/have been nnstalled,in accordance with the manufacturer's instztic(ions 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 road and agree to comply with the terms and conditions of this statement .Ovine r Owner Agent's) Name: �/ )2i J� CIL �ii� �� SI mat : 3.. �c�'-�- --- .. Data: Contractor Name: SI nature.. .1-101. . Dale: Sindke and CO.jor•rrr.rloc:rerrsed 03/M//4 -scanned by CamScanner