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151201332 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1053 WEST HILL CT CONTRACTOR: THD AT-HOME PERMIT NO: 15120133 SERVICES, INC. OWNER'S NAME: TING JEANNIE P AND STEVEN Y 2690 CUMBERLAND PKWY STE 300 DATE ISSUED: 12/15/2015 OWNER'S PHONE: 4082533450 ATLANTA, GA 30339-3913 PHONE NO: (510) 731-1004 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] REPLACE 2 RETROFIT WINDOWS, LIKE FOR LIKE (WILL License Classes G-\ Lic..#,* O -I- MEET EGRESS & BE TEMPERED WHERE REQUIRED BY ;-� `� Contractor PA; A-7 f ,OVA l Date CODE) 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: $2694 ormance of the work for which this permit is issued. ve and will maintain Worker's Compensation Insurance, as provided for by c ion 3700 of the Labor Code, for the performance of the work for which this rper APN Number: 36227050.00 Occupancy Type: it is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF W9RK4S NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 D IT 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 D ED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, -- costs, and expenses which may accrue against said City in consequeJnce of the ssued Date: granting of this pen-nit. Additionally, the applicant understan s-rnd will comp( with all non-point source regulations per theCupertino nicipal Code, Section 9.18. Signature Date 1- jt 5 f 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. ❑ OWNER- I DECLARATION Signature of Applicant: Date: I hereby affirm that I 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(x) 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 Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, Sections 25505, 25533, and 255 6 15 Owner or authorized agent. Date. 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 Compensation laws of California. If, after making this certificate of exemption, I CONSTR TION L DING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a c ion lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this pen-nit 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 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 CONSTRUCTION PERMIT APPLICATION is COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPfGRTINQ (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org � % '-�73 F-1NFW(-.I)NSTRIX-TICIN F� Ar)F)TTT(-1N I I ATTFRATT(1N/TT F1 RFVTCTC)N/r1FFFRRRTI ORT(ANAT PFRnATT$ PROJECT ADDRESS j O� ^7 IJ 141 11 T APN # Z OWNER NAME C S' � PHONE E-MAIL STREET ADDRESS J A ' I I ' CITY, STATE, TAOZ-71 J6 C - A/7 pP 501 _ `( p `7 FAX CONTACT NAME JEFF RAINEY PHONE 510-427-4260 E-MAILJEFFREY.RAINEY@ATT.NET STREET ADDRESS 1069 EDGEMERE LANE CITY, STATE, ZIP HAYWARD , CA 94 5 4 5 FAX 510-783-1041 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR `L CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # 836021 B,C39,C13,C17 COMPANY NAME E-MAIL FAX THD AT HOME SERVICES 510-357-3750 STREET ADDRESS CITY, STATE, ZIP PHONE 2456 VERNA COURT SAN LEANDRO,CA 94577 510-877-4550 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK � p. _(. - )1 �'�y�(� LJ�}-� /{ (� ' A) I I W � � l � -T W I ��V 4S — ,J 5 EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES 'Z I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH ❑ ATTACH I # DWELLING UNITS IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION Q YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED B T TAL VALUATION: 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 authorized ager to act on rope • s behalf. I have read this! application and the information I have provided is correct. I have read the Description of Work and verify it is accura ree to comp ith all applicable local ordinances and state laws relating to building constr Drize resentatives of Cu e • ' er the ab -identified property for ins tion purposes. Signature of Applicant/Agent: Date: SUPPLENrENTAL INFORMATION R PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for emolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ submittal of Building Permit application. SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc remised 06/21// / CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 1053 W HILL CT -DATE: 12/15/2015 REVIEWED BY: MELISSA I APN: 362 27 050 1 BP#: $0.00 *VALUATION: 1$2,694 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: 00 . hrs PENTAMATION 1GENRES PERMIT TYPE: A WORK REPALCE 2 RETROFIT WINDOWS, LIKE FOR LIKE WILL MEET EGRESS & BE TEMPERED SCOPE WHERE REQUIRED BY CODE) Other Alech, 'an Check 01,herj'h,frnb 11",4p. b"lec. Alon (Jleck 1 1 . Fi -I, 7�c, Perlin"'Fee.. Odler ln6p. F'lec. /mp. Vee: NOTE. This estimate does not include fees due to other Departments (i.e. 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 Deptjor aaan,i info FEE ITEMS (,Fee Resolution 11-053 Eff. 711113I FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 $431001 . Window Sliding Glass Door 1 WINREP Replacement A Suppl. PC Fee: (F) Reg. 0 OT 00 . hrs $0. 00 PNffi Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. C) OT"00 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 (D Work Without Permit? C) Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select,a Non -Residential Building or Structure E) 0 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS $1.50 TOTAL 0TALFEE4 $432.50 Revised: 10/01/2015 LEGEND: ® = RETROFIT WINDOW/ PATIO DOOR LOCATION (XOX) = 3 PANEL HORIZONTAL SLIDER (SH) = SINGLE HUNG Cn^, •, Lj 1717.-, =.1 -.n,, -, -r ;,r,7;�nr,-ren'= „0�';.,.=.t:I.Y!r=.. _• 7:•777 ::_.--r..s-t Iv;�i� LL1�'�H,I'Ii�lO i'.� _71 JT L. .�.L c} �i 1:. L�I +..il `°e`i .1 i. incl:, city t:. 7: 771 I V1("Cl iv+JC ai , C" ii !1-uf I jilt L-`.+Jil`ng (:iil ial. ilh.tta-is SHALL i,; OT t. t .-1-nit Li li; - .,Val vl ''l 'd:,.:�ia,+;O+l vi a '.dn Cf .;iu+:n Lave. MASTER BEDROOM WINDOW (XOX) 95"w x 4711h / ROUGH OPENING 31.0 sq ft. ROUGH OPENING 2311w x 43"h / NET CLEAR 6.9 sq ft. NET CLEAR SCOPE OF WORK: INSTALL (2) RETROFIT VINYL, DUAL = GLAZED, LOW E WINDOWS. NO (N) CONSTRUCTION, WEST HILL COURT FRAMES WILL NOT BE DISTURBED. O 1)• SMOKE DETECTORS: WHEN A BUILDING PERMIT IS REQUIRED, SMOKE DETECTORS SHALL BE INSTALLED; (a) IN EACH SLEEPING ROOM, (b) OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE z r DATE 12121 NOTE; WINDOWS / PATIO DOORS; I— • ; w - c --- MASTER BEDROOM U -FACTOR = 0.30 SHGC = 0.25 v_ < �:> WINDOW (SH) (HOME OWNER TO PROVIDE BEFORE FINAL INSPECTION). w Q 2311w x 4711h v� c wwc PLOT O CD>L CO CH DKED 4pp �M3 =LO - ' Al ATE < r c �� PE�ANNsN ®ERr �D�'ERT'�NO - I.. cn, I., le i° o o- CUPERTINO �Y - =t 61dina Department n�8 i mak; b 2015 REVIE.V•+'El) _.ODE. COMPLIANCE Reviewed. By C � O L c D C.3 c zJ� c z= w I— C I >cn� SECOND E � 3: STORY FRONT YARD ( ) FLOOR PLAN c of: c WEST HILL COURT NOTE: 1)• SMOKE DETECTORS: WHEN A BUILDING PERMIT IS REQUIRED, SMOKE DETECTORS SHALL BE INSTALLED; (a) IN EACH SLEEPING ROOM, (b) OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOMS, (c) ON EACH ADDITIONAL STORY OF THE DWELLING, INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS. (CRC 314) DATE 12121 2). CARBON MONOXIDE ALARMS: WHERE A PERMIT IS REQUIRED FOR ALTERATIONS, REPAIRS OR ADDITIONS EXCEEDING $1,000.00, EXISTING DWELLINGS OR SLEEPING UNITS THAT HAVE ATTACHED GARAGES OR FUEL BURNING SCkE NTS APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS; (a) OUTSIDE OF EACH SEPARATE DWELLING UNIT SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOM(S), (b) ON DHAVIN6y DKW EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENTS. (CBC 420.4, CRC R315). JOB 866401 (HOME OWNER TO PROVIDE BEFORE FINAL INSPECTION). SHHT A-1 CUPERTINO SMOKE / 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(ftuaertino.or4 PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN COMPLETED, SIGNED. AND 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 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 hasihave been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address: (�� �' Permit No. 2� Specify Number of Alarms: # Carbon Monoxide Detectors: 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: Signature . .zA—.......... / ........... .. ... ............T—..--.. ............................ .. f ltk f ntrac ame:( Signature.................................................................. Lic.#...................................... Date: Smoke and CO form.doc revised 09/27/16 I� CUPERTINO Owner Name Address /' O 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) 777-3333 - building0cur)ertino.org PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE r...,,:. HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form. 1. 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. - Owner' Signature: )<No Go to Question 2. Date: 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 form. Owner' Signature: WrNo Go to Question 3. Date: 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: 1N0 Go to Question 4. Date: 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. Owner' Signature: Date: 'I rs 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. Refer to the attached. 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. SB4072014.doc revised 03/18/14 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/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 110 1.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures cyi;h the requireWats as indicated in the table below, s r Owner's (or Owner Agent's) Signature: �S / / i _1/ Date: //( 01� Q 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 water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2014.doc revised 03/18/14 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 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 2014.doc revised 03/18/14