B-2016-1214CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-1214
1435 ASTER LN CUPERTINO, CA 95014-5216 (366 17 090)
(J DRAINS ROOTER
SERVICE)
SAN JOSE, CA 95125
OWNER'S NAME: TSAI TUCHIH AND THAM MARIA TRUSTEE
DATE ISSUED: 01/19/2016
OWNER'S PHONE:
PHONE NO:
LICENSED CONTRACTOR,'SS
BUILDING PERMIT INFO:
/DECLARATION
License Class Lic. c� 9 8.-702,Z,
X BLDG X PLUMB
Contractor ( J DRAIM�ROOTER SERVICE) Date )�
——ELECT
�/ ��
IVIECH X RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions o Chap er (commencing
— _
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
REPLACE (E) SEWER LINE & INSTALL (I) PROPERTY LINE
I hereby affirm under penalty of perjury one of the fallowing 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
CLEANOUT c
-', ri i Ff 1 `
performance of the work for which this permit is issued.
N
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
Sq. Ft Floor Area:
Valuation: $4400.00
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
APN Number:
Occupancy Type:
ordinances and state laws relating to building construction, and hereby
366 17 090
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
PERMIT EXPIRES IF WORK IS NOT STARTED
expenses which may accrue against said City in consequence of the
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this p mit. Additionally, the applicant understands and will
comply with all o -point source regulations per the Cupertino Mun' ipal
180 LED INSPECTION.
Code, Section .1 .
y: 1445
Signatur Dates /
Date: l
O R -B DER DECLARATION
RE -ROOFS:
I hereby of//. that I am exempt from the Contractor's License Law for one of the
All roofs shall be inspected prior to any roofing material being installed. If a roof is
following two reasons:
installed without first obtaining an inspection, I agree to remove all new materials for
1. 1, as owner of the property, or my employees with wages as their sole
inspection.
compensation, will do the work, and the structure is not intended or offered
foi• sale (Sec.7044, Business & Professions Code)
Signature of Applicant:
2. I, as owner of the property, am exclusively contracting with licensed
Date:
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued.
I have read the hazardous materials requirements under Chapter 6.95 of the
2. I have and will maintain Worker's Compensation Insurance, as provided for
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
by Section 3700 of the Labor Code, for the performance of the work for which
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
this permit is issued.
Health & Safety Code, Section 25532(a) should I store or handle hazardous
a. I certify that in the performance of the work for which this permit is issued, I
material. Additionally, should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
air contaminants as defined by the Ba Area Air Quality Management District I
will maintain compliance with the p rtino Municipal Code, Chapter 9.12 and
Worker's Compensation laws of California. If, after making this certificate of
the Health & Safety Cod S ctions 25505, 25533, and 25534.
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.
Owner au orized agent:
Date: j
C��
APPLICANT CERTIFICATION
�srr I CO N TRUCE N LENDINGAGENCY
I certify that I have read this application and state that the above information is
I here y a i that there is a coqtruction lending agency for the performance
correct. I agree to comply with all city and county ordinances and state laws
of work's for which this permit (issued (Sec. 3097, Civ C.)
relating to building construction, and hereby authorize representatives of this city
Lender's Name
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
Lender's Address
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant
ARCHITECT'S DECLARATION
understands and will comply with all non -point source regulations per the
I understand my plans shall be used as public records.
Cupertino Municipal Code, Section 9.18.
Licensed
Professional
Signature Date
- GENERAL PERMIT APPLICATION MEP
COMMiiLINITY DEVELOPMiiENT DEPARTMENT • BUILDING DIVISION
%t
10300 T ORRE AVENUE • CUPERTINO, CA 01501A 3255
(x08) 777-3228 - FAX (408) 777-3333 • bulldinOlQ7OUDettno.OrQ
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is C,vp_2011.doc re),ised 06/21/11
CITY OF CUPERTINO
W -WE FF.F. F.STIMATOR - BUILDING DIVISION
119" ' ADDRESS: 1435 ASTER LANE
Plumb. Plan Check 10. 0 1 hrs $0.00
DATE: 01/19/2016
REVIEWED BY: MELISSA
APN: 366 17 090
1 BP#:
*VALUATION: 1$4,400 1
*PERMIT TYPE: Plumbing Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY SFD or Dulex
ir 'e:
'Ve
$0.00
PENTAMATION I RPSS
I
USE:
1n5'13.1 -`CC
PERMIT TYPE:
WORK
REPLACE (E) SEWER LINE & INSTALL (N) PROPERTY -LINE CLEANOUT
PME Unit Fee:
$25.00
SCOPE
$48.00
APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES
Sewer, Sanitary 1PRSEWER 1 # $25
TOTALS:
$25.00
:1,fecji. =liar C'heck
Plumb. Plan Check 10. 0 1 hrs $0.00
T:1
blie,% Ilion
'ee:
Plumb. Permit Fee:IPPERMIT
PIP"'e.
Other Plumb Insp. 0.0 hrs
Insp. 11�'c':
Abiq 'Ie:
Ph!m �, F'
ir 'e:
'Ve
VOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewerutstricf, Ncnooi
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept jor aaan't info.
FEE ITEMS (Fee Resolution 11-053 E 7/1/132
FEE
QTY/FEE
MISC ITEMS
.Plan Che. cAl- J ., e e
: ce
PME Plan Check:
$0.00
Perwii.17ee:
1n5'13.1 -`CC
I I
PME Unit Fee:
$25.00
PME Permit Fee:
$48.00
(" onsirucfhn 71m-
r
Administrative Fee: (ADMIN
$45.00
Work Without Permit? 0 Yes (F) No
$0.00
Travel Documentation Fee: I TRA VD OC
$48.00
Strong Motion Fee: IBSEISMICR
$0.57
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.001
':
SUIITQTALS�."
'71-7
$167.57
F .
OTAL 1 $0.001.1 T, E:
$167.57
Revised: 01/01/2016
SMOKE I CARBON MONOXIDE ALA
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333 buildincacupertino.orq
', t itnl 1o16—I
PERMIT CANNOT BE FINALE')AND COMPLETED UNTIL THIS CERTIFICATE
IIAS DUN C `,' )AN TO PIE WWI%DIV"1SIO.N..
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
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: Inn 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 pe - 't -re wired so
alarms which must be connected to the building wiring. - )
As owner of the above-referenced property,I hereby certify that the alarms)referenced abov= ,,as rave 'veen
installed in accordance'with the manufacturer's instructions arid in compliance with the California Building
and Califon a}Residential Codes.The alarms have been tested and are operational, as of the date signed
below.
r have,read and agree)to)comply with?the terms and conditions of thus,statement
`oiete r 2rF 9:..9 s-/>g'ar
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Smoke andefor dbc iser'isedW3/B8/k4=
WATER-CONSERVING PLUMBING FIXTURES
OWNER ERTIFICATE OF COMPLIANCE
/w. COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
UPE€tT1PiO 10300 TORRE AVENUE°CUPERTINO,_CAS5014.3255 —
(408)777-3228.FAX 0408)777-3333•buildinq(a7cupertino.orq
Owner Name -u of -['S �
Permit Non 13--2V 1 6—1211-
Address
.j2 i1-Address - a S1 /' g
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.
a 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.
iyr,q No Go to Question 3.
3. Is water service permanently disconnected for your building?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
g No Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
0 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.
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._ j
f
5. P ease 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-multfamily 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- co
plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvenr
I,as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing f es will be
replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code S- tions 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.
IOwner or Owner Agent's Signature: ) - Date,:j 6
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
BUILDING PERMIT CANNOT BE FINALED AND COMI LETED UNTIL THIS
CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
.-a
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixture1 (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
Gallons/flush 0.5 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 08/26/15