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B-2016-1479CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1479 23500 CRISTO REY DR UNIT 326D CUPERTINO, CA 95014-6529 (342 54 999) ( BAY AREA I ENTERPRISE) SAN JOSE, CA 95148' OWNER'S NAME: BURDETT NELSON W TRUSTEE & ET AL DATE ISSUED: 93/09/2016 OWNER'S PHONE: 650-537-1523 PHONE NO: 408-238.5043 'R LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: l t License Class B Lic. 3M17817 Contractor ( BAY AREA ENTERPRISE) Date 03/09/2016 X BLDG X ELECT — PLUMB X MECH X RESIDENTIAL_ COMMERCIAL 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. JOB DESCRIPTION: INSTALL 2 (N) BATHROOM,FANS, 7 (N) LED RECESSED LIGHTS, I hereby affirm under penalty of perjury one of the following two declarations: UPGRADE 23 (E) ELECTRICAL OUTLETS, UPGRADE 12 (E) LIGHT - i. I have and will maintain a certificate of consent to self -insure for Worker's SWITCHES. Compensation, as provided for by Section 3700 of the Labor Code, for the /y , `performance of the work for which this permit is issued. s F I have and will maintain Worker's Compensation hisurance, as provided for e by Section 3700 of the Labor Code, for the performance of the work for which a Sq. Ft Floor Area: Valuation: $3250.00 this permit is issued. APPLICANT CERTIFICATION 8 ITg I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county 342 54.9 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 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 permit. Additionally,. , pplicant understands and will eons comply with all no - oint sourc per the Cupertino Municipal 1$0 DAYS FROM LAST CALLED INSPECTION. Code, SectkIr ' _ Issued by: ABBY AYENDE Si natu Date 03/09/2016 g Date:. 03/09/2016 OWNER -BUILDER DECLARATION RE -ROOFS:. I hereby affirm 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 ani inspection, I agree to remove all new materials for s. I, as owner of the property; or my employees with wages as their sole inspection. i compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 03/09/2016 l: contractors to construct the project (See.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: i. I havAnd 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 Health & Safety Code,.Section 25532(a) should I store or handle hazardous this permit is issued. material. Additionally, should use equipment or devices which emit hazardous 3. I certify that in the performance of the work for which this permit is issued, I air contaminants as defined bylthe Bay Area Air Quality Management District I shall not employ any person in any manner so as to become snibject to the will maintain compliance with' pe s► al Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Hgaltb & S ty Code o 25534. exemption, I become subject to the Worker's Compensation provisions of the j Labor Code, I must forthwith comply with such provisions or this permit shall owner or authorized age be deemed revolted. C Date: 03/09/2016 I APPLICANT CERTIFICATION CONS TILTJCTION LENDING AGENCY I hereby affirm that there is a e°onstruction lending agency for the performance I certify that I have read this application and state that the above information is of work's for which this permit i issued (Sec. 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws Lender's Name 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, Lender's Address judgments, costs, and expenses which may accrue against said City in ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally, the applicant I understand my plans shall be used as public records. understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date 03/09/2016 CONSTRUCTION PERMIT PIT1---` COMMUNITY DEVELOPMENT DEPAIi T MENT - BUILDING DIVISION j 10300 TORRE AVENUE - CUPEFTINO, CA 95014-3255 Y EIE 1 4 3 (408) 777-3228 • FAX (408) 777-3333 - buiidinggcuper?ino.ora Q NEW CONSTRUCTION: 0 ADDITION TERATION 1 TI ❑ REVISION t DEFERRED ORIGINAL PERIVIIT # PyROTECT ADDRE �, ,p/„ 4 I gVNER Ault: , . PHONi %M.�3L -ilii A rftru ?A e - VLCJa7jb SC • Cd t% STREETADI)ItESS FAX - t`d s . CONTACT TIA fE PHONE E ASAIt, ca STREET ADDRESS d � CFTI, STpYZi, 7.FI' j VIR� FAX G Yt' v% r ❑ OWNER ❑ OWNER -BUILDER ❑. OWNERAGENT L ,/ CONTRACTOR ❑ CnnrraACTna Aare I saruETcrn- r I !-i ..r..... .. i-"1 ..�.. �_._. CONTRACTOR NAME ' LICLICENSE PLANCAECKTYPE BBS -LIC i ❑ OVER TRZ-COUNTER ❑ BUILDING PLAN REvtE�v New SFD or Multifamily dwellings: Apply for demolition permit for existing building(sj. Demolition permit is required prior to issuance of building COMPANY Niv-11 E- ir11L FAX wig C� � �, �� r� i a _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STREET ADDRESS CITY, STATE ZIP { PHO 2-110 c 4k- ❑ MAJOR YJ ARCHiTECTIENGINEER NAME LICENSE NUMBER ;1 BUS. LIC r CCIS,iPANY NAME - E-� ... _._..._..-.,. FAX i STREET ADDRESS _ CITY, STATE,ZIP PHONE DESCRU91ON OF AREA BATHROOM RER40DE4 AREA NEW FLOOR DEMO AREA AREA KITCHEN Rt:A40DEL AREA CONSTR TM MTYr. STORMS TOTAL NET AREA OTHER - RENIODEL AREA USE TYPE OCC- S'Q.IT VALUATION (5) a£INGADDED? QNO ADDITION? ONO 4 PRE -APPLICATION ❑YES IF YES, PROVIDE COPYOF TSTHEBLDGAN []YES I RE BY: (J�p e _TOTALVALUATION- PLANNING APDL Y []NO PLANNING APPROVAL LETTER EICHLER HDAIE? © NO (a `�i1J1 CAA II ®lIJl6,1 � ,. -: t. '2 5C' By my signature below, I certify to each of the follot g: I am the property Owner or authorized agent t0 Ct on a property obi; ner'S behalf. I have read this application and the information I have provided is c . I hav ead the Description ofWork and verify it is accurate. l agree to comply with all applicable local ordinances and state laws relating to building cons etion. T a orize representatives ofCupertino to enter the above-ideptifte prop e , -forinnsrypec ion purposes. Signature of Applicant/Agent SUPPLEMENT MQUHIM PLANCAECKTYPE ROUTING,SLIP ❑ OVER TRZ-COUNTER ❑ BUILDING PLAN REvtE�v New SFD or Multifamily dwellings: Apply for demolition permit for existing building(sj. Demolition permit is required prior to issuance of building permit for new building. ❑ rXPRESS PLANN—MG PLkN, Rr-,Tmv _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part ofthis project. ❑ LARGE ❑ FIREDEPT _ Copy of Planting Approval Letter orMeeting with Planning prior to ❑ MAJOR 11 SANITARY SEWERDISrRICT submittal of Building Permit application. " 1_ ❑ ENVIRONMENTAL HEALTH BldgApp 2O]Ldocrevised 06121111 1 CITY OF CUPERTINO FEE ESTIMATOR — RITII,n1N(T D1V1C1nN 6 I lfi- I ADDRESS: 23500 CRISTO REY DR #326D DATE: 03/07/2016 'REVIEWED BY: ABBY A APN: BP#. VALUATION: 1$3,250 ^PERMIT TYPE: __Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: rMltl-Family Dwelling I Buildina is >3 Stories Q Yes Q No PENTAMATION 1REAP11 HERMIT TYPE: 19 WORK INSTALL 2 N BA ROOM FANS, 7 N LED RECESSED LIGHTS, UPGRADE E 23 ELECTRICAL SCOPE OUTLETS, UPGRADE (E) 12 LIGHTSWITCHES. j Mech. Plan Check 0,0 I hrs $0.00 11howb, rFr>: Elec. Plan Check 0.0 1 hrs $0.00 E Mech. Permit Fee; 1MPERMIT I"r{= -.1>erir r I � x Elec. Permit Fee: IEPERMIT Other Mech. Insp.0.0 hrs $48.00 ot/ t' �r r..r���. ;. Other Elec. Insp. 0.0 hrs $48.00 d NOTE.• This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Distrl(.'t_ et(.'A TII P.CP fee.0 QI'e h2.Ce/% nN tl7e 777"PI7779IHn1'V /71 Fn 1"IL/nt7nH nVnllnlll0 hHtl nJ"O nHIV /lN OCtJltil nt0 ('nrotnrt tlao 7)anf Fav nfiila'I ira fn FEE ITEMS (Fee Resolution 11-053 E{'. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 $0.00 0 # $72.00 Electrical { 1BREAff � Fixtures, Lighting Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs PME Plan Check: $0.00 $0.00 0 # $50.00 Mechanical 1 1BREWENF' Ventilation Fan Pen -nit Fee: Suppl. Insp. Fee:Q Reg. Q OT]7p hrs $0.00 $0.00 35 Electrical $123.00 1BREMRECEP Recep/Switch/Outlets PME Unit Fee: PME Permit Fee: $96.00 Unol lax Administrative Fee: ]ADMIN $45.00 j 0 E) Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee. $0.00 $48.00? Sel ect allon-Residential Building or Structure, Travel Documentation Feer iTRAVDOC Strong Motion Fee: 1BSEISMICR $0.50 $1.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC' . SUBTOTAL.; $90.50 $245.00=; TOTAL FEES $435.50 Revised: 01/01/2016 I COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DI 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 ® FAX (408) 777-3333 - buildingrokupertino.org Address 'r) -05-e%%Cv�t 51v fU� ft of A]5krmc qmnVi-F,' PURPOSE This affidavit is a self -certification for the installation of all required Smoke and i compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 inspections are required. Monoxide Alarms for no interior access for GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke A larms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to exist' itg dwelling units exceeds $1000-00, CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Sm:)ke 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 Contractor Name: -J X On every level of a dwelling unit including basements X Sign e-=-....--A--A--....... ---------------------------- UIC.# ......... X Wifl-tin each sleeping room X, Carbon Monoxide alarms are not required in dwellings which do not contain fuel do not have an attached garage. Carbon monoxide alarms combined with smoke CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. appliances and that shall comply with 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 wher 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 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, I hereby certify that the alarm(s) refer need above has/have been installed in accordance with the manufacturer's instructions and in compliance wil h the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I hav,- rpaef and nan-a M rnmn1v with thp-4p—Arn.q and mnrlifinm of thh'qfatpmpnt Owner (or p weer Age s' Name: IIC- Signature ... Z ...... ....... .... ................................................. D Contractor Name: -J Pd&t4 AkV4 Sign e-=-....--A--A--....... ---------------------------- UIC.# ......... Date5-2V. Sm, ike and Wfortn.doc revised 03118114 ro I -01-6 WATER-CCINSERVING PLUMBING FIXTU ES - OWNER CERTIFICATE OF COMPLIANCE Ic COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CU I T[t t {0300 TORRE AVENUE , CUPERTINO, CA 95014-3255 (40!§) 777-32?8 • FAX (408) 777-3333 buildinoA-cuoertino.orct . Owner Name Permit No. Address � `� jgTUV c t i 1. Is your real property a registered historical site? ❑ YY s Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the forin and sign bottom of form. R No - Go to Question 2. 2. Does your real propertyhave 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 theBuilding, Divisio' Skip the rest of the form and sign bottom of form. 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. 2"'No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? Q No My real property is built and available for use or occupancy after January 1r, 1994. Civil -Code Sections 1101:1 through 1101,8` -do not apply. Skip the rest of the forin and sign bottom of form. 2 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: ❑ 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- ompliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or be re January 1 2017, all non- compliant plumbing fixtures shall be replacedwith 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 on compliant plumbing41xtures to be replaced with water -conserving plumbing Mures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with v rater - conserving plumbing Mures 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 on- 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 alteration sor improvements). Las the owner or owner's agent of this property, certify under penalty of erj that non -co pliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbin fix es in accordance with Civil Code Sections 1101. 1 through 1101.8, the current California Plumbing CodelCalifornia/Gip6n Building Standar Code, and manufacturer's installation requir nts, and that the water-conservinfmbingres comply with the requirements as indicated in the table on the toll mg pag,e. Owner or Owner gent' Signature: Date: 5 Upon compl ting d signing this Certificate, please reNrrk f� the Building Division in order o final your building pef(mit. SB407 2015. doc revised 08126115 ISI ­_­__­Vj""jji 1 -1 - Water -Conserving Plumbli —Plumbing Fixture (Fixture Complying with Current Code Applic Fixture Type 'Maximum Water Usa e/ Water Usage 2013 CPC Ch. 4 1 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 12013 CALGreen Div. Water Closets Exceed 1.6 Single flush toilets: 1.28 g; (Toilets) Gallons/flush Dual flush toilets: 1.28- gallons/flush effective averaqe flush volume of two reduced fil. Urinals Exce -d 1.0 Faucets -- Lavatory Lavatory Faucets I QU%1W1.;:t - Kitchen Faucets 1. If the existing Fixture le to New Construction) CPC volume (the composite, and one full flush) Gallons/flush 9.5 gallons/flush Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the I performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheac is (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the c:)mbined 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. Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ R per minute minute @ 60 psi-, minimum Maximum 1.5 gallons psi 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 QD 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 o reduction. other means may be used to achieve reduction. umbing fixture water usage/flow rate is equal to or lower than the figure shown, it Is not required to be upgraded 5'B407 2015.doc revised 08126115