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B-2016-1597CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1597 7443 STANFORD PL CUPERTINO, CA 95014-5814 (359 32 037) S G K HOME SOLUTIONS INC SAN JOSE, CA 95136 OWNER'S NAME: LAW PATRICK Y AND HO DOREEN OWNER'S PHONE: 408-802-0737 LICENSED CONTRACTOR'S DECLARATION License Class B. C-17 Lic. #920285 Contractor S G K HOME SOLUTIONS INC Date 08/31/2016 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: r. 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. I have and will maintain Worker's Compensation Insurance, as provided for by /t YSection 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 app}icant undgrstands and will comply with all non -point source regulations er thy, _�4ertino Municipal Code, Section 9.18. Date 03/21/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. 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 (See.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: >. 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 03/21/2016 DATE ISSUED: 03/21/2016 PHONE NO: (408) 264-6964 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REMOVE AND REPLACE 9 WINDOWS (MUST MEET EGRESS), 1 PATIO DOOR AND FRONT ENTRY DOOR; REMOVE (E) SIDING AND INSTALL (N) HARDY FIBER CEMENT SIDING (1,850 S.F.) Sq. Ft Floor Area: I Valuation: $44250.00 APN Number: Occupancy Type: 359 32 037 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: PAUL O'SULLIVAN 4us,? Date: 03/21/2016 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 App] Date: 03/21/2016 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 Co*.90,4<15533, and 25534. ,ttrr,rafir�ri_ed_gel�t: Date: 03/21/2016 CONSTRUCTION LENDING AG NCY I hereby affirm that there is a construction lending ag ncy 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 Professional CUPERTIINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCaD-cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS ` APN # OWNERNAME r P J o'' -O'? -S -� E-MAIL F STREET ADDRES A/z, (� CITY, STATE, ZIP FAX CONTACT NAMEry/r 11J1 C f/ P � E-MAIL ,� STREET ADDRESSf C STI ZIP FAX .40 % ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENTONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER 11DEVELOPER ElTENANT CONTRACTOR NAM3,,�/ -LICEN B s.� LICEN YPE. a BUS. LIC # COMPANY NAME 1 E-MAIL n FAX !!77 t STREET ADDRES• CI ATiy ZIP �&4y I PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK qlr / 447r� r yl/J GL%V+�S Cu` ) EXISTING USE PROPOSED USE CONSTR.TYPE # STORIES SE TYPE OCC. SQ. FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LjDETACH ❑ ATTACH I # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑ NO ADDITION? ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED B T01,AL p ed PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 7.V)ATJON: jL By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on th property o behalf. I have ead this application and the information I have�pro�ed is correet' I have read the Description of Work and verify it is accurate. I agree comply ith all pplicable local ordinances and state laws relating to >�d' n �tion.le representatives of Cupertino to enter the above-identifie ope r i pection purposes. Signature of Applicant/Agent: % Date: SUPPLEMENTAL INFORMATION RE( UIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition 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 ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121111 L4 Name: Address: Email: 7Q TOOma- d��,�x a��rc ��'�r�. SHS c. 0 F F E C O.Py 5'.)_ f -A BY— Reviewed E3Y: TPW�ZQ�W Off:r40 Eli 1 11 DATEW"" PUNNIN CUPERTINO v V 112- inch = I Foot I Fax: 408-264-6126 RZECEIVED �M� 31 4i 61 121 13' l4 -7- I _7 'T -4- �i VINLARN -!-I -J- X 4- - V0 I I -1 -1-W L L NIN. X$ 2- -9- TO 12 4 L 13 la A. j 14 I I - - - - { - - -a -i - f -- -I - - - { - -- _ -- _J- - I ! -�-�- J C MV4u q p ENT I ITIY�JIN,--��,'•,I- -UTNU LAVi D P TA, E "I---zd-l- , - ' - �I—' �. � � I `f 16 ftb_000 j Ft U 10 - 1:��JIT AdTL 1fLbet, >tliYe_t —{ a an 7 _�_ Y a -Ull _q n Tr � ol �UJL 113pro pj rot T f Zr �n 5L 7 f -A BY— Reviewed E3Y: TPW�ZQ�W Off:r40 Eli 1 11 DATEW"" PUNNIN CUPERTINO v V 112- inch = I Foot I Fax: 408-264-6126 RZECEIVED �M� SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE 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 CSC 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 separatesleeping 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 arid CBC Sections 907.2.1.1.4 and 420.6.2. An electrical permit is required for alarms tn7hich 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 �_,... _..rea,.,4 .,.,,4 .,,..00 f., r� 11/ Wifh fho farms and rnnditions of this statement 7 /laveu an ay- w vv, up.,y ...... .. ... .... ..._ _..- _—_---- Owner (or Owner Agent's) Name:: Si nature ...................: .........Date�/i��•IA. ............................ Contractor Name: Signature... .... ......................................................... Lic-4 ...................................... Date: ................... Smoke and CO fornv.doc remised 03/18/14 Owner Name ! " }Alan N COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (`408) 777-3228 • FAX (408) 777-3333 • building (a,cupertino.org �(� l TZ '- Permit No. _ _ C 97 Address 7V �/ 5 /,4�1 F,0; P r1 rGip //�y o� C� A �y %c A 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. 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. ❑ 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. 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.. Please check ONE of the following: ❑ My property is a single-family residbntial 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 improvements). 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 110 1.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that th��J ,water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. #1172� . ; Owner or Owner Agent's SignatW. Date: I .1///z ) I 1.1'T":1-I:-_il___..1._..__-L..: 1,7... .. ... ,........:F UfJ- --p 6 __ oi,5u 6 — — —j 1•1— —1— 11 w —.. 15 —...-- — — J., ,... ., ...........,b _V-1 _ 11 SB4072015.doc revised 08126/15