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B-2016-1614 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1614 23800 AMAPOLO CT UNIT 8 CUPERTINO,CA 95014-6539(342 54 008) BAY AREA ENTERPRISE SAN JOSE,CA 95148 OWNER'S NAME: KEITH SUZANNE TRUSTEE DATE ISSUED:03/28/2016 OWNER'S PHONE:650-537-1523 PHONE NO:(408)238-5043 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lie.#817817 Contractor BAY AREA ENTERPRISE Date 03/31/2017 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing X MECH X RESIDENTIAL COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: UPGRADE 2(E)FANS WITH NEW FANS(LED LIGHT) 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. 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. Sq.Ft Floor Area: Valuation:$1000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 342 54 008 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant urlderstands and will comply with all non-point source regulati peL d4665pe ho-municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPE TION. 119 atur ' L _i Rate-03/28/2016 Issued by:ALEX VALLELUNGA Date:03/28/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:03/28/2016 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous 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 Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with upertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&,Sa o e,Sections 25505 2 ,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall 4-,- /� be deemed revoked. O neaomaBthol`lz"-ed"ag ff C-- APPLICANT CERTIFICATION Date:03/28/2016 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 03/28/2016 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildingft—cupertino.org [:]NEW CONSTRUCTION ❑ ADDITION TERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS It � APN# 3 T z —57Y®®© ,4 e1 Cu r 3 , 6J ONVNERNAME I � �' I��I\/n I �// 0 E-MAIL T1f1 91APAb- 3 - 1��3 f%r � aK �t � STREET ADDRESS G lTY,ST TE, � (/� /� FAX ORMA CONTACT NAME ���\ l PHONE �L ` E-MAIL (,re �c . S STREET ADDRESS CITY,STATE,ZIP FAX z110 1, 4vt '-- S cip, q5ly-f? ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 0 CONTRACTOR ❑CONTRACTOR AGENT 0 ARCHITECT 11 ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME `� LICE NS' [NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL �' FAX a Ine CIL- e� r `5q re STREET ADDRESS CITY,STATE,ZIP PHO 21{ d a C q ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E EMAIL FAX STREET ADDRESS CRY,STATE,ZIP PHONE DESCRIPTION OF WORK r0 7071-7 EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FI'. VALUATION(S) EXIST NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODELAREA PORCH AREA DECK AREA TOTAL DECKNORCH AREA GARAGE AREA: I DETACH ❑ATTACH P DWELLING UNITS: 1S 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 RECEIVE TOTAL VALUATION: PLANNING APPL 8 []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO ,] -� By my signature below,I certify to each of the follo ' g: I am the property owner or authorized agent to act on t property owner's behalf I hav read this application and the information I have provided is co ct. I hav ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons ction. a orize representatives of Cupertino to enter the above-identified roperty fo inspect n purposes. Signature of ApplicantlAgent: ,;Dafe'.':7 SUPPLEMENT INFORMATION REQUIRED PLAN CHEcx TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for ❑ ovER-THEcouNTER BurLvnvc PIAN RevrEw existing building(s). Demolition permit is required prior to issuance of building permit for new building. El EXPRESS _ ❑.,PLnlgl�tiyc _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 ❑.r-mic DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to •❑ MAJOR : ❑ SANITARY.SEWERDISLRICT submittal of Building Permit application. ENVIRONMENTALHEALTH BldgApp 2011.docrevised 06/21/11 SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE NCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION S `— C L3 P E RTEN4 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 (408)777-3228 FAX(408)777-3333 6r ildino cuoerrtino.orct C-Permit No. f Address �-- #of Alarms Smoke? 3 Carbon Mon xide PEIi1VlIT=CAN Tt?T BE FINALED AND CQlYI LET --UNTII THIS GEl€tTlli'IGATE —A&BEENiN +jam Rr`IiTg TIDE3lILgIN I�If3N y a PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide -Adarms 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 unil s exceeds $1000.00,CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms andj or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM C ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) q On eynry 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 con ply 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,baseme t or crawl space.Refer to CRC Section 8314 and CBC Sections 907.2,11.4 and 420.6.2.An electrical permit is rE quired for alarm which must be connected to the building wiring. As owner of the above-referenced property,I hereby certify that the alarm(s)referenced above hasi 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 dates fined below. I have read and agree to comply with th e s and conditions of this statement Owner(or er Age' s}Name: ci k- Signature...4.................. ...............:. .................................................. Contractor Name: J r yAMA Lac.#...... .91 �1 ......_. afej ! Y" k r Siana re ..-.----------- ._. Smoke and C©form.rdoc revised 03118114 WATT ER-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 building(ftupertino.orr �OwnerName ,ek(A Permit Na. Address D., 2 3 d- o-­ IIs,your real property a registered historical site? Fl Y s Civil Code Sections 1101.1 through'l 101.8 do not apply.'Skip the rest of the form and sign bottom o form. F—WINGo to Question 2. 2 Roes your real property have a licensed plumber certifying that;due to`the age or configuration of the property oi its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? 171 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. © The licensed plumber's certification has been provided to o the Building Division. Skip the rest of the form and sign bottom ofform - 1 `No Go to Question 3. 3. Is water service permanently disconnected for your building? 0 Yes Civil Code Sections 1101.1 through 1101.8 da not apply; Skip the rest of the form and sign bottom ol form. INo Go to Question 4. 4. Is your real property built and available for use or occupancy on orbefore 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 1101.8do not apply. Skip the rest of the form and sign bottom ol form. 2eYes 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 cheek ONE of the fbllowing: Q My property is a single-family-residential real property. See Civil Code Section 1101A.- On 101.4:On and after January,1,2014,building alterations or improvements shall require all non-compliant plumbiDh,fixtures , to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,201 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 aterconserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations o 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 properly undergoes alterations or improvements). s- I,as the owner or owner's agent of this property,certify under penalty of erj' that non-compliant plumbing tures will be replaced prior to date specified above with water-consei g plumbmi es in accordance with Civil Code Sections 1101.1 through 1101.8,the current California Plumbing Code a aliform G n Building Standards Code,and mann acturer's installation requirnents,and that the water-conserving 1 brig es comply with the requirements as indic ited in the table on the follgWing page. Owner or Owner gent' Signature: r Date: (.. 'L Upon comp] ting d signing this Certificate,please-re t "e Building Division in order to final your building permit. { SB407 2015.doe remised 08126115 �UILI�ING PERMIT CANNOT BE TIN STD AN$Ct)MPLETEIj 7NTIL THIS. xx•r �,.,•-•-" .:s�� ,,,".._ ..rz 1 Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture' (Fixture Complying with Current Code Applicable to New ConstrLetion) Fixture'Type Maximum Water—Usage/Flow Rate Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2013 C Ch. 4 /Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div:4.3 2013 CALGr n Div.5.3 Single-Family Multi-Fatuity Commercial Residential Residential L I Water Closets Exceed 1,6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallonstflush effective flush volume(the composite, Urinals Exceed-1.0 - avers a flush volume of two reduced flushes and one full fl h Gallons/flush 0.5 gallons/flush Showerheads Exceed 2,5 2.0 gallons per minute @ 80 psi. Also certified to the performance crit is 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 all not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be design d 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 1 iinute @ 601 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi i 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 iMnute @ 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 I 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 bc upgraded. SB407 2015.doc revised 08126115