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B-2016-1693 t CM OF CU'PFRrTLNO BUILDING PERA RT IIUILDINGADDRESS: CONTRACTOR: PER IT NO:B-2036-1693 22646 OAKCRFST Cl`CUPERTIIdO,CA 95014-0830(342 4S 005) CUSTOM Wil-'TOW& DOOR CONCORD,CA 94520 1))NEWS NAME- SEID ALBBRT O AND SHARON R TRUSTEE I DATE, ISSUED:04/05{201$ 0S5r1`ER'STUON '40&-482-3332 I FHON4'NO:(925)449-5643 firC'ENED - ACTQR'SDECLARATJLML BUILDING PERivIITTJ�T O, License Glass B.C-17 Lie.#073470 Contractor DOW 2 rK3OR Date 0 013 0/2 01 7 XRLDG—ELECT _,_I'LUNNIB I herctry.iff rm that l am licensed tindertht provisions©f Cha pter 9{evinmencing 'IN RP SID TL O` R IA3' -stitlt Section 7000)of Division 3 of tlm Busiutss C Profcssians Coat and that my License is to furl force and effect. I JOB DESCRIPTION. SFD-REPLACE lfi{E}RjINLlt3EVS MULTI-LEVE.ItOME. r T E IZOR I hereby affirm under penalty of perjury one of the rollonving two dectavattansl I(j t. I have and will moirtain a certificate ofeonseatto self-iwurc fcr-workoes Compensation,as provided for by Section 3700 of the Labor Code,fr the performance of the work forwhich this permit is issued. t G I have and will maintain Worker's Compensation Insurance,as provitled for by Section 3700 of the Labor Code,forthe performance of the work£o which ties permit is issued. Sq.Ft Floor Area: INWuadan:$13000.00 APPLIt'AM CERTIFICATION I cerdfythat I have read this application and state that the above information Is correct.i agree to comply with all city and county ordinances A-I"NNit mb'r: Oecupancy Type: and state laws relating to building construction.and hereby authorize I 342 48 005 representatives of this city to enter upon the above mentioned property for Inspection purposes. We)agree to save Indemnify.and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which PERINaT E XPRIX S M1 WORK IS\TOT STARTED may accrue against said City In consequence-of the granting of this parttlt• MTM- IN 10 DAYS OF I'ER11'RT ISSUANCE ORAdditionally,the applicant understands and will comply with all non-poin source regulations per the Cupertino Municipal Code,section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Agnatwe Gate�t"j512(116 Issued by:Abby Ayendc D9te:Od{0 21116 tX l,LtltlV4tC . 25}'PtTslBUJLDFRDJ,,M.Alld'TION I hereby affirm thatl am exempt from the Contractor's License Law for one of the A]?`Ttt tOTtS: rollowing hro reasous: i All roofs shall be inspected prior to any roofing materia;being installed,if a roof is s. I,as owner of the property,or my cmployeea with wages as their solt installed without first obtaining an inspection,T agree to remove all new materials for compensation,will do the work,and the structure is not intended orloffered for inspection. Me(Sce.7044,Business Sc Professions Codo) z, 1,as owner orthe property,am exclusively contracting 14th licensed Signature ofAppficantt contractors to constructthe project(Sec.7044,Business&Professions Code). Date,d{5t201 h I hereby affirm tinder penalty of per!ury one of the following three declarations: ALLROOF C011BRINGS'TO BE CLASS"A"OR BETTER 1. 1 have and will maintain a Certificate of Consent to self-Insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,I or the performance of the work for s,ohieh this permit is issued i.LAZARD Ott$MAIgSIALS 0196LOSUR> z. I have and will maintain Worker's Compensation Insuranec,as pro idcd for by I have read the hazardous materials requirements tinder Chapter 6.95 of tate Section 3700 of the Labor Code,for the performance of the work for v;hich this CallrornW health&Safcty Code,Scctioru 25505,255;33,and 25534. 1 will permit is issued. ntaintnin compitanct with the Cupertino Municipal Code,Chapter 9.12 and the 9. 1 certify that inthe perfonnanca of Ilia work for which this permit i!issued,I Health&Safety Code,Secfian 255.32(h)should r store or handle haar zdous r material,Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to ixcamo subject+to cite air contaminants as defined by the Bay Area Air Quality hlanagenrentDistncct I Worker's Compensation laws of California. If atter making oil eertificate of will maintain compliance with the Cupertino 1lnnlefpal Cort.,Chapter 9.lz and exemption,I become subject to the Worker's Compensaimn-provisions of thetht ZieaIth wS Safe{y Codt,Sections 2+505,23533,an'15534. t,ahor Coda,I must farthwitlx comply with such provisiotrs or this i�erinit shall be deemed revoked, 1 vmer or authorized agent: APPLICAT;T f'FMFICA= Date, 54{.12016 I certify that I have read this application and state that the above Infonrtation is ' correct i agree to comply With all city and County ordinances and state�aws 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,G!v C) to enter upon the above mentioned property for Inspection purposes. Pe)agree Lender's Name to save Indemnify and keep harmless the City of Cupertino against liablIttles,. Lender's Address judgments,costs,and expenses which may accrue against said City in consequence of the granting of us permit. Additionally,the applicant ulnderstands and avlil comply with all non-point source regulations per the Cupertino' unic(pal ARCFTITE�S T)UC +RATION Code,Section 9.18. 1 understand my plans shalt be used as publlcrecords, Signature Date 415 Licensed Si 9 12016 Professional. f CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408) 777-3228 FAX(408)777-3333 •building(I1cupertino.org Z01tl1- � + CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT r PROJECT ADDRESS 7 Z&41 I APN n OWNER NAMEP OAE E-MAIL -s6ror� Se � y�S `f�2 --3332 s► �.,se, Wig.'•�� STREET ADDRESS CITY, STATE,ZIP FAX q,r,e a A ve tr�`�no !So>y CONTACT NAME' p PH E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX 5016 o~M®r- .'a G.r ❑ OV WNER ❑ OIAINER-BUILDER ❑ 01AIN-ER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT C ONT'RACTOR N:AII,;T. � LICENSE\MrIBER LICENSE TYPE BUS.LIC n G/70 G 1 -� O 2q COTANl4'.NAME�,^ n f/LC� ��OC9r E-MAIL d�"at/�•`n�, co,-, FAX STREET ADDRESS G(/ CITY,STATE,ZIPHONE ,y ,•r STS. C— I C'o�G•�( f CfH5Za ��zs���g-S64t3 ARCHITEMEN,GWEER NAME LICENSE:\WIBER BUS.LIC- COMPANY NAME E-NMAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK a c ++ tt,��..� q-- W-4 In o� .� P c ,... 1� EXISTING USE PROPOSED L'SE CONSTR.TYPE STORIES USE TYPE I OCG SQ.FT. VALUATION(S) EXISTG ( NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM- KITCHEN - OTHER - REMIODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK PORCH AREA GAR AGE AREA: LJ DETACH RATTACH -DWELLING UTS: IS A SECOKD UNIT ❑YES SECOND STORY ❑YES BEING ADDED' �No .ADDITION? �NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF 1S THE BLDG AN ❑:"BS E � TOTAL VALUATION: PLANTINGAPPL- ❑NO PLANNR GAPPROVALLETTER EICHLERHOME? .�tNO ' '`D - �.,,S r tit— By my signature below,I certify to each of the following: I am the property owner or authorized 2'ent set on the property owner'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 accurate. I agree to comply«with all applicable local ordinances and state laws relating to b cQ2ehcrrAtion. I horize representatives of Cupertino to enter the above-identifiede roperty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTTAL INFOR-MATION REQUIRED 3\Tetv SFD or Multifamily dwellings: Apply for demolition permit for Q3 o�Ex TxE coU\TER ❑ BUILDI\GPLA\REAIEI existing building(s). Demolition permit is required prior to issuance of building I r £ �'ElPR£SS 4 ❑ PLA\\L\GPLIi3ZELIE�§ permit for new building. L7 _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure =D sTA tDARD ❑ Pusl Ics�oRl�s fo in if any Hazardous Materials are being used as part of dlis project. FIDE DEPT LARGE s _Copy of Planning Approval Letter or Meeting,vith Planning prior to ; r © h2AlOR SA\ITARI SES ERDISTRICT submittal of Building Permit application. ' � � fl�.E\VIRO\14ErT.ALHE:�LTH Bldo•4pp_2011.doc revised 06121111 c7cf�ti "re"erc:aI c;r C.G�tC. '-d Cfi r2�(� 2C> �Jpel-F%��r, e,�, Cys�ry1 I t 41q .S G.CV �N tR Oc 5x �3 4 70 p1AT p . Gv G 5&;r5 2�yc b` ® o � -,--.------�' _{w_----- � ®iL -a ,,(+��� Com, ,91 I V Qe t �sxY° X� Qa�: S°x y° xo p�f2�1NOn� (� 30J,r z`ry• d �� nPP� e © X913 ` f t3��,(/y y�Xyo t�7C £� � 0 �MpL1A ��'i.►srer � ° '�..s-..._ • ��.ov�� G'�,.. ati+h 2x'3 sH sexz'l (t� ` i�ev,e�ied 8�i 13 o f1 ® ICrP COMMUNITY DEVELOPMENT DEP RTMENT BUILDING DIVISION - CUPER APPROVED This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, or to deviate Plac� therefrom, without approval from the Building Official. All J h-e ,;}� The Stamping of this plan and specifications SHALL NOT 2eptaixem epi be held to permit or to be an approval of the violation of any= of yCity yOOrrdinance or State Law. BY DATE i'`RMIT# SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIF'ICAT'E OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION CVPEK IN0 10300TORREAVENUE•CUPERTINO,CA95014-3255 (408)777-3228+'FAX(408)777-3333• buildin-g(c)cupertino.org :Xdd-cess_ '�U44 #.off warms Srn e , Ca 1 Mo b isle f'ti�fi ' P 'I`C�tl��'I'�Ia'�INIa� ��1�'LET'E�i.Tl\TTIIs�'HIS CERTiFICA��, z S EN AN D ,, M TOTEEBD G�� (A I PURPOSE This affidavit is'k 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-f ^^ 'aA_ amily and multi-family dwellings shall be provided with Smoke Alarms and Carbon IVlonoxide alar`is. 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 eachsleeping 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 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 have read and agree to comply with the terms and conditions of this statement Oiutaer(oi ow�ier gent-_)_Dame:- I ' ...... ....Date, ' natufe. .{...................... .... �L��#.. I............:Dare:� ................ 1MVII/ 50WL ipZrZl� nb '5 Xff gb v f 94,' C�'�" �` Smoke and COform.doc revised 03118114 MATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTI"O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777- 28• AX(408)777-3333•buildingfa-euoertino.org �r� Is your real pr�perty a registered historical site? 11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. t9 No Go to Question 2: (23 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. 0 No Go to Question 3. (3i Is water service permanently disconnected for your building? ❑ Yes Civ4 Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and"sign bottom of form. 7� No Go to Question 4. Is your real property built and available for use or occupancy on or before January 1, 1994? El No My veal 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`arid sign bottom of form.. CP ease check O 1VI ro e a of the following: My=is�is a single-family residential real property. See Civil Code Section 1101.4. On and aftex 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). 0 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 futures 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 futures 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 1101.8;the current California Plumbing Code and California Green Building Standards.Code,and manufacturer's installation requirements,and that the water-conserving luinbing fixtures comply with the requirements as indicated in the table on the following page. caner or Owner Agie;nf?`s�i�na urea: Dafen Upon completing and signing this Certificate,please return it to the Building Division in order to final your bui ding palmit. P � 8-fe SB4072015.doc revised 08/26/15 ofI1 11- Nan-Compliant Water-Conserving;Plumbing Fixture Plu mbing Fixturel (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, Exc6ed 1.6 ZPwIA-10: Single flush toilets: 1.28 gallons/flush (Toilets) Gallens/flush u0l'a6" Dual flush toilets: -1.28 gallons/flush effective flush volume(the composite, 1.2. 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.) 6 Ala For multiple showerheads serving one shower,the combined flow rate of all Alsflyk4 j showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shallbe 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 2'°e) In common and public 2-+'t) 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 KrreHPI! 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 thanthe figure shown,it is not required to be upgraded, .7J SB4072015.doc revised 08/26/15