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B-2016-1682
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1682 21153 CHRISTENSEN DR CUPERTINO,CA 95014-1653(326 54 014) CHANDLER BUILDING AND DEVELOPMENT SUNNYVALE,CA 94087 OWNER'S NAME: VAAYKUMAR NARAYANAN AND VIJAYABHUVANA DATE ISSUED:04/28/2016 OWNER'S PHONE:650-946-9503 PHONE NO:(408)730-5626 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#484944 Contractor CHANDLER BUILDING AND DEVELOPMENT Date 04/30/2017 X BLDG —ELECT —PLUMB 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: MODIFY TRUSSES IN GARAGE AND ADD(N)BEAM AND POST I hereby affirm under penalty of perjury one of the following two declarations: (REMODEL AREA 140 S.F.) 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. �y 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:$2000.00 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 26 Number: Occupancy Type: 3 and state laws relating to building construction,and hereby authorize 326 54 014 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 understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED SPECTION. puffa-ur Date 4/28/2016 Issued by:Alex Vallelunea Date:04/28/2016 / OWNER-BUILDER DECLARATION I hereby affirm that I ant 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 stricture 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:4/28/2016 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 the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sectio 5,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. towner or t,, ,'r%,, ag APPLICANT CERTIFICATION a i;. 28 016 I 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 4/28/2016 CONSTRUCTION PERMIT APPLICATION bM6 - 16e COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION AQ 90340 TORRE AVENUE•CUPERTINO,CA 95014-3255 CU ,. (408)777-3228• FAX(408)777RTINO -3333•building(7a cuperlino.orp 11 NEW CONSTRUCTION ❑ ADDITION ALT13RATION/Ti ❑ REVISION I DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS APN fk �py -ipi G1 1S? f t N D�.i V .- OWNERNAME 1`�j�V�AY/V•`E 4-4 �I�uP�T k,I WAR PHONE E-MAIL _(42F STREETADDRESS CITY,STATE,ZIP FAX 21 l C 1:IS i til ?t R'CZ i.t GA `"I Jt CONTACT NAME AP'oPHONE E-M IL 1 44 ft 1 C STREETADDRESS I CITY,STATE,ZdP �p� k)AUV OWNER ❑OWNER-BUILDER D OWNERAGENT AKCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENS NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX W1,11, (Aftni'm1� C Om d STREETADDRESS CITY,STATE,ZIP 14319 62& N-' A1J1/.LMdAr 66� p E + O � C (�r ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS,LIC# 2 COMPANY NAME E-.MA v FA' STREET AD KESS �� KDCITY,STATE,ZIP �q/'3 PHONE q{� 14 DESCRIPTION of woRx D $ XDD C P6SI-, EXISTING USE PROPOSED USE CONSTR.TYPE, #STORIES USE TYPE OCC, SQ.FT. VALUATION($) EXISTO NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOMKITCHEN OTHER REMODEL AREA REMOOELARLA REMODEL AREA PORCH AREA DECK ARF,A TOTAL DF,CKIPORCH AREA I GARAGE AREA: ❑DETACH -i ❑A'I"I'ACH #DWELLING UNITS: ISA SECOND UNIT []YES SECOND STORY []YES BEINGADDED? ©NO ADDITION? ❑NO PRE-APPLICATION []YES IP YES,PROVIDE COPY DF ]S THE BLDG AV ®YES D$Y T LVA1_�.T1.Q]�T: PLANNFNIP,ADPL# ll _NO PLANNING APPROVAL LEITER EICHLER HOME? �NO (_ yj\�/�{�1] By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I ave 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 building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. r Signature ofApplicanYAgent Date' MN p 25 SUPPLEMENTAL INFORMATION REQUIRED PI AN!CHECK'CYPE _ 'ROUTING.SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ©.OVElt-.idl> ccltl�rl R sulLDl� p It>vlEti existing building(s). Demolition permit is required prior to issuance of building permit for new building, © 12ES5 I FLPuNPIING PLAN ItEVIE�Y _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure VS r .N6ARD: _PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. I] 1-ARGE_ -.. ...:C� FIR&DEPT . _Copy of Planning Approval Letter or Meeting with Planning prior to :SANIT Rv sEivEi DisTRtc r. submittal of Building Permit application. `<ENYUKONIVIENTAL.'HEALTH B1dg4pp_201 Ldoc revised 06121111 G -2, PEI March 30,2016 S Dan L Chen SE 47849 Masters Court Fremont, CA,94,539 (510)579-823:0 To: Development service center City of Cupertino Re: Truss modification truss support at garage at 21153 Christensen Dr.,Cupertino,Ca 95014 I.have reviewed the truss layout and the support at garage,the layout and bracing for the modified truss is adequate, the new beam provide tributary direct support for the roof framing . Thanks Sincerely Dan L Chen S.E. Cc Sly_,t q; . .. Al -!. � A, ICA x CUPERTIN4 ;,• � d Building Department (� 01fi REVIEWED FOR CODE COMPLIANCE Reviewed ey:Arnold Hom Date: 04/17/16 FILIE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ICUPIMT[No 10300 TORRE AVENUE- CUPERTINO,CA 95014-3255 (408)777-3228-FAX(408)777-3333- building(a"cupertino.org ON, .� vWTJHS EI2T[k'ICAfia 0 TM- 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 Ili VORMATIONT 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 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 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 alarms) referenced above has/have been instal=led in accordance with the manufa.cturer's instructions and;in compliance with the California Building and California Residential Codes.T he alarms have beei1 tested and are operational, as of the date signed below. t have-read and a q ree to comp2,,withi the terms and conditions of this:statement SinaEU��: ............................................................................................................Jaie ............... ... F ...... iG .,13.. WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE ' COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION FILE CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 ( (408)777-3228•FAX(408)777-3333•buildingAcupertino.org Owner Named V/3F} Kv Mme, yA��ydK�N PermitNo.�;t3� 2n/b'- t�f32 Address n 21137 r 11rZ15 re"VSe'1,1 olf ly w l. Is your real property a registered historical site? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. `Skip the rest of the form and sign bottom of form. EANo 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. `J i 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. El F� 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: X My property is a single family residential real property. See Civil Code Section 1101.4. J 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). Las 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 the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature it ! Dafe. 1 31 1holf Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08126115