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B-2016-1928 CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO:B-2016-1928 10050 FIRWOOD DR CUPERTINO,CA 95014-2640(342 33 046) ONE DAY COMPLETE REPIPE SAN JOSE,CA 95112 OWNER'S NAME: ROSEN13LADT NINA DATE ISSUED:05/11/2016 OWNER'S PHONE:650-619-6130 PHONE NO:(408)603-0554 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic.# 88 5692 Contractor ONE DAY COMPLETE.REPIPE Date 10/31/2016 X BLDG _ELECT X PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL COMMERCL&L with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: COPPER REPIPE-WHOLE HOUSE I hereby affirm under penalty of perjury one of the following two eclarations: 1. I have and will maintain a certificate of consent to self-inst re for Worker's Compensation,as provided for by Section 3700 of the Lab r Code,for the performance of the work for which this permit is issued. z. 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:$6000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the abov information is correct.I agree to comply with all city and county 3rdinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby au&orize 342 33 046 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep h rmless the City of Cupertino against liabilities,judgments,costs,and exper ses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITffiN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all on-point source regulations per the o Municipal Code,Section 918. 180 DAYS FROM LAST CALLED MPECTION. Signature Date 5/11/2016 Issued by:Alex Vallelunea Date:05/11/2016 Ah V OVVNER*M—DER DECLARATION I hereby.affirm that I am exempt from the Contractor's License Law for one of the RF.-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 a 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 int nded or offered for inspection. sale(Sec.7044,Business&Professions Code) }z: I,as owner of the property,am exclusively contracting witl L licensed Signature ofApplicant: contractors to construct the project(Sec.7044,Business& 3rofessions Code). Date:5/11/2016 I hereby affirm under penalty of perjury one of the following thre declarations: ALL ROOF COVERINGS 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,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 flmaterial. 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 Compensatio provisions of the the Health&Safety Code,Sec` ,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent APPLICANT CERTIFICATION Date:5/11/2016 I certify that I have read this application and state that the above information is CONSTRUCTIUN correct.I agree to comply with all city and county ordinances antl 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 to 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. JI) 1 understand my plans shall be used as public records. Licensed Signature Date Professional j' GENERAL PERMIT APPLICATION M E 'ro" COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CUPERTINC> (408)777-3228• FAX(408)777-3333• building(d)cupertino.orcl m I S --'2-0tL0- I � IPLUMBING ❑mECnA'NlC.AL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT SS \fA 00j AIN# OWNFR NAME e—k4 IQ PHONE ® -MAIL J ag STREET AD S� 't CITY,STATE,ZlP ` FAX I CONTACT NAME ` PHONE#44-(A& STREET.ADDRESS , CITY,STA , ZIP (� (� FAX OWN7ER ❑ OWNER-BUII DER ❑ OW!NER AGENT ONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGLNEEK ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEa _45 LICENSE NUNEBFR LICENSE TYPE BUS.LIC C TP.ANY NAME L FAX STREET ADDRESS STATE ZIP PHONE0S ARCHITECT/ENGINEERN.AME LICENSE NUMBER BUS.LIC n COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ mum-FAMILY PROJECT LN, ❑ YES PROJECT IN ❑YES IS THE BLDG AN El -,,Es BUILDING: ❑C011BIERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK 11q (21-41 L— TOTAL VALUATION: RECEIVED J31 v.' F r By my signature be ow,I certfy to each of the following: I am the properly owner or authorized agent to act on the property own r s behalf 1 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 buil ction. I authorize representatives of Cupertino to enter the above-identified roperty for inspection purposes. Signature of Applicantlkgent: Date: EMENTAL ATION REQUIRED a OFFICE USE'OTL1 a� ,,,a� ❑ O\ER THE-COIJINTER` ❑ E7.PRESS i y ❑ MAJOR .; '... >.:5 A1EPA1iscApp_?011.doc revised 06121/11 NATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CCUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-32 8•FAX(408)777-3333•building 0)cuperti no.org Owner Name N�n 90 , 116�d Qr t Permit N o. Address ©05P 15I - ocl //igyc �Piml AoC-) 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 bottoin of form. 4 No Go to Question 2. 2. Does your real properly 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. 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. PISW 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-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 1101.8,the current California Plumbing C e and Califois B lding Standards Code,and manufacturer's installation requirements,and that the water- g plum ' e `imply with the requirements as indicated in the table on the following age. Owner or Owner Agent's Signature: / Date: l2 �20/rp Upon completing and signing this ificate,please return it tot494Building Division in order to final your bui ding permit. SB4072015.doc revised 08126115 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL TRIS I CERTIFICATE,TIAS BEEN S IGNtb,AND'I2ETLTRl E1)TO TI3E BUIIDING T9IVISION r. Non-Compliant Water-Conserving Plumbing Fixture PlumbingFixture (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 Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume(the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 Gallons/flush 0.5 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.) For multiple showerheads serving one shower, the combined 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. 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 In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 si _ 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 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 than the figure shown,it is not required to be upgraded. SB407 2015.doe revised 08126115