B-2016-2055CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2055
20875 HANFORD DR CUPERTINO, CA 95014-1823 (326 30 076) PAYLESS WATER
HEATERS &
PLUMBING INC
VALENCIA, CA 91355
I OWNER'S NAME: GUO YIHONG TRUSTEE & ET AL I I DATE ISSUED: 06/01/2016
OWNER'S PHONE: 408-806-5414
License Class C-36 Lic. #83
Contractor PAYLESS WATER HEATERS & PLUMBING 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 u der penalty of perjury one of the following two declarations:
t. I hav and will maintain a certificate of consent to self -insure for Worker's
C pensation, as provided for by Section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
144 i. 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.
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 understa s and will comply with all non -point
source regulations per the Cupe o Munickal Code, Section 9.18.
Signature (/ a e 6/1/2016
nX17NTVD_r2rrrr TPi r? " Or An ATrnN
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
1. 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 (Sec.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:
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.
a. 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.
NO: (661) 775-2979
BUILDING PERMIT INFO:
X BLDG —ELECT X PLUMB
_ MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
WATER HEATER 75 GALLONS - GARAGE
Sq. Ft Floor Area: I Valuation: $2250.00
"N Number: Occupancy Type:
326 30 076
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby Ayende
Date: 06/01/2016
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 ofApplicant:
Date: 6/1/2016
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 Munic'pal Code, Chapter 9.12 and
the Health & Safety Code, Se ' s 255010,255 , a 5 4.
Owner or authorized agent:
Date: 6/1/2016
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency 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
Signature Date 6/1/2016 Professional
CUPERTINO
GENERAL PERM
}T APPLICATION MEP
COMMUNITY DEVELOPMEiVT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • C JPERTINO, CA 95014-3255 I C
(408) 777-3228 • FAX (408) 77-3333 • building(d)-cupertino.onl
b&LI TMRTNCi I -I MECHANTC I. I-( ELECTRICAL F- MISCELLANEOUS
PROJECT ADDRESS •
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APN# 32(x^ 30,, V til
OWNERNAME
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PHONE`LV /� `�
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E-MAIL
STREET ADDRESS
/ CITY STATE ZIP a /� I
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CONTACT NAME
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STREET ADDRESS +
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CITY, STATE, ZIPUIJ e— V1
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OWNER OWNER BUILDER ❑OWNER AGENT CONT1CTOR ❑ CONTRACTOR AGENT 11 ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
Ll CENSE NUMBER�r�
LICENSE YPE
BUS. LIC # ri 31 j
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COMPANYNAMEIP 1®5S
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EMAIL
FAX
STREET ADDRESS OL `` 1
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CITY, STATE, ZIP V��I n P I
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ARCHITECT/ENGINEER NAME
V
LIICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF SFD or DUPLEX
BUILDING: I-]COMMERCIALURBAN
❑ MULTI FAMILY
PROJECT IN ILDLAND ❑ YES
ACE AREA ❑ NO 7
PROJECT N ❑ YES
FLOOD ZONE ❑ NO
IS THE BLDG AN ❑ YES
EICHLER HOME? ❑ NO
DESCRIPTION OF WORK
A
TOTAL VALUATION:
RECEIVED BY,
By my signature below, I certify to each of the following: I am the pproperty owner or authorized agent to act on the property owner's Behalf I have read this
application and the information I have provided is con t. I have re4d the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating t b I cons on. I authorize representatives of Cupertino to enter the above-ide 11ifie1ro efor inspection purposes.
te:
Signature ofApplican Age Da1
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE USE ONLY
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❑ OVER -TAE COUNTER
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❑. EXPRESS
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STANDARD
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❑ LARGE
❑ MAJOR
MEPMiscApp 201 Ldoc revised 06/21/11
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-.3255
(408) 777-3228 s FAX (403) 777-3333 •_buildin.g@cupertino.org
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Mon
compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no in
inspections are required.
y GENERAL INFORMATION
0
Alarms for
access for
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 8314 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
C
ALARM
Outside of each separate sleeping area in the immediate vicinity of the
X
....... ....... �r..............
X
bedroom(s)
On every level of a dwelling unit including basements
Within
X
X
each sleeping room
X .
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning app
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall
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 batte
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or all
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basen
space Refer to-CRC-Sectior 8314 and CBC-Socti:ons 907.2-JI-4-ana 420:6.2. -An elects caFpermit is
alarms which must be connected to the building wiring.
:es and that
ply with
operated.
ttions do
it or crawl
auired for
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has ave been
installed in accordance with the manufacturer's instructions and in compliance with the CaliforniaBuilding
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
Owner (or Owner Agent's) Name,IN
f1y► ` , i
Si nature ........ ..... ,� . ...(A
....... ....... �r..............
ate: ...............
Co `t actor kraft:
Sinature ................................................... ................ Lic.4......................................
ate: ...................
Smoke and CO form. doe revised 03/18114
1. If the existing plumbing fixture water usage/flow rate isequalto or lower than the figure shown, it is not required to bE
ipgraded.
SB4072015.docirevised 08126/15
Non Comiiant
P
Rlumbin Fixture
( Fixture Complying wit Cu Sent Code dlApplic ble, to New Coristr
ct o.n)..-,
Fixture Type
Maximum Water`Usa a/F1ow Rate
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CP
Ch 4 1
Water Usage
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGr
en Div. 5.3
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 co
posite,
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-Shaiiverheads -
(A hand-held shower is considered a showerhead.)
For multiple showerheads serving one shower, the combined flow rate
f 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 ininute
@ 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
µ'
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
inute @ 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 .x
1.8 gallons per minute,
�_ .�_
_ _ -----
I
-Where faucefs meetiiig
M-46
C 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 isequalto or lower than the figure shown, it is not required to bE
ipgraded.
SB4072015.docirevised 08126/15
SMOKE / CARBON MONOXIDE ALARMS
- OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 ^ FAX (408) 777-3333 • building@cupertino.ora
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon M
compliance with 2013 CRC Section R314, 2013 CSC Sections 420.6 and 907.2.11.2 where no
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and C
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms ;
Monoxide Alarms be installed in the following locations:
6*4
Alarms for
access for
exceeds
Carbon
AREA
SMOKE ALARM
CoALARM
6 %7/, t
r
Outside of each separate sleeping area in the immediate vicinity of the
X
�........ ...... ...........
X
bedroom(s)
v ,
On every level of a dwelling unit including basements
Within each sleeping room
X
X
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appli ces and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall co 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 batter.. 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 aitd CBC"Sections 907 2:11.-4-ana 420:6.2: An eiectri`cal pe mit is x quired fog
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 1have been
installed in accordance with the manufacturer's instructions and in compliance with the CaliforniaBuilding
and California Residential Codes. The alarms have been tested and are operational, as of the date E igned
below.
I have read and agreelo comply with the terms and conditions of this statement
Owrjer (or Owner Agent's) Name:
�.
6 %7/, t
r
19 A � 0 L041
Signature .........' ........
�........ ...... ...........
ate:
Co t actor Name:
v ,
Signature................................................................... Lic.#......................................
ate:...................
Smoke and COform. doe revised 03118114