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B-2016-2058 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2058 20776 GREENLEAF DR CUPERTINO,CA 95014-1819(326 30 176' MARK R LONG CONSTRUCTION INC LOS GATOS,CA 95032 OWNER'S NAME: CARPENTER BROCKWAY A AND LISA L T USTEE DATE ISSUED:06/01/2016 OWNER'S PHONE:408-203-3416 PHONE NO:(408)348-4038 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#858Eiti3 Contractor MARK R LONG CONSTRUCTION INC Date 05/31/'017 X BLDG —ELECT —PLUMB MECH X RESIDENTIAL_COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapte 9(commencing with Section 7000)of Division 3 of the Business&Professions Coe and that my license is in full force and effect. JOB DESCRIPTION: BATHROOM REMODEL(90 S.F.);REPLACE(2)WINDOWS-LIKE I hereby affirm under penalty of perjury one of the following two declarations: FOR LIKE IN MSIR BATH r. I have and will maintain a certificate of consent to self-ins a for Worker's ompensation,as provided for by Section 3700 of the Labor Code,for the erformance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance as provided for by Section 3700 of the Labor Code,for the performance of tl�e work for which this permit is issued. Sq.Ft Floor Area: Valuation:$9500.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the abo e information is correct.I agree to comply with all city and count ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 32630 176 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep armless the City of Cupertino against li "ties,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against sai ity 1 consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the appl' an and Stan nd will comply with alllnon-point source regula Ns art a C ertino nici pal Code,Section 18. 111 DAYS FROM LAWIL PECTION. Signature Date 1/2016 Issued by:Alex Vallelunea Date:06/01/2016 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 r. I,as owner of the roe installed without first obtaining an inspection,I agree to remove all new materials for property,rt};or my employees with wages as their sole I 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 th licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:6/l/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER r. I have and will maintain a Certificate of Consent to selfInsure 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 Chapter16.95 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 I's permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous s. I certify that in the performance of the work for which shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Ba Area Air Quality Management District I Worker's Compensation laws of California. If,after malting this certificate of will maintain compliance with the pe lino Mu icipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safe Co e,Se . ns 2 ,25533,and 25534. Labor Code,I must forthwith comply with such provisiolns or this permit shall be deemed revoked. Owner or authorized agent APPLICANT CERTIFICATION Date:6/1/2016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING A ENC correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency or the performance relating to building construction,and hereby authorize repres antatives 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 upertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. 1 Licensed Signature Date 6/1/2016 Professional CONSTRUCTION' PERMIT APPLICATION COMMUNITY DEVELOPM -NT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-C PERTINO, CA 95014-3255 CUPERTINO (408)777-3228-FAX(408) 77-3333-building0-cupertino.org l �� NEW CONSTRUCTION ❑ ADDITION ®AL ERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 20776 Greenleaf Drive,Cupertino,CA 95014 APN# 326-30-176 —7 OWNERNAME Brock&Lisa Carpenter PHONE 408-203-3416 E-MAIL BrockCarpenter@Mac.com STREET ADDRESS 20776 Greenleaf Drive CITY, STATE,ZIP Cupertino,CA 95014-1819 FAX WA CONTACT NAME Mark R.Long PHONE 408-348-4038 E-MAIL cuttermils@aol.com STREET ADDRESS 15976 Linda Avenue CITY,STATE,ZIP Los Gatos,CA 95032 T;A; WA ❑OWNER ❑ OWNER-BUIIAER ❑ OWNERAGENT 0 CONTRACTOR ❑CONTRACTOR AGENT '❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME Mark R.Long LICENSENUMBER 858663 LICENSE TYPE B BUS.LIC# 28921 COMPANYNAME Mark R.Long Construction Inc. E-MAIL cuttermils@aol.com FAX WA STREET ADDRESS 15976 Linda Avenue CITY,STATE,ZIP Los Gatos,CA 95032 PHONE 408-348-4038 ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAII, FAX STREET ADDRESS CITY,STATE,ZIP PHONE DEscRIPTIONOFwORK 1st FL Master Bathroom remodel.(90 sq.ft.).Replace 2 windows,like for like,in that Master Bath. EXISTING USE PROPOSED USE CONSTR. #STORIES USE TYPE OCC. SQ.yr. VALUATION($) 0GSTG NEW FLOOR DEMO T TAL AREA AREA O SII ft AREA AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL kREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARA AREA: TT ACDAETACHH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND TORY 13 YES BEINGADDED? ONO ADDITIO ? ONO i PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE B DG AN (]YES RECEIVED-- TOTAL VALUATION: PLANNING APPL# l]NO PLANNING APPROVAL LETTER EICHLE HOME? Q NO - $9500.00 By my signature below,I certify to each of a fo owing: I am the roperty owner or authorized agent to on property owner's behalf. II have read this application and the information I each p vided i co ect. I have re id the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating b ddin ns cti I autho ' e representatives of Cupertino to enter the A -i n roved property for inspection purposes. Signature of Applicant/Agent: Date: 6 l . –INFORMATION EQUSUPPLEMENTAL { PLAN CIIECKTYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for © OVEiz_r>IE COUNTER BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to"nuance of building permit for new building. EXPRESS 0' PLANNING PIAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD" . PUBLIC WOPM form if any Hazardous Materials are being used as part of thi 3 project. LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with PI g prior to 0 MAJOR . ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. EJ ENVIRONMENTAL HEALTH B1dgApp 2011.doc revised 06/21/11 34 - 36 - L-4-6Assessor's Parcel Number; Plumbinn Notes: ii,, J1 I. Water closets shall have an average water consumption of not more than 1.28 gallons per effective flush,(CPC 403.2) N erne of Owner: Glf� / i [iv (/�(�pPitJ ��_ 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi.(CPC 408.2) i 3. Faucets in lavatories shall have a water flow not exceed 1.5 gallons per minutes @ 60 psi and shall not be less than:B gallons per minutes at 20 psi.(CPC 403.6) �/� r1 y Q 4. Shower stalls shall have a clear Interior finish area of 7.1 sq.ft.and be able to accommodate a minimum 30 Inch circle at the threshold level.These clearances shall:bel Contact Person: 1 \ G�(` L p t�r� Phone: q v Q G ( v I maintained up to a height of 70 inches ably the shower drain.(CPC 406.6) Cr 5. Shower compartments and walls above bathtubs with Installed shower heads shall be finished with a smooth,nonabsorbent surface to a height not less than 72 inches (6ft).(CRC 8307.2)Project Address: Zv� -flfl �s( (�( -( (�E-EZ l I 6. The maximum hot water temperature discharging from the bathtub,shower and whirlpool bathtub filler shall be limited to 120 degrees Fahrenheit.The water heater thermostat shall not be considered a control for meeting this provision,(CPC 409.4&408,3) Scope of Work;��L � rvt.(,c S�P� )o AA-1A ro n Im }/Q� ( C�O S�1 � Ke� �^. ,'1 7. Water closet shall be set minimum 15 Inches from Its center to a side wall or obstructlon and 24 inch clearance In front of water closet.(CPC 402.5) ��d�S Electrical Notes: l(i i e i �� �t 1, The installation of smoke alarms in all of the following areas shall be provided: (R314.3) Code Editions: 2013 California Residential Code 1� Y a. On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms. b. In each room used for sleeping purposes. 2013 California Plumbing Code C. In each story within d dwelling unit,including basements but not including crawl spaces and uninhabitable attics. 2013 California Mechanical Code 2. Approved carbon monoxide alarms shall be installed outside of each separate sleeping area In the immediate vicinity of the bedrooms and on every level including 2013 California Electrical Code basements in dwelling units that have fuel-fired appliances or attached garages.(CRC R315.1) 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets.Such circuits shall have no other outlets,(CEG 210.11(C)(3)) 2013 California Energy Code 4. All receptacles In bathrooms,garages,accessory buildings,outdoors,crawl spaces,unfinished basements,kitchens(where receptacles serve countertop-surfaces), laundry,utility,wet bar sinks(within 6 feet of the edge of the sink),shall have ground-fault circuit interrupter(GFCi)protection. (CEC 210.8) Mechanical Notes: 5. In all areas specified In 210.52,all 125-volt,15-and 20-ampere receptacles shall be listed Pamper-resistant receptacles. (CEC 406.11) 1. Bathroom vents shall terminate not less than 3 feet from openings and property lines.(CIVIC 504.1) Enerqv Code Mandatory Measures: 1, All permanently installed high efficacy luminaires shall be switched separately from lour efficacy luminaires(150(k)(7)) 2, Permanently installed luminaires in bathrooms shall be high efficacy luminaires OR are controlled by an occupant sensors(s)certified to comply with Section 119 that does not turn on automatically or have an always on option,(150(k)(10)) CEi F/ a,% JUN 01 2016 r, .m m... 10 r.. , _. e FT 13Y Toil _t ` FFIC Toilet EGGPY Tub .. .. _ Tub •. CO: 11WiNi t Y DEVELOPMENT DEPARTMENT ]F ;3UiLDING D IVi: iON-CUPERTINO 9 FT Sink., �� e������V E D 9 FT Sink =^ and SID-C•ifications MUST be kept at the c:-:,-ruc­;Gn. it is unlawful to make any }ra i, 1s on same,or to deviate a app!oval from the Building Official. this rlir Fr-!Specifications SHALL NOT to be n ap?rovai of the violation IF, of any;,i,y GI-dinance or State Law. Shower Shower Sink Sink Existing-Bathroom. Floor Plan _ Proposed Bathroom Floor Plan WATER-CONSERVING PLUMBING. FIXTURES OWNER CERTIFICATE-OF COMPLIANCE' COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION UTr'E,RTItt> 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228 ,FAX(408)777-3333 buildingaC�cupertino:org Owner Name Permit No` 2-05 AddressfZ f�la11: �/qy y�+� //�� (� T 1 CA , 1 1., Is your real property­a�registered historical site? Yes <Civil Code Sections 1101A through 4101.8 do,not apply. Skip the rest of the form and sign bottom of form. Go to Question 2., XNO 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. �= Q The licensed plumber's.certification hasbeen provided to the Building.D!vision, f' Skipthe iestof the form and sign bottom of form. >CNo Go to Question 3. 3. Is water ,service permanently disconnected for your building _ ❑ Yes -Civil Code Sections 1101.1 through_1 i 01:8 do not apply. Skip the rest of the form and sign bottom of form. W No Go to Question 4. 4. Is your real property built and available for use or occupancy`on or before January.t,'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. 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 andsign bottom of form.. 5. Please check ONE of the following T' My property is a single-family residential real property.y 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,W17,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 Gode 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 dor improvements shall require non-complia ,; 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- , plumbingfixtures throughout the building(,regardless ofwhi`they property`undergoes alterations or,unprov` e L as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant,plumbiAgNixtures 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. 411 /7 Owner or Owner Agent's Signature: 3 Date: 2 (0 Upon completing and signing this Certificate,please retufn it to the Building Division in order to final your building permit.. - SB407 2015.doc revised 08126115 BUHDING R9110=1 -AM ..�.._-..,_..:.,, - �,.,5, z ...,y,... .< �'-..�.,,.,._;.`°.,`"s. �',..-.-�. ^";.-..'�'",vr.. S`r a; w�. s.�u�..,�.:a`3w�z.�a:��a.s �.?a.�e"�a,.,fu.�•�.�.r hienpCempiiant Water-Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usa a/Flow'Rate Water Usage a 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4 /Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Dlv.4.3 2013 CALGreen Div.5.3 Single-Family Multi-Famiiy Commercial Residential kesidential dater Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Due[flush toilets: 1.28 gallons/flush effective flush volume(the composite, lJrinals ,ExceedlO average flush volume of two reduced flushes and one full flush , 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.) i For multiple showerheads serving one shower,the combined flow rate of all I 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 fail®ns 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-psi Faucets— Exceed 2.2 gallons 11.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 kitchen per minute i 50 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psis and must gallons per minute @ default to maximum 60 psi,and must 1.8 gallons per minute @ default to maximum i 60 psi 1.8 gallons per minute lr i here faucets meeting @ 60 psi [ the above are unavailable, Where faucets meeting aerators or other means the above are tray be used to achieve unavailable, aerators or E 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.doc revised 08126115 SMOKE ICARBOWN10,NOXXIDE ALARMS 4 COMMUNITY D!E'VELOPMENT',DEPARTMENT►BUILDIN,G DIVISION! 1° GT Ftc 10300 TORRE AVENUE•CUPERTINO„CA 95014-3255 (408)777-3228* FAX(408)777-3333►lbuilding(d).cupertino.org r ryr R Air 2(55 � �S PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CIBC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENEXAL IN FORMATIO 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;CIBC Section 8314 and CIBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: ARIA SMOKE ALA\RI COO ALARM Outside of each separate sleeping area in the:immediate vicinity of the X bedro'om(sl+ On evEry level of a dwellin .unit including basements Within each slee in; roost Carbon Monoxide alarms are not required in dwellings which do not contain fuel-bixrning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall'comply with CPC Section 429.6 and shall be approved by elle Office of the State Fire Marshal. Power Supply:In dwellirtg-units with no commercial power supply,alarm(s).may be solely battery operated. In existing,dwelling uiuts alarms are permit,ted to be solely batter=y operated where repairs or alte tions do not result in.the removal of wall aizd ceiling finishes or there is iao access by means:of attic;basem- 'or crawl space.Refer to CRC Section 8314 and CBC Sections 907.2.11.4 and 420.6.2.Ail electrical perrrut,is e pa',ed.foiil alar- wIi cl must be calmected to the building wiring. As owner of the above-referenced pi operty,l hereby certify that the alarm(s)referenced above has ;.a en installed in accordance with the manufacturer's instructions airrd in compliance:with the Califarn .Buil amid Califonda,Residential Codes.The alarm s.have been tested and are operational, as of the date signed below. rt bavaread'and.a gree to comply with:the terms.,and conditions ofthis statement A CA�P�Iu' i 5 Si hatCtre:... a1e�J ( � f ......... ...... �«°*f s : �` �4f�1� 1.-��aSC� i t�atUse..;-:•.i..... :., Li.e: � ..Date „`t. Z,