B-2016-1993 CITY.OF UPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: ` PERMIT NO:B-2016-1993
10157 CAMBERLEY IN CUPERTINO,CA 95014-2632(342 42 02 ) ALLTERRA
ENVIRONMENTAL
INC
SANTA CRUZ,CA
95060
OWNER'S NAME: YADAV RAKESH AND ANGNE SHWETA DATE ISSUED:06/08/2016
OWNER'S PHONE:408-905-7131 PHONE NO:(831)425-2608
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class A.B.C-1 0,C-46 Lic.#847973
Contractor ALLTERRA ENVIRONMENTAL INC Date 10/31/2016 X BLDG X ELECT -PLUMB
MECH X RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapt�r 9(commencing
with Section 7000)of Division 3 of the Business&Professions Co a and that my
license is in full force and effect. JOB DESCRIPTION:
(N)16 PANEL ROOF-MOUNTED PV SYSTEM(5.23 KW);(1)EV
I hereby affirm under penalty of perjury one of the following twol declarations: OUTLET;INSTALL 2(N)SUBPANEL(125 AMPS)-GARAGE
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. j
2. 1 have and will maintain Worker's Compensation hisuran le;as provided for by
Section 3700 of the Labor Code,for the performance of a work for which this
permit is issued. Sq.Ft'Floor Area: Valuation:$5232.00
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 county ordinances 3Number: Occupancy Type:
and state laws relating to building construction,and hereby au,
4242 023
ze 342
representatives of this city to enter upon the above mentioned�roperty for
inspection purposes. (We)agree to save indemnify and keeph armless 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 6.18. 180 DAYS FROM LAS LED SPECTION.
Signature Date2016 Issued by:Alex Vallclunga
Date:06/08/2016
OWNER-BUIL DER DECLARATI1
ON
I hereby affirm that I am exempt from the Contractor's License Law for one of the RF ROOD
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
L I,as owner of the property,or my employees with wages�s 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 intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting1th licensed Signature ofApplicant:
contractors to construct the project(Sec.7044,Business Professions Code). Date:6/8/2016
I hereby affirm under penalty of perjury one of the following three declarations:
r. I have and will maintain a Certificate of Consent to self-ir}sure for Worker's AL •ROOF COVERINGS TO BE CLASS"A"OR BETTER
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. I: HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insuran e,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 a 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. 1 certify that in the performance of the work for which thi permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
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
I 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,Sections 25505,25533,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:6/8/2016 a
I certify that I have read this application and state that the abo'e 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 pur�oses. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino agar Inst 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 DECLARAIION
Code,Section 9.18. I 1 understand my plans shall be used as public records.
Signature Date !/2016 Licensed
. ff,
I
COMMUNITY DEVELOPMENT DEPARTMENT-.BUILDING DIVISION A.10300TORREAVE UE-CUPERTINO,CA95014-3255 :.
CUiPERTINO (408)7773228-TAXI(408)777-3333•buildilltlAcUoeTtino.oTzx
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STREETADDRESS�,,157, C
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ARCHTTECT/E�IGINEER NAII4 I LICENSE NUMBER BUS.LIC#
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STREET ADDRESS I CITY,STATE,ZIP PHONE
USE OF U SFD or Duplex ❑ muiti FaII l}r1 PR03ECT 1N VMDLAND PROIECT IN `
STRUCTURE: ❑ Commercial I URBANINTERFACEAREA ❑ Yes M/
/No FLOODZONE ❑ Yes 2 140
r SOLAR PANELS }J Ei.EC[RIC VEII(CLE CHARGING STATION ❑ SOLARwATE2HEATING ❑ OTHER
FORSOLQRPANELS: NUMBEROFPAxEIS/UNTTS: /]/ KILOWATTS(COMhlERCIALMIN):P ` TOTALVALUAT 'R 23
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By my signatiue below,I certify to each of the following: 'I am the property owner or authorized agent to act on the property owner's beh I havt 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 tiding c ds c"on!i I authorize representatives of Cupertino to'enter the abboov idea" ed pfoperty for inspection plaposes.
Signature of Applicant/Agent:/L%!.� Date:
SUPPLEMENTAL INFORMATION REQUIRED OYFCCB USE on*
❑ OVER.t.H .COUNiIRR
'❑ EXPRESS .
'srAlv>;nRD
❑ LARGE,..
❑
PYApp 2011.docrevised03116111
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
+CVPER'(`INO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333-,buildingCcDcupertino.ora
Permit No.1 /0/
Address 6-7 #of Alarms Smoke: Carbon Mor oxide:
PERMIT CAN Tf3T 3k'*1 N�LED SND COMPLETED UNTIIa THIS CER Ih ICAT
s ,� /s�✓ �,�' fir, _ i s� 5
tIIAS BE + r Y y i
B
12,
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 INFORMATION
Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carb n
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 COALARM__
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 a
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning applian zes 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 R314 and CBC Sections 907.2.11.4 and 420,6.2.An electrical permit is r quired 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
Owner(or Owner Agent's)Name: /
Al
�O Si nature............ . ....................... ......... ............. ate: . . ... ....'
uontractor Name: j
G Si nature
141
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........ .....
Smoke and CO fonn.doc revised 03/18/14
WATER-CONSERVING PLUMBING F'IXTU'RES
OWNER CERTIFICATE.OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
CUP'ERTINO 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255
40 8)777-3228-FAX(408)777-3333'• building() upertino,org
Owner Name 7w Permit No. 204-- IW3
AddressV ? -
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 bottom o form.
,�rNo Go to Question 2.
2. Does your real property have a licensed plumber certifying that,due to the age or configuration of the property o 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 ol form.
N'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 ol 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 and sign
bottom of form..
5. PI ase check ONE of the following:
My property is a single-family residential real property. See Civil Code Section 1.101.4.
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 1,201 ,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 o
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- cons rving
plumbing fixtures throughout the building(regardless of whether properly undergoes alterations or improvements).
I,as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing f tures 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 plumbing fixtures comply with the requirements as indicated in the
table on the following page.
Owner or Owner Agent's Signature: - Date: `
Upon completing and signing this Certificate,please return it to the Building Division in order to final your buildin permit.
SB40 7 2015.doe revised 08126115
h
II TIL Ih G PERMIT CA--N IJN'ht'' Ja
CERA I
" TE
1F A11 RI TU EBCJTiyIl� l ?
,... .,� .»L ,,,nom•,in ,.y+wt4"i •.;,.vmrt�c.
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 CP Ch.4
Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div. 4.3 2013 CALGr en 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 onl 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 i ninute @ 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 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per inimite @ 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 maybe
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.
SB40 7 2 015.doc revised 08/26/15