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B-2016-2090CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2090 10460 CASTINE AVE CUPERTINO, CA 95014-1309 (326 41 030) BUSTER BUILDING SAN JOSE, CA 95127 OWNER'S NAME: KUNDU KUNAL AND PODDAR JAYrrA TRUSTEE DATE ISSUED: 6/8/2016 OWNER'S PHONE: 408-610-0523 PHONE NO: (408) 251-5446 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B. Lic. #513203 Contractor BUSTER BUILDING Date 06/30/2017 X BLDG _ELECT —PLUMB — MECH X RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chant r 9 (commencing — — — with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect.I JOB DESCRIPTION: POOL DEMO (650 S.F.) - FOR LANDSCAPE PURPOSES ONLY I hereby affirm under penalty of perjury one of the following two declarations: t. I have and will maintain a certificate of consent to self-ins�re for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the S " performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insuran e, as provided for by Section 3700 of the Labor Code, for the performance ofa work for which this Sq. Ft Floor Area: Valuation: $7500.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the abo e APN Number: Occupancy Type: information is correct. I agree to comply with all city and county, ordinances 326 41 030 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. hon WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 6/8/2016 Issued by: ALEX VALLELUNGA Date: 6/8/2016 i OWNER -BUILDER DECLARATION I I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: I 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 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) IY z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business 8t Professions Code). Date: 6/8/2016 I hereby affirm under penalty of perjury one of the following thrlee declarations: t. 1 have and will maintain a Certificate of Consent to self -insure for Worker's ALL 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 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 c 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 ch t s. I 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 any manner so as to a subject to the material. Additionally, should I use equipment or devices which emit hazardous 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 Compensatipn provisions of the the Health & Safety Code, S ctions 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 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I hereby affirm tliat there is a construction lending agency for the performance 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 of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection puroses. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino ag 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 aRpllcant understands ARCHITECT'S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 6 !/2016 Professional CUPERTINO SWIMMING POOL / SPA PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org 010 PROJECT ADDRESS / / �( OWNER NAME PHONE E-MAIL 6 /0- os E / n �, � 20-- CITY, STATE, ZIP n�i�''`-h i FAX STREET ADDRESS/ L Cd7�0 �i2('JIi1� ve c.. CONTACT NAMEr PHONE E-MAIL 4?,e 59�2S3 [�y' 4'®k- STREET ADDRESS CITY, STATE, ZIP / FAX ❑ OWNER [3OWNER-BUB.DER ❑ OWNER AGENT ❑ CONTRACTOR A CONIRACTORAGENT ❑ ARC HTI'ECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAM LICENSE NUMBER LICENSE TYPE BUS. LIC # /9 I j G �l I t 13 a J COMPANY NAME // % �L ? E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP J �� . PHONE el d2 ✓a ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME I E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE f 9 / I SL /� DESCRIPTION OF WORK L and g /'j e ( / V S, G'� S• I SFD or Duplex ❑ Multi -Family HSTRUCTURE i TYPE MATERIAL TYPE (CODE) AREA (SQ. FT.) VALUATION (8) POOL Commercial POOLISPA MATERIAL TYPE CODES: I SPA V - VINYL -LINED F - FIBERGLASS DEMO I t G - GUNITE 71Y ?) TOTAL VALUATION: PREFABRICATED By my signature below, I certify to each of the following: I am the property A .. er or authb ized agent to act on the property owner's behalf. Lhave read this application and the information I have provided is correct. I hav read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to Ildi g construction. I aut prize representatives of Cupertino to enter the above Identified property for Inspection purposes Date 6 Signature of Applicant/, SUPPLEMENTAL INFORMATION REQUIREDP " ' "oFEiii usExoNLy „ " 3 , ltr'-... 1' 1C iik PLANCHECK,T�iP " dtGOTING SLIP $' > t _Commercial or Multi -Family Buildings with Public Swimming Pools:_ VER THE COUNTERUI DING DEFT , Health �� Department of Environmental approval required. 1, y ❑ EXPRESSO root z� ,�PLANNINGDEPT r :� a �STAIYDAIiD i vPUBLIC WORKS bEPT 4111 d ' �r' ❑T,"ARGE�1�" `s�`�*°s�,�'��'�i r 1 � �' � �,i� Ell`�'IRONMEI�TAT. HEALTH � i� 4 SwimPoolApp_2011.doc revised 03/16/11 t 1 iso �s FFICE 60 ►-( (00 ca s� ► r.e r' V U n o► ( 0731 COME,^t! SMOKE I CtBON'MONOWDLAR E D:BAR OWNER CIE IFICATE OFCOMPLIANCE COMMUNITYDEVEL,"OPMENT;DEPARTMENT - BUILDINGDIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95044-3255 (408) 777-3228 :FAX (408) 777-3333 - buildin, g(d)-copertino.org i 0 tY (, 0 C4), S 11 N G_ ANS PURPOSE N This affidavit is a self -certification for the 'installation of all required Smoke and Carbon Monoxide compliance with 2013 CRC, Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior inspections are required. GENERAL WORMAkTION M� 5 for 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 $IGOD.GO, CRC Section 8314 and CBC Sections 907.2.11.5 and: 420.6 require that Smoke Alarms and/or Carb,on Monoxide Alarms be installed in the following locations: AR&A SMOKE ALARM CO'AL. 6R -M, Outside of each separate sleeping area in the immediate vicinity of the bedr9p m -,(q) X 7 X M, On every level of a dweljin4. unit iricluding basements X X Within each sleeping room X Carbon Monoxide alarms- are not required in dwell M''Igs which, do not contain fuel -burning appliances nd that donot have .an attacl-tedgarage. Carbon monoxide alarms combined with, smoke alarms shall, comply with C'6C 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 b-a-ttery o -p rated. In existing dwelling merits; alarms are permitted to be sorlely battery operated where repairs or ailtieratio ns. doi not result in the removal of wall and ceillilag finishes, or there is no, access by means , of attic, b= a, s e m ent, o r crawl space. Refer to CRC Section R, 3,14 and CBC Sections 9 07.2.11.4 and 420..6.2. An electrical permit IS. r e qui ted for alarms which must be connected to the building wirfiiig. As owner of the above -referenced property, 1, hereby certify that the alarin(s) referenced above has/ha lre, been installed in, accordance wit Ih the manufacturer s instructions and in compliance with. the California Bu lcl>zg and Calif ornia Residential Codes. The alarms,have been tested and are operational, as of the date sign --d below. tkava react and, ee fo corn;Iv, with tha fp—s and, condifinncz of this qf,,nfPmPnk CP ch Sr pature................ ...... ........................... ................ ...... .-J= te ......... LSit nature................................................................ .............. -I CUPERTINO Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 777-3228 • FAX (408) 777-3333 • buildingCo)cupertino.ora Address 0 C,,A S 1 i NE [am 1. Is your real property a registered historical site? 11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom o form. ^W—NO Go to Question 2, 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property plumbing, installation of water -conserving plumbing fixtures is not technically feasible? Yes Civil Code Sections 1101.1 through 1101.8 do not apply. El The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. 100 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 c to : Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? El 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 c 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 an bottom of form.. 5. Please check ONE of the following: (V/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 plumbii to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 201 compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless c 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 c improvements). El 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- cor plumbing fixtures throughout the building (regardless of whether property undergoes alterations or unproven its form. form. sign fixtures all non - whether I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing f ktures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code S' ctions 1101.1 through 110 1.8, the current California Plumbing Code and California Green Building Standards Code, and Mani ifacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indi ated in the table on the following page. Owner or Owner Agent's Signature: ' Date: 2 f b Upon completing and signing this Certificate, please return it to the Building Division in order to final your buildi g permit. SB4072015.do revised 08126115