B-2016-2215 CITY O CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: I CONTRACTOR: PERMIT NO:B-2016-2215
10725 ALDERBROOK LN CUPERTINO,CA 95014-4603(369 2 003) AFFORDABLE WATER
HEATERS AND
PLUMBING INC
28358
CONSTELLATION RD
VALENCIA,CA 91355
OWNER'S NAME: CHOU YEONG-FENG AND FLORENCE H DATE ISSUED:06/27/2016
OWNER'S PHONE:408 446 2952 PHONE NO:(855)345-9087
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class PLUMBING Lie.#627368
Contractor AFFORDABLE WATER HEATERS AND PLUMBING INC Date X BLDG _ELECT_PLUMB
09/30/2016 I _MECH X RESIDENTIAL_COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing
with Section 7000)of Division 3 of the Business&Professions C de and that my JOB DESCRIPTION:
license is in full force and effect. REPLACE 40 GAL WATER HEATER-SAME LOCATION(GARAGE)
I hereby affirm under penalty of perjury one of the following o declarations:
t. I have and will maintain a certificate of consent to self-inlsure for Worker's
Compensation,as provided for by Section 3700 of the L9bor Code,for the
performance of the work for which this permit is issued.
2. 1 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 Sq.Ft Floor Area: Valuation:$3360.00
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above PN Number: Occupancy Type:
information is correct.I agree to comply with all city and country ordinances 3 36969 21 003
and state laws relating to building construction,and hereby authorize
representatives of this city to enter upon the above mentionedproperty for
inspection purposes. (We)agree to save indemnify and keepharmless the PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR
may accrue against said City in consequence of the granting of this permit.
Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION.
source regulations per the Cupertino Municipal Code,Section 9.18.
Issued by:Patricia Garcia
Signature Date Date:06/27/2016
I
OWNER-BUILDER DECLARATION RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is
following two reasons: - installed without first obtaining an inspection,I agree to remove all new materials for
1. I,as owner of the property,or my employees with wages�as their sole inspection.
compensation,will do the work,and the structure is not intended or offered for
sale(See.7044,Business&Professions Code) Signature of Applicant:
z. I,as owner of the properly,am exclusively contracting w th licensed Dale:
contractors to construct the project(See.7044,Business Professions Code).
ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 LaI�or Code,for the HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued.I I have read the hazardous materials requirements under Chapter 6.95 of the
2. 1 have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will
Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous
3. I certify that in the performance of the work for which this permit is issued,I material.Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in arty manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
Worker's Compensation laws of California. If,after tnakmg this certificate of the Health&Safety Code,Sections 25505,25533,and 25534.
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 Owner or authorized agent:
be deemed revoked. Date:
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance
correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize repres+atives of this city Lender's Name
to enter upon the above mentioned property for inspection purposes. (We)agree
to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address
judgments,costs,and expenses which may accrue against sad City in
consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION
and will comply with all non-point source regulations per the Cbpertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18.
06/2412016 14:33 (FAX) P.0031003
GENERAL PERMIT APPLICATION
MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CIUPERTINO,CA 95014-3255
:. (408)777-3228•FAX(408) 77-3333•building(a).cupertino.org MIS,C
C tJ fP:ERTI N.O
dpLUMBING ❑MECI•IANICAI, []ELECTRICAL Q.MISCELLANE0US:j3'9 I (O —22 55
PROJECT ADDRESS 10-1 -25 O-� LI n , APNNL3I
OWNER NAME L• 1�J E-MAIL
Oren Cf, C 0 PIiON0
STREET ADDRESS o C I d e 0 O K L I I CITY,STATE,ZIP O\ FAX
CONTACT NAME J CCCC VIII PHON E-MAIL
S SS ?, 5-�I��� e -f-, a co m
STREET ADDRESS CITY,STATE,7,IP - FAX
2'', C0 en GIQ I l>t� 1 2S _CIS S l�
❑OWNER ❑ OWNER-BUILDER ❑ O11'NERAGENT ❑ CONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEL•R ❑ DEVELOPER ❑TENANT
O. CTOR{�AM LICENSENUhIBER LICENSETYPE BUS.LTC N C Q
1 >1-wr Yct ( a-t_r� I LD Z�13 l �' C 3 u U
COMPANY NAME E-MAite/_m
X
-rS 19FA
�D m � 2 sq
SZTREET� HESS D e 0 n Rd � V.01F �t�.� TE.ZIP e-nr 0. `r "I 1�f SL `PHONtOS C �`l q D, ,
ARCHITECT/ENGINEERNAME LII I ENSENUMBER I BUS.LIC 9 J
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF /,10 i'FD or DUPLEX ❑ MULTI-FAMILY PROJECT'IN�ILDLAND El YES PROJECT IN [3 YES 1S TIJE BLDG AN ❑YES
BUILDING: COMMERCIAL URBAN INTERPACE AREA ❑ NO FLOOD ZONE ❑NOIEICILLERHOME? ❑NO
10
DESCRIPTION OF WORK /� . C� O a I e rR e Cj�e r
Nl -
�ah1P I J.
C -h 0Y) = Q Ct ra a L'
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TOTAL VALUATION: ......_._.-..._ .....: ...... ..�_. ':!•�•_' �-�:�e:f•:ri_�:_ ,_::;_-_.::
2 L(J �T/�1 SRECE:; I}���SS?�c^i °:iri.-r',•"-,aa3`^o�=i3�_':_._.•iis1F_�?:::-yr:i^i:•?'n:riio�:i:riciS:i:ii
By my signature below,)certify to each of the following: 1 am the poperty owner or authorized agent to act on the property owner's behalf i have read this
application and the information I have provided is correct. I have rea the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to bu' 'ng construction, 1 authoriz�representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: / Date: 2_
SUPPLEMENTAL INP RMAT ON REQUIRED M.-i-....,z-7= U.-
.71
7_
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A4EPAf1scApp_201 1.doc revised 06/21/11
SMOKE I CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
FILE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
7
CU PERTINO 10300 TORRE AVENUE• C'UPERTINO,CA 95014-3255
(408)777-3228-FAX(408)777-3333+building(a.cupertino.org
I > nti`s' r ke Zrarko_-..:. !six �ideT
PERMIT CALKNOT BE FINALED AND COMPLFTED UNTIL THIS CERTIFICATE
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 svigle-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 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 CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the X X
bedroom(s)
evef' level ofa dwelhna unit includin_ basements _ X
X
Within each sleeping room X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply 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)maybe solely battery 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 required for
alanns 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 mi?anufacturer.'s instructions and �compliance with the Califorxua Building
and California Residential Codes.The alarms have been tested and are operational, as of the date signed
below.
I have read_and agree.tor corapjy with the ter tris and condiftons of this,statement
t7L11 G(' C [ nater."e; /C �e — Liest ��
7
......
Sa aal�re; t Dafir
Snzokearzd CO foimr.dbc remised 03%1!8/1,,4
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT m BUILDING DIVISION
aaUP itTItV '10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333 m butlding@qupertino org
Owner Nam
Address . 102 2_ ALP&k8 Pee 0 /< � 4,4j S_
1. Is your real property a registered historical site?
d❑ 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 2.
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.
❑ The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
JNo 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.
9 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.
Yes My real property is built and available for use or occupancy on or before January 1, 1994.
C1vr1 Code Sections,1iQ_l.l,through_1.1.0.1.8 apply. _C}reek--one-of-the three'following-.statenrents-and-sign-"-='
bottom of form..
5. PI ase check ONE of the following:
Mypropertyis 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.plurnbing 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 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, a e.
Owner or Owner Agent's Signature{ Dates
Upon completing and signing,this Certificate,please return it to the Building Division in order to final your building pemlit.
SB407 2015.Bloc revised 08126115
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixture (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 e flush volume of two reduced flushes and one full flush
Urinals Exceed 1.0 0.5 gallons/flush
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 psi
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
LI 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.do revised 08126115