B-2016-2235 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2235
10139 RIDGEWAY DR CUPERTINO,CA 95014-2658(342 41 026) FARBEX
CONSTRUCTION
SERVICES INC.
SUNNYVALE,CA
94086
OWNER'S NAME: SCHOBER RICHARD L JR AND ALICIA E TRUSTEE DATE ISSUED:06/29/2016
OWNER'S PHONE:408.973-1475 PHONE NO:(408)991-2242
LICENSED CONMCTORIS DECLARATION BUILDING PERMIT INFO:
License Class B Lia# 2624
Contractor FARBEX CONSTRUCTION SERVICES INC.Date 11/30/2016 X BLDG ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH X RESIDENTIAL—COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
I hereby affirm under penalty of perjury one of the following two declarations: KITCHEN REMODEL(120 S.F.)
i. 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
erformance of the work for which this permit is issued.
CI 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. Sq.Ft Floor Area: Valuation:$25000.00
APPLICANT CERTIFICATION
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 342 41 026
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. WITHIN 180 DAYS OF PE ISSUANCE OR
Additionally,the applicant understands and will c mply with all non-point
source regulations per the Cupertino Municip ode;Section 9.18. 180 DAYS FROM LAS D INSPECTION.
-Sign_ re Date 6/29/2016 Issued by:Alex Vallelunea f
Date:06/29/2016
OWNER-BUILDER DER LA ATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shalt be inspected prior to any roofing material be g installed.If a roof is
1. I,as owner of the property,or my employees with wages as 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(See.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date: /29/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A" R BETTER
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. HAZARDOUS MATERIALSDISCLO iURE
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 the work for which this California Health&Safety Code,Sections 25505,255 3,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Cod_,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I storeor handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or device which emit hazardous
air contaminants as defined by the Bay Area Air Quality anagement 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 e,$ 'ons 25505,2553 ,an 5534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked.
Owner or-authori_
APPLICANT CERTIFICATION Date:6/29/2016
certify that I have read this application and state that the above information is t
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 .)
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 Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. 1 understand my plans shall be used as public records.
Signature Date 6/29/2016 Licensed
CONSTRUCTION PERMIT APPLICATION B .4 COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION
10300 T ORRE AVENUE• CUPERTINO,CA 95014-3255
(408) 777-3228• FAX(408)777-3333- build!ng(d)cupertino.org -- � 71
S7CUPERTINO
?��Zu CONSTRUCTION ❑ ADDITION ❑ J-TERkTIO I/TI ❑ REVISION/DEFERRED 0 OLI AL PER T
PROXECT ADDRES� �� T '3 y � I o dl1O
lotset Kt pX- Cv C i 8501
C1\E AI✓, G X I ?HONE 4o%–
®g'0�1?�" y l l J I� 1 Ak
s O 13ADD I CITY, STATE,ZIP e IU �..i�i r "_ B-13- 14%
�RN.A 4E RL 1 4 \-,J)0 v j PHoxE,q q-7✓~ I 15 I I I S C Wa
STPsETADD SS EZIP
CITY,STAT , r FES
'�1cA Vit'.
OV NER ❑ OA'Tt.R-BUIIDER ❑ OW ER"-.GENT ❑ C01 RACTOR ❑CO1 TR4CTORAGEi\7 ❑ b.RCHITECT ❑ENGrNt—R ❑ DEvFLOPER ❑TENA-7T
CONTRACTOR NAD4E LICE ISE NUTBER LICENSE TYPE BUS.LI
Zd3de"--- f �t tc®N S c �
COI`1PAN NAA4E 61�9E I P ti Fix
b2B cwrsPtZ+.wf 3.FPv�c.P.S I �`Ce le se✓l r cv - ca�-- ka 02 kOef
STREET ADDRESS CITY,STATE,ZIP PHONE
a,RCHITECTlENONTER N� I LICENSE NU-ABER I BU'S.L.1:111
COMPAYY NAME ! E-IviiAIL I FAX
STREET ADDRESS I CITY•,STATE,ZIP I PHOT
DESCRIPTIOii OF Woi'Y,�
C. t4 j-9 E
EXISTING USE PROPOSED USE ( CONSTR.M.-PE I =STORIES
USE I TYPE I OCC. I SQ.F I VALUATIO (S)
EXISTG NE«'FLOOR DEMO TOTAL
APEA I. AREA ARRA 1KtTA"REA
BAT7-IROO214 ( KIT
C}E OTHER
RE\40DEL AREA REMODEL AREA REMODEL AREA
P.ORCH..=.P.EA DECK A_P,EA I TOTAL DECKPORCH AREA I Gr'3 1GE AREA: Lj DETACH[]ATTACH
DWELLING LNTTS: ISA SECOND UNIT ❑YES
ASECOND STORY ❑YES
FELNGDDED? ONO A-DDITION? []NO
PRE A-PPI CATION F-1)-ES F 7 S,PROVIDE COPY 0. I IS THE BLDG AN El -ES R"OF ; ,� TO AL VALUATION:
PT Ah'TTNGAPPL' C1 No PLANNING APPROVAL LETTER EICHLER ROME? E]NO
By n:y Rnatu-m below,I certify to each of the follohing: I am the property mvner or znthoriz 2 _.t to act on the property owner's behalf. I have read this
application and the information I have provided is co-ect. I have read the Description of Work-and verify it in accurate. I -Eree to comply a th all Epplicable local
ordinances and state laws-elating to building construction. I au orize r p.,sentatii es of C p no o enter th 2boi e-ide,i=leZV.Ior inspection pu�eses.
Signature of,4ppi• ant!. n ri�2
Date: p G Z
J
SUPPL::1i—, �'T.kLI-NFQRMATIONREQUIRED „ g. PL4tCHECITYPE ...x.. Iha ._.z ,ROLTING:SLTP,,, v, :-_<
�Te\T.'SFD or MuI amily dv ellings: Apply for demolition peri»it for r rRrTrTlzCORN R �'
r = BLILD 1G PLS\REQ IE1
3 r
existiIlgper-mit building(s). Dernolitio'a is required prier t0 issuance Oi.r.buil_ding .�.,
pemit fQr ne-w building. EGRESS ❑ Yr Al L\GPT AIS RES IEZ
_Corainercial Bldg: Provide a coi_>pleicd Hazlidm,—s_NiaterialS Disc'OSll'ie lJ SRKS ,
fo-!7:I'1 If ally Hazardous l�fate'iials are be 1lg'.t_ed as gait Of this project' A.
inz Fe 0 1 1 n g
y y
_
copy of P1c111-'7 ,pprOVal Leger of l�_A=nn��s r i P,an_in�prior t0 Lj-AiAIOR SNIT k I.�ES'�ER DISTRICT'-
silbi-ili Lal Of BLil Qing PeiTnit app licatl Oil. �c "4 - 4 '=
s
�tE\S O\ 4E TALHEALTH. :` .._:
Bldg, pp_?011.doc revised 05/31/11
JUN 2 S 201671 ►
,# 0ding D mwi7 7en3
BY.
'ODE GOAPUMNA.
12' _
WP
(Y
FC1 W2436R� ff 2436R
w 1 I ry
F
v B51 R I B24R
—J- - - J
0 0
m
L
�I
N
A
KITGH N
11 '-4" x q'-q''
- R
m 3FE
U242490R
m �
m
�--. COMMUNITY r E JELOPM.E `T QEPAR(HENT
L "nO E u ,. N - C U P E R T I N 0
TPP
V -r"
pe�r
This set of plans and sfi atiUn j%fl� >T be kept at the
Richard and Felicia job site during coristructi n It is °nia,„f; to make any
5chober changes or alterations an s rile, or to deviate
10139 Ridgeway Or therefrom, without appro la from the SuIlding Official.
Kitchen remodel. The Stamping oftis plan rn i specifications SgALL NOT
Like for Like. be held to per, o to ba an ap rovai of the violation
of any provisos anyi .e or State Law.
BY _
DATE: � Zct
�F MIT.
NOV 151-211
L`1-211 v 6-11
OFFICE
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
cuPITlirc 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildingCo)-cupertino.org
Permit No.R®2016 a 22
Address w r>R- #of Alarms Smoke: 2 Carbon Monoxide:
PERMIT CANNOTsBE FINALED AND,,�COMPLETED UNTIL THIS CERTIFICATE
a HA 9BEE1 1 Idlyi7RIFD THE B LDINDVIS +QN ;.
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 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)
On every level of a dwelling unit including basements X X
Within tach 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)may be 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
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.
1 have read and agree to comply with the terms and conditions of this statement
����caner ge rt )) 4
Owner(or 0,S r Si natur ... ....... .... .... .. .......... ... ........................Date .T.1. .
b Name:
Contractot �K Si nat e... ... Lic.#......................................Date..Zit .�
Smoke and CO form.doc revised 03/18/14
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPS 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
% (408)077R2,28• AX{40 77 33 buil in c rtino.or
Owner Dame �1 (,� Permit No.
Address _ { lf-t? r.AtPQj4j n n o
1. Is your real 'roperty a registered historical L67
0 Yes Cvil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
tlNo G 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?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
01 The licensed plumber's certification has been provided to the Building Division.
Ship the rest of the form and sign bottom of form.
"o Go to Question 3.
3. Is water sery ce permanently disconnected for your building?
❑ Yes C vil 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 4.
i
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
0 No My real property is built and available for use or occupancy after January 1, 1994.
91vil 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 and sign
bottom of form..
5. Pl "ase check NE of the following:
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 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).
0 Myprope�ty 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).
Ll 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 'x ures to be replaced with water-conserving plumbing fixtures.
On or beore 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).
1,as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing fixtures will be
replaced prion 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 reIquirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the
table on the following page. f
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 building permit.
SB407 2015.doc revised 08/26/15
BTJILDIIG PETD�ig� II�TED tD C1 ' ED Ti �IETI
..,:uus. . xau:.wuisu .-.emuur.¢ues* .sssus�wi�unury ueii_fsw wuu.�rvvz..c�,uu;;a:F" ;'`�. ! �• "� ,�` "�'� Y` ��.
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixture (FixtureComplying 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 flush volume of two reduced flushes and one full flush
j Urinals Exceed 1.0
Gallons/flush 0.5 gallons/flush
Shawerheads 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
i 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
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 2015.doc revised 08/26115