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B-2016-2241CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2241 23500 CRISTO REY DR UNIT 309F CUPERTINO, CA 95014-6527 (342 53 135) BAY AREA ENTERPRISE SAN JOSE, CA 95148 OWNER'S NAME: HECKMAN JANE L TRUSTEE DATE ISSUED: 06/30/2016 OWNER'S PHONE: 650-537-1523 PHONE NO: (408) 238-5043 LICENSED CONTRACTOR'S DECLARATION AR ATION BUILDING PERMIT INFO: License Class B Lic. #847817 Contractor BAY AREA ENTERPRISE Date 03/31/2017 X BLDG X 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: REMOVE 36" SWING DOOR & ADD (N) 36" POC T DOOR; MOVE I hereby affirm under penalty of perjury one of the following two declarations: (1) LIGHT SWITCH & (1) ELECTRICAL OUTLET; AND PATCH have and will maintain a certificate of consent to self-insure for Worker's SHEET ROCK Compensation, as provided for by Section 3700 of the Labor Code; for the performance of the work for which this permit is issued. 4tI I 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- $4500.00 APPLICANT CERTIFICATION I certify that I have read this application and st a that the above information is correct. I agree to comply with I city and county ordinances APN Number: Occupancy Type: and state laws relating to building construc o and hereby authorize 34253 135 representatives of this city, to enter upon t e ove mentioned property for inspection purposes. (We) agree to.sav in emnify and keep harmless the City of Cupertino against liabili 'es, jud a ts, costs, and expenses which PERMIT EXPIRES IF WORK ISN T STARTED may accrue against said City i conse u ce of the granting of this permit. WITHIN 1$0 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant un rstan and will comply with all non-point source regulations per the C ertin Municipal Code, Section 9.18. 180 DAYS FROM LAS ALL e SPECTION. -Signature Date 6/30/2016 Issued by: Alex Vallelunga Date: 06/30/2016 OWNER-BU ER 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 x. 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 (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (See.7044, Business & Professions Code). Date: 6/30/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER L 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. HAZARDOUSMATERIALS DISCLO U ^2. 1 have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements and hapter 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, 25 ,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal ,Chapter 9.12 and the s. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532 should I o r handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should' I use ip , t or evi a air contaminants as defined by the ea Air uality which emit hazardous Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the rtino nicipal ode, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Co , ections 505, 2553,,,w- d 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. =a(woari:dgent: APPLICANT CERTIFICATION Date: 6/30/2016 - certify that I have read this application and state that the above information is CONSTRUCTIONY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a constructft 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 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 nor-point source regulations per the Cupertino Municipal ARCHITECT'S DE LARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 6/30/2016 Professional CONSTRUCTION PERMIT PP LICATIO COIV MUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 CU PEt±TINO 1 (408) 777-3228 - FAX (408) 777-3333 building ra cuPerlino.oTq � :• 2-06 - 2 q1 I i NFW C f1T3STRT T( TTCIN ! i AMMON TfIN �T.TF.RATI0tJ / TT n RRVISTON tDFFERREI) ()RTf#INAI, PRRMTT # PROJECT ADDRES s 301 :APN9 OWNER NAME t r jIVC PHONE E-MAIL & sm 1650-537- 15"2-3 rr a ar. .e R65 -C STREET ADDRESS �.+ CITY, STATF�ZIP cueag-riAlb C FAX CONTACT NAME G>r-e A F ' 5i PHONEE-MAn; qvjz - z3 S --SO4.3 rC ami STREET ADDRESS CITY, STATE, Z.11' FAX , Z110 1` avi `n S S/ ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 0 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT 0 ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME V l* LICENSE IB IDIOM LICENSETYPE BUS- LIC A COMPANY N,"IE Q A V%erA- n r S e E-MAILFAX q re4 a, 1�6 .c. a STREET ADDRESS � ' CITY, STATE, Zl 57 0 $ 2-110 ar ARCHITECT/ENGINEERNAME LICENSENUMBER BUS. LIG #, COMPANYNAME E-14fAIL FAX STREET ADDRESS CTrY, STATE, ZIP PHONE DESCRIPTION OF WORK I ( ` � �W,,©u"e3& C_ f - e �CJrJ ( P-71�-h. 5c EXISTING USE. - PROPOSED USE CONSTR. TYPE 1 S STORIES - USE TYPE OCC. SQ_FT. V kLUATION {$} EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA - BATHROOM REMODELAREA KITCHEN - _... REMODEL AREA OTHER REMODELAREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH #DWELLINGUNITS: IS ASECOND UNIT AYES SECONDSTORY ❑YES ,,d BEING ADDED? []NO ADDFTION? ©NOY/ r PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF LETTER IS THE BLDG AN ❑ YES EICHLERHOME? NO RECEIVED T yALU TION. PLANNINGAPPLF ❑NO PLANNING APPROVAL By my signature below, I certify to each of the folio , g: I am the property owner- or authorized ag t t"it on We prop owner's behal _ t have rea this application and the information I have provided is c . I ha ead the Descripton of Work and verify it is accurate. I agree to comply with all appl able local -inspection ordinances and state laws relating to building ca ction. a orize representatives of Cupertino to enter the above-id,ll ified pr perty for Purposes. Signature of Applicant/Agent: i D,ae; I SUPPLEMENT INFORMATION REQUIRED PLANGBECKTYPE ROUTING SLIP<" Q OVER THE COUNTER ❑ :BUELDING PL . ANI I EVIEW. New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. - Iti ss ?� PI a7aIVING, 1Iy ; vIE, Commercial Bldgs: Provide a completed Hazardous Materials Disclosure I]STANDARB ©*BLIC WOBKS _ form if any Hazardous; Materials are being used as part of this project. p LARGE 0 > ixE DErr Copy of Planning Approval better or Meeting with Planning prior to ❑, niAaolt. D sArIITARY SEW El tDISTRICT submittal of Building Permit application © EitTVIR©N111ENT4L HEALTH . BldgApp_201 Ldoc revised 06121111 Address SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION' 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building aDcupertino.org Permit No. t to 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 bedroom(s) X X On every level of a dwelling unit including 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) 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 aaree to comply with the terms and conditions of this statement Owner (or Owner Agents) Name: Sinature.................................................................................................................. Date: ................... Contractor Name: _ . 4... Signature ..... ................................... Lic.# ...... !•.. !.. ...1...... Date: .! ...7 .... J5 Smoke and CO form. doe revised 03/18/14 CUPERTIN (408) 777-3228 • FAX (408) 777-3333 • buildingna.cupertino.org Owner Name Permit No. Address 2 31, 5-0t) Cy WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 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 of form. 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. ,%-1"" 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. Go to Question 4. 4. Is your reid 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. 4V��meal 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. Please check ONE of the following: El 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 - co plant plumbing fixtures shall be replaced with water -conserving plumbing' fixtures (regardless of whether operty 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 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). I, as the owner or owner's agent of this property, ce 'fy ender penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with ater-co se g plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plus 'ng C de d California Green Building Standards Code, and manufacturer's installation requirements, and that the wate ons g plumbing fixtures comply with the requirements as indicated in the table on the following page. I Owner or Owner Agent's Signature: ,�`` y 1Z"C Date: /1'_(� Upon completing and signing gee, please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08/26/15 1. if the existing plumbing fixture water usage/flow rate is equal to or tower inan zne nguic biles Wig, it �511w, _.,.i......,. -- -- -ro SB407 2015.doc revised 08126/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture1 (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /Flow Rate 2093 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div, 5.3 Single -Family Multi -Family Commercial Residential residential dater 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 onlyone 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 si 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 tower inan zne nguic biles Wig, it �511w, _.,.i......,. -- -- -ro SB407 2015.doc revised 08126/15