Loading...
B-2016-2232 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2232 20298 PINNTAGE PKWY CUPERTINO,CA 95014-2135(369 47 018) DANIEL MACKEY CONSTRUCTION INC SAN JOSE,CA 95121 OWNER'S NAME: GRANZELLA NANCY B TRUSTEE DATE ISSUED:06/29/2016 OWNER'S PHONE:408-679-0051 PHONE NO:(408)274-6060 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lie.#514093 Contractor DANIEL MACKEY CONSTRUCTION INC Date 08/31/2017 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: BATHROOM REMODEL;MASTER BEDROOM-MEP(64 S.F.) I hereby affirm under penalty of perjury one of the following two 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 Labor Code,for the I of the work for which this permit is issued. 2. 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:$56000.00 APPLICANT CERTIFICATION I 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 369 47 018 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 PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source reg ns per C no Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 6/29/2016 Issued by:Abby Avende Date:06/29/2016 OWNER-BUILDER 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 t. 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(Scc.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:6/29/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR 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 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 the 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 a. I certify that in the performance of the work for which this 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 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 Cod Section .6 25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall i be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:6/29/2016 I certify that I have read this application and state that the above 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 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. Licensed Signature Date 6/29/2016 Professional CONSTRUCTION PERMIT APPLICATION Im COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building (aDcupert!no.org ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS© - ti /Iv 6O l 7N# ! •�` r�V !�/ OWNER NAME �qq / PHO �p E-MAI(L (J( o �N L �c FCy Z�k1.A �S ,7g—C S N b s•cx v� G abr�L C STREET ADDRESSCITY, STATE,ZIP FAX 2r�2 P,A 7-A6L C-D P,lz t __n C) c A So/ CONTACT NAME s 1 PHO E-MAIL STREET ADDRESSCITY,STATE ZIP FAX 25Or 3 �I f� >,.a g rte 1 e� SI 2-f oft z 7 ��75 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# vI C V�cI`r S ��3 1 2 z s cc PANY NAME E-WAIL FAX �✓, I L t�6Ck��( cJ:ct�c-– r�sw! –Z7 (�?Q STREET ADDRE S ,STATE,ZIP PHONE CITY fisc- -GA 913(2-1 2 o ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG I NEw FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODELAREA REMODEL AREA PORCH AREA DECK AREA TOTALDECK ITORCH AREA GARAGE AREA: ❑DETACH ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED B - TOTAL VALUATION:_ PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO mG� y��aV���.:- s� By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on th property owner's behalf. I have read this application and the information I have rovided 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 ui ing co n. uthorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of ApplicanUAgent: / � Date: — Z/ SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for ❑ pvER TiiE cotnvTER ❑ �BUILDING PLAN REVIEW ° existing building(s). Demolition permit is required prior to issuance of building permit for new building. .❑ EXPRESS PLANNING,PLAN,REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS To—nn if any Hazardous Materials are being used as part of this project. p LARGE� . .❑ Fitti nEPr _Copy of Planning Approval Letter or Meeting with Planning prior to � MnaoR'"I ❑ snrilTnRY-sEVER DisTRICT= ' submittal of Building Permit application. E]•ENVIRONMENTAL HEALTH, B1dgApp_2011.doc revised 06121111 I 1 SIiIIOKE / CARBON MONOXIDE ALARMS F I , , OWNER CERTIFICATE OF COMPLIANCE CQMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION +CUPPRTINO 1031100 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building(akupertino.org A_�5Permit No. � '(64—P Address ���ti _ #of Alarms Smoke: Carbon Monoxide: PERMIT CANOT BE FINALEDyANI OMPLETED U1TIL THIS„CERTII~ICATE BEN ND IA"G DI' a�� 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: i 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 dwelhn ,unit including basements X X Within each sleeping room I I X Carbon Monoxide alarms are n�of 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 CSC Section 420.6 and,shall be approved by the Office of the State Fire Marshal. Power Supply:In dwelling uni�ts with no commercial power supply, alarm(s)may be solely battery operated. In existing dwelling units,alai ins are permitted to be solely battery operated where repairs or alterations do not result in the removal of w fall 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-referen zedproperty,I hereb certify that the alarms referenced above has/have been Y Y � ) installed in accordance with tlhe manufacturer's instructions and in compliance with the California Building and California Residential Co es.The alarms have been tested and are operational, as of the date signed below. ha,e read and agree to comply with thq terms and conditions of this statement Owner(or Owner Agent's)Name: CU � Sinatu ..... DaQ/ . contra for me: Signature...................................................................Lie.#......................................Date: ................... Smoke and CO form.doc revised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE ( ' COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 ORRE AVENUE•CUPERTINO,CA 95014-3255 CUP RTINO T (408)777-3228•FAX(408)777-3333•building(a)cupertino.org Owner Name I f [ Permit No. ( J Address ® 1. Is your real property a registered lu'storical site? ❑ 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. ;"No Go to Question 3. 3. Is water service permanently disconnected for your building? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Ship the rest of the form and sign bottom of form. 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. 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: 0 My property is a single-family 6sidential 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 withwater-conserving.plumbing fixtures (regardless of whether property undergoes alterations dor 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). If ❑ My property is a commercial real property. See Civil Code Section 1.101.5. 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). 1,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 Califo 'a 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 th s Certi c e,please return it to the Building Division in order to final your building permit. SB407 2015,doc revised 08126115 q. AR Rolm I 1Von-Compliant + Water-Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) nstruction) Fixture Typo Maximum Water Usa elFlow Rate Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4 /Flow Rate f2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div. 5.3 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 10 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute 0.& 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 s�hl owerheads 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 0.18 gallons per minute @ per minute @ 60 psi; f 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public 1 use areas: 0.5 gallons ' per minute @ 60 psi I 1.8 gallons per minute 60 psi Faucets— Exceed 2.2 gallons 16 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute i 60 psi @ 60 psi psi Faucets M',ay temporarily increase May temporarily .up to 2.2 gallons per increase up to 2.2 I 1 minute @ 60 psi, acid must gallons per minute @ del fault to maximum 60 psi,and must 1'8 gallons per minute @ default to maximum i 6b psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting I aerators or other means the above are ( m'ay be used to achieve unavailable, aerators or relduction. other means may be used to achieve I ' 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. 1 SB407 20 15.docrevised 08126115