B-2016-2207 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT O:B-2016-2207
7597 KIRWIN LN CUPERTINO,CA 95014-4338(359 21 009) SUNWORK
RENEWABLE ENERGY
PROJECTS
MILPITAS,CA 95035
OWNER'S NAME: CHECKMAN HARVEY B AND INA M TRUSTEE DATE ISkD.06/24/2016
OWNER'S PHONE:408-568-5775 PHONE N4 :(650)520-9918
LICENSED CONTRACTOR'S AC TOR'S DEC ARATION BUILDING PERNUT INFO:
License Class SOLAR Lic.#920732
Contractor SUNWORK RENEWABLE ENERGY PROJECTS Date 08/31/2016 X BLDG _ELECT _PLUMI
_
I hereby affirm that I am licensed under the.provisions of Chapter 4(commencing MECH X RESIDENTIAL_ OMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
K
I hereby affirm under penalty of perjury one of the following two declarations: (N)11 ROOF MOUNTED SOL PANELS(3.08
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
rAf�-performance 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 $8600.00
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: Occupan Type:
and state laws relating to building construction,and hereby authorize 359 21009
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 INWORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS F PERMIT ISSUANCE OR
Additionally,, ti t applicant understands and will comply with all non-point
source regul n))s per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED SPECTION.
.Sig ture G�l� �^ Date 6/24/2016 Issued by:Abb AYende
Date:06/24/2016 al k LA i I
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the B&ROOFS-
following two reasons: All roofs shall be inspected prior to y 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 in ection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for pection.
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(Sec.7044,Business&Professions Code). Date: 26/ 4/2016
1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERING TO BE CLASS"A"DR BETTER
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
performance of the work for which this permit is issued. HAZARDOUS M kTERIALS DI L RE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous mated ils 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 Cod ,Sections 25505,255 3,and 25534. I will
permit is issued. maintain compliance with the Cup rtino 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 2 532(a)should I storeor handle hazardous
shall not employ any person in any manner so as to became subject to the material. Additionally,should I use equipment or device which emit hazardous
air contaminants as defined by the Bay Area Air Quality Wanagement 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 Co ,Sections 25505, 53 ,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. AOwner or authorized agent:
APPLICANT CERTIFICATION C-'Date:244/2016
i certify that I have read this application and state that the above information is CONS CTI ON LENDING CXY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a cons ruction lending agent y for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is is wed(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 AR HITE T'S DECLARATION
Code,Section 9.18. 1 understand my plans shall be us d as public records.
Licensed
Signature Date26/ 412016 Professional
___...______._..........._
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•building(aD-cupertino.org
CUPERTINO
PROJECT ADDRESS !15� 7 (�n iP J 1 y� APN# 3547-
547— �J y 901
OWNERNAME ( Z 9 �A� + /i�V PHONE E-MAIL
I�V�y 01�kM AYV _561_5 &her- ay)
STREET ADDRESS 7,5q7 'w rJ CITY,STATE,ZIP S 9 } � �'4 95 //, FAX
CONTACT NAME Yvl & 7 w'!V�'�Fd►ya j� W PHONE C!.°jy'ilrV ®�tel ' [ E-M� Ll 7 J1 �7j l�
STREET ADDRESS CITY,STATE,ZIP FAX
�'7� �"�'i.
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ACONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑E ITGINEER ❑ DEVELO ER ❑ TENANT
CONTRACTOR NAME /�a ® LICENSE NUMBER Z LICENSE TYPE BUS.LIC# 1(J
COMPANY NAME d E-MAIL z f kVpFAX331
STREET ADDRESS CITY,STATE,ZIP PHONE�fwv cA3
ri 07
ARCHITECT/ENGINEER NAME LICENSE NUMBER
BUS.LIC# j$
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑-Multi-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes No FLOOD ZONE ❑ Yes No
SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION TO SOL:WATER HEATING OTHER:
FOR SOLAR PANELS: NUMBER OF PANELSMNITS: 9_ KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION:
DESCRIPTION OF WORK
SV!; ® ih
RECEIVED BY:
By my signature below,I certify to eac o the following: I am the property owner or authorized agent to act on the property o er's behalf. I ave reid this
application and the information I have ro ided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all app icable local
ordinances and state laws relating to ild constructigi,--rauthoyize representatives of Cupertino to enter the above-iclentifiec property
/for inspectiot purposes.
Signature of Apphcant/Agent: ev-L Date:
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE USEivl
d OI;EX-THE O[INTER \
I],EXTIIESS
PVApp_2011.doe revised 03116111
F1
SMOKE l CARBON MONOXIDE ALARMS 4M
OWNER CERTIFICATE OF COMPLIANCE FOS
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
GtJPERTIfVQ 10300 TORRE AVENUE CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildingOcupertino,ora
permit No. B-2016-2207
Address 7597 Kir%in Lane ,Cupertino,CA 95014 ##of Alarms Smoke: Carbon Mo oxide: 1
PERMIT CANNOT BE EINALED AND COMPLETED UNTIL THIS CERTI]FICATIE
HAS BEEN STS AND RFRF=TITRNFD TO THE BUILDING DMSION ?"
1
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 Carb n
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 C ALARM
Outside of each separate sleeping area in the immediate vicinity of the X X
bedroom(s)
On every level of a dwellm unit including basements X X
Within each sleeping room X
r.
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 co ply 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 alte ations do
,,____c_not:result in the r oval-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 ave been
installed in accordance with the manufacturer's instructions and in compliance with the CaliforniaBuilding
and California Residential Codes.The alarms have been tested and are operational, as of the date E igned
below.
I have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Agents)Name:
Harvey Checimian&Ina Checkman S ig n a t u re m, :z _ _. .. :)ate: July 612016„
Contractor Name:
11.✓r�A- Cf�i°f 9i� ..........uc.#..`�r�:�.7 _........_
r nature
Smoke and CO form.do revised 03/18/14
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CiUPERTINO 10300TORRE AVENUE•CUPERTINO,CA 950143255
(408)777-3228.FAX(408)777-3333•buildingCc)-cupertino.org
Owner Name Harve Checkman Ina Checkman Permit No. B-2016-220
Address 7597 Kir%in Lane, Cupertino,CA 95014
PERMIT CANNOT BE FINAILED AND COMPLETED UNTIL THIS CERTMCAT
F HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 1
i' JW� F
Please refer to the attached California Civil Code Sections 1101.1-1101,8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner'Signature: Date:
®C 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.
El The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the form.
Owner' Signature: Date:
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. Sign below and skip the rest of the form.
Owner' Signature: Date:
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. Sign below and skip the rest of the 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. Refer to the attached.
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 lumbing
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-complian
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.
SB4072014.dorevised 03/18/14
On or before January 1, 2019, all non-compliant plumbing fixtures shalt be replaced with water-cons rving
plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
I/We,the owner(s)of this property,certify under penalty of perjury that non-compliant plumbing fixtures have I ieen replaced
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 Pxt es complyith the requiremen js a�indic t d in the table below
Owner's(or Owner Agent's)Signature:&9AL n - mate: July 6,2016
Upon completing and signing this Certificate,please return it to the Building Division in order to final your permit.
Non-Compliant Water-Conserving Plumbing Fixture
.
Plumbin Fixtured (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 C C 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)
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 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 18 gallons pej 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 2014.docrevised 03118114