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B-2016-2380 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2380 8069 HYANNISPORT DR CUPERTINO,CA 95014-4011(356 11 009) OWNER-BUILDER OWNER'S NAME: KOLLA BHASKAR AND SRIDEVI DATE ISSUED:07/26/2016 OWNER'S PHONE:408=329-3229 PHONE NO: LICENSED CONTRACTOR'S DECLARATION ATION BUILDING PERMIT INFO: License Class Lic.# Contractor OWNER-BUILDER Date 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: REPLACE 12 WINDOWS&2 SLIDING GLASS DOORS-LIKE FOR I hereby affirm under penalty of perjury one of the following two declarations: LIKE TO MEET EGRESS/TEMPERED PER CODE 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. 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 permit is issued. Sq.Ft Floor Area: Valuation:$6000.00 APPLICANT CERTIFICATION 1 certify that 1 have read this application and state that the above information is correct.I-agree to comply with all city and county ordinances APNNumber: Occupancy Type: and-state laws relating to building construction,and,hereby authorize 356 11 009 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 regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 07/26/2016 Issued by:ME Date:07/26/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the R E- following two reasons: All roofs shall be inspected ny roofing materialbeing installed.If a roo is 1. 1,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. e ;-sale(See.7044,Business&Professions Code) j V�£ I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: p contractors to construct the project(Sec.7044,Business&Professions Code). Date:07/26/2016 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. 1 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 z. 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 s y; 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 Code,Sections 25505,25533,and `2555334. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent,., I APPLICANT CERTIFICATION Date:07/26/2016 1 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. I understand my plans shall be used as public records. re'. IC - Date 07/26/2016 Licensed Si natu Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildina(a.cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT PROJECT ADDRESS 9 0 6 q P)A N M i S N P- 1 D OWNERNAME 6,R-AS ICAL XC) V L-A U PHONE ��^3�i�®( E-MA/IL g� � � YAHOO ,CO STREET ADDRESS ID R Y A-N f)I j/O�r/ CITY,STATE;ZIP/ L UP I 16 o 0 � l o FAX V 1 V CONTACTNAME " S. nfT sib I]1r /J'� Yo L,(/ /y PHONE40g _3'�' 3 � E-MAIL tA(2 YAH ero`&N STREET ADDRESS ILCITY,STATE,,,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 0 9 LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANYNAME iv E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENG)NEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK 12- Wi e EXISTING USE PROPOSED USE CONSTR-TYPE I #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM _ KITCHEN OTHER - REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT E]YES SECOND STORY ❑YES BEINGADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION [I YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNING APPL# E]NO PLANNING APPROVAL LETTER EICHLER HOME? El NO ;rh d���•n... Me By my signature below,I certify to each of the following: I am the property owner or authorized agent to.a roperty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and ve Is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin construction. I au e representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: QAICe. ` - SUPPLEMENTAL INFORMATION REQUIRED Q _ ,PLANCHECITPE ,. f 5,. OI3TIN .SLTP New SFD or Multifamily dwellings: Apply for demolition permit for ; OYER T COIBUILDING,P ANWhi,, existing building(s). Demolition permit is required prior to issuance of building d, permit for new bUllding. �LEXPRESS = II PT.ANNINGPY.ANRE'1'TEW >� _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure °'sra Axb �MLLC'vGoxxs ` forin if any Hazardous Materials are being used as part of this project. „LGA _Copy of Planning Approval Letter or Meeting with Planning prior to ZUrAactx ,h, )],s NITARY'SERR DisTRI�T submittal of Building Permit application. r s' ,z,.- � --ENS'IRONMENTr�L,HEAI..THre '"x BldgApp_2011.doc revised 06/21111 OWNER-BUILDER DISCLOSURE FORM pla COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPI~itTii`IO (408)777-3228•FAX(408)777-3333•building(okupertino.org Dear Property Owner(s): An application for a building permit has been submitted in your name Fisting yourself as the builder of the property improvements specified at: SITE ADDRESS �� t� �rSPa2 Dl� APN �� U BP'l�Zo/ OWNER NAME OWNER ADDRESS e-� 6 t.� A Iv l�eoQ- � a FSS I ® 14 v �'b 4 DESCRIPTION OF WORK: LAIC 9 a W i Nti„ Ci Door". We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,signed', and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS:Please read and initial each statement below to signify you understand or verify this information.) 0-1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an"Owner- Builder"building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 1�12. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. I understand as an"Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed.Contractor and having the permit filedin his or her name instead of my own. &4.4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license �numbers on permits and contracts. 5. l understand if I employ or otherwise engage any persons,other than California licensed'Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"under state and federal law. 0-6. I understand if I am considered an "employer"under state and federal law, I must register with the state and federal government,withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each"employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 0-7. l understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. A"'8. 1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or materials. Owne]Builde7Fonn 2010.doc revised 04114110 p 9. I understand I may obtain more information regarding my obligations as an "employer"from the Internal Revenue Service,the United States Small Business Administration,the California Department of Benefit Payments, and the California Division-of Industrial Accidents. I also understand I may contact the California Contractors'State License Board (CSLB)at 1-800-321-CSLB(2752)or www.cslb.ca.gov for more information about licensed contractors. &__10. 1 am aware of and consent to an Owner-Builder building permit applied for in my name,and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. 0-11. 1 agree that,as the party legally and financially responsible for this proposed construction activity,I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. f=`. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors'State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensedContractor or employee of that individual or firm is injured while working on your property,you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors,you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS:Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued,this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may equired to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: ; -- Date: i 7 4 ------ --------------------------------------- ---------------------------------------------------------------------------------- ---------- (NOTE The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner,the execution of which I understand is my personal responsibility,I hereby authorize the following person(s)to act as my agent(s)to apply for,sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. ScopeofConstruction Project(or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: OW71e7BLlilde1Fo7771 2010.doc revised 04114110 AS ICA-62-- 0 UI A 8067 HYp,JN,- Pp0p- 0� gs—a I �7j 12- RECEIVED 2RECEIVED ` : . � J -PA co% ,?UN TY r E`; LOPNIE C T.JF EF2T�INOBNT �a� BUIL DING DIVISION - APPROVE specifications Nji J ST be kept at the qS S ASo 7)S� 7-S This se Tans and spmake cqnY }cb site during co (cations on sarn)e fortotodeviate changes or a,t�, �Fi,e S therefrom,wit c a,�proval from the Building Official. specifica''ons SHALL NOT The Stamping o N oval be of the solation v C o` any prove s , city Ordinance Law. 0 �a "A! •�X47 e Sit'' �+ 5 4 ! leJDa wrNOo� �a,Nt�:.a (n M 40 UP6tq CQ�1oc1N eWf/`( T o Z Z_ �. W 7 Z Q- H Vit. O DAWN 60-A Ft�,,9 . b,� 3g- x r ON LJ,7 . . tNOXXID: ALARMS i 1 �,��` OF COMPLIANCE i, COM'MU'ITY�DEVEL"OPMENT DEPAiRTMENT=m BU;ILD:ING DIVISION -,-Vip N 10300 TO.RRE AVENUE,C-Uj ERTING,SCA-95014-3255 (408)777-3228 t;FAX:(408)777-3333►+bttifdin4fcupprno.oig gds C- �YANNlS po niis affidavit is a self-certification for the installatian_of all required Smoke and Carbon Monoxide Alarms for corMpliance with.2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for iftspedions.are required. G-MRAL INFORMATION 1lx18ttng single>faxiaily and rr rzlti-family dwellings shall b_e provided with Smoke Alarms and Carboy MdOnOxide alarms When the valuation of additions, alterations,or repairs to existing dwelling units exceeds $1:00901,CIBC Section AX4 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarzmsbe installed in the following locations: AUA SM, .D]KF,ALARM CO ANt Outside of each separate sleeping area in the immediate vicinity of the b- cLgq am s-5 0n ever he el of a dwelli snit 3ncludiri,basements, X ` WPt�i>n ead�sl'ee��n roo`rm � _ I Carbon Monoxide alarms are not required in dwel ,gs which do riot co,stain fuel burning appliances and, _�jat do-not Inave a�u a�ttaclled garage. Carbon rmoi�oxide aarrns comb-fined with sznol�e a{farms sln�a411 c©m�p�ly with CBC Secfibit 42:0.6 and shall be app-roved by the Office of the State Fire Marshal,. Power Supplly.:Tn dwelling units with not corninerciall p owersupply,alarm(s)t xray, be solely, hattezy operated., Ir, eAlsting,dwelling,ufzita, alarms are perm,fitted to be solely battery operated where repairs;or Alter afiorns do, not result h,am tf e rern-oval of wa11 aind,ceith,ig,f',r ds-l' es o'x thmere is ino°access by means of attic,Iaserl en?t oz,crawl sp ace.Refer tot CIBC Section R,314 aild CBC Sectiarns 90?�.2.31.4 and;420.6.2,Alt ellectrrcal peri, it i&require i f for aIa,rias whict-Li rntustbe co,uxected to tine but>ldinig wi ing_ As.owner of the abave refer=eiwed piiroperty,lhereb-y certify that the,alarzn(s),mferenced above hastkave beem insta=lled im accordance with the inailufacturer's fns i r uctions,aitid in coo p>laance with the Carl flbcmiia?Bukild��zb arid,Catlitfonufa Residential?Codes.`II'he alarms have been tested mid are,oper,at mma,1,as of the date s greed below- If f7amei readf aid`a re:e fo}ca m,22 withF th;et term,•.s anal,conditi.ons,of fhis stb em..,eni f perr ova g����� j' CD gB f - t n'atcr ..... ... 1 f i } �w _v S�gnattlre ..... .La . Date a WATER-CONSERVING PLUMBING FIXTURES d OWNER CERTIFICATE OF COMPLIANCE ' ° COMMUNITY DEVELOPMENT DEPARTMENT•'BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX 408)777-3333•buildingC�cupertino.ora Owner Name 1 Permit No�'i 8 9 " Z-3 go Address n q o 6 9 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. C� E4,1110 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 110 1.1 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. "o Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yds Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. L 'N0 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. 1 I '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. PleKe check ONE of the following: f 15�My property 3is a single-family residential real property.Y• 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). Q My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations orimprovements 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,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 110 1.8,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 page. Owner or Owner Agent's Signatur-eJJ i Date, i` i Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB40 7 2015.doe revised 08126115 k'� Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa.e/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch.4 2013 CPC Ch.4 /Flow Rate: Water!/sage 2013 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 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 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 lower than the figure shown,it is not required to be upgraded. SB407 2015.doc revised 08126115