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B-2016-1305 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-20I6-1305 1185 CRESTLINE DR CUPERTINO,CA 95014-5034(362 25 004) (TI ID AT-HOME SERVICES INC) ATLANTA,GA 30339 OWNER'S NAME: CLARK NORMA 7 TRUSTEE DATE ISSUED:02/0412016 OWNER'S PHONE:408-252-4870 PRONE NO:510-877-4550 LICENSED CONTRACTOR"C DECLAR&TION BUILDING PERMIT INFO: License Class B Lic.#8 6021 Contractor(TWD AT_HOME SERVICE'SINC)Date 02/04/2016 X_BLDG —ELECT —PLUMB I herebyaffirm that I am licensed under the _MECH X RESIDENTIAL_COMMERCIAL provisions of Chapter 9{commencing with Section 7000)of Division 3of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REPLACE 2(E)WINDOWS IN BOTH DINING AND LIVING ROOMS, I hereby affirm under penalty of perjury one of the following two declarations: LIKE FOR LICE t. I have and will maintain a certificate of consent Co 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. / 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:$2279.00 AM ICANT CERTIFr ATION I certify that I have read this application and state that the above AP1Y Number: Occupancy Type: information is correct.I agree to comply with all city and county 36225004 ordinances and state laws relating to building construction,and hereby authorize 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,casts,and PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Murn pal 1$0 DAYS FROM LAST CALLED INSPECTION, Code,Section 9.18. ✓ Issued by:MELISSA NAMES Signature " Date 0210412016 Date:02/04/2016 OWNER-BUILDERDFCI ARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the Alt roofs shall be inspected prior to any roofng material being installed.If a roofis following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1. I,as owner of the property,or my employees with wages as their sole inspection. compensation,will do the work,and the structure is not intended or offered for sale(Sce.7044,Business&Professions Code) Signature ofApplicant: 2. 1,as owner of the property,am exclusively contracting with licensed late:02104/2016 contractors to construct the project(Sce.7044,Business&Professions Code). I hereby affirm ander 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 1 I have and will maintain Worker's Compensation Insurance,as provided for California Health&Safety Code,Sections.25505,25533,and 25534. 1 will by Section 3700 of the Labor Code,for the performance of the work for which maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the this permit is issued. Health&Safety Code,Section 25532(x)should I store or handle hazardous s. 1 certify that in thence:of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Mr-Quality Management District I shall not employ any person in any manner so as to become subject to the Will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and Worker's Compensation laws of California, If,after making this certificate of the Health&Safety Code,Sections 25505,25533,and 25534, cxemp�:on,I become subject to the Worker's Compensation provisions of the -�-� Labor Code„I most forthwith comply with such provisions or this permit shall Owner or authorized agent: be deemed revoked, Date:02/0412016 APPLICANT CERTIFICATION C STRUMQN 1 certify that I have read this application and state that the above Information is I hereby affirm that there is a construction lending agency for the performance correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is Issued(Sec.3097,Civ C.) relating to building construction,and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally,the applicant I understand my plans shall be used as public records. understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Licensed Signature Date2� 04/2016 professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 UPI�RTI�14 (408)777-3228•FAX(408)777-3333•building ,cupertino.ora r S ❑NEW CONSTRUCTION ❑ ADDITIOTl n ALTERATION I TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECTADDRESS D'4 AFN0 r Z �f r- OWNEANAME 'j AA) i 6� �1'[� ��. PHONE 4 U�b"���` T��C� J. E MAILC.� STREET ADDRESS ()4fJ �"I t + jl t CITYcJr'CST�ITE,ZIP !� a , FAX G sz?fn! l CONTACT NAME JEFF RAINEY PHONE 510-427-4260 E-MAtL�JEFFREY.RAINEY6ATT.NET STREETADDRESS 1069 EDGEMERE LANE - - - - CITYSTATE,ZIP HAYWARD CA 94545 FAX 510-783--1041 ❑OWNER ❑ OWNIM-BUILDER ❑ OWNERAGGNT ❑ CONTRACTOR T3 CONTRACTOR AGENT © ARCHrmc-r ❑EN(;CAEEEft ❑. DHVF.i:OPP.It 1-•)TENANT CONTRACTORNAML LICENSE NUMBER LICENSE TYPE EUS.LIC# 2 v 836021 B,C39,C13,C17 t COMPANY NAME E-MAIL FAX THD AT HOME SERVICES 510-357-3750 STREET ADDRESS CITY,STATE,ZIP PRONE ONE 2456 VERNA COURT SAN LEANDRO,CA 34577 510-877-4550 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC 9 - COMPANY NAME E-MAIL FAX STREETADDRESS CITY,STATE,ZiP PHONE DESCRIPTION OF%ORK j {1 5 f 1 —7'",�J© ^~fl`Ar4.' -7 JAJ 1Sr 2 Cf"t HXISTINGU5H - - Rn PROPOSED CONSIR'PYPE {ES'mRE?S - - USE TYPC OCC. SQ:FT. VALiJKriON($) EXIS'rG NEWPLOOR DEMO TOTAL AREA AREA AREA NETAREA BATTIROOM KITCHEN. OTHHR - - REMODELARHA REMODF,LAREA REMODELARI?A PpRCBAREA DHCR AREA. L70TAL DHCK/PORCi-I ARRA GARAGE AREA: DETACH[3ATTACH #DWELLING UMTS; IS A SECOND UNIT ❑YES SECOND STORY ❑YFS BEtNGADDED? [-]NO ADDITION? ❑NO PRE-APPLICATION ❑.YES IF YES,PROVIDE COPY OF ISTULDIDGAN RkCEIVb _ T TALVALUATION: PLANNiNGAPPL fi ©NO PLANNING APPROVAL LIITtBi� EiCHLRRIIOM>✓? O FF: By my signature below,I certify to each of the following: 1 am the property owner or authorized agent to act on the property owner's be la read this application and the information I have provided is correct. I have read the Description of Work, d-verify-itis accurate. I agree to comply with all app 1. a local ordinances and state laws relating to building construction. I authorize rcpresentatigs s of'Ciipertino to enter the above-•identiified property for inspection purposes. Signature of Applicant/Agent: " '"" r "' Date: 2'I Si1PPLlvAM AL INFORMATION RP PLAPiCHECE:TYPE _ ROUT}NGSLiP _New SFD or MultiFunily dwellings: App1y,itd,611 on permit for ❑existing bttilding(s). Demolition permit is req prior to issuance of building permit for new building. ❑->xP>lss' © PLANNING7'LANitEV][ !Y _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑':sTANDAItir ❑. ku LlG�v(II1T� form if any Razardous Materials are being used as part of this project D. LARGE ❑ IriRFD�rr Copy of Planning Approval]letter or Meeting with Planning prior to submittal ofBnildingPermit application. I►fAJOR ❑ SANrrARY$EWERAISTRIC[ - ,:' .... ❑ ENYIIZONIIl$NTAL HEAI,T3I: .- .::: BddgApp 20.1 Ldoc revised 0612111.1 LEGEND' SCOPE OF WORK:INSTALL(2)RETROFIT FIBREX,DUAL I2=1 = RETROFIT WINDOW/PATIO DOOR/ENTRY DOOR LOCATION GLAZED,LOW E WINDOWS.NO(N)CONSTRUCTION, �' (XO) = HORIZONTAL SLIDER FRAMES WILL NOT BE DISTURBED. Lo NOTE;WINDOWS/PATIO/ENTRY DOORS; rn U_FACTOR=0.33 C3 o SHGC=0.25 _ F+:-,. rry IraA Tipp i�i`iT L u Q c LiV.i•t ,il.it�ao .. uUs .� % -'"' CHECKS > 4 ns w [+ " n.c i I:C't°(1"Ff+•,''Tl rt i'1'�. � �..�J DATEr, i:�)E'Lil'E ryl. PLANNING DEPT "' CUPERTINO opt _• ia�lS, v 13 s x S 54 r LIVING ROOM DINING ROOM Czt x WINDOW(XO) WINDOW(XO) GARAGE 0 LU 71"wx 49"h ENTRY 47"w x 49"h ' co 0 Tn am 0 F F I E C 0Lu z 2-1 SINGLE STORY HOME T n im U L „,�, (FRON.,YARD) rn ,. Co CCLu L FLOOR PLAN CRESTLINEw DRIVE .' NOTE: r 1).SMOKE DETECTORS:WHEN A BUILDING PERMIT IS REQUIRED,SMOKE DETECTORS SHALL BE INSTALLED;(a)IN EACH SLEEPING ROOM,(0)OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE nam BEDROOMS,(0)ON EACH ADDITIONAL STORY OF THE DWELLING,INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS.(ORO 314) 02,02.16 SCALE NTS 2).CARBON MONOXIDE ALARMS.WHERE A PERMIT IS REQUIRED FOR ALTERATIONS,REPAIRS OR ADDITIONS WEEDING$1,000.00,EXISTING DWELLINGS OR SLEEPING UNITS THAT HAVE ATTACHED GARAGES OR FUEL BURNING D;t"N BP DKW APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS:(a)OUTSIDE OF EACH SEPARATE DWELLING UNIT SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOM($),(b)ON EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENTS.(CBC 420.4,CRC R315). 6938764 (HOMEOWNER TO PROVIDE BEFORE FINAL INSPECTION), SHEEr A-1 SMOKE I CARBON MONOXID ALARMS OWNER CERTIFICATE F COMPLIANCE IILE- L , . COMMUNITY DEVELOPMENT DEPARTMENT®BUILDING DIVISION CUPEKTINO 10300 TORRE AVENUE.CUPERTINO,CA 95014-3255 (408)777-3228®FAX(408)777-3333•building(lcupertino.ong T�JUO--nlffit: �dc�e� � ��.�� � �� �J�o ���.�i�Ci�"`Sx�iclke• � Gal�.otr1�'Iarto��ide• PEItTM�yITy CAN-NOT Aypi�I?�^�O�'���'�p3�7E�,FINAryL�ED AND COMPLETED�r�yy �*�C1NTIL THIS ryGgE7�R�T�(��YC�1Ti .Cl..AS BEEN `�S 441, :ft ANO:� i i�l:D.�i#.A'J�ikJ�1J��7'W�1'.Lil�lk7.L?{ 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 4206 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 each sleeping in 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,compaliance with the California Building. and Calsfonrda Residential Codes.The alarms have been"tested and are operational, as of the date signed below. t have read and a"req ta,corm l_with?the terms and"conditions of this statement m�er,F Otte e A e `sk Nara,e: ' 9 €�t fai nafure. ......... ......................................................hof .9 Go�ifracEor Name: Si atu e_, ..... ...... Lid } } Sn-coke and CO forns doc remised 0311ty o WATER-CONSERVING PLUMBING FIXTURES ifkrbI L Fc, OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPER TINO 10300 TORRE AVENUE o CUPERTINO,CA 95014-3255 (408)777-3 8•FAX(408)777-3333•buiidingAcupertino.orcl Owner Name Permit No. —1 _ Address 1. Is your real property a registered historical site? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. O�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? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. l 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: -- A MY property is a single-family residential real property.1• 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). 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 ber 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 1501.8,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 Signature: ) Da'_i Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB40 7 2015.doc revised 08/26/15 Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixturel (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 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 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: 05 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. SB407 2015.doe revised 08126115