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B-2016-2382 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2382 10445 SAN FERNANDO AVE CUPERTINO,CA 95014-2834(357 12 050) WILLOW GLEN ELECTRIC INC SAN JOSE,CA 95155 OWNER'S NAME: QIAN KUN AND LIN YUEQIN DATE ISSUED:07/26/2016 OWNER'S PHONE:408-391-4382 PHONE NO:(408)289-9725 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class CA Lie.#591918 Contractor WILLOW GLEN ELECTRIC INC Date 04/30/2018 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: I hereby affirm under penalty of perjury one of the following.two declarations: (N)EV CHARGING STATION(50 AMP)-GARAGE. 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. 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:$1390.00 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: Occupancy Type: and state laws relating to building construction,and hereby authorize 357 12 050 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 app'cant understands and will comply with all non-point source regulation per the Cupertino Municipal Code,Section 9,18. 180 DAYS FROM LAST CALLED INSPECTION. 4— /Signaturef Date 7/26/2016 Issued by:AbbyAvende / Date:07/26/2016 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 1. 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(Sec.7044,Business&Professions Code). Date:7/26/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A OR BETTER s. 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. 1 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. 1 will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. . 1 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 Cuprtino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the �, the Health&Safety Code, ctions 25505,25533, d 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked Owner or authorized agent: APPLICANT CERTIFICATION Date:7/26/2016 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 tender'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 beused DFCLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 7/26/2016 Professional L-_.1 lel ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE.CUPERTINO,CA 95014.3255 CM. PERTI (408)777.3228•fAX(408)777-3333•buiidin cu ®Itil7 .�a�'� Amy PROJECT ADDRESS c APN# p OWNER NAME VPHONEE-MAIL D e / " � �A - q1— STREET ADDRESS I a `F CITY,STATE,ZIP FAx 1U0 CA q�1q CONTACT NAME Mark Londre PHONE (408\289-9725 E-MAIL / c7 office@wilIowa lenelectric.com STREET ADDRESS R 0. Box B 8430 CITY,STATE,ZIP r ,�,/ San Jose, CA 95155 FAx(408)289-9725 ❑OWNER ❑ OWNER-BUILDER ❑.OWNER AGENT lG CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTORNAMEMark Londre LICENSE NUMBER LICENSE TYPE BUS.LIC# 591918 C-10 15897 COMPANY NAME Willow Glen Electric, Inc. E-MAIL office@willowglenelectric.com 9 FAx (408)289-9725 STREET ADDRESS R O. Box 8430 San Jose, CA 95155CITY,STATE,ZIP PHONE (408)289-9725 ARCHITECT/ENGINEER NAME N/A LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE- USE OF V SFD or Duplex ❑ Mlllti-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ NO ❑SOLAR PANELS 4ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING El OTHER: FOR SOLAR PANELS., NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: .DESCRIPTION OF WORK Electric Vehicle Char in Circuit: rUrIVIS ` r S L (OAQb 0 Uub(C mW,t-r k)f & A)mA-1 /#-6p kec-e� Fr i O F -e i tF�tom- RECEIVED$?I', i By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's$ehal£ I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constructio . I authoikepreppresentatives of Cupertino to enter the abov-identified prop for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED oar E oNLY. OVER THE, OUN'"R �z Z ❑ B7CPRES$' 01� y 0 STANDAR M;' ` CID, '��'\ a " r. ❑ mra�ox o- PVApp_2011.doc revised 03116111 SMOKE/ CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANC COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DMS ON CUPERTINC) 10300 TORRE AVENUE CUPERTINO, CA 95014=3255 (408)777-3228 FAX(408)777-3333 buiidinac ell ertino.arp j LL Permit No. 020 138 Address 5 .mac>� VrtGtY t% t i I vlln[✓, of Alarms Smoke: Carbon Monoxide: PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING:DIVISION 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 A arms 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 Smc ke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE AARM 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 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: 1n dwelling units with no commercial power supply, alarm(s)may Le 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 I2314 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) referet ced 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. i have read and a ree to comply with the terms and conditions of this tatement Owner(or Owner Agent's)Name: /& Signature..,... ........ ..Date:q[. ... Contractor N me: Sinature...................................................................Licl ........ .............................Date: .,................. SinoA-e rand C,O foran.doc revised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY OMPLIANC - COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 (408)777-3228 FAX(408)777-3333•buildingaa,cupertino.o`g Owner Name /& Permit o. `es0 02 38+ Address tom' ( G2 , Cape 4 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN St ,NED AND RETIjRN1N D TO TIME BUILDINGDIVISION Please refer to the attached California Civil Code Sections l 10 1.1 - 1101.8 which are part of this Cc rtifcation form. 1. is your real property a registered historical site? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the restof the form. Owner' Signature: Da e: No Go to Question 2. 2. Does your real property have a licensed plumber certifying that,due to the age or configu ation of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Divi;ion. Sign below and skip the rest of the form. Owner' Signature: Dat . No Go to Question 3. 3. is water service permanently disconnected for your building? Yes Civil Code Sections 1 10 1.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Dat . 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, 19Q4. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip Iie rest of the form. Owner' Signature: Dat Yes My real property is built and available for use or occupancy on or before Janualy 1, 1994. Civil Code Sections 1101.1 through 1 I01.8 apply. Refer to the attached. My property is a single family reshlential real property. See Civil Code Section 1101.4 On and after January 1, 2014, building alterations or improvements shall require a 1 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 rmrltifalitily resirlential real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require nota-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 wi h water- conserving plumbing fixtures throughout the building(regardless of whether property u idergoes alterations or improvements). - ❑ My property is a coni rercial real property. See Civil Code Section i 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. SB407 2015.doc revises!02104115 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replace with water- conserving 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 plurnt ing fixtures will be replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1 101.3,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 is indicated in the table below. Owner's(or Owner Agent's) Signature: . Elate: Upon completing and signing this Certificate,please retufn it to the Building Division in order to final your pen-nit. Non-Compliant 'Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applica)le to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch_ 4 20113 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 fIL sh volume(the composite, average flush volume of two reduced flus es and one full flush) Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to th performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerhea s (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower,the c mbined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not i exceed 2.0 gallons per minute @ 80 psi, or the shoA or shall be designed to allow only one shower outlet to be in operation at a t me. Faucets-- Exceed2.2 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 I per minute @ 60 psi 1.8 gallons per minute 64 psi Faucets— Exceed 2.2 gallons 1.8 gallons per minute c@ 1.8 gallons per minute 1.8 gallons per minute cr 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 o reduction. other means may be used to achieve reduction. 1. 1f the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. 513407 2015.doc revised 02104/15