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B-2016-2384 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2384 21571 TERRACE DR CUPERTINO,CA 95014-4741(35620 015) WILLOW GLEN ELECTRIC INC SAN JOSE,CA 95155 OWNER'S NAME: WANG XIANFENG AND LI WEI TRUSTEE DATE ISSUED:07/26/2016 OWNER'S PHONE:408-718-5183 PHONE NO:(408)289-9725 LICENSED CONILRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-10 Lic.#591918 Contractor W ILLOW GLEN ELECTRIC INCDate 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: (N)EV CHARGING STATION(50 AMP)-GARAGE I hereby affirm under penalty of perjury one of the following two declarations: 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. 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:$1990.00 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 Numbers Occupancy Type: and state laws relating to building construction,and hereby authorize 356 20 015 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 e consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the ap licant understands and will comply with all non-point source regulatio per the Cup ino MuniWal-aI Code,Section 9.18, 180 DAYS FROM LAST CALLED INSPECTION. 'Signature v ate 7/2612016 Issued b Abby A ende Date:07/26/2016 OWNER-B iii D R 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 m. 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) z: 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 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 3. 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 Codeections 25505 25533,a 5534. Labor Code,I must forthwith comply with such provisions or this permit shall /i be deemed revoked. G/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 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. Licensed Signature Date 7/26/2016 Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTIP�C (408)777.3228 FAX(408)777-3333•btai(din ou ir�a, ent G PROJECT ADDRESS APN# mJ s ` �y f 6T d � J 6 OWNER NAME - p PHONE I/r STREET ADDRESS e /� CITY,STA ,ZIP ®f F CONTACT NAME Mark Londre PHONE (400)289-9725 E-MAIL - office@willow lenelectric.com STREETADDRESSn 0. g 8430 CITY,STATE,ZIP r ox San Jose, CA 95155 FAx(408)289-9725 E]OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT VCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECTS El ENGINEER ❑ DEVELOPERS ❑TENANT CONTRACTORNAMEMark Londre LICENSENUMEER LICENSE TYPE BUS.LIC# 591918 C-10 15897 COMPANY NAME Willow Glen Electric, Inc. � office@willow lenelectric.com 9 FAx (408)289-9725 STREET ADDRESS p O BOx S43O CITY,STATE,ZIP PHONE r San Jose, CA 95155 (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 VfSFD Or Di plex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA L] Yes ❑ No FLOOD ZONE E] Yes ❑ No ❑SOLAR-PANELS V ELECTRIC VEHICLE CHARGING STATION FE3 SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS., NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATIOM �(� DESCRIPTION OF WORK L'%,1 b_eC C_ z Electric Vehicle Charging-Circuit: N �140 1='DBY: 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 behalf 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 construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.. Signature of Applicant/Agent: Date: Z oC. SUPPLEMENTAL INFORMATION REQUIRED " OIYICrUSE'ONLY OVEkt-R&COUNTiR ` W"S ' R7 ❑ STANDARD � © LARGBW� I�`117A70R` PVApp 2011.doe revised 03/16111 F1 SMOKE/CARBON MONOXIDE ALARMS f 1 OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408).777-3228 FAX(408)777-3333-building(-Cupertino org Permit No 'R•Q0 I(v Address ,i 4#of Alarms Smoke: Carbon Monoxide: PERMIT CANNOT,BE COMP." ETED UNTIL TI ,CEItTi 'ICA I � F � x � TO tt- ts I3 .T)TNON 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 exis ' g 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 LARM CO ALARM Outside of each separate sleeping area in the iiiunediate vicinity of the X X bedroonn(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: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 mearis of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2.An elecirical permit is required for alarms which must be connected to the building wiring. As owner of the above-referenced property,!hereby certify that the alarm(s)referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance wilh the California Bulling and California Residential Codes.The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)game; . ............Signature..... ....... ..... .....Date: K ft Contractor Name: r Sinature...................................................................Licl.....................................Date: ................... Sim ke and CO-foMi.dac reviser!03/18114 v WATER-CONSERVING PLUMBING, F URE a OWNER CERTIFICATE ��� OF'COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENTS BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255, (408)777-3228-FAX(408)777-3333•building aftuoertino.orct. er•N tier•. r # Perini No. •o�C�l(a of 38 pv. t� Address PERMIT CANNOT BE FINALED AND COMPLETED UNTILTM CERTLIi!'ICATI HAS BEEN SICIUD AND RETS TO THE BUILDIN D IGIN Please refer to the attached California Civil Code Sections 1101.1 1101.8 which are pare of this Certification form. 1. Is your real property a registered historical site? Cl Yes Civil Code.Sections 1101.1 through 1101.8 do not apply, Sign below and skip the rest of the forth. Owner' Signature: D te:. U No Go to Question 2. 2. Does your real property have a licensed plumber certifying that,due to the age oftonfigi ration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? Q Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Cl The licensed plumber's certification has been provided to the Building Di ision. Sign below and skip the rest of the force. Owner'Signature: D te; ,- 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 lbelow and skil,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, 194 ?- Ll 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. Owner'Signature: Date: 'Myles 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 flan dly residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require 11 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 I lumbing fixtures {regardless of whether property undergoes alterations or improvements}. 0 My property is a inultifanaily residential real property. See Civil Code Section 1101.5 On and after January 13 2014,specified building alterations or improvements shall reel Yire non-,compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. - On orbefore January 1,2019,all non-compliant phuabing fixtures shall be replaced Mith water conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). 0 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 req lire non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. SB4072015.doc revised 0210417.5 A 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/Wc,the owner(s)of this property,certify under penalty of psi jury 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 California Plumbing Code and California Green Building Standards Code,and,manufacturer's installation requirements,and that the water-conserving plumbing f xtures comply with the requirements as indicated in the table below. Owner's(or Owner Agent's) Signature: mate: aa� Upon completing and signing this Certificate,please return it to the Building Division in oi der to final your permit. Non-Compliant Water-Conserving Plumblinj I Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicz ble to New Construction) Fixture'Type Maximum Water Usa e/Fi w Rate Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4 /Flow Rate 2013 CALGreen Div..4.3 2013 CALGreen Div. .3 2013 CALGreen Div.5.3 Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gall ns/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective fl ish volume(the composite, average flush volume of two reduced flushes 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 the 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 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 gallon per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets_L Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute cr 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase Maytemporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi,and must gallons per minute @ defauitto 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. Lother 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. S'B407 201.5,doe revised 02104113