B-2016-2468 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2468
18750 NEWSOMAVE CUPERTINO,CA 95014-3855(375 30 010) LOGO ROOTER
SAN JOSE,CA 95112
OWNER'S NAME: WANG FENG-MAO AND LEE MEI TRUSTEE DATE ISSUED:08/08/2016
OWNER'S PHONE:408 679 0203 PHONE NO:(408)282-7025
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C�3 Lic.#939034
Contractor COLO ROOTER Date 10/31/2017 X BLDG _ELECT X 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 SEWER LINE T-HALLWAY
I hereby affirm under penalty of perjury one of the following two declarations: REVISION#1-REPLACE 60`SEWER LINE;(I)PROPERTY LINE
1. I have and will maintain a certificate of consent to self-insure for Worker's CLEAN-OUT;(NY FOUNDATION CLEAN-OUT-ISSUED 8/15/2016
Compensation,as provided for by Section 3700 of the Labor Code,for the
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:$3550.00
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 375 30 010
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 er the C pertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 08/15/2016 Issued by:PAUL O'SULLIVAN
Date:08/08/2016
OVVNER-B DE
DE IO
I hereby affil that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following tw. 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(Sce.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;08/15/2016
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. 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. I will
permit is issued. maintain compliance with the 6Cupertino 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 w' a up .' o Munici Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&S,fety Code, ctio 25505, 533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized a
APPLICANT CERTIFICATION Date:08/15/2016
1 certify that I have read this application and state that the above information is CONSTRUC TO LEND CY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is c nstruction lending agL&ficy for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this pe i 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 08/15/2016 professional
GENERAL PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION MEP
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 1 S
(408)777-3228•FAX(408)777-3333• buildinoa.cupertino.org nil
CU�PERTINOIV I
PLUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS
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CONTRACTOR NzAMES LICEN E E LICENSE TY? BUS.LIC*2,
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COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex ❑: Multi-Family PROJECT IN WILDLAND PROIECT IN
STRUCTURE: ❑ Commercial ' URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ NO
DESCRIPTION OF WORK
Lives C , e,, -n a �f UL J0 CLectctl
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TOTAL VALUATION: RECEIVED BY
By my signature below,I certify to each of the f to ing; I am e property owner or an orized agent to act on the property owner's behalf. I have read this
application and the information I e pro ded s c rrect. I ha read the Description o Vo
and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws rela g to build co ction. I a orize representatives o pertino to enter the above-identified property for inspection purposes.
Signature ofApplicant/Ag t: Date: _
s
SUPP ME TAL INFO UI
s •OFF E USE,OALY
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MEPMiscApp^2011.doC revised 03/16/11
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2468
18750 NEWSOM AVE CUPERTINO,CA 95014-3855(375 30 010) GOGO ROOTER
SAN JOSE,CA 95112
OWNER'S NAME: WANG FENG-MAO AND LEE MEI TRUSTEE DATE ISSUED:08/08/2016
OWNER'S PHONE:408-679-0233 PHONE NO:(408)282-7025
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-38 Lic.#939034
Contractor GOGO ROOTER Date 10/31/2017 X_BLDG ELECT X_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: REPLACE SEWER LINE 3'-HALLWAY
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.
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:$3550.00
APPLICANT CERIMCATION
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 375 30 010
representatives of this city to enter upontheabove 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 all
this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
4herebyaf
er th Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Date 08/08/2016 Issued by:PAUL O'SULLIVAN
Date:08/08/2016
R DARAat 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:08/08/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
s. 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
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 Healt4agen . S ns 25�2i5533,and
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorizAPPLICANT CERTIFICATION Date:08/08/2016
1 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 and state laws 1 hereby affirm thatuction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which ed(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. 1 understand my plans shall be used as public records.
Licensed
Signature Date 08/08/2016
Professional
GENERAL PERMIT APPLICATION eM E P
COMMUNITY DEVELOPMENT
DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildiCUPERTINOngCftupertino.org MISC
e<PLUMBING [:1_ MECHANICAL ❑ELECRICAL MISCELLANEOU
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CONTACT NAME ,11 G�
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OWNER ❑ OWNER-BUILDER D OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENS- LICENSE
P�1a BUS.LIC �';A
COMPANY NAME&,, g @ E-MAIL FAX
STREET ADDRESS B a CITY,ST TE,ZIY
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC
COMPANY NAME . E-MAIL _
FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF 'ffSFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: ❑ Commercial MAN INTERFACE AREA ❑ Yes `�"_o FLOOD ZONE ❑ Yes 2-lqO
DESCRIPTION OF WORK v
- �-- .
TOTAL VALUATION:
By my signature below,I cert' each o e follo g: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the info ion I ha e pr vi ed is co ect. I have read thg,,�o of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state law relating to uil g co I a orize representatives of Cupertino to enter the above-identified property for inspection purposes.
r
Signature of Applicant/ gent:,- Date: 6
S PPA EMENTAL INFORMATION REQUIRED
O 10E USE QALY`
OVER TFIE COUNTET2
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MAJOR
MEPMiscApp 2011.doc revised 03/16/11
SMOKE / CAREONNONOXIDE ALARMSFILE
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION
RT1610 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPE
(408)777-3228•FAX(408)777-3333.building(D_cupertino.org
, � Permit No. l�
Address P LV 0 Wl #of Alarms Stnoke: Carbon Monoxide:
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN RFTLTR ED fl THE U.-;LDING, Nq,% ,
:rte pggp
"
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 singe-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 COALARM
Outside of each separate sleeping area in the immediate vicinity of the X X
bedroom(s)
J j On everi level of a dwelling'unit including basements X X
Within ech slee ing room X
I`
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not have m 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. F
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 compliance with the California Building
and Califorr is 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 Owne(Agent's))Name:
.;4
A
it rl-w ... .......... .....Signat
Contractor Name:
C? A .� P— , Sig 'pure. .. .........Lic,#... ..�.....Date J.. ..l.I..CV
7 1 t
Smoke and CO form.doe revised 03/18114
i
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COIMPLIANCE FILE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 4A U
CUPE 'I-No 10300 TORRE AVENUE CUPERTINO, CA 95014-3255
; -- � (408)777-3228• FAX(408)777-3333•building(c-bcupertino.org L
Owner Name I M t— Permit No.
Address
1. Is your real.property a registered historical site?
❑ Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the-rest of the form and sign bottom of form.
CI 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,in�tallation of water-conserving plumbing fixtures is not technically feasible?
ElYes CivilCode Sections 1101.1 through 1101.8 do not apply.
❑l The licensed plumber's certification has been provided to the Building Division.
& 'p the rest of the form and sign bottom of form.
No . , Go to Question 3.
3. Is water service permanently disconnected for your building?
Code Sections 1101.1 through 1101.8 do not apply. Skip-the rest of the form and sign bottom of form.
21_�Y�esCivil
V0 Gd to Question 4.
a
4. Is our real >o e built and available for use or occupancy on or before January 1 1994?
y.` p� p �' P y rY
❑`f No real property is built and available for use or occupancy after January 1, 1994.
Ci °l Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
es M real property is built and available for use or occupancy on or before January 1, 1994.
Ci it Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign
bottom of form..
5. /ease check ONE of the following:
y properly is a single-family residential real property. See Civil Code Section 1101.4.
Ori and af�er January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures
to be repla ed with water-conserving plumbing fixtures throughout the building.On or before January 1, 2017, all non-
compliantplumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether
property undergoes alterations or improvements). -
My proper is a multifamily residential real property. See Civil Code Section 1101.5.
On and a4r 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).
El My proper�y 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
plumbingixtures to be replaced with water-conserving plumbing fixtures.
On or bef�re January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water conserving
plumbing,fxtures 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 1101.18,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 fc1lowing page.
Owner or Own�r Agent's Signature: Date:
Upon completing and signing this Certificate,please re it t- e Building Division in order to final your building permit.
I
SB4072015.doc revised 08/26115
k ` I3T7ILDIN�GER3YIICANNt3T'QBE-FINAL + ND'C04LED UNTIL T73IS
ERICEA � � rRr���+ �TUiE
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Fixture Type Maximum Water Usage/Flow 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. 4.3 2013 CALGreen Div. 5.3
Single-Family Multi-Family Commercial
Residential Residential
Water Closets Exceed 1.6 Single flush toilets: 1.28 gallon /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 1.8 gallons per minute @ 60
Kitchen per minute 60 psi . @ 60
si psi
P
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