The URL can be used to link to this page

B-2016-2396 I CITY OF CUPERTINO BUILDING PERMIT. BUrLDINGADDRESSr CONTRACTOR: PERMIT NO:B-2015-2396 21700 OLIVE AVE CUPERTL+FO,CA 95014-5938(357 21.001) PACIFIC PLUMBING 8i SEWER SERVICE INC MILPITAS,,CA 95035 OWNER'S NAME�� i atm. (;n g @IiN,"wW�R STEE DA1� 1(SS IEI3'107/27/2016 d OWNERS PHONE: PHONE NQ(408)8949120 LICENSED CONI`Rgir(1R'S DECLARATION BUILDING PER1VIiT INFO: License Class.B 'Lic.4745976 ContractorPAQIFICPLUMPING&,9EWER SERVICEINC Date 05731/2018 X BLDG_ELECT X PLUIV133 I hereby affirm that I Sin licensed under the previsions of Chapter 9(commencing M ECH X RESIDENTLAL_CO1a[M[ERCIAL with Section 7000)ofDivfsion 3 ofthe Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION; y P PROPERTYLINE CLEAN OUT-FOUNDATION ONLY I hereby affirm under penalty of perjury oae of the following two declarations: z. 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 t ! Section 3700 6fthe Labor Code,for the performance of the work for which this i permit is issued. Sq.Ft Floor Area: Valuation:$800.00 APPLICANT CERTIC+ICATION- I certify that 1 have rea8 this application and state that the above information is correct. agree to comply with,all city and county ordinances APN Number: Occupancy ,e: and state laws relating'to building construction,and hereby authorize 357 21001 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. VVTTHIN 180 DAYS: F PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.15. 180 DAYS FROM LAS`('CALLED INSPECTION. Sigrfature' Date 8%1012016 Issued by:AbbyAyende f - Date:07/27/2015 OWNERB m.DER.DYX&ARATION I hereby affirm that I am,exempt fi om the Contractor's License Law for one of the B—F 1?1�0E5 following two reasons: I All roofs shall be inspectcdprior to anymofmg material being installed.If a roof is L I,as owner of the property,or my employees with Mages 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 o the property,am exclusively contracting with licensed Signature of Applicant: contractors to conatmotthe project(Sce.7044,Business&Professions Code).. Date:8110/2015. I hereby affirm under Penalty of perjury one of the following three declarations: AT,T,ROOF COVERINGS TO BE CLASS"A"OR BETTER z I haveand 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 bf 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 695 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 t uperfto Municipal Code,Chapter 9.12 and the s. I certify that m.the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous material.Additionally,should I use equipment or devices.which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Abe Duality Management District 7 Worker's Compensation laws of California. If,after making this certificate of wfll 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 25500 5533,and 25534. Labor Code I must forthwith comply with such provisions or this permit shall f �, be deemed revoked, ' Owner or authorised agent, APPLICA -17 CERTIFICATION Date: /1$ 0/2016 I certify that 1 have read#his application and state that the above information is CONSTRUCTION LEND G All GENC 4' correct,t agree to com,ply with all city and county ordinances and state laws I hereby affirni that there is a construction lending agency for the performance relating to building cortstructign,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3.097,Civ C.) to enter upon the above mentioned properly for inspec#ion purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,casts,and expenses which may ac.rue against said City in Lender's Address consequence of the g�anting of this permit. Additionally,the applicant understands ARCIIIMCTISDECLARATION and will comply with all non=point.sourcce regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code,Section 9:18. Licensed Signature- __ Date 811012016. professional GENERAL PERMIT APPLICATION TY DEVELOPMENT lOEPARTMENT,BUILDING DIVISION 10300,TORRE AVENUE OUPPF;RTINO,CA 9.5014-3255 {40.13).777- 228°FAX 408 %77-3333. bLail0tlll >E11RI=iTElh�t ' a cuperEino. MISC I'LFIMBINd IvIB�IiANII AI; ELECTI2ICAI. �MI�CELI1E�OUS .-.. QU'1 m AEIS , �- - - PHON`,�, ITREFT ATTDPCS 4 P br r j' [r '`�' yy- /�• �• - —.u�-�. "Y� �_ c� -- CITY,STA�E,�':8J(h '�`1 J- 1, t FAX �.. CONTACT NAME _ ""ONE �� F IY1A➢7 pa � � ��1 �� L � ��' � "• j,�c�� +l STREET ADDRESS ✓ CLTY,STATE,ZIP PAX �. �(sl� GGA. � l ,l✓ q �. .� F-^F i OWNER .D OWNER BUiLDFR �a�. OWNBRAGENT R/cwmCTOR, ®OONTRACTORAGfiNT' Q A RCm-mcT Q,ENGRvT1 m '13 }yEv-PLOPER ®L T,ENAW CONTRACTORNA1,71 - ✓Y � A IICENSENUAMER 9LICENSE 3^dPE .� BUS.LIC# � f COWANYX&NM r f '"` j��f� �f(� 11-NlAM3 � 'FAX STREET ADDRESS. CITY,STATE, PHONE f; hat L-ef mr ARCIIITL'i(TimeINEERITAME UCENSENLIMBEiR BUE.LIC 0 COMPANY NAME a E-MAIL FAX STREET ADDRESS i CITY,"STATS,ZIP PHONE USE OF IaSFDorDUPLEX 0 MULTI-PA, Y PROIEC'F"IiYWILDIAND" E3 YES. .PROJECT IN I,[YES I&THRELt7G'A.N ®YES RUILI)MG: OCOI CTRL UREANiNTERFACEAREA [3 ATO. FWODZONE ©NO EICHLER ROMP ®NO DESCRIPTION OPWORK R 1,L - ?F0? LLMC CJs" T TOTALVALUATRON r ` By my signature bele%I cer€ify to each of the following; I aur the property owner or authorized agent to.act on the property owner's beh if. I have read this application and the information IEave provided is correct. Ihave read the Description of Work and verify it is agcurafe. I agree to comply with all applicable local ordinances and skate laws relating to buildingcozomFtion. i authorize representatives of Cupertino to enter the above-Ideu''Wiied property for itSpeCtiOn pueposes. Signatureof;7�pplican�/ —'^� � �-- SIFPLEMEN'T INFORMATiOIV REQUMED HIS - ki�?� AmPM&Mpp_2011_doc ra, ed 06/.21111 I ` WATER-CONSERVING PLUMBING FIXTURES } OWNER. CERTIFICATE OF COMPLIANCE ' COMMUNITY DEVELOPMENT DEPARTMENT*BUILDING DIV16ION 1#PI F#"Ftl�t 10300TORREAVE€SUE-CUPEE�`k'INO,CA9$014-3255 (4b8)777.3228»EAX.(408)777w3333•bM!b!bcu sorttn_q org Owner Na,1nc IF— ��...�. Pglwtr No. Slot 6 3 J Address C)f-t 1f u�V E c�'F'G -C _ �':'fit Q 6 Q} _t- .. ..... 1. is your mail property a registered histarical site? CJ'Yes. Code Sections 11.8.1.1 through l l01.g do not;Ij:ls-0ly K_No Go to Question 2. 1 2. 'Does your xoal proporty have a licensed plumber certifying that,due to•tl a age.or confr-gtirattlon of the propgW z or its pluzxtl ingg,Jw-Ulladoff of wafter-eonserving plumbing fixtures itechnically feasible t yes. cte� ivil Code Sections 1101.' throlr 1101.9 do notVPI)', C The liceaxaed plurnber'S c-ertification has been provided to t.12e--Rt ildimg..Dix4siom §16the ust of Lbc form and si ii boft-in 6f forzti. 0 No 0o to.Question 3. 3. Is 1vatea ser°vis:e pem-anelrtly d sconnocted for yourbui).Aing? i Y" civil Cade Sections 31131.1 through 1.101.8 do n'ot apply. Sly the rest:of the form End si'�.botttam uffnnn, ltici to t, ti .stion 4, 1 -4- is your real property built and availat7te for use or occupancy an ori be ixt S num y .1.994? j t.::l No ley teal,propel y-is builtand available for use or.€tccupanc,y arftgr Jarxtrmy 1, 1994. 1 1°x�i3 t c�die ectioa�s .l l#J l..t €Ir drtzL;lx l 1 f11.f3 d'tr rt�t'apl�t�r. Skip the*.test of the forni acid sign bottom.of form, yes Nly real]xr tiperty i litrilt art:tl atrail�iUle for use err, C)d d rcpt;Ttr y cltii or beau Jtxraiiitxy 1., 1 4. Civil C"acid::Sections 1101.1txppiy. Cbeclt critic of the thrt~t:'follovdilg statt:nialts ante-sign boa--ini aI'for ni.. . PI ase aheo&91Nf bf they t'ollawirtg; :C ypror erty is a singto-erniflil male emtial areal property. See Civil lr't�di Section 1101A On mid after larrucity 1, 21114,building aEterations ortraprovehients shall require all ilon-compli.oUtpltt ing ttta cs to be rola—=d With water-conserving pluiribing fixtures throughout the Wilding.On�or before January 1,20.17,all izon- cd m.pliant :plutlil�irlg fixtures shall br; relzlaced with water-ct liserving p1wnbing ft duros {regardless of whetber jYroper"l'fy11ndL'rgt.ycs a tem'bons]or ittipTaven—'tents). Nvly 'het~Civil Cade Section 1101.5. C'?n anti atcr Tatauar-y 1.'��1.�,spd:cIt'Irdi lnill.dlrl�g alteratloxls rtr im}2tovcl�ents s1��1t rcdltaita:ntt.;i-cc�rripli:an pltlrl bing fixtures to be replaced with water-conserving pltttzrbing fixtures. On CSI etvrc J�uitatdry J,201 i},all noi,Li-Compliant:plumbhi fiXtures shall be re-place ��t�iw cons pliicl�l�i��€:tixiure&throughout:the buildin (regardless€ri whetli,-,rpr.�operty ttnd <?'oes aftera.tions€�r Cn7pt"ov Sixents) El IN1y= mis a coinercied real ptopm-ty Chi January 1:,2014,specif'idd building altetations or it. r6vtments sliatl.tequat�w non-cdt iliant 1 ltanilt41.9 ilxttrrc3 tt�li Yr-1alaccdi sryctlt�r•atcr dsriscrt�iiig ptsarti.Uirrg fr tures. On ai or Ucfore January 1. ?019, all non compliant plinfibbi,g fixtures shall be rep€aecd with ~alter-- e€iserving plitrt117i ig fixture.,,tllrotlgl:Iatit f(it building(regardless:of Nvhctlicx l)Toper;ty txll.dergoea alterations cir improvements). Las xb�4>y�1�r sir°ta��t�cr'� of etit ci!'Llit s prirl7cr tat,cwn .y under penalty of perjury t.Uat I�u-compliant plumbing fixtures Ai ll Ud replaced ricer to date spectiied above v5�,th water-conserving plunibing fixtures in accordance with€:i,61 Code Seetiowq 1.1121.1 through 1 10 3.3,the mi-rent California Plarnbing Code and Califomia Greed Building Standards Code,and a-Anufacturees inst<<llati6lp requircments,and Lhat the water-conguii.n4 pluzabing f.xtures ctramply with.the redluiroments as indicated in the table art the fol°twin,page. Owner or Ownpr Agent's.Signature 1llrota =rirt lent E,atrtd.siLaii.og utas t:ertrftca€e,lileaats re turd it#-o the BuddiirgT)irt isidrli in order tb-final your liuildiang ermit. CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO:B-2016-2396 21700 OLIVE AVE CUPERTINO,CA 95014-5938(357 21 001) PACIFIC PLUMBING& SEWER SERVICE INC MILPITAS,CA 95035 OWNER'S NAME: LEE JUYOUNG AND CHONG W TRUSTEE DATE ISSUED:07/27/2016 OWNER'S PHONE: PHONE NO:(408)894-9120 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B 'Lic.#745976 Contractor PACIFIC PLUMBING&SEWER SERVICE INC Date 05/31/2018 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 underpenalty of perjury one of the following two declarations: PROPERTYLINE CLEAN OUT-FOUNDATION ONLY r. 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:$800.00 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 21001 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 all this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and willl comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. SignatureL,,la /L1 [�S/ �Date 8/1012016 Issued by:Abby A ende Date:07/27/2016 OWNER-BUILDER DER D LARATION 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(Sce.7044,Business&Professions Code). Date:8/10/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"All OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by I 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 Code,Sections 2550-5j,-25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. L.Owner or authorized agent: APPLICANT CERTIFICATION L. Date:8/10/2016 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 1 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 8/10/2016 Professional CITY OF CUPERTINO BUILDING PERMIT BUIL21674 INGADD CONTRACTOR; PERMIT NO:B-2016-12396 21674 OLIVE A CIIPER?IN0,CA 95014-5935(357 21014) PACIFIC PLUMBING " SEWER SERVICE INC ` M MPIT:AS,CA 95035 OWNER'S NAME: GALLOWAY IAN AND MARGARET I M TRUSTEE DATE_II55[IFD;07/2712016 OWNER'S PHONE:.408-253-2008 PHONE NQ:(408)894-9120 LLM D C01X1EA!Q10R_1S DECLARATION ]BUILDING PERMIT INFO: License Class GENERAL BUILDIN ONT TOR Lic.#745976 Contractor PACIFI .PUll BINn ;R,SEW g SPRACE INCDate 05/31/2018 2;BLDG _ELECT X PLIINIII3 I hereby affirm that I am licensed under the provisions. —AIECH X.RESIDENTIAL—Cg�1VIlU RCL4L with Section 7000)of Division 3 of the Business&Professions Code and that my &cense 3s in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: PROPERTY LINE CLEAN OUT-FODUNDATION ONLY 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 'l-),f ormance of the work for which this permit is issued � z ""6 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. Sgq.,Ftfloor Area: Valuation:$800.00 APPLICANT(`FRTIft rrA'(N I certify that 1.have read this application and state.that the above information is correct,l agree to comply with all city and.county ordinances APN Number; Occupancy Type: and state laws relating to building construction,and hereby authorize 357 21014 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 PERAW EXPIRES IF WORK IS NOT STARTED May accrue against said Cit in consequence.of the granting of this permit. Additionally,the applicant understands and will comply with all non-point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source;cegulatons per the Cupertino'Mu icipal Code,Section 9.18.: 180 DAYS FROM FAST CALMED INSPECTION. Signature!/ y Date127/ 1 7 20 6 Issued by:Abby Ayende Date:07127/2016 OBVNER-B iTrD )1; .[�r.A1aA'rrnN - _ _ I hereby affirm that I am exempt from the Contractoris License Law for one of the RE- ROOFS: following two reasons: All roofsshall be inspected prior to any roofing material being installed.If a roof is i, 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 ofApplicant: contractors to construct the project(Sce.70.44,Business&Professions Code). Date: _7/27/2016 I 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 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 worts for which this California Health&Safety Code,.Sections 25505,.25533,and 25534. Twin permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. 1 certify that inthe performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or:bandle 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.Compensationprovsions of the the health&Safety Code,Sections 2550§,2553 ,and 25534.: Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Iw e r authorized agent: ✓�'�<t _ APPLICANT CERTIFICATION Date:7/2712016 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. (Wt)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 Leader's Address consequence.of the granting of this permit.Additionally,the applicant understands ARCHITECT'S DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 7/27/2016 professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT NT BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255' CU RI=1FtTi Q (408).777-3228•FAX(408)777-3333•building(c cupertino.org misc (7 g PLUMBING MECM-MCAL ELECTRICAL El1bIISCELLANEOUS PROJECT ADDRESS OWNERNRME TAN @r ef.-,.. � 9 N � y.,Lo i€V� PHONE � E 'i tv STREET ADDRESS - 1js! ZIP y T ¢fy �j t j CITY,STATE, . 1 TLS lJ -V (1 r (. CONTACT NAME PHONE v ��J E-MAIL G 1 1 STREET ADDRESS r CITY,STATE,ZIP FA% S i ��l ter. ! 1 .c,4q�1 -ql Z OWNER 0 OWNER-BUILDER 11 OWNER.AGENT- R CONTRACTOR. ❑CONTRACTOR AGENT E3 ARcmncT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME `'M"��` t WATd. LICENSEN[JMBER NUMBER-446' LICENSE TYPE.3G BUSAAC# 2_ 2Gq COMPANY NAME (r [ t� (� E-MAIL FAX STREETADDRESSF laCITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME SENUMBER. BUS.LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SPD 0,DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND El YES .PROJECTIN ❑YES TS THE BLDG AN ❑YES BUILDING: COMMERCIAL URBAN INTERFACE AREA No FLOOD ZONE ❑NO EICHLER HOME? ❑NO DESCRIPTION OF WORK TOTAL VALUATION L3LlV RECl° l�u,' 4 � tl amt s e t 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 behhlf. 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 e- � specrion purposes. -iidentifiedproperty for in Signature of Applicant/Agent: Date: 2_0® /' SUMPLEMENTAL INFORMATION REQUIRED -.� s� �as aw s nf'•k. +l T�'Fr+s�1��;re k i� N,EN n Rai Tl° t Amp"ScApp 2011.doc revised 06121111 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION UI✓RTI? 1+ 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 11 (408)777-3228 FAX(408)777-3333-buildingCa cupertino.org 1 Permit No. ,� #of Alarms Smoke Address 700 � /' f Carbon Monoxide: PEIVITANNOT�E FINALE ANA,CQLETRD1NTIL TH CERTIFICATE 75 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 907.2.31.2 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 8314 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 C_O 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 I 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 8314 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 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 gents)Name: � �f�l Si nature......... ................Date: ................... Contractor Name: I Signature. Lc# 4 S D ...j • ` I Smoke and CO fonn.doc revised 03118114 i Susan Winslow - From: Vanessa Solis <Vanessa@pacificplumbinginc.com> Sent: Thursday,August 25, 2016 9:19 AM To: Susan Winslow Cc: Joseph Bechwati Subject: RE:21700 Olive Ave Hi Susan, Sorry we were having trouble with getting ahold of the owner.There is 2 smoke and 4 carbon monoxide. Thank you very much I Thank You, vnvwessa sots—project Coord wator Ph 408-894-9120 Fax: 408-894-9182 www.pacifleplumbin2inc.com vanessa(a Macificr lumbinginc.com CLASS &C-36 LIC.# 745976 we now have an additional and easier way for you to request and schedule service. You can email requests for se lee and schedules to Sewice@.pacifipluvnbinginc.coroi, You w1719et an email back wi-*k 20 Hain to.2 h®urs based on the tinge of day.As always though f®r emergency request ifyou haven't received a s^esponse back within Z0 m nutesplease do give us a calll were always trying to make things easier an our clients) From: Joseph Bechwati Sent: Friday, August 12, 2016 1:47 PM To: Vanessa Solis Subject: FW: 21700 Olive Ave Importance: High see questions from the city of Cupertino please get the answers from the home owner and reply Joseph Bechwati—President Ph:408-894-9120 Fax:408-894-9182 Cell:408-640-2800 www.,2acificplumbingine.com lose p kpacihcplumbinginc.com CLASS &C-36 LIC.,#745976 1 . ` and schedules We now have an additional and easier way for you to request and schedule service.You can email requests for service to Service@)pacificlilumbi.nginc.com'You will get an email back within 10 min to 2 hours based on the time of day.As always though for emergency request if you haven't received a response back within 10 minutes please do give us a call!Were always ttying to make things easier on our clients! From: Susan Winslow Sent: Friday, August l3, 2016l:45pn Tm: ]oSeoh82chw/at Subject: 2170OOlive Ave Importance: High Hi]ooeph, � | |norder toclose out permit " ,"l6-2396for 2 Olive Ave, | need the number Vfsmoke alarms&the nun{berof ' Carbon Monoxide alarms.Once| have those|can close out the permit. Susan Winslow Administrative Clerk Cupertino Building --r' 408-777-3246, ` | i Z � �� = M E TROS CAN PROPERTY P R O F I L E Santa Clara (CA) * * * * * * * < < < OWNERSHIP INFORMATION > > > * * Owner :Azariah Victor E Parcel :357 21 001 * CoOwner Bldg Id :1 * * Site Address :21700 Olive Ave Cupertino 95014 * Mail Address :21700 Olive Ave Cupertino Ca 95014 * * < < < SALES AND LOAN INFORMATION > > > * * Transferred :07/07/201; Loan Amount :$916, 000 * Document # :23357475 Lender :Bank of America * Loan Type :Conventional Sale Price :$1, 145,000 Full Yp * Deed Type :Grant Deed Interest Type :Adjustable * o Owned :100 Vesting Type :Sole And Separ * * * < < < ASSESSMENT AND TAX INFOPMA.TION > > > * t Type * Land :$366, 197 Exem p Yp * * Structure :$366,784 Exempt Amount * Other Tax Rate Area :13009 * Total ;$732, 981 15-16 Taxes :$9,356.76 * * Improved :50 * * * * * < < < PROPERTY DESCRIPTION > > > * * Census :Tract:5077.01 - Block:2 * Zoning :Rlpd * Land Use :06 Res,Condominium,Townhouse * * Sub/Plat : * * Legal :TRACT 7728 AMENDED BOOK 553 PAGE 4 * :LOT 1 * MLS Area :18 * * * < < < PROPERTY CHARA:CTERIST,ICS > > > * * Total Rms :5 Bldg SF :1,352 Units YearBuilt :1985 * Bedrooms :2 Lot SF :2,227 Patio :No E fYearBlt :1986 * Bathrooms :2.50 UseableSF: Porch :Yes Garage Sp :2 * Stories :2 Lot Acres: .05 Elevator : Garage SF :425 • Bldg Cond :Avg Dining Rm :l Lot. Dimen:59X36 Lease SF Bldg Class * * Family Rm Pool :No Office SF: g * Rec Room Fireplace:Yes Sprinkler: Bldg Shape :U-Shape * * UtilityRm Sauna lstFlr SF:555 GarageTyp :Garage * Water Src :Yes Dishwsher: 2ndFlr SF:797 WallHgt * Elect Svc Tennis Ct: 3rdFlr SF: AddtiorSF * Gas Svc FrameType:Wood Rental SF: * Cnt1Ht/Ac :Heat Pump * Information compiled from various sources. CoreLogic makes no representations or warranties as to the accuracy or completeness of information contained in this report.