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B-2016-2534 CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMI NO:B-2016-2534 10415 WESTACRES DR CUPERTINO,CA 95014-2938(359 14 028) CLEVER ELECTRIC SAN JOSE,CA 95111 OWNER'S NAME: LIU MIN-HSIANG ALBERT AND JOYCE LU TSAO TRU DATEISSUED:08/17/2016 OWNER'S PHONE:408-981-5969 PHONE O:(408)899-8877 LICENSED CONTRACTOR'S DECLARATION BUILDING PERNUT INFO: License Class C-10 Lic.#942588 Contractor CLEVER ELECTRIC Date 01/31/2018 X BLDG X ELECT_PL 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 PANEL(200 AMP);3AME LOCATION I hereby affirm under penalty of perjury one of the following two declarations u. 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 Ar ear Valuatio :$2300.00 APPLICANT CERTIFICATION I certify that 1 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 359 14 028 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 F PERMIT ISSUANCE OR Additionally,the apeunderstan and will comply with all non-point source regulatio Cuperti o unicipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signatp a ate 08/17/2016 Issued by:Kim Dunbar Date:08/17/2016 OWNER-BUH DER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the F : following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. 1,as owner of the property,or my employees with wages as their sole installed without first obtaining aninspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for in pection. 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(Sec.7044,Business&Professions Code). Date:08/17/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF`COVERINS TO BE CLASS"A"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 IATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous matei'als 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 Co,e,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cul ertino Municipal Code,Chapter 9.12 and the a. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 5532(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 th Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the CuWrtino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Co e ns 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall '/ be deemed revoked. ='; Owner or authorized a nk rt: APPLICANT CERTIFICATION Date:08117/2016 certify that 1 have read this application and state that the above information isAGENCY correct.i agree to comply with all city and county ordinances and state laws I hereby affirm that there is a con truction 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 'S DECLARATION Code,Section 9.18. 1 understand my plans shall be u ed as public records. Signature Date 08/17/2016 Licensed Professional GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION m E P 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 IS ' - (408)777-3228• FAX(408)777-3333•building(d)cupertino.org CUPERT NO j� IWI ❑PLUMBING MECHANICAL b� Cj ❑ ELECTRICAL ]MIS[]MISCELLANEOUS PROJECT ADD SS APN# 35-29 O RNAM PHO ,ll q8_1 E- AI E :. 4 . _ STREET ADDRESS CITY,STATE,ZIP FAX CONTACT NAMEgp� g P 40 PH0. .Ad ® pa E-M Ly 1= STREET ADDRESS CITY,STATE,ZIP $ FAX ❑ OWNER ❑ OWNER-BUILDER. ❑ OWNER AGENT ��CONTRACTOR El CONTRACTOR AGENT 11 ARCHITECT ENGINEER 11 DEVELOPER ❑.TENANT CONTRACT®O�RNAME LIGE I2 LICENSE E_ BLFS COA COM Pi c FAX STREET DRESS CITY, T-T ,Z PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC' COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF `1 SFD Or Duplex ulti-Family PROJECT IN WILDLAND ( PROJECT rN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ NO DESCRIPTION OF WORK I , - i YP -- TOTAL VALUATION: ` ?/J REGEIVEDBY' 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 s rrect. I have read the scription of Work and verify it is accurate. I agi e to comply with all applicable local ordinances and state laws relating to�-o6h ction. I - or ze esen s of Cupertino to enter the above-identi ed pprope for inspection purposes. Signature ofApplicant/Agent: Date: 6 e PLEMENTAL INFORMATION REQUIRED OFFICE U,SE ONLI'„ h , is STANDARD x Q � liARGE a� I<q,470R w M Misc# -^2011.doc revised 03116111 it I SMOKE / CARSOCJ,MONOXIDE ALARMS FILE OWNER CERTIFICATE OF COMPLIANCE rfgl 4 rA, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION i-UP RTtNO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333,- building(-kupertino.org Permit No. Address ,. #of`Alarms Smoke: Carbon Monoxide: P; ANNMIT COT SE FINALED AND COMPLETED ENTIL THIS CERTIFICATE ,�.,.�< �:; M.«,:�,.w .:..,,. �-.<;.,.,...� .a ...,�-,'.�:• e�-ter:.,, PURPOSE This affidavi 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 sin le-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: j AREA SMOKE ALARM CO ALARM j Outside of each separate sleeping area in the immediate vicinity of the X X bedroo (s) On every level of a dwellinLunit includin basements X, X Within each sleeping room X Carbon Mori oxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have 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 Supp y: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. I As owner ol 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. 1 have read and agree to comply with the terms and conditions of this statement 37 Ow (o caner A ent's)Na j S ignature:......... ...: ...... ... .. ............. ..... Contractor Name: � ..................... Cic.#... ` .. )...Date: ../.�l... " ur .: :... .... � Smoke a72d CO fonmdoc revised 03118114 i i WATER-CONSERVING PLUMBING FIXTURESFILE OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUP RTINO 10300 TORRE AVENUE-CUPERTINO, CA 9501.4-3255 (408'777-3228• FAX(408)777-3333•building acupertino.ora t Owner NamePermit No. rf V Address Z D(/_ a C 1v; 1. Is yourreal p operty a registered historical site? Yes Ci `l Code Sections 1101.1 through'1101.8 do not apply. Skip"the rest of the form and sign bottom of form. (KNo G 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? . El Yes'' Ci it Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. S p the rest of the form and sign bottom of form. 1No G to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Ci it Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Dr,No G to Question 4. s 4. Is your real p operty built and available for use or occupancy on or before January-1, 1994? El No My real property is built and available for use or occupancy after January 1, 1994. Ci it 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, Ci it Code Sections 110 1.1 through 1101.8 apply. Check one of the three follo ing statements and sign bottom of form.. 5. Please check ONE of the following: )R My prope is a single-family residential real property. See Civil Code Section 1101.4. / .\Ori and after January 1, 2014, building alterations or improvements shall require all noncompliant 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 replace i with water-conserving plumbing fixt;es (regardless of whether property dergoes alterations or improvements). El My property is a multifamily residential real property. See Civil Code Section 1101.5. On and aft r 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 lumbing fixtures shall be replaced with water- conserving�plumbing fixtures throughout the bu' ding(regardless of whether property undergoes alterations or improvements). El My proper is a commercial real property.- See ivil Code Section I10'1.5. On and after January 1,2014,specified building alterations or improvements shall require non compliant plumbing I fixtures to be replaced with water-conserving plumbing fixtures. On or be re January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing f ixtures 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 1101.8,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 a e. Owner or Own r Agent's Signature: r Date: Upon completing and signing this Certificate,please return it to the Building Division in order to final your b ilding permit. SB407 2015.doc revised 08126115 I i i ; IIDI ±T E CNl`�aT �+ EIIID �l � TiJ�I I TJEI �'k.�x. ��z �� ,., {�'3 .kms'- � z� .r ' ss zs�3 „% ._ t. iii Tk� Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture l (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa efFlow Rate Fixture Type 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch. 4 /Fi®� WateroW rate wage 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 gallons/flush (Toilets) G.allons/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 consideredr 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.s gallons per minute @,50 Lavatory ; er 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— xceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1,8 gallons per minute @ 60 Kitchen Der 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 @ defaultto'maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallohs`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 08126/15