The URL can be used to link to this page

B-2016-2525 CITY OF CUPERTINO BUILDINIG PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2525 7572 KIRWIN IN CUPERTINO,CA 95014-4339(359 22 026) GENMOR PLUMBING INC SAN JOSE,CA 95131 OWNER'S NAME: MATSUZUKA SHINOBU AND KANAKO DATE ISSUED:08/16/2016 OWNER'S PHONE:408-464-9560 PHONE NO:(408)855-8348 LICENSED CONTRACTOR'S DECLARATION BUILDING]PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic.#833961 Contractor GENMOR PLUMBING INC Date 07/31/2018 _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: (N)PROPERTY LINE CLEAN OUT;(N)FOUNDATION CLEAN OUT; I hereby affirm under penalty of perjury one of the following two declarations: REPLACE SEWER LINE 40 FT 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. F2. I have andwill.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:$8500.00 APPLICANT CERTIFICATION I 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 359 22 026 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 l the granting all this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point. source regulatio4pe Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signat a Date 8/16/2016 Issued by:AbbyAyende OWNEI N Date:08/1612016 R-B DER D 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 n. 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:8/16/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS 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 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(x)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,Se ions 25505,25533,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:8116/2016 certify that I have read this application and state that the above information is CONSTRU TI N EN Y correct.1 agree to comply with all cityand county ordinances and state laws I hereby affirm that there is a construction lending 'gen y✓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. Signature Date 8/16/2016 Licensed Professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 '' MUSIC UPERT[NC (408)777-3228• FAX(408)777-3333•building(Dcupertino.org lvi PLUMBING NIECHANICAL [:]ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS APN# OWNER NAME , �a tel ) fA. +v`6�✓r �i 1 «G PHONE E-MAIL-MASTREET ADDRESS CITY 5-72" STATEZ C FA} CONTACT NAME ' �, �L, � s� - . __' o E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑ OWNER ❑ OwNER-BuiLDER ❑ OWNERAGENT CONTRACTOR ❑COII*IRACTOR AGENT '❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR E LICENS 3gg LICENSE TYPE BUTS.LIC 9 G COMP NAME E-MAIL FAX STREETADDD,RJ�SS 0 CITY STAT ZIP PHONE ARCHITECT/ENGII�TEER NAME LICENTSE NUMBER BUS.LIC€ COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD Or Duplex ❑ Multi-Family PROJECT N WILDLAND I PROJECT IN STRUCTURE: ❑ Commercial URBAN'INTERFACE AREA. ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ No DESCRIPTION OF WORK TOTAL VALUATION: RECEIVEDil BY 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 build- construction. I autho .e representatives of Cupertino to e -. e enter the above-idem d proper for inspection purposes. Signature of Applicant/Agent Date: }� PLEMEN L INFO ATI ON ABED GFicE rlsEol` Y OZ'ER-THE CDI7NTER , �b� '� EXPRESS rz7 a STANDARD v 0 I14AJOR MEPMiscApp_2011.doc Devised 03116111 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777- 22 • FAX 08)777-3333•building(a..cupertino.oeg Owner Name _ �YnI '/ Permit No. Address V'! L`iYtr/t�1 L& Cts `yt® � CA 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. C(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,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 Division. Skip the rest of the form and sign bottom of form. C No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. YNo Go to Question 4. _ 4. Is your.real property built and available for use or occupancy on or before January 1, 1994? L1 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. Skip the rest of the form and sign bottom of form. C (Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1.101.1 through 1101.8 apply. Cheep one of the three following statements and sign bottom of form.. 5. Phase check ONE of the following: [ f My property is a single-family resid,zntial real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all 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). El My property is a multifamily residential real property. See Civil Code Section 1101.5. t On and after January 1,2014,specified building alterations or improvements shall require non- 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 wate conserving plumbing fixtures throughout the building(regardless of whether property,underg-e alterations or improvements). ❑ 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 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). 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 page. Owner or Owner Agent's Signature: Date: 4.0I� Upon completing and signing this Certificate,please r it to the Building Division in order to final your building permit. SB4072015.doc revised 08126115 - B- +aNG `� 'tea ,. Mp A+ . 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 late 2013 CALGreen Div.4.3 2013 CALGreen D€v.4.3 2013 CALGreen D€v.5.3 Single-Family MultlwFamily Commercial { Residential Residential Water Closets Exceed 1,6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush I Dual flush toilets: 1.28 gallons/flush effective flush volume(the composite, Urinalsavera e flush volume of two reduced flushes and one full flush Gallons/flush Exceed 0.5 gallons/flush lu 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.) Form ultiple 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 l 0.8 gallons per minute @ per minute @ 60 psi, 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public 1 use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets— Exceed 2.2 gailo:s ( 1.8 gallons per minute @ 1.8 gallons per minute 1.8 talions per minute @ 60 I<Itchen per minute € 0 PSI @ 60 psi Psi Faucets I May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 i minute @ 60 psi,acid must gallons per minute @ default to maximum 60 psi,and must t 1.8 gallons per minute @ default to maximum 1 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi 1 the above are unavailable, Where faucets meeting aerators or other means the above are maybe used to achieve unavailable, aerators or i reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture wator usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. SB407 2015.doc revised 08126115 SMOKE / CARBON-MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUES R`I`5;0 10300 TORRE AVENUE_•CUPERTINO, CA 95014-3255 (408)777-3228 FAX(408)777-3333; building(cDcupertino.org �] nn Ir"Y' Permit No. Address { ` Moot" L41 CurIno.C4 #of Alarms Smoke: Carbon Monoxide: PERMIT';CANl\TOT S FINALED'2 N"COMPLETED UNTII THIS CERTIFICATE S�EEI� ' 3 + AND IaFTITRi\TF�'D TO�1IE PITILDI f.�DIVISIOJ�, 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 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 CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On every level of a dwellin 'unit including basements X X Within each 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 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 so e , r.: tto o t C In existing dwelling units, alarms are permitted to be solely battery operated where red si�o -" ted s do not result in the removal of wall and ceiling finishes or there is no access by means of a 'c,b s o crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2.An electrica e is equired for alarms which must be connected to the building wiring. As ownerof 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 conditions of this statement Owner ,(or O�`'ner Agent )Name' ��/�`� Signature........................ ....... .. ......... ....,......................................Date: ................... Contractor Name: Signature...................................................................Lic.#......................................Date: ................... Smoke and CO fonn.doe revised 03118114