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B-2016-2544 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2544 10388 BYRNE AVE CUP ERTINO,CA 95014-2847(357 14 076) WILLOW GLEN ELECTRIC INC SAN JOSE,CA 95155 OWNER'S NAME: LAI JMANN JOHN C AND DIANNE M TRUSTEE DATE ISSUED:08/18/2016 ONMR'S PHONE:408-289-9725 PHONE NO;(408)289-9725 LICENSED CONT Ali TOR' DECLARATION BUILDING PERMIT INFO: License Class C-10 Lid.#591918 Contractor WILLOW GLEN ELECTRIC INC Date 94/30/2018 X BLDG _ELECT PLUMB _MECH X RESIDENTIAL_COMMERCIAL I hereby affirm that I alicensed censed under the provisions of Chapter 9(commencing with Section 7000)of Di sion 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: (N)EV CHARGING STATION(50 AMPS)-GARAGE I hereby affirm under pc nalty of perjury one of the following two declarations: 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 o the work for which this permit is issued. I have,and will maintain Worker's Compensation Insurance,as provided for by Section eit 3700 o the Labor Code,for the performance of the work for which this _ p is issue Sq.Ft Floor Area: Valuation:$1090.00 APPLICANT CERTIFICATION certify that I have read this application and state that the above information is co p rrect.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating o building construction,and hereby authorize 357 14 076 representatives of this dity 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 applica t understands and will comply with all non-point source regulations per tie Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 8/18/2016 Issued by:Abby Ayende Aor Date:08/18/2016 OWNER-BUILDER DECLARATION I hereby affirm that I an i 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 I he 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(Seo,7044 Business&Professions Code) 2. I,as owner of e property,am exclusively contracting with licensed Signature of Applicant: contractors toconstruct the project(Sec.7044,Business&Professions Code). Date:8/18/2016 1 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 o the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have sand 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 o�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 issue . maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the s. I certify that inthe 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 wanner 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 25505,25533,and 25534. Labor.Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION L,Date: 18/201.-6 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 andeep;harmless the City of Cupertino against liabilities, judgments,costs,and_1xpenses 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 on-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 8/18/2016 Professional' ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 CUPERT1 (408)777-3228•FAX(408)777-3333•buildin cu cI iIpI . 1' 7 PROJECT ADDRESS APN# `�f, �'+f , OWNER NAMEPt�a IT T cis E-MAIL IfO50 STREET ADDRESS �r1� OF f TY,STATE,ZIP FAX CONTACT NAME Mark Londre PHONE (408)289-9725 E-MAIL office@willowgienelectric.com RESS IR O. Box 8430 CITY,STATE,ZIP !- i San Jose, CA 95155 FAX(408)289-9725 STREET ADD OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME Mark LOndre LICENSE NUMBER LICENSE TYPE BUS.LIC# 591918 C-10 15897 CoMFANYNAME Willow Glen Electric, Inc. E" '' office@willowgienelectric.com p 9 FAX (408)289-9725 STREET ADDRESS P. O. BOX 8430 CITY,STATE,ZIP ' PHONE P. 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 Mniercial or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: El � URBAN INTERFACE AREA ❑ Yes. ❑ No FLOOD ZONE ❑ Yes ❑ No SOLAR PANELS ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WOlJ Electric Vehicle Charging Circuit: 4X Vl.S�{ � /aU-Q- N g ,ACJ b ILC /X) 67 4E1-t-7 - RECEIVED BYE'� By my signature belov�,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I ha a 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 1ws relating to buil -rhA attih resentatives of Cupertino to enter the above-identified property for inspection purposes. Signature of t3pplicanZgew. 41 �p?C Date: O- ,6 ` i SUPPLEMENTAL INFORMATION REQUIRED m Cg -CE us> o�1r Y Q OiR THE-COUNTER y. (� ❑ EXPRESS ,, �, STANnARn , ❑, LARGE I++ Cla;�rAJrox PV4pp_2011.doc revised 03/16111 SIAOK ICARROWMONOXIDEAURiMS OFE F _ CERTIFICATE OF COMPLIANCEr � • O MU ITY E I- Pf T DEPARTMENT,SUL I -DIVISION _CUPERTINO I o etque-c 'INO,CA 95014-326 Address Q u] -� T 11 AND COMPLETES :R CER- 17FICATE, HAS BVEN ` . _. FWD ALS E—- , T_ K_ M DWISION 1 i This affidavit Is a s °fica for daeksWlation of all requires Smoke andCn to de Ahrms for mphance with 20 �. Via_ on l 31 ,2013 CBC Sechons 4211,6 mid 9W.2-11.2 where no Werior access for inspections are mquired, I GENERAL LWFORMUNTION Exisfing sx . l -fanuly mrd multi-fondly dwellirig5shaU be rcMded `ith- Smokelarms and Carbo Monoxide alarms. 'Alenthe e $aluation of additiom,afterations,or.repaim to existing dwelling units,� $1.000,00, cti t 3 and CBC Se o . . 1 r st r r} SMOKE ALARM COALARM Wtside of ea karat � the f e int vi t�lty f th r i unit induding em ts . . ilffm each s! hn- { )Mpnwdde aalanTts,am not required in dwellingi-wbich oto;not containfuel-burningappliancesand that do not have an.a. �� raj-e.. Carbon monoxide combined with smoke shall comp1y with COC Se ,c-don-0. e i 1% + e� the Office o the Stale,fixe Marshal. l rawr % `t 1 ? i .l � -supply,al rn s)r tay esolely battery 1h exisftgdivelling units alarms are peraiinedsole h t + ted 1 . . r 1 s .11nso �t result In Clue r �Koval f � ll and c-elli� f nishes or them isno accessb attic,basement. r � .space,Refer to CRC , r5 1. and ,2.11-§ and 4M6,2..An electric9 pernmit IS require:for alurris whkK.must be cornex#ed to the buildft wiring. As er of the above---r*re wed property,1ere rt that t referenced 1 Al-aVe been imsta ed ITI accordance wi th t o mfa tur s, tr -ctio is and in compliance it the, alifen auddin, and Cariforwa Residentia.,Cc des.The alms h ave been meted.mid.are operational,as of the date.signed r - - &aT-f'wwffirms and c-Dreffiorw oft`-tofib-is stateffwwnt oI7E7 ;ter: ft) Q � � contactor Na 'i { Li F1 AT R,-CONSERV COMMUNITYE)EVEL PME TDEl DEPARTM, -BUlLDl O l lVIS1 1 E i D 7 jisC100 t PERMIT A"COMKXTBVMMTMI��AU ~ JMN.+M AND B 1111M TO M OMMG DIVU Ieac,xeler whoa ]ted Cali Geni,k 3 Code Sections.11.W.1 —1101,_8 v6i h are vartof ih is Carfifithfion f r 1 IS o'QT al PropertVi re i t €e is l� t rz l site` Yes Civil Code Sec tic's 1.10141 thr . i l 101.9 do not Onmer'Bier: e 1 e� O GO to quewo, 'Does yourreal property i ave,,i a Iicer ed-,plumb i cer i du o the e or c cgu 'an, of the 3�r e or i pl bi.n c tallati r- nservErig Pl lin ss not Wohni all feasible? ' it e tiros 11 1.1 tl U :1101.81 do rot apply- 0 ppl 0 The lies pll r° rtihrl pe .tQ BL -, Sim Mom m d skqp the rest of the farm °ner' i re; -- oa f No oo- i t 3. 3e 1�water!kier} aerrrm, dly;4rawa ected ryour tFnilding? 'as Civil lode tr n 1101,1 through 1101.8 do not apply. Sign.b l � p tlare o be form, Uer`- 1pat r gate: 00 t rzetar . rc r- buil � ilable free use or oza y n befog I mary l, 1994?` No real prope i9,built and available&r use or p r 1 arm 1 19 . Civil Code Septia 11.101 a1 t om11.0106 do tot apply, Sim below f� �the r �f fo n .__ 13 Yes My real prop.r4, -built and as'aflable for use or occupancy n- IMMET32.1, 1991. r it od ectio 11011. Doug 1101..8apply, Refer tothe t ele I 1 i � tl sf*r�resideng real p n , See Civil ode Section 11.014. On and:-Aer Januar 1, 20141, buildin herati s or irnpmSWILreqall: UVn=1411' glarb%D fixtures to be replace .ater-conserviv plumbing fs � oughout the building. o or Before J L 2017 i ztur�: ipl. zit OlumbiDg Jfixwres"I be rapla cd withdker- OI eninplmin -11mres.(regardless of-Whether prQ rte dem �alt ons i pry €�i 1 r prgportr id m ;i r dai real prop"—`. see,Crvil ode Section 110J,5. n d .)`an q L,2.41-4,specified huildi al.eratior r irrrproven teeth shall eq it .non-complinit plumbing fixtum to,ie rqplacedvt attr-oanseming Plumbing r On or;la fbre.Tart t,201%all nwk-opmPlio xt Plumbing fixtures shall be r 1. erg with mer conseming plumbzllic-Ext4tes throughout the buitdin (regardless ofwhather prPpr; P underoes alterations or i�pra��r�r� ta. ,I prrrp s i r� real pr p��. and after Jams ' 1,2014,speed ed banding aftembons or inqprovem:n%$hall requite rine-CO tiipliar . _plurnbin,g fixturesto I e re I p lid itlr Nvatej-consemplambingf tms, tse � { . a : i ' ill f Non-Com,pliajnt Water-Conserving Plumbing fixture Plumbing F ixture� (Fixture Complying with Current Code Applicable to New Construction) I Maximum Water Usage/Flow Rate Fixture Type i 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4 Water Usage 2013 CALGreen Div.4.3 2013 CALGreen.Div.4.3 2013 CALGreen Div. 5.3 /Flow ate�j Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 ;'; Single flush toilets: 1.28 gallons/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 I Showerheads Exceed 2.5j 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 E 0..8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public j 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 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 @ j 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 j the above are unavailable, Where faucets meeting r 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 fixtre water usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. �r I SB407 2015.doc revised 08126/15 i