B-2016-2575i-
CITY OF CUPERTINO BUILDING PERMIT.
BUILDINGADDRES
:
CONTRACTOR:
PERMIT_ NO: B-2016-2575
1248 WEYMOTH DR CUPERTINO,
CA 95014-4958 (362 10 067)
BARON
CONSTRUCTION &
REMODELING CORP
SARATOGA, CA 95070
OWNER'S NAME: FU
MICHAEL C AND HUANG LYNN L
DATE ISSUED: 68/23/2016
OWNER'S PHONE: 650-919-4009
10:(800)965-2028
TR
'
BUILDING PERMIT'INFO:
License Class @ Lic.
991076
Contractor BARON C
NaTRUQIION & REMODELING CORP Date 03/31/2018
X BLDG X ELECT _ PLUMB
I hereby affirm that I
in licensed under the provisions of Chapter 9 (commencing.
MECH X RESIDENTIAL _ COMMERCIAL
with Section 7000) of I
ivision 3 of the Business & Professions Code and that my
license is in full force a
ad effect.
JOB DESCRIPTION:
KITCHEN REMODEL -M,E,P (225 S.F.); REPLACE WINDOW; ADD
I hereby affirm under
penalty of perjury one of the following two declarations:
SUBPANEL (100 AMP); 2ND FLOOR MASTER AND HALLWAY
i. I have and will
maintain a certificate of consent to self -insure for Worker's
BATHROOM REMODEL
Compensation,
as provided for by Section 3700 of the Labor Code, for the
(240 S.F.)
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
1
of the Labor Code, for the performance of the work for which this
Sq. Ft Floor Area:
Valuation: $90000.00
permit is issued.
I certify that I have read
APPLICANT CERTIFICATION
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 rel atin
to building construction, and hereby authorize
362 10 067
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 agai
rist 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 per
the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signature
i_ Date 8/23/2019
Issued by: Abby_Ayende
exempt from the Contractor's License Law for one of the
Date: 08/23/2016
RE -ROOFS:
I hereby affirm that I am
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 an inspection, I agree to remove all new materials for
compensatio
, will do the work, and the structure is not intended or offered for
inspection.
sale (Scc.70z4,
Business & Professions Code)
z. I, as owner of
the property, am exclusively contracting with licensed
Signature of Applicant:
contractors to
construct the project (See.7044, Business & Professions Code).
Date: 8/23/2019
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 w
ill 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
s. I certify that
in the performance ofthe work for which this permit is issued, I
Health & Safety Code, Section 25532(a) should I'store or handle hazardous
shall not employ
i
t any person in any manner so as to become subject tthe
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 r
yoked.
Owner or authorized agent:
APPLICANT CERTIFICATION
Date: 8/23/2019
1 certify that I have re
d this application and state that the above information is
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
correct. I agree to co
relating to building co
ply with all city and county ordinances and state laws
struction, and hereby authorize representatives of this city
of work's for which this permit is issued (Sec. 3097, Civ C.)
to enter upon the abo
to indemnify
je mentioned property for inspection purposes. (We) agree
keep harmless the City of Cupertino against liabilities, '
Lender's Name
save anc
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
DECLARATION
and will comply with
II non -point source regulations per the Cupertino Municipal
ARCHITECT'S
I understand my plans shall be used as public records.
Code, Section 9.18.
Licensed
Signature
i 1 Date 8/23/2019
Professional
'1(_0 vs T5
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
UFRT( (408) 777-3228 •FAX (408) 777-3333 • building (a--)
NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS \ 7N1
ILl _AFr
OWNTERNAMEe PHONE E-AfA1L
mql Y1.
STREET .ADDRESS n ` CITY, STATE, ZIP C Vv V;
n C)f Q5014 FAX
CONTACT NAME v, cj / pI f�J {`^}
1 C" PHONFf , 0 ` "\ W 1 Da
E-MAIL
STREETy OD$E CITY, STATE, ZIP FAX
❑ OWNER ❑ O TER -BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTORAGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
C TTRACTOR T LICENSE E LICENSE TYPE BUS. LIC x
COMPANY NE E-MAIL FAX
r.
STREET 1f�Dt DU 7�rsfE CITY, STATE, ZIPR
PHONE
ARCHITECT/ENGINE RVAh'Ik LICENSEI\7njBER
BUS. LIC
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
DESCRIPTION OP W0 -
�,
J _
tom W '�mnp. tw
EXISTING USE - I PROPOSED USE CONSTR. TYPE # STORIES. - - - C
USE TYPE OCC. SQ.FT. VALUATION (S)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM - KITCHEN - OTHER - -
REMODEL AREA 0 REMODEL AREA j (� REMODEL AREA -
PORCH AREA DECK AREA TOTAL DECIJPORCH AREA GARAGE AREA: ❑ DETACH - - - -
ATTACH
s DWELLING UNITS: IS A SECOND UNIT YES SECOND STORY ❑ YES - - -
BEING ADDED? NO ADDITION?
PRE -APPLICATION ❑ S IF YES, PROVIDE COPY OF _ IS THE BLDGS BY - - TOTAL VA
PLANNIGAPPLr TO PLANNING APPROVAL LETTER EICHLER HOME? ^•
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 building construction. ItA,
thorize representatives of Cupertino to enter the above identified property for inspection purposes.
Signature ofApplicant/Agent: — Date: J} / 3/J(3
SUPPLEMENTAL INFORMATION REQUIRED
QAECKTIPE,_, ROIITING'SLTP a .< ....
_ New SFD or Multifamily dwellings: Apply for demolition pennit for of Ex TxE COunTER �BUII DII\G'PLAN REtiTEI3�
existing building( ). Demolition permit is required prior to issuance of building ,
permit for new building.
EJLPRESS � � Pi.AIS'TIIVG PL LN RE\ IE1�
Commercial E Idgs: Provide a completed Hazardous Materials Disclosure ❑ STAND Rv ❑ rL�ilc«oRxs
form if any Hazar ous 14Materials are being used as part of this project.
❑t L CRGE , ❑; FIRE DEPT
Copy Of Plan ing Approval Letter or Meeting with Planning prior to r
submittal of Build ng Pen -nit application.
I17AJOR ❑ SAAiTARY`SE�iERDISTRTCT
❑,; E NefkONi\IEnTAL HEALTH revs
BldgApp_2011.doC revised 06/211'11
L Raw
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408), 777-3333 - buiIdIno(@cur)ertino.ora
�T-ERM CANNOT�'H''Amm,- - TffiTHCERTIA IF
AH
i,,rTW1)A-S- EEN,
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AIA -LO -59
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PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2016 CRC Section 8314, R315,2016 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, R315, 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
bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door)
X
X
On every level of a dwelling unit including basements and habitable attics
X
X
Within each sleeping room
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 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 California Residential Codes. The alarms specified below have been tested and are operational, as of the
date signed below. Permit No. 7.V--
Address: 12,41�-�e you yA. W Ctot"I�t —r"—S-0LY—
Specify Number of Alarms: # Smoke Alarms: 1 6 _A # Carbon Monoxide Detectors:
.- � -4 #^ ^-11/ %Alifh fha farms qaH rnnHihnn.,z of this statement
Smoke and COform.doc revised 0111012017
Owner (or Owner Agent's) Name:
/-4 -c 4* e f )c:--" .
-Signaturt'w................ - .... Date:
Contractor Name:
Signature....................................................... .............. Lic.# ........................................ Date:...................
Smoke and COform.doc revised 0111012017
L _,D
WATER -CONSERVING PLUMBING FIXTURES 15 rpi -
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
CUPERTINO� 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 - buildin
-q@_cupertino.org
Owner'NTame Permit No. e7 Z 7,S --
Address
1. Is your real property a registered historical
cal site?
Fl Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
&KNo 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?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
0 The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
R�No Go to Question 3.
3. Is water service permanently disconnected for your building?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
No"N'o Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
VNo 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.
0 Yes My real property is built and available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign
bottom of form..
Please check ONE of the following:
11 My property is a single-family residential 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).
• My property is a multifamily residential 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).
• 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).
1, 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 110 1. 8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's
installation requirements, and that the water -conserving 1112bi fixtures com with the requirements as indicated in the
table on the following page.
Owner or Owner Agent's Signature Date:
Upon completing and signing this Certificate, please return it W—Vuilding Division in order to final your building permit.
SB407 2015.doe revised 01105117
1. If the existing plumbing tixture water usageiiiow rate is etlual w u1 UW,i Lll�l — -6--- 1, _, .-1--_1_-__ __ • -- _rte
SB407 2015. doc revised 08126/15
Non-Compliant
Water-Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
Water Usage/Flow
Rate
Fixture Type
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 Rate
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
0.5 gallons/flush
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 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 @
default to maximum
60 psi, and must
1.8 gallons per minute @
default to maximum
60 psi
11.8 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 tixture water usageiiiow rate is etlual w u1 UW,i Lll�l — -6--- 1, _, .-1--_1_-__ __ • -- _rte
SB407 2015. doc revised 08126/15
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