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B-2016-2625CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-2625 10591 GLENVIEW AVE CUPERTINO, CA 95014-4567 (369 26 022) CALDERON AND SON'S CONSTRUCTION COMPANY HAYWARD, CA 94544 OWNER'S NAME: KUO CHIN F AND HSU H TRUSTEE DATE ISSUED: 08/31/2016 OWNER'S PHONE: 408-857-5442 PHONE NO: (650) 248-6470 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ¢ Lic. #778430 Contractor CALDERON AND SON'S CONSTRUCTION COMPANY Date X BLDG —ELECT _PLUMB MECH _X RESIDENTIAL — COMMERCIAL 05/31/2018 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my JOB DESCRIPTION: license is in full force and effect. HALL BATH; M,E,P (42 S.F.) I hereby affirm under penalty 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 of the work for which this permit is issued. 2. '��I have and will maintain Worker's Compensation Insurance, as provided for by � f Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area• Valuation: $14500.00 permit is issued. APPLICANT CERTIFICATION I certify that I'have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 369 26 022 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities, judgments, costs, and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all hon -point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per the Cupertino Municipal Code; Section 9.18. Issued by: Signature. Date 08/31/2016 Date 08/31/2 O R -B D R D RATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1. 1, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicants z. L as owner of the property, am exclusively contracting with licensed Date: 08/31/2016 contractors to construct the project (Sec.7044, Business & Professions Code). 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 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 HAZARDOUS MATERIALSDISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued I 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 Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, Sections 25505, 25533, and 25534. exemption, I become subject to the Worker's Compensation provisions of the t Labor Code, I must forthwith comply with such provisions or this permit shall Owner or authorized agent be deemed revoked. bate' 08/39/2016 ON TR TTON + A ENCY APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is .NDIN I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may -accrue against said City in RATION consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCIHTRCTIR D . L I understand my plans shall be used as public records. Code, Section 9.18. Licensed CONSTRUCTION PI=I MIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 • building (c�cupertino.org CUPERTINO r /b e 2-4 Z -51,0V CONSTRUCTION ❑ ADDITION! ❑ ALTERATION / TI ❑ REVISION / DEFERR ORIGINAL PERMIT 4 PROJECT ADDRESS 1` C q f r N t APN r _71 0\VNERNAME H5 U = W't ' JG]��V/ v PHONE 5� v6 _l' L E-MAIL ��j+ �• CITY, STATE, ZIP I FAX STREET ADDRESS 10s 91 � l �n �/ i ,� c✓ �U,6 C.t.� e r 4 im, 0 Co 95 0 CONTACT NAME ta0PHONE Ca(d-Q,,rv=-� 6SU L�L'1E7t/ E-14AIL�lIDCam''S�c C� STREET ADDRESS CITY, STATE, ZIP FAX ❑y OV,'NER ❑ ONvNER-BU-II.DER ❑ OWNERAGENT it CONTRACTOR ❑ CONIRACTORAGENT ❑ ARCHITECT ❑ ENGLNTEER 0 DEVELOPER ❑ TENANT CONTRACTORNAMELICENSE NUMBER ICENSE TYPE BUS. LIC Y D tic� C'a(er ?1 -17 u 6 COMPANY NAME cv 'u, Y �C.J�'� c•QDsv E-MAIL STREET ADDRESS\ c CITY. STATE, ZIP PHONE y ,, Is -fu i vw s f cv aY e ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # C r COMPANY NAME E-NiAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK • 4l k/ J �J A-wru, Vic( W__ c1 do EXISTING USE PROPOSED USE CONSTR. TYPE I n STORIES • USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM,, /r^ KITCHEN = OTHER REMODEL AREA y G S J REMODEL AREA REMODEL AREA PORCH AREA .'DECK AREA TOTAL DECKTORGH AREA GARAGE AREA: ❑ DETACH ❑ ATTACH DWELLING UNITS: ISASECOND UNn' ❑YES SECONDSTORY [_1 YES BEINGADDED? 12NO ADDITION? ®NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ Y RECEIVED B TOTAL VALUATION: PLAt.'N-I.G ADPL; ❑ NO PLANNING APPROVAL LETTER I EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner or authori ed agent to act on th owner's behalf. I have rea application and the information I have provided is correct I have read the Description of Wor n rs accurate. I agree to comply with all applicable 1 -ca ordinances and state laws relating t 'Id' onstruction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicam/Agent: Date ttr7-i SUPPLE;IIENTAL INFORMATION REQUIRED f PLAN CHECKROUTWG SLIP a Z t „f , New SFD or Multifamily dwellings: Apply for demolition permit for ER TILE.CbINrER BUH DING PLA RE«E� eXistin building s). Demolition pen -nit is required prior to issuance of building permit for new building. fl �aPREss PLA \ SING PLA 1 izEviEti� _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure I] sTA.DARD ❑ PUBLIC�ORKS form if any Hazardous Materials are beim used as part of this project. LARGE x C7 FHtE DErr _ Copy of Planning Approval Letter or Meeting with Planning prior to IJOR © SnJ,rTARi SERERi3ISTRICT submittal of Building Permit application. �t .... __.a I],. EN\'IRONAIE�TALHEALTH.. BldgApp_M Ldoc remised 06 21111 { Assessor's Parcel Number; 36 / — Z b — U Z2 Name of owner iHrc4— 41wk r-uo Contact Person: Y { f d j65C-DL cr-wio Phone: Project Address: ID S91 ( 13160 16W -A l . GtA oc r -k mn 9 r) j 5— 7 ScopeofWelk: ��ifV1t'ODY YEY+i3O�itai � ul�w— %r'—Ltn Code Editions: 2013 California Residential Code 2013 California Plumbing Code 2013 California Mechanical Code 2013 California Electrical Code 2013 California Energy Code Mechanical Notes: 1, Bathroom vents shall terminate not less than 3 feet from openings and property lines. (CMC 504.1) Energy Code Mandatory Measures: 1, All permanently Installed high efficacyluminalres shall be switched separatelyfrom low efficacy luminaires (150(k)(7)) 2, Permanently Installed luminaires In bathrooms shall be high efficacy, luminalres OR are controlled by an occupant sansors(s) certified to compiywith Section 110 that does not (urn on automatically or have an always on option. (150(k)(10)) COMMUNITY DEVFLOPMENT DEPARTMENT BUILDING DIVI&ON - CUPERTINO Ao.AP.',^eG VED Thl,� art of plans and SP-cif!naT"ons (OUST be ka;,rat at the jots �Jt-r nuri.ln col nstnc'-A';1111 It Ls unlawful to make any c; arn,:s cr altar _,t ole an same•, or to deviate tl mIrur wt outappio al from tile Building Official. hi'LL]i n -n(+ snc i-icaclonc SHALL NOT Lttr t0 )e n prov Q the vial a ion ,vv y oruin-'; Or St�..,3 Law. PERMIT iJO EXISTING BATHROOM FLOOR PLAN Piurnbina Nofes: 1. water closets shall have an average water consumpllon of not more than 1.28 gallons per effective flush. (CFC 403.2) 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes @ 80 psi. (CPC 406.2) 3. Faucets In lavatories shall have a water flow not exceed 1.5 gallons per minutes @ 60 psi and shall not be less than,8 gallons per minutes at 20 psi, (CPG 403.6) 4. Shower stalls shall have a clear Interior Mish area of 7.1 sq.ft, and be able to accommodate a minimum 30 inch circle at the threshold level, These clearances shall be malrobined up to a height of 70 Inches able the shower draln (CPC 408,6) 5. Shower compartments and walls above bathtubs with Installed shower heads shall be finished with a smooth, nonabsorbent surface to a height not less than 72 inches (eft). (CRC R307.2) 6. The maximum hot water temperature dischargingfrom the bathtub, shover and Whirlpool bathtub Oiler shall be limited to 120 degrees Fahrenheit The water heater thermostat shall not be considered a control for meeting this provision. (OPC 409.4 & 408.3) 7. (Nater close{ shall be set minimum 15 Inches from Its center to a side wall or obstruction and 24 Inch clearance In front of water closet. (CPC 402.5) Elerfrics! Note.! 1. The Installation of smoke alarms in all of the following areas shall be provided; (R314.3) a. On the calling or wall outside of each separate sleeping area In the Immediate vicinity of bedrooms. Id. In each room used for sleeping purposes. c. In each story within a dwelling unit, Including basements but not Including crawl spaces and tulphabtabie altio& 2. Approved carbon monoxide alarms shall be installed outside of each separate sleeping area In the Immediate vicinity of the bedrooms and on every level Including bassmerts In dwelling units that have fuebilred appliances or attached garages. (CRC R315.1) 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets. Such circuits shall have no other outlets, (CEO 210.1 i(C)(3)) 4. All receptacles In bathrooms, garages, accessory buildings, outdoors, crawl spaces, unfinished basements, kitchens (where receptacles serve countertop surfaces), laundry, utility, wet bar sinks (within 6 feet of the edge of the sink), shall have ground fault olruit interrupter (GFCI) protection. (CEC 210.8) 5, In all .,.as specified in 210.52,.11125 volt, 15 -and 20- ampere receptacles shall be listed tamper-resisiont receptacles. (CEC 406.11) &-%FFICE COPY La Bliid'tflg �,��arttTlsnt Zan )�`vJ REVIEWFG r0`rt „i.l— �/ Vii(✓ T7°"." PROPOSED BATHROOM FLOOR PLAN "tair04,;> $u 10(y"U 1Pi Yi > tj 1_ `• ..4 4.r,Y.�,d - 1:7,;5 c�`` -<"- a (T, i" t.-.�r,'� �,•t I C� CUPERTWO Building L`epartment AUG 31 GJ 6 REVIEWED FOR COLE uOMPLIANCE Reviewed Ey: SMOKE / CARBON MONOXIDE ALARMS Itti9 OWNER CERTIFICATE OF COMPLIANCE / .F9s COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUP T(Nt 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333• buildinq(a.cupertino.orq _� 2 Addr-ess / G ( Wlt) c#i f Al - – — C arms Smoke.) 1 Carbon Monoxide: PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERMICATIN HAS SEEN SIGNED AND J&ETURNED TO THE BUILDING DIVISION 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 dwelling unit including basements 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 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 Agents Name: ' Signature.i t Date°' -Contractorjlarn : s tt" ,Signature � . . . .. cLic#._� 0 cDate:�t* M Smoke and CO form.doc revised 03/18/14 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE 4 s1"sr COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE<CUPERTINO,CA 95014-3255 f ( 8)777-3228 FAX(408)777 3333••buildingCa)cupertino.orq um, r j Owner Named Permit No. i (r7 • Address f 10 cc /P16p) ievs• DE t 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. IN 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? 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. El' 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. (i e No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? • 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. �y L .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.. 5. Please check ONE of the following: t � MYpropert is a single-familyresidential 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. 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). I,as the owner or owner's agent of this property,certify under penalty of pei jury 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-co erving plumbing fixtures compl wi the requirements as indicated in the table on the following page. f / Owner or Owner Agent's Signature S� ' 1i ,�_ - Al Date: J 1 0/ J Upon completing and signing this Certificate,please return it to the Building Division in order to final your buil ing/ermit. SB407 2015.doc revised 08/26/15