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B-2016-2491CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: 20102 NORTHCREST SQ CUPERTINO, CA 95014-0512 (316 37 011) CONTRACTOR: REMODELWEST PERMIT NO: B-2016-2491 CONSTRUCTION INC SARATOGA, CA 95070 OWNER'S NAME: LIN VINCENT C DATE ISSUED: 09/12/2016 OWNER'S PHONE: 408-823-0152 PHONE NO: (408) 257-4900 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #BBD4�8 Contractor EEMODELWEST CONSTRUCTION INC Date 11/30/2017 X BLDG X ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing X 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: I hereby affirm under penalty of perjury one of the following two declarations: MASTER BATH REMODEL M.E.R'S (112 S.F.); KITCHEN REMODEL M.E.P.'S (156 S.F.); INSTALL GAS FIREPLACE INSERT IN LIVING i. I have and will maintain a certificate of consent to self -insure for Worker's RM,• INSTALL (9) LIGHTS IN MASTER BDRM AND LIVING RM. Compensation, as provided for by Section 3700 of the Labor Code, for the n performance of the work for which this permit is issued. V2I 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 Area; Valuation:. $75000.00 APPLICANT CERTIFICATION 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 and state laws relating to building construction, and hereby authorize 316 37 011 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 this permit. may accrue against said City in con ds and w of the granting all Additionally, the. applicant under nerds and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations p the ertino Municipal Code, Section 9.18. 180 DAYS FROM LAST , PECTION. Signatur,)1� Date 09/12/2016 Issued by: MELI Date: 09/12/201T— 9/12/2OWNER-B TTL D R DECLARATION OWNER--BUILDER 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 1. 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 (Seq.7Q44, Business & Professions Code). Date: 09/12/2016 I hereby affirm under- penalty of perjury one of the following three declarations: 1. 1 have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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. 1 certify that in the 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 manner so as to become subject to the material. Additionally, should I use -equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Mun�iiipil Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Healt 9 Cod c ► 5, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized age : APPLICANT CERTIFICATION Date: 09/12/2016 1 certify that I have read this application and state that the above information is [ON LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that a is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which is 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. 1 understand my plans shall be used as public records. Signature Date 09/12/2016 - Licensed Professional CtipERTINO I F1 NRW COXSTRI TV-rTnN CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 p (408) 777-3228 • FAX (408) 777-3333 • building .o a tCtx�_cgoertina!D-Z016- - Z0! b - Z 4 } F-1 AInnITTOM A T TG'TT A-PT(NS TTT F-1' nLvrernur rnnvan nor. r nrnrur. r n PROTECT ADDRESS APN # 316-37-011 20101 NORTHCREST SQUARE CUPERTINO, CA 95014 OWNERNAMEPHON VINCE LIN AND KAT KAM r 2--1 j E-MAIL STREET ADDRESS CITY, STATEZIP FAX 20102 NORTHCREST SQUARE CUPEIRTNO, CA 95014 CONTACT NAME WILLIAM REID/REMODELWEST PHONE 408-257-4900 E-MAIL BREID@REMODELWEST.COM STREET ADDRESS CITY, STATE, ZIP FAX 12333 SARATOGA SUNNYVALE ROAD SARATOGA CA 95070 ® OWNER ❑ OWNER-BUILDIR ❑. OWNER AGENT 1414CINnA.TOR ❑.CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEYBLOPER ❑ TENANT CONTRACTOR NAME WILLIAM REID C [ NUMEER Do LICENSE TYPE 6 13LIC T *� u 1113700 FAX .. _. COMPANYNAME - &MAIL. REMODELWESTCONS'TRUCTION INC. BREID REMODELWEST.COM STREET ADDRESS 92333 SARATOGA SUNNYVALE ROAD CITY, STATE, ZIP PHO 4&257-4900 SARATOGA, CA 95070. ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS, LIC 9 NHU H.T. NGUYEN C58134 COMPANYNAME N.N. ENGINEERING SERVICES E-MAIL NNPE@SBCGLOBAL.NET FAX S6 PC7F'PY DRIVE CITY, STATE ziP CUPERI'INO, CA. 95014 PHONE 408-873-7972 DESCRIPTION OF WORK _ 5) NEW CUSTOM CLOSETS 6) NEW INTERIOR DOORS 7) NEW SUN TUNNEL IN MASTER BATHROOM EXISTING USE PROPOSED USE CONSTR. TYPE B STORIES R1 R1 VB 2 USE TYPE OCC. SQ.FT. VALUATION ($) EXLSTO NEW FLOOR DEMO TOTAL - AREA. 1062 AREA. 1062 AREA NET AREA 1062 BATHROOM KITCHEN - OTIIER RBMODBL AREA 112 SF RBMODELAREA 156 SF �n REMODEL AREA 1/]� PORCH AREA DECK AREA TOTAL DECWPORCH AREA GARAGE AREA: DETACH AIITACII #DWELLINGUNiTs: 18 A SECOND UNIT []YES SECOND STORY ©YES - BEIN.GADDED?,[1V0 ;ADDITION? 10 PRE -APPLICATION AYES Il�'YHS,PROVIDECOPYO�roPi'- IS THC BLBC AN _, " - - TOTAL VALUATION: PLANNING ADPL # Q NO PLANNINGAPPROVAL LETTER EICHLER HON6�` By.my signataio'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 fiave read this application mid 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 relafingi ding construe 'on. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent- Dater SUPPLEMENTAL INFORMATION REQUIRED r `�au�rlrl�s>u= New SFD or Multifamily dwellings: Apply for demolition permit for ©..........yEx lCouxrEy€ I�IIItaDINGEklII3.Ii5 iSV! ' existing building(s). Demolition permit is required prior to issuance of building permit for new building, 1� �Essr�ulicz Pltryi Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sortltFivB»viu�s _ form if any Hazardous Materials are beluused as part of this project. =LAxG gg _ Copy of Planning Approval Letter or Meeting with Planning prior to s submittal of Building Permit application.�0 ' = CWEidvntoi:itirENMIl _ Bldgdpp 2011,doc revised 06121111 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a.cupertino.org Owner Name V l t. i C- &as`T w tJ Permit No. Address 2 V 102-- 14dR?14G S l SQ Ab2t: G,Jp�L;aW Gid T;00( ' 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. 9� No Go to Question 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. lk 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� 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. ❑ 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: 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). 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 110 1. 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 followiniz Daae. _ n _ I Owner or Owner Agent's Signature: /) I�P� tr Z6iDate. _l - I r Upon completing and signing this Certifi a , please return itfi the Building Division in order to final your building permit. SB4072015.doe revised 08/26/15 CUPERTINO Address 7—®O® SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin-g a)cupertino.org # of Alarms Smnke- 3 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RET URN ,D 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 CSC 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) X X 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 rmart anrd anmm to rmmnly with thm tmrm.c and rnnrditinnc of this .ctatamant Owner (or Owner Agent's) Name: J LI� V lAjC,f✓u­r Si -nature 6nn� ............. ................................................. ................s._D_a_te:................. Contractor Name: ® �G+f/ .L/�� 10".............. Signature ............. ........ .... Lic.#1�.........,. Date:�. Smoke and COform.doc revised 03118114