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B-2016-2765
I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2765 11595 OAK SPRING CT CUPERTINO,CA 95014-5140(366 52 070) SEA CONSTRUCTION INC SAN MATEO,CA 94402 OWNER'S NAME: REDDY SENA C AND RUPA C TRUSTEE DATE ISSUED:09/20/2016 OWNER'S PHONE:408-242-1423 PHONE NO:(650)287-4202 LICENSED ONT A TOR'S DECLARATION BUILDING PERMIT INFO: License Class 5 Lic.#563320 Contractor SEA CONSTRUCTION INC Date 08/31/2018 X BLDG —ELECT —PLUMB _ I hereby affirmthat i am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL_COMMERCL&L with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REMOVE AND REPLACE EXISTING SIDING(1500 S.F.) I hereby affirm under penalty of perjury one of the following two declarations: i. 1 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 r--peormance of the work for which this permit is issued. ve and will maintain Worker's Compensation Insurance,as provided for by on 3700 of the Labor Code,for the performance of the work for which this it is issued. Sq.Ft Floor Area: Valuation;$19000.00 APPL•ICA_NT 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 366 52 070 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, ity.n consequence of the granting of this permit. Additionally,the appli, t u erstands and will comply with all non-point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulati th upertino Munjci a1 Ca ie, ecCIO n 9.18.--- 180 DAYS FROM LAST CALLED INSPECTION: Signature -- - _— Date 9/20/2016 Issued by:Abby Avende Date:09/20/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RErROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is i. 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:9/2 012 0 1 6 I hereby affirm under penalty of perjury one of the following three declarations: AL •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 s. I 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 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 Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino cipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code, ctio 5505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:9/20/2016 I certify that I have read this application and state that the above information is C SIMSTIONAGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is4 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 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 a DECLARATION u Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 9/20/2016 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE- CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333-building(a)cupertino.org CUPERTINO ❑N-Ew CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS / ; APN 'n tX OWIQERN P_HqATE E-NLAIL STREP ADD, _ FATE ZIP FAX �� e^U-6 :; 5Q(-(:n:;4 C4aY, T CONT. N4E PHOT\ E-MAIL ( G.1� >Z SSG, Ph �c�aa.T STREET ADDRESSC TY,STATE,ZI FAX ��c! 's, ( rlji El OWNER ❑ OWNER-BUILDER ❑ OWNERAGENTCONTRACTOR ❑CONTRACTOR AGENT El CONTRACTOR El ENGINEER ElDEVELOPER ElTENANT CO TT CT VNAIVE` 1 L�N TIJM13ER LICENSE TYPE BUS.LIC# � CIOL? AME MAIL FAX �Zo STREET ADDRESS TY,STATE;ZIP P O ®C>5 ARCHITECTIENGWEER NAME LICENSE NUMBER BUS.LIC{ COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP l PHONE DESCRIPTION OF WORK J. EXLSTAG USE PROPOSED'USE - CONSTR.TYPE Y STORIES - - F USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NTEW FLOOR DEMO TOTAL - - AREA AREA AREA NET AREA BATHROOM - KITCHEN OTHER - -REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL:DECKPORCH AREA GARAGE AREA: DETACH E3 ATTACH ` -DWELLING UNITS: IS A SECOND UNIT . ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE"APPLICATION ❑YES IF YES;PROVIDE COPY OF IS THE BLDG AN ❑YES RE ED BY `�� TOTAL VALUATION: PLANNLNGAPPL# ❑NO PLANNING APPROVAL LETTER EICHLERHOME? NO I By my signature below,I certify to each of the following• n the property owner or authorized agent to Act on thl property owner's behalf. I have read this application and the information I have pro y3 ed is c e have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t0 bui g s authorize the above-identified property for inspection purposes. Signature of Applicant/Agent; Date: SUPPLEMENT ORMATION REQUIRED �,z.PLS caEczTYPE. .. ,.,.�.,, . . iolJTmeSiIP, Nein SFD orMultifami =dwellings: Apply for demolition permit for Ot ER 7IIE COUl`fER BUiLDI1G PLAT�`REVIETi existing building s). Demolition pen-nit is required prior to issuance of building permit for new building. fl ��PREss ✓PLAI\�IIvGPLAA REtiiEw _ -onmmercial Bldgs: Provide a completed Hazardous Materials Disclosure sTA).N ARn ❑'PIBLIc oxxs form if any Hazardous Materials are being used as part of this project. LARGE< ❑:FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to I,tia�1©z 1�'sAnrrARY sER ER bISTRICT submittal of Building Permit application. BldgApp_2011.doc?•evised 06121111 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(@cupertino.org ��JJ � Permit No. Address � _5 /`IC" I nI #of Alarms Smoke: , Carbon Monoxide: PERMIT"CANNOT BE F'INALED AND COMPLETED LTNTTH,THI&CERT,, CATS r . H S BEES R TIIR TF T3 TP,1'"WISION O THE� �L 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 earn 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 t e term and onditions his statement Owner(or Owner Agent's)Name: /� ri ��3!' Si nature"`:c::... 4 ......... .................Dater...:.,... . Contractor Name: (tv /� Sinature...... ... ...... ...Zo.... ...Lie.#..... ......... ..............Date: V...1...... IL Smoke and CO form.doc revised 03/18/14 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION IU1" 1 INO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (40q777-3228 FAX(408)`777-3333•buildingQcupertino.org 417 , ? Owner Named` &u 't' ` ' Permit No. � b — Address _jN t -t lei C` Tl ez`� , C 3C 1. Is your real property a registered historical site?' VN es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. o 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. IBJ No Go to Question 3. 3. Is water service permanently disconnected for your building? El 'es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 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. Pr 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: A�KMy 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-conservingplumbing 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 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. O :Itzzl-1116 wner or Owner Agent's Signature: - Date: Upon completing and signing this Certificate,please return it to the Building Dfvfsion in order to final your building permit. SB40 7 2015.doc revised 08126115