B-2016-2866 i
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
10535 CORDOVA RD CUPERTINO,CA 95014-3906(342 44 029) WILLOW CONTCTORGLEN: PERMIT NO:B-2016-2866
ELECTRIC INC
SAN JOSE,CA 95155
j OWNER'S NAME: SINGH VINEET AND GEETARAMDEV TRUSTEE
'DATE ISSUED:10/05/2016
OWNER'S PHONE:408-981-2645
PHONE NO:(408)289-9725
LICENSED C TRACTOR' D CT ARATION
BUILDING PERMIT!INFO:
License Class C¢ Lic.#59IQ31
Contractor WILLOW GLEN ELECTRIC INCDate /30/20184
0 ' X BLDG —ELECT _PLUMB
j I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH X RESIDENTIAL—COMMERCIAL
I 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:' (N)EV CHARGING STATION(50 AMP)GARAGE
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.
I 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:$1490.00
APPLI .ANT CFRMCATIOD�
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 342 44 029
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 City in consequence of the granting of this permit.
Additionally,the applicant understands and will comply with all non-point WITHIN 180 DAYS OF PERMIYISSUANCE OR
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM L
LED INSPECTION.
Signature-1-1 Date 10/05/2016 Issued b r r -
Date: 10/05/2016 –
OWNER-B TTT D R DE LAR ATT(lA'
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE ROOD
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(Sec.7044,Business&Professions Code). Date:10/05/2016
I hereby affirm under penalty of perjury one of the following three declarations:
i. I 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
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
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
certificate of air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this
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&SafetyCo Sri
cti s 25 O5,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. 1r
Owner or authorized agent:
APPLICANT CERIMCATION Date: 10/05/2016 f' j
I certify that I have read this application and state that the above information is CONSTRUCTION T ENDTN A FNCv
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 I
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 ARCHITEUIS DECLARATION
Code,Section 9.18. 1 understand my plans shelf be used as public records.
Signature Date 10/05/2016 Licensed
Professional
I
1 t-t
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE CUPERTINO,CA 95014.3255
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tSi�f �t E`tif`� t (408)777-3228•FAX(408)777-3333•buildin cu erli o.ce
PROJECT ADDRESS APN#0 t1'
OWNERNAME PHONEMAIL
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STREET ADDRESS ,9 ,+
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CONTACT NAME PHOE (408)289-9725E-MAIL
Mark Landre
office 9willowgienelectric.com
STREET � CA ADDRESSP. O. Box 8430 CITY,STATE,ZIP San Jose 95155 1
FAX(408)289-9725
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTORNAME Mark Londre LICENSE NUMBER 591918 LICENSE TYPE ^-1O BUS.LIC# 1.5897
COMPANY NAME Willow Glen Electric, Inc. E-MAIL office@wlllowglenelectric.com FAX (408)289-9725
STREET ADDRESS p O. BOX 8430 C1TY,STATE,ZIP San Jose, CA 95155 PHONE (408)289-9725
ARCHITECTIENGINEER NAME N/A LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD Or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN
URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes FlNo
STRUCTURE: ❑ Commercial
❑SOLAR PANELS I I ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS: NUMBER OF PANELSIUNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: -/'7�j T 0
DESCRIPTION OF WORK g ( cy
Electric Vehicle Charging Circuit: Lftj
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. II authorize
/reepresentatives of Cupertino to enter the above-i'dentified property for inspection purposes.
Signature of Applicant/Agent: d a41r-7 `^"`^' Date:
SUPPLEMENTAL INFORMATION REQUIRED OFFICE IUSF ONLY
rr1 EXPRESS
/":/Cl�1 Gtr% �� -�/` ��-'�._- .; ❑ $TANUARI)
/ Q LARGE" TT
MAJOR
PVApp_2011.doc revised 03/16111
SMOKE/CARBON 'MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTIM0 10300 TORRE AVENUE<CUPERTINO,CA 95014-3255
(408)777-3228.FAX(408)777-3333 buitding0cupertino.ora
Addr ss l o Y 3 C-a, IL b • y A- A-h e.v7ai - Cdr 9"14^ Permit No.
e #of Alarms Smoke: S Carbon Monoxide 2--
PERMIT
2PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND R_FEJU TO THE BUILDING DIVISION ;<
PURPOSE
Thiis-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 8314 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)maybe 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 8314 and CBC Sections 907.2.11..4.and 420.6.2.An electrical permit is required for
alarms which mustbe 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 a ree to com i with the terms and conditions of this statement
Owner(or Owner Agenfs)Name:
V/NC E' S fes!h/.� Sign v ......... Date;l0�ld,�lt
... ... ...... .
Contractor Name:
S' nature........... ...........Lic.#........ .........................Date: ...............
Smoke and CO form.doc revised 03118114
S
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
GUP14RTiNO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)' 77-3333•buildinac(�cupertino.oro q
Owner Name V/^'C c?" S /N Permit No Q// - ,
Address o's 3 r Co ?U a t/A P,-.a , E EP ?G 9-7"f^0 D , C R 9,o t
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTEFICATE
j HAS BEEN D RF7`IJ�I�T>„ TO THE BUILDING I)IM, ON
Please refer to the attached California Civil Code Sections 11.01.1-1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form..
Owner'Signature: Date:l d - //�
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?
n Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the form. r
Owner'Signature: Date:
N No Go to Question 3.
3. Is water service permanently disconnected for your building?
F1 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner'Signature: Date:1 6 "14 -16
J 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 properly is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form
Owner'Signature: \ Date: 16 /1 6/( 16
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. Refer to the attached.
Cl 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).
0 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).
0 My property is a commercial real property. See Civil Code Section 1101.5.
On and after January 1,2014,specked building alterations or improvements shall require non-compliant
plumbing fixtures to be replaced with water-conserving plumbing fixtures.
SB407 2015.doc revised 02104115
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).
l/We,the owner(s)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 Careen Building Standards Code,and manufacturer's installation
requirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table below.
Owner's(or Owner Agent's)Signatures `�/' Date- I e (C C (G
Upon completing and signing this Certificate,please return it to the Building Division in order to final your permit.
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixtured (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 s
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 1.8 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 fixture water usage//flow rate is equal to or lower than the figure shown,it is not required to be upgraded.
SR407 2015.doc revised 02104/15