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B-2016-3040CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B=2016-3040 23500 CRISTO REY DR UNIT 121C CUPERTINO, CA 95014-6599 (342 53 027) BAYAREA ENTERPRISE SAN JOSE, CA 95148 OWNER'S NAME: HUMANS DORIS E TRUSTEE I I DATE ISSUED: 11/04/2016 1 OWNER'S PHONE: 650-537-1523 Class .a Lic. # 18 7617 or BAY AREA ENTERPRISE Date 03/31/2017 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 license is in full force and effect. 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. L "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. APPLICANT CERTIFICATION 1 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 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 City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point (source regulations paertffe Cupertino Municipal Code, Section 9.18. Date 11/0412016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sce.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. a. 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT _CERTIFICATI I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances 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 City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 11/04/2016 NO: (408) 238-5043 BUILDING PERMIT INFO: BLDG X ELECT _ PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: UNIT 121 C - REPLACE 7 LIGHT FIXTURES; UPGRADE 42 OUTLETS/SWITCHES; REPLACE 2 BATHROOM FANS Ft Floor Area: l Valuation: $3500.00 "N Number: Occupancy Type: 342 53 027 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED ECTION. sued RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 11/04/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino unicipal Code, Chapter 9.12 and the Health'& Safety Code, Sec ' ns 25505,,-25`533, and 25534. Owner or authorized agent, ­ Date: 11/04/2016 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERMIT P i TI —. COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE a CUPERTINO, CA 95094-3255 UPERT 0 (448) 777-3228 = FAX (4ti8 777-3333 a built3ing a( cuA�r€i€to.or_g 1 �� Z v//�� l (% b � `1 NEW CONSTRUCTION ❑ ADDTIION TERATION f TI ❑ REVISION t DEFERRED ORIGINAL PERMIT 4 PROJECT ADDRESS I w C APN# :'REETNAME , PHONE -. E-MAIL - 'i>r.4ift%—IA?A bb (050 (0d 3 t3'Z3 �r � b 5c •ear ADDRE CITY, STATE ZIP FAX l`3 �ts� Re sitz . CT NAME -C�i� a Fe D — 2 $ T E nzAu� ADDRESS CITY, STATE_ ZIP 2:l }� is K ; SI FAx ❑ O\VNER ❑ OWNERBUILDER ❑ OWNERAGENT IfLI ((1NTRAf TnR O rnnrru n-- I—I CONTRACTORNAAAEtr - LICENSENIBER. 1E 1N LICENSE TYPE BUS. LIC 9 CONIPANY' NiUME -MNL # r+eta`. � ir'5 rf AQ t FAX19 STREErADDRESS CITY, STATE, ZIP 2 it Cl PFTON ARCHITEMENGiNEER.NAME LICENSE NUMBER BUS. LIC # - COMPANYNAME E-MAIL FAX -. STREET ADDRESS CITY, STATE, ZIP PHONE 9w11(1� 5r1xJ EXISTING USE PROPOSED USE CONST& TYPE r STORIES - -. - II - I USE TYPE OCC_ SQ.FT. VALUATION (S) EXISTG NE%V FLOOR DEMO TOTAL AREAAREA AREA NET AREA BATHROOM - KITCHEN OTHER - - - REMODELAREA REMODEL AREA REMODELAREA PORC"AREA DECKAREA TOTALDECKIPORCHAREA GARAGEAREA: DETACEE I OATTACH #D WELLING UNrrS: ZSASECOND UNIT OYES SECONDSTORY MMES BEING ADDED? ONO ADDITION? ONO naavay. L,l zry ar aaa, rzevvaun a.vrz yr as anc ua.zry ern -ALV PLANNINGAPPLO ONO PLANNI IGAPPROYAL LETTER EtCHLERHo&tE? ON By my signature below, I certify to each of the folio g: I am the property owner or authorized agent to a perty owner's behal . I -e read this application and the information I have provided is co . I ha ead the Description o€Work and verify itis accurate. I agree to comply With all applicable focal ordinances and state laws relating to building con etion. a orize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant(AgenL Date i SUPPLEMENT INFORMATION REQUIRED 'PLANCHECKTYPE ROUTINGSLIP New SFD or Multifamily dwellings; Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building OVER-THE-COUNTER ©: av[LDtNc PLAN REVIEW permit for new building. 0 _ ExPREsS ❑ PLAISTIl4G PLAN Ar VIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD ❑ PUBLIC WORKS foray if any Hazardous Materials are being used as part of this project " LIic ❑ FIRE DEPT ` Copy of Planning Approval Letter or Meeting with Planning prior to O; SANITARY SEWER, o1sTRct submittal of Building Permit application- ❑ ENYIRONMFATAL HEALTH Bldgtlpp 2011.doe revised 06121111 ,r 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 • buildingAcupertino.org PERMIT CANNOT BE FINALED UNTIL TRIS CERTIFICATE HAS BEEN.:. COMPLETED, SQIP,AND _RXII1MD 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 2016 CRC Section R314, 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. Address: �/ ��7�t (� Permit No, .2y, ( -3Cpzfa Specify Number of Alarms: Alarms: # Carbon Monoxide De / have read and aaree to comply with the termsor d conditions of this statement Owner (or Owner Agent's) Narne- C9 1`%.O f A] -k. Signature.. -,...................... .................... ............. I............................. Date:.. ....��.. Contractor Naft: i �.e Sin ........ Date:...te� .....# ...... .'j.. \4 V �,o t Smoke and CO fbrmt doc�d01/10/2017 {CUPE TINO Owner Name U m CL #1 Address 3 5-0 a 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,I_ 3333 • building(c T a s )cupertino.org �- _ 9 R S� N M -2-01L 1. Is your real property a registered historical site? ❑s Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. vla�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. 12_ Go to Question 3. 3. Is water service permanently disconnected for your building? ❑�'ivil 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 y 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. Ple c eck 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 . rovements shall require non- compliant plumbing fixtures to be replaced with water -conserving pl7hetUr in fixtures. On or before January 1, 2019, all non-compliant plum ixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of property undergoes alterations or improvements). I, as the owner or owner's agent of this propel certify replaced prior to date specified above with wa-conser through 1101.8, the current California Plu Code a installation requirements, and that the wate • c ns ing table on the following nage_ Owner or Owner Agent's Signa e: _/ % 0 Upon completing and sig -ding this Certificate, p ease return it to the 1 of perjury that non-compliant plumbing fixtures will be g fixtures in accordance with Civil Code Sections 1101.1 Green By 1 ing Standards Code, and manufacturer's ures uir,,ments as indicated in the Date: f in order to final your building pe knit. SB4072015.doc revised 01/05/17 1. If the existing plumbing fixture water usage/floN�l rate is equal to or lower than the figure shown, it is not required to be upgraded. SE407 2015. doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage (Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 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 Gallons/flush 0.5 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 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/floN�l rate is equal to or lower than the figure shown, it is not required to be upgraded. SE407 2015. doc revised 08/26/15