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B-2016-3069 • CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT Nth B-2016-3069 10415 MARY AVE UNIT 10415 CUPERTINO,CA 95014-1344(326 52 050) AFFORDABLE WATER HEATERS AND PLUMBING INC 28358 CONSTELLATION RD VALENCIA,CA 91355 OWNER'S NAME: YANG JIAN AND LIUYAN DATE ISSUED:11/08/2016 OWNER'S PHONE:408-517-1036 PHONE NO:(855)345-9087 J,ICRNSFD CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic.#627368 Contractor AFFORDABLE WATER HEATERS AND PLUMBING INC Date X BLDG _ELECT X PLUMB 09/30/2018 MECH X RESIDENTIAL_COMMERCIAL 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. REPLACE 40 GALLON WATER HEATER-CLOSET 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 riperformance of the work for which this permit is issued. cii 1\ 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 Sq.Ft Floor Area: Valuation:$979.00 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 326 52 050 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 non-point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per the Cupertino Municipal Code,Section 9.18. Issued by:Abby Ayende ,;Signature 1 Date 11/8/2016 Date:11/08/2016 • OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's.License Law for one of the 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. I,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(Sec3044,Business&Professions Code) Signature of Applicant: 2. I,as owner of the property,am exclusively contracting with licensed Date:11/8/2016 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 t. 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 MATERIALS DISCLOSURE 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 Labor Code,I must forthwith comply with such provisions or this permit shall i"' _ Owner or authorized agent /v----- be deemed revoked, C bate:11/8/2016 APPLICANT CERTIFICATION CONSTRUCTIOIN1 NDING AGENCY I certify that I have read this application and state that the above information is 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 consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code,Section 9.18. GENERAL PERMIT APPLICATION MEP • COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildincAcupertino.orq MISC CUPERTINO PLUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS `�ry PROJECT ADDRE S APN# J/f S C O\)NERNAiME PHONE E-MAIL STREET ADDRESS CITY, STATE,ZI, FAX 90414- jii4a a Pr1/ � CONTACT NAME saw/ 111.JV � PHONE E-MAIL STREET ADDRESS V CITY,STATE,ZIP FAX ❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT 0 ARCHITECT El ENGINEER. 0 DEVELOPER ❑ TENANT CONTRACTOR l n )t K LICE &AO LICENSE TY�PE� BUS.LIC# ��^S/^^ COMPANYy� JNJA�iMEi /' ,� ���� E-MAIL (( 77 FAX `(J °�v nAIS�3Yele2hlr. 1A/46/' STREET ADDRESS CITY,S ATE,ZIP PHONE t� rFp f` ' 'l/G f�< c, _ r 9 �'/1 3 r tai 3�( P 0 Cr ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX El MULTI-FAMILY PROJECT IN WILDLAND El YES PROJECT IN 0 YES IS THE BLDG AN 0 YES -: BUILDING: ❑COMMERCIAL - URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? El NO DESCRIPTION OF WORK LI 0 e r' 1( 1 � � 46-o/..tom i TOTAL VALUATION; 9 RECEIVED BY: 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. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: , 1 Date: ( SUPPLEMENTAL INFORMATION REQUIREDI.E oFFTcE USg.oNEY D,ov>aR-xis C914S ER a EXPRESS ,. 71. STANDARD 1=1x,AROE'Y ❑ IOI MEPMiscApp 2011.doc revised 06/21/11 . SMOKE / CARBON MONOXIDE ALARMS fp: OWNER CERTIFICATE OF'COMPLIANCE gt.ayf COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING.DIVISION U�ERS I NO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333• buildinq(c)cupertino.orq *APEltiSitt NI OT PE EIl .,E1)I7NTIL'THI CEl TIEICATE AS BF;EN . ©1V.ILTED, ITI1Rl�El�J.TOTIE3L.II;DIN DrlddN i `: 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 p 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 X X the bedroom(s) On every level of a dwelling unit including basements X X Within each sleepier room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that Pp � 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_b zi,.ding wirir. ._ _- _, -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 incompliance with the California Building and California Residential Codes.The alarms specified below have been tested and are operational, as of the date signed below. -3017, Address: /0 it/ /4 71 r `d 7..®® /4 Permit No. 2-�1 Specify Number of Alarms: # Smoke Alarms: I 3 I #Carbon Monoxide Detectors: I.have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: Signature7/06 __Date: YOvv1101 Contractor Name: Signature Lic.# Date: Smoke and CO fornz.doc revised 09/27/16 ``. \t WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE ..0 1-1,, COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUP TINA' 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq(a,cupertino.orq Owner Name 3,G\',1 �'Mti Permit No. P ;-2-3) -- 301 Address — A 4 1. Is your real property a registered historical site? E Yes 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 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- ».– kf No Go to Question 3. 3. Is water service permanently disconnected for your building? Q Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. II 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. 0 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: Mypropertyis a sin le-amil residential real property. See Civil Code Section 1101.4. g f y 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 r laced-with-water-censer in - p g ep - g pinilt;irig--fxtures:--_�.__._ ._ _.. _—__.._.---- --- 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. Owner or Owner Agent's Signature: Y -- I---�_. Date: 7/ a.-, a p Upon completing and signing this Certificate,please return it to the Building Division in order to final,your buitding$ ermit. - SB4072015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS tAuCERTIFICATEHASLEEN G ED:AND +, fRNEii'rG oEfwopE GDI ISIOI Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture1 (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 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/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. SB4072015.doc revised 08/26/15