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B-2016-3118 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-3118 20699 CELESTE CIR UNIT 20699 CUPERTINO,CA 95014-0484(326 58 096) ATKINSON CLIMATROLLERS INC SAN JOSE,CA 95112 OWNER'S NAME: SHAO MING DATE ISSUED:11/14/2016 OWNER'S PHONE:408-306-6290 PHONE NO:(408)294-6290 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-20 Lie.#258540 Contractor ATKINSON CLIMATROLLERS INC Date 12/31/2016 X BLDG _ELECT _PLUMB X 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 license is in full force and effect. JOB DESCRIPTION: REPLACE FURNACE(SAME LOCATION) 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. 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:$2334.00 APPLICANT 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 326 58 096 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. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9:18. 180 DAYS FROM LAST CALLED INSPECTION. Signature fL/ �'Zff� (✓ r Date 11/14/2016 Issued by:ABBY AYENDE Date:11/14/2016 OWNER-BUILDER DECLARATION 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 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:11/14/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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. 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 695 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health 8z Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the a I certify that in the performance of the work for which this permit is issued,I Health 8z 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 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 Municipal Code,Chapter 912 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. c Ow ren or authorized agent: APPLICANT CERTIFICATION Date:11/14/2016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY 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 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 DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 11/14/2016 Professional l'r .-7,10‘,(0� �I' \ GENERAL PERMIT APPLICATION MEP I COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION „Q .,'rr 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildinq aacupertino.org MISC ❑PLUMBING FZIMECHANICAL 0 ELECTRICAL 0 MISCELLANEOUS PROJE�CryTgA�D�D,./R',Er/S'�S (�{� �g Z�p�,�1v ( f� q�� L-`1dmsdi .`1ieuz/st-e, ll�S� �1V1' � �R 0P-1_ APN# � P �� ... OWNER NAME p, ,� / PHONEvi* G• E-MAIL .11}12. blip to STREET ADDRESS IA R fl Irtj v CITY, STATE,ZIP t,„n t FAX C\ 1 t"m A i 1d 44/d � t �t �4 tat PHONE �j E-MAIL" g J ; ' 1�' �Ui�1t1' rl I Cbz STREET ADDRESS CITY,STATE,Z _ 11 I Nip e-10, 'I , DK4 otY .f FAX ❑OWNER ❑ OWNER-BUILDER 0 OWNER AGENT X CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER ❑TENANT CO OR N LICENSE NU dr. LIC SET BUS.LIC# 1414, CO ii /\,''1/1 ' '1 e.66t/R V is a DIA t 9A/- E-MAIL FAX STREET ADD SS i ,�{�p �p - CITY,.STATE,Z - p� /� __..t �° g {/pJ , I I IV9S -. IdUY Ii . �l�4A..-A i � l4f PHONE.. e •/,1 , (1-q1, ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC E 6 V� �} 1� COMPANY NAME E-MAII. FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 0 SFD or DUPLEX 0 MULTI-FAMILY PROJECT IN WILDLAND 0 YES PROJECT IN 0 YES IS THE BLDG AN 0 YES BUILDING: 0 COMMERCIAL URBAN INTERFACE AREA 0 NO FLOOD ZONE 0 NO EICHLER HOME? 0 NO DESCRIPTION OF WORK iy A (tAf t ,)\AC l • TOTAL VALUATION:°j. o- 0 kECE VEDBY• I 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'sbeial£ 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 ullding construction. I authorize representatives of Cupertino to enter the above-id�of ed pro rty for inspection purposes. Signature of Applicant/Agent: ate- Date: )b jl /j j %1 SUPPLEMENTAL INFORMATION REQUIRED ATo1 a MEPMiscApp_2011.doc revised 06/21/11 W — co - - m O' E V) S. .1;.,,,, W J N o a, 4O+to c a U. 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"00p N 'p r* f - m' fD rtcu N N O 3 O roO N "°• m 0 vii 0 yr O Ol R :^ - CD n Q M µ EP O • n vO 17 Ini CU O H ° Z'... aci CDD n w r NJ o m o -�+, C A Vi mcr W N o .... R7 RECEIVED SMOKE ! CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE JAN 0 0 2,3i7 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION // +C RPEl<t f1l`�t£ 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (A- tObl/ (408)777-3228•FAX(408)777-3333• buildincacuoertino.oro PERMIT CANNOT BE FINALED UNTIi.,THIS CERTIFICATE HAS BEEN COMPLETED,SIGNED,AND RETURNED.TO THE BUII.,DIN_G_ DI VISION ...._.. .^.. - P.�. z. 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 S1000.00, CRC Section R314 and CBC Sections 9072.11.5 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 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. Carbonmonoxide 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 CRC 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 alarms) 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: 2O6 d' „ C..-4/12_04-7,1-0 0 Q WPermit No.L 2 6'11--7 i I / Specify Number of Alarms: # Smoke Alarms: ! ( #Carbon Monoxide Detectors: j i I have read d and a.ree to com.! with the to is and conditions of this statement Owner(or Owner Agents)Name: h Sig = ure ✓ Date: Contractor Name: Pe r- f ti e . "�� j ° 11/1114-b Vet i Signature / Lic.# Date: � dl Smoke and COform.doc revised 09/27/16 RECEIVE' WATER-CONSERVING PLUMBING FIX URES 12 j v D ` ., OWNER CERTIFICATE OF COMPLIANCE v.:.sx COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING D IVL ION BY Q . O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255CUPER / 408)777-3228•FAX(408)777-3333• buildinq(c�cupertino.orq Owner Name ` i cs' O Permit No. r —3-016 .71I ' �� � r - , Address 0 6 g9' (' ,,e4.5 r. F 0-(At Cit o 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 I orm 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 confi• I ation 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 Di 'sion. Skip the rest of the folin and sign bottom of form. ❑ 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 i orm 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, 19.4? ❑ No My real property is built and available for use or occupancy after January 1, 1"94. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the l orm and sign bottom of form. ❑ Yes My real property is built and available for use or occupancy on or before Janu:ry 1, 1994. ' Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three fol lowing statements and sign bottom of form.. 5. Please check ONE of the following: U 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 allon-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On o_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 req ' e 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 • ith 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 req ire 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 rep aced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes .,Iterations or improvements). I,as the owner or owner's agent of this property,certify under penalty of perjury that no -compliant plumbing fixtures will be replaced prior to date specified above with water-conserving plumbing fixtures in accord: ce with Civil Code Sections 1101.1 through 1101.8,the current California Plumbing Code and California Green Building Sta dards Code,and manufacturer's installation requirements,and that the water-conserving plumnbin fixtures comply with .e requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: Date: i l Q L6 Upon completing and signing this Certificate,please retu it to the Building Division in.rder to final your building permit. SB407 2015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FESTALED AND COMPLETED:UNTI-L THIS ( ,RTIFICATE$AS PEEN IG1�rED ANO RF'i ITRNEID TO THE BiiILDING DIVISION 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 0.5 gallons/flesh 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 cont-olled 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 ga Ions psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gal ons 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 rreeting 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/floe rate is equal to or lower than the figure shown,it is not required to be upgraded. SB407 2015.doc revised 08/26/15