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B-2016-3105I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 23500 CRISTO REY DR UNIT 209C CUPERTINO, CA 95014-6523 (342 53 043) NAME: ROSS SARAH L TRUSTEE OWNER'S PHONE: 650-537-1523 LICENSED CONTRACTOR'S DECLARATION Al? ATI N License Class ja Lic. #2j1_8_1 7 Contractor BAYAREA ENTERPRISE Date 03!3112017 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: 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// I have and will maintain Worker's Compensation Insurance, as provided for by 61 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION 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 applic understands and will comply with all non -point source regulation,—,p& the Cupertino Municipal Code, Section 9.18. Signature,4,' Date 11/16/2016 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 (Sec:7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. L 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. s. 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 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 taws 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 11/16/2016 CONTRACTOR: PERMIT NO: B-2016-3105 BAY AREA ENTERPRISE SAN JOSE, CA 95148 DATE ISSUED: 11/16/2016 PHONE NO: (408) 238-5043 BUILDING PERNUT INFO: BLDG X ELECT _ PLUMB MECH X RESIDENTIAL _ COMMERCL&L JOB DESCRIEPTION: UPGRADE ELECTRICAL; (20 OUTLETS) - (8 SWITCHES) - (5 RECESSED LIGHTS) - (1 BATHROOM FAN) Sq. Ft Floor Area: { Valuation: $2500.00 APN Number: Occupancy Type: 342 53 043 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROA LAST C'ATLED INSPECTION. by: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 11/16/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505; 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections_;5905, 25533, and 25534. Owner or authorized agent:' Date: 11/16/2016 f— CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION- COMMUNITY PPLI ATI .COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE a CUPER i INO, CA 95014-3255 PEl €NO (408) 777-3228 s FAX (408) 777-3333 a building ia?eup�riinct_org b-4;.26, � /"`� f�°'�' NEW CONSTRUCTION � ADDFHON LTERATION J T1 � REVISION I DEFERItE1 UG AL PERMIT �✓ v► PROTECTADD!{FSS j,b C,APNn 3 Z ,`7 3 > V `% OWNER XAME K05 s5:a,*-a L <= PSiONE C- E-MAIL -ME f6V-U TA - f �r N� t RSC •C i ®(i-i STREETADDRESS � _ C1TY�STAT$ ZIP ! _ di CK–`p FAX - .�Q- ir'L "ted CONTACT NAME - -- � PHONE E -M 4r-0Pj STREETADDRESS y� 'A Z l t G CITY. STATE. ZIP FAX i- C. IR aT sf ,/ Q. OWNER 0 OWNS R -BUILDER 0 OWNER AGENT IId CONTRACt`OR. 0 CON RACTORAGENi 0 ARCHITECT ❑ EN*GINEM- 0 DEVELOPER 0 TENANT CONTRACTORNAIME l r LICENS NI LICENSETYPE BUS.LICi€ COMPANY NA.NIE E-MAIL � FAX a Ye rt d a .ct� STREETADDRESS cny STATE,Zi; ?-110 PHONE � -" t r'► a 4r4 23 -- 05 ARCHITECTIENGINEERNAME LICENSENUMBER BUS- LIC 9 - COMPANY NAME E NIAIL FAX STREETADDRESS Cn Y, STATE,ZIP PHONE pp ii DESCRIPTION OF lir Uf4v" % y Alk - - EXISTING USE PROPOSED USE CONSTR TYPE 9 STORIES - USE TYPE OCC. SQ -FT- VALUATION EXISTG NEW FLOOR DE110 TOTAL - AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL. AREA REMODEL AREA' REMODEL AREA PORCH AREA 13ECR AREA TOTALDECKIPORCH AREA , GARAGE AREA: DETACH - - - - © ATTACH DWELLING UNITS; ISASECONOUNrr OYES SECONDSTORY [OYES BEING ADDED? ©NO, ADDITION? ONO PRE APPLICATION E3YES IF YES. PROVIDE COPY OF IS THE BLDG AN Q YES It,E - D Y L VALUATIQN_ . PLANNRtiGAPPL#I ONO PLANNINGAPPROVALLETTER EICHLERHOME? ❑NO FOT _. 2 By my signature below, I certify to each of the follo ' g Iain the property owner orauthorized gent to actors the property owner's behalf I have ead this application and the information I have provided is c t. I hav d the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to budding co ction. a orize representatives of Cupertino to enter the above -identified proprty for inspection purposes. ? I� ��,1® Signature of Applicant/Agent Date. SUPPLEMENTALMORMATIONREQUMD PLAN CHECK TYPE ROUTING sLtP 0 OVER -THF COUI TER 0 BUILDINGPLAN R W New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building L-1_ EXPRESS ❑ _PLANi4TNGrLANRL'VYEFv. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 sTANDmw ❑ PUBLIC WORKS To—nn if any Hazardous Materials are being Used as part of #his project. p LARGE FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to Q MAaox , . D SAMTARY SEIYER DISTFUCr submittal of Building Permit application. . 0'rwimoNngwAl.. BldgApp 2O]Ldocrevised06121111 CUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIi 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building g0_cui)ertino.org PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN COMPLETEb ' > .� i.,AND RETURNED TO THE BUILDING LIIVISION PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbpn 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. i 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 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 i CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On ever 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 do not have an attached garage. Carbon monoxide alarms combined with smoke 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 In existing dwelling units, alarms are permitted to be solely battery operated where rl not result in the removal of wall and ceiling finishes or there is no access by means of space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electric alarms which must be connected to the building wiring. . As owner of the above -referenced property, I hereby certify that the alarm(s) referen installed in accordance With the manufacturer's instructions and in compliance with and California Residential Codes. The alarms specified below have been tested and date signed below. ,p Address: _23� Specify Number of Alarms: #_Smoke Alarms: I I I # I have read and anraa-tn rmmply wash fha forme nnrl nnnrlifinn —c 41,;, appliances and that shall comply with lely battery operated. airs or alterations do tic, basement or crawl permit is required for I above has/have been California Building operational, as of the No. Z4><Jr- — 3(Q!-- (or Owner Agent's) Name: �_ �OJwner C ? Signature...................................................... . Date: f ........................ ................................................................. ...................................... Contractor Name: ........... I............ Signature...........................................................:...... Lic.# .............:........................Date: i Smoke. and CO fonn.doc revised 09127/16 192171we�� COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 1O8DDTORREAVENUE ^CUPERTNO.CA95O14'3255 w0EU777'3228^FAX (4D0777-3833^ 0/4 �,-S}C�, -3"— I. Is your real property a registered historical site? 0 Yes' Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. N3 No Go to Question 2. 2. Does your real property have a licensed plumber certif3ing that, due to the age or configuration ot the property or its plumbing, installation of water-cons-erving plumbing fixtures is not technically feasible? 0 Yes Civil Code Sections 1101.1 through 1101.8 donotapply. EX The licensed plumber's certification has been provided to the Building Division. - Skip the rest of the form and sign bottom of form. �PNo Go to Question 3. 3. Is water service permanently disconnected for your building? 1:1 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form andl sign bottom of form. P11"No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? i gNo My real propel ty 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.. Please check ONE of the, following: 0 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 propel ty. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- Icompliant 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 propel ty undergoe alterations or 0 My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or illiprovements shall require non- �ornpliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. I 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 propel ty undergoes alteration� i or improvements). 1, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliaAt plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance withlCivil Code Sections 1101. 1 through 1101.8, the current Califorriia Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with -the requireinents as indicated in the table on the followiniz vaRe. 2015.doc revised 08126115 1. If the existing plumbing fixture water usage/tIow rate is equal to or lower man ine ngure snown, !LIS IIUL irquI1(Z;U LU UC UJJ�ICLUUU- SB407 2015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow'iRate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPQ Ch. 4 2013 CPC Ch. 4 /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 0.5 gallons/flush I 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 byl,a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the showeri ,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 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi 1 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/tIow rate is equal to or lower man ine ngure snown, !LIS IIUL irquI1(Z;U LU UC UJJ�ICLUUU- SB407 2015.doc revised 08126115