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B-2016-3247CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3247 20254 NORTHGLEN SQ CUPERTINO, CA 95014-0520 (316 41 050) STREET PLUMBING AND ROOTER SAN JOSE, CA 95128 OWNER'S NAME: AGRAWAL DHEERAJ AND GOYAL HARSHITA I J DATE ISSUED: 12/09/2016 1 OWNER'S PHONE: 608-335-8640 1 1 PHONE NO: (408) 496-1155 X_I orl• s.:. I s► License Class Cif Lic. #582217 Contractor STREET PLUMBING AND ROOTER Date 12/31/2017 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: 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. 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 Wy the Cupertyftp Municipal Code, Section 9.18. BUILDING PERMIT INFO: X BLDG —ELECT X_ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL DESCRIPTION: :ACE 40 GAL WATER HEATER - GARAGE Sq. Ft Floor Area: J Valuation: $1300.00 APN Number: Occupancy Type: 316 41050 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Date 12/9/2016 I Issued by: Abby Avende OWNERAREMDER DECLARATION 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) z. 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. 1 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. 3. I 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 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 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 12/9/2016 RF. 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: 12/9/2016 BE 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 Co e, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 12/9/2016 TR TI A I hereby affirm that there is 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 ARC'1HTECT'S DECLARATION I understand my plans shall be used as public records, Licensed GENERAL PERMIT APPLICATIONMEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 • building0cupertino.orp CUPERTI[NO misc PLUMBING [:]MECHANICAL []ELECTRICAL ❑MISCELLANEOUS PROJECTADDRESS 202s A09;1u6, T l &^UArF' APN# 3Ij_� h —'-0-cZ ME r�OWNERNAOitur_ P'�6R/l�"WAL ' PHO 609 33S-J?6y E-MAIL STREET ADDRESS ,70 Z,r / �%v j/ r 1 i; " ,C^ CITY, STATE, ZIP C i (RE7714v'+Q nr / c( FAX CONTACT NAME M fg L C7 y E -MAH. Ik � �`.Lw�_ �u� L,► t/ STREET ADDRESS 311��n kt cove, �;jr,,Ap ` `�+FA7 ' 9 AC CA S� ► p �f 9(-G3.rS- ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME /� LICENSE NUIMER /_71 LICENSE TYPE /t ;j G BUS. LIC # pO� ,COMPANYNAME g/PY— • / .. E-MAILks�-2lumbl MAS776 -63 STREET ADDRESS _(n Y, STA r SI`TI.Vt �tGt ARCHITECT/ENGINEERNAME LICENSE NUMBER y (j BUS. LIC# v COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE. OF FD .r DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND El YES PROJECT IN ❑ YES IS THE BLDG AN E3 YES BUILDING: 0 COMMERCIAL URBAN INTERFACE AREA NO FLOOD ZONE >jj�NO EICBLER HOME? NO DESCRIPTION OF WORK r� , _ r ` � r r r Gb TOTAL VALUATION RLCIYEIIIY: 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 bu' ding cons n, I auth re resetives of Cupertino to enter the above -id ntified property for inspection purposes. Signature of Applicant/Agent: Date: SLITTLEMENMAL INFORMATION REQUIRED re sy 777777 � { IsTAIliZ1ARI1t `A3CisE ,M77 A7'41i1Z MEPMiscApp_2011.doc revised 06/21/11 PURPOSE SMOKE CARBON MONOXIDE. ALARM' OWNER CERTIFICATE OF COMPLIANC COMMUNITY DEVELOPMENT DEPARTMENT, BUILDING DTVI 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building C( cupertino.org _.. IF I I E 2 1t� 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 aild 907.2.11.2 where ho interior access for inspections are required. GENERAL INFORMATION Existing single-family andmulti-family dwellings shall be provided,with StH__o_ Alai 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 CO ALA.RM Outside of each separate sleeping area in the immediate vicinity of i X X the bedroom(s) On every level of, a dwelling- unit including basements i X - X_ Within each sleeping room1 1 X I, Carbon Monoxide alarms are not required in dwellings which dont contain fuel -burning appliances and that do riot have art attached garage. Carbon monoxide alarms combirned',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 coi7unercial power supply, alarm(s) may be solely battery. operated. Iia existing dwelling units, alarms are permitted to be solely batteryli operated wher':e 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 42016.2. An electrical permit is required for alarms which must be connected to the building wiring. - 1 i As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been nastalled 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. / t Address: .x02,9 � M0417�L 6LF-?-J SOLU-A Specify Number of Alarms: Smoke Alarms: 1 have read and agree to comply with the terms Permit No. IS- 201&-3Zz a# CarbonlMonoxide Detectors: conditions of this statement Owner (or Owner Agent's) Name: i [��4�� Signature........ ............ ...................... ................................Date: ............................................................. ........... ........................ :................. ............... Contractor Name: �i/tet flaw0lNG.1 a ......... ........ Signature.. Lica .M21 M2-17...............Date: i Smpke and CO.fonn.doc revised 0912.7116 T IN Owner Frame I AC WATER -CONSERVING PLUMBINGFIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 777-3228 • FAX (408) 777-3333 Address 202sy X 3-20/G - 32{7 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 110101 through 1101.8 do not apply. Skip the zest of the form and sign bottom of form. ❑ No Go to Question 2. i i I 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 formarid`sip-�66ttoiii of-foiin: `— y No_ Go -to Q11estion-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 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 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 :est 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., j 5. Please check 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 vThether property undergoes alterations or improvements). ❑ Myproperty is a m.ultifandly 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.4 _ �- On or before'Januaiy 1; 2019, all non=compliarrt'pluinbing fixtures shall be replacedwithwater- 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 peijuiy that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures iniaccordance 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-conselving plumbing fixtures comply with the requirements as indicated in the table on the following page. Date: 0.24 Zy 1 20 1l Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB407 2015. doc remised 08/26/15 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the ,figure shown, it is riot required to be upgraded. i i i SB4072015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum WaterUsa a/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 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 S�howerheads (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 onlyone 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 0.6 gallons per minute @ 20 psi ! In common and public use areas: i0.5 gallons per minute @ 60 psi 1.8 gallons per minute CED 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 f ;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 unavailalble; 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 riot required to be upgraded. i i i SB4072015.doc revised 08/26/15