Loading...
D-2016-0426CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: D-2016-0426 19916 PRICE AVE CUPERTINO, CA 95014-3339 (369 04 028) DIG & DEMO INC SAN RAMON, CA 94583 OWNER'S NAME: LEUNG EDMOND YIUMAN AND ADA PUI-YEE DATE ISSUED: 12/13/2016 OWNER'S PHONE: 408-373-0909 PHONE NO: (925) 9334448 I NCD CONTRACTOR'S TOR' DECLARATION BUILDING PERM IT INFO: License Class GENERAL ENGINEERING CONTRACTOR Lic. #1 99D4Z Contractor DIG & DEMO INC Date 06/30/2018 _BLDG ELEC PLUMB MECH X RES ENTIAL 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: POOL DEMO_ (497.66 SF) LANDSCAPE PURPOSE ONLY I hereby affirm under penalty of perjury one of the following two declarations: 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 performance of the work for which this permit is issued. z 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: $8000.00 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 "N Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 369 04 028 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 E3 PIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 18 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations p9r the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 12-13-2016 gY Issued b : Kim D bar OO)YNER-BUILDER DECLARATION Date: 12/13/2016 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 in ccted prior to any roofing material being installed. If a roof is t. I, as owner of the property, or my employees with wages as their sole installed without first btaining 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 (Sce.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature ofApplican : contractors to construct the project (Scc.7044, Business & Professions Code). Date: 12-13-2016 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 2. 1 have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliant with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. s. I certify that in the performance of the work for which this permit is issued I Health Safety Code, material. Addition Section 25532(a) should I store or handle hazardous hshould I use equipment or devices whic. 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 Worker's Compensation laws of California. If, after making this certificate of will maintain compt ante with the Cupertino Municipal Code, Chapter 9.12 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. Owner or authorized agent: APPLICANT CERTIFICATION Date: 12-13-2016 - I certify that I have read this application and state that the above information is !ONSTRUCTION I hereby affirm that i LENDING E NCY here 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 t ils permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city 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, 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 pla beused s shall be used as public records. Code, Section 9.18. Licensed Signature Date 12-13-2016 Professional DEMOLITION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CUPERT'INO (408) 777-3228 • FAX (408) 777-3333 • buildin cu ertino.or 6 —2--0 -b -2-- PROJECT ADDRESS —T7 # 3 -JV -2— OWNER 2teOWNER NAME+�' 1 �P s� ��J���C E-MAIL STREET ADDRESS ;/,`� CITY, STArTE, ZIP g FAX CONTACT NAME ! p PHONE P} v ®1s� F E-MAIL {�ua�t !%�•� f fJ , D. STREET ADDRESS $CITY, STATE, ZIP o FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER.AGENT 'CONTRACTOR. ❑ CONTRACTOR AGENT ❑ CHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LI SE TYPE BUS. LIC #, COMPANY NAME E-MAIL FAX STREET ADDRESS/ lel 9G�83PHONE 9Z3r 3zi C1TY,STATE,ZIPJam,_ DESCRIPTION OF WORK (�lr�.��.-f-e rs�5 jJ ��P�-fi.�cf G�-I��-f='eI �� Scr�✓C� RESIDENTIAL #DWELLING©IFICx' IT�CE FLOOR AREA UNITS COMMERCIALik* 'Lg FLOOR AREA Y M TYPE OF CONSTRUCTION # STORIES AQMD JOB NUMBERRE Y TOTAL VALUATION: ,t #: a pomm tt By my signature below, I certify to each of the following: I am the property owner or authorize agent to act o the properly 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 abo ve -id entifie d property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT ©zcE oNLY '' Provide Job Number from Bay Area Air Quality Management District www.baNmd.org. @ 415-749-4762. PI AI#I =! (] EXPRESS Provide three copiesof a site plan showing protection for any trees 10" in diameter or more at 'above grade, © sTaxDARn Provide letter from PG&E (408-725-3325) stating all gas and electric has been disconnected.19. F Planning Dept clearance to verify building isnot considered an historical landmark. Allow 10 business days. D IKAsoR Provide letter of clearance of all vermin from a licensed pest control contractor. s Applicant shall call the Public Works Department at 408-777-3104 and schedule a "habitable welling" inspection. x T Provide signed Debris Bin and Recyclable Materials form. Commercial Buildings Only: Provide Fire Dept clearance for fire suppression / alarm system eview. DemoApp 2016.doc revised 03129116 CUPS RTINO SMOKE i CARBON MONOXIDE ALRMs OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255- (408) 777-3228 • FAX (408) 777-3333 • building cu erti c 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. .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 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) On every level of a dwelling unit including basements Within each sleeping room Date: ......i'..'.l.�.9.?.C............... X X _ X _ X X Carbon Monoxide alarms are not required in dwellings which do not cont iri fuel -bunging appliances and that do not have an attached garage. Carbon monoxide alarms combined wit smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Ma steal. Power Supply: In dwelling units with no corrunercial power supply, alarrr In existing dwelling units, alarms are permitted to be solely battery operat not result in the removal of wall and ceilin- firdshes or there is no access b space. Refer to CRC Section R314 and CBC Sections_ 907.2.11.4 and 420.6.2. alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm installed in accordance with the manufacturer's instructions and in compli and California Residential Codes. The alarms specified below have been tE date signed below. / f` �, /rs c✓�/ Address: 111911t, Pt 7 Ce C&q �1 0 LA ! �(q Specify Number of Alarms: # Smoke Alarms: s) may be solely battery operated. d where repairs or alterations do means of attic, basement or crawl kn electrical permit is required for s) referenced above has/have been nice with the California Building sted and are operational, as of the Permit No.1) - 4X16 =UjpV Carbon Monoxide Detectors: I haves road and arrraa to rmmnfv with the terms and cnmWons of this statement owner (or Owner Agent's) Name: C_ � l7a-3�G Signature--....... .?� ....4 ........ .....::...� ............................................ ............................................................. ........... Date: ......i'..'.l.�.9.?.C............... Contractor Name: Signature................................................................ Lica ......................................Date: Smoke and CO fonn.doc revised 09/27/16 Owner Name .Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIAN E COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408} 777-3228 - FAX (408) 777-3333 • building(d.cupertino.org L-1.Permi No. i Ce Ave, C4141-211_�11n 0 CA x. i 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 form and sign bottom of form. V 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? I) ❑ Yes Civil Code Sections 1101 L 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. L/ 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 EZ' No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1 dNo My real property is built and available for use or occupancy after January 1, 1 Civil Code Sections 1101:1 through 1101.8 do not apply. Skip the rest of the ❑ Yes My real property is built and available for use or occupancy on or before Jana Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three fc bottom of form.. P15ase check ONF, of the following: CST My property is a single-family residential real property. See Civil Code Section 1101 On and after January 1, 2014, building alterations or improvements shall require all to be replaced with water -conserving plumbing fixtures throughout the building. On ( compliant plumbing fixtures shall be replaced with water -conserving plumbing property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.f On and after January 1, 2014, specified building alterations or improvements shall rec plumbing fixtures- to be replaced with water -conserving plumbing fixtures. On or before January 1,. 2019, all non-compliant plumbing fixtures shall be replaced conserving plumbing fixtures throughout the building (regardless of whether property 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 rec plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be rep plumbing fixtures throughout the building (regardless of whether property undergoes and sign bottom of form. a and sign bottom of form. 1, 1994. ving statements and sign ion -compliant plumbing fixtures -before January 1, 2017, all non - fixtures (regardless of whether non- compliant pith water - undergoes alterations or non- compliant with water- conserving ions or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that no!-coinpliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 110 1. 1 through 1101.8, the current California Plumbing Code and California Green Building St ndards 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 age. _ Owner or Owner Agent's Signature:` j Date: Upon completing and signing this Certificate, please return it td-tlie Building Division in order to final your building permit. SB40 7 2 015. doe revised 08%26/15 I f 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure sh��� n, it is not required to be upgraded. i SB4072015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Al$plicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC 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-Fami y Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.2 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/fl�sh 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 Showe rheads (A hand-held shower is considered a showerh ad.) 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 gajllons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi I 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 perinute I 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. minute @ 60 psi, and must gallons per minu e @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum . 60 psi 1.8 gallons per I inute 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 sh��� n, it is not required to be upgraded. i SB4072015.doc revised 08126115 License #993947, 926-933.4448 O r` Swimming Pool Abandonment Hales Removal 1) Break holes in the bottom of the pool and:spa 2) import clean fill material and compact 4) Bring area to original grade 115.00 OFFICE CO 1 f_______ -'--- -------- ---_ a Line of wall q_ 9.67 o CIV r CP co 0) L i ---- HOUSE r i -Ea s line 1 i 1 i s � O I� L — — — — — — — — — — t 135.97 PQM.MVNITY DEVELOPMENT DEPART% ENT PUILPING DIVISION - CWPERTIN APPROVED This set of plans and specifications MUST be kept it the job site during conSlniction. It is unla,vful 10 mak! any 6hanges or alterations on same, or to de late tt:erefrom. Without a ipgficial. Fh'e 5laroping or s clan anHALL NOT be held to fiery 2ncio be or ar -� . 1- of the viol Born of`any pwov�ionnof any City Ordinal :� or State _a,,u. 19916 Price Ave Cupertino, CA 95014 Scale 1 "=10'