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B-2016-3280CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10184 PARKWOOD DR APT 4 CUPERTINO, CA 95014-1406 (326 27 037) CONTRACTOR: THERMAL PERMI T NO: B-2016-3280 MECHANICAL SANTA CLARA, CA 95054 OWNER'S NAME: AVERY GLENBROOK LP DATE ISSUED: 12/19/2016 OWNER'S PHONE: 650-961-8330 PHONE NO: (408) 988-8744 LICENSED ONTR CTOR' D (T ARATTON BUILDING PERMIT INFO: License Class C10. C20, .RR CRR Lic. #256057 Contractor THERMAL MECHANICAL Date 01/31/2018 X BLDG X ELECT X PLUMB X MECH X RESIDENTIAL i 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: I hereby affirm under penalty of perjury one of the following two declarations: BLDG 53/UNIT 4; ADD (N) �C; REPLACE FURNACE, SAME 1. I have and will maintain a certificate of consent to self -insure for Worker's LOCATION; (N) WASHER AND SERVICE (70 AMP); (N) GAS DRYER HOOKUPS; (N) ELECTRICAL LINE FOR STOVE; (I) 9 RECEPTACLE Compensation, as provided for by Section 3700 of the Labor Code, for the OUTLETS; (I) 1 LIGHT; (I) BATHROOM EXHAUST FAN of the work for which this permit is issued. performance have and will maintain Worker's Compensation Insurance, as provided for by ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft FloorArea: Valuati n: $20000.00 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: Occupapcy Type: and state laws relating to building construction, and hereby authorize 326 27 037 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 the granting this permit. Additionally, the applicant understands and willl comply with all ll non -point WITHIN 180 DAYS pF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM L ST CALLED INSPECTION. Signatur'e'- ate 12/19/ 2016 Issued by: MELISSA NAMES f Date: 12/19/2016 OWNER -B 7TT D R DECLARATION RE I hereby affirm that I am exempt from the Contractor's License Law for one of the -ROOFS: following'two reasons: All roofs shall be inspected prior t any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an ' ispection, 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 ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 12/19/2016 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 mate ials 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 Co le, Sections 25505, 25533, and 25534. I.will permit is issued. maintain compliance with the Cu3ertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 5532(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 u ie equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by th will maintain compliance with thq Bay Area Air Quality Management District I Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, 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: 12/19/2016 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 CONSTRUCN I hereby affirm that there is a con' NCY truction 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 ARCHITE 1 understand my shall be used T'S DECLARATION as records. Code, Section 9.18. plans public Signature Date 12/19/2016 Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(aDcupertino.org Ct.�PERTIf'�f+i3 ^ �7 ^ lJ FINEW CONSTRTJCTTON I I AI�T)TTTnN IJU AT.TFR ATf0-K / TT 1 I RFVTSTON / T)F.FFRRFT) (IRTC TNAT. PERMIT # PROJECT ADDRESS 10184 Parkwood DR, BLDG 53, Unit#4 APN# 26 — 2 7 0 3 �- owNERNAME Aver Glenbrook LLC Y PHONE 65Q-961-8330 E-MAIi avery@pacbell.net STREET ADDRESS 130 East Dana Street CITY' STATE' ZIP Mt. View, CA 94041 FAX 650-961-0571 CONTACT NAME Rob Moyer PHONE 408-593-8115 E-1 rmoyer@thermalmech.com STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 FAX 408-988-0233 I ❑ OWNER ❑ OWNER-BUIIAER ❑ OWNERAGENT IK CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Thermal Mechanical LICENSE NUMBER 256057 LICENSE TYPE C-4,10,20,3638 BUS. LIC # 299 co'ANYNAME Thermal Mechanical E-MAIL rmoyer@thermalmech.com I FAX 408-988-0233 STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 408-988-8744 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP I PHONE DESCRIPTION OFWORK hook AMP), add new AC, replace furnace in same location, (N) washer/dryer ups, (N) electrical panel (70 (N) gas line for stove, (N) electrical outlets, (N) light, (N) bathroom exhaus fan EXISTING USE PROPOSED USE CONSTR TYPE I flSTORIES USE TYPE i CC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ODETACH []ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF TOTAL VALUATION: IS THE BLDG AN ❑ YES�actt PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLERHOME? ❑N By my signature below, I certify to each of the following: I am the property owner or au oriarly 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' c tru tion. I authorize representatives of Cupertino to enter the above-i%dent;'e for inspection purposes. /prop Signature of Applicant/Agent: Date: L / SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE RpuzlNcslrn 1] OVER-mr cou R ❑ REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building I ,ouiLDINGPLAN permit for new building. ❑ EXP"SS F ❑ ;PLANN1NGPLANREVIE'W Commercial Bldgs: Provide a completed Hazardous Materials Disclosure D STANDARD ¥, ❑ PUBLIC WORKS' _ form if any Hazardous Materials are being used as part of this project. 0 LARGE ,,, = ❑ PI'RE DEPT.. Copy of Planning Approval Letter or Meeting with Planning prior to -submittal ❑ MAJOR ❑ SANITARYSEWER DISTRICT of Building Permit application. ENVIRONMENTAL HEALTH BIdgApp 2011.doc revised 06/21111 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina(a.cur)ertino.oro PURPOnrl `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 $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 I SMOKE AL ARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) On every level of a dwellin, unit includin basements X X X X LWithin each sleepily room X Carbon Monoxide alarms are not required in dwellings wlvch do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with. smoke alarms shall comply with 'BC Secbon 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: ha dwelling units with no colrunercial.power supply, alarm(s) may be solely battery. operated.. Iii existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do. not result in the removal of wall and ceilirtg 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 building wiring. As oivner 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 in. compliance with the California Building aizd California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. �� Address: 1 � eer.,'�i ,��'—�� " � Permit No.� Specify Number of Alarms: Smoke Alanns: 1 1 1 # Carbon Monoxide Detectors: I l i / have read and agree to comply with the ter _and conditions of this statement Owner (or Owner Agent's) Name: Of �oeZo Signature....... ......... ....................................................................................... Date: -0/ 7 Contractor Name: �� / ��C'+� ( e��t ,�, Signature...... .. ........................... ... ................ / 0___ I____ � i*_—___- r__ - _ r"I ice -...i CUPERTINO Owner Name Address WATER -CONSERVING PLUMBING FIXTURES. OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(a)-cupertino.org / °).,W-;,"-/? - /-I C Pen -nit No. 1. Is your real property a registered historical site? , F1 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. P( No Go to Question 2. Does' your real property have a licensed plumber certifying that, due to the ago or configuration of the property or its .plumbing, installation of water -conserving plumbing fixtures is not technically feasible? IMYes Civil Code Sections 110 1. 1 through 1101.8 do not apply. l S The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. 0 No Go to Question 3. 3. Is water service permanently disconnected for your building? 171 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? 0 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. XYes 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: El 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 improvennetits). My property is a inultifamily 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. 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). El 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 plurnbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations, or improvements). 1, as the owner or owner's agent of this propel ty, certify under penalty of peljuly 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 -,vater-conseiving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature.: Upon completing and signing this Certificate, please return it to the Date: Division in order to final your building permit. 04072015.docrevised O8126115 - BUILDMG PEPAIIT CAl�?1VOT BE FIN a 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure sho-,vii, it is not required to be upgraded. SB4072015.doc rerised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/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 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 sho-,vii, it is not required to be upgraded. SB4072015.doc rerised 08/26/15