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B-2016-3311CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-33 11 19681 MERRITT DR CUPERTINO, CA 95014-2437 (316 35 005) B J ELECTRIC INC SAN JOSE, CA 95125 OWNER'S NAME: TUTTLE LUCETTAS DATE ISSUED: 12/21/2016 OWNER'S PHONE: 408-393-3384 PHONE NO: (408) 971-6849 LICENSED CONTRACTOR'S DECLARATION BUILDING PERAH' INFO: License Class ELECTRICAL Lic. #849295 X BLDG ELECT ! PLUMB Contractor B J ELECTRIC INC Date 11/30/2018 — X MECH X RESIODi— TIAL 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 DESCRIPTI01N: UPGRADE PANEL (�00 AMP); 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. 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 Sq. Ft Floor Area: Valuation: $2000.00 permit is issued. 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 316 35 005 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 EX'IRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 18011 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 FIR OM LAST CALLED INSPECTION. ,,Signature Date 12/21/2016 Issued by: Abby Aygude Date: 12/21/2016 OWNER-BUH,DER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspe RE -ROOFS: cted prior to any roofing material being installed. If a roof is following two reasons: 1. 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) licensed Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with contractors to construct the project (Sec.7044, Business & Professions Code). Date: 12/21/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF OVERINGS 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. HAZIARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the haz�dous 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 permit is issued. maintain compliance 'th 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 & Safety Coe, material.contaminants Section 25532(a) should I store or handle hazardous should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the asAdditionally, air contaminants as defined by the day Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain complia ce 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, A533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. � Owner or authorize agent: APPLICANT CERTIFICATION Date: 12/21/2016 I certify that I have read this application and state that the above information is -CA)NSTRUCTION I hereby affirm that there LENDING AGENCY is a construction lending agency for the performance 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 of work's for which thi s 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, 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 I ARCHITECT'S DECLARATION and will comply -with all non -point source regulations per the Cupertino Municipal 1 understand my plan shall be used as public records. Code, Section 9.18. Licensed Signature Date 12/21/2016 Professional • COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingOa cupertino.orq li koww' — PLUMBING F-1mEmANICAL 9RUCTRIC,AT, I FJMTSCFT.T.ANF.C)ITS PROJECT ADDRESS�� /} // y� , f J Pk APN # `� 005 OWNER NAME ;� ✓1 LIPS ` , r f �) y�+yreV PHONE 4®? ��ry F� E-MAIL A r STREET ADDRESS�;j r b��f�af CITY, STATE, ZIP FAX CONTACT' NAME �% g PHO o�� / EMAIL y_ / !� (F� X STREET ADDRESS +- �(� 9+ ��yr j�/i l�4 VACONTRACTOR CITY, STATE, ZIP �� /a f� �� ��r® / /�/- ❑ OWNER ❑ OwNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR AGENT El AR HITECT ❑ ENGINEER ❑ DEVELOPER ❑/ TENANT CONTRACTOR NAME �%% Iy i l LICENSE NUMBERq 95- G / LICENSE E BUS. LIC # I--✓ fj COMPANY NAME Z,��. yf V(�C lam` E-MAIL. FAX �cf STREET ADDRESS �( �j 9 - > /V 6 CITY, STATE, ZIP S g•- ) ,! 7 j f 1 PHON ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY BUILDING: ❑ COMMERCIAL PROJECT IN WI DLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN FLOOD ZONE ❑ YES ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ' Cl NO DESCRIPTION OF WORK V w -Lf � "� " '1 %�® yy� V TOTAL VALUATION: RECEIVED Y: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on application and the infonnation I have provided is orrect. I have read the Description of Work and verify it is accurate. ordinances and state laws relating to building c n. I uthorize representatives of Cupertino to enter thea Signature of Applicant/Agent: Date: he property owner's behalf. I have read this I agree to comply with all applicable local ove-iden ' ed rope for mspecti purposes. SUPPLEMENTAL INFO ATION REQUIRED 6MCE USE ONLY ❑ OVER-THE-COUNTER Q. F ❑ EXPRESS _ © STANDARD - LJ ❑ LARGE A. © MAJOR MEPMiscApp_2011.doc revised 06121111 4i am SMOKE / CARBON'MONOXIDE ALARMS OWNER CERTIFICATE OF COIViP'LIANCE ,' COMMUNITY DEVELOPMENT DEPARTMENT'. BUILDINGOIVI�ION �.R • 10300 TORRE AVENGE - CUPERTINO,'CA 95614-3255 (408) 777--3228 • FAX (408) 777-3333 ® buildingOcupertino orp $ PERMIT CANNOT BE FINAL ED UNTIL THIS CERTIFICATE HAS BEEN COMPLETED, SLfiQNED4 AND TO THE BUILDING DIVISION PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monaide Alarms` -or. compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior acce_ ss for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and C_rbon Monoxide alarms. When the valuation ofwadditions, alterations, or repairs. to existing dwelling units excereds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that4Smoke Alarms andjor Carbos:,n Monoxide Alarms be installed in the following locations: _ AREA SMOKE ALARM COALARM Outside of each separate sleeping area in the immediate vicinity of X X , the bedroom(s) ° On every level of a dwellin tuut including basements X '. Within each sleeoin room X �� OM1'° _�• .'t: Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances �erid t�liat +"? do not have an attached garage. Carbon monoxide alarms combined with smoke alarms -shall comply*-ith7 CSC Section 420.6 and shall be approved by the Office of the State Fire Marshal...: t �t ' •tom a .,: a,�� �� yfi ,�.ta � Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery. opE rated.• In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations,. do) 7 �. not result in the removal of wall and ceiling finishes or there is no access by means of attic, basementor,cr -1 space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit isrequiredfor ay p alarms which must be connected to the building wiring., As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have bee " 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. _ j Address: j �3 k 9j R 9 C PK, Permit No. Specify Number of Alarms: # Sfhoke Alarms: 1 7t7-1 # Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: Signature!... .... Date: J�l ........................................................................ ! J ...............................p.............................. ............. .............. ............ ......................� Signature .................. Lic.# ...... v�d'S....).. ..Date: _ . j rq- ......................... / 66 `®`rye 6` Smoke and CO form.doc revised 09/27/16 Owner Name Address WATER -CONSERVING PLUMBING FIXTURES, f OWNER CERTIFICATE OF COMPLIANCE :A COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISI-b%111_ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 o FAX (408) 777-3333 • buildin-g(a)cupertino.org 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. ,ee 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? ❑ Yes Civil Code Sections 1101.1 through 110188 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. ,JZ'go 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 form and sign bottom of form. - 1 '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 rest 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.. 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 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 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-conseiving 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). ❑ 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 perjury that non-compliant 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 Standards 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 Dage. 3HR I Owner or Owner Agent's Signature: °` , _.--- Date: 51131 7-011 1 Upon completing and signing this Certificate, Blease return it to the Building Division in order to final your building permit. SB4072015.doc revised 08126115 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shoNyn, it is not required to be upgraded. SB407 2015.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 Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /Flow Rafe 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, I 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 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 shad 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 shoNyn, it is not required to be upgraded. SB407 2015.doc revised 08/26/15