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B-2017-0018
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0018 7548 PEACH BLOSSOM DR CUPERTINO, CA 95014-5227 (366 11 128) AFFORDABLE WATER HEATERS AND PLUMBING INC 28358 CONSTELLATION RD VALENCIA, CA 91355 OWNER'S NAME: CHEN HSIN HSUAN AND SOPHIA CHIN DATE ISSUED: 01/04/2017 OWNER'S PHONE: 669-226-0113 PHONE NO: (855) 345-9087. LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic. #627368 - Contractor AFFORDABLE WATER HEATERS AND PLUMBING INC Date X BLDG _ELECT X PLUMB MECH X RESIDENTIAL _ COMMERCIAL 09/30/2018 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 JOB DESCRIPTION: license is in full force and effect. (N) 50 GAL WATER HEATER (SAME LOCATION) 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 i .e ormance of the work for which this permit is issued. zg a and will maintain Worker's Compensation Insurance, as provided for by ' t) Jon 3700 of the Labor Code, for the performance of the work for which this # ' Sq. Ft Floor Area: Valuation: $2799.00 t is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number. Occupancy Type: information is correct. I agree to comply with all city and county ordinances 36611 128 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 PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities, judgments, costs, and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally, Jhe applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION. source regul la Cupertino Municipal Code, Section 9.18. 7 Issued by: Abby Ayende Signature � Date 1/412917 Date: 01/04!2017 v `V i ` OVOW11- ARATION I hereby ofrm at I am exempt from the Contractor's License Law for one of the RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following tw asons: installed without first obtaining an inspection, I agree to remove all new materials for 1. I, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature pf Applicant: 2. 1, as owner of the property, am exclusively contracting with licensed Date: 1/4/1017 contractors to construct the project (Sec.7044, Business & Professions Code). 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(x) should I stare or handle hazardous s. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by tbye.uality Management District I shall not employ any person in any manner so as to become subject to the will maintain compliance withthicipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the'Health & Safety C5, 25533, and 25534. exemption, I become subject to the Worker's Compensation provisions ofthe Labor Code, I forthwith with such or this shallOwner must comply provisions permit or authorized agent ? vlt be deemed revoked. L Date: /4/2017 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is CONTTR CTION LENDING AGENCY I hereby affirm that there is aonstrluction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit issul ed (Sec. 3097, Civ C.) \IJ relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree 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 plans shall be used as public records. Code, Section 9.18. • COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org ''°PLUMBINGnMF.('HATTT(`.AI. I IFTF('TRTCAT I—Irarcrr~rr A� Si#907-4A1 - Piro- ----- PROJECT ADDRESS v g� ry) N `Jt�4 — APN #?�7 ( 1 OWNER NAME ONE6 E-MAIL ° t STREET AD SS � } � l " CIT, STAT °�s � � �d / 1 FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT Co ` U LICENSE BER y r LV 7 LICENSE E BUS. LIC # COMPANY N' „QCs EMAIL � �„ . � 9 � (,oy��(i FAX STREET ADDRESS CIT STATE,Z� y �� C �� "! j ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL , FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SID or DUPLEX ❑ MULTI -FAMILY BUILDING: El COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA © NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO ` DESCRIPTION OF WORK {� /L p p �1 _ (��} ja6n \ ✓ ``�i JV TOTAL VALUATION: RECEIVED BY: r By my signature below, I c rtify to each of the following: I am the property owner or authorized agent to act on the property o er's half. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is acc t I a e to comply with all applicable local ordinances and state laws relating to b onstruction. I authorize representatives of Cupertino to enter the aboe- deryfie p rt for inspection purposes. SignatuleofApplicant/Agent: Date: `"`�� SUPIP11ENfENTAL INFORMATION REQUIRED V OFFICL USE ONLY ❑ OVER-THE-COUNTER ❑ .EXPRESS ❑ STANDARD - ❑ LARGE. F. ❑ MAJOR MEPMiscApp 2011.doc revised 05/21111 s SMOKE /CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408) 777-3228 c FAX (408) 777-3333 • building(ftupertino.org PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN COMPLETED SI Nom, AND R,ETURNLD TO THE BUILDING DIVISION 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 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMA'T'ION Existing single-family and multi -family dwellings shall-beprovided-w tli Sm6ke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: -- AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room r X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section 8314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for -alarms which nmust_be.connected_to the_building_.wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address: �� �O-�m ��� ` Permit No. --avl$ Specify Number of Alarms: # Smoke Alarms: # Carbon Monoxide Detectors: ,r I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: � ..-2--1 C'� �, j J(,�h � Signature... �r%.. .............................. ..................................Date: ............:.................................................................................................................... Contractor Name: ' Signature.................................................................. Lic.# ......................................Date: Smoke and CO form. doe revised 09/27116 UPERTIN0 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(�i_)ciapertino.org Permit No. ��j? �l �A- A A 2 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. liq-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? ti ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. _.-0 The licensed_ plumber's certficationhas.been provided to the Building Division. Skip the rest of the form and sign bottom of form. 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 Lo Go to Question 4. Skip the rest of the form and sign bottom of form. 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. 4 -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. lease check ONE of the following: 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 - pluinbirig fixtures to lie replaced with wafer --conserving pliunbing 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 page. _ Owner or OwnerAgent's Signature: /// -�' z � , Date: .7 -a -/-1- Upon completing and signing this Certificate, please return it to the Burlamg Division in oraer to nnai your ounamg permi L. SB407 2015. doe revised 08/26115 1. If the existing plumbing fixture water usage/flovN rate is equal to or lower than the figure shown, 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 Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential I 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 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/flovN rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08/26/15