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B-2017-0019CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0019 1134 S STELLING RD CUPERTINO, CA 95014-5021 (362 26 005) AFFORDABLE WATER HEATERS AND PLUMBING INC 28358 CONSTELLATION RD VALENCIA, CA 91355 OWNER'S NAME: BEAM ROY D AND CATHERINE A DATE ISSUED; 01/04/2017 OWNER'S PHONE: 408-446-0164 PHONE NO: (855) 345-9087 LICENSED CONT A TOR' DECLARATION BUILDING PERMIT INFO: License Class C-36 Lie. # 28 7368 Contractor AFFORDABLE WATER HEATERS AND PLUMBING INCDate X BLDG —ELECT X PLUMB 09/30/2018 MECH X RESIDENTIAL _ 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 JOB DESCRIPTION: license is in full force and effect. (N) 40 GAL WATER HEATER (SAME LOCATION) I hereby affirm under penalty of perjury one of the following two declarations: i. ve and will maintain a certificate of consent to self -insure for Worker's o nsation, as provided for by Section 3700 of the Labor Code, for the p lance of the work for which this permit is issued. z h ve and will maintain Worker's Compensation Insurance, as provided for by S "rc n 3700 of the Labor Code, for the performance of the work for which this i Sq. Ft Floor Area: Valuation: $2120.00 pe 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 362 26 005 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, the"gpplicant understands and will comply with all non -point source regulation C o Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbyA e'l nde i Snature Date 1/4/2017 g Date: 01/04/2017 `s. OWNER -B TIL D`ER DECLR TION RE -ROOFS: I hereby affirm th't I a9m exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasgns installed without first obtaining an inspection, I agree to remove all new materials for i. I, as own o 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 of Applicant: z. I, as owner of the property am exclusively contracting with licensed Date: 1/4/2017 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 t. 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 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 z. 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(a) should I store or handle hazardous 3. 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 shall not employ any person in any manner so as to become subject to the air contaminants as defined by the B Area Air Quality Management District I will maintain compliance with the Cuertin "cipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, ch 5504 25533, and 25534. 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 Owner or authorized agent' °i be deemed revoked. Date: 1/4/2017 i) APPLICANT CERTIFICATION R N 1 certify that I have read this application and state that the above' information is I hereby affirm that there is aqonst ction 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 pe - 1t s issued (Sec. 3097, Civ C.) 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. 1—+'[q GENERAL PERMIT APPLICATION IRWAIEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTISriQ g PLUMBING n MECHANICAL I—I ELECTRICAL n MTSCF,T,T,ANF.01 TS (408) 777-3228 � FAX (408) 777-3333 • buildingCa7cuaertina.ar PROJECT ADDRESS ) f S 5a ..L J� APN r OWNER NAME - 'I i,I � , PHONE /CtslILJ.��L��, (Q �y [,f� E-MAIL STREET ADUSRESS %� CITY STATE ZI �? FAX Ali �' �11a l✓Y=i'" %�,����®' �..,_..�.�,.....__, CONTACT N PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP - FAX ❑ OWNER ❑ OwNER-BUHAER ❑ OwiNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CO CTL 12-vo`` t n 1� icy LICES�NtFR, �(,. LICEEE T BUS. LIC # ' COMPANY E 1 �e' E-MAIL t 7 e �y FAX ;^� � v" L 4 SCS 1 (` D �IyY V a�C�IP /� „l1 ARCHITECT/ENGINEER NAME , ®� LICENSE NUMBER �. _mm BUS. LIC # COMPANY NAME `�® E-MAIL �^•'�' FAX STREET ADDRESS CITY, STATE, ZIP ^ ^ ^ PHONE USE OF ❑ sFD or DUPLEX ❑ MULTI-PAMH,Y PROJECT IN WH,DLAND ❑ YES BUILDING: ❑ CONINIT-RCIAL URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK r;-� 'I ) i An I TOTAL VALUATION: l� RECEIVED BY : " By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the proBerty 0 er's behalf. I have read this application and the information I have p vId I correct. I have read the Description of Work and verify it is accurate../I agre to comply with all applicable local ordinances and state laws relating to b� , m ction. I authorize representatives of Cupertino to enter the ab o e-ife e p op& y for inspection purposes. t Signature of Applicant/Agent: ` I Date: (7t f Sup, r EMENTAL INFORMATION REQUIRED OFFICE USE ONLY © OVER-THE-COUNTER x ❑ EbPREss u ❑ :STANDARD ' U. ❑ LARGE _ Fy , ❑" MAJOR MEPMiscApp_2011.doc revised 06/21/11 SMOKE L CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO 1 CUPIER.I It4o 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-32 28 • FAX (408) 777-3333 • building(a.cugertino.ora i PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN . COMPLETED, SIG,,.AND R TO THE BUILDING DIVISION_ PURPOSE �- This affidavit is a self certification for the installation of all required Sinoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 wherle no interior access for inspections are required. GENERAL INFORMATION Existing single-family and -multi-family dwellings shall be provided with Smoke Alarins and�arbon _ - Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds .$1000.001 CRC Section R314 and CSC Sections 907.2.11.5 and 420.6 rewire that SmokeAlarms 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 I X On every level of a dwelling unit including basements X j X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not captain fuel-bur%ing appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC_Section420.6 and shall be approved by the Office of the State Fire' Marshal. i 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 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 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. j Specify Number- of Alarms: �sz'rfp,ipitNo.-O.A0I% ®a r�✓ I have read and agree to cDmply with the terms aAd conditions of this Owner (or Owner A/gLent�°s) Name: z � '© Signature ' ... .... .. .................. ... ...... .. i. Date: )A7/7 �!D �r / .................... ............................... ................................................................ Contractor Name: Signature.................................................................. Lie.# ......................................Date: Smoke and CO forna.doc t-evised 09/27/16 i i i WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION UPEFtTI �lf� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 I (408) 777-3228 • FAX (408) 777-3a33 • bLAdinq(@cupettino.'ora WWM-3fflomwmr 501MMMil - 9A, 1.y 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. g� Wo 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? j ❑ 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 form and sign bottom of form. - 4jNo 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. .;,,No Go to Question 4. I I 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. _�_i 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.. 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 whether property undergoes alterations or improvements). ❑ My properly is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvementsshall 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). ❑ 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 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 -conserving plumbing fixtures comply y 'With the requirements as indicated in the table on the following pLge. ,'caner —or Ownergent's Signature: _P -ate: t "- Upon completing and signing this Certificate,Vease return it to the Building Division in order to final your b 'lding permit. SB407 2015. doe revised 08126115 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the:figure shown, it is not required to be upgraded. I I SE407 2015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Cade Applicable to New Construction) Fixture Type Maximum Water; Usage/Flow Rate 2013 CPC Ch. 4 2013 CP C Ch. 4 2013 CPC Ch. 4 Water Usage g a /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 I 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 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 0.8 gallons per minute @ 20 psi In commonlandpublic use areas: i0.5 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 mean's 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 not required to be upgraded. I I SE407 2015.doc revised 08126115