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B-2017-0068CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0068 7549 NEWCASTLE DR CUPERTINO, CA 95014-5220 (366 17 072) GENMOR PLUMBING INC SAN JOSE, CA 95131 OWNER'S NAME: TAMMARO PAUL J AND ARLENE N TRUSTEE DATE ISSUED: 01/12/2017 OWNER'S PHONE: 408-257-5070 PHONE NO: (408) 855-8348 LICENSED QNTRA TOR' DECLARATION BUILDING PERMIT INFO: License Class C-36: B Lie. #833961 Contractor GENMOR PLUMBING INC: Date 07/31/2018 X_ BLDG _ELECT X PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing MECH X RESIDENTIAL COMMERCIAL _ with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REPLACE SEWER MAIN 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. -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 permit is issued. Sq. Ft Floor Area: Valuation: $6500.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 36617 072 representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. Additionally, the applicant unders nds will comply with all non -point source regulationsper th p 1 o nicipal Code, Section 9.18. WITffiN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Signature ( Date 1/12/2017 Issued by: Abby Ayende OWNER-BV=RDECL Date: 01/12/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale ($cc.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 1/12/2017 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 ofthe work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE z. I 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. permit is issued. maintain compliance with the Cupertino 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 25532(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 use equipment or devices which emit hazardous 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 compliance 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 25 5 3, nd 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. C Owner.or authorized agent: APPLICANT CERTIFICATION Date: 1112/2017 I certify that I have read this application and state that the above information is C S"N correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending a cy 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 complywith all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 1/12/2017 Professional ULM GENERAL PERMIT APPLICATICIV E P COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE'AVENUE • CUPERTINO, CA 95014-3255 =101 I S C CLIPPR7li�t0g PLUMBING 1 IMRCHANTCAT. 7 PT P('TRT(-AT 7 h/Tcr�T T Awrenrrc (408) 777-3228 •FAX (408) 777-3333 • buildinp(a�cupertino.or MEPMiscApp=2011.doc revised 0 PROJECT ADDRESS n� �� ' 1 A] u' APN # OWNERNAn�^, Vi PHONE CSW ys I ®Wj rl! MAIL STREET ADDRESS -Nevi ±1!2 ��, u FAX CITY, STATE, ZIP ►b, C fino i CONTACT NAME � PHONE l l py M-_ 82�6 (� R -MAIL STREET ADDRESS ��8 �d -KV v CITY, STATE, ZIP 0 FAX ❑ owNER ❑ owNEERR-BUILDER ❑ OV INTERAGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR'NAME LICENSE NUMBER �� LICENSE TYPEC BUS. LI18SC / 1 L� V" COMPANY NAME ww i • E-MAIL benm©r ��4aha� ca rVq FAX STREET ADDRESS rSed bQlrd e� e V CITY, STATE, ZIP �� ' PHONEtq� ,85:5_4 6 cJ 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 STRUCTURE: ❑ Commercial PROJECT IN WILDLAND PROJECT N URBAN INTERFACE AREA ❑ Yes El No FLOOD ZONE ❑ Yes ❑ NO DESCRIPTION OF WORK f Line 9"'C ' rA +e r® TOTAL VALUATION: �./�®• ®b RECEIVEDBY: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is co ct. I have ad the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building co ti orize representatives of Cupertino to enter the abcyve-identified property for inspection purposes. Signature of Applicant/Agent: j Date: i I �� // �O 17 S PPLEMENTAL IN O ATION REQUIRED {' OFFICE USE ONLY, I] .OVER -THE COUNTER -. Ems'" ❑ EXPRESS V W ❑ .STANDARD - J-' E LARGE: AfupR SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISI1 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina(a)-cugertino.org PERMIT CANNOT BE FINALED. UNTIL THIS CERTIFICATE AAS :BEEN COMPLETED, ANDFT N �� FD TO TAE BUILTIING DIVISION PURPOSE I 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 i 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 e that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) SMOKE ALARM X � _ CO ALARM X On every level of a dwelling unit including basements X j X I Within each sleeping room _ X i 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. hi 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 accessby 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 alarms) 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 pested and are operational, as of the date signed below. 11'' rte ��N; Address: 6 fL r1p_Ie �� '-�✓: � % Permit No A� Specify Number of Alarms: # Smoke Alarms: � # Carbon Monoxide Detectors: 1 7 1 F2 I have read and a ree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: Signature.. Ge'��fyyi[t 2 .........................Dae:/V .............................................................. Contractor Name: Signature................................................................. Lic.# .............`.........................Date: Smoke dnd CO form. doc revised 09/27/16 � j i DIM Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ) 777-3228 ;.SAX (408) 777 2,01-7 -'006 y - Address I . Is your real property a registered historical site? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Skip the rest of the form andsignbottom of form. L4NNo 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 technicallyeasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. I j ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. $—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 form and :sign bottom of form. Ivo Go to Question 4. I 4. Is your real property built and available for use or occupancy on or before January 11, 1994? i ❑ 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. J�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: ZL 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 buildSng� On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plwnbing fixtures i(regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section i101.5. 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. j On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whetherproperty 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 with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: Date: % 3 D I Z-0 Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08/26115 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the Ifigu�'re shown, it is not required to be upgraded. I SB407 201 S.doc revised 08126115 Non-CompliantWater-Conserving Plumbing Fixture PlumbingFixture l (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Wateel 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 toillets, 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 l 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 shoinrerhead.) 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 unitsk 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 08 gallons per minute @ 20 psi In comrrion�and public use areas: 10.5 gallons per minute @ 60 psi' 'per 1.8 gallons 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 I psi Faucets May temporarily increase May temporarily up to 2.2 gallons per 60 increase upto 2.2 minute @ psi, and must gallons per�minute @ default to maximum 60 psi, and imust 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons Iper minute Where faucets meeting @ 60 ps,i I 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 Ifigu�'re shown, it is not required to be upgraded. I SB407 201 S.doc revised 08126115