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B-2016-2873
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20596 KIRWIN IN CUPERTINO, CA 950144317 (359 23 039) CONTRACTOR: DON WILLIAMS & PERMIT NO: B-2016-2873 ERIC NILSSON REMODELING, INC SCOTTS VALLEY, CA 95067 OWNER'S NAME: BLACK SUSAN J TRUSTEE DATE ISSUED: 01/17/2017 OWNER'S PHONE: 201-616-8097 PHONE NO: (408) 813-4455 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 5_ Lic. #985363 Contractor DON WILLIAMS & ERIC NILSSON REMODELING, INCDate X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL 07/31/2017 1 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. 1 ST FLR; REMODEL (E) HALL BATH & RECONFIGURE CLOSET I hereby affirm under penalty of perjury one of the following two declarations: AREA TO CREATE (I) 1/2 BATH (77 S.F. TOTAL) 1. I have and will maintain a certificate of consent to self -insure for Worker's REV # 1 - RECONFIGURE 1/2 BATH & CLOSET(S) - ISSUED 1/27- Compensation, as provided for by Section 3700 of the Labor Code, for the 2017 ,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 permit is issued. Sq. Ft Floor Area: Valuation: $15000.00 APPLICANT CERTIFICATION APN Number: Occupancy Type: 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 359 23 039 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 may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point 180 DAYS FRO T CALLED INSPECTION. source regulations, tf� Cupertino Municipal Code, Section 9.18. Issued by: Signature." Date 1/27/2017 Date: 944L742"7 7 Z / OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am 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 reasons: installed without first obtaining an inspection, I agree to remove all new materials for r. 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 (See.7044, Business & Professions Code) Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 01/27/2017 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 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. 1 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 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 the Health & Safety Code o s 25505, 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. Z, - be deemed revoked. Date: 01/27/2017 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction 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 is 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. Licensed • f NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVIII ON 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(a)-cunertino.org F� ADDrrioN R ALTERATION / -n "-0 REVISION / DEFERRED ORIGINAL PERMIT # G - Zol 4- 7-9 �-3 PROJECT ADDRESS e2,0!�;,f6 �--1 F- W I I APN # OWNER NAMEI'rIPHONE 0�0 E - MAI L 717 To I T" a 1 STREET ADDRESS e7o �f\J CITY, STATE, ZIP FAX CONTACT NAME J11 �1,t� PHONE <0 E-MAIL I I STREET ADDRESS CITY, STATE, ZIP n4Kf-11�,Jo FAX -OWNER El owNER-BuiLDER Cl OWNERAGENT X CONTRACTOR El CONTRACTOR AGENT 11 ARCHITECT El ENGINEER 11 DEVELOPER 11 TENANT ONTRACTORNAMEDO01WIP"S"ei CONTRACTOR NAMEDO LICENSE NUMBEF LICENSE TYPE BUS. LIC # tj %OiJ N Ugi-- COMPANY NAME N E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK' EXISTING USE PROPOSED USF CONSTR. TYPE #STORIES USE TYPE OCC. SQ,FT. VALUATION -- EXISTG AREA NE1VFLOOR AREA DEMO AREA TOTAL BATHROOM REMODEL AREA N =ELAREA r-- 'R OTHER OTHER L OD L REMODELAREA PORCH AREA DECK AREA I TOTAL DECK/PORCH AREA RA AREA: GARAGE GE ATTACH TA — [:] ATTACH #DWELLINGUNrrS: IS A SECOND UNIT LJYEs JAREA STORY SFCONDSTORY F1 YES E]Yj'S BEING ADDED? FINO LDFTACH ADDITION? r1NO ON AD � ? PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN YES 11 TOTAL VALUATION: Y" PLANNING APPL # r1NO PLANNING APPROVAL LETTER EICHLER HOME? E] NO ;CE�11) �RE -ye read this By my signature below, I certify to each of the following: I am the property owner or autff;irg—ager rTo—act on the property owS .-Lhq it is I to with all applicable local application and the information I have provided is correct. I have read the Description of Work and verify accurate. agwe c ordinances and state laws relating.to buildal tru�pon. I authorize representatives of Cupertino to enter the above-ifie—a4&19;Perty for inspection purposes. 'F -Z Signature of Applicant/Agent: Date: (A ?�� (,Io SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP El OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. D EXPRESS El PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PUBLIC WORKS To-& if any Hazardous Materials are being used as part of this project. El LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SFWERDISTRICT submittal of Buil ding Permit application. I 0 ENVIRONMENTAL HEALTH BldgApp201 Ldoc revised 06121111 Im A"('AIN,. 0 Cr - 0 ID j RT C0*) 28 -T- -0 D D. c oo (D C/) Lx c , ro C/5 E < (n 01 . B� ;v co 4" SO =v rrI In ......... ................ ............ m m CD a0 �z (D -�j U K 0 CD cz 0 CD m (D ccz 4 0 Cr - 0 ID j RT C0*) :3- CD cn (o co 3 (D CL c Lx 153 �i < (n 01 . B� ;v co 4" SO =v 00-o -ZEZ In ......... ................ ............ m m CD a0 �z (D -�j U K 0 CD cz 0 CD m (D ccz 4 "m CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2873 20596 KIRWIN LN CUPERTINO, CA 95014-4317 (359 23 039) DON WILLIAMS & ERIC NILSSON REMODELING, INC SCOTTS VALLEY, CA 95067 OWNER'S NAME: BLACK SUSAN J TRUSTEE DATE ISSUED: 01/17/2017 OWNER'S PHONE: 201-616-8098 I I PHONE NO: (408) 813-4455 LICENSED CONTRACTOR'S DECLARATION License Class B Lie. #985363 Contractor DON WILLIAMS & ERIC NILSSON REMODELING, INC Date 07/31/2017 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. 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 6 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. 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 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 City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulation e e Cupertino Municipal Cade, Section 9.18. Signatud Date 01/17/2017 OWNER -BUILDER DECLARATION I hereby affirm that'I am exempt from the Contractor's License Law for one of the followine two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec,7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Sec.7044, Business & Professions Code). 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 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 permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of 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 be deemed revoked. 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 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 City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. BUILDING PERMIT INFO: X_ BLDG —ELECT —PLUMB MECH X RESIDENTIAL COMMERCIAL JOB DESCRIPTION: 1ST FLR; REMODEL (E) HALL BATH & RECONFIGURE CLOSET AREA TO CREATE (I) 1/2 BATH (77 S.F. TOTAL) Sq. Ft Floor Area: I Valuation: $15000.00 "N Number: Occupancy Type: 359 23 039 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim Dunbar Date: 01/17/2017 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. . Signature of Applicant: Date: 01/17/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Co c o s 25505, 25533, and 25534. Owner or authorized age Date: 01/17/2017 CONSTRUCTION NDINA ENCY hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. CUPERTIN© CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 96014-3255 (408) 777-3228 - FAX (408) 777-3333 • buildincIP-cupertino.ora ❑ NSW CONSTRUCTION ❑ ADDITION' 13, zo 16, Z- S' ,7r-- W ALTERATION / TI r-1 RF.VTSTON / r)R.FF.RRF.TI 0RT(1INAT. PRRMIT 9 PROJECT ADDRESS APN # 20596 Kirwin Lane Cupertino 35923039 OWNER NAME S U +� PHONE E-MAIL Ashutosh & Pallavi Kulshreshtha (3LJVe K 201.616.8098 pallavi.kulshreshtha@gmail.com STREET ADDRESS CITY, STATE, ZIP FAX 20596 Kirwin Lane Cupertino CA, 95014 CONTACT NAME PHONE E-MAIL Pallavi Kulshreshtha 201.616.8098 pallavi.kulshreshtha@gmail.com STREETADDRESS CITY, STATE, ZIP FAX 20596 Kirwin Lane Cupertino CA 95014 10 OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCIn E-cf ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CQNTRACTORNAMF, ` i LI ENSENUT R LICENSE PE B 5 ( OMPANY AME E-MAIL FAX S ( SS U f/l t/ STREET A DRa'S / 6;2 2 �C� r J +JJV�tfiL C[TY, STATE, ZIP HONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK Remodel of first floor bathroom, reconfiguration of existing non load bearing interior walls to accommodate half bath. �`` r�c9 Q` EXISTING USG PROPOSED USE CONSTR. TYPE *STORMS I USE TYPE OCC. SQ.PT. VALUATIQN {$) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA DATfEi00MKITCHEN OTHER I113MODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: rIDETACH ❑ ATTACH 8 DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY [] YES ' BEINGADDED? ©NO ADDPCION? [ONO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE RLDGAN ❑ YES R CEF TOTAL VALUATION; PLANNINGAPPLB []NO PLANNING APPROVAL LETTER F.ICHLERHOME? EINO� By my signature below, I certify to each of the following: I am the property owner or authorized ager t t R file pro owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Worts and verify itis ac . I agree to comply with all applicable local ordinances and state laws relating to building constr�Iction. I authorize representatives of Cupertino to enter above=identified property for inspection purposes. Signature of Applicant/Agent: . ' Date; ®5 "1 G SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUrLDINGPLANREVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial 13ldgs: Provide a completed Hazardous Materials Disclosure 11 STANDARD ElPUBLicwoRKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ F1RE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to 13 MAJOR SANITARY SEWER DISTRICT ElNI submittal of Building Permit application. ❑ ENVIRONMENTALHEALTii. BldgApp_201 Ldoe revised 06/.21111 CUPERTINO 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 • building(a.cupertino.org PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314, R315, 2016 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, R315, 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) - (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every leve]. of a dwelling unit including basements and. habitable attics Within each sleepinLroom _ X X 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 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 inn 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: 20 S l jQ W I IV L N C U P f TW 0 cA- qSO !� Permit No. 9-2-014 -29 -1 Z G -2016-2-r? 73 Specify Number of Alarms: # Smoke Alarms: # Carbon Monoxide Detect( l have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: AS,4U%OSI; kU1_51-fkr-SH711,q- Signature ....... . ............................................................................................Date .!..`. !..... Contractor Name: Signature.................................................................. Lic.# ......................................Date:.................. OU Smoke and COfonn.doc remised 01/10/2017 CUPERTINO 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 • build ing(cDcupertino.org / Owner Name S +"� U I ©S 4 KYl_C'" E S 1-I T k A- Permit No. lam' -7,0I r 2 S 7 211� "2t� 16 - 2,!&7-3 Address tl— I QW IN C Al ; GU PFK?'iN0 CA 0Sa 1Y 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. C o Go to Question 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 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. �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. [�o 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.. 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 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 -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 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. A .../1 . _ , . , Owner or Owner Agent's Signature: MSAZ- Date:' / w I / Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB407 2015. doc revised 08/26115 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. SB407 2015.doc revised 08126/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /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 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 shown, it is not required to be upgraded. SB407 2015.doc revised 08126/15 G I COMMUNITY DEVELOPME T DEPARTMENT BUILDING DIVISION - UPERTINO APPRQV ❑ This set of plans and specification MUST be kept at the jeb site during construction. It is linlawful to make any changes or alterations ons rne, or to deviate therefrom, without approval from the Building Official. The Stamping of thisbe held to pe " plan spe ifc3tions SHALL NOT ons SHALL NpT.t r to an ap rnval of the violation ions y Ord trance or State Law. �HOIr� Y s- PF AC[T CEILING PIJW I ( ® REVISION 1 ASHUTOSH- ® ll LEGITID DEMO PALLAVI 'S EXMG "ALL TO REMWN HOUSE o NEW NON LOAD BEARING WALL 0 NEW GYP. CEILING 20596 KIRWIN LANE CUPERTINO CA 95014 o NEW CAN LIGHT NEW MIRROR LIGHT DUPLEX POWER POP UP POWER OUTLET X 'NEW' E 'EXISTING' GH GROUND FLOOR CIRCUIT INTERRUPTER KEYNOTES FIRST FLOOR T RECONFIGURE PLUMBING FOR VANITY & SHOWER PER NEW LAYO PLAN m NEW WC, VANITY. 'HALF TOILET SCALE: '=1' r ® D(ISTING POCKET DOOR ® NEW HEATED FLOOR ( ELIDING SHOWER `-� ,�.v�� .. SHEET: 2 OF 2 00 GARAGE (E)TOILL7- REPUCE (N) WC AT SAME LOCATION. 0 � BEDROOM �® P 6:1111 PQ FAMILY FI_OOR PLAN UP mPrMMLo 0 oil —. LIVING DINING KITCHEN �"wj LAUNDRY i SCOPE OF WORK: REMODEL OF BATHROOM (TI SF) ON FIRST FLOOR OF EXISTING HOUSE. RECONFIGURATION OF EXISTING NON LOAD BEA INTERIOR WALLS TO ADD NEW HALF TOILET ON FIRST FLOOR. THIS [WOLVES ASSOCIATED PLUMBING & ELECTRICAL THERE WOULD BE NO CHANGE TO EXISTING STRUCTURE. APPLICABLE CODES: 2013 CALIFORNIA BUILDING CODE 2013 CALIFORNIA RESIDENTIAL CODE 2013 CALIFORNIA PLUMBING CODE 2013 CALIFORNIA MECHANICAL CODE 2013 CALIFORNIA ELECTRICAL CODE 2013 CALIFORNIA ENERGY CCQE . DEQ# LO MN -PAR- NT 2013 CALIFORNIA GREEN BUIID ` _ ,_ CODE .-. G DIVISION - CUPERTINO M,.� CUPERTINO MUNICIPAL CODE Ser 0 7 D a u anO sp 'cifications MUST be < thE iob _ring .s`ri1 C r is lawful Q make any h = s a'. e as€ .ls e-: same or deviate thereTrom writ eut ape ova The starnoing cf thiS D a i and spedy-cafions SHALL NO - be he;d to perm t or to be al 3Dprota, r ,5a- _717 a_�ar u a ,. _vial nala y ASHU SH KEYNOTES m DEMO (E) VANITY, WALLS AS SHOWN. m REMOVE (E) DOOR AND INFILL (N)WALL ® REMOVE (E) POCKET DOOR. PREPARE FRAME TO INSTALL SWING DOOR 20596 KIRWIN LANE CUPERTINO CA 95014 FIRST FLOOR EXISTING & DEMO PLAN SHEET: 1 OF 2 m ols STUDY GARAGE (E)TOILEF. - REPLACE (N) WC SAME LOCATION. c� BEDROOM r.7110 UP Isis -''-.. N LMNG DINING KITCHEN -- i Department UOR PLAN EVIE -EFOR D- COMPi g E I do DaEND CEILING TOILET CEILING PLAN ASH UTO S I LEGEND PALLAVI DEMO EAG WAS TO REIMN HOUSE o NEW NON LOAD BEARING WALL 20596 KIRWIN LAP 0 NEW GYP. CEILING CUPERTINO CA 95 o NEW CAN LIGHT NEW MIRROR LIGHT DUPLEX POWER POP UP POWER OUTLET N 'NEW' E 'E)(ISTING' KEYNES GROUND FLOOR CIRCUIT iwBRUPTER FIRST FLO ® PILUMBING PER NEW LAYOUT PLAN FORONFIGURE VANIIY & SHOWER (2) NEW WC, VANITY. f 7f. ® NEW DOOR IN CLOSET AND HALF TOILET (� INSTALL SWING DOOR SCALE: "=1 SHEET: 2 OFZ