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B-2017-0099CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0099 1694 JAMESTOWN DR CUPERTINO, CA 95014-5315 (366 10 136) AFFORDABLE WATER HEATERS AND PLUMBING INC 28358 CONSTELLATION RD VALENCIA, CA 91355 OWNER'S NAME: UNNIKRISHNAN SRINATH AND BALASUBRAHMANYAN D DATE ISSUED: 01/19/2017 OWNER'S PHONE: 408-981-1424 PHONE NO: (855) 345-9087 LICENSED CONTRACTOR'S DECLARATION BUILDING PERAHT INFO: License Class C36 Lic. #827368 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. REPLACE 50 GAL WATER HEATER, SAME LOCATION (GARAGE) I hereby affirm under penalty of perjury one of the following two declarations: r. 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 Sq. Ft Floor Area: Valuation: $3072.00 permit 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 36610136 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 agains said City in consequence of the granting of this permit. Additionally, a licant understands and will comply with all non-point 180 DAYS FRO source regul ti., n p r the Cupertino Municipal Code, Section 9.18. �A�LLED�INSP�ECTI�ON. Issued by: A N Signature'- Date 01/19/2017 Date: 01/19/2017 DE RE-ROOFS: I hereby aJ�lhat 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 reasons: 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 of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 01/19/2017 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 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 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 shall not employ any person in any manner so as to become subject to the air contaminants as defined by the B y Air Quality Management District I C pe 'n Municipal Code, Chapter 9.12 and will maintain comp4*issued Worker's Compensation laws of California. If, after making this certificate of the Healt, Se 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 authoriz be deemed revoked. Date' 01/19/2017 APPLICANT CERTIFICATION INGAGENCY I certify that I have read this application and state that the above information is I hereby affirm thatstr tion lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which 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. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �� . ''+ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 --.�� (408) 777-3228 • FAX (408) 777-3333 • building&cupertino.org CUPERINOMISC LUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS "104-: 4 MGJ OWNER NAME S l PHO (y� � l U t ` 1 E-MAIL STREET ADDRES [e CITY, STATE, ZILPV FAX rues T&y1 r_ �hV)D CA q'56t-� CONTACT NAME �1 V r g _� �' � E-MAIL STREET ADDRESS \ W t CITY,S(ATE�ZTP FAX ❑ OwNER ❑ OwNER-BUIIDIER ❑ OWNERAGENT . ❑ CONTRACTOR ❑ coNTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONT TOR Ai QE A h� Q�CY �u� LICEN ENUM LIni (� �' PE BUS. LIC # ;z / T � .� COMPANY NAME L E-MAIL�{p F �(J�6 STRIfrStg rSe CIT TATE�ZIP CA n "1 PHONE `�^ �cA C ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY PROJECT INWI DLAND ❑ YES BUH DING: r-1 COMMERCIAL URBAN INTERFACE AREA E] NO PROJECT IN El YES FLOOD ZONE ElNO IS THE BLDG AN El YES EICHL,ER HOME? L] NO DESCRIPTION OF WORK /�}} LSb�!; TOTAL VALUATION: BECETVED BY: By my signature below, Itertify to eac ofthe following: I am the property owner or authorized agent on the o e application and the information I have v d is correct. I have read the Description of Work and verify it is accur e I a e to comply with all applicable loca ordinances and state laws relating to d con traction. I authorize representatives of Cupertino to enter the ab n e pro e for inspection purposes. Signature of Applicant/Agent: Date: ENT INFORMATION REQUIRED ° OMCE SE ON ER-TBE-COUKTER x :_ ❑ EXPRESS.-- - v V ❑ STANDARD - : ❑ LARGE ❑ MAJOR . MEPMiscApp 2011. doe revised 06121/11 r +CUPERTINO Owner Name - Address / � , WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-323 • FAX (408) 777-3333 "o /U Ur?1VF /aa -9 co/ 1. Is your real property a registered historical site? KI 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 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 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: - 2 --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. fNo Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? M"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: CMy 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 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 followina pate. Owner or Owner Agent's Signature: �, �- -�-� �-- _ Date: 0112 x-11 1 Upon completing and signing this Certificate, please return it to the Building Division in order to final your 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. SB407 2015.doe 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 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 Gallons/flush 0.5 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.doe revised 08/26/15 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)cuuertino.ora EI21iIT +CAN1(3T BE FiNAiLED TIL, T "HIS ITIFCATE 7 C ON1PL- ET ED, 9 AND ET TI2i�iED TO THEBUILDING PURPOSE fA$BrEN LiI'VISION �. , This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms.for compliance with 2016 CRC Section 8314, 8315, 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-farily,dwellings shall be provided with Smoke Alarm— S and Carbon _ Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314, 8315, 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 X X bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit includin basements and habitable attics X X j -- �YWithin each sleeping room 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, bv,,me-anNf attic, basement or crawl a space. Refer to CRC Section 8314 and CBC Sections 907.2.11.4 d 2 .6.2. e eC ical permit is required for alarms which must be connected to-the-"ouildirrg-wirlrig -_ As owner of the above -referenced proemr.I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacf6'S instruction d compliance with the California Building and California Residential Codes, The alarms specifie4-1:`5 have been tested and are operational, as of the date signed below. Address: 1,6 -�',rrm j�=S (� f�%� �(L 1 �"� d� ! /� a� Permit No. -6 e�Jl Specify Number of Alarms: # Smoke Alarms: # Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: G� AvIJCt%c rY , "Signature ....... `�� "'.. ....................................Dater' 2 Contractor Name: ® % Signature.................................................................. Lie.# ......................................Date:.................. 17; Smoke and COfo77n.doc revised 01/10/2017