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B-2017-0117CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: PERMIT NO: B-2017-0117 19375 GREENWOOD CIR CUPERTINO, CA 95014-3415 (375 43 006) R B TRAVIS LIVERMORE, CA 94551 OWNER'S NAME: YUYI-CHING DATE ISSUED: 01/23/2017 OWNER'S PHONE: 925-443-8304 PHONE NO: (925) 443-8304 LICE COMRACTOR'S MCLARATTON BUILDING PERMIT INFO: License Class C-36: BB Lic. #671157 Contractor R B TRAVIS Date 05/31/2017 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 - `performance of the work for which this permit is issued. i I have and will maintain Worker's Compensation Insurance, as provided for by J` - Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION 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. nature Date 1/23/2017 X BLDG —ELECT X PLUMB _ MECH X RESIDENTIAL, _ COMMERCIAL JOB DESCRIPTION: WATER MAIN SERVICE Sq. Ft Floor Area: I Valuation: $11275.00 APN Number: Occupancy Type: 375 43 006 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby A, e� nde Date: 01/23/2017 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 (Sec.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature ofAppHcant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 1/23/2017 hereby affirm under penalty of perjury one of the following three 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. 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 ` 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. Signature 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 Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 1/23/2017 CONSTRUCTION LENDING AGENCY I 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. Licensed Date 1/23/2017 Professional CUPERTI NO 01 t4 - GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION MEP 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina(E)cupertino.ong 7 numRTNC, F-1 ATP FT d TSI(` A T MM . T M MISC - L -_j LLlil. PROJECT ADDRESS 1 tail, t1L U IV1nk_ Y.LLP NhU U J OWNERNAME r PHONE Fi^` 443 E-MAIL STREET ADDRESS —9 FAX �} CONTACT NAMEPHONE J ,W ll E-MAIL STREETADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT . ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER El TENTAAT CONTRACTOR NAME � f LICENSENU14BER 7 `/6 7 LICEIVTSETYPE fabs `( BUS.LICf /^ I COMPANY NAME !! i yC( �/s/ I /i EMAIL /�1 J/ FA STREET ADDRESS '- 7�7l /!(/ CTTY,STIATE,ZIP ©� L& .J ` PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF 9 .SFD or DUPLEX ❑ MULTI-FAIVLII.Y PROSECT IN WIIALAND ❑ YES PROJECT IN ❑ YES BUILDING: ❑ COI`24FRCL' L URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ ATO IS TIS' BLDG AN ❑ YES ECHLER HOME? ❑ NO DESCRIPTION OF WORK I �` 14 / t r �r L' TOTAL VALUATION• G 1 By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property own is behal . I have read this application and the infonnation I have provided is correct. I have read the Description of `fork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws.relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: PPLEMENTAL INFORMATION REQUIRED oFFicE usE flnr i Z. _- OYER=iHE-COLI3�TER - ❑ STAI\D4RD T'L4JOR AIEPMiscApp_2011.doc revised 06/21/11 jCUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER:CERTIFICATE OF COMO, LIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building (a-)cupertino.orci IAS BEENti . 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 Signature.... ....... ....f...... SMOKt ALARM CO ALARM j 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 level of a dwelling unit including basements and habitable attics ( X X Within each sleeping room 1 X _ _ J 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: Ill dwelling units with no commercial power supply, a In existing dwelling units, alarms are permitted to be solely battery oI not result in the removal of wall and ceiling finishes or there is no accf space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420 alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alai installed in accordance with the manufacturer's instructions and in com and California Residential Codes. The alarms specified below have beer date signed below. Address: Ll'xaen wVOOA 6"rd2 Cvy,� j�v C Specify Number of Alarms: # Smoke Alarms: m(s) may be solely battery operated. ited where repairs or alterations do by means of attic, basement or crawl L An electrical permit is required for n(s) referenced above has/have been �liance with the California Building tested and are operational, as of the Permit No. # Carbon Monox I have read and aaree to comaly with the terms and conditions of this statement Owner (or Owner Agent's) Name: t"1�k \ Signature.... ....... ....f...... ;..................................................Date: . Contractor Name: Si nature ......................... g..................................... Lic.# ......................................Date:...,.............. Smoke and COfon77.doc revised 01/1012017 LMMUMURM Owner Name Address i `" WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDI 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 -3228 • FAX (408) 777-3333 n V4.00A G vcAc DIVISION _: _?D )I -0 % (�7 mit No. 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. g No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or cionfiguration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.f through 1101.8 do not apply. I ❑ 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 festof the form and sign bottom of form. XNo Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 11, 1994? El 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 thl ee following statements and sign bottom of form.. Please check ONE of the following: 1 My property is a single-family residential real property. See 'Civil Code Sectie On and after January 1, 2014, building alterations or improvements shall reqs to be replaced with water -conserving plumbing fixtures throughout the buildin, compliant plumbing fixtures shall be replaced with water -conserving plu property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section On and after January 1, 2014, specified building alterations or improvements sl plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be rep conserving plumbing fixtures throughout the building (regardless of whether p; 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 sl plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall plumbing fixtures throughout the building (regardless of whether property undi 1101.4. e all non-compliant plumbing fixtures On or before January 1, 2017, all non- bing fixtures (regardless of whether 101.5. .11 require non- compliant with water- y undergoes alterations or require non- compliant replaced with water- conserving )es 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 Build' installation requirements, and that the water -conserving plumbing fixtures comply g Standards Code, and manufacturer's with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: ZZE Date: 7-jo Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB40 7 2015.doc revised 0.8/26/15 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the shown, it is not required to be upgraded. SB4072015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture! (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Watery Usage/Flow Rate 2013 CPC Ch. 4 2013 CrpQ Ch. 4 2013 CPC Ch. 4 Water Usage !Flow Rate 2013 CALGreen Div. 4.3 2013 CALGjreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -ramify 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 ce ified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for S howerheads (A hand-held shower is considered a sho erhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlet 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 08 gallons per minute § 20 psi In common and public use areas: 0.5 gallons per minute cr 60 psi' 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi per 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 rr aximum 60 psi 1.8 gallons er minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above Ere may be used to achieve reduction. unavailable other mean aerators or may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the shown, it is not required to be upgraded. SB4072015.doc revised 08/26/15