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B-2016-1232CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESSt CONTRACTOR: PERMIT NO: 13-2016-1232 7464 DUMAS DR CUPERTINO, CA 95014-4353 (359 26 013) ( THD AT - HOME SERVICES INC) ATLANTA, GA 30339 OWNER'S NAME: VAN DUSEN MELVIN D DATE ISSUED: 01!20!2016 OWNER'S PHONE: PHONE NO: LICENSED CONTRAC'TOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor {_THD AT - HOME SERVICES INC 1 Date X BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL I hereby affirm that 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 tit full force and effect. JOB DESCRIPTION: REPLACE 6 (E) WINDOWS & 1. (E) SLIDING GLASS DOOR, SAME I hereby affirm under penalty of perjury one of the following two declarations: SIZES t. 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 Cade, 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 Sq. Ft Floor Area: Valuation: $3885.00 this 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 359 26 013 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 PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal T CALLED INSPECTION. Code, Section 9.18. Date ISSll�arz�L R- U DER RF. -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 installed without first obtaining an inspection, I agree to remove all new materials for following two reasons: L 1, as owner of the property, or my cinployees 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 Data; contractors to construct the project (See.7044, Business & Professions Code). ALLROOF COVERINGS TO BE.CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided farby Scotian 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 6.99 of the 2. 1 have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will by Section 3700 of the Tabor Code, for the performance of the work for which inalntain compliance with tate Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous this permit is issued. 3. I certify that in the performance of the wank for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous air contaminants defined District I the Bay Area Air Quality ode, shall not employ any person in any manner so as to become subject to the Chaptementer will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and co p h Worker's Compensation laws of California. If, after making this certificate of the health & Safety Code, Sections 25505, 29533, and 25534. Y~ 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 agents_ be deemed revoked. � Data: I? 17—,p ( APPLICANT .ERTIFI ATIr)N � 1 ONSTRUC'I'InN HTNt.AGEiVCY I hereby affirm that there Is a construction lending agency for the performance I certify that I have read this application and state that the above information is of work`s for which this permit is issued (Seo. 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws Lender's Name relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in ARCHITECT'S DECLARATIOTi consequence of the granting of this permit. Additionally, the applicant I understand my plans shall be used as public records. understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (4018) 777-3228 • FAX..( -4108) 777-3333 - building na.cunertino;org I I Ar)n[TlnX- I I AT Tr+'RATTMi/Tl f I DPvrzir)xf./nri PrPPr;n B Za l 6- I 2 3 2- n01r'INIA1 PPP?,AITff PROJECT ADDRESS 74t/ tf 7' !J"i -MAIL . 06VNBR NAME f 7 A 'yn \ „7 5 91 �7F OA 1d D STREET ADDRESS ,y�.. _ S✓T / " CITY. TE, ZI/) `- 12 76E 6 FAX CONTACT NAME jE:FF RAINEY PHONE 510-427-4260 E-MAIL�TEFFREY.RAINEYQATT.NET STREET ADDRESS 1.069 EDGEMERE LANE CITY, STATE, ZIP HAYWARD,CA 94545 FAX 510-783-1041 0 OWNER 11 OWNER -BUILDER 11 OWNER AGENT I CONTRACTOR tl CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER El DEVELOPER �11-TENANT • CONTRACTOR NAME �^ 6"e)'*.CJS LICENSE NUMBER LICENSETYPE BUS LIC# 1 �� l 4CI+I( 836021 B, C39, C13, C17 COMPANY NAME E-MAIL FAX THA AT HOME SERVICES 510-357-3750 STREET ADDRESS CnPY, STATE, ZIP PHONE 2455 VERNA COURT SAN LEANDRO,CA 94577 510-877-4550 ARCETECT1EiNGINEERNAME LICENSE NUMBER BUS LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE. ZIP PHONE DESCRIPTION OP WORK � (I •� )° i �i-- L'J �G.�' t r�La 6 r� W f a�1 t�v�J� �--I✓ t �.. N � %�/ ` /,[i AJ -L t EXISTING USE -PROPOSED USE - CONSTR. TYPE #STORIES - t � /V USE 'I'Yl'G OCC. SQ.F"i'. VALUATION, (S) EXISTO: NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER - - REMODELAREA RL'MODE•LAREA REMODEL AREA PORCH AREA - DECKAREA TOTALDECKIPORCHAREA OARAGEARKA: DETACH • QA'ITACH ff DWELLING UNrrs: 1SASECONDUNIT []YES SRCONn STORY [DYES `- BEING ADDEIT: [] NO ADDITTON7 E]NO - PRE -APPLICATION []YES IL YES, PItOVll1ECOPY OF 15.'I'nREtLDG AN ❑ YES ECE[VE T{}TALVALUA'rION:- �. PLANNINGAPPL# [t NO PLANNING APPROVAL LETTER EICIII,ERHOME'•' By my signature below, I certify to each of the rollowing: I am the prOperty owner m' aI o on the pr rty n s behalf. 1 have read this application and the niFamalion (have provided is coned. 1 have read the Description of Work and verify it is a t Na n comply with all applicable local ordinances and state laws relating to building construction. 1 authorize representatives of Cu)?s rtino to en ove-identified pred pr pe -foi-illapec� purlieses. ~�� _ ( 2-0 Signature of Applicant/Agent: -r" - Dato: CCCfffrrrrrrir�� SUPPLE 'E AL INFaRMATiQI UI ET) PLAN +v HECKTYPE ROUTING SLIP LIt-TIIL COUNTER 0 BUILDING PLAN REVIEWS' New SF1D or Multifamily dwellings: Ap r demoiilion permit for existing building(s). Demolition permit is required prior to issuance orbuilding permit for new building, EXPit>rS5 0 PLANNING PLAN imvi W Conllnercial Bldgs: Provide a completed Hazardous Materials Disclosure 'sTANDAIU) 0 PUBLIC )volu4s form ifany Hazardous Materials are being used as pail of this project. p :LAT;GF 0 FTREDEPT Copy of Planning Approval Letter or Meeting with Planningprior to El mASon p sANJTAiRY SEWGIt DISTRICT ub nival of Building Permit application. 0 ENVIRONMENTAL 13F.ALT11 131dgApp 2011.doc revised 06121/11 C.DMIVIUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO APPROVED "TMis set of plans I specifications MUST be kept at. the Db Site during a. ;rac!ion It isuNa•.yfpl to make any changes or auerations on sarne. or to deviate 'herefrom, withow approval from the Balding Official. The S!jBiping rj UHz plan and s eci4ca!lons SHALL NOT e held h pert n e an p, reva cf the violation of any ors o! al Fdlnance or State Law. D E Zu P IT#_ /3 —e t6 7 Z3 Z CUPERTINO Ruildfng Department UP JAN 2 U 2016 REVIEWED FOR CODE COMPLIANCE Reviewed By. PLATP I CHF„�KED BY DATE D�� P EPT ERTINO OFFICE COPY LEGEND: SCOPE OF WORK: INSTALL (6) RETROFIT VINYL, DUAL GLAZED, _ ® = RETROFIT WINDOW /PATIO DOOR/ ENTRY DOOR LOCATION LOW E WINDOWS, & (1) PATIO DOOR. NO (N) CONSTRUCTION, ICE (XOX) = 3 PANEL HORIZONTAL SLIDER FRAMES WILL NOT BE DISTURBED. z (XD) = HORIZONTAL SLIDER LIVING _ROOM NOTE; WINDOWS yPATIO /ENTRY DOORS: j PATIO DOOR U -FACTOR =0.30 o 93"Wx 80"h SHGC=0.25 wU w4O BEDROOM 1 BEDROOM Catm WINDOW (XO) WINDOW (XO) w z 71 °w x 3711h /ROUGH OPENING 711W x 37"h / ROUGH OPENINGCD G 17:3 sq It, ROUGH OPENING 17.3 sgft. ROUGH OPENING - o 33"Wx31'h/NET CLEAR 33°wx31"h/NET CLEAR ¢N¢ 7.1 sq ft. NET CLEAR. 7.1 sq. ft. NET CLEAR LIVING ROOM 0 H DINING ROOM NIL g_ DINING ROOM WINDOW(XOX) MASTER BEDROOM WIN x49'h ) ENTRY DOOR KITCHEN € r y 2 BATHROOM KITCHEN WINDOW (XO) " MASTER BEDROOM BATHROOM 71"wx35°h d, WINDOW(XOX) WINDOW (XO) z j o 94'Wx37'hfROUGH OPENING 391wx24"h " rw o 24.2 sq ft. ROUGH OPENING 2311w x 331h / NET CLEAR ¢ c -D 5.3 sq it. NET CLEAR GARAGE ¢ :�jE z J O F— Co FIRST FLOOR (FRONT YARD) qP r, FLOOR PLAN DUMAS DRIVE C-) NOTE: i). SMOKE DETECTORS: WHEN A BUILDING PERMIT IS REQUIRED, SMOKE DETECTORS SHALL BE INSTALLED; (a),IN EACH SLEEPING ROOM, (b).OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMNIEDIATEVICINIFYOFTHE.7 01.13.16 BEDROOMS. (c)ON EACH ADDINONALSTORY OF THE UWELLING, 114CWDING BASEMENTS AND HABITABLEATGCS.BUT NOTINCLUDING CRAWL SPACES AND UMNHABITABIEATTICS. (ORC 314) NTS 2). CARB014 MONOADEALARNIS:WHERE .A PERMIT IS REQUIRED FOR ALTERATIONS, REPAIRS ORADDIUONS EXCEEDING 51,000.00, EXISTING DWELLINGS OR SLEEPING UNITS THATHAVEATFACHEDGARAGES OR FUEL BURNING APPLIANCES SHALL BE PROVIDED WITH A CABBON MONOXIDEALARM IN THE FOLLOWING LOGATIONS; (a) OUTSIDE OF EACH SEPARATE DWELLING UNIT SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE DEDROOM(S). (h) DN ow.nxn OKW ® BB76592 EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENTS. (CBC 420.4; CRC 8315). A-1 (HOME OWNERTO PROVIDE BEFORE FINAL INSPECTION). OWNER CERTIFICATE IFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION PCUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 m FAX (408) 777-3333 , bulldlnq(@cuper ho.orq PERMIT CALq��(T�NOT F, T/r��INALIED AND Ca�'�(3*JPLFTFD�UNT L yTy(HIS�{y■dC�YER��p�Ty� I:FFICAT Ei +�A+l i- � l=+.L . ` � ft A 9 11 Di.l"Y .l.l:l� `.T It$IQ 1 PURPOSE 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 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 that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: ARRA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X On every level of a dwelling unit including basements X X Within 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 dwellhagunits 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 4201.:6.2. An electrical permit is required for alarizns which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced abovehas/have been, installed. in, accorda=, nce with the manufactnarer:'s in s truc ti, ons and in compliance with the California BuiMing. and California Residential Codes. The alarms have been tested and are oilerational, as, of the date sigrned below. Snuoke,and?CO fbrrni.db.c revised 03/Z8/Lr¢+ �yavaf�r Owner Name Address 51 4 V WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMM'U NiTY:DEVELOP hdE.VT DEPARTMENT • St911.DIN G D@V{S10Ni 10300 TO.RRE AVEINUE - CUPERTINO, CPA 95014-3255 f408)7,77-8228- FAX {408) 777-3333 m buildin_q@cupertno.org a Y / 8—;M—P-3el R 7I e 5-0/ L 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. dpi f � No 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? El 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? 11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 17'4 { No , 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. ff 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: T A2 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-multifamilyresidential 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). ❑ " Ivyproperty 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);. 1, 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 -cone Ing pl fixtures comply with the requirements as indicated in the table on the following page. _ .moi \ /i Owner or Owner Agent's Signature-,'_: � Dates j--), 0/6 Upon completing and signing this Certificate, please return it to the Building Division in order to final, your building permit. SB -407 2015.doc revised 08126115 1. If the existing plumbing fixture water usage/tlow rate is equal to or lower tnan tnc iisufu 5u-11, ., — .- -- -ra SB407 2015.doc revised 08/26115 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 /Flaw 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 e 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. _L 1. If the existing plumbing fixture water usage/tlow rate is equal to or lower tnan tnc iisufu 5u-11, ., — .- -- -ra SB407 2015.doc revised 08/26115