Loading...
B-2017-0131CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0131 10046 CRESCENT RD CUPERTINO, CA 95014-1012 (326 17 039) F W H ACQUISITION CO LLC BOTHELL, WA 98011 OWNER'S NAME: ASHJAEE JALAL OWNER'S PHONE: 408-806-2369 LICENSED CONrt aRATION License Class C-36 Lic. #987398 Contractor F W H ACQUISITION CO LLC Date 10/31/2017 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 X performance of the work for which this permit is issued. z. 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 1 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. f; Signature ® Date 1/25/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following 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 L, 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. Signature Date 1/25/2017 DATE ISSUED: 01/25/2017 PHONE NO: (425) 636-7078 BUILDING PERNHT INFO: BLDG —ELECT X PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (N) 50 GAL WATER HEATER - GARAGE Sq. Ft Floor Area: Valuation: $1681.00 "N Number: Occupancy Type: 32617 039 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby A, ey nde Date: 01/25/2017 RF. -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 ofApl Date:1/25/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER n 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, Sec ^ ns 25505, 25533, and 25534. Owner or authorized agent: lV Date: 1 /2 512 0 1 7 CONSTRUCTION LENDING AGENCY 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 I understand my plans shall be used as public records. Licensed Professional n ulru01zu17 Fxr 9:16 FAX Fast water xeatar 1,411=114=MAL 1-=KIVIf i tt t-f-L.lk;A I IVN Ivi = to COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE + CUPERTINO) CA 95t714�3235 CUPOR°i"IN*- •-. (40B),777-3226 • FAX.{400}777.3$33 OM MI SC PROWT ADDRESS �. t✓ t/ �? I�% 05xtNBR NAMR STRPHT AMMSS ` Vmt „N"r j ` C� CONTACT NAME STREET AAbRHOS �•�'S © OWNER © OWNER..8t11LUSR © OWNER AGW CONTRACTOR NIANW , N 4 k — COMPANY NAtwE APNia CITY, STAT13, ZIP PAX PHONE 0 -MAIL lake 4U t" CITY, STATE, ZIP FAX <CONMACrOR ©CONTRAC OR AtIaNT 13 ARCMTACi G ENOMM a 01MLOPER © TENANT LICBNSB NUMBflka � V'/ 2 {�1 i.IQ133V1' , f n Bus, uC+: STMET vi tv � 1r �tr1'y►,( CITY, B �I--±4 %0 1 t© ARCHITECT/BNGINEIR NAME LICON8$ NUMBER COMPANY NAME S•MA1 STREET ADDRESS CITY, STAT®, ZIP Us$cw 443FrDor1DUPLBX 0h1IrLTI•PAtwttiY PROJHCTINWA.DLAND L3Z0019 PROrECTtN YES 6UiLDINQ: [I COMMRRCIAL MAN INTERFACE AREA q :1 FLOOD ZONE 0 NO 01MCRIPTiON OF WORK iwrv� LN h , 0 A -r'1 ! AAA / ti /t , I A— n t r r. BUB. LIC a PAX PHONE ISTIMEUMAN © YES SICHLBRHOhm 13 NO TOTAL VALUATION: I By my signature below, I eettify to each of the f011owing: I stn the property owner or authorized agent to act on the properly owner's behalff have read this application and tate information I have provided is correct, (have read the Description of Wot& and ver* it is acourafs. I agree to comply with all applicable tocal ordinances and state taws relating to builditig construct'on. t aIuolorize representatives of cut). e-Wenter the above-ideintiftedpro for 1»apectlon purposes, Signature of Applicant/Agent: _-- _ 1—"�--------•�--"'r •••� bate: it" "" r A119P9isctfpp 2011 doc revised 06/21/11 SMOKE / CARBON MONOXIDE ALARMS OWNER, CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPEFtTiN© 1 (408) 777-3228 • FAX (408) 777-3333 • buildinga()cupertino.orq 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 iao 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 _ $IQQQ.QO, CRC Section R314, 83151 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 level of a dwelling unit including basements and habitable attics X X Within each sleeping room X Carbon Monoxide_ alarms are not required in dwellings which do not contain fuel-bun-iing 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: Ira dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existuag dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling fizaishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section 8314 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 ha 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: � oo h '���� c ,�y d, ' ,tpe `r "j q5_0 1q, Permit No. -20 17 01.31 Specify Number of Alarms: # Smoke Alanns•F-7-1 # Carbon Monoxide Detectors: L _.._ _...a ,....,d .,....,., fr, .-n nhi Wifh fhA forme anr1 conditions of this statement i nave ieau an ague �� N Owner (or Owner Agent's) Name: I ��� �e� �at& Signature .................................................................................................. ....... Date:(��� Contractor Name: Signature.... ....... ................... ....... I— ....................... Lic.# ......................................Date:.................. S»roke and COfornn.doc revised 01/1012017 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 j (408) 777-3228 • FAX (408) 777-3333 • buildingocupertino.ora Owner Name �� ` j�� Perini Address (60 r�_PSC4?�. PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS. CERTIFICATE HAS,BEEN AND RRT1jRZjVD TO THE BUILD "011 IVIStQN Please refer to the attached California Civil Code Sections 1101.1 - 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date:6 - Z `°/ fo/ 09"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? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner' Signature: Date. 1+7 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. Sign below and skip the rest of the form. Owner' Signature: Date:, Ne -7 Lo 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. Sign below and skip the rest of the form. Owner' Signature: Date: D' z CtYes 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. Refer to the attached. `1• Be- 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, specked building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB407 2014. doe revised 03/18/14