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B-2017-0151CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0151 10150 PARKWOOD DR APT 4 CUPERTINO, CA (326 27 037) THERMAL MECHANICAL SANTA CLARA, CA 95054 OWNER'S NAME: AVERY GLENBROOK LP I JDATE ISSUED: 01/31/2017 1 OWNER'S PHONE: 650-961-8330 1 I PHONE NO: (408) 988-8744 I IN Lei D19mol MKININ'Tal" E111143 11 License Class C10, C20, C36. C38 Lic. #25BMZ Contractor THERMAL MECHANICAL Date 01/31/2018 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. -1 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 regulations per the Cupertino Municipal Code, Section 9.18. Signature -" Date 01/31/2017 QWNFR-BUIL DER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 1, 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. 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. PERMIT INFO: BLDG X ELECT X PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: BLDG 26/UNIT 4; ADD (N) A/C; REPLACE FURNACE, SAME LOCATION; (l) WASHER AND DRYER HOOKUPS; (N) ELECTRICAL SERVICE (70 AMP); (N) GAS LINE FOR STOVE; (N) RECEPTACLE OUTLETS; (N) LIGHT; (N) BATHROOM EXHAUST FAN APPLICANT CERTIFICATLON 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 01/31/2017 Sq. Ft Floor Area: I Valuation: $20000.00 "N Number: Occupancy Type: 326 27 037 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: MELISSA NAMES Date: 01/31112 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 ofApplicant: Date: 01/31/2017 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 Code, Sectio 25505, 25533, and 25534. Owner or authorized agent Date: 01/31/2017 CONSTRUCTION IXMING 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 I understand my pians shall, be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 S: ]CUPERTINO (4088)) 777-3228 • FAX(408)777-3333 • buildingnoupertino.org,-- ✓ J �r0 1,+ FYI 1 1 NFW !'l1TarCTRTTf'TT(1'iJ 1 1 n llnrmrnnr - -- - - - - - .—+ ------------_. �. `a __[PROJECT ..,. , .v.var . .•.,:s-a:a�au:v v1�1�J11Vt1L l"!;1<lYlll it ADDRESS 10150 Parkwood DR, BLDG 26, Unit#4 APN# OWNERNAME Avery Glenbrook LLC PHONE 650-961-8330 T_1_1AILr avery@pacbell.net STREET ADDRESS 130 East Dana Street CITY, STATE,Z[P Mt. View, CA 94041 FAX 650-961-0571 CONTACT NAME Rob Moyer PHONE 408-593-8115 E-MAIL rmoyer@therma Imech.com STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 FAX 408-988_0233 ❑ OWNER ❑ OWNER -BUILDER 11 OwNERAGENT CONTRACTOR ❑ CONTRACTORAGENT © ARCHITECr © ENGINEER 11 DEVELOPER 13 TENANT CONTRACTORNAME LICRNSFNUMBER Thermal Mechanical 256057 LICENSE TYPE EUS. LIC" 299 C-4 10 20 36 38 COMPANYNAME Thermal Mechanical H-MAILrmO er thermaimech,com Y @ FAX 408-988-0233 STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 408-988-8744 ARCH]TECr1ENGINEERNAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK add new AG replace furnace in same location, (N) washerldryer hook ups, (N)electrical panel (70 AMP), (N) gas line for stove, (N) electrical outlets, (N) light, (N) bathroom exhaust fan EXISTING USE PROPOSED USE CONSTR TYPE # STORIES I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA ARRA AREA NET AREA BATHROOM KITCHEN OTHER RBMODHLAREA REMODELARRA REMODELAREA ` FORCIIAREA DFCK AREA TOTALDECKlPORCHAREA GARAGE ATE -A-0 DErACH 0 ATTACH I #1)WELLINGUNITS: ISASECONDUNIT [AYES SECONDSTORY OYES DEINGADDED? []NO ADDITION? NO PRP -APPLICATION [I YES IF YES, PROVIDE COPY OF ISTHEDLDGAN 171 YES VED'BYo-":.' _ • -I TOTALVALUATION: PLANNINGAPPL# []NO PLANNING APPROVALLFTF.R EICHLERHOME? [:]NO _ - �D By my signature below, I certify to each of the following: I am the property owner or authorize ct o e perry owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of V lortc and verify 1 urate. I agree to comply with all applicable local ordinances and state laws relating to buildiE rstruction, l aullrorize representatives of Cupertino to enle above-identifie property or inspection purposes. Signature of ApplicantlAgent: Date: Z S'UPPLEMBNTAf, TNFORMATION REQTUIRED PLAiQCH>CK'TXPh:''._:..;..`UTI$G SSI!',..``.:.;.:.:'. flvER_m covNiEx'_ ' 0 `lscru DnvcrLAlvR> vl iu - =: _ 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. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure .0,STANDARD, ;' : = . `.. 17`;pax_ form if any Hazardous Materials are being used as part of this project. IF DE[',T}='.., ..... . Copy of Planning Approval Letter or Meeting with Planning prior to IiiAroit D.sAivirAxirsEw>RliisTiilcr...: submittal of Building Permit application. - I] . ENVIROJV)VFEIVTAIfHEALTx''^ . " RldgRpp-201 Leloc revised 06/21/11 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 - hijildinnfnlri ino,+in., ., PURPO.,.. 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: AREA _ Outside of each separate sleeping area in the immeate vicinity of the bedroom(s) di On every level of a Within each sleeping room unit including basements SMOKE ALARM CO ALARM X X X X X Carbon Monoxide alarms are not required in dwellings which donot contain fuel -bunting 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. Tin existing dwellirig 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 craivl 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 in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed bQlow. Address: Permit No. 6 —207 ^©%Y / Specify Number of Alarms: # Smoke Alarinsl=_l 4 Carbon Monoxide Detectors: I have read and agree to comply with the and conditions of this statement Owner (or Owner Agent's) Name: �4_. MOf PG f��� Signature .................................................. Date .................................. .� .............I............. Con//tractor Name: Z Signature...... ...... ......... Lic.# Z Date:3�z C77"Z'P and M ff-11 dnn rav;v d O9/2 711, WATER -CONSERVING PLUMBING FIXTURES. OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buiidino(a�cuoertino oro Owner Name L C _ Pennit No. eL �.-2s� Address (�.f 6L4 �'..W (' C I �.✓1`�• � 1. Is your real property a registered historical site? K❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. No Go to Question 2. Does' your real property have a licensed plumber certifying that, due to the age or configuration of the property ,plumbing, installation of water -conserving plumbing fixtures is not technically feasible? its Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. ;l� 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. No Go to Question 4. 4. Is your real property built and available fo'r use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January1, 1994. Civil Code Sections. 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. X 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:; ❑ 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 withwater-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 alterationsor improvements' shall require on- 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 ater- conserving plumbing fixtures throughout the building (regardless of Whetherproperly undergoes alterations or improvements). ❑ My property is a c07717nercial real property. See Civil Code Section 1101.5'. On and after January 1, 2014, specified building alterations. or improvements shall require on- 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-corrpliant 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 fix hr -es comply with the requirements as indicated in the table on the followingpage. Owner or Owner Agent's Signature 77Mlcs A7 _ Date: Upon completing and signing this Certificate, please return it to the Building Division in order to final your building eerilift.zi SB4072015.doc revised 08/26/15 . 1. H Inc existing plumbing texture water usage/tlow rate is equal to or lower than the figure 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 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. H Inc existing plumbing texture water usage/tlow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 08/26/15