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B-2017-0149 CITY OF CUPERTINO BUILDING PERMIT • BUILDINGADDRESS: CONTRACTOR: PERMIT NO:B-2017-0149 10115 PARKWOOD DR APT 2 CUPERTINO,CA 95014-1446(326 27 036) THERMAL MECHANICAL SANTA CLARA,CA 95054 OWNER'S NAME: AVERY GLENBROOK LP DATE ISSUED:01/31/2017 OWNER'S PHONE:650-961-8330 PHONE NO:(408)988-8744 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C10 C20 36 38 Lie.#256057 Contractor THERMAL MECHANICAL Date 01/31/2018 X BLDG X ELECT X PLUMB X 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 license is in full force and effect. JOB DESCRIPTION: BLDG 15/UNIT 2;ADD(N)AJC;REPLACE FURNACE,SAME I hereby affirm under penalty of perjury one of the following two declarations: LOCATION;(N)WASHER AND DRYER HOOK UPS;(N)ELECTRICAL 1. I have and will maintain a certificate of consent to self-insure for Worker's SERVICE(70 AMP);(N)GAS LINE FOR STOVE;(N)RECEPTACLE Compensation,as provided for by Section 3700 of the Labor Code,for the OUTLETS;(N)LIGHT;(N)BATHROOM EXHAUST FANS (04 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. Sq.Ft Floor Area: Valuation:$20000.00 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 326 27 036 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature — ,4e Date 01/31/2017 Issued by:MELISSA NAMES 9/ Date:01/31/2017 OWNER-BUILDER DECLARATION 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 roofmg 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) • 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:01/31/2017 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. 01117 Owner or authorized agent:.' APPLICANT CERTIFICATION Date:01/31/2017 I certify that I have read this application and state that the above information is CONSTRU ION LENDING AGE Y correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 01/31/2017 Professional 1. CONSTRUCTION PERMIT APPLICATION \ril),41 _ .„..... COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION B , ,, 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 ,,-,J., (408)777-3228•FAX(408)777-3333•buildiroAcunertino.orq CUPERTINO. ‘3'Wn- 01 49 0 NEW CONSTRUCTION 0 ADDITION 0 ALTERATION I T1 0 REVISION I DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 10115 Parkwood DR,BLDG 15, Unit#2 APN k2,6 03‘' P OWNER NAME HONE E-MAIL Avery Glenbrook LLC 650-961-8330 avery@pacbell.net STREET ADDRESS CITY,STATE,ZIP FAX 130 East Dana StreetMt.View, CA 94041 650-961-0571 CONTACT NAMEE-MAIL Rob Moyer PHONE 408-593-8115 rmoyer@thermalmech.com STREET ADDRESS CITY,STATEZIP 425 Aldo ave. Santa Clara, CA 95054, FAX 408-988-0233 El OWNER 0 OWNER-BUILDER 0 OWNER AGENT [X CONTRACTOR ID CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAME LICENSE,NUMBER LICENSE TYPE I3US,LIC 0 299 Thermal Mechanical 256057 C-4,10,20,36,38 COMPANY NAME Thermal Mechanical E-MAIL rmoyer©thermalmech.corn FAX 408-988-0233 STREET ADDRESS 425 Aldo ave. CITY.STATE,ZIP Santa Clara,.CA 95054 PHONE 408-988-8744 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS,UC 5! - COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK add new AC,replace furnace in same location, (N)washer/dryer 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 USE TYPE oCC, SQFT. VALUATION($) TAISTG NEW FLOOR • DEMO TOTAL .AREA AREA AREA NET AREA _. BATHROOM - KITCHEN OTHER . REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GA RAGS Alt.U: [:::1 DEXACII 0 ATTACH . . .... #DWELLING UNITS: IS A SECOND UNIT DYES SECOND STORY DYES BRING ADDED? ONO ADDITION? DNO PRE-APPLICATION DYES IF YES,PROVIDE COPY OF IS THE BLDG AN 0 YES •.,I.LE .):BLY;,:'' :"*.-! -,-:- '*.,:Y. .;.:',.,''• TOTAL y4VILATION: PLANNING APPL I! ONO PLANNING APPROVAL LETTER EICHLER HOME? D No -';, ,.,:`::7'.,-..-'-:.. %.>"-;-:::,', ';-.-'-: -.-:-,.--'; : . By my signature below,I certify to each of the following: I am the property owner or authorized.agent to act on the prop rty owner's behalf. I have read this application and the information I have provided is correct I have read the Description of Work and verify it is wenn,- , I agree to comply with all applicable local II ordinances and state laws relating to be' ,,--or ction. I.ut.prize representatives of Cupertino to enter the ab e-identif cd proper y for inspection purposes, , Signature of Applicant/Agent: • - .40".1..--, :- Date: SUPPLEMENTAL INFORMATION RE i [RED 1?1,-Ore.itE0cive:n.,:-:,.,,,..„,,.:,..-. - .-s-got.rit.tpStay. •.,.,-:,--,:,. - _New SFD or Multifathily dwellings: Apply for demolition permit for .n:::4,,, ,irliic.'51if :,:..,f, , :ii61.%...iiii,46.0.u.,.N—..-itiii6;;.,:.,: _;..: -.•1 existing building(s). Demolition permit is required prior to issuance of building ':,:.,,:. :.. --. ::.1,..i... :•..-'.1.•':. : •,.!-:•.: .:,.,:.-.: -,.::: .::-.F.:.,,.,:,:.•, :...: permit for new building. .;.EL.j330:00-;:-:•',.-,-- 0::.o.iilii‘O*airi:ANitOlitsv::-''''-":,::: Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD'-,,-.- :. :, .,:"'.'.-:- 'la;011141e.WO:ft ,-:..---':.-::. .:'-., -:-;i•----: _ form if any fluardous Materials are being-used as part of this project. w Meeting Letter th Planning to Copy of Planning Approval or ig prior_ '0 '1+.1AipR:• ',...''' : "'...., ':"" ia:'&40:kliiigEs.VER`151TMet-:'::,:;:. submittal of Building Permit application. -s- Y-,: "•:••': •-•-• i.::--•.-,. '2.--..,,,,l'-' -,'-::. •-.-•":.-::' -'•:. :.:,',,.•:-.,.:i - ::1.:.:1-.- .-1-:• ,': --'.--:..:' rr-: .‘ ••. ':' ILI..i—NlitnorNT-AL ii-EATir:•-•:.:-.:;. /•• =1•••• BidgApp_2011.doc revised 06/21/11 cvPrzRTJNo PT TRPO.. SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 T'ORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - hiJlldinn my ni inarfinn nrn 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 _ SMOKE ALARM CO ALARM. Outside of each separate sleeping area in the immediate vicinity of X X' the bedrooms) On every lei -el of a dwelling unit including basements Within each sleet)in;z room 9 01 X Carbon Monoxide alarms are not required in dwellings which donot contain fuel -burning appliances and that do riot 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, alarms) may be solely battery. operated. Tn 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 by means of attic, basement or craJA71 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 in compliance with the California Building and California Residential Codes: Th alarms specified below have been tested and are operational, as of the date signed below. IC11 ' A....%c. 02- x Address: Permit No._ q Specify Number of Alarms: # Smoke Alanus: # Carbon Monoxide Detectors: l have read and ansa to rmmnh1 innfh fho fcrmo Jnr! nn nrl,* l,^ , { fh; . 4,; Owner (orOwner Agent's) Name: -- ------ -- --...,-. _- ��� _ Signature....... .............................................Date: ................................................................................................................................. Contractor Name: Tliey'� A t"C ee,4A'a;iv Signature.....: I '777nda mad (0 inns, dnr rovivod 00/? 71M CUPERTINO Owner Name WATER -CONSERVING PLUMBING FIXTURES, ��- OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228.- FAX (408) 777-3333 - buildinoCa-)cupertino org —2017 ��! �1 � -. - m&LI .. .—Z L C Permit No. Address 1- 11 i ` 1. Is your real property a registered historical site? 1011 ® a K❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 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 lurnbing, installation of water -conserving plumbing fixtures is not technically feasible? Yes Civil Code Sections 110 1. 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? ❑ Yes Civil Code Sections 1101.1. through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. I 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. Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections4101.1 through 1101.8 apply. Check one of the. threefollowing statements and sign bottom of form.. 5. Please check ONE of the following: • I] 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 replacedwith 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 niultifcn dly 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 properly undergoes alterations or unprovements). ❑ My property is a conunercial 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-conseiving 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 perjuly that non-compliant plumbing fixtures will be replaced prior to date specified, above with watenconserving plumbing fixtures in accordance with Civil Code Sections 110 1. 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 following vane. Owner or Owner Agent's Signature:T�M,Cs P _r 0 L-,, ) Date: -1 /3 /' VFuxl VVlllr116.11lls auu Dlr�llillr' Llllb 1..G1L111Udle9 please return 11 10 the tSuuamg rlrvrsron in order to anal your building permit. SB4072015.doc revised 08/26/15 . 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.doc remised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (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 (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 1.6Single flush toilets: 1.28 gallons/flush , (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, averse 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 u 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 outlef 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 J 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.doc remised 08/26/15