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B-2017-0236CITY OF CUPERTINO BUILDING PERMIT BUELDING ADDRESS: CONTRACTOR: PERMIT NOi B-2017-0236 11160 SANTA TERESA DR CUPERTINO, CA 95014-4767 (356 17 023) PAYLE S S WATER HEATERS & PLUMBING INC VALENCIA, CA 91355 OWNER'S NAME: POON BENJAMIN KWONGHO AND JOELLEN SUE TRUST DATE ISSUED: 02/08/2017 OWNER'S PHONE: 408-470-8232 PHONE NO: (661) 775-2979 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Q -M Lie. Contractor RAYLESS WATER HEATERS & PLUMBING INC Date 08/31/2018 1 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 BLDG —ELECT X PLUMB MEECH X RESIDENTIAL — COMMERCIAL license is in full force and effect. JOB DESCRIPTION: REPLACE 40 GAL WATER HEATER - SAME LOCATION I hereby affirm und9r penalty of perjury one of the following two declarations: 1. 1 have anti 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 p ora ' the work for which this permit is issued. nce and rid wi.OU maintain Worker's Compensation Insurance, as provided for by Section ection 3700 of the Labor Code, for the performance of the work for which this Ot permit is issued. Sq. Ft Floor Area: Valuation: $1480.50 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 conseque3ei of the granting of this permit. Additionally, the applicant understands.,pnd will comply with all non -point source regulationshe Cupertino,Municipal Code, Section 9.18. Signature Date 21812017 - 37 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. 1 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. 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. 3. 1 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 CERTHICATlM 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 218/2017 "N Number: Occupancy Type: 356 17 023 1 1 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: 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: 2/.8/2017 ALL ROOF COVERINGS TO BE CLASS "Alf 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. 1 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 Mana ,ge4ent District I will maintain compliance with the Cupertino Municipal Coe',Chapter 9.12 and the Health & Safety Code, See tipjas 25505,25 , and 25534. Owner or authorized agent-.) Date: 2/8/2017 ONGTRIICTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of works for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address Agcfumuls DECLARATION I understand my plans shall be used as public records. Licensed Professional lb-aoiq, 0 1W GENERAL PERMIT APPLICATION COWtMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION MEP 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 P% Apr% (408) 777-3228 - FAX (408) 777-3333 - building�D-CUDerfino.orq CUPERTINO- �� 6ZTLUMBN1G MML43\11C-AL F-TP11cr"TrAT iAiczrrT T A-ITCt-)"C! PROJECT ADDRESS& APN- OgQ —1?:' 'Q—;�2— STREET ADDRESS6& CITY, 4- 0 CONTACT XmME h4411a- ] "Hoelli, 6ZCb be " "Pet & t 4) e, STRFXTADDRESS�-VC STATE ZIP 51 ED OT est ❑ OWN -M -BUILDER 13 OWNIERAGE1,7 ❑ CON-MIXTOR ONTRACTORAGENT 0 ARCHITECT n 04GII1,EER 0 DENELOP:-R 11 Tm�."<T A -C ANE CO'.NrjMA.CTOR 4 --A— LICENSE NUISER LICENSE TYPE BUS. LICR COx4P."-'\'Y xw\s FAX ST X-9-7� CITY, CITY, .S H ARCHITECTIENGEN'EERNAME, LICENSE X1311BER, BUS. LIC COIMPANYNAME E-NiAlL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF '�F�O.DT'PLEX ❑ muun-FAMILY PR03ECT IINWILOL�QND 171 YES PROJECT W ❑ ) Es IS THE BLDG AN BL'ILMIG: -0 CO1'V'tERCLL.L URB.0: INTERFACE AREA ❑ NO FLOOD ZOINE ❑ \'O EICHLER MIME? DESCRIPTION OF WORK TOTAL VAlUATIOM , M -A By ray sic -mature below, I certif�, to each of the following: I am the property owner or authorized agent to act on the property owner's btbalf, I have read this application and the infonnation I have provided is correct I have readjbf—Deseription oflVork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to build'a truction. I rize representatives of Cupertino to enter the aboN�e-idenfified propert�, for inspection purposes. — -7 Signature ofApplicant!Agent: Date.. Z- / SUPPLEMENTAL INFORIMATIONT REQUIRED g, :0 V NN, G Fff" Mjdk 0 2 AfEP-A?fscApp__301 Ldoc revised 06121I11 il F�1717�i�i lff7 SMOKE/. CARBON MONOXIDE ALARMS OWNER, CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 a FAX (408) 777-3333 • building(alcuoertino.ora 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, 8315, 2016 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION = - ----- E;xstilg single-family and -family dwellings shall be provided with Smoke Alarms and Carbon J Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314, 8315, 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 lOutside of each separate sleeping area ha the immediate vicinity of the X X bedrooms) -- (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit including basements and habitable attics X X _j Within each sleeping roam X I Carbon Monoxide alarms are not required in. dwellings-,A+dch do not contain. fuel -burning appliances and that do riot have an attached garage. Carbon monoxide alarms combined with. smoke alarms shall comply with CPC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power SuppljT: In divelling units with no commercial power supply, alarm(s) may be solely battery operated. In 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 crawl tis_require for __ - zdBCectns921.4azd,4206,2..AiL electricCperin v___space_Refer-toCLCSectionR314_aC_ 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/1-lave 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 below. Address: 111617 SGI�► t e.Yt-1(, Cvat� �-"'t ��14 Permit No �'`�� 2°�` " Specify Number of Alarms: r Smoke Alanlls. (ii t 4 Carbon Monoxide Detectors: I have read and aaree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: D�,'^ �- 14 Ui Si nature....,/.............................................................................................Date:................ Contractor Name: Signature.................................................................. Lic.# ......................................Date:.................. a S7770ke and COform.doc remised 01/1012017 AV yam Owner Name _V1 Address�r� WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (4081777-3228 • FAX (408) 777-3333 • buHdingC�cupertino.org "'th Tom^ ✓ �. cm r3-ui o).'3 b 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. ..2' No Go to Question 2. 2. Does your real property have a Iicensed._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. 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. O 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. o' 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: ,4�1 My properly is a sinble fanidy residential real properly. 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-anet after<7anuary-1:,2014,-specif ed building_altera*dons-or-unpr-oveei —nts-shall-iequir-e-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 c07777Taercial 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). 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 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 page. Owner or Owner Agent's Signature: _ Date: 3 0 -r1r ',Z�J Uuon comuleting and signing this Ceitificate, please return it to the Building Division in order to final your building pennit. SB4072015.doc revised 08/26115 1. If the existing plumbing fixture water usage/flog rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (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 gaitons/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 g60 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. If the existing plumbing fixture water usage/flog rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08/26/15