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B-2017-0262 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0262 10092 SENATE WAY CUPERTINO,CA 95014-5710(326 53 010) AXIS SERVICES INC HAYWARD,CA 94545 OWNER'S NAME: YANG XIAO AND NA MIN DATE ISSUED:02/14/2017 OWNER'S PHONE:408-559-1977 PHONE NO:(510)732-6111 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class$ Lic.#617681 Contractor AXIS SERVICES INC Date 05/31/2018 X BLDG _ELECT _PLUMB 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: REPAIR EXTERIOR STUCCO,LIKE FOR LIKE(108 S.F.) 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. 5= 2;SSI 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:$4800.00 •P'LI ANT t41 . _4_ 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 53 010 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' JJ ( �' Date 02/14/2017 Issued by:MEL. •`� r Date:02/1 !._ _ `� _ 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:02/14/2017 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 a 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 material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall (�� _� be deemed revoked. Owner or authorized agent:, 56„/Aa Scat v4Am APPLICANT CERTIFICATION Date:02/14/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY 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 02/14/2017 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION .. , 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228 • FAX(408)777-3333• buildino cupertino.org l- r 2-6CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTER&TION!TI n REVISION!DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS /0 Ci a Se. cAoY 1J) APS 4 3 26 - 55 - Ci/ 0 • OWNER NAME 0 40 U E-MAIL STREET ADDReSS fa C lc. gj 2 p' CITY; STATE,ZIP ,. p '1 q5- FAx 5 Fa CONTACT hiE �e -16.s 1 aC.� i ~OH PHONESO ®/ JZ -�a( I ( E-MAIL STREET ADDRESS / V,` o f` CITY,STATE,ZIP L &ave ( - i'4.! FAX } • ❑ ow,..-ER 0 OWNER-BUD DER 0 OWNER AGENT 0 CONTRACTOR ‘CONTRACTOR AGENT 0 ARCHITECT 0 ( E:GTc.Lt0 DEVELOPER 0 TENANT AN T CONTRACTOR NAME LICENSENiiBER r76� LICENSE TYPE BUS.LIC r� c2 ( r - e Ockr ) COMPANY NAME �/- E-MAIL FAX 1"i i D A`4.A CL A - STREET ADDRESS � ± `11 1--o� • CITY;STATE;ZIP ,„d a 4 PHOT-7,50 7,7 732_ O ARCHITECT/ENGLNEER NAME LICENSE NUMBER BUS.LIC 4 J 4>67 r!/ COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE;ZIP PHONE DESCRIPTION OF WORK ' „po c j”' s tc_r-i e I 6,,a 0 044 e ry` occ,\ _t_ 4 1 �- , x(, ,vis c.:.0(ev- Cc_setcv.c_ iiVic ( ,-gr l t=ics EXISTING USE - PROPOSED USE CONSTR TYPE #STORIES • USE TYPE OCC. SQ.FT. (�ry��VALUA/TI�/OONN�(5) ERI NEW FLOOR AEA TOTAL IIIIIIIIIIIIIIMIIM_..igigoorcovoy, LSU f `'l1 AREA AREA AREA NET AP.EA BATIRtOO,5 KITCHEN OTHER REMODEL AREA . REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑DETACH 0 ATTACH DWELLINiG UNITS: ISA SECOND UNIT DYES SECOND STORY DYES BELNG ADDED? D NO ADDITION? D NO PRE-APPLICATION ❑1 ES rr YES.PROVIDE COPY OF IS THE BLDG. - ---- ' .D: , - TOTAL VALCATIO'N: PLANNING AFL' NO PLANNING APPROVAL LETTER EICHLER H• NO " - - - By my signature below,I certify to each of the following: I au the property owner or authorized agent to act on the property owner's behalf. I:ave read this ' application and the information I have provided is correct. I have read the Description of Work and verify itis accurate. I agree to comply with all applicable local ordinances and state laws relating b ilding con truction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: C I(J�LO r /��Umit Date: �"114 � 7 I . SUPPLEMENTAL INFORMATION REQUIRED P \CHCiTYEi � - RO. TG; IP - ( ji :<ji!' ._ _ :, : :_:; : :-::S r :_:.NeaSFD or Multifamilydwellings: Apply for demolition ennit for �: 0\h-ii-THR_C:O "TER;=;; _i;O .:.R.;BtiLDIiL; RIZE: . .'_° _' existing building(s). Demolition permit is required prior to issuance of building ri . a"=:. , .Bd ;. ; _ . , : :.. a .. : : , r ;, , pernlit for new building. ' ' E\PREss D PL_.'\NLNGPLAN RE\IEw ',.. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure " :_' .. 0':'STAKD_ARD.;:;;: ;_,;, :..;_;;�-::_;: :: PL`BLIC-SvORLS`;,;_i= :.:.::..::..:...-:. used II any Hazardous Materials arc being,t,_ed as part 02 this project. .:.;....:. � ..:.-.._...._;.:.:..,,:::.,:-,_:.::::....:: . +, : -; Li_i URGE;: *°::.::,,.:,::-.:::;a:..z_a... :'�r FI1:EcDEPT.,";-;r:-`''s�:':r;',,t:;=';:='; _Copy of Planning Approval Letter or Meeting with Planning prior to LtJ©R S IT4R]SEDI� RICT °- submittal of Building Permit application. :....:.1�.:.:...:.:..i:.,::,._.: .,....... ._•T..:::a.,_... ;,.; E MRONASENTAT'HEALTFI'. s B1dgApp_2011.doc revised 06/21/11 Commons of Cupertino CIO Community Management Services 1935 Dry Creek Rd. #203 Campbell, CA 95008 February 13, 2017 City of Cupertino Building Permit Department Re: Building Permit Authorization Dear Sir or Madam: This letter is to notify the Permit Department that Axis Construction has authorization to obtain building permits on behalf of Commons of Cupertino. If you have any questions or concerns, please contact me at 408.559.197T /7 " ---/-Shashawna Ball Agent on behalf of Commons of Cupertino Board of Directors 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 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 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 Outside of each separate sleeping area in the immediate vicinity of the SMOKE ALARM X CO ALARM j X bedrooms) - (Smoke alarms shall not be located within 3 feet of bathroom door) On ev2Ly level of a dwelliln unit includinR basements and habitable attics _ X X tiVithin each sluing room. X _ -� Carbon Monoxide alarms are not required in dwellings which do not contain fuel.-burnirig appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply wide. 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 dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling firdshes or there is no access by means of attic, basement or crawl space. Refer to CRC Section 8314 anti 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 below. Address:, --, Specify Number of Alarms.,- l have read and Owner (or Ow enfs) Name: Permit N.6'2� zOi7-bZa2 Smoke Alarms: 1`- `tW I # Carbon Monoxide Detectors f ee to comply with the terms and conditions of this statement .......................................................................... Date:•'•• ................................................................. Lic.# ...................................... Date:............... Smoke and COforn7.doc remised 01/1012017 CUPERTINO Owner Name Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT e BUILDING DIVISION 10300 TORRE AVENUE-.CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • build ing(a.cupertino.org Permit No. -026. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1-101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of fonn. 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. 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. C, 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 fonn. 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 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). ` / [\Myproperty is a nrultifmnily 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, 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-consel vin lurnbing fixtures comply with the requirements as indicated in the table on the following age. Owner or Owner Agent's Signature:-'/ Date: Upon completing and signing this Certificate, please return it to the Building Division in order to final your buildint permit. SB407 2015. doc revised 08/261'15 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 remised 08126/15 Non -Compliant Water -Conserving Plumbing Fixture -flumbing 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 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. 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 remised 08126/15