B-2017-0313CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0313
10641 GLENVIEW AVE CUPERTINO, CA 95014-4514 (369 26 028) AFFORDABLE WATER
HEATERS AND
PLUMBING INC
28358
CONSTELLATION RD
VALENCIA, CA 91355
OWNER'S NAME: TRAN DE H AND YEE CAROLYN I I DATE ISSUED: 02/27/2017
OWNER'S PHONE: 408-2344801 I PHONE NO: (855) 345-9087
License Class C36 Lie. #527368
Contractor AFFORDABLE WATER HEATERS AND PLUMBING INCDate
09/30/2018
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.
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.
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 ap lic derstands and will comply with all non -point
source regulationslie the Cu-Piertino Municipal Code, Section 9.18.
re/ ; Date 02/27/2017
t
I hereby affirm tt I am exempt from the Contractor's License Law for one of the
following two res ns: V
t. I, as o er 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
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.
BUILDING PERMIT INFO:
BLDG —ELECT X PLUMB
MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
REPLACE 50 GAL WATER HEATER (GARAGE)
Sq. Ft Floor Area: I Valuation: $1700.00
APN Number: Occupancy Type:
369 26 028
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN INAAY-S-O_� RERMIT ISSUANCE OR
180 DAYS FROMLASL �FCTION.
Issued by: MELI _
Date: 02/27/2017
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 of Applicant:
Date: 02/27/2017
ALL ROOF COVERINGS TO BE CLASS "A"
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 t the Air Quality Management District I
will maintain compliance with the per ' Municipal Code, Chapter 9.12 and
the Health &Safety Co cti 25505, 25533, and 25534.
Owner or authorized ageWLJ Lj
Date: 02/27/2017
11 ENDINGAGENCY
CONSTR C 10
hereby affirm that there is 4cohstruon lending agency for the performance
of work's for which this pernit i issue (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
understand my plans shall be used as public records.
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TO
AVENUE • CUPERTINO, CA 95014-3255
CiJF'ERTINC) (408) 777
MISC
VXI-3228 •FAX (408) 777-3333 • buildinaC�cupertino.org
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CITY STATTE,� ,Cl*
FAX
❑ OWNER ❑ OwNER-BUIIDER ❑ OWNER AGENT
❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
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ARCI-ETECT/ENGINEERNAME
LICENSENUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF or DUPLEX ❑ MULTI -FAMILY
BUILDING: ❑ COMMERCIAL
PROJECT IN WILDLAND ❑ YES
URBAN =CE AREA ❑ TNIO
PROJECT IN ❑ YES
FLOOD ZONE ❑ NO
IS THE BLDG AN ❑ YES
EICHLER HOME? ❑ NO
DESCRIPTION OF WORK C
g yig
TOTAL VALUATION:0
RECEIVED
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the pro e al£ I have read this
application and the information I have p vided is correct. I have read the Description of Work and verify it is accurate. agree to comply with all applicable local
ordinances and state laws relating to bu d' construction. I authorize representatives of Cupertino to enter the aboy�-id ttde>yopection purposes.
Signature ofAppheant/Agent: Date: `!Js
StrAMENTAL INFORMATION REQUIRED
OFFICE USE ONLY
11kiVER-THE-COUNTER
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MEPMiscApp_2011.doc revised 06/21/11
+CUPERTINO
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 • buifdinoacur)ertino.oro
euxrU�IJ ,
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 4.20.6 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 dwea-ig uanits exceeds
$1000.00, CRC Section 8314, R315, 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 I
Outside of each separate sleeping area in the immediate vicinity of the
X
,{ _ I
bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) ,
On level dwelling
i every of a unit irncluding'basements arld habitable attics
X I
X
Within each slee�ing room. _ ..
Carbon Monoxide alarms are not required in dwellings which do itot contain fuel buri�g-appliances aand_ t at
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 -6nits with no commercial power supply, alarm(s) 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 crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms i'vhich must be connected to the buildin6, -sgriring.
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. �p
Address: �% ( 'i Q �l U 1 Permit No.IT
Specify; Number of Alarms:.' r Smoke Alarms: � t Carbon IyIoiioxide Detectors: Y
I haves haat/ anr1 ansa to rmmnty with tha t..orir.c and rrnnr1itinn.c of fhbz .ctafamant '
Owner (or Owner Agent's) Name:
_111
Signature............ ..........'....................✓".......................................................... Dat :.......... ...
Contractor Name:
Signature.. ...................... ......................................... Lica ......................................Date:..................
Smoke and COfor,n.dor, revised 0.111011017
CUPERTINO
Owner Name
Address It `7. ,
2.
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT %BUILDI.NG DIVISION
10300 T.ORRE AVENUE • CUPERTINO, CA 95.0.14-3255 ,
(408) 777-3228 FAY -(408) 777-3333 buildi°ngCa cupertino.ora
Permit No. °
Is your real property a registered historical site?
❑ 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.
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 bottorn 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.
5k No Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994? '
"❑ No' Myreal property is built and available; for use.or occupancy after January 1, 1994;
Civil Code Sections 1101.1 through 1101.8 do Yiof apply° Skip the rest of the form and sign bottoiri of f6ie
Xyes 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
i :. boltoirt of form.: --
S,�ease check ONE, °of the following:. ,
My properly is a single fanzily'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-conseiving 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 unprovements 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).
1,7 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 dat6`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 fha 'fl e eater -conserving " lumbing fixtures comply with the requirements_ as indicated in the
table on the following page.
Owner or Owner Agent's Signature: Date:
Upon completing and signing this Certificate4please return it to the Building Division in order to final your building p6nnit.
SB40 7 2015. doe revised 08126/15
1. If the existing plumbing fixture water usage/tlodr rate is equal to or lower than the ng -re snows, it is not requlrea to oe upgraaea.
SB407 2015.doc revised 08/26/15
Non -Compliant
Water -Conserving Plumbing Fixture
PlumbingFixture
(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 Rafe
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, I
average 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
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/tlodr rate is equal to or lower than the ng -re snows, it is not requlrea to oe upgraaea.
SB407 2015.doc revised 08/26/15