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B-2017-0329CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0329 20874 HANFORD DR CUPERTINO, CA 95014-1824 (326 30 059) WILLOW GLEN ELECTRIC INC SAN JOSE, CA 95155 OWNER'S NAME: KANG MARTHA SHAN PING TRUSTEE & ET AL DATE ISSUED: 02/28/2017 OWNER'S PHONE: 408-910-4012 PHONE NO: (408) 289-9725 LICENSED CONTRACTOR'S DECLARATION BUILDING PERNHT INFO: License Class C110 Lic. #591918 Contractor WILLOW GLEN ELECTRIC INC Date 04/30/2018 X BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH X RESIDENTIAL — COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: INSTALL (2) EV WALL CHARGING STATIONS ON EITHER SIDE OF I hereby affirm under penalty of perjury one of the following two declarations: GARAGE 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. �C N2. 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 Sq. Ft Floor Area: Valuation: $3790.00 permit is issued. APPLICANT NT RTIFI ATION I certify that I have read this application and state that the above "N Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 326 30 059 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. Additionally, the applicant understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LA ION. Signatur Date 02/28/2017 Issued by: MELISSA NAMES '- O R-BUIELDER DECLARATION Date: 02/28/2017 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 roofing 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) z. 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: 02/28/2017 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 ,and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. t: Owner or authorized anV4 APPLICANT CERTIFICATION Date: 02!28/2017 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. 1 understand my plans shall be used as public records. Licensed Signature Date 02/28/2017 g Professional U -i I'm 00 ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT & BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3265 A (408) 777-3228 - FAX (408) 777-3333 LO PROJECT ADDRESS 21q5,-70 APN # OWNER NAME &aj PHONE E:AIL d'I'fe", e Iva-ep. sTRrrTADDRr-SS FAX CONTACT NAME Mark Londre PTIO�F (408)289-9725 E-MAIL ' office@willowglenelectric.com STREET ADDRESS p. O. Box 8430 CITY, STATE, ZIP San Jose, CA 95155 FAx (408)289-9725 13 OWNER 13 OWNER -BUILDER 1:1 OWNER AGENT VCONTRACTOR 11 CONTRACTOR AGENT 11 ARCHITECT 1:3 ENGINEER 11 DEVELOPER El TENANT CONTRACTOR NAME Mark Londre LICENSE NUMBER 591918 LICENSETYPE c -lo BUS. LIC # 15897 COMPANY NAME Willow Glen Electric, Inc. E-MAIL Office@wlllowglenelectric.com FAX (408)289-9725 STREET ADDRESS P. 0. Box 8430 CITY, STATE, ZIP San Jose, CA 95155 PHONE (408)289-9725 ARCHITECT/ENGINEER NAME N/A LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF 7 SFD or Duplex rl Multi -Family STRUCTURE: (3 Commercial I PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes [I No PROJECT IN FLOOD ZONE El Yes [I No 0 SOLAR PANELS I it ELECTRIC VEHICLE CHARGING STATION 11 SOLAR WATER HEATING ❑ OTHER: POR SOLAR PANBLS. NUMBER OFPANIELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: % 7 o?O DESCRIPTION OF WORK .1— Electric Vehicle Char in Circuit: 0 ) 10 4"go 440 (at'_U4�� i3T q z Io ( - 7e 'A�.'aj4'4'tV_ c_cw j 1 I 56 - CEIVED RECEIVED C D �oW6�e—_r's�teha�lt �haveread �this � act oil I Ct� By i-ny signature below, I certify to each of the following: I am the property owner or authorized agent to a oil the application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building conshu es of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: K Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE .. USE ONLY EXPPESS Ai '0.STANDAitD -LARGE C3.mAToR PVApp__2011.doc revised 03116111 AXFCUSgn Envelope ID: 8258D15B-7527-49C3-ABFF-A546E89BE678 �Y. r r SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 950143255 (408) 777-3228 - FAX (408) 777-3333 • building ar2cupertino.ora Permit No.B-2017-0329 Address 20874 Hanford Drive # of Alarms Smoke: 8 Carbon Monoxide: 2 .PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION PURPOSE 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 907.211.5 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 the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleel2ing room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning 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. 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 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. The alarms have been tested and are operational, as of the date signed below. i have read and aaree to comAiv with the terms and conditions of this statement Owner (or Owner Agent's) Name: Docuftned by: Cam Tran Si natur ... .....1. rA:lrt..... ......Dat4/6201 Contractor Name: AEB2A5F83CD6463... Signature................................................................... Lic.#...................................... Date:................... Smoke and C©fonmdoc revised 03118114 ...,,,,,hill � 1voiuNC w. 01-0au IOis-f*Z!-45G3-ABFF-A546E89BE678 CUPERTINO 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 - buildingrc cupertino.org Owner Name Cam Tran hermit No B-2017-0329 Address _20874 Hanford Drive, Cupertino, CA 95014 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN ; IG= AND RETURNE12 TO THE BUILDING DIVISION Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature:E DocuSignedby: Date: 4/6/2017 CX No Go to Question 2. AE62A5F83CD6463... 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. Sign below and skip the rest of the form. Owner' Signature: DocuSigned by: Date: 4/ 6 / 2 011 7 E6AEB2A5F83CDB463 ,,,,. L� No Go to Question 3.0^ ... 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature:DocuSignedby: Date: 4/6/2017 * No Go to Question 4.E 'rrrou A51`11=13463 4. Is your real property built and available for use or occupancy on or before January 1, 1994? R 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. Sign below and skip the rest of the form. pp DocuSigned by: Owner' Signature: i3O^ 1100A, Date: 4/6/2017 El Yes My real property i aadBavW1sble for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. ❑ My property is a single fancily 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). ❑ My property is a nzultifannily 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. 0407 2015.doc revised 02104115 .uS.ign Envelope ID: 8258D15B-7527-49C3-ABFF-A546E89BE678 R 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/We, the owner(s) 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 110 1.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-conservi vhk*ilP, fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. If the existing plumbing fixture water usage/flow rate is equal to or tower than the figure shown, it is not required to ow upa4uuu. SB407 2015.doc revised 02104115 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 1.6 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 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/flow rate is equal to or tower than the figure shown, it is not required to ow upa4uuu. SB407 2015.doc revised 02104115