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B-2017-0346CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0346 10108 JUDYAVE CUPERTINO, CA 95014-3523 (375 11 009) HERITAGE CONSTRUCTION GROUP INC SAN JOSE, CA 95136 OWNER'S NAME: LI RICHARD C AND INGRID S TRUSTEE & ET AL I DATE ISSUED: 03/01/2017 OWNER'S PHONE: 408-621-6448 I PHONE NO: (408) 266-8303 License Class C17 Lic. #931230 Contractor HERITAGE CONSTRUCTION GROUP INCDate 04/30/2017 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: i. 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. 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 r ,,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 applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature 't� �` $ # Date 03/01/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: i. I, 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. 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. s. 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 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 03/01/2017 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPLACE FRONT DOUBLE DOORS, SAME SIZE & STYLE Sq. Ft Floor Area: I Valuation: $1800.00 APN Number: Occupancy Type: 375 11 009 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: 03/01/2017 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 by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections_ 2$505, 25533, andp55 34. P 1)) Owner or authorized agent:' Date: 03/01/2017 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERT INO M rnwrTpur-T-inlz CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ' (408) 777-3228 • FAX (408) 777-3333 • buiHdina(5cuDertino.org n - - 0 3 �� d TlT1TTT n1.T I I A T 't iT] A Ti f11,T / TT - -- aL ILti!Vll l Y PROJECTADDRESS-10409 5Ave. CiVeei;i-oCA gt;o)hI A'PN_ 00 OYN'P,IANE RtC�aCO� PHONT4Cg. roli"61gS 4040805 -TZ " Cz STREETADDPESS 'JOAO $ "u140'y Ave. CITY, STATE;Z�IP Cµpej--J iCA A q jojj I FAX CONTACT 4A4E MG+1MMAR ( `'q � Ke,) PHO\E )"{®O—`{Q0'b$�iJ E-A/i�il wS4(Nc1,WS�ivt9(S�Q (. STREET ADDRESS. 2.62 r l j L e!j AI& Ave'. 0 OWNER ❑ OV FR-BT_'TLDER ❑ OVi?TFERAGENT ❑ COTfRACTOR ❑ CO\-.M—tCTORAGEIT ❑ RRCHI' ECT ❑ ENGNEER ❑ 'DE,:ELOPER ❑ T'ENA-\'T CONT14CTORNA F i erja v fere.'u-y O LICEITSENUNBER (� ? tZ 2 I LICENSE TYPE C `j BUS. LI ' / (j j t, �Cil'1Vt KP V�Sf Wn^P��S�vAE FAX 1 08_SGIZ)+)Rg0 G%i"�jC h n.aQ�.s. STREETADDRESS r_2 `On s l _ n CITY, STATE; ZIP S OI r Tr7 PHO x. j+® 2 ARChTIECT,'Ej iGLNEER NAME I LICE\•SE NU-1,113ER I BUS. LIC _ COR,PANTYA.&!',4E E-?�4_AIL FAX STRF..ET.0.DDRFSS i CITY, STATE, ZIP I PHONE DESCPIPTIOn OF NORK 1Ke p GA GPS T hpi 'ern` r'n 3-00'r e;v e /' `K Y'8 S �� oac-. EXISTNG USE j PROPOSED USE CON'S TR 11�'. F. STORES USE TYPE I OCC. SQ -FT. j VALUATION (S) EXISTG NEVJ FLOOR DEI,40 TOTAL AREA AREA AREA N=AP.EA-- BAT MOO?,. =CHE]N OTHER R.F-MODELARE.A IRD40DELAREA Rc'1,40DELAREA. PORCH.4aEA DECICAREA TOTAL DECKPORCH.1,RE1, GAR;GEAREA: ❑DETACH ❑ ATTACH D'NELLNG L1ITS: IS A SECOND LTIT ❑ YES SECOND STORY ED YES i E " BELNG.SDDED? ❑?\O ADDITION' ❑?v0 i PRE :;PPLICATION,YES IF YES, PROVIDE COPY OF ❑ IS THE BLDG A\ 'E S CE1Z TOTAL VALLATIO": PLAN\1]XGAPPL= 7I;0 PLA-KNT�GAPPROVALLETTEt EICHLERHOME? _ 00 By my signature below, I certif), to each ofthe following: I ana the property owner or authorized agent to act on have rea r.n'a application and the information I have provided is correct. I haver d the Description of "Xork and verify itis accurate. I a=Tee to comply with all applicable local ordinances and state laws relating to b j1ding co tion. I auth 1-esentatives of Cupertino to enter the abov identif d pr 1 y for inspection purposes. Si --nature of ApplicantlAQent: , Date: 0 •rT'GIPE;:::a'.iso:i_:::.:: SUPPLEviE TTALINFORAATIO\REQLItED-:;\:.._.CHECK , u„ RO::;.U.,.T..::I:: N—G.:_ SL.:I:P. _SFD or hul�Ifan�l dt� .ILn�_s. A pI� for demolition 'mit for \eaApply existina building s. Demolition pennItls,ouln.,arlor o t issuance of bu.ld_.._ , , � : - ., • ` - permit for new building.t�?EP-,R.n,E..,SS... �c�.��":'�"_ - ;,PI:A'v\L�"GPL3I\"RE�'IEtV�=::;•`;' a CommB13Q s. Prop ide a completedaZardaLs haterials DiSCIO_u,-:v 5. p[.' Y iiORi S, -OI7111 ffi9V aZend�uS A ete.lal5 are 21nQ used a" i �-_..-:..,::..-.”";,-,.>::: .:::��: ":.:_sag"",.. ._.. f � h � n b � _ � pal � of t.lh r.ro�..�t. �;:: .. :,,>.:. ".-. � �=;- _ Copv of Planning Approval Letter or hleetiing with Planning prior to =�] 14JDR L� S� II4R1 SERERDIcTRICT submittal of Building Permit application. _ _ ETIRO�Tih-" - HEALTH.- BId ,dpp_20].1.doc revised 06/21/11 RICHARD AND INGRID Lt. 10 108 J U DY AVE. CUPERTINO, CA 95014. FRONT/ENTRY DOOR REPLACEMENT WITH LIKE FOR LIKE SIZE FIBERGLASS IN -SWING DOOR. 1� 17 D'_PAF,.T%':::j1_j APPROVED s Sci !�r_ S S[)�Cjf T �,e 'kept B" 1r�e of site durrq c:,rsi, c -ion. Ffla!<� jn changes or 211.1—ations or, sarne, or to, ievrat'e a'.,provai from tI e The S'ampin., pis plan ard' speci'W-'-,',ons S14ALL held to 0 porn-dt "r to bm,_ c v �j,, o 'hre V i o la" o n any provr 1_ State 'La',v. "isiors o._ clf Ey .4 G ERIZ KIT r.� rs - ENTRY DOOR 66 lIK82 WAR a - 0 71 '[DERTINO n_9 Department 2617 REVIEVVED FOP, CODE COMPLIANCE RevieWed By 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 - bull ding (aiCUperEino.orQ PURPOSE &1r-: 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 R314, 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 _ Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) - (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable attics �--- _ X X LWithin each sleeping room. ; a X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-bun-irtg appliances and. -I:hat 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: L -L 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 R314 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 specified below have been tested and are operational, as of the date sighed below. �( Address: I 0 /1 � JtiJv /1 e c4per t `". C -A Permit No. Specify Number of Alarms: n Smoke Alamas: = # Carbon Monoxide Detectors: I have read and aaree to comply with the terms and con ons of this statement Owner (or Owner Agents) Name: `-� t Jai. 67 ,-d Signature .......................................................Date:................ Contract r Name: Signature- .............................. ....... Lic.n ................. Date:.................. S7770ke and COfo7777.doc remised 01/10/2017 CUPER�jT�iIN Owner Name Address l of o WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 77-3Z:9 - FAX �4f 8V77 3333 • buildingQcupertino.org M 0 - 7''7- 035.E 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. KNo 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 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. 9 No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? C9' 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 Sections 1101.1 through 1.101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Pl ase 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-conseiving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ Myproperty is a multifamily 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 c0771mercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plurnbing 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 plurnbin •es comply with the requirements as indicated in the table on the following pane. ____2 Owner or Owner Agent's Signature: _4�4 / Date: Upon completing and signing this Certificate, please return it to the -Building Division in order to final your building permit. SE407 2015.doc revised 08/26/15 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the ngure shown, it is not requires to ne upgraaea. SB407 2015.doc revised 08126115 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 ppsi 60 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 lower than the ngure shown, it is not requires to ne upgraaea. SB407 2015.doc revised 08126115