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B-2017-0336CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0336 23500 CRISTO REY DR UNIT 330D CUPERTINO, CA 95014-6529 (342 53 105) BAY AREA ENTERPRISE SAN JOSE, CA 95148 OWNER'S NAME: WORCESTER ROBERT N TRUSTEE & ET AL OWNER'S PHONE: 650-537-1523 LICENSED CONTRACTOR'S DECLARATION License Class B Lic. #817817 Contractor BAY AREA ENTERPRISE Date 03/31/2017 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: 1. I have and will mainfain 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. 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 a� 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 ag st said City in consequence of the granting of this permit. Additionally, a applica understands and will comply with all non -point source reg lations p_9P1he Cupertino Municipal Code, Section 9.18. Date/2/3 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: 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. 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. 3. 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/2/3 2017 DATE ISSUED: 03/02/2017 PHONE NO: (408) 238-5043 BUILDING PERMIT INFO: X BLDG X ELECT X PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: UNIT 330D - INSTALL (1) RECESSED LIGHTS (8); REPLACE BATHROOM FANS (2); REPLACE OUTLETS (25); REPLACE LIGHT SWITCHES (15); REPLACE SHOWER, VALVE, PAN WALL FINISH (2) Sq. Ft Floor Area: I Valuation: $7500.00 APN Number: Occupancy Type: 342 53 105 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby yende Date: 03/02/2017 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant:, Date:/2/3 2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &Safety Co�Sectiond05,25533, and 25534. yu Owner'or authorized agent: Date: 3/2/2017 LENDINGCO STR/CTION I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATI h*--' COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE 4 CUPERTINO, CA 95014-3255 � PEi� 9 � € (408) 777-3228 - FAX (408) 777-3333 - building(o}r culae iino.ort2 NEW CONSTRUCTION FIADDITION i71••niTTF.RAT-ION/TI n r1011,TATAT D C_ 30 A PROIEC RFSS e$�S APNr q2- G_- �Z3Ev 3-10 _F® M17NENAME Wr®PHONE -rl% 0- rav- i lkY E -\BAIL >t. o- 3 -Irz3STREETADDR +� a,w c d sr-carK CITY, STATE ZIP ®}� FAX S+0 e t' G 7 CONTACT NAME&IO- *-C,- ,� P O - 2 3 e -' $ b(�• 2 7 i > -mIA2 � - '-f-& C o ri STREETADDRESS 1"jc,n `K CITY-STATE, ZIP [FA -"C WS 1 ❑'OWNER © OWNER-nUILDER O OWNERAGENT jfJ CONTRACTOR O CONTRACTORAGENT O ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENAEHT CONTRACTQRNAME L i r LICENS;NUWBER #IL� LICENSE nTE Busrmiq-Lc 0 c0 COiINIPr NY P; ME ae Y'VL G_. w �e di _C o FAX STREET ADDRESS Z 1-10 is CITY, STATE, ZIP r- 57$ PHO1— (iA -- ARCi IiTBCT/ENOiNEER NAME LICENSE NUMBER HUS. LIC a COMPANY NAME E-41 AIL FAX STREETADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF W RK 8ck+tI .;E, --..�.. WeW LCO necessedu- r4 a ReaM - (4091 at `cam t: (e s WNI%-- - W C44nX& 6 Ewer; Ya ve^ve ": n `S s' will SKIS SE ROPOSEDUSE CONSTR. BST USE TYPE OCG SQ FT_ VALUATION {S} MSTG NEW FLOOR AENIQ TOTAL ` AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER MIODEL AREA REN40DEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL D£CKlPORCH AREA GARAGEAREA DETACH QATTACH. @DWELLINGUNTTS: ISASECONDUNIT OYES SECOND STORY QYPS BEINGADDED? ©NO ADDITION? ONG PRE -APPLICATION AYES IF YES, PROVIDE COPY OF IS THS BLDG AN OYES WED BY • T AL VALUATION: �f i `"1 PLANNINGADPLa ONO PL.kNNr,IGAPPROVAL LETTER EICHLERHOME? ONO a n s By my signature below, I certify to each of the fo}ioti g: I am t}ie property atimer or authorized agent to actoh theproperty owner's beha. i ha/ve read this application and the information I have provided is c t. I haWlead the Description of Work and verify it is accurate_ I agree to comply ~vith all applicable local ordinances and state laws relating to building cons ction. T a orize representatives of Cupertino to enter the above-identitied property for iinspection purposes. Signature of Applicant/Agent: :Date: ) I-V�` SUPPLEMENT INFORMATION REQU R -F -D PLAN CHECK TYPE ROUTMGSLYP 0 OVER- THE COUNITER ❑ ButLDJNG PL" RMEw New SFT} or Multifamily dwellings: Apply for demolition permit for Existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ I:i'PRESS ❑ PLANNING PLANREVIEty _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLICAVORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ IMF DErr _ Copy of Planting Approval Letter or Meeting with Planning prior to ©�IA�aR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application- ❑ ENV[RONititENTAL ttEALTH BldgApp 201 Ldoe revised 06121111 WtiUWd MwbtI 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 • buildinca(a�cupertino.orq FuXPUSE 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 CSC 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 I Within each sleeping room i` X �X Carbon Monoxide alarms are not required in dwella->gs which do not contain fuel-buming 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 divenag units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling fh-dshes or there is no access by means of attic, basement or crawl space. Refer to CRC Section 8314 and CSC 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 Builduzg and Cal�iforida Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. r� Address: _ �- �� � ��� fi'� Permit Noe_--CD Specify Number of Alarms: Smoke Alarms: I d-- I t Carbon Monoxide Detectors: l have read and agree to comply e th the terms and conditions of this statement Owner (or Owner Agents) Name: /. �^7 %/ Nt Si natur ...... .................................................................................................... Date: 7..-1.. (... ontra for Name: Signatur .... ...... ....-........ ic.fr.......:.-:-::.::^- .............. Date:.................. Smoke and COfo7777.doc remised 01/1012017 cis[ eRTiN:o Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNJTY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 408) 777-3228 • FAX (408) 777-3333 Address 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. E�- 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? Es L 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. IF 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. No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 19949 W 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 1101.8 apply. Check one of the three following statements and sign bottom of form.. 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). ❑ My property 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 connnercial 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 a ith 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 nage: Owner or Owner Agent's Signature: 4142 _�'� Date: – " 12—J Upon completing and signing this Certi icate, please return it to the Building Division in order to final vour building Den -nit. SB4072015.doc revised 08126115 1. If the existing plumbing fixture water usage/flotiv rate is equal to or lower than the figure shown, it is not required to be upgraded. SB40720J5.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture1 (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 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, 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/flotiv rate is equal to or lower than the figure shown, it is not required to be upgraded. SB40720J5.doc revised 08/26/15