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B-2017-0596CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0596 10115 PARKWOOD DR APT 3 CUPERTINO, CA 95014-1446 (326 27 036) THERMAL MECHANICAL SANTA CLARA, CA 95054 OWNER'S NAME: AVERY GLENBROOK LP I I DATE ISSUED: 04/19/2017 1 I OWNER'S PHONE: 650-961-8330 I 1 PHONE NO: (408) 988-8744 1 513-31 Mitsui I t_. 1 t 1 :._s 1 License Class C-4: 10, 20, 36, 38 Lic. #256057 Contractor THERMAL MECHANICAL Date 01/31/2018• hereby affirm that I am licensed under the provisions of Chapter 9 (commencing ith Section 7000) of Division 3 of the Business & Professions Code and that my cense is in full force and effect. hereby affirm under penalty of perjury one of the following two declarations: t. I have and will maintain a certificate of consent to self -insure for Worker's a 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 will maintain Worker's Compensation Insurance, as provided for by c *on 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 applicant understands and will comply with all non -point source regulations per t_h@ Cupertino Municipal Code, Section 9.18. Signature Date 4/19/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 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. 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. C 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 4/19/2017 PERMIT INFO: BLDG X ELECT X PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: BLDG #15/UNIT #3; ADD (1) A/C; REPLACE FURNACE, SAME LOCATION; (1) WASHER AND DRYER HOOK UPS; (N) ELECTRICAL SERVICE (70 AMP); (N) GAS LINE FOR STOVE; (N) RECEPTACLE OUTLETS; (N) LIGHT; (I) BATHROOM EXHAUST FANS. Sq. Ft Floor Area: I Valuation: $20000.00 APN Number: Occupancy Type: 326 27 036 PERMIT EXPIlLES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbyAyende 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: 4/19/2017 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 Code, S 25505, 25533, and 25534. Owner or authorized agent: Date: 4/19/2017 RUCTION LENDING AG CY 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 APPLIC,CATION t , GOWUNI T Y DEVELOPMENT DEPARTNIEN T v 8? iLDING DIVISION I030TORI E AVENUE °CUNEI TINO, CA 95014-3255 9 (498) 777-3228 - EAS. (408) 777-3333 ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 10115 Parkwood DR, BLDG 15, Unit #3 APN#blis ill OWNERNAME Avery Glenbrook LLC PHONE 0 650-961-833 TMAIL avery@Pacbell.net STREET ADDRESS 130 East Dana Street CITY, STATE, ZIP Mt. View, CA 94041 FAX 650-961-0571 CONTACT NAMERob Moyer PHONE 408-593-8115 E-M`HC rmoyer@thermalmech.com STREET ADDRESS 425 Aldo ave. CITY, STATE, z8 Santa Clara, CA 95054 FAx 408-988-0233 OWNER ❑ OWNER BUILDER ❑ OWNER AGENT IX CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAMEThermalM@ChanlCa) LN ICENSEUMBER256057 LICENSE TYPE C-4 10 20 36 38 BUS. LTC #299 COMPANYNAME Thermal Mechanical E-MAIL rmoyer@thermalmech.com FAx 408-988-0233 STREET ADDRESS 4255 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 408-988-8744 ARCHHECT/ENGWEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK add new AC, replace furnace in same location, (N) washer/dryer hook ups, (N) electrical panel (70 AMP), (N) gas line for stove, (N) electrical outlets, (N) light, (N) bathroom exhaust fan EXISTI NGUSE PROPOSED USE CONSTR TYPE I if STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEWFLOOR AREA DEMO AREA TOTAL NET AREA BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER REMODEL AREA PORCH77 DECK AREA TOTALDECK/PORCII AREA GARAGE AREA: DETACH 1] ATTACH #DWELLINGUNHS: ISA SECOND UNIT El YES BEINGADDED? []NO SECOND STORY LJ YES ADDITION? r1N0 PRRAPPLICATION ❑YESIF YES, PROVIDE COPY OF IS TIIE BLDG AN F1 YES EIVED BY: TOTAL VALUAT ON: PLANNING APPROVAL LETTER EICHLER HOME? �NO PLANNINGAPPL# rINO A Le%�J' dd UUU By my signature below, I certify to each of the following: I am the property owner or authorized agent tb act on th property owner's behalf. I have read this I have is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local application and the information provided and state laws relating to build' epnstru ion. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. ordinances A� Signature of Applicant/Agent: "I" -'L Date: r F SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER THE -COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building ElExPREss El PLANNING PLAN REVIEW permit for new building. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLICWORKS _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAaoR ❑ SANITARY SEWER DISTRICT _ submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 06121/11 ()\vncr Nan ne Wdress WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ©,q ip (408) 777-3228 • FAX (408) 777-3333 • buildinq(u-�cupertino.orq Is your real property 4 registered historical site? 1-1, Yes Civil. Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. C._l. 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 III Unibing, installation of water -conserving plumbing fixtures is not technically feasible? 1-1, Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ET 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 seri'lice',permanentTydisconnected for your building? 11 Yes' Civil Code. Sections'1101.1 through 1101.8 do not apply. Skip the rest of the fonn and sign bottom of fon n; 'lt No Go to (question 4. Is your real prope.itybuilt 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 form. .Iql Yes My reel propei-ty 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: El My property is a single fandly residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plurnbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- compliant plufnbiirg fixtures shall be replaced with water -conserving plurnbing fixtures (regardless of whether property undergoes alterations or improvements). ]� My property is Ka »7ultifa7nily residential real property. See Civil Code Section 1101.5. On and after January 1, 20.14, 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 conan7.ercial 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 water7conserviiig plumbing fixtures. On or before January l,'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 11.01..1 through 1101.8, the. current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and'that the Nvater-conserving plumbing fixtures comply with the requirements as indicated in the table on the following Daae, Owner or Owner Agent's Signature: {.- ) Date: �q/3// 7 Upon completing and signing, this Certificate, please return it to the Building Division in order to final your building permit. SB407 201.1. doc revised 08/26/15 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Wafer Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rafe Single -Family 'Multi -Family Commercial Residential I 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 galfons/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 lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08/26/15 PUUOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE T]iis 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 insivections,are required. GENERAL INFORMATION Exisdng single-family and multi -family dwellings shall be provided with Smoke'Alarms and Carbon N/lonoxide alarms. Wheri the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC,Secti'on R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carboia Monoxide Alarms,be installed b1 the following locations: .AREA SMOKE ALARM CO ALARM _ _ Outside ofeacl'i separate sleeping area in the immediate vicinity of X ix the pedroom(s),i 01-1 a d-ivelling unit including basements X x Within each'slzeLnroom X i_arbon Motnoxi.d.' ax s; are root -required in dwellings which donot contain fuel -burning appliances and that do not have! attached garage. Carbon monoxide alarms combined with smoke alarms shall 66m I ly ivith i='I C Seckron.4 0 6 gild sl�all be approved by the Office of the State Fire Marshal. power Jupply;' In &vellizg louts with no cominercial. power supply, alarm(s) may be solely battery operated. in. existing dwe ` glunits, alarms are permitted to be solely battery operated where repairs or alterations do not result inthe reiroval of wall and ceilblg finishes or there is no access by means of attic, basement or crawl space. Refer -t6 CRC; Section R314 and CBC Sections. 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which liiust 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 ain.d California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address:"� Permit No,�1%0.�,� Specify Number of Alarms: i I have read and acree to comply ivith the termsand rnnrlltinmof this .cfatamanf Smoke Alarms: = i# Carbon Monoxide Detectors: Owner (or 0-vmer.AgenVs) Name: Signature... �-.................................... ..... ............................... .Date. A ............ Contractor Name: T�1,! " 57 3 ................................ Date: