The URL can be used to link to this page

B-2017-0619CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10325 FINCH AVE CUPERTINO, CA 95014-3412 (375 43 008) OWNER'S NAME: SPENCER A THOMAS III AND HILARY H TRUSTEE OWNER'S PHONE: 408-978-1950 LICENSED CONTRACTOR'S DECLARATION License Class a Lic. #964167 Contractor KOKO CONSTRUCTION Date 08/31/2017 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 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 L 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 applicant underst" d nd will comply with all non -point source regulations per th pert' unicipal Code, Section 9.18. r Signature/ Date 04/19/2017 hereby affirm that I am exempt from the Contractor's License Law for one of the CONTRACTOR: PERMIT NO: B-2017-0619 KOKO CONSTRUCTION MOUNTAIN VIEW, CA 94040 DATE ISSUED: 04/19/2017 PHONE NO: (650) 218-1672 BUILDING PERMIT INFO: ' X BLDG X ELECT _ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPLACE PANEL (125 AMP) SAME LOCATION; REPAIR DRYWALL Sq. Ft Floor Area: Valuation: $1000.00 "N Number: Occupancy Type: 375 43 008 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim Dunbar Date: 04/19/2017 rcrrxuvro• ving two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is a. 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 (See.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature ofAppl contractors to construct the project (Sec.7044, Business & Professions Code). Date: 04/19/2017 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 04/19/2017 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 device which emit hazardous air contaminants as defined by the Bay Area u nagement District I will maintain compliance with the Cuperti i ' de, Chapter 9.12 and the Health & Safety Code, Sec 'ons 550 5 and 25534. Owner or authorized agent I Date: 04/19/2017 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 GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT. DEPARTMENT • BUILDING DIVISION 10300 TORRE.AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building aOcupertino.org " 20 L -�--©0 t q ❑PLUMBING F1 FRPTPr'1'RTrAT I I1ATCr'F7TT AKMnTre PROJECT ADDRESS I2' y �� APN4# ^ i / ,e OWNTERNAME CF�'►� PHONE Loe® J T® /e/ o E-MAIL STREETADDRESS l �y ®�v CITY, STATE, ZIPp 40SeZ FAX CONTACT NAME 1 /� ary o, } � le® VA `�, W PHONE��n _ ue- la � 9 E-MAIL STREET A� t$ i+VIA 9r !G❑ 13 CITY, STATEUZIPr. v / _W 4� _ FAX ❑ OWNER(( ❑[OWNFRR-BUILDER OWNERAGtTT ❑ CONTRACTOR ❑CONT'RACTORAGENT ❑. ARCHITECT ❑ ENGATEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME a' ® � e �C®v LICENSE NUMBER 6 � 16.7 •JIeOKO LICENSE TYPE j'j BUS. LIC ' b 1 31 COMPANYNAIEcONS7gU C, 1 I O� E-MAIL VA65 /�(,)P00- [J, s7 STREET ADDRESS eA1,1fo�� k ST I-3 Y�if'- CITY, STATE. ZIP sli/F, w- C!4 b� V l� PHON ry/p ® y �� G I 0 -(6 T ARCHITECT/ENGENTEER NAME LICE I"SE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS n. CITY, STATE, LIP PHONE USE OF FD or DUPLEX ❑ MULTI -FAMILY B=ING:❑COMMERCIAL ' PROTECT IN WtAND ❑ YES PROJECT IN ❑ YES URBAN Il TFRFACF AREA ❑ NO FLOOD ZONE El NO IS THE BLDG AN ❑ 1"r -s EICHLER HOME? ❑ NO DESCRIPTION OF WORK. FF— PIA cr yo=Wr _ / sTt A)6� G®c 67-t M) . i2 FPAt i\- PAY ryAl-L A.Pv p PATCH Afl'-ErL WO/Zte e0HP46'7��. PIfsvEL 15 40ck7-Ep IA) 7.9& TOTAL VALUATION:®C�)v RfiCEIVEDB� By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this 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 construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED ` �_ ❑ 01 ER THE _COlTl\TER f _.v ❑ EXPRESS a U -- �` , ❑ LARGE 0 D4AJOR AIEPA1flsct4pp201 ].doe revised 06121111 CUPERTINO Owner Name Address 1032 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. C INo Go to Question 2. Skip the rest of the form and sign bottom of form. 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 110 1. 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. MNo 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. VNo Go to Question 4. 4: Is your real property built 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. .1 Civil 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 fonn.. 5. 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). El 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 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 iunprovements). 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 plumbing fixtures comply with the requirements as indicated in the table on the followin page. Owner or Owner Agent's Signature: Date: Rel / Upon completing and signing this C `c, a e,/ple e t 1 p' nod to final your buil mg permit. `�/�. Cid SB407 2015. doc revised 01/05/17 1. If the existing plumbing fixture water usage/flog 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) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Mufti-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/flog rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08/26/15 DPUOZ 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 ALARJVi 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 Within each sleeping 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 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 wining. 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. Address: 10325 'FIPCy AVE Specify Number of Alarms: Permit No. U 2_qT - (%I S r Smoke Alarms. # Carbon Monoxide Detectors: a i have read and ag4 49L"60 ree to comply wit e terms and conditions of this statement ner or O ` ler Agent's) Name: 0•a cJQS/�2i'� l7Ya �jt{111.%� 4 BB ZG« 6ClS /lam a Si nature .. ......... ....... ... . . ............................. Date:. :.. .A. C tractor Name: lo/�crC/_ Signature ......................;............... Lc.# ......416.. ........ Date:.�..1..�..1..11.. . . Smoke and CO form.doc revised 01/1012017