Loading...
D-2017-0018CITY OF CUPERTINO BUILDING PERMIT 1 BUILDING ADDRESS: CONTRACTOR: PERMIT NO: D-2017-0018 1076 WEST HILL CT CUPERTINO, CA 95014-5063 (362 27 031) A-1 HAULING CAMPBELL, CA 95009 OWNER'S NAME: CHU KIN YUEN AND STELLA TRUSTEE DATE ISSUED: 04/25/2017 OWNER'S PHONE: 408-257-4178 PHONE NO: (408) 978-2903 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class "- Lic. #518640 Contractor A-1 HAULING Date 04/30/2019 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. z! I have and will maintain Worker's Compensation Insurance, as provided for by j/ 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 understands and will comply with all non -point source regulations per the CuperttnolMunicipal Code, Section 9.18. Date 4/25/2017 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) 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. 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 4125/2017 —BLDG —ELECT _ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: DEMO SWIMMING POOL (525 S.F.) - LANDSCAPE PURPOSE ONLY Sq. Ft Floor Area: I Valuation: $7200.00 APN Number: Occupancy Type: 362 27 031 PERMIT EXPIRES 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: 4/25/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR 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 25505 2533, and 25534. Owner or authorized :age Date: 4/25/2017 STRUCTION 'END G 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 DF LA ATIOi I understand my plans shall be used as public records. Licensed Professional SWIMMING POOL / SPA PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 S P (408) 777-3228 • FAX (408) 777-3333 • building(a�cupertino.ora PROJECT ADDRESSLt.-,s c ! APN# n� a1rO_b) OWNERNAME (') v V -041V-0411 "M PHO — � E-MAIL STREET ADDRESS may CITY, STATE, ZIP ^® lgr FAX CONTACT NAME �� L PHONE Q E-MAIL STREET ADDRESS q G CITY, STATE, ZIP% 4e / FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENTNTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHTTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME u2 LICE E ER '1 V LICENSE TYPE Z BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS / �l CITY, STATE, ZIP ` PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME �7— E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK ` USE OF ® SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial TYPE MATERIAL TYPE (CODE) AREA (SQ. FT.) VALUATION ($) Pool POOL/SPA MATERIAL TYPE CODES: V - VINYL -LINED F - FIBERGLASS G - GUNITE P - PREFABRICATED SPA DEMO RECEIVED BY:at TOTA ALUATTION: 9 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 bav& Lead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building onstmction autho ze representatives of Cupertino to enter the above -identified prop3rtyfor inspection purposes. Signature of Applicant/Agent: Date: Z 5 SUPPLE ENT FO ATIOI QUIRED Commercial or Multi -Family Buildings with Public Swimming Pools: Department of Environmental Health approval required. i � OFFICE USE ONLY " 3 PLAN CHECK TYPE ROUTINGSLIP ❑ OVER-THE-COUNTER_ ❑ EXTRESS ❑ STANDARD - ❑ LARGE © MAJOR ❑ BUILDING DEPT ❑ PLANNINGDEPT ❑ PUBLIC WORKS DEPT ❑ ENVIRONMENTAL HEALTH ❑ SANITARY SEWER DISTRICT SwimPoolApp_2011.doc revised 03116111 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 - hl lilrlinnrnlr! lr ,+;. PURPOSE - - 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 X . ........e6n....................................... bedroom(s) – (Smoke alarms shall not be located within 3 feet of bathroom door) . Signature...................................................................... Lic.#........................................ Date:................... 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 arms combined with smoke ala,appliances and that do not have an attached garage. Carbon monoxide 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 specified below have been tested and are operational, as of the date signed below. Address: 0 764 -LI -41`11 (� (' ,f 6p p , / Permit No. Specify Number of Alarms: r Smoke Alarms: Carbon Monoxide Detectors: /have read and aaree fn cmmniv with fhA forme -inn l;f; -141,;_ -4-, Owner or Owner Agent's) Name: - ,l- -- ----�•�,-•, ••.... ., ... ...�..�v a,���� vv��vit�v!!J Vt LL !!J JLgLC/IIC(1L a Signature .................... / Date: Contractor m . ........e6n....................................... Signature...................................................................... Lic.#........................................ Date:................... Smoke and CO for-m.doc revised 0111012017 r Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-32 ID__ ;8,rFAX (408) 777-3333 • building(akupertino.oro N AddressC�l�s�,/� f L' fP't C cz. C 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. 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? ❑ 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. V1,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, 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. 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.. 5. Please check ONE of the following: i 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 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 improvements). I, as the owner or owner's agent of this property, certify under penalty ofpeijury 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 following nage.. Owner or Owner Agent's Signature: -�-� ;, -� Date: 6 � Upon completing and signing this Certificate, pleas return it to the Building Division in order to final your buildi ig permit. SB4072015.doc revised 01105117 7 61 /\--� Ate- t ATEA, VT' NbT .E:0 jn1)a.s I j i EQo1.F[\A EN _r To 13 F CA P1�D l A.Nn krr rrJ0V 0 i f0i i I � 5F i v f P C(2� N TY DEVELOPM NT DEPA MENT BUIL ANG DIVISION CUPERTI 40 Cz �-7 APPRO �D This set of plans and pecifications MUT pe kept t the job 7 site during constructio . It is unlawful to aRe any c anges or ! alterations on same, o to deviate theref frorr the Building Offic m, withou approval al.1 ` The stamping of this an and specifica onj SHALI NOT be E held to permit or to . e an approval ofhe(violatio of any _ provision of a City Ordinance r State La BY Abb A ende DATE 04/25/1' i PERMIT NO D-201° -0018 i I � p t 74 L c - T, { CUPERTINO - COMPACTION" IS REQUIRED SHOULD THE...._ IV o-�'-�-� ABATED ARE BEI ; IRBLE' IN THE FUTURE. S cA Me Reviewed By: Abby Ayende Date: 04/25/17 PRO PFR i y L '/I,/F Y A f3A i E N\ E"T" ,-,z 6 t To13rCA�o�l=� I A. NP kfz� 11l0v1T.D i Ceh P 4 6-�7 �" iml�u p(,lMs arrd � pedf casticros MU TE^ karat R tf rw job isite a: wing consfi .+wtiar It is unlawful to Tialile any cd anges o i al[m;aflons on same, aa. to deviate th uwii cm, withow approval from the Building Offk al.' The ct ceinpli g of this, l laan ,airs% spocificaa wrrf Sl-lAl I 1140T Itc held to aa. rmdt or to I" c an approval cT Ira;�y'claatic or ci I)( provision of wr' Cl1y Oidi��au�ana e .au�� ,;atKata: L. !d D14f { c Ilya AT PERMINO 1 _ { Ve WAN/ L L. c - T, CUIDEFI 1114 - COMPACTION AMIS REQUIRED SHOULD THE ABATED ARE DL :...... VSKDABLIVI, IN THE FUTURE. vkMe�J ByAbby AyeIf de Date; 0,1/25/ n.7 IVo-rTa S cA Le