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B-2017-0653CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0653 21111 RED FIR CT CUPERTINO, CA 95014-4254 (359 05 042) THERMA TECH INC SAN JOSE, CA 95125 OWNER'S NAME: TU TIANHENG AND CHEN SUHUI OWNER'S PHONE: 626-272-5185 LICENSED CONTRACTOR'S DECLARATION License Class Q -M Lic. #913806 Contractor THERMA TECH INC Date 04/30/2018 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: t. 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. APPLICANT CERTIFICATION I certify that 1 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�wji all non -point source regulations per the Cupertino Municipal C g`Section 9.18. Signature - - - 9f Date 04/26/2017 ION 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. 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 1 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 04/26/2017 DATE ISSUED: 04/26/2017 PHONE NO: (408) 629-5400 BUILDING PERMIT MO: X BLDG —ELECT —PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: FURNACE (SAME LOCATION); ADD CONDENSER Sq. Ft Floor Area: l Valuation: $7000.00 "N Number: Occupancy Type: 359 05 042 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: PAUL O'SULLIVAN Date 04/26/2017 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: 04/26/2017 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, Sections 25505, 25533, and 25534. Owner or authorized agent: 1{ Date: 04/26/2017 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 GENERAL PERMIT APPLICATION bqM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 , FAX (408) 777-3333 • buuildinaCa)cupertino.org n PLUMBING V MR(TTA NT( AT i—i RT Ur -rD T� A T M ,..rte PROJECT ADDRESS AVAPN F�- � �OWNERNAME ��L # J 5 rte — PHONY 2 C)y/yZ C G J FFE-SAIL STREET ADDRESS / / ` f�� j� / ` I CITY, STATE, ZIP FA CONTACT NAME e, fwi` /^�� /y� / PHONE/`q E-MAII��', o �� 4 yeC ff STREET ADDRESS +j 1� L / �(�%���� CITY, STATE(, ZIP C>�� 1Z5 �� FAX(-'- )2Y2 —7 f ❑ OWNER ❑ OWNER-ButLDER ❑ OWNERAGENT XCONIRACTOR ❑ CONTRACTOR AGENT ❑ .ARCMrFCT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER q1 ?g o / LICENSE TYPE/ � z Q� BUS. LIC # COMPANY NAME EMAILFAX(o14Z / /y p ],7 STREET ADDRESS G%75 3`fi�� � � �'� S CTTY, STATEE, ZIP _ � cw �'�: a 51 �-� PHONE �`1fi� 3)62q.-5 ARCHITECT/ENGINEER NAME TLICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY BUILDING: E] COMMERCIAL PROJECT IN WILDLAND 0 YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLERHOME? ❑ NO DESCRIPTION OF WORK saA 1 TOTAL VALUATION: *aa ff 6 RECEIVED BY. ft By my signature below, I certify ter 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 re esentatives of Cupertino to enter the above -identified property for inspection purposes. Signature ofApplicant/Agent: e r Date: SUPPLEMENTAL INFORMATION REQUIRED O � ICE USE ONLY OVER THE -COUNTER �- © EXPRESS STANDARD © LARGE MAJOR MF.PMiscApp_2011.doc revised 06121111 CUPERTINO ROUNDTREE HOMEOWNERS ASSOCIATION 1935 DRY CREED ROAD CAMPBELL, CA 95008 408-559-1977 April 18, 2017', Tianheng TV and Suhui Chen 21111 Red Fir Court Cupertino, CA 95014 Re: 21111 Red Fir Court, Cupertino, CA/Architectural Request `-Dear Homeawner(s)' This letter will confirm that the Architectural Control Committee, and the Board of Directors,. has reviewed and contingently approved your final request (dated 4/27/17) for your site home improvements (to include your new HVAC unit). The approval is contingent upon you having the necessary work being fully completed within the next six (6) months. Please be advised that this approval is also contingent upon the approval of all applicable City of Cupertino agencies, and it is the Applicants responsibility to determine all requirements necessary for said approvals. Further, this approval is contingent upon the construction of these improvements being in compliance with the CC&R's and the site architectural standards that gpply to this community. Thank you for properly complying with the CC&R's and the architectural design review process on this matter and if you should have any questions please contact me, at 408.559.1977, or attend the next Board of Directors' meeting. Sincerely, ommunity Managem1it t Services, Inc. David Rooney, Assoeon Manager Cupertino Roundtreemeowners Association cc: Board of Directors SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIAN BUILDING DIVISION COMMUNITY DEVELOP", 10300 TORRE AVENUE (408) 777-3228 FAX (40 pURP O SE This affidavit is a self -cer C cation for thSec on R3 4e 8315, fiance with 2016 CR NT DEPARTMENT UPERTINO, CA 95014 3255 777-3333 • buildingC� cupertino.org tion of all required Smoke and garb w onoxide -Alarms o ere no interior access 016 CBC Sections 420.6 and'907._.11 comp for inspections are required. GENERAL INFORMATION ith Smoke Alarms and Carbon dwelling units exceeds stia-single-family and multi -family dT^'ea ions alterations, or repairs to existing Smoke Alarms and/or Exl o en the valuation or a. and CBC Sections 907.2.11.5 and 420.6 require a Monoxide alarms. Wh $1000.00, CRC Section 8314, R315, SMOKE ALARM CO ALARM Carbon Monoxide Alarms be installed in the folloz ling locations: X AREA X Of the Outside of each separate sleeping area in the immediate vicinity X X _ Smoke alarms shall not be located',witliiahabitableet of e bathroom S door) X bedrooms) ( unit irncluding basements On every level of a dwellin Within each slee ino- ro om appliances and that fined with smoke alarms shall comply with s are not regained in dwellings wluch dob not contain fuel burning pp Carbon Monoxide alarm 6 Carbon monoxide alarms corn do not have an attached garage• d by the Office of the State Fire Marshal. CBC Section 420.6 and shall be approve alarms) may be solely battery operated. commercial ower supply, l In dwelling units -%vith rlo comm power battery o erated where repairs or alterations do Power Supp T ears of attic, basement or crawl existing dwelling units, alarms are per n fid he or here is no access by m ermitis required for In � not result in the removal p1187314 and CBC Sections 907• 2.11.4 and 420.6.2. An electric p space. Refer to CRC alarms which must be connected to the buildil`tg wiring. arm(s) referenced above has/have been ert I hereby certify that the fiance with the California Building As osNn-ier of the above -referenced prop , yr SP ecified below have been tested and are operational, as of the led in accordance with the manufactiir Sr's instructions and in comp instal e alarm l and California Residential Codes.�yy ( Permit ;To. date signed below. V) fif r1A Address: !)# Cab onMoiloxideDetectors: Specify Number of Alarms: _ 1 have reams a "S ._• ar,(i conditions of this statement Smoke a)ld C'Ojor"m.doc I•e,ised 01/10/-01; CVPER.TINO Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUEI• CUPERTINO, CA 95014-3255 (40£y77-3228 • FAX (408) 777-3333 • building(a cupertino.org �i✓ leA .. . jQ_ Address 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 11.01.8 do not apply. Skip the rest of the form and sign bottom of form. FV No Go to Question 2. / 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of thepropertyor 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. 1\To Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. KI 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. 11 Yes My real properly 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. Please check ONE of the following:. My property is a single family residential real properly. 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 inTrovements). ❑ Mypropeityis 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-conseiving 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 m cher or mviaer's agent of this property, certify under penalty of peijuly that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 110 1. 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 followiniz uaQe. - _7 /� , _ Owner or Owner Agent's Signature: Date: J / `'/ 1 V Upon completing and signing this Certificate,,prease ktt to the Building Division in order to final your building permit. SB407 2015.doc revised 61,05/17