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B-2017-0717CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0717 22653 WOODRIDGE CT CUPERTINO, CA 95014-2676 (342 15 073) FUTURE VISION REMODELING INC VAN NUYS, CA 91406 OWNER'S NAME: LUM DAVID AND CHANG JANICE DATE ISSUED: 05/04/2017 OWNER'S PHONE: 408-506-1975 PHONE NO: (800) 485-4919 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic. #991840 Contractor FUTURE VISION REMODELING INC Date 04/30/2018 X BLDG —ELECT —PLUMB MECH X RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: 1 ST FLOOR BATHROOM REMODEL (230 SF); REMOVE NON LOAD I hereby affirm under penalty of perjury one of the following two declarations: BEARING WALL 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 TV is issued. permit Sq. Ft Floor Area: Valuation: $15000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 342 IS 073 342 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal de, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 05/04/2017 Issued by: Kim Dunbar Date: 05/04/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 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(Scc.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 05/04/2017 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the s. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 05/04/2017 _ I certify that I have read this application and state that the above information is CONSTRUC ENDING AGENCY I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 05/04/2017 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 CUPERTINO �n (o, � V ❑ NEW CONSTRUCTION J'TERA IO ❑ ADDITION ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS L '� _ J,» _ I - t l•: APNN # 3 1 ` 7- 3 OWNER NAME ` PHONE/ i / E-MAIL (_1k G�63 �__/©&_�1 ! STREET ADDRES j _ \ �',.� CITY, STATE, ZIP FAR `N > J ' CONTACT NAME Ike lCo-q PHONE ,6 70&C r E-MAIL I � rrvi C� STREET ADDRESS 1,1. }�� /� /� CITY, STATE, ZIP?� /' /1 FAX ® L !� ❑ OWNER ❑ OWNER-BUILDER`J ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME; LICENSE NUMBER j t� `� 1 LICENSE TYPE (� COMPANY NAME tuh Q Vr oo E-MAIL r 4/ FAX t STREET ADDRESS I �t� rjl CITY, STATE, ZIP /a La jb ` PHONE try ✓ ARCHITECT/ENGINEER NAME i Zc� LICENSE NUMBER Q C� i D BUS. LIC # COMPANY NAME f E-MAIL /`^� r . �`y� LpJ 1 ivabd` FAX STREET ADDRESS6�5 Wl �p CITY, STATE, IP�n h _ /' (,j /'' K' / L� Jh✓ PHONE 61 1 r�( �3 117 DESCRIPTION OF WORK % (^ �n. n �kxd ExISTING US PROPOSED USECONSTR YPE #STORE 1 USE TYPE OCC. SQ.FT. VALUATION ($) 1 V Q�- EMS +� rya AREA C V NEW FLOOR AREA DEMO AREA TOTAL NET AREA BATHROOMl REMODEL AREA �� KITCHEN REMODEL AREA OTHER REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I ®ATTACH I # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES / BEING ADDED? 5 NO ADDITION? WO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING APPL # (nNO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? Q NOMt/ Y: OT(1I`V�ILUATIQN: Ji �r.., 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 tives of Cupertino to enter the abo id ntified property for inspection purposes. Signature of Applicant/Agent: Date: 17 SUPPLEMENTAL INFO N REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS 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 ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 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 • building(a)cupertino.org YUI&OSE 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-- LARM Outside 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. Am 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: 2265-3 W r' clCG ur'P j C -PC'_ 'K0, C'W9n I Y Permit No. B—? -017--0 ?17 Specify Number of Alarms 10 # Smoke Alarm # Carbon Monoxide Detectors: I'have read and agree to comply with the terms and conditions of this statement Owner (or Owner A enYs) Name: 6 Signature..... ...................................................... Date:.................. Contractor Name: Signature...................................................................... Lic.#........................................ Date:................... i Smoke and CO form.doc rcidsed 01/10/2017 WATER -CONSERVING, PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPER.TINO 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 ,19 J408) 7,7,7�-3228 - FAX (408) 777-3333 • building(cDcupertino.org Owner Name �'v L_ ` Permit No. �2©l �� �� r 7 Address Z 124' -s -3 ,W-00 ct -o, C 0—" 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. 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 110 1. 1 through 1'1'01.8 do not apply. Skip the rest of the form and sign bottom of fonn. VYes 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: ✓X Myproperty 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-conseiving plumbing fixtures throughout the building. On or before January 1,1 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures '(regardless of whether property undergoes alterations or i nprovements). ❑ 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-con$erving plumbing fixtures. On or before.Jarluaty 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 uriproveinents). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after,Jarivary 1, 2014, specified buildiirg;alterations or improvements shall require non- coinpliant plumbing fixiures'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). I, as the owndr; 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 Califoniia 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 uaize. ' ' n,� Owner or OWnef Agent's Signature: Date: _ '7/2709 I Upon compl'etrig and signing flus Certificate,' please return it to. Building Division in order to final your building permit. SB4072015.doe revised 01105117 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. SB4072015.doc revised 08/26/15 Non -Compliant Water-Conse.rvirig Plumbing Fixture Plumbing Fixture (Fixture Complying with CGrr.ent-,,Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 ... 'J,2013' CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 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 v_ olume'of two reduced flushes andione full flush Urinals Exceed 1.0 ,'t ' 0.5 gallons/flush Gallons/flush Showerheads ;Exceed 2.5 . 2.0 gallons per minute @ 80'psi. Also`certifed to.-the'performance criteria of jgallons per minute EPA WaterSense Speciflcation r Sf owgrheads': ` (.S. A hand-held shower is considered a-showerhead;:)t 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. SB4072015.doc revised 08/26/15