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B-2017-0778CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0778 21095 GRENOLA DR CUPERTINO, CA 95014-1623 (326 28 009) AFFORDABLE WATER HEATERS AND PLUMBING INC 28358 CONSTELLATION RD VALENCIA, CA 91355 OWNER'S NAME: WU FREDERICK C AND SARAH S TRUSTEE DATE ISSUED: 05/17/2017 OWNER'S PHONE: 408-888-2866 PHONE NO: (855) 345-9087 LICENSED ONT A TOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic. #627368 Contractor AFFORDABLE WATER HEATERS AND PLUMBING INC Date X BLDG _ELECT X PLUMB 09/30/2018 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 JOB DESCRIPTION: license is in full force and effect. REPLACE 75 GAL WATER HEATER - SAME LOCATION 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 Sq. Ft Floor Area: Valuation: $3200.00 �permit is issued. APPLICANT CERTIFICATION se I y that I have read this application and state that the above APN Number: Occupancy Type: fortetion is correct. I agree to comply with all city and county ordinances 326 28 009 nd sfi a laws relating to building construction, and hereby authorize r presentatives of this city to enter upon the above mentioned property for pection purposes. (We) agree to save indemnify and keep harmless the PERMIT EXPIRES IF WORK IS NOT STARTED ity of Cupertino against liabilities, judgments, costs, and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue a ainst said City in consequence of the granting of this permit. Additionally, t a ican understands and will comply with all non -point 180 DAYS FROM LAST CALLED INSPECTION. source regula o r e Cupertino Municipal Code, Section 9.18. Issued by: Abby Avende Signature Date 5/17/2017 Date: 05/17/2017 OWNER- I hereby of rm t at I am a mpt 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 o rea ons: installed without first obtaining an inspection, I agree to remove all new materials for 1. I, s o er of the property, or my employees with wages as their sole inspection. co pe ation, will do the work, and the structure is not intended or offered for sale c.7044, Business &Professions Code) Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 5/17/2017 contractors to construct the project(Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous s. I certify that in the performance of the work for which this permit is issued, I 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 defin b the Bay Area Air Quality Management District I will maintain complia tth th Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health S ety de, Sections 25505, 25533, and 25534. 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 Owner or author! d be deemed revoked. Date: 5/17/2017 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ION LENDING AGENCY I hereby affirm t here is a o truction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for whi h this p rmit' is i sued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Addres judgments, costs, and expenses which may accrue against said City in ' consequence of the granting of this permit. Additionally, the applicant understands S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18. GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO MISC y[_J PLUA BING ❑ MECHANICAL ❑ELECTRICAL n MISCELLANEOUS (408) 77? -3228 •FAX (408) 777-3333 • buiidinana cu�ertino.org PROTECT ADDRESS Z O� ►i(h `Dr. APN#,py\(t 00 � OWNERNA7g "e 1 �� PH0 �j11^C 1(i(i � % E-MAIL (�� STREET ADDRESS O q S fen O 1 j CITY, STATE ZIP U C� C ,\ LU v9Cr-1'(r J (% FAX CONTACT NAME �! l• PHONE/- - /_ , � E- Z4IL f L�O�' STREET ADDRESS r� r �� J C�(J CITY, STATE, Z11�(�� L _ 4 FAX ❑ OWNTER ❑ OR'N'ERR-BTALDER ❑ OWNTER AGENT �CONTRkCTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGLN'EER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME \ ?� LICF}I�$ fj LICENV T 'P BUS. LIC # O ANYN 1 C;� IiJG L/ ��u •� V n ' E-MAIL ` d 1rr �(n)!�/R� (� M FAX ST E L ESS ti ir) S J� G, l 4 f l L ✓� Y '114 I 1 SAT / Vie, N'E S 4 S-604 ARCHITECT/ENGINEER NAME 7 LICENSE NUMBER BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD m DUPLEX ❑ MULTI -FAMILY PROJECT IN Ra.DLAND ❑ T -ES PROJECT IN ❑ 1•ES BUILDING: ❑ COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO IS 7HE BLDG AN ❑ 1•L -S EICHLER HOME? ❑ NO DESCRIPTION OF WORK le( � G» � I 7�T W /I l U (� Gr � TOTAL VALUATION: ! 1 RECEIVED BY: By my signature below, certify to each oft e following: 1 am the property owner or authorized agent to act on the pro erty own is beh lf. I have read this application and the information I have provi ed i ct. I have read the Description of'Work and verify it is accurate I agree t comply with all applicable local ordinances and state laws relating to build' conn. I authorize representatives of Cupertino to enter the ab9a�e den d rope for inspection purposes. Signature of Applicant'Agent: Date: SUP L 4E TAL INFORI\4ATION REQUIRED oFFTCE usE oNLY ..- r' ❑ ,OVER-THE-COUNTER ❑. EXPRESS ❑ STANDARD ❑..LARGE El. A14JOR If1EPAlisc,4pp_2011.doc revised 05/21;11 CUPERTINO 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(L1cupertino.org 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 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 I 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 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: 2► U )' N��,�a�%i ��, C1/�Zsc r Permit No.� Specify Number of Alarms: I # Smoke Alarms:771 11 # Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: 1 Signature .... ......... ..... ...........(,�.�. �................................................................. Date:................... Contractor Name: Signature...................................................................... Licl........................................ Date:................... Smoke and CO form.doc revised 01/1012017 CUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ��Lo� b/9-1 R_. (408) 777-3228 • FAX (408) 777-3333 • buildingQcupertino.org P,> , � ( � _ 6 .7 -7,Y Owner Name fi� m �i enc �) 4, Permit No. I Address Z� t� g fog .,� �� n c4 06-rc 1- /1") 1. Is your real property a registered historical site? ❑ JYes Civil Code Sections 1101.1 through 1.101.8 do not apply. Skip the rest of the form and sign bottom of fonn. 12 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 plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 110 1. 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. L�" NTo Go to Question 3. 3. Is water service permanently disconnected for your building? 11 /Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. QNo Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? U/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 fon-n. ❑ 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., PlZse check ONE of the following: Mypropel ty 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 properly 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 c07777170-cial 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 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 following page. Owner or Owner Agent's Signature: Date:'z upon completing and signing tlus C:ertrtrcate, please return it to the Building Division in order to final your building permit. SB407 2015.doc revised 01105117 1. If the existing plumbing fixture water usage/f_loN�, rate is equal to or lower than the tigure shown, it is not required to be upgraded. SE40 7 2015.doc revised 08/26/15 Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (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 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 !Flow Rate 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, I average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/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/f_loN�, rate is equal to or lower than the tigure shown, it is not required to be upgraded. SE40 7 2015.doc revised 08/26/15