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B-2017-0821CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0821 7625 NEWCASTLE DR CUPERTINO, CA 95014-5266 (366 17 081) ROOTER HERO PLUMBING INC MISSION HILLS, CA 91346 OWNER'S NAME: PECKO DONALD J AND PATRICIA M TRUSTEE OWNER'S PHONE: 408-903-7896 610 11t 0t11 License Class S6 Lic. #973014 Contractor ROOTER HERO PLUMBING INC Date 05/31/2018 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: 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. f. ( I have and will maintain Worker's Compensation Insurance, as provided for by y V 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,pee the Cupertino Municipal Code, Section 9.18. Signatures / y 'GJ—%�- Date 5/26/2017 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 5/26/2017 ISSUED: 05/24/2017 NO: (888) 929-4376 BUILDING PERNHT INFO: X BLDG —ELECT X PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: DRAIN LINES UNDERNEATH THE HOUSE; REPLACE SEWER MAIN; PROPERTY LINE CLEAN OUT REV #1 - REPLACE WATER MAIN SERVICE - ISSUED 5/26/2017 Sq. Ft Floor Area: I Valuation: $15208.70 APN Number: Occupancy Type: 366 17 081 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende 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 ofApl Date: 5/26/2017 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, Seeiltons 25505, 2n5533, and 25534. Owner or authorized agent:�1 I Date: 5/26/2017" ON TR TICTION 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 CUPERTINO 1�e_ j 'Ai � GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingPcupertino.org W PLUMBING n MECHANICAL nELECTRICAL MISCELLANEOUS MEP MISC PROJECT ADDRESS 6 �I 4) APN # l� lE-M v OWNER NAME p PHONE �I , , • / STREET �ADDRE -� 'Z) CITY STATE, ZIP FAX CONTACT NAME I F"k I- , o• +�1 . p 01�E �1 L Ute' (iYf E IL ` ✓ I G? ✓I G S' Fes' ^iZ r STREET ADDRESS 1 (� C Y, STATE, ZIPFAX - / ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ASCONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME C J,]- 4C ' LICENSE NUMBE // G LICENSE Ty,);E 6 3 BUS. LIC #C 1 COMPANY NAME ,�'- l ) -'� ,q ' E`M�jli. ��i 1 < f FAX STREET ADDRES -I CITY STATE, ZIP PjIQNE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX MULTI -FAMILY BUILDING: ❑ COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK p f� f /1 TOTAL VALUATION: 2 00 RECEIVED BY: 'J/✓�� By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owne 's behalf. i have read this application and the information I have pr J d is correct. } 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 buildi g construction. authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: S PPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY w ❑ OVER-THE-COUNTER a F" x ❑ EXPRESS V x ❑ STANDARD V a ❑ LARGE w ❑ MAJOR MEPMiscApp_201 1. doc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0821 7625 NEWCASTLE DR CUPERTINO, CA 95014-5266 (366 17 08 1) ROOTER HERO PLUMBING INC MISSION HILLS, CA 91346 OWNER'S NAME: PECKO DONALD J AND PATRICIA M TRUSTEE DATE ISSUED: 05/24/2017 OWNER'S PHONE: 408-903-7896 PHONE NO: (888) 929-4376 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic. #973014 Contractor ROOTER HERO PLUMBING INC Date 05/31/2018 X BLDG —ELECT X 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: DRAIN LINES UNDERNEATH THE HOUSE; REPLACE SEWER I hereby affirm under penalty of perjury one of the following two declarations: MAIN; PROPERTY LINE CLEAN OUT 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 Sq. Ft Floor Area: Valuation: $15208.70 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 366 17 081 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 peVthe Cupertino unicipaI Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature %` c.-' . �^- — Date 5/24/2017 Issued by: Abby Ay OWNER -BUILDER DECLARATION Date: 05/24/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. 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 (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 5/24/2017 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 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 3. 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 shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous 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, SeedPns 25505, 2 533, 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: 5/24/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) 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. 1 understand my plans shall be used as public records. Licensed Signature Date 5/24/2017 Professional s B-Zon- - ozI GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 1 S A90111k (408) 777-3228 • FAX (408) 777-3333 • buildinoQcupertino.org 1PLU-MBIINIG ❑MECHANICAL ❑ ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS n , W / V APN lY �J OWNER NAME Cj" PHONE E-1 ZAIL STREET ADDRESS CITY, STATE, Z1P FAX e 11) . �► Us CONTACT NA1\4E/ PHONE E- 4AI STREET ADDRES CITY, STATE, ZIP - FAX ❑ VA -INTER. O1A xER-BLILDER ❑ O)A NER AGENT XCONTRACTOR ❑ CO'.TRACTOR AGENT ❑ ARCHITECT ❑ ENGLNEER ❑ DEVELOPER ❑ TENANIT CONTRACTOR NAME C, LICENSE NtiMBER C Gl I L LICENS/T7 PE C BUS. LIC COMPANY NAME _ f` U' E-M.FAX r 1 Ce,.101 G v�� C STREET_ l / CITY, STATE.ZlC L ` C /` r ^, / P`/05 , & j .ARCHITECT/ENGINEER NAME J LICENSE NUMBER BUS. LIC' CONIPANY NAME E-b1AIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD x DUPLEX ❑ MULTI -FAMILY PROJECT IN 11 ILDLANU ❑ YES PROTECT IN ❑ YES BUILDING: CON,31ERCLAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF R'ORK c e wt el. TOTAL VALUATION: \ V ... ......... _................ . RECEIVED BY: By my signature below, certify to each of the following: I am the property owner or authorized agent to act on the property ov er's behalf. I have read this application and the information I have//pro ided is correct. I ave read the Description of'Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating o buil g construction. authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Sio-nature of Applicant'Agent: Date: PPLEMENTAL INIFORMATION REQUIRED OFFICE [ sE oI.LY `. 1-;,O ER -THE -COUNTER ❑- EXPRESS .: ST'A' ❑. LARGE ❑. AWOR A1EPA1iscApp_2011.doc revised 05/21,11 CUPERTINO SANITARY DISTRICT 20863 Stevens Creek Blvd #100, Cupertino, CA 95014 Tel (408) 253-7071 • Fax (408) 253-5173 `mac snpnvRro w �ni 41k%ism eo�CUPERTINO SANITARY DISTRICT PERMIT LETTER Cupertino Sanitary District has adopted Resolution No. 1263. Building Permit Request (Over -the -Counter) ❑ Single Family Project ❑ Multi -Family Project ❑ Commercial Project Project Address: — U2-5:�Wr cz s: -J D `c-. ✓4-m zwo- 17-D�F/ Permit Number: 9-%o \_+_ a1 Scope of Work: t J,6kx3 0 .4 O LA -S i -�4_ Wb f,�_ Owner/Applicant Name: Phone: ' OL2-e-L- Address: Date: �)1. 1, Prepared By: orized Representative 1, as property owner or authorized agent, acknowledge that all Cupertino Sanitary District requirements will be met and all required fees will be paid pri the aper val of final inspection for proposed project. Date: V --J -;7- Signature: LZ , G� Owner/ Authorized Agent CUPERTINO SANITARY DISTRICT OFFICE USE ONLY ❑ Pre -inspection Required Final Inspection Required Date Scheduled: Date: Conditional Approval By: Authorized Representative Cupertino Sanitary District District will notify owner of the required fee within 5 days after Pre -Inspection has been completed and cc City of Cuino. Inspection Fee Paid Date Paid: 5-2— Inction Fees: 49 $250/unit - Single Family Residential already connected, but new cleanout is required $150/unit - Single Family Residential already connected with existing cleanout in working order D $350 Minimum - Commercial and Retail Actual Amount: O $200/each - Disconnect and/or abandon lateral service Connection Permit Fees: D $350/unit - Single Family Residential connecting to existing lateral D $650/unit - Single Family Residential connecting with new lateral $100/unit - Multi, Hotel, Living Units, etc. Actual Amount: D $500/connection - Commercial and Retail Actual Amount: Connection Use Fees (See Attached Calculation Sheet): Area and Frontage Fees Amount: Residential Excess Fees over 3.5 unit/acre Amount: ❑ Commercial and Retail Connection Fees Amount: Commercial and Retail Change in Use Fees Amount: Date: (—t Final Approval By: 4. uthoriz d epresentative Cupertino anitary District CUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 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 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: 7GQ ,t C&41b 1�z9 [ Permit No.S - pi;? —Q Specify Number of Alarms: # Smoke AlarmsT_3_71_ # Carbon Monoxide Detectors: FZ771 I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: WA,Ub. Zyo -PCC../e— C) Si g natureE.4r!='ktl............................................. Date: 67J;!). Contractor Name: ' pp,,,, N O� U3bH Date: `?...1...�.. ifr(%{d� .... Lic.#........................................ .�.... / .......... Signature.................t�., OF \q Smoke and CO form.doc revised 0111012017 WATER-CQNSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(i-cupertino.org Owner Name JOav P-QL� Z. �?E C.lt® Permit No. X0!'7 `®sal_ Address _7(v 2 S- _lira Ca -(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. Eg"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. ®�To 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 fon-n. ©-'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 fonm. 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 forin.. Please check ONE of the following: . UMy 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-conseiving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a muldfainily 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-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 ovnier or owner's agent of this property, certify under penalty of peijuiy that non-compliant plumbing fixtures will be replaced prior to date specified above with seater-conseiving 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 pate. Owner or Owner Agent's Signature:s ���,,,�� prQ A )•�S JZDate: S-13111 2 TTnnn rmmnletina and zicmina this Certificate_ please Tei t it to the Building Division in order to final your building uermit. SB4072015.doc revised 01A05117