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B-2071-0863CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0863 10897 NORTHRIDGE SQ CUPERTINO, CA 95014-0527 (316 36 027) JEMICO LLC HAYWARD, CA 94544 OWNER'S NAME: MCGOVERN JAMES P OWNER'S PHONE: 408-996-8163 License Class @: C-17 Lic. #$Z2ZQ2 Contractor JEMICO LLC 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: 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. 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 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. llq�Signature 1 Date 6/1/2917 OWNER-BUILDE hereby affirm that I am exempt from the Contractor's License Law for one of the DATE ISSUED: 06/01/2017 PHONE NO: (866) 420-4109 BUILDING PERMIT INFO: BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL DESCRIPTION: .,ACE WINDOW (1); REPLACE PATIO DOORS (3) Sq. Ft Floor Area: I Valuation: $21609.00 APN Number: Occupancy Type: 316 36 027 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Avende Date: 06/01/2017 following two reasons: All roots shall be inspected prior to any rooting material being installed. it a root is r. I, as owner of the property, or my employees with wages as their sole installed without fust 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. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant contractors to construct the project (Sec.7044, Business & Professions Code). Date: 6/112017 I hereby affirm under penalty of perjury one of the following three 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. z. 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. Date 6/1/2017 11 A 11 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: Date: 6/1/2017 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 DRCLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO NEW CONSTRUC' x- 1-4 - 0�(J3 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(Mcupertino.org CION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS l v O n l /+ VO(Nr J e/ APN # Z) I ( _ - �/ _ _/"�2,� A OWNER NAME IM('/oOV� r v PHONE�cg) nlq( , OE -MAIL C STREET ADDRESS /� j lrt CITY, STATE, ZIP CqN wCIL qf? /j H FAX CONTACT NAME PJ a -r"IF . 19) 1y p ( �-I y E-MAIL STREET ADDRESS xig(y-, ��j n ,�,y CITY, STATE, ZIP ''/ �/"� 1 Ch FAX ❑ OWNER ❑ OWNER-13 UILDER U ❑IAO,WWNE/IRAGENT Ip CONTRACTOR ❑ CONTRACTOR AGENT ❑d1 ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMED✓1' III LICENSNMERQ110LICENSETYP� BUS.LIC# ��'G` C^4jramal COMPANYNAME E MAII^�PS"A rf kV &W"W1 FAX STREETADDRESS CITY, STATE, ZIPLI . , L. ,A , , f A ft AA,44L PHONE V1 ARCHITECT/ENGINEER NAME LICENSE NUMBER 02(pl ' 01�lP BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS//�� CITY, STATE, ZIP p�U PHONE DESCRIPTION OF WORK,/ %f_„ Y �40L �//lo`f• Slt" 512u Shu, to w CONSTR TYPE 1 # STORIES EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA ATTACH USE TYPE i OCC. i SQ.FT, i VALUATION ($) # DWELLING UNITS: IS A SECOND UNIT LJ YES SECOND STORY IJ YES BEING ADDED? []NO ADDITION? ❑ NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY TOTAL VALUATION: PLANNING APPL # E]NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO'"j, x By my signature below, I certify to each of the following: I am the property owner or authorized agent t - -*t on the roperty 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 build' cpnstruction. of Cupertino to enter the abOojvee--ide ifre`d prop for ins ection purposes. ! Signature of Applicant/Agent: ;Iloluenttives Date:yU O f% SUPPLEMENTAL INFO A N REQIMEPPLAN CHECK TYPE ,. ROUTING SLIP',',' .. _ New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ElsuH nuvGpiANltEvtEw 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 ❑ PvsLlc wollxs form if any Hazardous Materials are being used as part of this project. El LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ vIAlox Ell SAIrZTARY submittal of Building Permit application. SEWERDLSTRICT BldgApp_2011.doc revised 06/21111 May 23, 2017 Northpoint Homeowners Association 10880 Northpoint way, Cupertino, CA 95015 To Whom It May Concern: RE: 10897 Northridge Square, Cupertino, CA 95014 James and Judith McGovern have the approval of the HOA to install their window/sliding glass door. If you have any questions regarding this approval, please contact the management at customerservicePreeiusmemt.com Thank you, c Northpoint HOA 10880 Northpoint Way Cupertino, CA 95014 Office: 408-996-3734 Fax: 408-996-0226 email: manaeer(cDnorthr)ointhoa.com 10800 Northpoint Way, Cupertino, CA 95015 manay-er(a?northnointhoa.com P) -Y) I � - 0 N �, SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION FILE CUPERTINO 10300TORREAVENUE •CUPERTINO,CA95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a(�cupertino.orq PER' IITCANNOT BE FINAITI) UNTIL THIS CERTIFICATE HAS BEEN C'0)I11I_ETI D, SI(�'NFT), _ N't) R1 Tt_RXTD TO THE BI;ILDING DWISIO\ 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 Alan -ns 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: &9R!2 R T/ -R �i�G. 5[Q fes'-�/.�G 9�c�/ rmit No. Specify Number of Alarms: # Smoke Alarms: I .7 1 # Carbon Monoxide Detectors: = / have read and agree to comply with the terms and gonditions of this statement er (or Owner A lk_ry\ es i t' & v �/V '� Si nature..... ...GN..:!!!!'"......................................................................................... %/� Date:........../..1.... Contractor Name: Signature...................................................................... Licl........................................ Date:................... Smoke and COform.doc revised 01/10/2017 CUPER Owner Name )_ Address _11 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 0— MAR 070 Is your real property a registered historical site? ❑ Yes Civil Code Sections. 110 1. 1 through 1101.8 do not apply No Go to Question 2. Skip the rest of the form and sign bottom of form. 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. �9 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. 7 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 fonn 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.. Please check ONE of the following:. 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 irmprovements). ❑ 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 conznaercial 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 «�er-consei �j pl mb�� fixtures comply with the requirements as indicated in the table on the followine uaQe. 1"2 �� /n Owner or Owner Agent's Signature: ( fX/hI Q '�✓//fZ/Z2/h Date: _ %/ / / / I Upon completing and signing this ertifrcate, please return it to the Building Division in order to final vour building nermit. SB4072015.doc revised 01/05/17 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2016 CPC Ch. 4 2016 CPC Ch. 4 2016 CPC Ch. 4 Water Usage 2016 CALGreen Div. 4.3 2016 CALGreen Diva 4.3 2016 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, 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_ 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.` Project name,: Judith M'cGovern (0 Sq Setback oft Iui Backyard/Rear Setback 10ft Second floor COMMUNITY DII: WELOPMEN T DEPARTMENT T4-'WtAJ) / BWLDH4G'MVMON- CLtII:IEIRTH40 H BED 2 BEE) I q(14M I x 90 ez0jNess Tbor 411 <41- Wido 9 AFIFIROVEIED 90 202NLGD 201GL his set of p6ans and specfficatkms MUST be kept at the jot'l site during consfludions ft rs unlawful to rno' ee arty chainges or alter,Zons on same, or to deviate flhorefron ' wiUnA ipproval from the BuHding Offical 101NLGD 102NLGDTho starnpling ofthis plan and spocificatbs SI -W [ 1140T to ... . ......... d to1OVI-perrniotl i of any Dty or to t* an aOrdinance o� ,stats;otpproval of,stats; Law + Mt is J vllation of ai y X 0 1,1I A y Jine rajTE Fl:_: RM I f,40 B 7-086 kitchen family Ground floor I Setback oft ENTRY a Lgarage Street/Front Setback 5ft Scope of work: Sea full frame patio doors, lea fuH frame window wood siding CUI�''Ell 11140 I'ItI15 t -7 100 1 06 r6) E LD641' REVHMl..D [�O[i CODE COWDLANO- Date06/01/17