The URL can be used to link to this page

B-2017-0955CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0955 10250 PARKWOOD DR APT 3 CUPERTINO, CA 95014-1522 (326 27 037) THERMAL MECHANICAL SANTA CLARA, CA 95054 OWNER'S NAME: AVERY GLENBROOK LP OWNER'S PHONE: 650-961-8330 License Class C-4. 10.20.36.38 Lic. #256057 Contractor THERMAL MECHANICAL Date 01/31/2018 1 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 �$ection 3700 of the Labor Code, for the performance of the work for which this have 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. Signature Date 6/22/2017 OWNER -BUILDER DECLARATION DATE ISSUED: 06/22/2017 PHONE NO: (408) 988-8744 BUILDING PERMIT INFO: X BLDG X ELECT X PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: BLDG #1 /UNIT #3; ADD (N) A/C; REPLACE FURNACE, SAME LOCATION; (N) WASHER AND DRYER HOOK UPS; (N) ELECTRICAL SERVICE (70 AMP); (N) GAS LINE FOR STOVE; (N) RECEPTACLE OUTLETS; (N) LIGHT; (N) BATHROOM EXHAUST FANS. Sq. Ft Floor Area: I Valuation: $20000.00 APN Number: Occupancy Type: 326 27 037 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby A ey nde Date: 06/22/2017 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 t. 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) z 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: r. 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 6/22/2017 Signature of Applicant: Date: 6/22/2017 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. 1 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, Se . ns 25505, 25533, and 25534. Owner or authorized agent: floe Date: 6/22/2017 CONSTReCTION LE DING AG CY 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TGRRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 •SAX (408) 177-3333 • 2011-0%5 C L'PERTi�sc� /' ❑ NEW CONSTRUCTION ❑ ADDITION ❑X ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 10250 Parkwood DR, BLDG 1, Unit#3 APN# rte- 2(Y— J OWNER NAME Ave Glenbrook LLC Avery PHONE 650-961-8330 E-MAIL avery@pacbell.net rY@P STREET ADDRESS 130 East Dana Street , CITYSTATE, ZIP Mt. View, CA 94041 FAX 650-961-0571 CONTACT NAME Rob Moyer PHONE 408-593-8115 E-MAIL rmoyer@thermalmech.com STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 FAX 408-988-0233 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT W CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Thermal Mechanical LICENSE NUMBER 256057 I LICENSE TYPE T BUS. LIC# 299 C-4,10,20,36,38 COMPANY NAME Thermal Mechanical E-MAILrmoyer@thermalmech.com FAX 408-988-0233 STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 408-988-8744 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK add new AC, replace furnace in same location, (N) washer/dryer hook ups, (N) electrical panel (70 AMP), (N) gas line for stove, (N) electrical outlets, (N) light, (N) bathroom exhaust fan EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I []ATTACH # DWELLING UNITS [S A SECOND UNIT ❑ YES SECOND STORY ❑ 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 # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 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 c traction. I authorize representatives of Cupertino to enter the above -identified pr perty for inspection purposes. Signature of Applicant/Agent: Date: (G SUPPLEMENTAL INFORMATION REQUIR 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 requirM prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure L1STANDARD ❑ 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 ' , z; . SMOKE / CARBON MONOXIDE ALARMS ':- • ' OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333• buildinq(a cupertino.orq {ryP 5. ! a ipk - �r ani it � ��ti. ir < ✓ l:� 8 w 4 l .. VIA` 1€`i V N;._:.y �*wwf ran `��q 3 sc...:: {y,",:y°� ggft.��...ff"..*caw o a Sl f Ltz4 i 7-'ti 3`. S �y v I S PERll CAM OT�1r F ALEDrUNTI J THIS CERTWICATE HAS BEy&tgigiN f�.,: t�kt A s �..,Y"' P -I �_ r� - w ``i i'� nv' g- 1 A m e��,C- .y''� r ,:tm'3k' V mt h '' l �I3 T'St' tLW�� '"+.t T� �N x� -0 �J..� W v'�+-. G �� S'��Y'�.(.��'•'.fS. v-.r-.N F`�'M1-..�'� �Co 1P$�TE D SI GNED A TE NED TU ii HHB a o T GDI ISION . f- 'Ss x" i" M ,°'" , Pte, tT .. 1._�•'l� (�''' `: °it'.'a. l la-M i.* T i , .""s.�:, ��:?wa" se '.n 'X _.i. tt...d,. 'Bc�N:r� i.S..�..s`'. _��s -�.as. §w' .a'.a�'�:z`wou.:ar PURPOSE This affidavit'is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for 'compliance with 2013 CRC Section R314, 2013 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 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 J CO ALARM Outside of each separate sleeping area in the immediate vicinity of X X. the bedroom(s) On every level of a dwelling unit including basements • X _ X Withi n each sleepiizg room X Carbon Monoxide alarms are not required in dwellings which donot 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 commercialpower 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 Ivith.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: , < ' A72-50 4',/4/00/P7 / $ Permit No 7 Z6• Specify Number of Alarms: # Smoke Alarms: Z 1 #Carbon Monoxide Detectors: I I have read and a.ree to comp! with the - •• -nd conditions of this statement Owner(or Owner Agents)Name: f�M�S D4 teb4Zv Signature „„„0•01111..- Datg 7. Contractor Name: 560 57 ��e�. / Heed/4.7.L r Signature Lica Date `/7 ,,,i,;....,/ 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• buildingCa cupertino.orq Owner Name ilk lyeC-ii' . L L C Pennit No.g"-�. )i7-025-5—07S — 2-l Address 0 ✓5-0i( �+C 'ie-60(29 (r_ I. 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. lK 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. A 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. `EA, 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. XYes 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.. 5. 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 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 bereplaced 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 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 age. f Owner or Qwner Agent's Signature: 7 _ 7 Mks PC /14.1LYo) Date:(1.31 /7 Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15 . .:fxT..ii............._:.............. ........1. ...n.x:............._.._._.....::_..........._............,.:_-.....,:,....._::t. e....,:...z,;..;...�....:.:.. u c!L. :Y. .,.c.a,.,:':ri•u::. - ..i�.. .... .:. , a,,,,;..��v� ..::>,.:_.:� �F:.;_:yr.,.,.�:r.`•:':,;:.,..:y<vx:xr.:s.,�:::n isxk e!::e�.eFAISNOT tiu..:r�s.:i n:'v.=,y„...�..:?'y1�.'u+."s'=:�+IrCJ.�t:?0.+e��:'r.��s.%rY;x;.�-:..rr. „riiFra�eiv<i`:irv_ VA" xr � u +�,r�' Tom. �� vx+�-`:'i*. -�A { Y.11 r�r � s s A, �C. ,zat g er� •r• 7�T � mar rr€.14^� ,-. e �9e e;5 xB �a� ;� H ��ri. u �S G 1°a ¢�' LJ1T,D1 4 g. I�� i d� &F'y�rs flq • y jam,, �y l� <t ,..z.��" ^'v qr: ''zR _ Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture1 (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, 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/floe'rate is equal to or lower than the figure shown,it is not required to be upgraded. • SB4072015.doc revised 08/26/15