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B-2017-1064CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1064 20261 REINELL PL CUPERTINO, CA 95014-2221 (316 42 014) F W H ACQUISITION CO LLC BOTHELL, WA 98011 OWNER'S NAME: CHENG HENG-JU AND CHOU YI-CHIH TRUSTEE DATE ISSUED: 07/03/2017 OWNER'S PHONE: 650-796-7084 PHONE NO: (425) 636-7078 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic. #987398 Contractor F W H ACQUISITION CO LLC Date 10/31/2017 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: (N) 50 GALLON WATER HEATER- GARAGE I hereby affirm under penalty of perjury one of the following two declarations: 1. 1 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. e I have and will maintain Worker's Compensation Insurance, as provided for by J v Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $1583.59 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 316 42 014 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/Cu3no Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature V Date 7/3/2017 Issued by. Abby Aygnde OWNER -BUILDER DECLARATION Date: 07/03/2017 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: t. 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 of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 7/3/2017 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER t. 1 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. 1 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. 1 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, Sey * ns 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall 5��/ be deemed revoked. Owner or authorized agent: Ib APPLICANT CERTIFICATION Date: 7/3/2017 1 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. I understand my plans shall be used as public records. Licensed Signature Date 7[3/2917 Professional 06/26/2017 MON 14:49 FAX Faat water Heater 0 U007/014 97601 GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 96014-3255 CUPERTINO (400) 777.3228 + FAX (406) 777.3333 IAI 9i�$.G4s1SIi1t �r9 misc ,A,1,1,Mkmv-I1A /JvA1 11111 rw-vul!•n1 71i,414wr:l l allvni IQ PIL0JFn"''00=99 20261 REINELL PLACE ^PN" 3 L4 d MY. LA)4AMI! CHENG, HENGJU I'"o'X 6507967139 P•MA1L � S'('KPPTADURrSs 20261 REINELL PLACE CITY, STATS &P CUPERTINO CA 95014 VAX-----'--�— CONTACT NAME Katy Kehle FAST Water Heater '""o"'L 425-636-7084 1 '!1.' "KKehle@Pastwaterheater.COM s1'R1iltTA0r?ATs9 11715 N Creek Pkwy S. C-106 CITY,STATC. 21P Bothell WA 98011 FA.x ❑ o% -Nm ❑ o+>,mxI u1JiwiK ❑ pti1'NC1(^0LNv MNUACIN 0CM'!M009A01KT ❑ ARmirilet ❑ LHwhitYR ❑ 17cwtorre 13 TF;NAm CONTRACTOR NAML FAST Water Heater LICLENSENUMBER 98739$ LKENSE'rYm Cat) V UUS.Wr6 COMPANYNAMF FAST Water Heater P -MA". KKehle�fastwaterhpater- cam 11,1y 425-636-7085 11715 N Creek Pkwy S, C-106 ClTY1$TATI:,I•IP Bothell WA 99011 "1"'425-1536-7084 nk 91rTLC'ifGY4I\l1 LtSh E lICETISEM1AtDEIL-- ""'� CO1PANYTIA)AF.i P..MAY. —� 'Srl 'T 55 ✓✓✓ Bus. 1.1Ck PAR •l� USS 01, SI'Da U('PI.FJCrjH171.17d'AMILY .11(1�[J}7Na pt'GhIM13ic1Al- LN611J:1'lu wtl,IN.M77 -as kWjAN L1TrIU'AC-.Ai-LA NO 1'IUA1T) N Ov 1'LLxA)ZL'hNE 13 NO Ili TIIP uLnn,W )E5 Ll::liliK HON10 \q DEK1331'170N OF WCAK TMALYALUATIOH: $1,583.59 RECEIVED BY: 13y 171y rlpr+ulule bolaw. J ctrilfy k+encu of the full0 Winrr' 111171 tho 11r01U11y my nor or 1ILltllcvrl7ed Itgonl in 4)m nn (lie prop,tty awocr's imlialf r hnve rend (Itis application and (bo infrnrlmtiall I have pineided is colrecl. I have read the Desc6punn or Wolk and verily it is acculv(e. I agree to comply with all ApplRoble luta I oidif1, mm ant( 813te taws relnfia$10nli B onsiruc n. 1 Iltl 17Yc 1cgCSCO[n(ll'U6 Ort4hCllrl{O IO l'ht<I' IhC abal'e•lllenlillud pl1ip11rly rVr llllpCt%I1011 parjl(1KCN. Siglinful,c DrApplicmlUAgenC —, z-\_ Datc_ 6126/2017 5u11ri.I MENTAL )Wr-OnMAT)ON P%LQ1J kr;D OF1'ICc U91:0Nt,1• n O1'liR•Tllr:•C4tl�'I'Hq ra F7cPxr:ss --- �i,�n'rrARll 'L jF3 -❑ ❑ LARGE hl.UOlj �Tr.rllui.A�,f1,1,_ zo11.Ror rokvNe10W1111 0 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 • buildirig(a)cupertino.org 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 CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroomW X X On every level of a:dwelling unit including basements 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. ly Address: �� ('! �,GtCQ {L�Gt %�P�I�%L�p Permit No.�� Specify Number of Alarms: # Smoke Alarms: F -T—1 # Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: I'ai /%Vl_ Signature ........ f.� . ..... .....0 its".....-.......................................................... Date: ...................,(/ .......................................................................................................... C ntractor Name: Signature.................................................................. Lic.#...................................... Date: Smoke and CO form.doe revised 09127/16 CUPERTINIO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE Of COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 LY' iNC A 7 (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org Owner Name 1 i'a No L Permit No. Address �0�6 �2; 1�2�f'�G�ce ?.yz� Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes 'Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: No Go to Question 2. Date:. 2. Does your teal 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 CivilCode Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. : I Owner' Signature: No Go to Question 3. Date: 3. Is water service'permanently disconnected for your building? ❑ Yes Civil Code, Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: VN 0 Go to Question 4 Date 4. Is your realproperty 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. Sign below and skip the rest of the form. Owner' Signature: Date' Vy'es 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. Refer to the attached. ( y property is a single-family residential real property. See Civil Code Section 1101 A. 4y 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 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 afterhnuai 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. , SB4072014.doc revised 03/18/14 1. If the existing plumbing fixture water usage/flo«, rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08126/15 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 (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 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/flo«, rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08126/15