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B-2017-1229
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1229 1159 CRESTLINE DR CUPERTINO, CA 95014-5034 (362 29 034) PREMIER CUSTOM WINDOW & DOOR BY WAGNER CONSTRUCTION CAMPBELL, CA 95008 OWNER'S NAME: PEACEFUL ORCHID LLC DATE ISSUED: 07/27/2017 OWNER'S PHONE: 408-499-7281 PHONE NO: (408) 370-3889 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO - License Class B Lic. #861551 Contractor PREMIER CUSTOM WINDOW & DOOR BY WAGNER X BLDG _ELECT —PLUMB CONSTRUCTION Date 07/31/2019 MECH X RESIDENTIAL _ COMMERCIAL hereby affirm that I am licensed under the provisions of Chapter 9 (commencing ith Section 7000) of Division 3 of the Business & Professions Code and that my cense is in full force and effect. 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 JOB DESCRIPTION REPLACE WINDOWS (8) LIKE FOR LIKE TO MEET EGRESS; REPLACE DOORS (2) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i. 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: $7800.00 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 regulatio per the Cupertin unicipal Code, Section 9.18. Signatur Date 07/27/2017 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. s. 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. APN Number- Occupancy Type: 362 29 034 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by Kim Dunbar 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 of Applicant: Date: 07/27/2017 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, S ctions 255/05, 255 3, and 25534. Owner or authorized agent• Date: 07/27/2017 CONSTRUCTION TENDING 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 CUPERT pie CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 •FAX (408) 777-3333 Cc,cupertino.olll e7 l � ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION /DEFERRED- ORIGINAL PERMIT # PROJECT ADDRESS reef1-//;7 , /P APN # 302- � � � r� C)2 OWNER NAME sal,/ .... ` Y E-MAIL ST Ej/T ADDRESS CITY, •STATE, ZIP ® FAX GI� / (/�'ri 4 1✓�l" %a e 4i CONTACT '.NAME (, 't'��t� P/v/ '... f `6. / EMAIL ... ST ADDRESS C�/I.JT�J/A�cTEZIPL` FAX ler❑ OWNER ❑ OWNER -BUILDER❑ OWNER AGENTCONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACR ]3A�VI; �+ _, r p LICENSE Nt$ v J( J ( LICENSE T • BUS. COMPANY NAME!' E-MAIL - FAX STRE2 AD RYk sat,, 71�G q� tLICENSENUMBFR CTTY6ATEEZIP_ I/ ARCHITECTIENGINEERNAME BUS- LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK BGG 4/j eP � IxT EXISTING USE _ PROPOSED USE CONSTR. TYPE 9 STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR '.. DEMO TOTAL - AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODELIAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH - # DWELLING UNITS: IS 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 RE 10 + yH T,�L ? ION: PLANNING APPL9 ❑NO PLANNING APPROVAL LEITER EICHLERHOME? ❑NO a 4. By my signature below, I certify to each of the following: I am the to owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have pr ided is correct. I have r e Description of Work an verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to ing construction. T aL o ' e representatives ertino to enter the above-identifed prop rty for inspection purposes. Signature of Applicant/Agent: Date: SUPPL NTAL I FORMATION REQUIRED 'T 9" „..._..,:. QUTIHECKNGSLIP"R oTS3E cofzNTEit ❑ BIIILDINGP3 ANREvrEI' _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building pen -nit for new building.5 Q r xPzz�ss� ❑ PLnrIN>NG PiAxRE i w 11"s _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑a sTAxnARn ❑ rlas icivol lis form if any Hazardous Materials, are being used as part of this project. © _ Copy of Planning Approval Letter or Meeting with Planning prior to i AIiGE I� ilCA�R FIRE DEP P r SAi\IT RX S1 WEl -,-,p 2ICT submittal of Building Permit gapplication. , D :-ENUIR6hNTAL ;HEALTH - BldgApp_2011.doc revised 06121/11 FIL / SMOKE / CARBON MONOXIDE ALARMS N5 � OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333• buildincq(a)cupertino.orq PERMIT CANNOOT B FINALED UNTIL THIS CERTTIIE CATE HAS BEEN COMPLY D ICK�A TU D TB 7IL IN D SIGN � ::"i S u�`v�g.'5 Dd'� 3H��" $5` Csyf+S , PURPOSE This affidavit is a self-certification for the installation of all.required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314,2016 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 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 X X the bedroom(s) 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. Inexisting 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,baseinent or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permitis 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: ( 1 c Cver (Cif too- 41 C®) Permit No. 1 "2 Specify Number of Alarms: `p #Smoke Alanns: #Carbon Monoxide Detectors: 177 I have read and agreejar_nryply with the terms and conditions of this statement Owner(or Owner Agent's)Name: K.air Pr " Signature G • �6�-� Date:®_9 Z.? 2.41) .Co ractor Name: l 1 '7 �� Signature.. ... j � ; ...., Lic.# $ + ri Date: u it-iv /17/,) J Smoke and CO fonn.doc revised 12/15/16 WATER-CONSERVING PLUMBING FIXTURES K OWNER CERTIFICATE OF COMPLIANCE 81 % `x' COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228 • FAX(408)777-3333 •building@cupertino.org Owner Name: 2-O5 12-65z Permit No: Q 2 011- (�� Address: I ( f q Cres+hii 9 OC► L �Ce4-'M CODE REFERENCE(S): 6 Senate Bill 407(2009)/California Civil Code Sections 1101.1 through 1101.8 2016 California Green Building Standards Code (CALGreen) Section 301 BACKGROUND: As of January 1, 2014, SB 407 requires non-compliant plumbing fixtures to be replaced with water conserving plumbing fixtures when a property is undergoing additions, alterations or improvements. Applicants seeking to obtain permits for any of these types of work will be required to replace noncompliant fixtures prior to final permit approval or issuance of a certificate of occupancy by the local building department. This law applies only to properties built on or before January 1, 1994. Per Civil Code Section 1101.4, for any single-family residential real property, on and after January 1, 2014, building addition, alteration or improvement will require all non-compliant plumbing fixtures to be replaced with water- conserving plumbing fixtures. See list on the following page for scopes of work that are exempt from these standards. Per Civil Code Section 1101.5, for any multifamily residential real property and any commercial real property, on and after January 1, 2014, specified building addition, alteration or improvement will 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 (regardless of whether property undergoes alterations or improvements). Type of Property(choose one): Single-Family 0 Multi-Family 0 Commercial Property Information: YES NO/ 1. Is your real property a registered historical site?If YES,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? If YES,skip the rest of the form and sign bottom of form. 3. Is water service permanently disconnected for your building? If YES,skip the rest of the form and sign bottom of form. ❑ 4. Is your real property built and available for use or occupancy on or before January 1,1994? If `❑ NO,skip the rest of the form and sign bottom of form. I/we, as the owner(s) 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 requir-me t as ind' ated in the table on the following page. Owner or Owner Agent's Signature: � Date: 6121 h *Upon completing and signing this Certificate,please return it to the Building Inspector at final inspection in order to final your building permit.* SB407 2015.doc revised 08/16/17 ' + m40,if $ lQ G lYJA ,,L TNS 4 D� D ! _ v �c° s 7� `R t i W�Cak 1!);41.11 a t �A PO:E p ® 6b yog,Ai . o k4 te a. . .. ,...:....,.. ,.,„ :.,, ,. ,,„.. ............ .......,:..., .,..-.,� 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/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. SB407 2015.doc revised 08/26/15