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B-2017-1269V I . CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1269 10317 VISTA KNOLL BLVD CUPERTINO, CA 95014-1035 (326 13 122) F W H ACQUISITION CO LLC BOTHELL. WA 98011 OWNER'S NAME: STAIGER WILLIAM C TRUSTEE OWNER'S PHONE: 408-245-2577 LICENSED CONTRACTOR'S DECLARATION License Class C36 Lie. #987398 Contractor F W H ACQUISITION CO LLC Date 10/31/2017 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. 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 t 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. this, city to save indemnify and keep harmless the City of Cupertino against liabilitiesJudgments, 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 tper the Cupertino Municipal Code, Section 9.18. Sig . to V : Date 8/2/2017 OWNER -BUILDER DECLARATION 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 *ork, and the structure is not intended or offered for 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: 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 8/2/2017 DATE ISSUED: 08/02/2017 PHONE NO: (425) 636-7078 PERMIT INFO: BLDG —ELECT X PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (I) 50 GAL WATER HEATER (SAME LOCATION) Sq. Ft Floor Area: l Valuation: $1679.10 "N Number: Occupancy Type: 32613 122 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim.Dunbar Date: 08/02/2017 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: 8/2L2017 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, Sections 25505, 25533, and 25534. Owner or authorized ag V I< ns / Date: 8/2/2017 CONSTRUCTION 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 07/31/2017 MCN 13:30 FAX Fal9t Water Heater GENERAL PERMIT APPLICATION COKIMUNITY OEVELOPMEW DEPARTMENT •BUILDING DIVISION 10300 TORRE AVENUE+ 4 CUPERTINO, CA 95014-326;; 'CUPERTINO (406)7 77 -3228,- FAX (400) 777.3333 Iyulltiln�l(�°ubt r91r1u.Qrn lxV .LJMRINC1 ' I �MPCIIAN[CAL r1kLlsf."rkt{'AL ma{IRf'i%1.]:.�Tv'FOUS [&004/014 100521 MEP misc rltWfif1'AnnlVAR 1031,7 VISTA KNOLL. BLVD OtVNLAMAMLSTAIGER, IWILLIXM P"°�'� 4082452577 r; Mllllr STr'r-Pf ADDAr-SS 10317 VISTA°..KN0LL 6LVD CITY, sverrtizlr CUPERTINO CA '95014,1 F,+x -. y CONTACT NAM" `Katy Kehle FAS'r wate(Heater 425-636-708 ``,' IAILKKOhie(c mviiaterhoater.com MERTADD7'M 11715 NI Creek•P" S, C-106 C'11YAT'ATE, ZIP Bothell WA 96011 ' ' 1• ' FAN ' 6.WNE' �, mNm.uuRD71R l7 10h46RAOENT .CMR/IM& O0WIRACIORA01INT (3 ARCHITI1C7'd.:tiN11N. E R �. U[vliwrn. 0, 7i=ur„rI. CONTAAL'fOlt MAKE LICIINSI 7{UA1IIL0. L1cENsr', 1T .,FASTWater Heater 987398 C36 SNS llC ' fj COMPANYNAMNr.>aAn., KKahla fa8tW8t eaier.com FAST Water Heater r"` 425-G36-7085 srRrl) Auliltlls�s11715 N'CreeEc •PSC -106 , �7iv,$7ATIi ru' Bothell WA 98011 "."""'J"425-636-7084 . •iU!•111rKWENGIALF Tr% [ -•• 11CL7t$li1911,1 CjL• fd� 1'ANYNAhff�. + . P.•MA FAX ,1' STI 7AD�Y SS'm 1TY,'S7ATG,'LIP uSb of li iQSFDrabLVUA E7 b1U1.11.1—LY Di:Olk"r1'1N wP IR A>•9y YI;F 1'WIWI r p 1' s � 1$ YliE hl.nq,xN L�3•E5 AVILD)NO�;QjCOhIhGI:ltx lM1l: UMnN 1A16kP"t t n! fti'. Nei I'"l' )71W1) (j NR IIK'NL} g 114MB1 rj �'q ,'' DE7RI41710N,0F, NORR - ini, �� Y I I � V V I�� t+'t. �` � � � it )ril�\ / L �� ' Lb=— .M1.• L...... �—.--.�..�. 1'eu 1.4h1.[I/,,*,Dm $1,679.10 'I, Y In3r 614b11JCLIIV t IOW, ) scrilfy; W Nldt of•lht! following: I mn the pwpl jfy ttw;c, u( UU111af1T.Cd U40111 to Att on di,,.IiIOpCIS}' OWh@fIR IY:1h11 '11'Ilnue rend •t1iiR ' i„ tlppllcntiop nild tlio inf01rmcim l li v0,pixividcd itcoiTco. I llavc mad ilia Dawription qT Wollt and vadiil' itis ACQu[h(C: 13flrC@ t0 Cailpl}+ N Ill[ alt 110I)iicuidu 16.1 014u(a006 g1W slate laws relntinp to wi g 'unit i inr 1 116 inepcopon purj osce, ! ` Si�nnwlr;nfrtippllcAlstfAgcuc r .--=1v=` lynll: _ 7131'/201:7 SUPPLEMENTAL INFOIINIA'riQN nQuFR-i7 oFnce'useONLY 1 Iv 5�lityd�l�.scrPj�j��21J//:rloein sed000111,1 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• building(a cupertino.orq r.c� �� 5 r _��°z �a'�nY�'W..w fi`c ��t �' "��§k�s��'b ,.��e.�� k a s�'��'��' i�f� ��rv.��y�x 7 :� z�•� "� :. z PEi�l IT CAN OT BE FINAa ED JNTILYTHISzCERTIFIC4 BAS BEEN ' � r � '� �.Y' �&k"""�v� '��, �.s �^�".�� .�•�r s�5rt �:�"t coMPLETIE ,SIGNED,, RETU �TTO THE�B LDING SIO r �; ate' qgalitsrPURPOSE 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) ,!j On every level of a dwelling unit including basements X X Within each sleeping in 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 CBCISection 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 alarins specified below have been tested and are operational, as of the date signed below. Address: /63/ 7 1/3,-/A- k)QL ' ,til Q t " Permit No.B 20/7-/J-69 Specify Number of Alarms: #Smoke Alanns: I S'" ( #Carbon Monoxide Detectors: I" / I • I have read and agree to comp� ,y he terms and conditions of this statement Owner(or Owner Agent's)Name: y�j► C Zl (1M�- Signature.. , .. .. ... . '�/ t�JJiJJ 6f te. 5TAtclZ ® Contractor Name: Signature Lic.# Date: Smoke and CO fo»n.doc revised 12/15/16 • WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE • COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX 408)777-3333• buildinq(a)cupertino.orq Owner Name (—,-) A-"' S T CSC Permit No. b' a° /7r/2 b 9 Address ( 0 3 1 1 \J 14, P AL, cJ o LL j L-VO C ?6:12---7-1%) 0 C p 1. - Is yourreal property a registered historical site? ❑ Yes Civil Code Sections'1101.1 through 1101.8 donot apply. Skip the rest of the form and sign bottom of form. 'L 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? 0 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. No Go to Question 3. 3. Is water service permanently disconnected for your building? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 0 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. `®:Yes My real'property is built and available for use or occupancy on or before January 1, 1994. 1. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign I bottom of form.. ; 5. Please check ONE' .Of the following: My property is a single faintly 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). 0 My propertyis 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). ' 0. 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 unprovements). I,as the owner or owner's agent of this property,certify under penalty of peijury 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,'theciurent California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-cons-"N; g plumbing fixtures comply With the requirements as indicated in the table on the.following page. .7./ Owner or Owner Agent's Signature: / _` ,ate 1. ' • Date: 3/07 Zdifr Upon completing land signing this Certificate,please return it to a Builds of Division in order to final your building permit. I , SB407 2015.doc revised 01/05/17 A • :. nr..:,u : x �axk,y _w.rWTt., :...-...._.:..:.......,a.:...:.. .... '� LD�PR TEMSI ) BE A E � t 7!L'�,F.,W:i!,!1-! ttt:Fom .1 E c v S._DiS IL• t_; s j'e`IJ'�' '� . a' 5'b. �eeraxcm�,-... . rrrmxx: . i ,,44.04,•;;;W4,4,,,,,,f „ h :.,. 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 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