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B-2017-1303CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-1303 858 HYDE AVE CUPERTINO, CA 950144639 (375 39 014) . AFFORDABLE WATER HEATERS AND PLUMBING INC 28358 CONSTELLATION RD VALENCIA, CA 91355 OWNER'S NAME: NEAL THOMAS S DATE ISSUED: 08/08/2017 OWNER'S PHONE: 408-472-3742 PHONE NO: (855) 345-9087 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic. # 276 3M Contractor AFFORDABLE WATER HEATERS AND PLUMBING INC Date X BLDG _ELECT X PLUMB — 09/30/2018 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 JOB DESCRIPTION: license is in full force and effect. REPLACE 50 GAL WATER HEATER (GARAGE) I hereby affirm under penalty of perjury one of the following two declarations: m. 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 1crtify Sq. Ft Floor Area: Valuation: $2100.00 permit is issued. APPLICANT CERTIFICATIONthat 1 have read this application and state that the above Number: Occupancy. Type: information is correct. I agree to comply with all city and county ordinances 375 39 014 375 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 PERMIT EXPIRES IF, WORK IS NOT STARTED Cityof Cupertino against liabilities, judgments, costs, and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally, thea li derstands and will comply with allrton-point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per e C pertino Municipal Code, Section 9.18. Issued by: Kim Dunbar SignatureAt Date 08/08/2017 Date: 08/08/2017 R-BUiL'ERDkC ARATI RE -ROOFS: I hereby,affirm at am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reaso s; " installed without first obtaining an inspection, I agree to remove all new materials for 1: I, as owner of the property, or my employees with wages. as their sole inspection. compensat on;lwill do the work, and the structure is not intended or offered for l sale (Sec.7044; Business & Professions Code) Signature of Applicant: 2. I, as owrier ofithe property, am exclusively contracting with licensed Date: 08/08/2017 contractors to!construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I he. reby'affirm under penalty of penury one of the following three declarations: i. I haves and will •maintain•a Certificate of Consent to self -insure for Worker's, Coinpcnsation,1 as provided for by Section 3700 of the Labor Code, for the HAZARDOUS MATERIALS DISCLOSURE performance of the which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the Iwork,for 2. I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505; 25533, and 25534. F will Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 1! I permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous s. I certify that'; ' the perfoi mance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not empjl y any person in any manner so as to become subject to the air contaminants as defined by the Bay ea Air Quality Management District I Cup lino unicipal Code, Chapter 9.12 Worker's Compensation jaws; of California. If, after making this certificate of H.� maintain compliance with the and the Health &Safety Cod e,.S ti s 2 O5, 25533, and 25534. 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 I; Owner bp, ed e irevo e6l or authorized agen Date: 08/08/2017 APPLICANT CERTIFICATION I certify that Ii!have read this; application and state that the above information is TRU N'LE INGAGENCY I hereby affirm that there is a c nst uction I nding agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit i is ued (S . 3097, Civ C.) relating to bull' in "6onstruction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned'property for inspection purposes. (We) agree to save indemnify and keepiharmless the City of Cupertino against liabilities, Lender's Address judgments casts; and expenses utiliich may,accrue against said City in consequence bf, the,granting;of this permit. Additionally, the applicant understands ARCHITECT'S DECLARATION I understand my shall be used as public records. and will comply with all" non-point'source regulations per the Cupertino Municipal plans Code, Section'9.18: j PROJECT ADDRESS D APN r " :? OWNERNAME _I PHONE 6j _T 3 -74 E-MAIL O kJ4-T2 STREET ADDRESS(5� V I Ci M,CITY,�T 9 no FAX CONTACT NAME O �C� ^ ` V PHONI�6 61 \(; C), I / 1 / l� E-MAIL STREET RESS ` CITY, STA Z I o�`945447' ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 94NTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LIC SEIUI�,B LICF,AiE�)iPE :BUS. LIC #' COMPANY NAME P 'J -e VV �i W -'Y E'-M.AIL�I/✓�4Jl(P�{�1/1 FAX STRE D CI S TE, Z gl3sr ,.PHO ARCHITECT/ENGINEER NAME LTC SE NUMBER ' BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY; STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX BUILDING: ❑ COMMERCIAL ❑ MULTT-FAMTLY ' PROJECT TN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YESIS FLOOD ZONE ❑ NO THE BLDG AN ElYES EICHLER HOME? ❑ NO DESCRIPTION OF WORK TOTAL VALUATION: RECENED BY: By my signature below, I c rtify 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 L have pr •ided co ect. I have read the Description of Work and verify itis accurate I agree o comply with all applicable local ordinances and state lav s relating to b I i c ction. I authorize representatives of Cupertino to enter the ve entifie pro for inspection purposes. Signature of Applicant/Agent: Date: I r S P EMENTAL INFORMATION REQUIRED OFFICE USE ONLY W 7-71 :.;. .; ❑ OVER THE COUNTER c. X❑ EXTRESS x, ❑ STANDARD ; ❑ LARGE 0., ❑ MA70R MEPMiscApp_2011.doc revised 06/21/11 . , Fi „,.'FI'zi SMOKE / CARBON MON � �� ` �� .- OXIDE ALARMS f. - OWNER CERTIFICATE OF COMPLIANCE ,%,,Y,9 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ir CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333• building( cur ertino.orq _ oma, � 3 � .,fisfivor � t s 3 �€s a ie*� .kr z .r ��r ' � :APER ATUCANNO B FINALED�.7NTIL, THIS CERTIFICATE,HE'S BEEN' i ` `at" sz' � ' &.gat ' " -4 Mtak't� - ,.^ 6` i� v yi, �C©MPLETED; IGNED.AM)RET R 'E40'%,,t, E IVISIO ' is ' L, aa� a . ' 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. 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 beS� "low. Address: "" HYDE&VE Permit No. i- �'y '-13.3 Specify Number of Alarms: #Smoke Alarms: =■ #Carbon Monoxide Detectors: I t I I have read and agree to laty with the terms nd conditions of this statement • Owner(or Owner Agent's)Name: %1r 1� P� }�,w, Signature .l->L`. ...Date: Contractor Name: Signature Lic.# Date: Smoke and CO fonn.doc revised 12/15/16 `11 FI . . WATER-CONSERVING PLUMBING FIXTURES ?%1LtS OWNER CERTIFICATE OF COMPLIANC • E TsH COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•'FAX(408)777-3333•buildinq(a cupertino.orq • Owner Name To In N e a / Permit No. 5 -2 0 ) 7 — 13 0.3 Address rS r H y f51 e /I-Ye - 1. 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. 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? O es 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? ❑ No My real property is built and available for use or occupancy after January 1, 1994. 1 Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. IJ 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.. 5. P1tase check ONE of the following: d 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). 0 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-corilpliant 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 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 page. / • Owner or Owner Agents Signature: C '7 C.: Date: �/22//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 01/05/17 • nr{v Enzz�as. . t:e gcb . �F e B :i�7 0# 161kE3�7 NI ¢� � `1i( e5�,; e e ,N t �e n e ,JJA 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. • SB4072015.doc revised 08/26/15