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D-2017-0051CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: D-2017-0051 19991 LA MAR DR CUPERTINO, CA 95014-3377 (369 10 041) NOECON ALVISO, CA 95002 OWNER'S NAME: DASTOOR DINYAR AND BENAIFER OWNER'S PHONE: 408-858-0081 License. Class A Lie. #953898 Contractor NOECON Date 10/31/2018 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: 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 erformance 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 1 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 th&above rrientioned 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 s per the Cupertino Municipal Code, Section 9.18. Sign P • Date 8/7/2017 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t: ' I; is 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: t. Ihave 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 performarice 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 haveread this application and state that the above information is correct. I agree to'comply with all city and county ordinances and state laws relating t' building construction, and hereby authorize representatives of this city to enter upori ;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 8/7/2017 ISSUED: 08/07/2017 PHONE NO: (650) 630-5967 BUILDING PERMIT INFO: —BLDG —ELECT _ PLUMB MECH X RESIDENTIAL COMMERCIAL JOB DESCRIPTION: DEMO POOL (450 S.F.)-USE FOR LANDSCAPE PURPOSES ONLY Sq. Ft Floor Area: I Valuation: $8300.00 APN Numberr Occupancy Type: 369 10 041 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: Jasmine Archbold 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 ofApplicant: Date: 8/7/2017 ALL "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 Cl, Sections 25505, 25533, and 25534. Owner or authorized agent: Zk6k— Date: 817/2017 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 DEMOLITION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CIJPlE6 NO (408) 777-3228 • FAX (408) 777-3333 •.building�cupertino.org 9WNERNAME I t/a fY .. ,PHONE �DO 608 F,!E-MAIL i h A r. r 191 ' Civ STREET AI�DR,F,9S �FA�, 1 V CONTACT NAME i PHc6 6 i STREET ADDRESS I r� ok CITY, STA Z�. C 5Z)Q FAX .. ❑ OWNER.. ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTORCONTRACTORR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑, TENANT LTCENSS'riJIJb1&ER' Q 1 ICENSE'T5 PE CO1�TR2iCOR'N70�IE p ( .,. 5�7 O� COMPhNY•N 0 SCD0�;EADULNae v\oecoV1. -- <F 14LA-, - - STREET ADDRESSStIq W-1 S-� ^. 'CTTY, STATE, ZIP � v SO a� PHONE ,O DESCRIPTION OF WOLRK).�LJ + ' I M M11' 66 DMO 16 i a RESIDENTIAL f ;,#DWELLING `; O'FF'ICEtISEflNLY .. FiOOR'AMA IIN19B t3Si SJCC' 1IFE, k3 VALUATION COMMERCIAL q Y FLOOR AREA- - TYPE OF CONSTRUCTION # STORIES Q NED BX a m>nJOBNI31vmER 7 3�C) By my signature below, I certify to each of the following: lam the properly own o on age " act on. the property, owner's behalf I have read this application'and.the.itiforinationl+have,piovidediscoriect. L:have:iead'thepescri' on f� an eri€yifisaceurate- Iagree'ta'comisl} withalTappheablelocal ordinances and state laws relating to buildin c tion. I authori representati upe to enter the above identified propertyfor inspection purposes. Signature of. Applicant/Agent; Date SUPPLEMENTAL INFO N Q RIOR T SSU E OF DEMOLITION PERMIToNt X rLAictc xYeE Provide Sob Number from Bay Area Air ityManagement District www.b md.or @ 415-749-4762.. Provide Three copies of a sitepian :sho g protection for any trees 10' in dram tar or more at 3' above :grade. 0 EXPtt ,ESS '� Protiide:letterrornPGBiE(408725-33}_statiriglgasand'.electEichasbeen'; sconnected..KA '— D LAttcl r Planning Dept clearance to verify buil, ' g is not considered an historical, landa ark A How', 10 business days. '. Provide "letter of, clearanceofatl from alicensed.pest control, coniractor: h :I s Applicant shall call the Public Wo Department at 408-777-3104 and'schedu a habitable dwelling" inspection � Provide signed Debris Bin and Rec clable Materials form. t CominercialBtuTdings Only: Pro de Fire Dept clearance for firee snppressitllr) alarm system,review- - r �w t "01 "",m DemoAip_2D 16 doe �eviseat 03/29h16 P VPimki CA �2Z Oy, bnA �Z CVPERTINO 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 • building(d)cupertino.org 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 the bedroom(s) X X On every level of a. dwelling,unit including basements X X Withiri each slee i ng 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 ishan be approved by the Office of the State Fire Marshal. i 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 Sedtion 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. {� t� Address: l � �// � /0 G r //✓. Amwhzm, 9A s %.-0 /9' Permit No. f:2Q/ 7 -0, r7 5-/ Specify Number of Alarms: # Smoke Alanns: I `7 I # Carbon Monoxide Detectors: I have read and agree to comply with the terms and rnnrfftinn.c of this .Qfgfe , nf Owner (or Owner Agent's) Name:' �% , Signature....�1.>,.,A./.., '...............................................................................Date: $44vl ............................ :......... fv ...................................................................................... C_onta'orNa !� Signature .............. ................. Lic.# .....�.a,......... Date: vv"Uf' f� :: Smoke and CO fbmtdoc revised 12115/16 CGUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY 'D'EVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 55014-3255 (408) 777-3228 -'FAX (408) 777-3333 • buildina(a.cupert! no.or9 Owner Name Permit No. �-.20» ' ®4J_/ Address �� ' �/ (:��✓�,�a l -_ 9rp 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. Y�No Go to Question! 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. ❑ The licensed plumber's certification has been provided to the Building'Division. Skip the rest of;the form and sign bottom of form. R' 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. C3°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. l� 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.'. Please check ONE of the following: Lf Myproperty is a single fa'nily residential real property. See Civil Code Section 1101.4. On and after January 1;j 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 unprovements). ❑ My property is a rnultifgn ily residential real property. See Civil Code Section 1101.5. On and after January 1, 2614, 'specified building alterations or inTrovements shall require non- compliant plumbing fixtures to'be ;replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-cornpliant 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 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 propeity, 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 followmiz page. r, Owner or Owner Agent's Signature: ct-`DI Date: _RfgjLoli-- Unon comnleting and signing this Certificate_ nlease return it to the Rnildino Nvisinn in nrrler to final vnnr hniMina narmit SB407 2015.doc revised 01/05/17 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 Non-CompliantWater-Conserving Plumbing Fixture PlumbingFixture! (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4' 2013 CPC Ch. 4 2013 CPC Ch. 4' !Flow Rafe 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 show . ead,.) 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 minute60 Lavatory per minute minute g60 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 i 60 psi Faucets — Exceed 2:2 gallons 1.8 gallons per minute @ 1.8 gallons per minute i 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 min6te @ default to maximum 60 psi , i 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. I 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