B-2017-1425 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1425
11112 WILKINSON AVE CUPERTINO,CA 95014-4736(356 17 074) SAN JOSE PLUMBING
INC
SAN JOSE,CA 95120
OWNER'S NAME: TATARKO TATIANA TRUSTEE DATE ISSUED:08/24/2017
OWNER'S PHONE:408-300-0166 PHONE NO:(408)296-1820
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-36 Lic.#615156
• Contractor SAN JOSE PLUMBING INC Date 09/30/2017 • 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:
RE-PIPE SFD(COOPER)FULL
I hereby affirm under penalty of perjury one of the following two declarations:
i. I have and will maintain a certificate of consent to self-insure for Worker's
aleCompensation,asprovided 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.` Sq.Ft Floor Area: Valuation:$11000.00
•
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 356 17 074
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 accrueagainst 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 Cup- ino M nicipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signatures. Date 08/24/2017 - Issued by:Kim Dunbar
Date:08/24/2017
OWNE -BUILDER DECLARATION "
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
r. 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:08/24/2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
i. 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. HAZARDOUS MATERIALS DISCLOSURE
2. I 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. I 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 unicipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,S• ionif f 50. 255 3, ,d 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall f /
be deemed revoked. Owner or authorized age ;$ /_,,[/ _
APPLICANT CERTIFICATION Date:08/24/2017
I certify that I have read this application and state that the above information is CONS •UCTION 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 08/24/2017 Professional
CONSTRUCTION PERMIT APPLICATION
,''' / COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO,CA 95014-3255
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(408)777-3228 • building@cupertino.org PEMIT#B-
CUPERTINO REV# DEF#
1=1 NEW CONSTRUCTION El ADDITION ❑ALTERATION ❑T.I. NI�l P ❑RE-ROOF ❑SWIMMING POOL/SPA/
PROJECT ADDRESS 1 t t I +� f , e \\ /i� � APN# _ t 0 -q Li
OWNER
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❑CONTRACTOR NAME ❑OWNER-BUILDER COMPANY NAME I LICENSE NUMBER LICENSE TYPE
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STREETADDRESSI CITY STATE,
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E-MAIL PHONE BUS.LIC#❑ARCHITECT ❑OWNER 0 OWNER AGENT ❑CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT
CONTACT NAME E-MAIL
STREET ADDRESS CITY,STATE,ZIP
DECRII'TON PHONE
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(SINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL I
EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES if TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($)
REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTACHED
BATHROOM SF SF SF SF 0 DETACHED
•
EXISING 0 YES EICHLER ❑YES SECOND STORY ADDITION ❑YES
FIRE SPRINKLERS 0 NO ❑ NO 0 NO
DWELLING SECOND DWELLING 0 YES 0 ATTACHED DETACHED OTHER
UNTTSk ' UNITADDITON: 0 NO, SF
POOLS' 0 FIBERGLASS ❑.VINYL-LINED 0 GUNITE ❑PREFABRICATED
POOL-SF SPA-SF I,SPA ATTACHED ❑YES ? NO TOTAL-SF - -
REC ?1TAL VALUATIQN:
Commercialor Multi-Family Buildings with Public Surimming Pools requires Department of Environmental Heath approval r4V61. � )
RE-ROOF(EXISTING ROOF TYPE: E BUILT-UP ROOF E ASPHALT SHINGLES❑WOOD SHAKES❑WO SHINGLES❑TILE OTHER(SPECIFY) -- /`7 , `/
REMOVE/REPLACE❑NO IF NO PLYWOOD ❑1" ❑3/8" PLYWOOD TYPE: PITCH: ROOF CLASS
❑YES if OF LAYERS THICKNESS❑5/8" OTHER ❑OSB ❑CDX OTHER •12 A
PROPOSED ROOF TYPE:❑BUILT=UP ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER
*Provide a signed copy of the Cupertino's Tear-Off Policy SF ;of SQUARES
By my signature below I certify 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 I have provided is correct. I have read the Description of Work and-verify it is accurate. I agree
to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to
enter the above-identified property fo j pe 'on ./ it owledge and authorize all information contained on this application form
to be made available for public rec.2: ,�
Signature of Applicant/Agent: / ua/ Date: D S/V-0
SUPPLEMENTAL INFORMATION REQUIRED
*New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction.
*Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
*Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application.
*HOA-Provide a letter of approval from the Home Owner's Association
'BldgApp_2017.doc revised 08/01/17
CUPERTINO
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 • buildingQcupertino.org
PERl1'IIT CTNO.TISE FI�IALED UNTIL.TFII CRTIFICAT'HAS: SEN
�C)1VIPLE'�'ED, S� _��:A�� 2�T1t�I21�1I1D T� T$� BUII1I3Iil�G DIVI�I4N"
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, R315, 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 shallbe 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, R315, 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) — (Smoke alarms shall not be located within 3 feet of bathroom door)
X
X
On every level of a dwelling unit including basements and habitable attics
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 unitswith 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 CSC 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
Address �M D- Permit No.
Specify Number of Alarms _ # Smoke Alanns # Carbon Monoxide Detectors.
I have read and agree to comply with the terms and conditions of this statemPnt
Owner (or Owner Agent's) Name:
Si nature ..... .... '......... .... ....... .. .... Dat .�/....
Contractor Name:
Signature Lic.# Date:
S727oke and COform.doc revised 0111012017