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14090131
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10566 E ESTATES DR CONTRACTOR: MARK R LONG PERMIT NO: 14090131 CONSTRUCTION, INC. OWNER'S NAME: STEVENS JERRY W AND SHARON I T 15976 LINDA AVE DATE ISSUED: 10/10/2014 OWNER'S PHONE: 4082523028 LOS GATOS, CA 95032 PHONE NO: (408) 348-4038 © LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REMODEL (E) MASTER BATH INCLUDING ADDING (N) License Class rJ Lic. # lt�o 3 BATHTUB & (N) WINDOW & REPLACE (E) WINDOW WITH � A � �-,: LARGER WINDOW. REPLACE 2 (E) BEDROOM WINDOWS V�I� KW_iLL0;Jln CU�'l°i7g�+ gate O i o Contractor " (ALL 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: 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 ance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $41000 have and will maintain Worker's Compensation Insurance, as provided for by aPN Number: 36925025.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180$I' ERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 18 LED INSPECTION. 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 whi may accrue against said City in consequence of the Issued b Date: 1__0 / b granting of this pe Additionally, the applicant understands and will comply with all n n oint ource r gul 'on per the Cupertino Municipal Code, Section 9.18. 11 RE-ROOFS: Signature Date t� �� 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. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipm t or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay rea A Quality Management District I performance of the work for which this permit is issued. will maintain compliance with e C ertmo M nicipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sect ns 5505, 25 , a 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: t- 1 a permit is issued. 1 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO 1 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS (_ J 7PN # - /"7W � � V ✓ - V V/ OWNERNAME PHON Z�L �J wf/�f(�' E-MAIL CITY, STATE, ZIP FAX STREET ADDRESS O Pg CONTACT NAME~J' -' - PHONE E-MAILIA P C U� ` STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �/� - t LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME N f ,I E-MAIL FAX STREET ADD CITY, ST TE IP Ck P ARCHITECT NGINEERNAMEC1 Ut4 LICENSE NUMBER BUS. LIC # COMPANY NAME ` ` E-MAIL ���� ���wl �I FAX -3� STREET ADDRESS CITY, ST ,ZIP � PHO r DESCRIPTION OF WORKAW r , (�k f D . ISTING SE PROPOS D USE CONST TYPE # SffuE$ USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA !�+p V BATHROOM'KITCHEN OTHER REMODEL AREA REMODEL AREA,,d!��� REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH # DWELLIN`GNITS: 'Ayr+ ISA SECOND UNIT ES BEING ADDED? 5 SECOND STORY ❑ YES ADDITION? _ ;NO PRE -APPLICATION ❑ YES IF YES, PROVIDE OPY, IS THE BLDG AN ❑ YES RECE BY: TOTAL.VALUATION: PLANNING APPL # []NO PLANNING APP OVA ETTER EICHLER HOME? `fir 0 By my signature below, I certify to e o t e follow' g: I am the property owner o ac n the perty owner's behalf. have read this application and the information I ha v ded is c ect. I have read the Description of Work and veri is ura I agree to comply with all applicable local ordinances and state laws relating ild' g con ction. 1 authorize representatives of Cupertino to en a abov -ide in fed p operty for inspection purposes. i Signature of Applicant/Agent: Date: SUPPLEME TA INFORMATION REQUIRED PLAN CHECK YPE If ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifa ily d ellings: Apply for demolition permit for existing building(s). De ition ermit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVICW _ Commercial Bldgs: ovide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous M erials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 f CITY OF CUPERTINO No FEE ESTIMATOR - BUILDING DIVISION imlADDRESS: 10566 EAST ESTATES DR DATE: 09/22/2014 REVIEWED BY: MELISSA APN: 369 25 025 BP#: I �90 `VALUATION: $41,000 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Suppl. PC Fee: (F) Reg. 0 OT PENTAMATION 1 R3SFDRE PERMIT TYPE: A WORK REMODEL E MASTER BATH INCLUDING ADDING N BATHTUB & N WINDOW & REPLACE E SCOPE WINDOW WITH LARGER WINDOW. REPLACE 2 (E) BEDROOM WINDOWS (ALL WILL MEET p NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District eta . These fees are based on the prelimina information available and are only an estimate. Contact the Dept or addn'l info. FEE ITEMS (Fee Resolution 11-053 fff.' 711'131 FEE Li L _j NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District eta . These fees are based on the prelimina information available and are only an estimate. Contact the Dept or addn'l info. FEE ITEMS (Fee Resolution 11-053 fff.' 711'131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 184 s.f. $645.00 Remodel, Bath (<=300 sf) 1REMRESBAT Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 3 # $431.00 Window / Sliding Glass Door 1 1WINREP Replacement Permit Fee: $0.00 Suppl. Insp. Fee:O Reg. 0 OT " hrs $0.00 0 # Window / Sliding Glass Door $503.00 IWINNEWNST New (Non -Structural) PME Unit Fee: $0.00 PME Permit Fee: $0.00 'E1e1st1'u('ii0n Tax. 1J1ni11;qrafiVc 0 0 -_ Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 Ir'I vl 1){, Strong Motion Fee: IBSEISMICR $5.33 Select an Administrative Item Bldg* Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $7.33,$1,579.00 TOTAL FEE: $11586.33 Revised: 08/20/2014 V IA WATER -CONSERVING PLUMBING FIXTURES IL OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO I 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 146<-.n O< -.O I P—Z Owner Name (408) 777-3228 • FAX (408) 777-3333 • building(a.cupertino.org Permit No. �40? Address S(P(o (ff44ST tt;r= TC 'Die\\iC^ PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION Please refer to the attached California Civil Code Sections 110 1. 1 — 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: i% '16 G Date: XNo 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? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner' Signature: Date: Y 3 o Go to Question 3. "__�7 rIs w_ ater service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: XNo Go to Question 4. r 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. Sign below and skip the rest of the form. Owner' Signature:Date: J�//_'5_ )(Yes My real property is built and ilable for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 110 1. 8 apply. Refer to the attached. Myproperty 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). ❑ 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-compliant 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. SB407 2014. doc revised 03/18/14 CALIFORNIA CIVIL CODE SECTIONS 1101.1-1101.8 Civil Code Division 2. Property Part 4. Acquisition of Property Title 4. Transfer Chapter 2. Transfer of Real Property Article 1.4. Installation of Water Use Efficiency Improvements ........ 1101.1 — 1101.8 1101.1. The Legislature finds and declares all of the following: (a) Adequate water supply reliability for all uses is essential to the future economic and environmental health of California. (b) Environmentally sound strategies to meet -future water supply and wastewater treatment needs are key to protecting and restoring aquatic resources in California. (c) There is a pressing need to address water supply reliability issues raised by growing urban areas. (d) Economic analysis by urban water agencies has identified urban water conservation as a cost-effective approach to addressing water supply needs. (e) There are many water conservation practices that produce significant energy and other resource savings that should be encouraged as a matter of state policy. (f) Since the 1991 signing of the "Memorandum of Understanding Regarding Urban Water Conservation in California," many urban water and wastewater treatment agencies have gained valuable experience that can be applied to produce significant statewide savings of water, energy, and associated infrastructure costs. This experience indicates a need to regularly revise and update water conservation methodologies and practices. (g) To address these concerns, it is the intent of the Legislature to require that residential and commercial real property built and available for use or occupancy on or before January 1, 1994, be equipped with water -conserving plumbing fixtures. (h) It is further the intent of the Legislature that retail water suppliers are encouraged to provide incentives, financing mechanisms, and funding to assist property owners with these retrofit obligations. 1101.2. Except as provided in Section 1101.7, this article shall apply to residential and commercial real property built and available for use on or before January 1, 1994. 1101.3. For the purposes of this article: (a) "Commercial real property" means any real property that is improved with, or consisting of, a building that is intended for commercial use, including hotels and motels, that is not a single-family residential real property or a multifamily residential real property. (b) "Multifamily residential real property" means any real property that is improved with, or consisting of, a building containing more than one unit that is intended for human habitation, or any mixed residential -commercial buildings or portions thereof that are intended for human habitation. Multifamily residential real property includes residential hotels but does not include hotels and motels that are not residential hotels. (c) "Noncompliant plumbing fixture" means any of the following: (1) Any toilet manufactured to use more than 1.6 gallons of water per flush. (2) Any urinal manufactured to use more than one gallon of water per flush. (3) Any showerhead manufactured to have a flow capacity of more than 2.5 gallons of water per minute. (4) Any interior faucet that emits more than 2.2 gallons of water per minute. (d) "Single-family residential real property" means any real property that is improved with, or consistit;g of, a building containing not more than one unit that is intended for human habitation. (e) "Water -conserving plumbing fixture" means any fixture that is in compliance with current building standards applicable to a newly constructed real property of the same type. (f) "Sale or transfer" means the sale or transfer of an entire real property estate or the fee interest in that real property estate and does not include the sale or transfer of a partial interest, including a leasehold. 1101.4. (a) On and after January 1, 2014, for all building alterations or improvements to single-family residential real property, as a condition for issuance of a certificate of final completion and occupancy or final permit approval by the local building department, the permit applicant shall replace all noncompliant plumbing fixtures with water - conserving plumbing fixtures. CUPERTINO Address 10z(D a PURPOSE 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(cDcupertino.om D2 wasIlIff RAWN qO JTdl 15Z No. ( `v,ol -31 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 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 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 have been tested and are operational, as of the date signed below. Smoke and CO form.doc revised 03/18/14