15080048-OLI CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 1129 STAFFORD DR
OWNER'S NAME: DAVID WOO & JALING LIU
OWNER'S PHONE: 4088925391
❑ LICENSED CONTRACTOR'S DECLARATION
License Class Lic.#
Contractor
Date
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
performance of the work for which this permit is issued.
I have and will maintainWorker'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 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
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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
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.
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
CONTRACTOR: WINTER ROOFING PERMIT NO: 15080048
INC
151 WYANDOTTE DR DATE ISSUED: 08/06/2015
SAN JOSE, CA 95123 PHONE NO: (408) 363-8052
BUILDING PERMIT INFO: BLDG r.ELECT PLUMB
MECH. RESIDENTIAL COMMERCIAL
JOB DESCRIPTION: REMOVE SHAKE. INSTALL OSB, 30LB FELT AND 40
COMPOSITION SHINGLES. 30 SQRS
Sq. Ft Floor Area: 0 1 Valuation: $9600
APN Number: 36206013.00 1 Occupancy Type:
PERMIT EXPIRES IF WORD IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
Date:
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 of Applicant: Date:
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 agent:
Date:
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
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
CUPERTINO
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 9501.4-3255
(408) 777-3228 • FAX (408) 777-3333 o buildinaC�cupertino.org
1
Owner Name d �% l /lJ{� ) i �/ 1� l AA Permit No t? f J
Address P I+ .Gq � t N 4 , CA 9I0 1 7`
PERMIT CANNOT BE FIiNALED AND COIVJP.LETED UNTIL THIS CERnriiCATE
HAS BEEN ' AND TO THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of.this Certification form..
1. Is your real propertya 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:
M"'No Go to Question 2.
Date:
2.. Does your real property have a licensed plumber certifying that, clue 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.
Sign below and skip the, rest of the form.
Owner' Signature:.
M `No Go to Question 3.
Date:
3. Is water 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:
IY/No Go to Question 4.
Date:
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. Sign below and skip the rest of the form.
Owner' Signature: Date:
m'yes My real property is built and available for use or occupancy:on or before Januaty 1, 1994.
/ Civil Code Sections 11.01.1 through 1101.8 apply. Refer to the attached.
9 My property is asingle: fandly residentialreal 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 multifcntrily 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).
❑ Mypropertyis.a commercial real property. See Civil Code Section 110.1.5.
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 2015.docrevised 02104115
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).
UWe, the owner(s) 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 an alifo Green wilding Standards Code, and manufacturer's installation
requirements, and that the water -conserving pl i g fix s co p with the requirements as indicated in the table b low:
Owner's (or Owner Agent's) Signature: Date: { Z n it
Upon completing and signing this Certificate, please return, it to the Building Division in order to final your permit.
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 20.15.doc reviser! 02104115
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture!
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
dater Usage/Flow Rate
Fixture Type
Water Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
Single -Family.
Multi -Family
Commercial
Residential
Residential
!Nater 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 @ N 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 gallonsper 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 20.15.doc reviser! 02104115
Gmail - Fwd: ALARMS
https://mail.google.com/mail/u/0t?tti=2&&=a325ef l a2c& view-pt&se,..
IsSMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • WILDING DIVISION
CUPERTINO 103CO TORRE AVENUE CUPERTINO, CA 95014-3258
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• . Ii�i ZZ
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PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RF MUR TO THE BUILDING DIVISION
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section H314,2013 CBC Sections 420.6 and 907.2-1.1.2 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
Monoxidealarms. When the valuation of additions, alterations, or repairs to existing dwetling units exceeds
S1000.M CRC Section 8314 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
SMOKEALARM CO ALARM
Outside of each separate sleeping area in the immediate vlchrity of the
bedroom ($)
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 Ertel -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 8314 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 manufacturers 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
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